The Alabama Legislature enacted HB 48 in the 2018 legislative term, which provides that any entities added to the Local Government Health Insurance Program, which were not identified as employer participants eligible for participation prior to such date, shall be treated as separate entities and their premiums are established independently. For a complete listing of health related statutes visit the State Health Practice Database for Research.

The State Database

The Source tracks state activities impacting healthcare price and competition in both legislation and litigation in a searchable database to help stakeholders at the state level understand their legal and regulatory environment as they make efforts to improve access, quality, and efficiency, and reduce costs in healthcare. We currently cover bills from 2017-2019 and key statutes from each state. Search the database for specific bills, statutes or cases by using keyword, key issue category, and/or jurisdiction.

*Note: 2019 legislative session updates are currently in progress. Check back weekly for updates. 

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Additional Resources


Alabama’s 2018 legislative term ran from 1/9/2018 – 4/24/2018. Alabama’s next legislative session will convene on 3/5/2019.


To view Alabama’s FY 2018 Budget, click here.


  • FTC Review of Community Health Systems / Health Management Associates Merger: In April 2014, the Federal Trade Commission issued its final order in connection with Community Health Systems, Inc.’s proposed $7.6 billion acquisition of rival health system Health Management Associates, Inc.  The FTC required Community Health Systems, one of the nation’s largest hospital operators, to divest hospitals and related assets, including outpatient facilities, in Alabama and South Carolina as a condition of the acquisition. Prior to issuing the order, in March 2015, the FTC approved CHS’s sale of a Gadsen hospital in accordance with its order. Find the FTC case summary and related documents here.