HB 591 Alabama House · 2026 Regular Session

Rural Health Transformation Program supplemental appropriations for the fiscal year ending September 30, 2026

This bill provides additional funding for the Rural Health Transformation Program through the end of fiscal year 2026 and establishes a new oversight committee to monitor how the money is used. The newly created Joint Legislative Oversight Committee on Rural Health Transformation Program Funds will include leaders from both the House and Senate, along with committee chairs and minority representatives, to review reports and data from state agencies managing these funds. The committee will have the authority to request information and hold hearings to ensure transparency in how the Rural Health Transformation Program is implemented. This legislation focuses on funding allocation and oversight rather than changing the core programs themselves.

Bill status signed all 5 stages cleared

Introduction

Mar 2026

Committee Review

Apr 2026

House Passage

Apr 2026

Senate Passage

Apr 2026

Signed into Law

Apr 2026

Introduced Mar 10, 2026 Signed Apr 13, 2026

Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed → Enrolled · 5 edits · Apr 13, 2026

MODERATE

The bill was finalized from its engrossed version to the enrolled version, which is the final text sent to the Governor for signature. The most significant substantive change is the addition of two new funding initiatives: the 'Cancer Digital Regionalization Initiative' and the 'Simulation Training Initiative,' while the funding amount for the 'Statewide EMS Trauma and Stroke Initiative' was reduced. Additionally, the composition of the new Joint Legislative Oversight Committee was expanded to include more members, including party leaders and committee chairs, to ensure broader oversight of the program.

Scope change

The bill's scope expanded to include two new specific health initiatives (Cancer Digital Regionalization and Simulation Training) and a more robust oversight committee structure.

FISCAL

Added a new appropriation of up to $8,136,173 for the Cancer Digital Regionalization Initiative.

Added a new appropriation of up to $1,017,021 for the Simulation Training Initiative.

Reduced the funding for the Statewide EMS Trauma and Stroke Initiative from $57,919,382 to $4,068,085, reallocating those funds to the new initiatives.

REQUIREMENT

Expanded the Joint Legislative Oversight Committee to include the Minority Leaders of both chambers, the Speaker, the President Pro Tempore, and additional committee members to strengthen oversight.

Clarified the process for reallocating funds, requiring written concurrence from specific committee chairs and CMS approval before any changes can be made.

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

Apr 8, 2026

Upper · Passed

Motion to Read a Third Time and Pass - Adopted Roll Call 1282

upper

Apr 7, 2026

Upper · Passed

Reported Out of Committee Second House

upper

Apr 2, 2026

Upper · Passed

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

upper

Apr 1, 2026

Lower · Passed

Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 1127

lower

Apr 1, 2026

Lower · Passed

Motion to Adopt - Adopted Roll Call 1126

lower

Apr 1, 2026

Introduced

Reynolds 1st Amendment Offered

lower

Mar 18, 2026

Lower · Passed

Reported Out of Committee House of Origin

lower

Mar 10, 2026

Lower · Passed

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

lower

1 primary · 0 co-sponsors