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Enacted

Alabama creates Rural Health Antitrust Immunity Act to authorize health provider collaborations under state supervision

Original title: State Health Planning and Development Agency; Rural Health Antitrust Immunity Act created, collaboration among rural health care providers authorized; certification and supervision framework established, limited immunity from state and federal antitrust laws provided

Last action · May 8, 2026: Carried Over to the Call of the ChairSponsor: Jamie Kiel

Companion · SB 350same policy, Senate version
Introduced
Committee
Floor Vote
Passed
Law

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Public stanceCommunity reactions are separate from the official record and reporting.

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.

Why it matters

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.

Directly affected

rural health care providers

Rural healthcare providers are eligible to apply for state approval to collaborate, share data, and receive limited antitrust immunity.

Directly affected

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?
Both the State Health Planning and Development Agency and the Governor must approve the applications for collaboration and shared services.
How often must approval certificates be renewed?
Approval certificates must be renewed every three years.
What legal protections do approved providers receive?
Approved providers receive limited immunity from state and federal .

What else do you want to know?

News Coverage

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

Where This Stands

Current status: Became law.

Procedural history

28 actions
  1. May 8, 2026House
    Carried Over to the Call of the Chair
  2. Apr 16, 2026HouseEnrolled
    Enacted
  3. Apr 9, 2026HouseEnrolled
    Delivered to Governor
  4. Apr 9, 2026Senate
    Signature Requested
  5. Apr 9, 2026Senate
    Signature Requested
  6. Apr 9, 2026Senate
    Signature Requested
Show 22 earlier actions
  1. Apr 9, 2026House
    Enrolled
  2. Apr 9, 2026House
    Ready to Enroll
  3. Apr 9, 2026House
    Kiel motion to Concur In and Adopt Senate Amendment - Adopted Roll Call 1358
  4. Apr 9, 2026SenateFloor
    Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 1317
  5. Apr 9, 2026Senate
    Chesteen motion to Adopt - Adopted Roll Call 1316
  6. Apr 9, 2026Senate
    Carried Over to Call of Chair
  7. Apr 9, 2026Senate
    Chesteen 1st Amendment Offered
  8. Apr 7, 2026Senate
    Carried Over to the Call of the Chair
  9. Apr 7, 2026Senate
    Third Reading in Second House
  10. Apr 1, 2026Senate
    Read for the Second Time and placed on the Calendar
  11. Apr 1, 2026SenateCommittee
    Reported Out of Committee Second House
  12. Mar 31, 2026SenateCommittee
    Pending Committee Action in Second House
  13. Mar 31, 2026SenateIntroduced
    Read for the first time and referred to the Senate Committee on Healthcare
  14. Mar 31, 2026House
    Engrossed
  15. Mar 31, 2026HouseFloor
    Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 1102
  16. Mar 31, 2026House
    Motion to Adopt - Adopted Roll Call 1101
  17. Mar 31, 2026House
    Kiel 1st Amendment Offered
  18. Mar 31, 2026House
    Third Reading in House of Origin
  19. Mar 19, 2026House
    Read for the Second Time and placed on the Calendar
  20. Mar 18, 2026HouseCommittee
    Reported Out of Committee House of Origin
  21. Mar 10, 2026HouseCommittee
    Pending Committee Action in House of Origin
  22. Mar 10, 2026HouseIntroduced
    Read 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

Outcome not reportedSenate4/9/2026Alabama LegislatureOfficial roll call ↗

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
Outcome not reportedSenate4/9/2026Alabama LegislatureOfficial roll call ↗

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
Outcome not reportedHouse4/9/2026Alabama LegislatureOfficial roll call ↗

