# Alabama HB614: Rural Health Transformation Program, appropriations for the fiscal year ending September 30, 2027 Alabama HB614, Rural Health Transformation Program, appropriations for the fiscal year ending September 30, 2027, 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-HB614-2026rs - As of: 2026-10-19 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Alabama HB614 - State: Alabama - Session: 2026 Regular Session - Title: Rural Health Transformation Program, appropriations for the fiscal year ending September 30, 2027 - Status: enacted - Chamber: House - Introduced: 2026-03-12 - Last action: 2026-04-13, Enacted - Sponsor: Rex Reynolds (Republican) - Cosponsors: 20 - Subjects: Appropriations - Touches household money: no - Roll calls: 3 (235 yes, 0 no in all) - Economic provisions PRIA read: 1 ## Summary No summary available. ## Bill overview: provisions PRIA read - Federal funding for Alabama rural health care: benefit, medium. Beginning October 1, 2026, the law funds Alabama's Rural Health Transformation Program through September 30, 2027. It provides ADECA—the Alabama Department of Economic and Community Affairs—up to $203.404327 million in federal funds. The money comes from the One Big Beautiful Bill Act of 2025. Fund… ## Sponsors and cosponsors - Sponsor: Rex Reynolds (Republican), House - Cosponsor: Allen Treadaway (Republican), House - Cosponsor: Andy Whitt (Republican), House - Cosponsor: Anthony Daniels (Democratic), House - Cosponsor: Craig Lipscomb (Republican), House - Cosponsor: Danny Crawford (Republican), House - Cosponsor: Donna Givens (Republican), House - Cosponsor: Ed Oliver (Republican), House - Cosponsor: Frances Holk-Jones (Republican), House - Cosponsor: Ginny Shaver (Republican), House - Cosponsor: Jeana Ross (Republican), House - Cosponsor: Jennifer Fidler (Republican), House - Cosponsor: Jerry Starnes (Republican), House - Cosponsor: Kenneth Paschal (Republican), House - Cosponsor: Marcus Paramore (Republican), House - Cosponsor: Ontario Tillman (Democratic), House - Cosponsor: Pebblin W. Warren (Democratic), House - Cosponsor: Phillip Pettus (Republican), House - Cosponsor: Steve Hurst (Republican), House - Cosponsor: Susan DuBose (Republican), House - Cosponsor: Troy Stubbs (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 1283 | pass | 30 | 0 | | | 2026-04-01 | House | Motion to Read a Third Time and Pass - Adopted Roll Call 1129 | pass | 101 | 0 | | | 2026-04-01 | House | Third Reading in House of Origin | pass | 104 | 0 | | ## Actions (16) - 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 1283 (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: Motion to Read a Third Time and Pass - Adopted Roll Call 1129 (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) - 2026-03-12: Read for the first time and referred to the House Committee on Ways and Means General Fund (House) - 2026-03-12: Pending Committee Action in House of Origin (House) ## Bill text - As Introduced: [PDF](https://alison.legislature.state.al.us/files/pdf/SearchableInstruments/2026RS/HB614-int.pdf) - Enrolled: [PDF](https://alison.legislature.state.al.us/files/pdf/SearchableInstruments/2026RS/HB614-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/HB614-int.pdf) - [Enrolled (PDF)](https://alison.legislature.state.al.us/files/pdf/SearchableInstruments/2026RS/HB614-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-HB614-2026rs (as of 2026-10-19).