AL SB105

Establishes the Rural Hospital Investment Program to provide financial support for eligible rural general acute care, critical access, and rural emergency hospitals in Alabama through charitable donations.

Creates a Rural Hospital Investment Program Board within the Office of the State Treasurer with members representing the Governor, State Treasurer, Commissioner of Revenue, legislative leaders, and Alabama Hospital Association to determine eligibility and oversee program operations.

Authorizes state income, excise, premium, and utility tax credits equal to 100% of qualified donations made to eligible rural hospitals, with individual limits of $15,000 (single filers) or $30,000 (joint filers), and corporate limits up to $500,000 annually.

Sets statewide annual aggregate tax credit caps of $20 million for 2026, $25 million for 2027, and $30 million for subsequent years, with individual hospital limits of $750,000 (2026), $1 million (2027), and $1.25 million (2028 and beyond).

Requires eligible hospitals to use donations for acute care services and operational expenses, with mandatory reporting to the board and department, and prohibits tax credits after tax year 2030 except for carryforwards; effective October 1, 2025.