Healthcare (Children's Health)

This bill establishes the Rural Maternal and Infant Health Equity Act to improve birth outcomes in rural Alabama communities by expanding access to prenatal, delivery, and postpartum care. It creates a new state fund to support grants for midwifery and doula services, requires Medicaid and private insurers to cover these services, and establishes a training program to recruit obstetric providers to rural areas. The legislation also provides capital grants for building rural birth centers and modernizing hospital obstetric units, while funding locally led maternal health partnerships that offer home visits and mobile clinics.

SB 152 increases the administrative funding for Alabama's food stamp program from 5% to 7.5% of statewide benefits issued, directly affecting the Department of Human Resources (DHR). It also changes how the Children's Health Insurance Program (CHIP) is funded by removing its requirement to be prioritized against use tax revenue, instead allowing other state revenue sources to support CHIP. The bill amends specific sections of Alabama law to adjust the distribution of sales and use tax funds, ensuring DHR receives a fixed annual amount for food stamp administration while providing flexibility for CHIP funding. These changes are limited to administrative adjustments in tax fund allocation, with no new program benefits or eligibility changes.

HB 251 appropriates $36.6 million from Alabama's Children First Trust Fund and $43.8 million from other tobacco settlement funds for the 2027 fiscal year. These funds are allocated to specific state agencies - including the Alabama Medicaid Agency, Department of Early Childhood Education, and Youth Services - to support children's health, education, and social services programs. The bill requires tobacco settlement revenues to be deposited into the Children First Trust Fund within 30 days of receipt and mandates quarterly allocations to agencies based on available funds. It also transfers funds currently designated for the State Board of Education to the State General Fund during fiscal year 2027. All allocations are conditional on receiving tobacco revenues and must align with approved investment plans for each agency.