AL SB258

Establishes the Health Care Compact to return health care regulatory authority from the federal government to member states, requiring Congressional consent under Article I, Section 10 of the U.S. Constitution.

Each member state receives Federal funding equal to its Member State Current Year Funding Level based on 2010 Federal health care spending, adjusted for population changes and inflation, funded as mandatory spending without annual appropriation requirements.

Creates the Interstate Advisory Health Care Commission composed of members appointed by each member state (maximum two per state) to study health care regulation issues, make non-binding recommendations, and collect data on state health care programs and pricing.

Allows each member state to suspend conflicting federal health care laws, rules, and regulations within its state; any federal requirements that remain in effect make the state responsible for associated funding obligations.

Compact becomes effective upon adoption by at least two member states and Congressional consent; member states can amend the compact unanimously without Congressional approval unless Congress disapproves within one year, and any state may withdraw with six months' notice.