Legislation: batch A — AK AL AR AZ CO CT DE GA HI IA ID

Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>

legislation/us/states/al/2019rs/hb-245.md

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+---
+type: "Bill"
+title: "Nurse Anesthetists, certified registered (CRNA's), insurance and health benefit plans, direct payments for services, definition of CRNA for purposes of law updated, Sec. 27-46-3 am'd."
+description: "Nurse Anesthetists, certified registered (CRNA's), insurance and health benefit plans, direct payments for services, definition of CRNA for purposes of law updated, Sec. 27-46-3 am'd."
+jurisdiction: "us/states/al"
+legislature: "Alabama Legislature"
+session: "2019rs"
+identifier: "HB 245"
+citation: "Alabama HB 245 (2019rs)"
+classification: ["bill"]
+subjects: ["Nurses and Nursing"]
+status: "enacted"
+primary_sponsors: ["Ellis"]
+version_count: 4
+action_count: 19
+vote_count: 3
+first_action: "2019-03-20T04:00:00+00:00"
+last_action: "2019-05-22T04:00:00+00:00"
+source: "openstates"
+source_identifier: "ocd-bill/a0fd9926-569e-456b-89a3-6228c48b7110"
+source_url: "http://alisondb.legislature.state.al.us/Alison/SESSBillStatusResult.aspx?BILL=HB245"
+source_hash: "5104303529d80039b2ba65283b6867ba546e8fd8fec5697aebbf1b34773d7813"
+vintage: "2026-07-01"
+source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
+retrieved_at: "2026-07-06"
+confidence: "reported"
+tags: ["legislation", "bill", "us-al"]
+---
+
+# Alabama HB 245 (2019rs) — Nurse Anesthetists, certified registered (CRNA's), insurance and health benefit plans, direct payments for services, definition of CRNA for purposes of law updated, Sec. 27-46-3 am'd.
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **Introduced** (filed) — [source](http://alisondb.legislature.state.al.us/ALISON/SearchableInstruments/2019rs/PrintFiles/HB245-int.pdf)
+2. **Amd/Sub 199098-1** (committee substitute) — [source](http://alisondb.legislature.state.al.us/ALISON/SearchableInstruments/2019rs/PrintFiles/199098-1.pdf)
+3. **Engrossed** (committee substitute) — [source](http://alisondb.legislature.state.al.us/ALISON/SearchableInstruments/2019rs/PrintFiles/HB245-eng.pdf)
+4. **Enrolled** (enrolled) — [source](http://alisondb.legislature.state.al.us/ALISON/SearchableInstruments/2019rs/PrintFiles/HB245-enr.pdf)
+
+## Votes
+
+- Motion to Read a Third Time and Pass adopted Roll Call 176 — **100–0** (pass) · lower
+- Motion to Adopt adopted Roll Call 175 — **99–0** (pass) · lower
+- Motion to Read a Third Time and Pass adopted Roll Call 936 — **26–0** (pass) · upper
+
+## Sponsors
+
+- Ellis — primary (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2019-03-20T04:00:00+00:00** Read for the first time and referred to the House of Representatives committee on Insurance `reading-1, referral-committee`
+- **2019-04-03T04:00:00+00:00** Read for the second time and placed on the calendar `reading-2`
+- **2019-04-11T04:00:00+00:00** Third Reading Passed `passage`
+- **2019-04-11T04:00:00+00:00** Ellis Amendment Offered `amendment-introduction`
+- **2019-04-11T04:00:00+00:00** Motion to Adopt adopted Roll Call 175 `amendment-passage`
+- **2019-04-11T04:00:00+00:00** Motion to Read a Third Time and Pass adopted Roll Call 176 `passage`
+- **2019-04-11T04:00:00+00:00** Scott intended in vote "Yea"
+- **2019-04-11T04:00:00+00:00** Mooney intended to vote "Yea"
+- **2019-04-11T04:00:00+00:00** Engrossed
+- **2019-04-16T04:00:00+00:00** Read for the first time and referred to the Senate committee on Banking and Insurance `reading-1, referral-committee`
+- **2019-04-25T04:00:00+00:00** Read for the second time and placed on the calendar `reading-2`
+- **2019-05-21T04:00:00+00:00** Third Reading Passed `passage`
+- **2019-05-21T04:00:00+00:00** Motion to Read a Third Time and Pass adopted Roll Call 936 `passage`
+- **2019-05-21T04:00:00+00:00** Passed Second House `passage`
+- **2019-05-21T04:00:00+00:00** Enrolled
+- **2019-05-22T04:00:00+00:00** Signature Requested
+- **2019-05-22T04:00:00+00:00** Clerk of the House Certification
+- **2019-05-22T04:00:00+00:00** Assigned Act No. 2019-280. `executive-signature`
+- **2019-05-22T04:00:00+00:00** Delivered to Governor at 2:45 p.m. on May 22, 2019. `executive-receipt`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/a0fd9926-569e-456b-89a3-6228c48b7110`. Confidence: reported (aggregated from official Alabama legislature records).
+