All Roll Calls
Yes: 268 • No: 2
AlabamaSB1432026 Regular SessionSenate
Nursing facilities, privilege assessments and surcharge on each nursing home bed, sunset clause removed
Sponsored By: Greg Albritton (Republican)
Enacted
Taxation & Revenue
Personalized for You
How does this bill affect your finances?
Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 0 costs, 1 mixed.
Permanent nursing home charges and Medicaid payments
Beginning June 1, 2026, Alabama makes nursing facility assessments permanent, removing their August 31, 2028, end date. The surcharge stays $43.75 per bed monthly; the secondary supplemental assessment still requires the minimum appropriation specified in Act 2015-536. Medicaid uses nursing facility payment rules in place on May 1, 2026, with exceptions under Section 40-26B-26. Certain daily assessment adjustments use total resident days reported in facility Medicaid cost reports, removing wording that counted days regardless of who paid. Facilities keep paying these assessments, but Medicaid daily rates must include assessment costs, with payment ceilings adjusted to allow their recovery.
Sponsors & Cosponsors
Sponsor
Greg Albritton
Republican • Senate
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 4/1/2026
Motion to Read a Third Time and Pass - Adopted Roll Call 1131
Yes: 102 • No: 0
House vote • 4/1/2026
Third Reading in Second House
Yes: 102 • No: 0
Senate vote • 3/11/2026
Third Reading in House of Origin
Yes: 32 • No: 1
Senate vote • 3/11/2026
Motion to Read a Third Time and Pass - Adopted Roll Call 819
Yes: 32 • No: 1
Actions Timeline
Enacted
4/9/2026SenateReady to Enroll
4/2/2026SenateEnrolled
4/2/2026SenateSignature Requested
4/2/2026HouseDelivered to Governor
4/2/2026SenateThird Reading in Second House
4/1/2026HouseMotion to Read a Third Time and Pass - Adopted Roll Call 1131
4/1/2026HouseReported Out of Committee Second House
3/31/2026HouseRead for the Second Time and placed on the Calendar
3/31/2026HouseRead for the first time and referred to the House Committee on Ways and Means General Fund
3/12/2026HousePending Committee Action in Second House
3/12/2026HouseThird Reading in House of Origin
3/11/2026SenateMotion to Read a Third Time and Pass - Adopted Roll Call 819
3/11/2026SenateReported Out of Committee House of Origin
3/10/2026SenateRead for the Second Time and placed on the Calendar
3/10/2026SenateRead for the first time and referred to the Senate Committee on Finance and Taxation General Fund
1/14/2026SenatePending Committee Action in House of Origin
1/14/2026Senate
Bill Text
As Introduced
Enrolled
Related Bills
HB67, Voter Information; limit cost of reproducing voter registration list; crime for misuse of personal voter information; created
SB154, State employees, cost-of-living increase for fiscal year beginning October 1, 2026
SB165, Elections; municipal elections, to set qualification fee amounts, to require indigent candidates to submit documentation for fee exemption
HB317, Firefighter distinctive license plate; fire chaplains included, penalty for violations provided for
SB272, Open Records; use of public records relating to schools for certain solicitation purposes prohibited; redaction of certain information relating to financial transactions required
SB190, Sales Tax; to exempt Precision Ocular