Senate Bill 2153, also known as House Bill 2313, aims to establish an early childhood mental health home visiting program in Tennessee. This program, authorized by the Department of Health in collaboration with the Department of Mental Health and Substance Abuse Services, is designed to provide voluntary, evidence-based, home-based interventions for families with children aged birth to five years who are facing significant stressors such as poverty, trauma, or parental mental health challenges. The program's objectives include improving child mental health and developmental outcomes, reducing child abuse and neglect, enhancing parental capacity, strengthening family stability, and promoting school readiness.

The bill outlines various components of the program, including home-based psychotherapy, care coordination, developmental assessments, and fidelity monitoring to ensure adherence to evidence-based standards. It prioritizes families at risk due to socioeconomic or behavioral health challenges and allows the Department of Health to contract with qualified nonprofit organizations and community providers for service delivery. Additionally, the bill provides for funding through federal and state sources, grants, and private donations, and mandates an annual report to the General Assembly detailing program outcomes and recommendations for improvement. The act will take effect upon becoming law for rule promulgation purposes, with full implementation set for July 1, 2026.