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HB122 Alabama 2023 Session

Updated Feb 26, 2026
Notable

Summary

Primary Sponsor
Debbie Wood
Debbie Wood
Republican
Session
Regular Session 2023
Title
Relating to health care; to prohibit discrimination against an individual with a disability in receiving an anatomical gift or organ transplant based on his or her disability; to require health care providers and organ transplant centers to provide reasonable accommodations to individuals with a disability in medical need of an anatomical gift or organ transplant; and to provide disabled individuals the right to equitable relief.
Summary

HB122 Exton's Law bans disability-based discrimination in organ transplants and anatomical gifts and requires providers to offer reasonable accommodations, with a right to equitable relief.

What This Bill Does

It prevents health care providers and transplant centers from denying an organ transplant or related services to someone solely because they have a disability. It requires covered entities to provide reasonable accommodations and auxiliary aids and services, such as interpreters, accessible materials, and decision-making support. It allows disability to be considered only if a physician, after an individualized evaluation, finds it medically significant for the transplant, and recognizes the importance of a support network for post-transplant care. If a violation occurs, individuals can file a civil action to obtain injunctive or other equitable relief, with priority expedited review.

Who It Affects
  • Individuals in Alabama who have disabilities and need an anatomical gift or organ transplant, who would be protected from discrimination and entitled to accommodations.
  • Health care providers, hospitals, organ transplant centers, and other covered entities that arrange, evaluate, or provide transplantation services, who must provide accommodations and ensure non-discrimination and may face civil action if they violate.
Key Provisions
  • Prohibits discrimination in eligibility, evaluation, waiting lists, referral, and post-transplant care based on disability.
  • Requires covered entities to provide reasonable accommodations and auxiliary aids and services, and to support decision-making for the patient.
  • Defines key terms including anatomical gift, organ transplant, disability, covered entity, qualified individual, and supported decision-making.
  • Permits disability to be considered only when medically significant to the transplant, per physician evaluation, and recognizes the role of support networks.
  • Requires modifications to policies or practices to provide access unless it would fundamentally alter services or be an undue burden.
  • Establishes a civil action mechanism for enforcement with expedited review and possible attorney’s fees as part of costs.
  • Effective date: becomes law on the first day of the third month after governor approval.
AI-generated summary using openai/gpt-5-nano on Feb 22, 2026. May contain errors — refer to the official bill text for accuracy.
Subjects
Discrimination and Civil Protections, disabled persons, organ transplants

Bill Actions

H

Enacted

H

Enrolled

H

Concur In and Adopt

S

Read A Third Time And Passed As Amended

S

Adopt 6FYU1Z-1

S

On Third Reading in Second House

S

Read Second Time in Second House

S

Reported Out of Committee in Second House

S

Reported Favorably from Senate Healthcare

S

Amendment/Substitute by Senate Healthcare 6FYU1Z-1

S

Referred to Committee to Senate Healthcare

H

Read First Time in Second House

H

Add Cosponsor

H

Read a Third Time and Pass as Amended

H

Adopt U7LCGX-1

H

On Third Reading in House of Origin

H

Read Second Time in House of Origin

H

Reported Out of Committee in House of Origin

H

Reported Favorably from House Health

H

Introduced and Referred to House Health

H

Read First Time in House of Origin

Calendar

Hearing

Senate Healthcare Hearing

Room 304 at 12:00:00

Hearing

House Health Hearing

Room 206 at 10:30:00

Bill Text

Votes

Read a Third Time and Pass as Amended

May 9, 2023 House Passed
Yes 101
Abstained 1
Absent 3

Read A Third Time And Passed As Amended

May 25, 2023 Senate Passed
Yes 30
Absent 5

Documents

Source: Alabama Legislature