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HB 614 Alabama House · 2026 Regular Session

Rural Health Transformation Program, appropriations for the fiscal year ending September 30, 2027

This bill provides supplemental funding totaling up to $203 million from the federal Rural Health Transformation Program to Alabama's Department of Economic and Community Affairs for the fiscal year ending September 30, 2027. The money is allocated across ten specific health initiatives, including support for electronic health records, rural healthcare services, maternal and fetal health, workforce development, cancer care, emergency medical services, and mental health programs. The legislation also establishes procedures for carrying over unspent funds to the next fiscal year and outlines requirements for reallocation approval from state officials and federal agencies.
Issues: ✓ Budget & TaxesSupports Budget & TaxesBill allocates $203M in federal funding for rural health initiatives, directly advancing public service funding and fiscal management.95% confidence ✓ HealthcareSupports HealthcareBill provides $203M in funding for rural health initiatives including maternal health, mental health, and workforce development95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentBill includes workforce development funding under rural health initiatives, which supports employment and job creation in healthcare sectors.75% confidence ✓ TechnologySupports TechnologyBill allocates funding for electronic health records and rural healthcare services, indicating support for technology adoption in healthcare.75% confidence
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 12, 2026 Signed Apr 13, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Introduced → Enrolled · 3 edits · Apr 13, 2026
MINOR
The bill was finalized as 'Enrolled' and expanded to include six new funding initiatives for rural health, maternal health, workforce development, cancer care, simulation training, and EMS services. The total appropriated funds remain consistent, but the distribution is now split across nine specific initiatives instead of just one. Additionally, new procedures were added to allow the Director of ADECA to request reallocation of funds with legislative and federal approval if needs change.
Scope change
The bill's scope expanded from a single general appropriation to a detailed list of nine specific funding initiatives, broadening the range of supported rural health programs.
FISCAL

Added six new specific funding initiatives: Rural Health Initiative, Maternal and Fetal Health Initiative, Rural Workforce Initiative, Cancer Digital Regionalization Initiative, Simulation Training Initiative, and Statewide EMS Trauma and Stroke Initiative.

REQUIREMENT

Added a new provision requiring the Director of ADECA to obtain written concurrence from legislative committee chairs and CMS approval before reallocating funds if initiative amounts need adjustment.

TECHNICAL

Updated document status from 'Introduced' to 'Enrolled' and renumbered sections to accommodate the new funding items.

Floor votes

How they voted

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

Actions timeline

Total actions
16
Key actions
6
Committee
4
Apr 8, 2026
Upper · Passed
Motion to Read a Third Time and Pass - Adopted Roll Call 1283
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 - Adopted Roll Call 1129
lower
Mar 18, 2026
Lower · Passed
Reported Out of Committee House of Origin
lower
Mar 12, 2026
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 Rex Reynolds
Rex Reynolds
RRepublican
AL
21