AL SB350

Creates the Rural Health Antitrust Immunity Act, granting rural healthcare providers immunity from state and federal antitrust laws when engaging in collaborative activities to improve healthcare access, quality, and outcomes in rural Alabama counties

Permits collaborative activities including joint purchasing, shared clinical and administrative services, coordinated staffing, joint payor negotiations, shared technology platforms, and shared facilities and equipment

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

Certificates are valid for three years with renewable terms; the Agency must actively supervise certified activities and may amend or revoke certificates if activities no longer serve the state's rural healthcare policy goals

References Alabama's November 2025 submission of the Alabama Rural Health Transformation Program to CMS and Governor Ivey's December 2025 Executive Order 741 establishing the Rural Health Transformation Advisory Group