SB36 Alabama 2015 1st Special Session

Summary

Primary Sponsor

William “Bill” M. BeasleySenator

Democrat

Session

First Special Session 2015

Title

Medicaid, expanded to include persons for whom matching funds are available under the Patient Protection and Affordable Care Act, Alabama Medicaid Agency to implement, appropriation

Summary

SB36 would expand Alabama's Medicaid program to cover all individuals eligible for ACA Medicaid expansion, funded by federal matching funds and implemented by state agencies.

What This Bill Does

The bill would expand Medicaid to provide assistance to all persons eligible under the ACA expansion, using available federal matching funds. The Alabama Medicaid Agency would lead the implementation and can seek help from other state or federal agencies, with other state entities required to assist as needed. The Legislature would annually appropriate adequate funding to support implementing and operating the expansion, and the plan relies on a specific federal funding schedule (100% for the first three years starting in 2014, then 95% in 2017 and 90% by 2020).

Who It Affects

• Uninsured or low-income Alabama residents who are eligible for ACA Medicaid expansion (income up to 133% of the federal poverty level) who would gain Medicaid coverage.
• The Alabama Medicaid Agency and other state agencies, which would implement the expansion, coordinate assistance, and receive annual funding to support the program.

Key Provisions

• Expands Medicaid to provide assistance to all persons eligible for ACA expansion where federal matching funds are available.
• The Alabama Medicaid Agency is the lead agency to implement the expansion and may seek assistance from other state or federal agencies; all state agencies must provide requested assistance.
• The Legislature shall annually appropriate adequate funding to the Alabama Medicaid Agency to implement and operate the expansion.
• Federal funding terms: 100 percent of the expansion costs for three years starting in 2014, then 95 percent in 2017 and 90 percent in 2020.
• The act becomes effective on the first day of the third month after it passes and is approved by the Governor.

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