HB 312 Alabama House · 2025 Regular Session

Hospitals, private hospital assessment and Medicaid funding program extended for fiscal year 2028

HB 312 proposes to extend the program for private hospital assessments and Medicaid funding through fiscal year 2028. This program allows private hospitals to pay assessments, which are then used to draw down federal matching funds for Medicaid services. The bill includes a technical amendment that clarifies the reference for published rates within the program, specifying them as of October 1, 2017. This measure ensures the continuation of a funding mechanism that impacts private hospitals and Medicaid recipients by supporting healthcare services.
Bill status signed all 5 stages cleared
Introduction
Feb 2025
Committee Review
Apr 2025
House Passage
Apr 2025
Senate Passage
Apr 2025
Signed into Law
May 2025
Introduced Feb 20, 2025 Signed May 14, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Enrolled · 3 edits · May 14, 2025
MINOR
The bill text was finalized for signing into law, changing the status from 'Engrossed' to 'Enrolled.' During this final review, the definition of a 'State-Owned Hospital' was updated to include hospitals created under Chapter 17A of Title 16, and a new definition for 'Private Hospital' was added to clarify exclusions for federal, state, and publicly owned facilities.
Scope change
The scope of the bill's applicability was slightly expanded by including a specific category of hospitals (those created under Chapter 17A of Title 16) in the definition of state-owned hospitals, which may affect how the tax is applied to these entities.
DEFINITION

The definition of 'State-Owned Hospital' was modified to explicitly include hospitals created pursuant to Chapter 17A of Title 16.

A new definition for 'Privately Operated Hospital' was added, listing specific exclusions such as federal, state, and publicly owned hospitals to clarify who is subject to the tax.

TECHNICAL

The document status was updated from 'Engrossed' to 'Enrolled,' indicating the bill has passed all legislative stages and is ready for the Governor's signature.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
21
Key actions
7
Committee
4
Amendments
2
Apr 29, 2025
Upper · Passed
Motion to Read a Third Time and Pass - Adopted Roll Call 886
upper
Apr 24, 2025
Upper · Passed
Reported Out of Committee Second House
upper
Apr 15, 2025
Upper · Passed
Pending Committee Action in Second House (Finance and Taxation General Fund)
upper
Apr 3, 2025
Lower · Passed
Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 618
lower
Apr 3, 2025
Lower · Passed
Motion to Adopt - Adopted Roll Call 617
lower
Apr 3, 2025
Introduced
Ways and Means General Fund Engrossed Substitute Offered (Ways and Means General Fund)
lower
Apr 1, 2025
Lower · Passed
Reported Out of Committee House of Origin (Ways and Means General Fund)
lower
Apr 1, 2025
Introduced
Ways and Means General Fund 1st Amendment (Ways and Means General Fund)
lower
Feb 20, 2025
Lower · Passed
Pending Committee Action in House of Origin (Ways and Means General Fund)
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Paul Lee
Paul Lee
RRepublican
AL
86