Healthcare (Hospitals)

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.

HB 232 permanently extends a 6% tax on net patient revenue from privately operated hospitals in Alabama, which currently funds Medicaid payments but was scheduled to expire on September 30, 2028. This tax, described as a "cost of doing business" for these hospitals, requires them to pay the assessment annually to support Medicaid hospital payments. Funds collected go into the Hospital Assessment Account, which must be used exclusively for hospital payments and cannot replace other state Medicaid funding. The bill removes the sunset clause, making the tax permanent for all privately operated hospitals in the state.

SB 80 requires all Alabama hospitals with emergency departments (regardless of classification) to have at least one physician physically present and responsible for the emergency department at all times it is open. This requirement becomes a condition for hospital licensing and renewal under Alabama law. The bill directly affects every hospital operating an emergency department in the state. It takes effect on October 1, 2026, and does not change current staffing levels beyond ensuring a physician is on-site during all open hours.

SB 82 would eliminate the requirement for rural healthcare providers to obtain state approval (a "certificate of need") before building new facilities or expanding services. This directly affects rural hospitals, clinics, and healthcare providers seeking to grow or establish operations in designated rural areas. The bill maintains a requirement for these rural providers to submit reports to the State Health Planning and Development Agency (SHPDA). It also makes minor technical updates to existing healthcare regulations to remove outdated language.