HB 2044 Tennessee House · 114th Regular Session (2025-2026)

Medical Occupations - As enacted, allows a physician assistant to delegate medication administration to a certified medical assistant; adds categories of medications to the list of medications that a certified medical assistant is authorized to administer or prepare, and makes other related changes. - Amends TCA Title 63; Title 68, Chapter 11, Part 2 and Chapter 1042 of the Public Acts of 2024.

HB 2044 expands the scope of practice for certified medical assistants (CMAs) in Tennessee by allowing physician assistants (PAs) to delegate medication administration tasks to them. The bill specifically adds 15 medication categories to what CMAs can administer, including vaccines, oral/sublingual medications, topical treatments, inhalers, and certain anesthetic agents (like transdermal patches), while prohibiting delegation of tasks requiring clinical judgment. It requires ambulatory clinics to train and verify CMAs' competency for medication administration, updates certification requirements to include additional certifying bodies, and clarifies that PAs must work under protocols with collaborating physicians. The changes directly affect CMAs, PAs, and outpatient clinics, aiming to clarify delegation authority under existing medical practice laws.
Bill status signed all 5 stages cleared
Introduction
Feb 2026
Committee Review
Mar 2026
House Passage
Mar 2026
Senate Passage
Mar 2026
Signed into Law
Apr 2026
Introduced Feb 2, 2026 Signed Apr 13, 2026
Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
26
Key actions
12
Committee
9
Amendments
1
Apr 13, 2026
Signed into law
Signed by Governor.
lower
Mar 24, 2026
Lower · Passed
Signed by H. Speaker
lower
Mar 24, 2026
Upper · Passed
Signed by Senate Speaker
upper
Mar 16, 2026
Lower · Passed
H. adopted am. (Amendment 1 - HA0595)
lower
Mar 16, 2026
Lower · Passed
Passed H., as am., Ayes 94, Nays 0, PNV 0
lower
Mar 16, 2026
Introduced
Received from House, Passed on First Consideration
lower
Mar 16, 2026
Upper · Passed
Passed Senate, Ayes 29, Nays 0, PNV 2
upper
Mar 11, 2026
Lower · Passed
Placed on cal. Calendar & Rules Committee for 3/12/2026
lower
Mar 9, 2026
Lower · Passed
Rec. for pass; ref to Calendar & Rules Committee
lower
Mar 4, 2026
Lower · Passed
Placed on cal. Government Operations Committee for 3/9/2026
lower
Mar 3, 2026
Lower · Passed
Rec. for pass. if am., ref. to Government Operations Committee
lower
Feb 25, 2026
Lower · Passed
Placed on cal. Health Committee for 3/3/2026
lower
Feb 18, 2026
Committee
Rec for pass if am by s/c ref. to Health Committee
lower
Feb 11, 2026
Lower · Passed
Placed on s/c cal Health Subcommittee for 2/18/2026
lower
Feb 4, 2026
Committee
P2C, ref. to Health Committee - Government Operations for Review
lower
Feb 4, 2026
Committee
Assigned to s/c Health Subcommittee
lower
Feb 2, 2026
Introduced
Intro., P1C.
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Pat Marsh
Pat Marsh
RRepublican
TN
62