Tennessee legislation · 114th General Assembly
Tennessee HB1905: AN ACT to amend Tennessee Code Annotated, Title 49 and Title 63, relative to nursing.
Status: Chaptered, May 5, 2026
Fiscal Summary NOT SIGNIFICANT Bill Summary This bill creates a temporary moratorium on the acceptance and approval of applications by the board of nursing ("board") from nursing education programs located outside this state that seek approval from the board to operate, enroll students, or place students for clinical experiences within this state. The moratorium begins on the effective date of this act and ends two years thereafter, and applies to any nursing education program that is not a “program based in this state,” which is a nursing education program with a physical campus or facility in this state and at least three full-time faculty members on-site assigned to the nursing degree program. This bill provides that an out-of-state nursing education program that was approved by the board prior to the effective date of this act retains its approval status during the moratorium period. However, such program must submit all data or information requested by the board and the Tennessee center for nursing advancement ("center"), including preceptor lists, student placement statistics, and program outcomes. DEVELOPMENT OF STANDARDS AND REPORTING This bill requires that the center, working with the board, must develop standards for out-of-state nursing programs that use Tennessee-licensed preceptors or clinical sites. These standards must address all of the following: Verification and licensure of all preceptors used in this state, and verification of in-state residents enrolled in the programs. Annual reporting requirements, including student placement numbers, preceptor utilization, faculty oversight, and student outcomes. Minimum standards for faculty supervision and clinical oversight. Data collection for tracking clinical placements. Administrative costs incurred by the board to evaluate and monit
What the bill says
From the amended text:
House Health 1 Amendment No. 1 to HB1905 Terry Signature of Sponsor AMEND S e n ate Bill No. 2013* House Bill No. 1905 by inserting the following at the end of SECTION 1: 63-7-507. Application to out-of-state nurse anesthesia educational programs. (a) Notwithstanding § 63-7-504 or this part to the contrary, this part does not apply to a nurse anesthesia educational program that is physically located outside this state and that places students in this state for purposes of clinical education or training, as long as the program: (1) Is accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs (COA), or is undergoing a COA capability review and establishing eligibility for accreditation; (2) Is offered through a regionally accredited institution of higher education authorized to operate in its home state; (3) Prepares graduates for national certification as certified registered nurse anesthetists (CRNAs) in accordance with COA standards; (4) Ensures that all students participating in clinical education within this state comply with applicable Tennessee licensure requirements, supervision requirements, and all other state and federal laws governing clinical practice and patient safety; and (5) Receives approval for clinical placements from the board. (b) This part does not require an out-of-state nurse anesthesia educational program meeting the requirements of subsection (a) to obtain additional authorization solely for the placement of …