County Commissioner Tim Boyd said he has a number of concerns about a bill that reshapes the board that operates Erlanger Health System, especially the part about how the board members are initially named.
"That gives me the most heartburn," he told fellow members of the commission on Thursday.
The bill has been approved by the state House and Senate and awaits the signature of Governor Bill Haslam.
It requires ratification by a two-thirds majority of the County Commission.
Commissioner Boyd said the new legislation "sets the tone for how Erlanger will be run for years to come," but he said, "I am concerned that we have not been involved in the process at all.
I certainly was not contacted."
He said, under the bill, the initial board will be named by the legislature will consultation with the county mayor - except for a medical appointee.