HB431 Alabama 2021 Session

Updated Feb 22, 2026

Summary

Primary Sponsor: Laura HallRepresentative
Democrat
Co-Sponsors: Barbara Bigsby Boyd Napoleon Bracy Prince Chestnut Adline Clarke Anthony Daniels Barbara Drummond Berry Forte Juandalynn Givan Jeremy Gray Rolanda Hollis Thomas Jackson Sam Jones Artis McCampbell Thad McClammy Mary Moore TaShina Morris Neil Rafferty John W. Rogers Pebblin W. Warren
Session: Regular Session 2021
Title: Medicaid, extend postpartum coverage for eligible pregnant women to one year after birth
Summary: HB431 would extend Medicaid postpartum coverage for eligible pregnant women from 60 days after birth to at least 12 months after birth or involuntary miscarriage.
What This Bill Does
If enacted, the bill requires Medicaid to provide at least 12 months of medical assistance after delivery or miscarriage for women eligible for Medicaid. It also allows the state Medicaid Agency to delay implementation if a required federal waiver or authorization is needed, but it directs them to seek that waiver. The act would take effect on the first day of the third month after it passes and is approved by the Governor.

Who It Affects
Medicaid-eligible pregnant women in Alabama would receive at least 12 months of postpartum Medicaid coverage instead of the current 60-day coverage.
The Alabama Medicaid Agency would be responsible for administering the extended coverage and pursuing any necessary federal waivers or authorizations.

Key Provisions
Section 2(a): The Alabama Medicaid Agency shall provide medical assistance for not less than 12 months following delivery or involuntary miscarriage for eligible women.
Section 2(b): If a federal waiver or authorization is required to implement this section, the agency must request it and may delay implementation until the waiver/authorization is granted.
Section 3: The act becomes effective on the first day of the third month after its passage and approval by the Governor, or otherwise becoming law.

AI-generated summary using openai/gpt-5-nano on Feb 22, 2026. May contain errors — refer to the official bill text for accuracy.
Subjects: Medicaid