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J etvne&See Senate
PUBLIC CHAPTER NO. 46
SENATE BILL NO. 1283
By Johnson, Massey, Jackson, Reeves, Rose
Substituted for: House Bill No. 111
By Lamberth, Cochran, Greg Martin, White, Hemmer, Sherrell, Helton-Haynes, Cepicky, Hawk
AN ACT to amend Tennessee Code Annotated, Section 68-5-602, relative to maternal health
screening.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
SECTION 1. Tennessee Code Annotated, Section 68-5-602(a), is amended by deleting the
subsection and substituting:
(a) Every physician, surgeon, or other person permitted by law to attend a pregnant
woman during gestation shall, in the case of each woman so attended, take or cause to be
taken a sample of the blood of the woman at the time of first examination and visit or within
ten (10) days after the first examination. If the first visit is at the time of delivery, or after
delivery, then the standard serological test required by this subsection (a) must be performed
at that time. The blood sample must be sent to a laboratory approved by the department for
testing for syphilis infection, rubella immunity, hepatitis 8 surface antigen (HBsAg), and
hepatitis C antibody (anti-HCV) with automatic reflex to HCV RNA if anti-HCV is reactive. In
the same manner, a sample of blood must be taken and tested between the twenty-eighth
and thirty-second week of gestation for syphilis for all pregnant women. In the same manner,
a sample of blood must be taken and tested for syphilis for all pregnant women at the time of
delivery. Additional testing for rubella immunity is not required in subsequent pregnancies
once a positive result is verified or a documented history of vaccination against rubella is
available. All positive tests for syphilis, hepatitis B, and hepatitis C must be reported to the
local health department in accordance with this chapter, and regulations governing the
control of communicable diseases in this state.
SECTION 2. Tennessee Code Annotated, Section 68-5-602(b), is amended by deleting the
subsection and substituting:
(b) Every person attending a pregnant woman who is not permitted by law to take
blood samples shall cause a sample of blood to be taken and tested by a health provider
permitted by law to take the samples as required in subsection (a).
SECTION 3. This act takes effect on July 1, 2025, the public welfare requiring it. PASSED:
APPROVED this
SENATE BILL NO.
March 6, 2025
1283
cNALLY
SPEAKER OF TliE SENA TE
CAMERO~TON,SPEAKER
HOUSE OF REPRESENTATIVES
a£:f__ day of (Yby~ 2025
VA. -BILL LEE, GOVERNOR