SB 421 Tennessee Senate · 114th Regular Session (2025-2026)

Opioids - As enacted, clarifies that a physician licensed in this state is the only healthcare provider authorized to prescribe a buprenorphine product for a FDA-approved use in recovery or medication-assisted treatment; revises criteria for providers not licensed in this state to prescribe a buprenorphine product for the treatment of opioid use disorder. - Amends TCA Title 33; Title 41; Title 53 and Title 63.

This bill restricts buprenorphine prescriptions for opioid addiction treatment to Tennessee-licensed physicians only. It creates a limited exception allowing out-of-state healthcare providers working in state or county jails to prescribe under strict conditions: requiring DEA registration, employment at correctional facilities, and adherence to approved treatment protocols. The law takes effect July 1, 2025. It directly affects prescribing practices in correctional facilities and general medical settings by clarifying who may legally prescribe these medications.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 10, 2025 Last action Apr 28, 2025
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
21
Key actions
4
Committee
5
Mar 11, 2025
Upper · Passed
Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0
upper
Mar 5, 2025
Lower · Passed
Placed on Senate Judiciary Committee calendar for 3/11/2025
lower
Feb 25, 2025
Lower · Passed
Action deferred in Senate Judiciary Committee to 3/11/2025
lower
Feb 19, 2025
Lower · Passed
Placed on Senate Judiciary Committee calendar for 2/25/2025
lower
Feb 12, 2025
Committee
Passed on Second Consideration, refer to Senate Judiciary Committee
upper
Feb 10, 2025
Introduced
Introduced, Passed on First Consideration
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Shane Reeves
Shane Reeves
RRepublican
TN
14