Alabama budget, debt, and interest

The fact measures residents under 65 without health insurance. Insurance eligibility, enrollment, coverage continuity and premium assistance concern the covered population. Provider payments and covered services alone do not establish a coverage change, and Medicare-only changes mostly concern a different age population. This connection does not establish causation. Actions after the measurement period cannot explain the earlier observed value.

Retained Alabama evidence context: People under age 65 without health insurance. This record’s connection to the topic does not establish an effect on the measured result.

1344.Reinsurance program for certain off-Exchange plans(a)In generalThere is established a Reinsurance Program, to be administered by the Secretary of Health and Human Services, to provide payments to health insurance issuers with respect to claims for eligible individuals for the purpose of lowering premiums for such individuals.(b)Funding(1)AppropriationFor the purpose of providing funding for the Reinsurance Program, for each year during the period beginning on January 1, 2026, and ending on December 31, 2030, there is appropriated out of any monies in the Treasury not otherwise obligated an amount equal to the product of $50 and the aggregate number of member months for all eligible individuals enrolled in a covered plan during such year.(2)Limitation on appropriationIn no year shall the appropriation for the Reinsurance Program authorized in paragraph (1) exceed $6,000,000,000.(3)Use of unexpended fundsAppropriated amounts remaining unexpended at the end of any year may be used to make payments under the Reinsurance Program in any future year.(4)Limitation on use of fundsNo funds received under the Reinsurance Program may be used to pay for services described in section 1303(b)(1)(B)(i) (as in effect on the date of the enactment of this section).(c)Operation of program(1)In generalThe Secretary shall establish parameters for the operation of the Reinsurance Program consistent with this section.(2)Deadline for initial operationNot later than 120 days after the date of the enactment, the Secretary shall establish sufficient parameters to specify how the Program will operate for 2026.(3)DefinitionsIn this section:(A)Covered planThe term covered plan means individual health insurance coverage (as such term is defined in section 2791 of the Public Health Service Act)—(i)with respect to which the issuer of such coverage has made the election described in section 1312(c)(1)(A); and(ii)that does not provide coverage for services described in section 1303(b)(1)(B)(i) (as in effect on the date of the enactment of this section).(B)Eligible individualThe term eligible individual means an individual enrolled in a covered plan.(d)Attachment dollar amount and payment proportion(1)In generalThe Secretary shall annually establish an attachment point, payment proportion, and reinsurance cap with respect to claims for eligible individuals for payments under the Reinsurance Program, consistent with the following:(A)The attachment point for the period beginning January 1, 2026, and ending December 31, 2026, shall be $110,000.(B)The payment proportion for the period beginning January 1, 2026, and ending December 31, 2026, shall be 90 percent.(C)The reinsurance cap for the period beginning January 1, 2026 and ending December 31, 2026, shall be $300,000.(2)Adjustment authorityThe Secretary may adjust any amounts described in paragraph (1) as necessary to ensure the Reinsurance Program does not make payment for a year in excess of the amount available for such year under subsection (b)..

Gross rent includes contract rent and tenant-paid utilities. Rental protections, assistance, and housing supply concern components of rental-market conditions; they do not set Alabama’s median rent. This connection does not establish causation. Actions after the measurement period cannot explain the earlier observed value.

Retained Alabama evidence context: Median gross rent. This record’s connection to the topic does not establish an effect on the measured result.

Section 3. As used in this act, the following words and phrases have the following meanings: (1) AFFORDABLE HOUSING. Residential housing for rent or sale that is appropriately priced for rent or sale to a person or family whose income does not exceed one hundred twenty percent of the median income for the local area, with adjustments for household size, according to the latest figures available from the United States Department of Housing and Urban Development. (2) HOUSING TRUST FUND. A trust fund which is established by the governing body of a Class 1 municipality for the collection and distribution of designated funds for the purpose of increasing the production of housing units, rehabilitating existing housing units, and maintaining such housing so that it can be made affordable to individuals and families whose incomes are at or below 120 percent of the median family income. Section 4. A Class 1 municipality is hereby authorized to create and operate a housing trust fund, by ordinance or resolution, for the purposes stated in this act. Section 5. (a) A Class 1 municipality may fund its housing trust fund with any money available to the Class 1 municipality, unless expressly prohibited by state law. Sources of these funds include, but are not limited to: (1) Donations; (2) Bond proceeds; (3) Grants and loans from a state, federal, or private source; (4) Appropriations by a Class 1 municipality to the trust fund; (5) Investment earnings of the trust fund; (6) Appropriations from a state housing trust fund; and (7) Dedicated funding sources authorized by the legislature. (b) This act does not create, grant, or confer a new or additional tax or revenue authority to a Class 1 municipality unless otherwise provided by the law of this state.

The fact measures residents under 65 without health insurance. Insurance eligibility, enrollment, coverage continuity and premium assistance concern the covered population. Provider payments and covered services alone do not establish a coverage change, and Medicare-only changes mostly concern a different age population. This connection does not establish causation. Actions after the measurement period cannot explain the earlier observed value.

Retained Alabama evidence context: People under age 65 without health insurance. This record’s connection to the topic does not establish an effect on the measured result.

Section 2. (a) The Medicaid program shall provide assistance to all persons who apply for and are determined to be eligible for assistance and for whom federal matching funds are available to the state under the Patient Protection and Affordable Care Act, Public Law 111-148, March 23, 2010, as amended by the Health Care and Education Reconciliation Act 4 of 2010, Public Law 111-152, March 30, 2010. (b) The Alabama Medicaid Agency shall take all steps necessary to implement the Medicaid expansion program as provided for in subsection (a) and shall be the lead agency for the implementation in this state. The Alabama Medicaid Agency shall seek assistance from any state or federal agencies or entities to implement the program as appropriate, and all state agencies and entities shall provide assistance as requested by the agency. (c) The Legislature shall annually appropriate adequate funding to the Alabama Medicaid Agency for the purpose of implementing and operating the Medicaid expansion program pursuant to this section. Section 3. This act shall become effective immediately following its passage and approval by the Governor, or its otherwise becoming law.

