House Bill 7019 amends Tennessee Code Annotated to introduce a new section addressing criminal acts of mass violence. Under this new provision, a person who knowingly commits an act of mass violence against another individual will be committing a Class B felony. However, if the act of mass violence is directed at a healthcare provider due to their provision of gender-affirming care, the offense will be classified as a hate crime and punished one classification higher than the standard penalty for such acts.

The bill defines key terms such as "gender-affirming care," which refers to medical treatment that supports a patient's gender identity, and "healthcare provider," which includes licensed professionals and facilities regulated by the Department of Health. Additionally, "mass violence" is defined as any criminal act that could reasonably lead to serious bodily injury or death of two or more persons. The act is set to take effect on October 1, 2023.