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HB141 Alabama 2021 Session

Updated Feb 22, 2026

Summary

Session
Regular Session 2021
Title
Emergency Medical Services Personnel, community paramedicine program authorized, State Board of Health to adopt rules, Sec. 22-18-10 added; Sec. 22-18-1 am'd.
Summary

The bill creates a state-regulated community paramedicine program that lets trained paramedics provide limited follow-up and preventive services to certain patients under medical supervision.

What This Bill Does

It authorizes the State Board of Health to establish and administer a community paramedicine program and to adopt supporting rules. It defines key terms (like community paramedic and community paramedicine program), sets who can participate, and describes the types of services paramedics may provide under the program. It also requires documentation of services, limits paramedics from practicing medicine or prescribing drugs, and requires rules about how long after discharge a patient can receive CP services.

Who It Affects
  • Paramedics and EMS personnel who may become licensed as community paramedics and provide designated services under the program.
  • Patients who have been discharged from definitive care facilities or identified as at risk for readmission or for whom preventive services are recommended, and who may receive CP services such as health assessment, chronic disease monitoring, and follow-up care.
Key Provisions
  • Authorizes the State Board of Health to establish and administer a community paramedicine program and to adopt implementing rules.
  • Defines and clarifies roles with new definitions for community paramedic and community paramedicine program, among others.
  • Sets eligibility criteria for patients to receive community paramedic services (e.g., post-discharge and preventive care scenarios) and lists CP services (coordination of services, chronic disease monitoring, health assessment, discharge follow-up, lab work, medication adherence).
  • Requires paramedics to document all services in patient care records according to board rules.
  • Prohibits community paramedics from diagnosing, prescribing medications, or practicing medicine or surgery.
  • Requires board rules to specify details such as the allowed time period after discharge when CP services may be provided.
AI-generated summary using openai/gpt-5-nano on Feb 22, 2026. May contain errors — refer to the official bill text for accuracy.
Subjects
Emergency Medical Services

Bill Actions

H

Delivered to Governor at 9:49 a.m. on April 22, 2021.

H

Assigned Act No. 2021-303.

H

Clerk of the House Certification

S

Signature Requested

H

Enrolled

H

Passed Second House

S

Motion to Read a Third Time and Pass adopted Roll Call 1064

S

Third Reading Passed

S

Read for the second time and placed on the calendar

S

Read for the first time and referred to the Senate committee on Healthcare

H

Engrossed

H

Motion to Read a Third Time and Pass adopted Roll Call 457

H

Motion to Adopt adopted Roll Call 456

H

Sells first Substitute 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 Health

Bill Text

Votes

HBIR: Sells motion to Adopt Roll Call 455

March 16, 2021 House Passed
Yes 97
Absent 6

Motion to Adopt Roll Call 456

March 16, 2021 House Passed
Yes 98
Abstained 1
Absent 4

Motion to Read a Third Time and Pass Roll Call 457

March 16, 2021 House Passed
Yes 98
Abstained 1
Absent 4

SBIR: Butler motion to Adopt Roll Call 1063

April 20, 2021 Senate Passed
Yes 26
Abstained 1
Absent 7

Motion to Read a Third Time and Pass Roll Call 1064

April 20, 2021 Senate Passed
Yes 27
Absent 7

Documents

Source: Alabama Legislature