HB374 Alabama 2023 Session

Summary

Primary Sponsor

Mary MooreRepresentative

Democrat

Session

Regular Session 2023

Title

Relating to Medicaid; to expand the program to provide assistance to certain state residents; to direct the Alabama Medicaid Agency to implement the expansion; to direct other state agencies and entities to provide certain assistance; and to provide for appropriations for adequate funding.

Summary

This bill would expand Alabama's Medicaid program to cover all residents who qualify for ACA Medicaid funds and require funding and implementation to support the expansion.

What This Bill Does

It would provide Medicaid assistance to all applicants who are determined eligible and for whom federal matching funds are available under the ACA. The Alabama Medicaid Agency would lead the expansion and work with other state and federal agencies, with other agencies offering needed help. The Legislature would annually appropriate funding to implement and operate the expansion.

Who It Affects

• Uninsured Alabama residents who would become eligible for Medicaid under the ACA expansion (about 397,000)
• Rural hospitals and the broader healthcare system serving low-income or uninsured patients
• Veterans in Alabama who would have increased access to care
• State agencies, including the Alabama Medicaid Agency, and the Legislature that must implement and fund the expansion

Key Provisions

• Expands Medicaid to all persons who apply for and are eligible for assistance and for whom ACA federal matching funds are available
• The Alabama Medicaid Agency shall lead implementation and seek assistance from other state and federal agencies; all state agencies shall provide requested assistance
• The Legislature shall annually appropriate adequate funding to implement and operate the Medicaid expansion
• Effective immediately following passage and governor’s 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

Medicaid program, expanded to all person for whom matching federal funds are available