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
Corley EllisParty not recordedyes
Cindy MyrexParty not recordedyes
Tim WadsworthParty not recordedyes
Chad RobertsonParty not recordedyes
Paul LeeParty not recordedyes
Phillip EnslerParty not recordedyes
Marcus ParamoreParty not recordedyes
Bryan BrinyarkParty not recordedyes
Randy WoodParty not recordedyes
Donna GivensParty not recordedyes
Marilyn LandsParty not recordedyes
Greg BarnesParty not recordedyes
Steve HurstParty not recordedyes
David FaulknerParty not recordedyes
Rick RehmParty not recordedyes
Bill LambParty not recordedyes
Mark ShireyParty not recordedyes
TaShina MorrisParty not recordedyes
Margie WilcoxParty not recordedyes
Heath AllbrightParty not recordedyes
Jeremy GrayParty not recordedyes
Phillip RigsbyParty not recordedyes
Jeana RossParty not recordedyes
Danny CrawfordParty not recordedyes
Kenneth PaschalParty not recordedyes
Napoleon BracyParty not recordedyes
Ernie YarbroughParty not recordedyes
David StandridgeParty not recordedyes
Travis HendrixParty not recordedyes
Leigh HulseyParty not recordedyes
Chris PringleParty not recordedyes
Mack ButlerParty not recordedyes
Shane StringerParty not recordedyes
Ritchie WhortonParty not recordedyes
Juandalynn GivanParty not recordedyes
Steve ClouseParty not recordedyes
Bob FincherParty not recordedyes
Matthew HammettParty not recordedyes
Chris BlackshearParty not recordedyes
Scott StadthagenParty not recordedyes
Rhett MarquesParty not recordedyes
Berry ForteParty not recordedyes
Russell BedsoleParty not recordedyes
Patrick SellersParty not recordedyes
Jerry StarnesParty not recordedyes
Troy StubbsParty not recordedyes
Allen TreadawayParty not recordedyes
Sam JonesParty not recordedyes
Ben HarrisonParty not recordedyes
Kenyatté HassellParty not recordedyes
Rex ReynoldsParty not recordedyes
Brett EasterbrookParty not recordednot voting
Mike KirklandParty not recordedyes
Bubba UnderwoodParty not recordedyes
Rolanda HollisParty not recordedyes
Barbara BoydParty not recordedyes
Kelvin DatcherParty not recordedyes
Terri CollinsParty not recordedyes
Kelvin LawrenceParty not recordedyes
Laura HallParty not recordedyes
Adline ClarkeParty not recordedyes
Ben RobbinsParty not recordedyes
Barbara DrummondParty not recordedyes
Mark GidleyParty not recordedyes
Jamie KielParty not recordedyes
Norman CrowParty not recordedyes
Danny GarrettParty not recordedyes
Chris EnglandParty not recordedyes
Jennifer FidlerParty not recordedyes
Curtis TravisParty not recordedyes
Susan DuBoseParty not recordedyes
Frances Holk-JonesParty not recordedyes
Neil RaffertyParty not recordedyes
Ontario TillmanParty not recordedyes
Tracy EstesParty not recordedyes
Thomas JacksonParty not recordedyes
Outcome not reportedHouse3/31/2026Alabama LegislatureOfficial roll call ↗

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
Napoleon BracyParty not recordedyes
Heath AllbrightParty not recordedabstain
Ed OliverParty not recordedyes
Chip BrownParty not recordedyes
Allen TreadawayParty not recordedabstain
Kelvin DatcherParty not recordedyes
David FaulknerParty not recordedyes
Matt SimpsonParty not recordedyes
Terri CollinsParty not recordedyes
Steve HurstParty not recordedyes
Kristin NelsonParty not recordedyes
Nathaniel LedbetterParty not recordedyes
Matthew HammettParty not recordedyes
Thomas JacksonParty not recordedyes
Jim HillParty not recordedabstain
Bryan BrinyarkParty not recordedyes
Phillip PettusParty not recordedabstain
Margie WilcoxParty not recordedyes
Frances Holk-JonesParty not recordedyes
Corley EllisParty not recordedabstain
Jennifer FidlerParty not recordedyes
Anthony DanielsParty not recordedyes
Jim CarnsParty not recordedabstain
Kenyatté HassellParty not recordedabstain
Bubba UnderwoodParty not recordedyes
Reed IngramParty not recordedyes
Chad RobertsonParty not recordedabstain
Pebblin WarrenParty not recordednot voting
Norman CrowParty not recordedyes
Phillip EnslerParty not recordedabstain
Marilyn LandsParty not recordedabstain
Rhett MarquesParty not recordedabstain
Jerry StarnesParty not recordedyes
Ginny ShaverParty not recordedabstain
Ontario TillmanParty not recordedyes
Mike ShawParty not recordedabstain
Ron BoltonParty not recordedyes
Cindy MyrexParty not recordednot voting
Ben RobbinsParty not recordedabstain
Shane StringerParty not recordedyes
Tim WadsworthParty not recordedyes
Donna GivensParty not recordedyes
Kenneth PaschalParty not recordedyes
Neil RaffertyParty not recordedabstain
Alan BakerParty not recordedyes
Berry ForteParty not recordedyes
Juandalynn GivanParty not recordedabstain
Adline ClarkeParty not recordedyes
Mack ButlerParty not recordedabstain
Danny GarrettParty not recordedyes
Barbara DrummondParty not recordedyes
Jamie KielParty not recordedabstain
Travis HendrixParty not recordedyes
Rolanda HollisParty not recordedabstain
Chris PringleParty not recordedyes
Arnold MooneyParty not recordedabstain
Prince ChestnutParty not recordednot voting
Ritchie WhortonParty not recordedabstain
Rex ReynoldsParty not recordedyes
Mark GidleyParty not recordedyes
Ernie YarbroughParty not recordedabstain
Joe LovvornParty not recordedyes
Rick RehmParty not recordedabstain
Bill LambParty not recordedyes
Patrick SellersParty not recordedabstain
Bob FincherParty not recordedabstain
Randy WoodParty not recordedabstain
Barbara BoydParty not recordednot voting
Curtis TravisParty not recordedyes
Mark ShireyParty not recordedyes
Kelvin LawrenceParty not recordednot voting
Parker MooreParty not recordedyes
Jeff SorrellsParty not recordedabstain
Sam JonesParty not recordedyes
Russell BedsoleParty not recordedyes
Brett EasterbrookParty not recordedyes
Outcome not reportedHouse3/31/2026Alabama LegislatureOfficial roll call ↗