Wages and cash benefits can be components of household money income. Census income is measured before taxes, so tax relief alone is not an increase in this statistic; the provision does not determine the statewide median. This connection does not establish causation. Actions after the measurement period cannot explain the earlier observed value.

Retained Alabama evidence context: Median household income. This record’s connection to the topic does not establish an effect on the measured result.

1116.DOD prevailing rate employee pay increase (a)In generalBeginning on the first day of the first pay period beginning on or after the date of the enactment of this Act, the rate of pay for any employee of the Department of Defense who is a prevailing rate employee (as that term is defined in section 5342(a)(2)(A) of title 5, United States Code) shall be increased by the percentage allowed by operation of section 737 of the Further Consolidated Appropriations Act, 2024, as extended by division A of the American Relief Act, 2025. (b)ReportNot later than 120 days after the date of the enactment of this Act, the Secretary of Defense shall submit a report to the congressional defense committees on actions taken to resolve delays in increasing the rates of pay for such employees, the status of the Department of Defense Wage Committee, and any recommendations for preventing future interruptions to wage increases for such employees.

The fact counts induced terminations for Alabama residents in 2024, including events in other states reported back to Alabama. Access, restrictions and reporting concern this resident-based measure, which does not capture every out-of-state event. This connection does not establish causation. Actions after the measurement period cannot explain the earlier observed value.

Retained Alabama evidence context: Reported induced terminations among Alabama residents · Adults with at least a high school diploma · People receiving Social Security benefits. This record’s connection to the topic does not establish an effect on the measured result.

506. (a)None of the funds appropriated in this Act, and none of the funds in any trust fund to which funds are appropriated in this Act, shall be expended for any abortion. (b)None of the funds appropriated in this Act, and none of the funds in any trust fund to which funds are appropriated in this Act, shall be expended for health benefits coverage that includes coverage of abortion. (c)The term health benefits coverage means the package of services covered by a managed care provider or organization pursuant to a contract or other arrangement. 507. (a)The limitations established in the preceding section shall not apply to an abortion— (1)if the pregnancy is the result of an act of rape or incest; or (2)in the case where a woman suffers from a physical disorder, physical injury, or physical illness, including a life-endangering physical condition caused by or arising from the pregnancy itself, that would, as certified by a physician, place the woman in danger of death unless an abortion is performed. (b)Nothing in the preceding section shall be construed as prohibiting the expenditure by a State, locality, entity, or private person of State, local, or private funds (other than a State's or locality's contribution of Medicaid matching funds). (c)Nothing in the preceding section shall be construed as restricting the ability of any managed care provider from offering abortion coverage or the ability of a State or locality to contract separately with such a provider for such coverage with State funds (other than a State's or locality's contribution of Medicaid matching funds). (d) (1)None of the funds made available in this Act may be made available to a Federal agency or program, or to a State or local government, if such agency, program, or government subjects any institutional or individual health care entity to discrimination on the basis that the health care entity does not provide, pay for, provide coverage of, or refer for abortions. (2)In this subsection, the term health care entity includes an individual physician or other health care professional, a hospital, a provider-sponsored organization, a health maintenance organization, a health insurance plan, or any other kind of health care facility, organization, or plan.

The fact counts induced terminations for Alabama residents in 2024, including events in other states reported back to Alabama. Access, restrictions and reporting concern this resident-based measure, which does not capture every out-of-state event. This connection does not establish causation. Actions after the measurement period cannot explain the earlier observed value.

Retained Alabama evidence context: Reported induced terminations among Alabama residents · People receiving Social Security benefits. This record’s connection to the topic does not establish an effect on the measured result.

506.(a)None of the funds appropriated in this Act, and none of the funds in any trust fund to which funds are appropriated in this Act, shall be expended for any abortion.(b)None of the funds appropriated in this Act, and none of the funds in any trust fund to which funds are appropriated in this Act, shall be expended for health benefits coverage that includes coverage of abortion.(c)The term health benefits coverage means the package of services covered by a managed care provider or organization pursuant to a contract or other arrangement.507.(a)The limitations established in the preceding section shall not apply to an abortion—(1)if the pregnancy is the result of an act of rape or incest; or(2)in the case where a woman suffers from a physical disorder, physical injury, or physical illness, including a life-endangering physical condition caused by or arising from the pregnancy itself, that would, as certified by a physician, place the woman in danger of death unless an abortion is performed.(b)Nothing in the preceding section shall be construed as prohibiting the expenditure by a State, locality, entity, or private person of State, local, or private funds (other than a State's or locality's contribution of Medicaid matching funds).(c)Nothing in the preceding section shall be construed as restricting the ability of any managed care provider from offering abortion coverage or the ability of a State or locality to contract separately with such a provider for such coverage with State funds (other than a State's or locality's contribution of Medicaid matching funds).(d)(1)None of the funds made available in this Act may be made available to a Federal agency or program, or to a State or local government, if such agency, program, or government subjects any institutional or individual health care entity to discrimination on the basis that the health care entity does not provide, pay for, provide coverage of, or refer for abortions.(2)In this subsection, the term health care entity includes an individual physician or other health care professional, a hospital, a provider-sponsored organization, a health maintenance organization, a health insurance plan, or any other kind of health care facility, organization, or plan.