SB102 Alabama 2025 Session

Summary

Primary Sponsor

Linda Coleman-MadisonSenator

Democrat

Session

2025 Regular Session

Title

Medicaid; providing presumptive eligibility to pregnant women

Summary

SB102 creates a temporary presumptive Medicaid eligibility for pregnant women to receive up to 60 days of ambulatory prenatal care before full Medicaid approval.

What This Bill Does

The bill allows a pregnant woman who has not yet been approved for Medicaid to receive prenatal care under Medicaid for up to 60 days if a qualified provider determines, based on preliminary information, that her household income is within the eligible limit. Coverage is limited to one presumptive eligibility period per pregnancy and cannot be retroactively denied if the full Medicaid application is filed or denied later. Providers must notify the Medicaid Agency within five days of the determination and inform the woman to apply for Medicaid by the last day of the following month. The act takes effect October 1, 2025 and ends (is repealed) on October 1, 2028, and the Medicaid Agency will adopt implementing rules.

Who It Affects

• Pregnant women who meet the income threshold and have not yet been formally approved for Medicaid, who can receive up to 60 days of ambulatory prenatal care under presumptive eligibility.
• Qualified providers of ambulatory prenatal care who determine presumptive eligibility and must notify the Medicaid Agency and inform the woman of the deadline to apply.

Key Provisions

• Establishes presumptive eligibility for pregnant women to receive up to 60 days of Medicaid coverage for ambulatory prenatal care based on preliminary information showing income within the state plan's eligible limit.
• Limits to one presumptive eligibility period per pregnancy and protects coverage from retroactive denial due to failure to apply or agency decision.
• Requires qualified providers to notify the Medicaid Agency within five working days and to inform the woman to apply no later than the last day of the following month.
• Authorizes the Medicaid Agency to adopt implementing rules for acceptable preliminary information (proof of pregnancy and current income) and to develop forms, with a sunset repeal on October 1, 2028 and effective date October 1, 2025.

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