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HB 865

Nurses, Nursing - As enacted, requires the board of nursing to permit a student to enroll in a practical nursing program offered by a public institution of higher education governed by the Tennessee board of regents if the student meets the qualifications for a high school diploma or its equivalent and meets other requirements; requires the board of nursing to permit a student enrolled in a practical nursing program to sit for the national council licensure exam for practical nurses (NCLEX-PN) upon completion of a practical nursing program. - Amends TCA Title 49 and Title 63.

114th Regular Session (2025-2026) Introduced by Tim Hicks

Tennessee allows high school graduates to enroll in practical nursing programs and take licensing exams upon completion, expanding workforce access to address nursing shortages.

Comp. became Pub. Ch. 435
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Bill Summary · HB 865

Legislative bill overview

HB 865 removes barriers to practical nursing education in Tennessee by allowing students with a high school diploma or equivalent to enroll in practical nursing programs at public institutions governed by the Tennessee Board of Regents. The bill also mandates that the Board of Nursing permit program graduates to take the NCLEX-PN (national licensing exam) upon completion.

Why is this important

Tennessee faces a significant nursing shortage, and this bill addresses workforce development by streamlining access to practical nursing education. By lowering entry requirements and clarifying the pathway to licensure, the state aims to increase the supply of licensed practical nurses (LPNs) to fill healthcare staffing gaps.

Potential points of contention

  • Educational standards debate: Some may argue that lowering entry requirements could compromise educational quality or patient safety, while others contend that practical nursing roles do not require prerequisites beyond high school
  • Scope creep concerns: Questions about whether removing qualifications could lead to LPNs performing duties beyond their intended scope of practice
  • Program capacity: Public institutions may lack resources to accommodate increased enrollment without additional funding or infrastructure investment

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

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