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SB351 Alabama 2018 Session

Updated Feb 26, 2026
Notable

Summary

Primary Sponsor
Greg J. Reed
Greg J. Reed
Republican
Session
Regular Session 2018
Title
Health care, Alabama Rural Hospital Resource Center, created, within Univ. of Alabama at Birmingham, staffing and reporting requirements, rural administrative residency program, created
Summary

Creates the Alabama Rural Hospital Resource Center at the University of Alabama at Birmingham to support rural hospitals with staffing, resources, and a rural health administration residency, aiming to improve access to high-quality care at little or no cost.

What This Bill Does

The bill creates the Alabama Rural Hospital Resource Center within UAB to help eligible rural hospitals become more viable and capable, at no or minimal cost. It requires the center to hire staff, provide technical assistance, and help develop global payments, and to annually report on financial, quality, access, and health outcomes. It also starts a rural administrative residency program with UAB’s health administration program and pursues funding for residents. The center can assist participating hospitals in areas like compliance, coding, purchasing, quality, strategic planning, provider recruitment, cost reporting, and insurance, with priority given to those in the global budget model.

Who It Affects
  • Eligible rural hospitals (nonprofit or public) in designated rural or shortage areas that would receive staffing support, technical assistance, and potential cost-free or low-cost improvements.
  • Healthcare administrators, management teams, and boards of participating rural hospitals, as well as individuals in the rural administrative residency program who will work with the center and use its resources.
Key Provisions
  • Establishment of the Alabama Rural Hospital Resource Center within the University of Alabama at Birmingham.
  • Purpose to facilitate access to high-quality care and improve health by increasing hospital viability and capabilities at no or minimal cost.
  • Definitions of Eligible Hospital (nonprofit or public rural hospital) and Rural (as defined by federal criteria).
  • Center duties: hire staff; act as a resource to the Alabama Rural Hospital Global Budget Board; provide technical assistance and help develop global payments.
  • Annual reporting requirement to the Legislature, State Finance Director, and Medicaid Commissioner detailing financial improvements, satisfaction, quality, access, and health outcomes.
  • Creation of a rural administrative residency program in cooperation with UAB’s Graduate Program in Health Administration and funding efforts for resident positions.
  • Scope of support areas: compliance, coding, purchasing and supply chain, quality, strategic planning, provider recruitment, cost reporting, insurance, and other areas that advance the center’s goals, with priority to global budget participants.
  • Effective date: immediate upon passage and approval 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
University of Alabama--Birmingham

Bill Actions

S

Assigned Act No. 2018-394.

H

Signature Requested

H

Concurred in Second House Amendment

S

Enrolled

S

Reed motion to Concur In and Adopt adopted Roll Call 924

S

Concurrence Requested

H

Motion to Read a Third Time and Pass adopted Roll Call 933

H

Motion to Adopt adopted Roll Call 932

H

Warren Amendment Offered

H

Third Reading Passed

H

Read for the second time and placed on the calendar

H

Read for the first time and referred to the House of Representatives committee on Urban and Rural Development

S

Engrossed

S

Motion to Read a Third Time and Pass adopted Roll Call 791

S

Reed motion to Adopt adopted Roll Call 790

S

Health and Human Services Amendment Offered

S

Third Reading Passed

S

Read for the second time and placed on the calendar 1 amendment

S

Read for the first time and referred to the Senate committee on Health and Human Services

Bill Text

Votes

Motion to Read a Third Time and Pass

March 13, 2018 Senate Passed
Yes 25
No 1
Absent 8

Motion to Read a Third Time and Pass

March 20, 2018 House Passed
Yes 80
No 7
Abstained 3
Absent 12

Motion to Adopt

March 20, 2018 House Passed
Yes 84
Abstained 1
Absent 17

Documents

Source: Alabama Legislature