Skip to main content

HB109 Alabama 2013 Session

Updated Feb 24, 2026

Summary

Primary Sponsor
Mike Ball
Mike Ball
Republican
Session
Regular Session 2013
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

HB109 creates a Health Care Compact to return health care regulation to member states, establishes an Interstate Advisory Health Care Commission, and sets funding and Congress consent requirements.

What This Bill Does

The bill establishes the Health Care Compact and the Interstate Advisory Health Care Commission with defined roles and duties. It requires Congressional consent to return regulatory authority over health care to the member states and creates funding mechanisms to support state regulation. It allows states to suspend conflicting federal health care laws within their borders, with the states assuming funding for any remaining federal obligations, and it sets up a data‑sharing framework via the Commission with privacy protections. It also outlines how amendments, withdrawal, and funding rules work.

Who It Affects
  • Member states (e.g., Alabama): gain primary regulatory authority over health care under the compact, may suspend federal health care laws in their state, appoint up to two members to the Commission, and receive allocated federal funding to support state regulation.
  • The federal government and the public: Congress must consent to the compact; funding for states is provided as mandatory federal funds; data collected by the Commission informs policy while protecting individual health information.
Key Provisions
  • Provision 1: Establishes the Health Care Compact and the Interstate Advisory Health Care Commission, assigns member-state roles, and paves the way for Congress to consent to return health care regulation to states.
  • Provision 2: Sets funding and governance rules, including base funding equal to each state's FY2010 federal health-care spending, a current-year funding level, state authority to suspend conflicting federal laws, and privacy protections for individual health data.
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

Bill Text

Votes

Motion to Read a Third Time and Pass

February 21, 2013 House Passed
Yes 68
No 27
Absent 8

Motion to Read a Third Time and Pass

May 22, 2013 Senate Passed
Yes 25
No 5
Absent 5

Documents

Source: Alabama Legislature