Section 68-11-204 - [Effective Until 12/1/2025] Requirement for license - Governmental institutions exempted(a)(1) No person, partnership, association, corporation or any state, county or local government unit, or any division, department, board or agency of the governmental unit, shall establish, conduct, operate or maintain in this state any hospital, recuperation center, nursing home, home for the aged, residential HIV supportive living facility, assisted-care living facilities, home care organization, residential hospice, birthing center, prescribed child care center, renal dialysis clinic, outpatient diagnostic center, ambulatory surgical treatment center, adult care homes or traumatic brain injury residential homes as defined in this part, without having a license.(2) State or local government home care organizations may be excluded by the board.(3) An independent living facility is exempt from the licensure requirements of this part.(b) Any health care facility or local health department operated by the federal government shall be exempt from this part.(c) The commission, in its discretion, is authorized to issue licenses to several licensees in such form as it may deem necessary to distinguish between and identify any of the facilities required to be licensed by the commission.(d) Nothing in this part requires a person or entity providing hospice residential services as of July 1, 1992, to obtain a certificate of need as a residential hospice, if such person or entity, prior to July 1, 1992, had qualified for reimbursement as a hospice under the federal medicare program.Amended by 2023 Tenn. Acts, ch. 466, s 38, eff. 7/1/2024.Amended by 2022 Tenn. Acts, ch. 1119, s 26, eff. 7/1/2022.Amended by 2017 Tenn. Acts, ch. 242, s 1, eff. 5/2/2017.Acts 1947, ch. 13, § 6; C. Supp. 1950, § 5879.5 (Williams, § 4432.6); Acts 1953, ch. 113, § 27; 1968, ch. 552, § 2; 1971, ch. 225, § 3; 1975, ch. 276, § 3; 1976, ch. 471, § 3; T.C.A. (orig. ed.), § 53-1305; Acts 1992, ch. 805, §§ 4, 5; 1993, ch. 234, § 14; 1994, ch. 747, § 5; 1996, ch. 674, § 4; 1996, ch. 818, § 3; 1998, ch. 1021, § 4; 2000, ch. 981, §§ 83, 84; 2001, ch. 285, §§ 3, 4; 2001, ch. 438, §§ 4 - 6, 18; 2004, ch. 917, § 3; 2009 , ch. 186, § 12; 2009 , ch. 579, § 7; 2012, ch. 1086, § 8.This section is set out more than once due to postponed, multiple, or conflicting amendments.