Bill > SB367

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, 2027, 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) for trauma and stroke, EMS "treat-in-place" services, mental health, and rural health practices, and allows up to $20,340,432 of these funds for program administration, auditing, and reporting. Any unexpended funds will not revert at the end of the fiscal year but will be carried forward for their intended purposes, and any remaining unexpended funds on September 30, 2027, will be reappropriated for the same purposes for the following fiscal year. The Director of ADECA can reallocate funds between initiatives if necessary, but only after obtaining written concurrence from the Finance Director, the Chair of the House Ways and Means General Fund Committee, and the Chair of the Senate Finance and Taxation General Fund Committee, and subsequently seeking approval from the Centers for Medicare and Medicaid Services (CMS), which is the federal agency overseeing Medicare and Medicaid programs. The bill also ensures that the expenditure of these federal funds will comply with all federal laws and regulations.

Health and Social Services

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