SB 145 Alabama Senate · 2026 Regular Session

Hospitals, private hospital assessment and Medicaid funding program sunset clause removed.

SB 145 removes the expiration date for a 6% tax that privately operated hospitals in Alabama pay on net patient revenue. This tax currently funds Medicaid payments to hospitals and was scheduled to end on September 30, 2028. The bill makes the tax permanent, ensuring ongoing funding for Medicaid hospital payments without a set termination date. It directly affects private hospitals, which will continue paying this assessment to support Medicaid program financing.

Bill status signed all 5 stages cleared

Introduction

Jan 2026

Committee Review

Mar 2026

Senate Passage

Mar 2026

House Passage

Apr 2026

Signed into Law

Apr 2026

Introduced Jan 14, 2026 Signed Apr 9, 2026

Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed → Enrolled · 4 edits · Apr 9, 2026

MODERATE

The bill was finalized for signature (Enrolled) after minor formatting corrections. The substantive policy content regarding the hospital provider privilege tax remains unchanged, including the 6% tax rate and the specific fiscal years it applies to.

Scope change

The scope of the bill remains unchanged; it continues to apply to privately operated hospitals in Alabama for state fiscal years 2026, 2027, and 2028.

TECHNICAL

Corrected a typo in the bill title changing 'ENGROSSED' to 'ENROLLED' and updated the bill number from KHIM3UU-2 to KHIM3UU-3.

Reformatted the text to remove unnecessary blank lines and standardize the layout for the final enrolled version.

Fixed a text error in Section 1 where the word 'an' was accidentally repeated as 'anAn'.

Adjusted line breaks and paragraph spacing to ensure the text flows correctly in the final legislative record.

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 1, 2026

Lower · Passed

Motion to Read a Third Time and Pass - Adopted Roll Call 1135

lower

Mar 31, 2026

Lower · Passed

Reported Out of Committee Second House

lower

Mar 12, 2026

Lower · Passed

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

lower

Mar 11, 2026

Upper · Passed

Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 824

upper

Mar 11, 2026

Upper · Passed

Albritton motion to Adopt - Adopted Roll Call 823

upper

Mar 11, 2026

Introduced

Finance and Taxation General Fund 1st Substitute Offered (Finance and Taxation General Fund)

upper

Mar 10, 2026

Upper · Passed

Reported Out of Committee House of Origin

upper

Jan 14, 2026

Upper · Passed

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

upper

1 primary · 0 co-sponsors