Tennessee Gov. Lee signed the Medical Ethics Defense Act, letting providers refuse care on conscience grounds
On April 24, 2025, Tennessee Gov. Bill Lee signed the "Medical Ethics Defense Act" (SB0955/HB1044) into law as Public Chapter 266, giving health care providers, institutions, and payers a right of conscience to refuse to participate in or pay for any procedure, treatment, or service that violates their religious, moral, or ethical beliefs. The law took immediate effect and was enacted primarily to shield providers who object to abortion, contraception, and gender-affirming care. Opponents warned it keys refusal to conscience rather than a specific procedure, opening the door to care denials aimed at LGBTQ and transgender patients.
