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HB433 Alabama 2023 Session

Updated Feb 26, 2026
High Interest

Summary

Session
Regular Session 2023
Title
Relating to Opioid Addiction Treatment; to repeal the Medication Assisted Treatment of Opioid Use Act of 2019, codified as Sections 20-2-300 through 20-2-302, Code of Alabama 1975, that provide for adoption of rules governing use of buprenorphine in the treatment of opioid addiction and a standing working group to assist in drafting the rules.
Summary

HB433 would repeal Alabama's 2019 Medication Assisted Treatment of Opioid Use Act, removing state rules and a standing working group for buprenorphine treatment in nonresidential settings.

What This Bill Does

If passed, HB433 repeals the MAT Act, which required the Alabama Board of Medical Examiners to adopt rules for prescribing and using buprenorphine to treat opioid addiction in nonresidential settings and used a standing working group to help draft those rules. This removes the state's regulatory framework and advisory group for this treatment. The repeal takes effect on the first day of the third month after the bill is passed and signed by the Governor.

Who It Affects
  • Opioid-addicted individuals receiving buprenorphine treatment in nonresidential settings would be affected because the state-mandated rules governing how that treatment is prescribed and managed would be repealed.
  • The Alabama Board of Medical Examiners and other regulators involved in addiction treatment policy would lose their statutory duty to develop, adopt, and oversee buprenorphine treatment rules and would no longer rely on a standing working group to draft those rules.
Key Provisions
  • Repeals Sections 20-2-300 through 20-2-302, known as The Medication Assisted Treatment of Opioid Use Act of 2019, including provisions for adopting rules by the Alabama Board of Medical Examiners and a standing working group to assist in drafting those rules.
  • Provides that the act becomes effective on the first day of the third month following 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
Medication Assisted Treatment of Opioid Use Act, repealed

Bill Actions

H

Indefinitely Postpone

H

Substitute a Companion Bill

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

House Health Hearing

Room 206 at 10:30:00

Bill Text

Documents

Source: Alabama Legislature