HOUSE BILL 819 By Garrett SENATE BILL 1369 By Watson SB1369 000843 - 1 - AN ACT to amend Tennessee Code Annotated, Title 4; Title 33; Title 68; Title 71 and Chapter 985 of the Public Acts of 2024, relative to certificates of need. BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE: SECTION 1. Chapter 985 of the Public Acts of 2024, is amended by deleting SECTION 22 and substituting: SECTION 22. Tennessee Code Annotated, Section 68-11-1602(10)(B), is amended by adding the following as a new subdivision: ( ) An acute care hospital; SECTION 23. Tennessee Code Annotated, Section 68-11-1602, is amended by adding the following as a new subdivision: ( ) "Acute care hospital" means a hospital with a primary focus on patients with an average length of stay of twenty-five (25) days or less; SECTION 24. Tennessee Code Annotated, Section 68-11-1607, is amended by adding the following as a new subsection: ( ) This part does not require a certificate of need to establish or operate an acute care hospital. SECTION 25. For the purpose of promulgating rules, this act takes effect upon becoming a law, the public welfare requiring it. For all other purposes: (1) Sections 11 and 18-21 take effect July 1, 2024, the public welfare requiring it; (2) Sections 1 and 2 take effect July 1, 2025, the public welfare requiring it; - 2 - 000843 (3) Sections 3-8 take effect December 1, 2025, the public welfare requiring it; (4) Sections 9, 10, and 12-15 take effect December 1, 2027, the public welfare requiring it; (5) Sections 16 and 17 take effect December 1, 2029, the public welfare requiring it; and (6) Sections 22-24 take effect July 1, 2028, the public welfare requiring it. SECTION 2. This act takes effect upon becoming a law, the public welfare requiring it.