Public Health - As enacted, provides that any certificate of public advantage in effect on June 30, 2028, automatically expires but any pricing restrictions in a certificate of advantage remain in effect until the fifth anniversary of the expiration date or the date that a new inpatient acute care hospital opens in the geographic service area, whichever is earlier; requires the attorney general to supervise any pricing restrictions still in effect, and the pricing restrictions may only be modified by the mutual written agreement of the attorney general and the entity subject to the restrictions; makes related changes. - Amends TCA Title 9; Title 49; Title 53; Title 55 and Title 68.

HB 2278 requires the Tennessee Department of Health to submit an annual report by February 1 to the chairs of the Senate Health and Welfare Committee and the relevant House committee. The report must detail federal benefits and grants received under a specific congressional act focused on maternal and infant health protection and public health program cooperation. This bill amends Tennessee Code sections related to public health (Titles 9, 49, 53, 55, and 68) to establish this reporting requirement, effective July 1, 2026. The bill directly affects the Department of Health (as the reporting entity) and legislative committees (as recipients of the information), with no substantive policy changes to public health programs.