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HB432 Alabama 2021 Session

Updated Feb 26, 2026
High Interest

Summary

Session
Regular Session 2021
Title
Medicaid, expand program to provide assistane to state residents, provide appropriations for adequate funding
Summary

HB432 would expand Alabama's Medicaid program to provide health coverage to residents eligible under the ACA expansion, funded by state appropriations and implemented by the Alabama Medicaid Agency.

What This Bill Does

It requires Medicaid to provide assistance to all applicants who are eligible for the ACA expansion and for whom federal matching funds are available. It designates the Alabama Medicaid Agency as the lead agency to implement the expansion and to coordinate with other state and federal agencies, with other state entities assisting as needed. It requires the Legislature to annually appropriate adequate funding to support implementing and operating the expansion.

Who It Affects
  • State residents who would become eligible for Medicaid under the ACA expansion and would receive coverage (subject to available federal matching funds).
  • Hospitals, clinics, and other health care providers in Alabama that would see changes in patient coverage and would potentially benefit from reduced uncompensated care and increased federal funding.
Key Provisions
  • Expand the Medicaid program to provide assistance to all persons who apply for and are determined to be eligible for assistance and for whom federal matching funds are available under the ACA.
  • The Alabama Medicaid Agency shall implement the expansion as the lead agency and shall seek assistance from other state or federal agencies; all state agencies and entities shall provide requested assistance.
  • The Legislature shall annually appropriate adequate funding to the Alabama Medicaid Agency for implementing and operating the Medicaid expansion.
  • The act shall take effect immediately following its passage and approval by the Governor.
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

Bill Actions

H

Read for the first time and referred to the House of Representatives committee on Ways and Means General Fund

Bill Text

Related News

Documents

Source: Alabama Legislature