HB270 Alabama 2014 Session

Summary

Primary Sponsor

Darrio Melton

Democrat

Co-Sponsors

John W. RogersBarbara Bigsby BoydDavid ColstonMary MooreLaura HallMerika ColemanPebblin W. WarrenNapoleon BracyThomas JacksonChris EnglandJuandalynn GivanDexter GrimsleyJames E. BuskeyBerry ForteArtis McCampbellRod Scott

Session

Regular Session 2014

Title

Medicaid, require Governor to accept Medicaid expansion, Patient Protection and Affordable Care Act, const. amend.

Summary

This bill would let Alabama voters decide whether to participate in Medicaid expansion under the ACA, and if approved, require the Governor to enroll Alabama in the expansion within 30 days of ratification.

What This Bill Does

It proposes a constitutional amendment to let voters determine Alabama's participation in Medicaid expansion under the ACA. If voters approve, the Governor must enroll Alabama in the expansion within 30 days after ratification. The amendment describes the federal funding for expansion (100% for three years starting in 2014, then 95% in 2017 and 90% by 2020) and argues that expansion would give thousands of residents access to preventive care, reduce state health care costs for the uninsured, and boost economic activity and jobs.

Who It Affects

• Uninsured and low-income Alabama residents (below 133% of the federal poverty level) who would gain access to Medicaid expansion and preventive care.
• State government and the broader Alabama economy, including health care providers and employers, which could see changes in health care spending, revenue, and job creation.

Key Provisions

• Proposes a constitutional amendment to allow voters to decide whether Alabama shall participate in Medicaid expansion under the ACA, and requires the Governor to enroll Alabama in the expansion within 30 days after ratification.
• Provides for an election to approve or reject the amendment, including ballot language and the process for holding the election.
• Specifies that the amendment notes the federal funding schedule for the Medicaid expansion (100% for three years, then 95% in 2017 and 90% by 2020) and states the intended health and economic benefits of expansion.

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

Subjects

Constitutional Amendments