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SB74 Alabama 2024 Session

Updated Feb 23, 2026
High Interest

Summary

Primary Sponsor
Sam Givhan
Sam GivhanSenator
Republican
Session
Regular Session 2024
Title
State Health Officer, qualifications and appointment of revised, authority during states of emergency revised.
Summary

SB74 would shift the appointment of the State Health Officer to the Governor, set minimum qualifications, require Governor approval for certain actions and emergency rules, and bar COVID-19 vaccination mandates.

What This Bill Does

Moves the appointment of the State Health Officer from the State Committee of Public Health to the Governor and establishes minimum qualifications (including being a licensed physician in Alabama). Requires the State Health Officer to post a $5,000 bond before taking office and lets the Governor approve or deny actions proposed by the officer, with salaries for medical staff set by the State Personnel Board. Emergency rules or directives issued by the State Health Officer cannot take effect without the Governor's approval and filing a copy with the Secretary of State; the Governor can authorize or deny statewide actions that would burden private citizens or businesses. Keeps the State Health Officer in a role overseeing county health boards and officers, reporting actions to the Public Health Committee for confirmation or modification, and continuing to monitor disease outbreaks; prohibits vaccination mandates for COVID-19 or its variants.

Who It Affects
  • State Health Officer position: appointment authority shifts to the Governor; qualifications, bond, and salary structures defined; officer serves at the Governor's pleasure.
  • Governor: gains authority to appoint the State Health Officer, approve/deny significant actions, and require emergency actions to be filed with the Secretary of State.
  • Private citizens and businesses: gubernatorial approval is required for statewide actions that would restrict or burden them, and COVID-19 vaccination mandates are prohibited.
  • County health entities: the State Health Officer continues general supervision of county boards/officers and must report actions to the committee for review.
Key Provisions
  • Governor shall appoint the State Health Officer, who must be a licensed physician in Alabama; qualifications set by the State Committee of Public Health.
  • State Health Officer must post a $5,000 bond before assuming duties; the State Personnel Board fixes salaries of medical staff under the Public Health Committee.
  • Governor has authority to approve or deny statewide actions proposed by the State Health Officer; emergency rules or directives require Governor approval and a Secretary of State filing to take full effect.
  • State Health Officer will supervise county boards/officers and report actions to the committee; no COVID-19 vaccination mandate allowed.
  • Effective October 1, 2024; appointment provisions become operative earlier of a vacancy or the next Governor’s start date, with nonsubstantive code updates.
AI-generated summary using openai/gpt-5-nano on Feb 22, 2026. May contain errors — refer to the official bill text for accuracy.
Subjects
Health

Bill Actions

S

Currently Indefinitely Postponed

S

Read for the Second Time and placed on the Calendar

S

Reported Out of Committee House of Origin

S

Pending Senate Healthcare

S

Read for the first time and referred to the Senate Committee on Healthcare

Calendar

Hearing

Senate Healthcare Hearing

Room 325 at 12:00:00

Hearing

Senate Healthcare Hearing

Room 304 at 12:00:00

Hearing

Senate Healthcare Hearing

Room 304 at 12:00:00

Bill Text

Documents

Source: Alabama Legislature