HB475 Alabama 2018 Session

Summary

Primary Sponsor

Arnold MooneyRepresentative

Republican

Session

Regular Session 2018

Title

Medicaid services, provision through regional care organizations repealed, Secs. 22-6-150 to 22-6-165, inclusive, repealed; Secs. 22-6-220, 22-6-221,27-1-17.1, 40-26B-70, 40-26B-77.1, 40-26B-79, 40-26B-80, 40-26B-81, 40-26B-82 am'd.

Summary

HB 475 would repeal Alabama's regional care organization Medicaid system and end the authority to establish regional care organizations.

What This Bill Does

It repeals Article 9 starting with Section 22-6-150, which authorized regional care organizations to provide Medicaid services. It also amends definitions and provisions in Sections 22-6-220, 22-6-221, and 27-1-17.1, and in Sections 40-26B-70, 40-26B-77.1, 40-26B-79, 40-26B-80, 40-26B-81, and 40-26B-82 to reflect removal of the regional care organization framework. The bill notes that the Medicaid Agency has not implemented RCOs and no beneficiaries are enrolled, formalizing the existing situation. It becomes effective on the first day of the third month after the Governor signs it.

Who It Affects

• Medicaid beneficiaries in Alabama – do not participate in a regional care organization and will continue receiving Medicaid services through non-RCO delivery.
• Alabama Medicaid Agency and other state agencies – lose authority to create or operate regional care organizations and must adjust statutes accordingly.
• Hospitals and health care providers – would no longer participate in a regional care organization framework; hospital payment rules related to the RCO system may be repealed or changed to align with a non-RCO Medicaid delivery system.

Key Provisions

• Repeals Article 9 of Chapter 6, Title 22 (commencing with Section 22-6-150), which authorizes regional care organizations for Medicaid services.
• Amends definitions and provisions in Sections 22-6-220, 22-6-221, and 27-1-17.1, and in Sections 40-26B-70, 40-26B-77.1, 40-26B-79, 40-26B-80, 40-26B-81, and 40-26B-82 to reflect removal of the RCO framework.
• Maintains or modifies hospital payment rules (including APR-DRG, base payments, and hospital access payments) and intergovernmental transfer provisions to align with a system without regional care organizations.
• Effective date: the act takes effect on the first day of the third month after passage and Governor approval.

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

Subjects

Medicaid