Nashville

Tennessee Expands Safe-Surrender Sites To Include Ambulance Stations

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Published on May 14, 2026
Tennessee Expands Safe-Surrender Sites To Include Ambulance StationsSource: Antony-22, CC BY-SA 4.0, via Wikimedia Commons

Tennessee lawmakers have signed off on a bill that quietly but significantly reshapes where desperate parents can legally and safely leave an unharmed newborn. The measure adds ambulance stations to the list of safe-surrender locations, tightens how those sites are staffed and monitored, and keeps the surrender window at 45 days after birth. The proposal now heads to Gov. Bill Lee, who is expected to sign it in mid-May.

The legislation, House Bill 1844 with Senate companion SB1773, updates the statutory definition of a “facility” to explicitly cover “an ambulance station that has staff scheduled 24 hours a day,” according to the Tennessee General Assembly. It also tweaks language for emergency communications centers and nursing homes so that “scheduled staffing,” rather than uninterrupted on-site staffing, satisfies the safe-surrender requirement. In the same stroke, the bill removes a standard-of-care limitation from existing immunity clauses, broadening legal protections for facilities and personnel who follow the surrender law.

Current approved surrender locations already include hospitals, birthing centers, community health clinics, outpatient walk-in clinics, fire departments, law-enforcement agencies, and emergency communications centers, as reported by WSMV. The outlet notes that any safe-haven device used at those locations must be continuously monitored and set up to automatically alert 911 when opened, triggering an immediate emergency response.

State Rep. Ed Butler, R-Rickman, told WSMV, “By expanding approved surrender locations and strengthening safeguards, this legislation helps ensure no family is left uncertain about where to turn.” Supporters say the point is simple: if a parent is in crisis at 2 a.m., the law should make their options clear and safe, not confusing or risky.

What first responders will see

The bill lays out how facilities should be staffed and monitored so that an ambulance or fire station does not lose its safe-haven status just because crews are out responding to calls. It also expands legal immunity for facilities and staff who act within the surrender process and aligns the standards for emergency communications centers and nursing homes with the same “scheduled staffing” language, according to the Tennessee General Assembly. Lawmakers framed these changes as technical fixes intended to keep babies from falling through the cracks when first responders are literally out the door.

Where to find a safe-surrender site

A Secret Safe Place for Newborns of Tennessee, a nonprofit that tracks the state’s program, maintains a searchable map of approved locations and reports that roughly 147 newborns have been surrendered in Tennessee since the law took effect in 2001. Its listings show a range of sites, from hospitals and birthing centers to staffed fire stations and emergency rooms. Under the new bill, that list grows to include ambulance stations that meet the 24-hour staffing requirement.

Advocates say clarifying and expanding the network of legal surrender options can help prevent unsafe abandonments, while giving first responders a clear statutory playbook when a newborn is handed over. If Gov. Lee signs the measure as anticipated, the updated rules will take effect according to the bill’s provisions and ambulance bays will officially join the roster of safe havens.