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PUBLIC CHAPTER NO. 848
SENATE BILL NO. 2013
By Crowe, Bailey, Bowling, Pody, Seal
Substituted for: House Bill No. 1905
By Terry, Behn, Sparks, Renea Jones, Salinas, Cepicky
AN ACT to amend Tennessee Code Annotated, Title 49 and Title 63, relative to nursing.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
SECTION 1. Tennessee Code Annotated, Title 63, Chapter 7, is amended by adding the
following as a new part:
63-7-501. Short title.
This act is known and may be cited as the "Tennessee Nursing Education Integrity
and Oversight Act."
63-7-502. Legislative findings.
The general assembly finds and declares that:
(1) The safety, efficacy, and quality of nursing. education directly affect
healthcare outcomes for the citizens of this state;
(2) A significant number of out-of-state nursing education programs currently
place students for clinical experiences in this state without adequate oversight or
accountability;
(3) The board of nursing must have sufficient capacity to effectively evaluate
and monitor all nursing programs seeking approval, especially those located outside
this state;
(4) Enhanced monitoring and comprehensive data tracking are essential to
ensure the integrity of clinical preceptorship within this state; and
(5) A temporary moratorium is necessary to allow state agencies, including the
Tennessee center for nursing advancement and the board of nursing, to develop and
implement improved standards and reporting procedures for out-of-state nursing
programs.
63-7-503. Part definitions.
As used in this part:
(1) "Board" means the board of nursing;
(2) "Center for nursing advancement" or "center" means the Tennessee center
for nursing advancement created by § 49-8-502; and
(3) "Program based in this state" means a nursing education program that
maintains a physical campus or facility located in this state that has a minimum of one
(1) full-time faculty member on-site who is assigned to the nursing degree program
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who is licensed, registered, or certified or eligible for licensure, registration, or
certification pursuant to this chapter.
63-7-504. Temporary moratorium on approval of out-of-state programs.
(a) There is established, and the board shall implement, a moratorium on the
acceptance and approval of applications from nursing education programs not based in this
state that seek approval from the board to operate, enroll students, or place students for
clinical experiences within this state.
(b) The moratorium begins on the effective date of this act and ends two (2) years
after the effective date of this act.
(c) Except as provided in subsection (d), the moratorium applies to any nursing
education program that is not a program based in this state.
(d) A nursing program that is not a program based in this state, but that has been
approved by the board prior to the effective date of this act, retains its approval status during
the moratorium period. However, such program shall submit all data or information requested
by the board and the center, including, but not limited to, preceptor lists, student placement
statistics, and program outcomes.
63-7-505. Development of standards for out-of-state programs.
(a) The center for nursing advancement, in collaboration with the board, shall develop
and recommend new standards for the approval of nursing education programs that are not
programs based in this state that utilize Tennessee-licensed preceptors or clinical sites
located within this state.
(b) The center shall ensure that the following topics are considered and addressed
when developing the new approval standards:
(1) Verification and licensure of all preceptors used in this state;
(2) Verification of Tennessee residents enrolled in nursing programs;
(3) Annual reporting requirements for out-of-state programs, including student
placement numbers, preceptor utilization, faculty oversight, and student outcomes;
(4) Minimum standards for faculty supervision and clinical oversight;
(5) Data collection requirements for tracking clinical placements in this state;
(6) Administrative costs required by the board to evaluate, monitor, and
process matters related to out-of-state programs; and
(7) Mechanisms for ensuring educational equivalency and protection of
Tennessee patients and preceptors.
(c) No later than June 30, 2027, the cer:iter shall publish a report containing the
recommended standards and deliver a copy of the report to the chief clerk of the senate, the
chief clerk of the house of representatives, the legislative librarian, and the board.
(d) In addition to the report required by subsection (c), no later than June 30 of each
year, the center shall publish and make publicly available an annual report detailing the
activities of, findings about, and oversight of out-of~state programs that utilize clinical sites in
this•state.
63-7-506. Board authority not affected.
This part does not limit the authority of the board to enforce this chapter during the
moratorium period, or to enforce compliance with§ 63-7-504(d).
63-7-507. Application to out-of-state nurse anesthesia educational programs.
(a) Notwithstanding § 63-7-504 or this part to the contrary, this part does not apply to
a nurse anesthesia educational program that is physically located outside this state and that
places students in this state for purposes of clinical education or training, as long as the
program:
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(1) Is accredited by the Council on Accreditation of Nurse .Anesthesia
Educational Programs (COA), or is undergoing a COA capability review and
establishing eligibility for accreditation;
(2) Is offered through a regionally accredited institution of higher education
authorized to operate in its home state;
(3) Prepares graduates for national certification as certified registered nurse
anesthetists (CRNAs) in accordance with COA standards;
(4) Ensures that all students participating in clinical education within this state
comply with applicable Tennessee licensure requirements, supervision requirements,
and all other state and federal laws governing clinical practice and patient safety; and
(5) Receives approval for clinical placements from the board.
(b) This part does not require an out-of-state nurse anesthesia educational program
meeting the requirements of subsection (a) to obtain additional authorization solely for the
placement of students in clinical training experiences within this state.
SECTION 2. The headings in this act are for reference purposes only and do riot constitute a
part of the law enacted by this act. However, the Tennessee Code Commission is requested to
include the headings in any compilation or publication containing this act.
SECTION 3. This act takes effect upon becoming a law, the public welfare requiring it.
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SENATE BILL NO. 2013
PASSED: April 9, 2026
RANDY McNILLY
SPEAKER OF THE SEJtA TE
CAMffl:Of)IISEXTON, SPEAKER
HOUSE OF REPRESENTATIVES
APPROVED this ~~ day of Ape,... , 2026
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BILL LEE, GOVERNOREvery fact on this page links to its source, starting with the official bill record.