HB43 Alabama 2012 Session

Summary

Primary Sponsor

Mike Hill

Republican

Co-Sponsors

Paul W. LeeEd HenryRichard BaughnBecky NordgrenKurt WallaceKen JohnsonWayne JohnsonPaul BeckmanMark TuggleDan WilliamsLynn GreerWilliam RobertsMac McCutcheonMike BallSteve McMillanBarry MaskHoward SanderfordPhil WilliamsMicky HammonBlaine GalliherTerri CollinsAllen Farley

Session

Regular Session 2012

Title

Health Care Compact established, consent of U. S. Congress secured for return of authority to member states to regulate health care, Interstate Advisory Health Care Commission established, membership, duties, terms, funding

Summary

HB43 would create the Health Care Compact to return health care regulation to member states, establish an Interstate Advisory Health Care Commission, and provide funding to support state regulation, with Congress' consent required.

What This Bill Does

It establishes the Health Care Compact and seeks congressional consent to return health care regulation to member states. It creates the Interstate Advisory Health Care Commission to study issues, collect data, and make non-binding recommendations, with each state appointing up to two members. It sets funding rules, basing state funding on a 2010 federal spending baseline and providing federal funding to support state authority, while allowing states to suspend conflicting federal laws; any remaining federal obligations in a state would be funded by that state.

Who It Affects

• Member states (signatories) would gain authority to regulate health care within their borders and determine funding and implementation under the Compact.
• Health care consumers in member states would experience regulation at the state level, with protections that health information cannot be disclosed to the Commission and potential changes in how health care is provided and funded within the state.

Key Provisions

• Establishes the Health Care Compact and requires congressional consent to return health care regulation to member states.
• Creates the Interstate Advisory Health Care Commission, with up to two appointees per state, capable of non-binding recommendations, data gathering, and annual meetings.
• Defines funding concepts, including a Member State Base Funding Level tied to 2010 federal health care spending and mechanisms for current-year funding and adjustments.
• Authorizes states to suspend federal health care laws within the state if inconsistent with state laws adopted under the Compact; states assume funding obligations for any federal laws remaining in effect.
• Provides for federal funding to states to support their authority each fiscal year, with initial funding levels set by Congress and reconciled later.
• Details congressional consent for the Compact to take effect, rules for amendments (unanimous state agreement), and withdrawal/dissolution procedures.

AI-generated summary using openai/gpt-5-nano on Feb 24, 2026. May contain errors — refer to the official bill text for accuracy.

Subjects

Health