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The Alabama Legislature2026 Regular Session
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HomeLegislationHB605 - 2026RS

House Bill 605

2026 Regular Session
Enacted

Bill Info and Details

Sponsor

Rep. Jamie Kiel
House District 18

Act Link

Act No. 2026-522

Bill Documents

Enrolled4/9/2026

Past versions

Engrossed4/1/2026Introduced3/10/2026

Recent Fiscal Note

Passed First Chamber

Bill Details

SubjectHealth
TitleState Health Planning and Development Agency; Rural Health Antitrust Immunity Act created, collaboration among rural health care providers authorized; certification and supervision framework established, limited immunity from state and federal antitrust laws provided
StatusEnacted
Last Action5/8/2026 - House Carried Over to the Call of the Chair - 2026-522
Committees
Senate HealthcareHouse Judiciary
First Read3/10/2026
CompanionSB350 - Chesteen

DateBodyMatterAmd/SubCommitteeVoteLegislative Day
5/8/2026
House
Carried Over to the Call of the Chair
V
4/16/2026
House
Enacted
4/9/2026
House
Delivered to Governor
30
4/9/2026
Senate
Signature Requested
30
4/9/2026
Senate
Signature Requested
30
4/9/2026
Senate
Signature Requested
30
4/9/2026
House
Enrolled
30
4/9/2026
House
Ready to Enroll
30
4/9/2026
House
Kiel motion to Concur In and Adopt Senate Amendment - Adopted Roll Call 1358
R 1358
30
4/9/2026
Senate
Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 1317
R 1317
30
4/9/2026
Senate
Chesteen motion to Adopt - Adopted Roll Call 1316
R 1316
30
4/9/2026
Senate
Carried Over to Call of Chair
30
4/9/2026
Senate
Chesteen 1st Amendment Offered
JPQ6QYF-1
30
4/7/2026
Senate
Carried Over to the Call of the Chair
V
28
4/7/2026
Senate
Third Reading in Second House
R 1215
28
4/1/2026
Senate
Read for the Second Time and placed on the Calendar
Healthcare
26
4/1/2026
Senate
Reported Out of Committee Second House
26
4/1/2026
Senate
Pending Committee Action in Second House
Healthcare
26
4/1/2026
Senate
Read for the first time and referred to the Senate Committee on Healthcare
26
4/1/2026
House
Engrossed
26
4/1/2026
House
Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 1102
R 1102
26
4/1/2026
House
Motion to Adopt - Adopted Roll Call 1101
XDMQXE7-1
R 1101
26
4/1/2026
House
Kiel 1st Amendment Offered
XDMQXE7-1
26
4/1/2026
House
Third Reading in House of Origin
R 1100
26
3/19/2026
House
Read for the Second Time and placed on the Calendar
Judiciary
24
3/18/2026
House
Reported Out of Committee House of Origin
3/10/2026
House
Pending Committee Action in House of Origin
Judiciary
20
3/10/2026
House
Read for the first time and referred to the House Committee on Judiciary
20
Date
5/8/2026
Body
House
Matter
Carried Over to the Call of the Chair
Amd/Sub
Committee
Vote
V
Legislative Day
Date
4/16/2026
Body
House
Matter
Enacted
Amd/Sub
Committee
Vote
Legislative Day
Date
4/9/2026
Body
House
Matter
Delivered to Governor
Amd/Sub
Committee
Vote
Legislative Day
30
Date
4/9/2026
Body
Senate
Matter
Signature Requested
Amd/Sub
Committee
Vote
Legislative Day
30
Date
4/9/2026
Body
Senate
Matter
Signature Requested
Amd/Sub
Committee
Vote
Legislative Day
30
Date
4/9/2026
Body
Senate
Matter
Signature Requested
Amd/Sub
Committee
Vote
Legislative Day
30
Date
4/9/2026
Body
House
Matter
Enrolled
Amd/Sub
Committee
Vote
Legislative Day
30
Date
4/9/2026
Body
House
Matter
Ready to Enroll
Amd/Sub
Committee
Vote
Legislative Day
30
Date
4/9/2026
Body
House
Matter
Kiel motion to Concur In and Adopt Senate Amendment - Adopted Roll Call 1358
Amd/Sub
Committee
Vote
R 1358
Legislative Day
30
Date
4/9/2026
Body
