Tennessee Mass Gatherings — Tenn. Code Ann. §§ 68-112-101 to 68-112-113 (medical staffing at § 68-112-104)[1]
Summary
Tennessee's Mass Gatherings law (Acts 1974, ch. 454; Tenn. Code Ann. §§ 68-112-101 to 68-112-113) is in force and actively administered by the Tennessee Department of Health. An "assembly" is a gathering of five thousand or more people "conducted for eighteen (18) or more hours continuously," on public or private property. No person may permit, maintain, promote, conduct, advertise, or sell or give tickets to an assembly without a licence obtained from the department; the sworn application is due at least 60 days in advance with a bond and must include medical-services and emergency-ambulance plans, and a separate $100 licence is required for each calendar day and each location. Section 68-112-104 requires Tennessee-licensed physicians and nurses "at the rate of at least one (1) physician for every ten thousand (10,000) persons and at least one (1) nurse for every five thousand (5,000) persons," plus treatment facilities and emergency-transportation arrangements. Companion standards include security guards at one per 750 persons.
So what
Tennessee requires the physicians and nurses to be Tennessee-licensed, so out-of-state medical teams cannot satisfy the ratio without in-state credentialing — solve licensure before contracting. Enforcement is unusually sharp for event medicine: violation of the chapter or of a licence condition is a Class E felony carrying a $1,000–$10,000 fine, and the department can seek injunction. The 18-hour continuous trigger excludes most single-day events regardless of crowd size, so screen duration first when advising a Tennessee promoter.