Tennessee is a vigorously pro-life state. After Roe, Tennessee’s conditional law restricts abortion at all gestational ages with exceptions for the mother’s life or to prevent “serious risk of substantial and irreversible impairment of a major bodily function.” After the state supreme court manufactured a state constitutional “right to abortion”, Tennesseans passed a constitutional amendment in 2014 declaring “[n]othing in this Constitution secures or protects a right to abortion or requires the funding of an abortion.”
Pro-life conservatives hold a supermajority both the State Senate and House of Representatives. In the past couple of years, Tennessee has enacted a law requiring the humane disposal of aborted fetal remains and a comprehensive law with a fetal heartbeat protection, informed consent enhancements, and prenatal nondiscrimination provisions. Tennessee also enacted chemical abortion health and safety protections this year.
The judiciary is also firmly in pro-life hands, with the state supreme court controlled by pro-life conservatives. Judicial selection is by a hybrid form of gubernatorial selection, with the governor appointing candidates to the Tennessee Supreme Court and the state legislature confirming them. Tennessee is in ongoing litigation over its Heartbeat law, cascading gestational limits, and prenatal nondiscrimination law, most of which have been enjoined by courts. The state also is defending its required disclosure of the chemical abortion reversal procedure, and the provision is temporarily enjoined.
Governor Bill Lee, who was re-elected in the 2022 Mid-Terms by a large majority, supports Life and has signed many Life-affirming bills into law. While signing Tennessee’s comprehensive 2020 abortion legislation, Governor Lee stated, “I believe that every human life is precious, and we have a responsibility to protect it.”
According to AUL’s Unsafe project, Tennessee licenses and inspects abortion businesses, but the scope of the inspections focus on the building and facility codes. Citations include unsanitary environments in the procedure and sterilization rooms, as well as a surgical scrub being used for multiple patients.
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Tennessee Abortion Quick Facts
- Abortion is illegal in Tennessee, with limited exceptions.
- Chemical abortion pills are tightly regulated in Tennessee.
Tennessee’s Pro-Life Laws Across the Spectrum
Americans United for Life advances the human right to life across the spectrum of issues confronting the dignity of the human person. AUL’s comprehensive analysis of Tennessee’s state laws on human life span the full spectrum of life issues from abortion, to health and safety protections, to patient informed consent, to conscience rights and bioethics.
Tennessee’s Pro-Life Laws Key
|Yes, Tennessee has this law and it is enforceable|
|Tennessee has this law in place, but it is currently not in effect due to litigation|
|No, Tennessee has no such law in place|
|To Be Determined|
State Constitutional Amendments and Statutes¹
Americans United for Life covers broad pro-life laws in this section. This includes both state constitutional amendments and state statutes designed to protect preborn human life. FOCA/RHA (or Freedom of Choice Acts/Reproductive Health Acts) are laws designed to enshrine and expand abortion and abortion businesses.
|Constitutional amendment stating no right to abortion|
|Constitutional amendment preventing state funding of abortion|
|Conditional law prohibiting abortion when Roe is overturned|
|Pre-Roe abortion ban that will take effect when Roe is overturned|
|FOCA/RHA, codifying an abortion right in state law|
Mother-Child Gestational and Procedural Protections²
States can protect both mother and child by limiting abortion by gestational age or prohibiting gruesome abortion methods. This category also includes life-saving care requirements for a child born-alive after an abortion, and health and safety requirements for a woman undergoing a chemical abortion.
|Gestational protections by age/week for preborn children|
|Basic medical care for infant children born alive during attempted abortions|
|Partial-birth (D&X) abortion ban|
|Dismemberment (D&E) abortion ban|
|Telemedicine abortion ban|
|Follow up scheduled with patient for abortion pills complications|
Prenatal Non-Discrimination (PRENDA) Protections
Increasingly states are enacting laws to protect unborn babies from eugenic abortions based on gender, disability, or race. Some states provide life-affirming resources for families who receive a diagnosis of a possible genetic anomaly like Down syndrome so they know that they’ll be supported.
|Protection against discrimination based on gender|
|Protection against discrimination due to prenatal diagnosis|
|Protection against discrimination based on race|
|State-provided life-affirming resources for parents and families|
Informed Consent Laws
Many states require a woman to give informed consent to an abortion, which holds abortion to a similar standard as other medical procedures. These protections include the disclosure of an abortion procedure’s nature and risks, the performance of an ultrasound to date the pregnancy and allow a woman to meet her unborn child if she chooses, and the time for a woman to reflect on this grave decision.
|Basic informed consent for mothers concerning abortion|
|Patient signature or written confirmation of informed consent from provider|
|Patient is provided state-sponsored informed consent website/information|
|Reflection period (48 hours) protecting a mother’s discernment and choice|
|An ultrasound is required to give a mother the opportunity to meet their child|
|Information on risks of abortion procedure|
|Information on the possibility of abortion pill reversal care|
Abortion Reporting in Public Health Data
Reporting requirements ensure the government and public have a comprehensive view of abortion in the state when making important public policy decisions. This data includes basic information on instances of abortion, the gestational age of the aborted unborn child, demographics, procedure type, and complications.
