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Read. Follow. Verify.Alabama creates Rural Health Antitrust Immunity Act to authorize health provider collaborations under state supervision
Last action · May 8, 2026: Carried Over to the Call of the ChairSponsor: Jamie Kiel
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What This Bill Does
The state establishes the Rural Health Act, allowing rural healthcare providers to share data, collaborate, and provide shared services with approval from the State Health Planning and Development Agency and the Governor. Participating entities receive limited immunity from state and federal subject to agency supervision, a mandatory three-year certificate renewal process, and ongoing monitoring rules.
Rural healthcare providers gain the legal framework to coordinate services without violating , provided they secure state approval and meet ongoing evaluation standards.
Who It Affects
Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.
rural health care providers
Rural healthcare providers are eligible to apply for state approval to collaborate, share data, and receive limited antitrust immunity.
State Health Planning and Development Agency
The agency is tasked with evaluating applications, adopting monitoring rules, and overseeing approved rural healthcare collaborations.
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
Who must approve the collaboration between rural healthcare providers?
How often must approval certificates be renewed?
What legal protections do approved providers receive?
What else do you want to know?
News Coverage
Follow the record
Votes, people, money & the original sourceWhere This Stands
Current status: Became law.
Procedural history
28 actions- May 8, 2026HouseCarried Over to the Call of the Chair
- Apr 16, 2026HouseEnrolledEnacted
- Apr 9, 2026HouseEnrolledDelivered to Governor
- Apr 9, 2026SenateSignature Requested
- Apr 9, 2026SenateSignature Requested
- Apr 9, 2026SenateSignature Requested
Show 22 earlier actions
- Apr 9, 2026HouseEnrolled
- Apr 9, 2026HouseReady to Enroll
- Apr 9, 2026HouseKiel motion to Concur In and Adopt Senate Amendment - Adopted Roll Call 1358
- Apr 9, 2026SenateFloorMotion to Read a Third Time and Pass as Amended - Adopted Roll Call 1317
- Apr 9, 2026SenateChesteen motion to Adopt - Adopted Roll Call 1316
- Apr 9, 2026SenateCarried Over to Call of Chair
- Apr 9, 2026SenateChesteen 1st Amendment Offered
- Apr 7, 2026SenateCarried Over to the Call of the Chair
- Apr 7, 2026SenateThird Reading in Second House
- Apr 1, 2026SenateRead for the Second Time and placed on the Calendar
- Apr 1, 2026SenateCommitteeReported Out of Committee Second House
- Mar 31, 2026SenateCommitteePending Committee Action in Second House
- Mar 31, 2026SenateIntroducedRead for the first time and referred to the Senate Committee on Healthcare
- Mar 31, 2026HouseEngrossed
- Mar 31, 2026HouseFloorMotion to Read a Third Time and Pass as Amended - Adopted Roll Call 1102
- Mar 31, 2026HouseMotion to Adopt - Adopted Roll Call 1101
- Mar 31, 2026HouseKiel 1st Amendment Offered
- Mar 31, 2026HouseThird Reading in House of Origin
- Mar 19, 2026HouseRead for the Second Time and placed on the Calendar
- Mar 18, 2026HouseCommitteeReported Out of Committee House of Origin
- Mar 10, 2026HouseCommitteePending Committee Action in House of Origin
- Mar 10, 2026HouseIntroducedRead for the first time and referred to the House Committee on Judiciary
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 →Voting Record
Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 1317
Total
34
- Yes
- 32
- No
- 0
- Present
- 0
- Not voting
- 2
- Abstain
- 0
How they voted (34)
10 more members
Show 6 earlier roll calls
Chesteen motion to Adopt - Adopted Roll Call 1316
Total
34
- Yes
- 31
- No
- 0
- Present
- 0
- Not voting
- 3
- Abstain
- 0
How they voted (34)
10 more members
Kiel motion to Concur In and Adopt Senate Amendment - Adopted Roll Call 1358
Total
100
- Yes
- 99
- No
- 0
- Present
- 0
- Not voting
- 1
- Abstain
- 0
How they voted (100)
76 more members
Third Reading in Second House
Total
34
- Yes
- 33
- No
- 0
- Present
- 0
- Not voting
- 1
- Abstain
- 0
How they voted (34)
10 more members
Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 1102
Total
100
- Yes
- 62
- No
- 0
- Present
- 0
- Not voting
- 7
- Abstain
- 31
How they voted (100)
76 more members
Motion to Adopt - Adopted Roll Call 1101
Total
100
- Yes
- 62
- No
- 0
- Present
- 0
- Not voting
- 7
- Abstain
- 31
How they voted (100)
76 more members
Third Reading in House of Origin
Total
100
- Yes
- 62
- No
- 0
- Present
- 0
- Not voting
- 7
- Abstain
- 31
How they voted (100)
76 more members
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.
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Establishment of State-Sanctioned Antitrust Exemption for Rural Health
The legislation shifts oversight of rural health collaborations by inserting state-level certification and supervision as a shield against federal and state antitrust enforcement.
Connected Entities
Sources
alison.legislature.state.al.us
Analysis Score
0–100- Significance75How much this matters to a regular citizen
- Controversy40Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz30Current news / social attention level
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