# Alabama HB591: Rural Health Transformation Program supplemental appropriations for the fiscal year ending September 30, 2026 Alabama HB591, Rural Health Transformation Program supplemental appropriations for the fiscal year ending September 30, 2026, is a 2026 Regular Session House bill sponsored by Rex Reynolds (Republican); status enacted, last action 2026-04-13 (Enacted) (as of 2026-10-19). - Canonical: https://policyrisk.com/state-bill/AL-HB591-2026rs - As of: 2026-10-19 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Alabama HB591 - State: Alabama - Session: 2026 Regular Session - Title: Rural Health Transformation Program supplemental appropriations for the fiscal year ending September 30, 2026 - Status: enacted - Chamber: House - Introduced: 2026-03-10 - Last action: 2026-04-13, Enacted - Sponsor: Rex Reynolds (Republican) - Cosponsors: 42 - Subjects: Appropriations - Touches household money: no - Roll calls: 4 (342 yes, 0 no in all) - Economic provisions PRIA read: 1 ## Summary No summary available. ## Bill overview: provisions PRIA read - More funding for Alabama rural health: benefit, medium. The law provides up to $203.404327 million in federal funding for Alabama's Rural Health Transformation Program. This supplements existing funding for the fiscal year ending September 30, 2026. Alabama's Department of Economic and Community Affairs (ADECA) manages the money from the One Big Beautif… ## Sponsors and cosponsors - Sponsor: Rex Reynolds (Republican), House - Cosponsor: Andy Whitt (Republican), House - Cosponsor: Anthony Daniels (Democratic), House - Cosponsor: Artis 'A.J.' McCampbell (Democratic), House - Cosponsor: Barbara Drummond (Democratic), House - Cosponsor: Ben Harrison (Republican), House - Cosponsor: Bill Lamb (Republican), House - Cosponsor: Bryan Brinyark (Republican), House - Cosponsor: Chad Robertson (Republican), House - Cosponsor: Chip Brown (Republican), House - Cosponsor: Chris England (Democratic), House - Cosponsor: Cindy Myrex (Republican), House - Cosponsor: Curtis Travis (Democratic), House - Cosponsor: Danny Crawford (Republican), House - Cosponsor: Donna Givens (Republican), House - Cosponsor: Frances Holk-Jones (Republican), House - Cosponsor: Gregory Barnes (Republican), House - Cosponsor: Heath Allbright (Republican), House - Cosponsor: Ivan Smith (Republican), House - Cosponsor: Jamie Kiel (Republican), House - Cosponsor: Jeana Ross (Republican), House - Cosponsor: Jeff Sorrells (Republican), House - Cosponsor: Jennifer Fidler (Republican), House - Cosponsor: Joe Lovvorn (Republican), House - Cosponsor: Kerry (Bubba) Underwood (Republican), House - Cosponsor: Kristin Nelson (Republican), House - Cosponsor: Laura Hall (Democratic), House - Cosponsor: Leigh Hulsey (Republican), House - Cosponsor: Mark Shirey (Republican), House - Cosponsor: Matt Simpson (Republican), House - Cosponsor: Mike Kirkland (Republican), House - Cosponsor: Parker Moore (Republican), House - Cosponsor: Paul W. Lee (Republican), House - Cosponsor: Pebblin W. Warren (Democratic), House - Cosponsor: Phillip Rigsby (Republican), House - Cosponsor: Rick Rehm (Republican), House - Cosponsor: Ritchie Whorton (Republican), House - Cosponsor: Russell Bedsole (Republican), House - Cosponsor: Shane Stringer (Republican), House - Cosponsor: Steve Clouse (Republican), House - Cosponsor: Terri Collins (Republican), House - Cosponsor: Tim Wadsworth (Republican), House - Cosponsor: William Brock Colvin (Republican), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-04-08 | Senate | Motion to Read a Third Time and Pass - Adopted Roll Call 1282 | pass | 30 | 0 | | | 2026-04-01 | House | Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 1127 | pass | 104 | 0 | | | 2026-04-01 | House | Motion to Adopt - Adopted Roll Call 1126 | pass | 104 | 0 | | | 2026-04-01 | House | Third Reading in House of Origin | pass | 104 | 0 | | ## Actions (19) - 2026-04-13: Enacted (House) - 2026-04-09: Ready to Enroll (House) - 2026-04-09: Enrolled (House) - 2026-04-09: Signature Requested (Senate) - 2026-04-09: Delivered to Governor (House) - 2026-04-08: Motion to Read a Third Time and Pass - Adopted Roll Call 1282 (Senate) - 2026-04-07: Reported Out of Committee Second House (Senate) - 2026-04-07: Read for the Second Time and placed on the Calendar (Senate) - 2026-04-02: Read for the first time and referred to the Senate Committee on Finance and Taxation General Fund (Senate) - 2026-04-02: Pending Committee Action in Second House (Senate) - 2026-04-01: Third Reading in House of Origin (House) - 2026-04-01: Reynolds 1st Amendment Offered (House) - 2026-04-01: Motion to Adopt - Adopted Roll Call 1126 (House) - 2026-04-01: Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 1127 (House) - 2026-04-01: Engrossed (House) - 2026-03-19: Read for the Second Time and placed on the Calendar (House) - 2026-03-18: Reported Out of Committee House of Origin (House) - 2026-03-10: Read for the first time and referred to the House Committee on Ways and Means General Fund (House) - 2026-03-10: Pending Committee Action in House of Origin (House) ## Bill text - As Introduced: [PDF](https://alison.legislature.state.al.us/files/pdf/SearchableInstruments/2026RS/HB591-int.pdf) - Engrossed: [PDF](https://alison.legislature.state.al.us/files/pdf/SearchableInstruments/2026RS/HB591-eng.pdf) - Enrolled: [PDF](https://alison.legislature.state.al.us/files/pdf/SearchableInstruments/2026RS/HB591-enr.pdf) ## Related bills - HB67: Voter Information; limit cost of reproducing voter registration list; crime for misuse of personal voter information; created (enacted) - SB154: State employees, cost-of-living increase for fiscal year beginning October 1, 2026 (enacted) - SB165: Elections; municipal elections, to set qualification fee amounts, to require indigent candidates to submit documentation for fee exemption (enacted) - HB317: Firefighter distinctive license plate; fire chaplains included, penalty for violations provided for (enacted) - SB272: Open Records; use of public records relating to schools for certain solicitation purposes prohibited; redaction of certain information relating to financial tr… (enacted) - SB190: Sales Tax; to exempt Precision Ocular (enacted) ## Sources - [As Introduced (PDF)](https://alison.legislature.state.al.us/files/pdf/SearchableInstruments/2026RS/HB591-int.pdf) - [Engrossed (PDF)](https://alison.legislature.state.al.us/files/pdf/SearchableInstruments/2026RS/HB591-eng.pdf) - [Enrolled (PDF)](https://alison.legislature.state.al.us/files/pdf/SearchableInstruments/2026RS/HB591-enr.pdf) ## Related - [HB67: Voter Information; limit cost of reproducing voter registration list; crime for…](https://policyrisk.com/state-bill/AL-HB67-2026rs) - [SB154: State employees, cost-of-living increase for fiscal year beginning October 1, 2…](https://policyrisk.com/state-bill/AL-SB154-2026rs) - [SB165: Elections; municipal elections, to set qualification fee amounts, to require in…](https://policyrisk.com/state-bill/AL-SB165-2026rs) - [HB317: Firefighter distinctive license plate; fire chaplains included, penalty for vio…](https://policyrisk.com/state-bill/AL-HB317-2026rs) - [SB272: Open Records; use of public records relating to schools for certain solicitatio…](https://policyrisk.com/state-bill/AL-SB272-2026rs) - [SB190: Sales Tax; to exempt Precision Ocular](https://policyrisk.com/state-bill/AL-SB190-2026rs) - [Alabama bills](https://policyrisk.com/states/alabama/bills) - [Alabama state hub](https://policyrisk.com/states/alabama) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/AL-HB591-2026rs (as of 2026-10-19).