Senate Bill 367 Alabama 2026 Session

Summary

Primary Sponsor

Greg AlbrittonSenator

Republican

Session

2026 Regular Session

Title

Rural Health Transformation Program, appropriations for the fiscal year ending September 30, 2027

Summary

SB367 would provide supplemental federal funding from the Rural Health Transformation Program to ADECA for various rural health initiatives in Alabama for FY ending September 30, 2027.

What This Bill Does

It allocates up to $203,404,327 in federal funds to ADECA for specified rural health programs. It lists funding caps for initiatives like Collaborative EHR/IT/Cybersecurity, Rural Health, Maternal and Fetal Health, Rural Workforce, Cancer Digital Regionalization, Simulation Training, EMS (Trauma/Stroke and Treat-In-Place), Mental Health, Rural Health Practice, and administration costs. It allows funds not spent in the current year to carry forward and be reappropriated for the same purposes in the next year. It creates a process requiring legislative concurrence and CMS approval before reallocating funds, and it clarifies federal compliance requirements.

Who It Affects

• ADECA (Alabama Department of Economic and Community Affairs) will administer and implement the programs with the funds.
• Rural health providers, communities, and patients across Alabama who benefit from the funded initiatives (EHR/IT/cybersecurity, maternal/fetal health, workforce development, EMS, mental health, cancer regionalization, etc.).
• CMS (Centers for Medicare & Medicaid Services) will review and approve any fund reallocations and enforce related requirements; its approval can modify or withhold reallocations.
• Legislative and fiscal oversight bodies (Finance Director, Chair of the House Ways and Means General Fund Committee, Chair of the Senate Finance and Taxation General Fund Committee) must concur on reallocations before CMS approval.

Key Provisions

• Total federal funds up to $203,404,327 appropriated to ADECA from the One Big Beautiful Bill Act of 2025 for the Rural Health Transformation Program for FY ending Sept 30, 2027.
• Allocations to specific initiatives with caps: Collaborative EHR/IT/Cybersecurity ($31,425,971); Rural Health ($55,936,190); Maternal and Fetal Health ($6,102,130); Rural Workforce ($57,919,382); Cancer Digital Regionalization ($8,136,173); Simulation Training ($1,017,021); Statewide EMS Trauma and Stroke ($4,068,085); EMS Treat-In-Place ($5,085,108); Mental Health ($7,271,705); Rural Health Practice ($6,102,130); Admin/administration costs ($20,340,432).
• Funds not expended in the current year carry forward and will not revert.
• Unexpended funds on Sep 30, 2027 may be reappropriated for the same purposes for the FY starting Oct 1, 2027.
• Before reallocating funds, ADECA must obtain written concurrence from the Finance Director and the Chairs of the House Ways and Means General Fund Committee and the Senate Finance and Taxation General Fund Committee, and then seek CMS approval; if CMS alters or withholds approval, ADECA must follow CMS requirements.
• The act permits but does not override federal law; funds must be used according to the terms under which they were provided.
• Effective date: October 1, 2026.

AI-generated summary using openai/gpt-5-nano-2025-08-07 on Mar 12, 2026. May contain errors — refer to the official bill text for accuracy.

Subjects

Appropriations; Economic Development