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Bill > HB605
AL HB605
AL HB605State Health Planning and Development Agency; Rural Health Antitrust Immunity Act created, collaboration among rural health care providers authorized; certification and supervision framework established, limited immunity from state and federal antitrust laws provided
summary
Introduced
03/10/2026
03/10/2026
In Committee
04/01/2026
04/01/2026
Crossed Over
03/31/2026
03/31/2026
Passed
04/09/2026
04/09/2026
Dead
Introduced Session
2026 Regular Session
Bill Summary
State Health Planning and Development Agency; Rural Health Antitrust Immunity Act created, collaboration among rural health care providers authorized; certification and supervision framework established, limited immunity from state and federal antitrust laws provided
AI Summary
This bill, known as the Rural Health Antitrust Immunity Act, aims to address healthcare access issues in Alabama's rural communities by allowing healthcare providers to collaborate and share services, even if these actions might otherwise be considered anti-competitive. The act establishes a framework where rural healthcare entities can seek approval from the State Health Planning and Development Agency to engage in activities like joint purchasing, shared staffing, coordinated service development, and joint negotiations with suppliers. This collaboration is intended to improve healthcare access, quality, and outcomes, and to prevent the closure of rural facilities. To receive approval, providers must demonstrate that their proposed collaborations are necessary to advance the state's policy of improving rural healthcare and that the benefits outweigh any potential negative impacts on competition. The State Health Planning and Development Agency will oversee these collaborations, and certificates of approval will be valid for three years, subject to renewal and ongoing supervision, with the possibility of amendment or revocation if the activities no longer meet the act's objectives. Importantly, this immunity from antitrust laws is provided under the "state action doctrine," a legal principle that shields certain state-authorized actions from federal antitrust scrutiny, provided the state actively supervises the conduct. However, joint negotiations with health insurance plans or similar entities are explicitly prohibited under this act.
Committee Categories
Health and Social Services, Justice
Sponsors (1)
Last Action
Delivered to Governor (on 04/09/2026)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://alison.legislature.state.al.us/bill-search |
| BillText | https://alison.legislature.state.al.us/files/pdf/SearchableInstruments/2026RS/HB605-enr.pdf |
| Senate Chesteen 1st Amendment Offered JPQ6QYF-1 | https://alison.legislature.state.al.us/files/pdf/SearchableInstruments/2026RS/JPQ6QYF-1.pdf |
| BillText | https://alison.legislature.state.al.us/files/pdf/SearchableInstruments/2026RS/HB605-eng.pdf |
| House Motion to Adopt - Adopted Roll Call 1068 XDMQXE7-1 | https://alison.legislature.state.al.us/files/pdf/SearchableInstruments/2026RS/XDMQXE7-1.pdf |
| Fiscal Note - Passed First Chamber | https://alison.legislature.state.al.us/files/pdf/SearchableInstruments/2026RS/FiscalNotes/FN-3PUC4VV-2.pdf |
| Fiscal Note - Introduced | https://alison.legislature.state.al.us/files/pdf/SearchableInstruments/2026RS/FiscalNotes/FN-3PUC4VV-1.pdf |
| BillText | https://alison.legislature.state.al.us/files/pdf/SearchableInstruments/2026RS/HB605-int.pdf |
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