Tennessee Code Title 68. Health, Safety and Environmental Protection § 68-5-602

(a) Every physician, surgeon, or other person permitted by law to attend a pregnant woman during gestation shall, in the case of each woman so attended, take or cause to be taken a sample of the blood of the woman at the time of first examination and visit or within ten (10) days after the first examination.  If the first visit is at the time of delivery, or after delivery, then the standard serological test required by this subsection (a) must be performed at that time.  The blood sample must be sent to a laboratory approved by the department for testing for syphilis infection, rubella immunity, hepatitis B surface antigen (HBsAg), and hepatitis C antibody (anti-HCV) with automatic reflex to HCV RNA if anti-HCV is reactive.  In the same manner, a sample of blood must be taken and tested between the twenty-eighth and thirty-second week of gestation for syphilis for all pregnant women.  In the same manner, a sample of blood must be taken and tested for syphilis for all pregnant women at the time of delivery.  Additional testing for rubella immunity is not required in subsequent pregnancies once a positive result is verified or a documented history of vaccination against rubella is available.  All positive tests for syphilis, hepatitis B, and hepatitis C must be reported to the local health department in accordance with this chapter, and regulations governing the control of communicable diseases in this state.

(b) Every person attending a pregnant woman who is not permitted by law to take blood samples shall cause a sample of blood to be taken and tested by a health provider permitted by law to take the samples as required in subsection (a).

(c) Infants born to HBsAg-postive mothers shall receive, in a timely manner, the appropriate treatment as recognized by the centers for disease control.

(d) This part shall not apply to any female who files with the attending medical authority a signed, written statement that taking a sample of blood or receiving other preventive measures conflict with the female's religious tenets and practices affirmed under the penalties of perjury.