Nursing facilities, privilege assessments and surcharge on each nursing home bed, sunset removed

HB 230 permanently removes the expiration date for annual fees paid by nursing facilities in Alabama. Currently, nursing homes pay three separate assessments (a primary privilege assessment, a supplemental assessment, and a surcharge) per bed, which were set to expire on August 31, 2028. The bill makes these fees permanent, requiring nursing homes to continue paying them without a sunset date. Additionally, it updates Medicaid reimbursement rules to ensure these fees are included in per diem rates for nursing home care, aligning with specific administrative code changes effective May 1, 2026. This directly affects all nursing facilities operating in Alabama that participate in the Medicaid program.