Voluntary assisted dying legislation was on the path to pass the state's upper house on Tuesday night.
Should the bill win approval, it will mark the first time such legislation has passed a house of Tasmanian Parliament after three previous attempts since 2009.
The bill, which received several amendments, is scheduled to be presented to the lower house for consideration on November 10.
If it passes through that chamber, Tasmania will be the third Australian to legislate for a voluntary assisted dying process after Victoria and Western Australia.
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Under Mersey independent MLC Mike Gaffney's bill, a person over the age of 18 must have a prognosis of an expected death within six months or 12 months for a neurodegenerative condition to access voluntary assisted dying.
A person would need to seek approval to go through the process from two medical practitioners would have taken an assisted dying training course.
During debate on Tuesday, there was some contention when Labor Huon MLC Bastian Seidel moved an amendment to the bill that would allow for a person to have their initial consultation with their primary medical practitioner via telehealth.
"This amendment is to ensure improved access to care without compromise," Dr Seidel, a former president of the Royal Australian College of General Practitioners, said.
"It should be part of how we deliver VAD care for patients, particularly in regional and rural areas."
But independent McIntyre MLC Tania Rattray raised concerns about the technological reliability - or lack thereof - of telehealth services, particularly in remote parts of the state.
Launceston MLC Rosemary Armitage was apprehensive about the potential for another person to be in the room during the consultation, but not visible to the doctor.
Ms Armitage said this could allow for coercion of individuals who may not really want to access voluntary assisted dying.
Dr Seidel's amendment was defeated eight votes to six.
Labor health spokeswoman Sarah Lovell moved an amendment to bar nurses from administering a voluntary assisted dying substance.
"I want to be really clear from the start that this is not at at all a reflection on the capacity of nurses or nursing practitioners," she said.
"Nurses and nursing practitioners play a really important role in end-of-life care and I would envisage that they would continue to do that.
"But the reason for this amendment is that there have been some concerns raised that the bill requires administering health practitioners ... to play a role that may be outside of the normal scope of the role of a registered nurse."
Mr Gaffney said he didn't accept that nurses didn't have the capacity to be involved in the administering process.
"I do not accept that the inclusion of nurses can be anything but a positive for the Tasmanian people," he said.
Murchison independent MLC Ruth Forrest was successful in having a sub-clause removed which would allow a review of voluntary assisted dying legislation, if enacted, to determine whether terminally ill people under 18 years should be able to access the process.
She said many strong supporters of the bill, particularly doctors, had suggested the sub-clause be removed.
Several members expressed concerns the sub-clause would obstruct the passage of the bill.
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