HB 405 Alabama House · 2025 Regular Session

Nursing facilities, privilege assessments and surcharge on each nursing home bed, assessment extended, to August 31, 2028

HB 405 extends existing financial assessments levied on each bed in nursing facilities in Alabama. These assessments, which include a supplemental privilege assessment, a secondary supplemental privilege assessment, and a surcharge, are currently set to expire on August 31, 2025. This bill would extend their expiration date to August 31, 2028. Additionally, the bill stipulates that the Alabama Medicaid Agency will directly administer the Medicaid nursing facility program during the period these assessments are in place. These privilege assessments are considered allowable costs for nursing facilities and are factored into Medicaid per diem rates.
Bill status signed all 5 stages cleared
Introduction
Mar 2025
Committee Review
Apr 2025
House Passage
Apr 2025
Senate Passage
Apr 2025
Signed into Law
May 2025
Introduced Mar 6, 2025 Signed May 12, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Enrolled · 3 edits · May 12, 2025
MINOR
This bill extends the expiration date for nursing home privilege assessments and related surcharges from August 31, 2025 to August 31, 2028. It also clarifies that the Medicaid nursing facility program will be administered directly by the Alabama Medicaid Agency during the period these assessments are in effect.
Scope change
The bill's applicability period was extended from 2025 to 2028, and administrative authority for the Medicaid nursing facility program was clarified to be under the Alabama Medicaid Agency.
TIMELINE

Extended the expiration date for supplemental privilege assessments, secondary supplemental privilege assessments, and surcharges from August 31, 2025 to August 31, 2028.

REQUIREMENT

Added language specifying that the Medicaid nursing facility program will be administered directly by the Alabama Medicaid Agency during the period the privilege assessments are levied and collected.

TECHNICAL

Corrected formatting and removed redundant text from the bill's synopsis and header sections.

Floor votes

How they voted

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

Actions timeline

Total actions
17
Key actions
6
Committee
4
Apr 29, 2025
Upper · Passed
Motion to Read a Third Time and Pass - Adopted Roll Call 888
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 - Adopted Roll Call 620
lower
Apr 1, 2025
Lower · Passed
Reported Out of Committee House of Origin
lower
Mar 6, 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 Chris Blackshear
Chris Blackshear
RRepublican
AL
80