HB 361 Alabama House · 2026 Regular Session

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

HB 361, the Alabama Living Donor Protection Act, prohibits insurers from denying or limiting disability, life, or long-term care insurance coverage to living organ donors. It requires public employers (state/local government) to provide up to 80 hours of paid medical leave for employees donating organs, with no retaliation allowed. Private employers offering similar paid leave (minimum 80 hours or 15 days) qualify for a 25% tax credit (capped at $2,000 annually) for tax years starting in 2027. The bill directly affects organ donors, insurers, public employees, and private sector employers. It aims to remove financial barriers to donation through concrete protections and incentives.
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
Mar 2026
House Passage
Feb 2026
Senate Passage
Apr 2026
Signed into Law
Apr 2026
Introduced Jan 29, 2026 Signed Apr 17, 2026
Maddy AI version diff · 3 comparisons

What changed between versions

Insurance 1st Substitute Engrossed · 7 edits · Apr 8, 2026
MODERATE
The bill was converted from a substitute version to an engrossed version, finalizing the text for passage. The substantive policy content remains largely the same, protecting organ donors from insurance discrimination and granting paid leave for donation. However, the text was reorganized and expanded to clarify definitions and add a specific section for state public employees.
Scope change
The bill's scope was clarified by adding a distinct definition for 'public employee' to ensure state employees are covered separately from local government employees.
TECHNICAL

The document header was updated from 'Insurance 1st Substitute' to 'HB361 Engrossed', indicating the bill has passed its committee stages and is in its final form.

DEFINITION

The definition of 'Policy' was updated to explicitly include 'Long-term care insurance' as a covered contract type.

The definition of 'Policy' was expanded to include the Code of Alabama citation for Long-term care insurance.

REQUIREMENT

The insurer discrimination clause was expanded to explicitly list 'condition of a policy' as a prohibited basis for discrimination.

The requirements for state employee leave were updated to require approval from the State Director of Personnel.

The requirements for local government employee leave were streamlined to require approval from the appointing authority or executive head of the department.

SCOPE

A new Section 4 was added to specifically define 'public employee' and outline leave procedures for state employees, separating them from local government employees in Section 3.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
24
Key actions
8
Committee
6
Amendments
3
Apr 8, 2026
Upper · Passed
Motion to Read a Third Time and Pass - Adopted Roll Call 1270
upper
Mar 17, 2026
Upper · Passed
Reported Out of Committee Second House
upper
Feb 25, 2026
Upper · Passed
Pending Committee Action in Second House (Banking and Insurance)
upper
Feb 24, 2026
Lower · Passed
Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 577
lower
Feb 24, 2026
Lower · Passed
Motion to Adopt - Adopted Roll Call 576
lower
Feb 24, 2026
Introduced
Ways and Means Education Engrossed Substitute Offered (Ways and Means Education)
lower
Feb 19, 2026
Lower · Passed
Reported Out of Committee House of Origin (Ways and Means Education)
lower
Feb 19, 2026
Introduced
Ways and Means Education 1st Amendment (Ways and Means Education)
lower
Feb 12, 2026
Committee
Re-referred to Committee in House of Origin (Ways and Means Education)
lower
Feb 11, 2026
Lower · Passed
Reported Out of Committee House of Origin
lower
Jan 29, 2026
Lower · Passed
Pending Committee Action in House of Origin (Insurance)
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Anthony Daniels
Anthony Daniels
DDemocratic
AL
53