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HB 2249

Immigration - As introduced, prohibits the bureau of immigration and customs enforcement of the United States department of homeland security from entering into and conducting law enforcement activities in a healthcare facility, physician's office, or a shelter located in this state. - Amends TCA Title 4; Title 5; Title 6; Title 7; Title 33; Title 38; Title 52; Title 63; Title 68 and Title 71.

114th Regular Session (2025-2026)

Tennessee bill blocks ICE from conducting law enforcement in healthcare facilities, physician offices, and shelters statewide, limiting federal immigration enforcement authority.

Failed in s/c Departments & Agencies Subcommittee of State & Local Government Committee
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WeVote Research Nonpartisan
Bill Summary · HB 2249

Legislative bill overview

HB 2249 would prohibit U.S. Immigration and Customs Enforcement (ICE) from conducting law enforcement activities inside healthcare facilities, physician's offices, and shelters throughout Tennessee. The bill amends multiple Tennessee code sections to enforce this restriction and establish related regulations across various state agencies.

Why is this important

This legislation directly affects how federal immigration enforcement operates within the state and has implications for healthcare access, public health, and shelter services. It touches on the tension between state authority and federal immigration enforcement, potentially impacting both undocumented immigrants seeking medical care and healthcare providers' operational autonomy.

Potential points of contention

  • Federal supremacy concerns: Critics may argue states cannot legally restrict federal law enforcement activities, citing the Supremacy Clause and federal immigration authority
  • Public safety debate: Opponents might contend the restrictions could shield individuals with serious criminal records from immigration enforcement
  • Healthcare provider liability: Ambiguity around whether providers could face state penalties for cooperating with ICE versus potential federal pressure to comply with immigration enforcement
  • Implementation challenges: The broad scope (10 different Tennessee code titles) creates questions about enforcement mechanisms and which agencies bear responsibility for violations
  • Unintended consequences: Restrictions might deter undocumented immigrants from seeking emergency medical care anyway, fearing detection through other means

Compiled from official sources — confirm details with the bill’s official record.

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