Hospitals and Health Care Facilities - As enacted, prohibits a hospital emergency department, including a satellite emergency department, from denying to a woman who presents at such facility and purports or, if incapacitated, appears to be pregnant and experiencing active labor, other symptoms associated with active labor, or an emergency medical condition, an appropriate medical screening examination within the capability of the emergency department, including ancillary services routinely available to the emergency department, to determine whether or not an emergency medical condition or active labor exists; makes other related changes. - Amends TCA Title 63 and Title 68.

SB 1681 requires Tennessee hospital emergency departments to provide an immediate medical screening examination to any pregnant woman presenting with active labor or an emergency medical condition. It prohibits transfers before stabilization (as defined by federal EMTALA standards) unless the woman or her authorized representative provides written consent after being informed of risks and benefits. The bill applies directly to hospitals and pregnant women seeking emergency care, mandating that facilities offer appropriate treatment or transfer under specific conditions. Violations may result in penalties and licensing sanctions, as the law amends Tennessee Codes Title 63 and Title 68.