AL HB605

Creates the Rural Health Antitrust Immunity Act, providing immunity from state and federal antitrust laws for rural healthcare providers who collaborate to improve healthcare access, quality, and outcomes under the Alabama Rural Health Transformation Program

Authorizes collaborative activities including joint purchasing, shared clinical and administrative services, coordinated staffing, joint payor negotiations, shared facilities and equipment, and coordinated service line development

Requires rural healthcare providers to obtain a certificate from the State Health Planning and Development Agency before engaging in collaborative activities, with final approval required from the Governor or designee

Certificates are valid for 3 years and renewable; the Agency must determine that proposed activities are reasonably necessary to further state healthcare policy and that benefits outweigh anticompetitive effects

Establishes ongoing state supervision with authority for the Agency to amend or revoke certificates at any time if activities no longer meet statutory requirements