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
Leigh HulseyParty not recordedyes
Jim CarnsParty not recordedabstain
Kenneth PaschalParty not recordedyes
Adline ClarkeParty not recordedyes
Phillip EnslerParty not recordedabstain
Heath AllbrightParty not recordedabstain
Thomas JacksonParty not recordedyes
Jerry StarnesParty not recordedyes
Alan BakerParty not recordedyes
Shane StringerParty not recordedyes
Travis HendrixParty not recordedyes
Kenyatté HassellParty not recordedabstain
Rick RehmParty not recordedabstain
Reed IngramParty not recordedyes
Rolanda HollisParty not recordedabstain
Phillip RigsbyParty not recordedyes
Terri CollinsParty not recordedyes
Russell BedsoleParty not recordedyes
Prince ChestnutParty not recordednot voting
Marcus ParamoreParty not recordedyes
Ron BoltonParty not recordedyes
Donna GivensParty not recordedyes
Sam JonesParty not recordedyes
Craig LipscombParty not recordedyes
Ginny ShaverParty not recordedabstain
Scott StadthagenParty not recordednot voting
Brett EasterbrookParty not recordedyes
Norman CrowParty not recordedyes
Bill LambParty not recordedyes
Steve HurstParty not recordedyes
Chris PringleParty not recordedyes
Marilyn LandsParty not recordedabstain
Corley EllisParty not recordedabstain
Cindy MyrexParty not recordednot voting
Mark ShireyParty not recordedyes
Joe LovvornParty not recordedyes
Mack ButlerParty not recordedabstain
Greg BarnesParty not recordedyes
Nathaniel LedbetterParty not recordedyes
Arnold MooneyParty not recordedabstain
Matthew HammettParty not recordedyes
Mike ShawParty not recordedabstain
Tim WadsworthParty not recordedyes
Chad RobertsonParty not recordedabstain
Mike KirklandParty not recordedyes
Chris SellsParty not recordedyes
Chris BlackshearParty not recordedyes
Randy WoodParty not recordedabstain
Barbara DrummondParty not recordedyes
David StandridgeParty not recordedabstain
Anthony DanielsParty not recordedyes
Kelvin LawrenceParty not recordednot voting
Curtis TravisParty not recordedyes
Rhett MarquesParty not recordedabstain
Jeff SorrellsParty not recordedabstain
Napoleon BracyParty not recordedyes
Ernie YarbroughParty not recordedabstain
Susan DuBoseParty not recordedabstain
Ontario TillmanParty not recordedyes
Jeana RossParty not recordedyes
Margie WilcoxParty not recordedyes
Patrick SellersParty not recordedabstain
Bubba UnderwoodParty not recordedyes
Kristin NelsonParty not recordedyes
Bob FincherParty not recordedabstain
Jamie KielParty not recordedabstain
Troy StubbsParty not recordedyes
Bryan BrinyarkParty not recordedyes
Ritchie WhortonParty not recordedabstain
Chris EnglandParty not recordedyes
Laura HallParty not recordednot voting
Chip BrownParty not recordedyes
Steve ClouseParty not recordedyes
Rex ReynoldsParty not recordedyes
Ben HarrisonParty not recordedabstain
Barbara BoydParty not recordednot voting
Outcome not reportedHouse3/31/2026Alabama LegislatureOfficial roll call ↗

