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Statutes and Administrative Rules

  • •  General Information
    • ◊  Tennessee Rules and Regulations (TRR)

      The entire list of administrative rules and regulations for the state of Tennessee is available at the Tennessee Department of State website. The rules are maintained in Chapters, numbered from 0020-##-## through 1730-##-## with designations for each department, agency, or other state entity. The chapters in the 1200-##-## group includes 31 groups of chapters 1200-1-## through 1200-31-##, which are the combined rules for both the Department of Health and the Department of Environment & Conservation. A breakdown of chapter groupings within 1200 by department and bureau/division/entity rules is available. An individual chapter, therefore, is a concatenation of three numbers, divided by hyphens, e.g., 1200-8-1. Tennessee provides its rules only in PDF format, with a separate file for each of these individual chapters, rendering Tennessee's Rules and Regulations searchable by keywords only one chapter at a time.

      The Department of Health is responsible for licensure for health facililties via the Division of Health Care Facilities (HCF) and for 26 professional boards by the Division of Health Related Boards.

      Proper citation of Tenness Rules and Regulations, (where Comp. = Compilation) is a concatenation of Tenn Comp. R. & Regs. + [Chapter ##-##-##] + . + [section#]. For example, section 1 (Definitions) of Chapter 1200-8-1 (Standards for Hospitals) is cited as Tenn Comp. R. &Regs. 1200-8-1.1, which is designated on this website as TRR §1200-8-1.1.

    • ◊  Tennessee Laws and Statutes

      Tennessee's laws addressing patient safety and quality are provided in 2 categories of laws. Session Laws | Public Acts are general laws that are enacted by the Legislature and signed by the Governor. The legislative sessions are available on the web from 1997 through the present. Tennessee Code Annotated (TCA) is the codified compilation of all permanent laws now in force, and they are published by the West Group Publishing Company for public use.

      Tenness Code is arranged in 71 Titles, each title addressing a sector of Tenness code, including:

      • Title 33 – Mental Health and Developmental Disabilities
      • Title 63 – Professions of the Healing Arts
      • Title 68 – Health, Safety, and the Environmental Protection
      • Title 71 – Welfare

      On this website, Tennessee Code is cited as annotated code: TCA § [Title]-[Chapter]-[Section]. For example, law addressing ‘Health Data Reporting’ for hospitals is found in section 211 of Part 2 (Regulation) of Chapter 11 (Health Facilities and Resources) within Title 68, designated as TCA §68-11-211.

  • •  Laws and Regulations Governing Tennessee Programs

    The public policy affecting “unusual event” reporting was created by the legislature by the passage of the “Health Data Reporting Act of 2002” (Title 68, Chapter 11, Part 2, Section 211). Many of the features of this law were developed with feedback from the Department of Health and the Tennessee Improving Patient Safety (TIPS) Committee and Coalition.

    In 1998, the legislature passed the Health Care Consumer Right-to-Know Act of 1998 (T.C.A. § 63-51-101 through § 63-51-119), which requires designated licensed health professionals to furnish certain information to the Tennessee Department of Health. This legislation grew out of efforts to provide information on health providers to all Tennessee consumers, while also providing monitoring of medical malpractice claims on health professionals. In addition, Public Acts, 2004, c. 902 (HB 3252) [PDF] amended the Health Care Consumer Right-to-Know Act, mandating reporting of medical malpractice claims by Insurance carriers. The Tennessee Consumer, as a result of this law, has Internet access to this information on health professionals as part of the licensure process.

    Within the Tennessee Department of Health, the Board for Licensing Health Care Facilities – Division of Health Care Facilities has created rules addressing “unusual event” [PDF] reporting requirements that reflect the statutory language of T.C.A. 68-11-211. Regulations reflecting the “Health Data Reporting Act of 2002” have been created and approved for multiple types of medical facilities, including hospitals [TRR §1200-8-1.11]

    HMOs, practitioner offices (of all types – physicians, chiropracters, dentists, etc.), medical clinics, and others not included in this list of facility types are not included in the mandate for reporting of “unusual events.”

Title 63 – Professions of the Healing Arts
Chapter 6 - Medicine and Surgery, General Provisions
Legislative policy declaration - Medical review committees - Immunity of members - Confidentiality of records - Short title.
Chapter 51 - Health Care Consumer Right-to-Know Act of 1998
All Sections of Act
Title 68 – Health, Safety, and Environmental Protection
Chapter 11 – Health Facilities and Resources – Part2, Regulation
Health Data Reporting
TRR §1200-8-1 – Standards for Hospitals
Records and Reports


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