Nursing facilities, privilege assessments and surcharge on each nursing home bed, sunset clause removed
SB 143 removes the expiration date (August 31, 2028) for three assessments on nursing home beds in Alabama, making them permanent. These include a supplemental privilege assessment, a secondary supplemental privilege assessment, and a monthly surcharge per bed. The bill ensures nursing facilities will continue paying these costs, and they remain fully included in Medicaid reimbursement rates for nursing homes. This directly affects all Alabama nursing facilities participating in Medicaid, as their reimbursement rates will continue to account for these assessments.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2026
Committee Review
Mar 2026
Senate Passage
Mar 2026
House Passage
Apr 2026
Signed into Law
Apr 2026
Introduced Jan 14, 2026
Signed Apr 9, 2026
Maddy AI version diff · 1 comparison
What changed between versions
Introduced
→
Enrolled
·
3 edits
·
Apr 9, 2026
MINOR
This bill removes the expiration date (sunset clause) for nursing home privilege assessments and surcharges, making them permanent. It also updates the Medicaid reimbursement methodology to align with a specific administrative code chapter effective in 2026, ensuring facilities continue to receive full reimbursement for these fees.
Scope change
The bill's scope changed from a temporary measure expiring in 2028 to a permanent requirement for all nursing facilities in Alabama.
TIMELINE
Removed the August 31, 2028 expiration date for the supplemental privilege assessment, secondary supplemental assessment, and surcharge, making them permanent.
FISCAL
Added a requirement to amend Medicaid reimbursement rules to align with Chapter 560-X-22 of the Alabama Administrative Code effective May 1, 2026.
TECHNICAL
Corrected several formatting and typographical errors in the original text, such as merged words and inconsistent spacing.
Floor votes
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
17
Key actions
6
Committee
4
Apr 1, 2026
Lower · Passed
Motion to Read a Third Time and Pass - Adopted Roll Call 1131
lower
Mar 31, 2026
Lower · Passed
Reported Out of Committee Second House
lower
Mar 12, 2026
Lower · Passed
Pending Committee Action in Second House (Ways and Means General Fund)
lower
Mar 11, 2026
Upper · Passed
Motion to Read a Third Time and Pass - Adopted Roll Call 819
upper
Mar 10, 2026
Upper · Passed
Reported Out of Committee House of Origin
upper
Jan 14, 2026
Upper · Passed
Pending Committee Action in House of Origin (Finance and Taxation General Fund)
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Greg Albritton
RRepublican
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