Senate
Matter
Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 1317
Amd/Sub
Committee
Vote
R 1317
Legislative Day
30
Date
4/9/2026
Body
Senate
Matter
Chesteen motion to Adopt - Adopted Roll Call 1316
Amd/Sub
Committee
Vote
R 1316
Legislative Day
30
Date
4/9/2026
Body
Senate
Matter
Carried Over to Call of Chair
Amd/Sub
Committee
Vote
Legislative Day
30
Date
4/9/2026
Body
Senate
Matter
Chesteen 1st Amendment Offered
Amd/Sub
JPQ6QYF-1
Committee
Vote
Legislative Day
30
Date
4/7/2026
Body
Senate
Matter
Carried Over to the Call of the Chair
Amd/Sub
Committee
Vote
V
Legislative Day
28
Date
4/7/2026
Body
Senate
Matter
Third Reading in Second House
Amd/Sub
Committee
Vote
R 1215
Legislative Day
28
Date
4/1/2026
Body
Senate
Matter
Read for the Second Time and placed on the Calendar
Amd/Sub
Committee
Healthcare
Vote
Legislative Day
26
Date
4/1/2026
Body
Senate
Matter
Reported Out of Committee Second House
Amd/Sub
Committee
Vote
Legislative Day
26
Date
4/1/2026
Body
Senate
Matter
Pending Committee Action in Second House
Amd/Sub
Committee
Healthcare
Vote
Legislative Day
26
Date
4/1/2026
Body
Senate
Matter
Read for the first time and referred to the Senate Committee on Healthcare
Amd/Sub
Committee
Vote
Legislative Day
26
Date
4/1/2026
Body
House
Matter
Engrossed
Amd/Sub
Committee
Vote
Legislative Day
26
Date
4/1/2026
Body
House
Matter
Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 1102
Amd/Sub
Committee
Vote
R 1102
Legislative Day
26
Date
4/1/2026
Body
House
Matter
Motion to Adopt - Adopted Roll Call 1101
Amd/Sub
XDMQXE7-1
Committee
Vote
R 1101
Legislative Day
26
Date
4/1/2026
Body
House
Matter
Kiel 1st Amendment Offered
Amd/Sub
XDMQXE7-1
Committee
Vote
Legislative Day
26
Date
4/1/2026
Body
House
Matter
Third Reading in House of Origin
Amd/Sub
Committee
Vote
R 1100
Legislative Day
26
Date
3/19/2026
Body
House
Matter
Read for the Second Time and placed on the Calendar
Amd/Sub
Committee
Judiciary
Vote
Legislative Day
24
Date
3/18/2026
Body
House
Matter
Reported Out of Committee House of Origin
Amd/Sub
Committee
Vote
Legislative Day
Date
3/10/2026
Body
House
Matter
Pending Committee Action in House of Origin
Amd/Sub
Committee
Judiciary
Vote
Legislative Day
20
Date
3/10/2026
Body
House
Matter
Read for the first time and referred to the House Committee on Judiciary
Amd/Sub
Committee
Vote
Legislative Day
20

Act No.
2026-522
Effective Date Certain
Wednesday, April 15, 2026
This act is the Rural Health Antitrust Immunity Act. This act: (1) authorizes persons to share data, collaborate, and provide shared services to improve rural healthcare upon approval of the State Health Planning and Development Agency and Governor; (2) provides requirements for applying for approval, including providing the parties, nature of proposed activities, and effect on competition; (3) provides factors that the agency may consider in evaluating applications, including if rural healthcare is improved and anticompetitive effects are outweighed; (4) requires a certificate be renewed every three years and provides a renewal process; and (5) requires the agency to adopt rules to monitor activities conducted pursuant to an approval certificate.

Fiscal Notes

Description
Passed First Chamber
Introduced

Budget Isolation Resolutions

BIRBodyDateMatterVote
BIR1162
Senate
4/7/2026
Passed by Second House
R 1215
BIR1162
House
3/31/2026
Passed by House of Origin
R 1100
BIR
BIR1162
Body
Senate
Date
4/7/2026
Matter
Passed by Second House
Vote
R 1215
BIR
BIR1162
Body
House
Date
3/31/2026
Matter
Passed by House of Origin
Vote
R 1100

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