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HB 2100

Opioids - As introduced, removes nonresidential substitution-based treatment centers for opiate addiction from the requirement of obtaining a certificate of need beginning July 1, 2026. - Amends TCA Title 68, Chapter 11 and Chapter 985 of the Public Acts of 2024.

114th Regular Session (2025-2026) Introduced by Jeremy Faison

Tennessee eliminates state approval requirement for opening nonresidential opioid treatment clinics starting July 2026, potentially faster treatment facility expansion but with reduced regulatory oversight.

Rec. for pass; ref to Finance, Ways, and Means Committee
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Bill Summary · HB 2100

Legislative bill overview

HB 2100 exempts nonresidential substitution-based treatment centers (such as methadone and buprenorphine clinics) for opioid addiction from Tennessee's Certificate of Need (CON) requirement, effective July 1, 2026. The CON process typically requires healthcare facilities to demonstrate need and obtain state approval before opening or expanding. This bill removes that barrier specifically for outpatient opioid treatment facilities.

Why is this important

Certificates of Need can delay or prevent new treatment facilities from opening, potentially limiting access to medication-assisted treatment (MAT) during an ongoing opioid crisis. Removing this regulatory hurdle could enable faster expansion of treatment capacity in underserved areas. However, CON requirements exist to prevent overproliferation and ensure resource efficiency, so eliminating them involves trade-offs between access and oversight.

Potential points of contention

  • Access vs. market saturation: Removing CON requirements could increase treatment access in some areas but may also lead to clustering of facilities in profitable urban markets while rural areas remain underserved
  • Quality and accountability concerns: CON processes include state review of facility operations; eliminating this requirement removes one regulatory checkpoint for ensuring adequate standards of care
  • Healthcare system planning: Removes state-level ability to coordinate opioid treatment capacity with overall healthcare needs and prevent redundant services that waste resources

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

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