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SB43 Alabama 2025 Session

Updated Feb 23, 2026
Notable

Summary

Primary Sponsor
Tim Melson
Tim MelsonSenator
Republican
Session
2025 Regular Session
Title
Health care providers; prohibit enforcement of contractual terms that restrict sharing cost information to patients and consumers
Summary

SB43 would let health care providers share cost information and cheaper treatment options with patients, while stopping insurers from penalizing or restricting such disclosures.

What This Bill Does

It bars health insurers and other contracting entities from enforcing contracts that prohibit providers from sharing cost estimates, allowed payment amounts, or cost-sharing details, and makes such restrictive clauses unenforceable. It allows providers to disclose information about alternative treatments or cheaper options, including off-label use within standard of care. It forbids insurers from canceling or not renewing contracts or taking adverse actions against providers for sharing cost and treatment information, and it allows providers to recover damages if an insurer retaliates; the law takes effect October 1, 2025.

Who It Affects
  • Health care providers (doctors, pharmacists, optometrists, etc.) would be able to share cost information and information about cheaper or alternative treatments with patients without contract penalties or retaliation.
  • Health insurers and other contracting entities would be barred from enforcing restrictive contracts and from penalizing providers for sharing cost and alternative information; they could face damages if they take adverse actions against providers for disclosures.
Key Provisions
  • Unenforceability of any contract clause that prohibits a health care provider from sharing cost information or that penalizes providers for providing such information to patients or others.
  • Prohibition on health insurers taking adverse actions against providers for sharing cost and treatment information; permission for providers to recover damages if adverse actions occur; effective date of 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

Bill Actions

S

Enacted

S

Delivered to Governor

S

Enacted

S

Delivered to Governor

H

Signature Requested

S

Enrolled

S

Ready to Enroll

S

Melson Concur In and Adopt - Adopted Roll Call 1046

H

Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 1207

H

Motion to Adopt - Adopted Roll Call 1206 HG9XE86-1

H

Health Engrossed Substitute Offered HG9XE86-1

H

Read for the Second Time and placed on the Calendar

H

Reported Out of Committee Second House from House Health HG9XE86-1

H

Health 1st Amendment ZQZVURK-1

H

Pending House Health

H

Read for the first time and referred to the House Committee on Health

S

Engrossed

S

Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 539

S

Singleton motion to Adopt - Adopted Roll Call 538 U98FJGG-1

S

Singleton 1st Amendment Offered U98FJGG-1

S

Singleton motion to Adopt - Adopted Roll Call 537 V77HFLL-1

S

Banking and Insurance 1st Substitute Offered V77HFLL-1

S

Third Reading in House of Origin

S

Read for the Second Time and placed on the Calendar

S

Reported Out of Committee House of Origin

S

Banking and Insurance 1st Substitute V77HFLL-1

S

Pending Senate Banking and Insurance

S

Read for the first time and referred to the Senate Committee on Banking and Insurance

Calendar

Hearing

House Judiciary Hearing

Room 200 at 13:30:00

Hearing

House Health Hearing

Room 206 at 10:30:00

Hearing

Senate Banking and Insurance Hearing

Finance and Taxation at 09:30:00

Hearing

Senate Banking and Insurance Hearing

Committee Room 320 at 10:30:00

Bill Text

Votes

Motion to Read a Third Time and Pass as Amended - Roll Call 539

April 8, 2025 Senate Passed
Yes 33
Absent 1

Motion to Read a Third Time and Pass as Amended - Roll Call 1207

May 7, 2025 House Passed
Yes 103

Melson Concur In and Adopt - Roll Call 1046

May 14, 2025 Senate Passed
Yes 28
Absent 6

Documents

Source: Alabama Legislature