|Basic reporting on instances of abortion|
|Abortion reporting includes gestational age data|
|Abortion reporting includes demographic information|
|Abortion reporting includes procedure type|
|Anonymized/aggregate data is made available to the public|
|Anonymized/aggregate data is submitted to the CDC|
Parental Rights and Protection of Minors
States protect a minor considering abortion by involving her parents in her life-changing decision, but also provide guidelines for judicial bypass to parental involvement when it is necessary. Other laws included in this section are safe haven laws which create a safe pathway to give up an infant and prevent child abandonment, and the dissemination of information on perinatal hospice to parents of unborn children with fetal anomalies.
|Parental consent before a minor obtains an abortion|
|Parental notice of a minor obtaining an abortion|
|Judicial bypass limits|
|Mandatory reporting of suspected abuse|
|Safe haven protections (14 days)|
|Perinatal hospice resources|
Basic Health and Safety Standards
These laws bring abortion businesses up to the health and safety standards of medical facilities. States may limit both chemical and surgical abortion procedures to physicians, require the physician be licensed by the state, and require emergency transfer agreements or admitting privileges for the physician or the facility to protect a patient if she suffers post-abortion complications.
|Established health and safety standards for abortion businesses|
|Basic regulatory inspections for abortion businesses|
|Only physicians can perform abortions (all methods)|
|Physicians required to be licensed in the state|
|Emergency transfer/admitting privilege patient protections|
|Physician’s license/credentials are disclosed to patients|
Legal Recognition of Human Dignity for Preborn Persons
This section covers the ways states recognize the human dignity of unborn children. States increasingly require dignified disposition of fetal remains, whether from abortion or miscarriage. The law may provide for the issuance of a fetal death or stillbirth certificate. States may also protect the dignity of unborn children by prohibiting fetal experimentation and banning the sale or transfer of human fetal remains.
|Dignified disposition of fetal remains required|
|Parents may request dignified disposition|
|Human fetal death or stillbirth certificate issued to recognize the life of human persons (20 weeks)|
|Sale or transfer of human fetal remains prohibited|
|Fetal experimentation banned|
Fetal Homicide and Wrongful Death/Life
Fetal homicide laws establish criminal penalties for the death of an unborn child. Wrongful death suits provide a civil cause of action for the death of an unborn child. A prohibition on wrongful life/birth suits affirms that no life is “unwanted.”
|Fetal homicide criminalization|
|Fetal homicide law in place from the moment of conception|
|Wrongful death suits|
|Prohibition on wrongful life/birth suits|
Assisted Suicide and Patient Care
These laws protect end-of-life patients from physician-assisted suicide, a practice that exploits vulnerable patients, has little government oversight, and undermines modern medicine. The Life-Sustaining Care Act ensures healthcare professionals may not override a minor patient or her surrogate’s decision to obtain or continue life-sustaining care. States with patient nondiscrimination acts protect patients from age or disability discrimination.
|Assisted suicide prohibition|
|Life-sustaining care act|
|Patient non-discrimination on the basis of age or disability|
Bioethics, Human Cloning, and Embryo Research
As medical technology evolves, states increasingly enact pro-life bioethics policies to reaffirm human dignity and ban cloning. These laws also require ethical medical practices, ban destructive embryo research, and regulate assisted reproductive technology.
|Bans human cloning|
|Bans taxpayer funding for human cloning|
|Bans destructive embryo research|
|Encourages ethical alternatives to embryo research|
|Requires informed consent for assisted reproductive technologies|
|Regulates egg harvesting|
Healthcare Freedom of Conscience
These laws protect the freedom of conscience of healthcare professionals, institutions, and pharmacists against forced participation in assisted suicide and abortion. States also safeguard the conscience rights of healthcare professionals and institutions against unethical medical research.
|Individuals protected against abortion participation|
|Public/Private institutions protected against abortion participation|
|Pharmacists protected against abortion participation|
|Individuals protected against participation in unethical research|
|Private/public institutions protected against participation in unethical research|
|Individuals protected against participation in assisted suicide|
|Private/public institutions protected against participation in assisted suicide|
|Pharmacists protected against participation in assisted suicide|
Tennessee Pro-Life Legislation Tracker
AUL submitted a public records request, under the Tennessee Open Records Act, Tenn. Code Ann. § 10-7-503 et seq., to the TennesseeDepartment of Health and received numerous reports. Although Tennessee licenses and inspects abortion businesses, the scope of the inspections in the reports we received mostly focus on building and facility codes. Clinics failed to maintain the condition of their buildings and failed to maintain the overall environment. Building standards citations show how abortion facilities cut corners to pad their bottom line, at the expense of the health and safety of their patients. One abortion business was noted to have a dozen penetrations in the ceilings. There were several health and safety citations noted at clinics, including failure to maintain a sanitary environment in procedure and sterilization rooms, as well as a surgical scrub being used for multiple patients. At several facilities, staff also failed to properly handle medication and expired medicine was available for patient use. Another facility failed to maintain current privilege information for 4 of 5 physicians on staff. It was noted that they had no current DEA number (meaning no authority to dispense controlled substances), no current privileges, and no current background check.
NUMBER OF REPORTS: 90
DATE RANGE: 2010–2019