HB 89 Alabama House · 2025 Regular Session

Medicaid; providing presumptive eligibility to pregnant women

HB 89 would allow pregnant women to receive immediate Medicaid coverage during pregnancy without waiting for full eligibility verification. It directs the state health agency to create rules for "presumptive eligibility," meaning pregnant individuals could qualify for healthcare benefits right away if they meet basic criteria. This directly affects pregnant women who might otherwise face delays in accessing prenatal care. The provision is temporary, set to expire on October 1, 2028.

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Jan 2025

Committee Review

Mar 2025

House Passage

Feb 2025

Senate Passage

Governor

Introduced Jan 24, 2025 Last action Mar 5, 2025

Maddy AI version diff · 1 comparison

What changed between versions

Introduced → Engrossed · 3 edits · Feb 13, 2025

MINOR

The bill was amended to add a repeal provision and clarify the effective date, while maintaining the core purpose of providing temporary Medicaid coverage to pregnant women who have not yet been formally approved. The changes include adding a sunset date for the act and reorganizing the bill's structure to reflect its engrossed status.

Scope change

The bill's scope remains focused on providing presumptive eligibility for Medicaid prenatal care to pregnant women, but now includes a provision for the act's repeal after a set period.

TIMELINE

Added a repeal provision stating the act will be repealed on October 1, 2028, establishing a sunset date for the temporary coverage provision.

TECHNICAL

Reorganized the bill structure to reflect its engrossed status with updated page headers and removed the original synopsis section.

REQUIREMENT

Added a requirement that the agency shall adopt rules defining acceptable documentation for preliminary eligibility, limited to proof of pregnancy and facial proof of current household income.

Floor votes

How they voted

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

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Mar 5, 2025

Upper · Passed

Reported Out of Committee Second House

upper

Feb 18, 2025

Upper · Passed

Pending Committee Action in Second House (Finance and Taxation General Fund)

upper

Feb 13, 2025

Lower · Passed

Motion to Add Cosponsor - Adopted Roll Call 110

lower

Feb 13, 2025

Lower · Passed

Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 109

lower

Feb 13, 2025

Lower · Passed

Motion to Adopt - Adopted Roll Call 108

lower

Feb 13, 2025

Introduced

Ways and Means General Fund Engrossed Substitute Offered (Ways and Means General Fund)

lower

Feb 12, 2025

Lower · Passed

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

lower

Feb 12, 2025

Introduced

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

lower

Feb 4, 2025

Lower · Passed

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

lower

1 primary · 0 co-sponsors