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Legislation mandating health care coverage continued to dominate discussions this week as affordability concerns grow entering the final stretch of the regular session.
The Alabama Senate passed a measure Tuesday to increase reimbursement rates for ambulance service providers – a move that could drive up health coverage premiums for policyholders statewide.
SB 269 by Sen. Bobby Singleton, D-Greensboro, would establish payment rates from health insurers to ambulance service companies. Sen. Larry Stutts, R-Tuscumbia, (pictured) raised concerns during floor debate March 3.
“We’re looking at the big picture of health care costs and insurance premium costs,” Stutts said. “I’m for rural areas having ambulance services, but my problem with the bill is health care costs in general. We’ve kind of decided that anybody gets care, and they all get the same level of care whether they pay for it or not. And the ones paying have to bear the brunt of those costs. This bill unduly shifts the cost to a very small percentage of people.”
Stutts was joined by Sen. Chris Elliott, R-Josephine, in voting against the measure. Senators who were absent or took a pass on voting for the bill were Shay Shelnutt, R-Trussville; Will Barfoot, R-Pike Road; Jack Williams, R-Wilmer; David Sessions, R-Grand Bay; Merika Coleman, D-Birmingham; and April Weaver, R-Brierfield, who abstained. All other senators voted to support the mandate.
While a companion bill, HB 400 by Rep. Ed Oliver, R-Dadeville, would exempt certain policyholders such as PEEHIP and State Employees Insurance Board (SEIB) consumers, SB 269 would include those groups, broadening the potential cost impact.
SB 269 was referred to the House Insurance Committee. Alabama Farmers Federation External Affairs Department Director Brian Hardin encouraged members to contact committee members and oppose the bill.
“We know affordability is an issue for all farmers and small business owners,” Hardin said. “This is not the time to continue layering on costs that directly harm their bottom lines. As producers suffer through a tough economy, they shouldn’t have to choose between staying afloat and affording health care.”
Hardin said Alfa Health Plans were established in 2025 to promote affordable coverage. Instead, coverage mandates functioning as hidden taxes threaten to undo that progress.
“We support viable ambulance services in rural areas,” Hardin said. “But the answer cannot be pulling more dollars from the pockets of policyholders.”
Members of the House Insurance Committee include:
Chair Corley Ellis, R-Columbiana
Vice Chair Brett Easterbrook, R-Fruitdale
Ranking Minority Member A.J. McCampbell, D-Linden
Rep. Chris Blackshear, R-Smiths Station
Rep. Chip Brown, R-Hollinger's Island
Rep. Brock Colvin, R-Albertville
Rep. Kelvin Datcher, D-Birmingham
Rep. Phillip Ensler, D-Montgomery
Rep. David Faulkner, R-Mountain Brook
Rep. Jamie Kiel, R-Russellville
Rep. Patrick Sellers, R-Pleasant Grove
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