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SB 2358

Podiatrists - As enacted, changes the scope of practice of a podiatrist from a person who examines, diagnoses, or treats, in addition to the ailments of the human foot and ankle, the soft tissue of the lower leg distal to the tibial tuberosity, instead of the soft tissue structures extending no higher than the distal tibial metaphyseal flair. - Amends TCA Title 63.

114th Regular Session (2025-2026) Introduced by Becky Massey

Tennessee law expands podiatrists' scope to treat lower leg soft tissue up to the knee, broadening their traditional foot-and-ankle authority and likely reducing competition from orthopedic specialists.

Pub. Ch. 675
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Bill Summary · SB 2358

Legislative bill overview

SB 2358 expands the scope of practice for Tennessee podiatrists by allowing them to treat soft tissue of the lower leg up to the tibial tuberosity (just below the knee), rather than limiting them to a more restrictive anatomical boundary at the distal tibial metaphyseal flare (lower shin area). This represents a significant upward extension of podiatric authority into territory traditionally associated with orthopedic surgeons and physical medicine specialists.

Why this is important

Scope of practice expansions directly affect patient access to care, healthcare costs, and professional competition. Allowing podiatrists to treat a larger area could reduce wait times and costs for patients seeking lower leg treatment, but may also shift revenue and patient volume from other medical specialties. The change aligns with how podiatry is practiced in some other states but represents a material shift in Tennessee's regulatory framework.

Potential points of contention

  • Professional turf wars: Orthopedic surgeons and other specialists treating lower leg conditions may oppose the expansion as it reduces their patient base and referral opportunities
  • Training and liability concerns: Critics may question whether standard podiatric training adequately prepares practitioners for the expanded scope, raising patient safety and malpractice liability questions
  • Definitional ambiguity: The anatomical language shift (tibial tuberosity vs. distal metaphyseal flare) may create confusion about exact practice boundaries and enforcement challenges

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

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