House Bill 2290, also known as Senate Bill 2461, amends various sections of the Tennessee Code Annotated to establish new regulations and requirements for assisted reproductive technology (ART). The bill mandates that individuals seeking to practice in ART must obtain a certificate from the relevant medical boards, specifically the board of medical examiners and the board of osteopathic examination. It defines "assisted reproductive technology" in accordance with federal law and outlines the responsibilities of certified assisted reproductive technologists, including compliance with specific consent forms and prohibitions on genetic testing of embryos, except in cases of chromosomal abnormalities or fatal fetal anomalies.

Additionally, the bill introduces requirements for fertility clinics, which must obtain certification to utilize ART and undergo annual inspections by the Department of Health. The clinics are also required to report their pregnancy success rates to both the federal Centers for Disease Control and Prevention and the state department. The legislation includes provisions for the denial, suspension, or revocation of a clinic's certification based on compliance with the established rules. The act will take effect upon becoming law for rule promulgation purposes, while other provisions will be effective from July 1, 2026.