AL SB170

Creates the "Health Savings Account State-Federal Regulatory Coordination Act" to protect HSA-qualified high-deductible health plans from losing their federal tax-advantaged status due to state insurance mandates

Establishes a safe harbor provision: when state cost-sharing requirements would disqualify an enrollee's plan under federal HSA rules (26 U.S.C. § 223), the state requirements only apply after the federal minimum deductible has been met

Defines preventive care to include services specified by the IRS, including certain treatments for chronic conditions like diabetes, asthma, and heart disease under IRS Notice 2019-45

Amends existing Alabama insurance code to apply the new Article 5 provisions to health care service corporations and health maintenance organizations

Effective date: June 1, 2026