Bill > SB368

This bill appropriates up to $203,404,327 in federal funds from the "One Big Beautiful Bill Act of 2025" to the Alabama Department of Economic and Community Affairs (ADECA) for the Rural Health Transformation Program for the fiscal year ending September 30, 2026, with specific allocations for various initiatives including electronic health records (EHR), IT, cybersecurity, rural health, maternal and fetal health, rural workforce development, cancer research, simulation training, emergency medical services (EMS) trauma and stroke care, EMS "treat-in-place" services, mental health, and rural health practices, and also allows up to $20,340,432 for program administration, auditing, and reporting. Any unexpended funds will be carried forward to the next fiscal year, and if adjustments are needed for initiative funding, the Director of ADECA must obtain written concurrence from legislative finance leaders and then seek approval from the Centers for Medicare and Medicaid Services (CMS), a federal agency overseeing health insurance programs, to reallocate funds, with ADECA continuing to follow CMS requirements if approval is modified or withheld. The bill also clarifies that no federal funds will be spent in violation of federal law or regulations and that expenditures will comply with the terms under which the funds were provided, and it will become effective immediately upon passage and approval.

Health and Social Services

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