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SB 2286

Nurses, Nursing - As enacted, requires the commissioner of health to use existing resources to conduct a study of neighboring states to examine the varying levels of practice independence that may or may not be granted to certified nurse midwives in such states; requires the commissioner to compile the findings of the study and any recommendations in a report and transmit the report to the general assembly no later than December 31, 2026. - Amends TCA Title 4, Chapter 29; Title 56, Chapter 32, Part 1; Title 56, Chapter 7, Part 24; Title 63; Title 68 and Title 71, Chapter 5.

114th Regular Session (2025-2026) Introduced by London Lamar

Tennessee directs health commissioner to study neighboring states' certified nurse midwife practice regulations and report findings by end of 2026 to inform potential future policy changes.

Pub. Ch. 728
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Bill Summary · SB 2286

Legislative bill overview

SB 2286 directs Tennessee's health commissioner to study how neighboring states regulate the practice independence of certified nurse midwives (CNMs) and report findings and recommendations to the legislature by December 31, 2026. The bill amends multiple sections of Tennessee code related to nursing, health professions, and workers' compensation, suggesting it may lay groundwork for future regulatory changes to CNM scope of practice.

Why is this important

Scope-of-practice regulations directly affect healthcare access and cost. Expanding CNM independence could increase access to prenatal and birth services in underserved areas, but could also raise concerns about patient safety and medical oversight. The study phase suggests potential future legislative changes to how midwifery services are regulated and reimbursed in Tennessee.

Potential points of contention

  • Physician opposition: Obstetricians and other physicians may resist CNM independence expansion, viewing it as encroachment on their specialty and patient safety concerns
  • Safety vs. access debate: Disagreement over whether independent CNM practice improves maternal healthcare outcomes or reduces necessary physician oversight
  • Scope creep concerns: Opponents may worry this study is a precursor to significant deregulation; supporters may view it as overdue professional recognition

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

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