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
Randy WoodParty not recordedabstain
Alan BakerParty not recordedyes
Ernie YarbroughParty not recordedabstain
Kenneth PaschalParty not recordedyes
James LomaxParty not recordedyes
Jim HillParty not recordedabstain
David FaulknerParty not recordedyes
Barbara DrummondParty not recordedyes
Adline ClarkeParty not recordedyes
Joe LovvornParty not recordedyes
Susan DuBoseParty not recordedabstain
Jerry StarnesParty not recordedyes
Kelvin DatcherParty not recordedyes
Patrick SellersParty not recordedabstain
Russell BedsoleParty not recordedyes
Rick RehmParty not recordedabstain
Nathaniel LedbetterParty not recordedyes
Parker MooreParty not recordedyes
Danny GarrettParty not recordedyes
Phillip EnslerParty not recordedabstain
Terri CollinsParty not recordedyes
Jamie KielParty not recordedabstain
Cindy MyrexParty not recordednot voting
Ron BoltonParty not recordedyes
Matthew HammettParty not recordedyes
Ontario TillmanParty not recordedyes
Margie WilcoxParty not recordedyes
Marcus ParamoreParty not recordedyes
David StandridgeParty not recordedabstain
Steve ClouseParty not recordedyes
Arnold MooneyParty not recordedabstain
Mark GidleyParty not recordedyes
Laura HallParty not recordednot voting
Brett EasterbrookParty not recordedyes
Curtis TravisParty not recordedyes
Ben HarrisonParty not recordedabstain
TaShina MorrisParty not recordedyes
Anthony DanielsParty not recordedyes
Ritchie WhortonParty not recordedabstain
Chris SellsParty not recordedyes
Jim CarnsParty not recordedabstain
Chris PringleParty not recordedyes
Troy StubbsParty not recordedyes
Allen TreadawayParty not recordedabstain
Napoleon BracyParty not recordedyes
Sam JonesParty not recordedyes
Norman CrowParty not recordedyes
Kristin NelsonParty not recordedyes
Barbara BoydParty not recordednot voting
Rex ReynoldsParty not recordedyes
Jeana RossParty not recordedyes
Tracy EstesParty not recordedyes
Chip BrownParty not recordedyes
Marilyn LandsParty not recordedabstain
Paul LeeParty not recordedyes
Andy WhittParty not recordedyes
Prince ChestnutParty not recordednot voting
Bill LambParty not recordedyes
Bubba UnderwoodParty not recordedyes
Jennifer FidlerParty not recordedyes
Chris EnglandParty not recordedyes
Pebblin WarrenParty not recordednot voting
Mack ButlerParty not recordedabstain
Greg BarnesParty not recordedyes
Phillip RigsbyParty not recordedyes
Juandalynn GivanParty not recordedabstain
Craig LipscombParty not recordedyes
Bryan BrinyarkParty not recordedyes
Chris BlackshearParty not recordedyes
Ed OliverParty not recordedyes
Tim WadsworthParty not recordedyes
Corley EllisParty not recordedabstain
Reed IngramParty not recordedyes
Kelvin LawrenceParty not recordednot voting
Jeremy GrayParty not recordedabstain
Mark ShireyParty not recordedyes

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

1 pattern noticed across the record

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

policy shift95% confidence

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

State Health Planning and Development Agency, Governor, Alabama Rural Health Transformation Advisory Group and 3 more
OrganizationState Health Planning and Development Agency“Administers certification, application review, monitoring, renewal, and rule ado”Map →
PersonGovernor“Approves provider collaborations along with the State Health Planning and Develo”Map →
OrganizationAlabama Rural Health Transformation Advisory Group“Established by Executive Order No. 741 to coordinate policy development and stak”Map →
PersonDonald J. Trump“President who signed the One Big Beautiful Bill Act on July 4, 2025.”Map →
OrganizationCenters for Medicare & Medicaid Services“Federal agency to which the state submitted the Alabama Rural Health Transformat”Map →
PersonKay Ivey“Governor who issued Executive Order No. 741.”Map →

Sources

Open source document

alison.legislature.state.al.us

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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