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Rural Health Transformation Program Supplemental Appropriations Act

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Summary

Alabama enacted HB591, establishing the Rural Health Transformation Program with supplemental appropriations for the fiscal year ending September 30, 2026. Sponsored by Rep. Rex Reynolds, the bill passed unanimously in both chambers. The House voted 104-0 and the Senate voted 30-0 to adopt the measure.

What changed

Alabama has enacted HB591, the Rural Health Transformation Program Act, providing supplemental appropriations for the fiscal year ending September 30, 2026. The bill establishes funding for a rural health transformation initiative and was sponsored by Rep. Rex Reynolds. It passed the House on April 1, 2026 and the Senate on April 8, 2026, before being delivered to the Governor on April 9, 2026 and enacted on April 13, 2026.

This appropriations bill affects state agencies administering rural health programs and healthcare providers potentially participating in the transformation initiative. The unanimous passage in both chambers (House 104-0, Senate 30-0) indicates broad legislative support for the program.

What to do next

  1. Monitor for program implementation updates

Archived snapshot

Apr 14, 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 / HB591 Enacted HB591 House Bill Enacted 2026-04-13

Rural Health Transformation Program supplemental appropriations for the fiscal year ending September 30, 2026

Bill Details

State Alabama

Session 2026 Regular Session

Chamber House

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

LegiScan View on LegiScan

Sponsors

Rex Reynolds (Rep - R)

Action History

2026-04-13 H Enacted 2026-04-13 H Enacted 2026-04-09 H Delivered to Governor 2026-04-09 S Signature Requested 2026-04-09 H Enrolled 2026-04-09 H Ready to Enroll 2026-04-08 S Motion to Read a Third Time and Pass - Adopted Roll Call 1282 2026-04-07 S Read for the Second Time and placed on the Calendar 2026-04-07 S Reported Out of Committee Second House 2026-04-02 S Pending Senate Finance and Taxation General Fund 2026-04-02 S Read for the first time and referred to the Senate Committee on Finance and Taxation General Fund 2026-04-01 H Engrossed 2026-04-01 H Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 1127 2026-04-01 H Motion to Adopt - Adopted Roll Call 1126 5VQZH63-1 2026-04-01 H Reynolds 1st Amendment Offered 5VQZH63-1 2026-04-01 H Third Reading in House of Origin 2026-03-19 H Read for the Second Time and placed on the Calendar 2026-03-18 H Reported Out of Committee House of Origin 2026-03-10 H Pending House Ways and Means General Fund 2026-03-10 H Read for the first time and referred to the House Committee on Ways and Means General Fund

Votes

2026-04-01 HBIR: Passed by House of Origin Yea: 104 Nay: 0 2026-04-01 Third Reading in House of Origin Yea: 104 Nay: 0 2026-04-01 Motion to Adopt - Roll Call 1126 5VQZH63-1 Yea: 104 Nay: 0 2026-04-01 Motion to Read a Third Time and Pass as Amended - Roll Call 1127 Yea: 104 Nay: 0 2026-04-08 Motion to Read a Third Time and Pass - Roll Call 1282 Yea: 30 Nay: 0

Committee Referrals

2026-03-10 H Ways and Means General Fund 2026-04-02 S Finance and Taxation General Fund

Amendments

2026-04-01 House Motion to Adopt - Adopted Roll Call 1126

Bill Text Versions

2026-03-10 Introduced 0000-00-00 Engrossed 2026-04-09 Enrolled

Subjects

Appropriations Legislative data powered by LegiScan (CC BY 4.0)

Named provisions

Rural Health Transformation Program

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Last updated

Classification

Agency
AL Legislature
Published
April 13th, 2026
Instrument
Rule
Legal weight
Binding
Stage
Final
Change scope
Minor

Who this affects

Applies to
Government agencies Healthcare providers
Industry sector
6211 Healthcare Providers 9211 Government & Public Administration
Activity scope
Government appropriations Healthcare program funding State budget allocation
Geographic scope
US-AL US-AL

Taxonomy

Primary area
Healthcare
Operational domain
Finance
Topics
Public Health Government Contracting

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