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Alabama Organ Donor Protection; Prohibit Insurance Discrimination, Mandate Public Employee Paid Leave

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Summary

Alabama HB361 was enacted in the 2026 Regular Session, prohibiting insurance companies from discriminating against living organ donors when underwriting coverage. The law mandates paid medical leave for public employees who donate organs and provides a state income tax credit to private sector employers that offer equivalent paid leave benefits.

What changed

Alabama HB361 enacted comprehensive protections for living organ donors. The bill prohibits insurance companies from discriminating in coverage decisions based on organ donor status, requires all public employers to provide paid medical leave for employees who donate organs, and establishes a state income tax credit for private sector employers that voluntarily provide equivalent paid leave to organ donors.

Public sector employers in Alabama must immediately update HR policies and payroll systems to accommodate the new paid leave mandate. Private employers offering similar benefits can claim the state tax credit on Alabama income tax returns. Insurance carriers writing coverage in Alabama must revise underwriting guidelines and anti-discrimination protocols to exclude organ donor status from coverage eligibility and premium calculations.

What to do next

  1. Review insurance underwriting policies to ensure no discrimination against living organ donors
  2. Update public employee leave policies to include paid organ donor medical leave
  3. Assess eligibility for the state income tax credit if offering paid organ donor leave to private sector employees

Archived snapshot

Apr 9, 2026

GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.

ChangeBridge / Alabama / HB361 Passed HB361 House Bill Passed 2026-02-24

Living organ donors; to prohibit discrimination in obtaining insurance coverage, provide paid medical leave for public employees who donate organs and a tax credit to private sector employers that provide similar paid leave to their employees

Bill Details

State Alabama

Session 2026 Regular Session

Chamber House

Official Source alison.legislature.state.al.us/bill-search

LegiScan View on LegiScan

Sponsors

Anthony Daniels (Rep - D)

Action History

2026-04-08 S Motion to Read a Third Time and Pass - Adopted Roll Call 1270 2026-03-17 S Read for the Second Time and placed on the Calendar 2026-03-17 S Reported Out of Committee Second House 2026-02-25 S Pending Senate Banking and Insurance 2026-02-25 S Read for the first time and referred to the Senate Committee on Banking and Insurance 2026-02-24 H Engrossed 2026-02-24 H Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 577 2026-02-24 H Motion to Adopt - Adopted Roll Call 576 SLEL378-1 2026-02-24 H Ways and Means Education Engrossed Substitute Offered SLEL378-1 2026-02-24 H Third Reading in House of Origin 2026-02-19 H Read for the Second Time and placed on the Calendar 2026-02-19 H Reported Out of Committee House of Origin from House Ways and Means Education SLEL378-1 2026-02-19 H Ways and Means Education 1st Amendment 5V7H8MM-1 2026-02-19 H Insurance 1st Substitute 7B1MGEV-1 2026-02-12 H Re-referred to Committee in House of Origin to House Ways and Means Education 2026-02-12 H Read for the Second Time and placed on the Calendar 2026-02-11 H Reported Out of Committee House of Origin 2026-01-29 H Pending House Insurance 2026-01-29 H Read for the first time and referred to the House Committee on Insurance

Votes

2026-02-24 HBIR: Passed by House of Origin Yea: 103 Nay: 0 2026-02-24 Third Reading in House of Origin Yea: 103 Nay: 0 2026-02-24 Motion to Adopt - Roll Call 576 SLEL378-1 Yea: 103 Nay: 0 2026-02-24 Motion to Read a Third Time and Pass as Amended - Roll Call 577 Yea: 103 Nay: 0 2026-04-08 Motion to Read a Third Time and Pass - Roll Call 1270 Yea: 30 Nay: 0

Committee Referrals

2026-01-29 H Insurance 2026-02-25 S Banking and Insurance

Amendments

2026-02-11 House Insurance Insurance 1st Substitute 2026-02-19 House Ways and Means Education Reported Out of Committee House of Origin 2026-02-19 House Ways and Means Education Ways and Means Education 1st Amendment

Bill Text Versions

2026-01-29 Introduced 2026-02-24 Engrossed

Subjects

Discrimination & Civil Protections Legislative data powered by LegiScan (CC BY 4.0)

Named provisions

Prohibition on Insurance Discrimination Paid Medical Leave for Public Employees Tax Credit for Private Employers

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Last updated

Classification

Agency
AL Legislature
Instrument
Rule
Legal weight
Binding
Stage
Final
Change scope
Substantive

Who this affects

Applies to
Government agencies Employers
Industry sector
9211 Government & Public Administration 5241 Insurance
Activity scope
Organ donor leave administration Insurance underwriting practices Payroll tax credit claims
Geographic scope
US-AL US-AL

Taxonomy

Primary area
Employment & Labor
Operational domain
Compliance
Topics
Insurance Taxation

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