HB109 Summary

• 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.

• Creates the Interstate Advisory Health Care Commission composed of up to two members per member state, with authority to study health care regulation issues and make nonbinding recommendations to member state legislatures.

• Guarantees each member state annual federal funding equal to its "member state current year funding level" (based on federal fiscal year 2010 baseline of $13.88 billion for Alabama, adjusted for population and inflation) as mandatory spending not subject to appropriation conditions.

• Allows member states to suspend operation of conflicting federal health care laws, rules, regulations, and orders, but remains responsible for funding obligations of any federal laws they do not suspend.

• Permits member states to amend the compact by unanimous agreement without prior congressional consent (amendments become effective unless Congress disapproves within one year) and allows states to withdraw with six months' notice to other member states.