HB 177 Alabama House · 2025 Regular Session

Medicaid; Requiring Employer-provided insurance as primary payor of eligible child's health care

HB 177 proposes changes to Medicaid policy regarding children's healthcare costs. It aims to require employer-provided insurance to serve as the primary payer for health services for eligible children. The bill specifies that the state agency may pursue reimbursement from a parent for amounts paid, treating these reimbursements as a collectible debt. This provision applies to any parent of a child approved for benefits.

Bill status died 1 of 4 stages cleared

Introduction

Feb 2025

Committee Review

Floor Vote

Governor

Introduced Feb 5, 2025 Last action May 6, 2025

Maddy AI version diff · 1 comparison

What changed between versions

Introduced → Judiciary 1st Substitute · 3 edits

MINOR

The bill was amended from its original version to create a Judiciary substitute version. The substantive policy content regarding Medicaid reimbursement and health insurance requirements for parents remains largely the same, but the bill's title and introductory language were updated to reflect the new substitute status. The core provisions requiring courts to order noncustodial parents to provide health insurance for Medicaid-eligible children and allowing Medicaid to seek reimbursement if parents fail to comply are preserved.

Scope change

The bill's scope remains focused on Medicaid reimbursement and health insurance requirements for children under 19, but the document structure changed from an introduced bill to a Judiciary substitute bill.

TECHNICAL

The bill header changed from 'HB177 INTRODUCED' to 'JUDICIARY SUBSTITUTE TO HB177' with updated tracking numbers and dates (03/04/2025 instead of 02/04/2025), indicating the bill has been amended by the Judiciary committee.

The bill's title was updated from 'Relating to Medicaid; to require that a child who is approved for Medicaid receive health care coverage through a parent's insurance' to 'Relating to Medicaid; to provide that a court with jurisdiction over a noncustodial parent may require the parent to provide health insurance' to better reflect the judicial enforcement mechanism.

DEFINITION

The bill was reorganized with new section numbering and some definition terms were reordered, though the substantive definitions of key terms like 'AGENCY,' 'APPROVED CHILD,' and 'NONCUSTODIAL PARENT' remain consistent with the original version.

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Mar 5, 2025

Lower · Passed

Reported Out of Committee House of Origin (Judiciary)

lower

Mar 5, 2025

Introduced

Ways and Means General Fund 1st Amendment (Judiciary)

lower

Feb 20, 2025

Committee

Re-referred to Committee in House of Origin (Judiciary)

lower

Feb 19, 2025

Lower · Passed

Reported Out of Committee House of Origin (Ways and Means General Fund)

lower

Feb 19, 2025

Introduced

Ways and Means General Fund 1st Amendment (Ways and Means General Fund)

lower

Feb 5, 2025

Lower · Passed

Pending Committee Action in House of Origin (Ways and Means General Fund)

lower

1 primary · 0 co-sponsors