Bill > HB614

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 collaborative electronic health records (EHR), IT, and 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 practice, and also allows up to 10% of these funds for administrative costs. Any unexpended funds will not revert but will be carried forward to the next fiscal year, and if funds need to be reallocated between initiatives, the Director of ADECA must obtain written approval from legislative finance leaders and then seek approval from the Centers for Medicare and Medicaid Services (CMS), a federal agency that oversees health insurance programs. The bill also clarifies that federal funds will be administered in accordance with all applicable federal laws and regulations and becomes effective on October 1, 2026.

Budget and Finance

https://alison.legislature.state.al.us/bill-search