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SB 474

Medical Occupations - As introduced, prohibits a healthcare provider from inquiring as to a patient's ownership, possession of, or access to firearm ammunition or firearm accessories; subjects the healthcare provider to disciplinary action and a fine of $1,000 if the healthcare provider makes such inquires. - Amends TCA Title 63 and Title 68.

114th Regular Session (2025-2026) Introduced by Janice Bowling

Tennessee bill bans healthcare providers from asking patients about firearm ammunition/accessories, imposing $1,000 fines for violations.

Action deferred in Senate Health and Welfare Committee to 3/18/2026
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Bill Summary · SB 474

Legislative bill overview

SB 474 prohibits Tennessee healthcare providers from asking patients about firearm ammunition or accessories ownership and possession. Violations result in disciplinary action and a $1,000 fine. The bill amends Tennessee's medical practice and health profession regulations.

Why is this important

Healthcare providers sometimes ask about firearms as part of risk assessments for suicide prevention, violence, or safe storage—particularly relevant in mental health and pediatric settings. This bill would restrict that practice, potentially affecting clinical decision-making and patient safety protocols while also raising questions about physician autonomy in patient care.

Potential points of contention

  • Clinical judgment vs. legal restriction: Physicians argue questions about ammunition/accessories can be clinically relevant for suicide risk assessment and harm reduction; opponents argue such questions overreach into personal property matters unrelated to direct medical care
  • Patient safety vs. privacy: Public health advocates worry restrictions could hinder violence and suicide prevention efforts, while gun rights supporters contend medical professionals shouldn't inquire about legal firearm ownership
  • Enforcement and scope ambiguity: The prohibition on "inquiries" could be interpreted broadly (written forms, verbal questions, indirect questions), creating uncertainty about what healthcare conversations trigger the $1,000 penalty

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

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