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HB524 Alabama 2018 Session

Updated Feb 26, 2026
High Interest

Summary

Session
Regular Session 2018
Title
Public welfare, Medicaid, income threshold provided, const. amend.
Summary

HB 524 would amend Alabama's Constitution to set an income-based Medicaid eligibility threshold of 138% of the nonfarm federal poverty level for certain adults under 65.

What This Bill Does

If approved, the amendment would allow Medicaid benefits for adults under 65 who are not pregnant, are not already eligible for other state assistances, qualify for medical assistance under federal law, and have income at or below 138% of the nonfarm federal poverty level for their family size. The threshold is described as 138% (133% plus 5%) of the nonfarm poverty level. This change would require a statewide election to approve or reject the constitutional amendment.

Who It Affects
  • Adults under 65 who are not pregnant and are not otherwise eligible for other Alabama assistance, and whose income is at or below the 138% of the nonfarm federal poverty level for their family size, who qualify under federal Medicaid rules.
  • State voters in Alabama, who will vote Yes or No to adopt the constitutional amendment.
Key Provisions
  • Establishes in the Alabama Constitution an income threshold of 138% of the nonfarm federal poverty level for Medicaid eligibility for the defined group of adults under 65.
  • Targets individuals who qualify for Medicaid under 42 U.S.C. 1396a(a)(10)(A)(i)(VIII) and are not eligible for other Alabama assistance (Chapter 6, Title 22).
  • Requires an election to approve the constitutional amendment, with the ballot description prepared for voters.
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

Bill Actions

H

Read for the first time and referred to the House of Representatives committee on Constitution, Campaigns and Elections

Bill Text

Documents

Source: Alabama Legislature