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HB 614ALABAMASession 2026rsState BillBecame law

Enacted

Alabama allocates $203 million in federal funds for rural health initiatives and statewide medical programs

Original title: Rural Health Transformation Program, appropriations for the fiscal year ending September 30, 2027

Last action · April 13, 2026: EnactedSponsor: Rex Reynolds

Companion · SB 367same policy, Senate version

Bill progressHistory & official text ↓

Introduced

Committee

Floor Vote

Passed

Law

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What This Bill Does

Alabama appropriates $203,404,327 in federal funds from the One Big Beautiful Bill Act of 2025 to the Alabama Department of Economic and Community Affairs for rural health and medical infrastructure initiatives for the ending September 30, 2027.

Why it matters

The measure determines how tens of millions of dollars in federal grants are distributed across ten specific healthcare initiatives, emergency services, and administrative costs across the state.

Background

The Alabama Department of Economic and Community Affairs (ADECA) manages various federal and state grant programs to support local governments, economic development, and community services. context
The Rural Health Transformation Program is funded through federal legislation to improve healthcare access and medical infrastructure in rural areas. context

Who It Affects

Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.

Directly affected

Alabama Department of Economic and Community Affairs

Receives the supplemental appropriations and is tasked with administering the funds in compliance with federal and state requirements.

Directly affected

Healthcare providers and rural medical facilities

Eligible to receive funding allocations directed toward rural health, workforce, emergency medical services, and technology initiatives.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

How much money is being appropriated by this act?

A total of up to $203,404,327 in federal funds is appropriated for the Rural Health Transformation Program.

What agency is responsible for administering these funds?

The Alabama Department of Economic and Community Affairs (ADECA).

What happens to funds that are not spent by the end of the fiscal year?

Unexpended funds do not revert; they are carried forward and for the same purposes for the beginning October 1, 2027.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

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Votes, people, money & the original source

Where This Stands

Current status: Became law.

Procedural history

16 actions

Apr 13, 2026HouseEnrolled
Enacted
Apr 9, 2026HouseEnrolled
Delivered to Governor
Apr 9, 2026Senate
Signature Requested
Apr 9, 2026House
Enrolled
Apr 9, 2026House
Ready to Enroll
Apr 8, 2026SenateFloor
Motion to Read a Third Time and Pass - Adopted Roll Call 1283

Show 10 earlier actions

Apr 7, 2026Senate
Read for the Second Time and placed on the Calendar
Apr 7, 2026SenateCommittee
Reported Out of Committee Second House
Apr 2, 2026SenateCommittee
Pending Committee Action in Second House
Apr 2, 2026SenateIntroduced
Read for the first time and referred to the Senate Committee on Finance and Taxation General Fund
Apr 1, 2026HouseFloor
Motion to Read a Third Time and Pass - Adopted Roll Call 1129
Apr 1, 2026House
Third Reading in House of Origin
Mar 19, 2026House
Read for the Second Time and placed on the Calendar
Mar 18, 2026HouseCommittee
Reported Out of Committee House of Origin
Mar 12, 2026HouseCommittee
Pending Committee Action in House of Origin
Mar 12, 2026HouseIntroduced
Read for the first time and referred to the House Committee on Ways and Means General Fund

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

financial connection100% confidence

Federal Grant Pass-Through

Funds originate from the federal One Big Beautiful Bill Act of 2025 and are channeled entirely through state-level administrative and legislative oversight committees.

Alabama Department of Economic and Community Affairs Centers for Medicare and Medicaid Services

Connected Entities

Finance Director, Senate Finance and Taxation General Fund Committee, Alabama Department of Economic and Community Affairs and 2 more

PersonFinance Director“Must provide written concurrence for fund reallocations”Map →

OrganizationSenate Finance and Taxation General Fund Committee“Committee whose chair provides written concurrence for fund reallocations”Map →

OrganizationAlabama Department of Economic and Community Affairs“Receives and administers the appropriated federal funds”Map →

OrganizationHouse Ways and Means General Fund Committee“Committee whose chair provides written concurrence for fund reallocations”Map →

OrganizationCenters for Medicare and Medicaid Services“Must approve certain fund reallocations”Map →

Sources

Open source document

alison.legislature.state.al.us

Analysis Score

0–100

Significance85
How much this matters to a regular citizen
Controversy10
Intensity of disagreement among stakeholders
Entertainment5
Compellingness for a non-policy-wonk reader
Buzz30
Current news / social attention level

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