HB 45 Alabama House · 2025 Regular Session

Medicaid Agency, colorectal cancer screening test, coverage required for test based on grade A or B recommendation from U.S. Preventative Services Task Force

HB 45 requires the state's Medicaid Agency to provide coverage for colorectal cancer screening tests. This coverage applies to tests that have received a Grade A or B recommendation from the U.S. Preventative Services Task Force. The bill directly affects individuals covered by Medicaid, ensuring they have access to these specific preventative screenings. If enacted, this requirement would become effective on October 1, 2025.

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Oct 2024

Committee Review

Feb 2025

House Passage

May 2025

Senate Passage

May 2025

Signed into Law

May 2025

Introduced Oct 1, 2024 Signed May 22, 2025

Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed → Enrolled · 4 edits · May 22, 2025

MODERATE

The bill was finalized for signing (Enrolled) after passing both legislative chambers. The most significant substantive change is the effective date, which was moved from 'immediately' to October 1, 2025, giving the Medicaid Agency time to prepare for the new coverage requirements. The core policy of covering specific colorectal cancer screening tests remains unchanged.

Scope change

The bill's scope regarding covered tests and repeal timelines remains the same, but the applicability date was delayed.

TIMELINE

The effective date of the act was changed from 'immediately' to 'October 1, 2025'.

TECHNICAL

The bill number was updated from 87DXFFF-2 to 87DXFFF-3 to reflect its final enrolled status.

The certification text indicating the bill was 'Read for the first time' and 'Read for the second time' was removed, as these steps are completed in the final enrolled version.

New certification text was added confirming the bill passed both the House and Senate on May 7, 2025, and was amended in the Senate.

Floor votes

How they voted

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

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

May 7, 2025

Lower · Passed

Oliver Concur In and Adopt - Adopted Roll Call 1239

lower

May 7, 2025

Upper · Passed

Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 1032

upper

May 7, 2025

Upper · Passed

Stutts motion to Adopt - Adopted Roll Call 1031

upper

May 7, 2025

Introduced

Stutts 1st Amendment Offered

upper

Feb 26, 2025

Upper · Passed

Reported Out of Committee Second House

upper

Feb 18, 2025

Upper · Passed

Pending Committee Action in Second House (Healthcare)

upper

Feb 13, 2025

Lower · Passed

Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 122

lower

Feb 13, 2025

Lower · Passed

Motion to Adopt - Adopted Roll Call 121

lower

Feb 13, 2025

Introduced

Reynolds 1st Amendment Offered

lower

Feb 11, 2025

Lower · Passed

Reported Out of Committee House of Origin

lower

Feb 4, 2025

Lower · Passed

Pending Committee Action in House of Origin (Health)

lower

1 primary · 0 co-sponsors