---
type: "Bill"
title: "Nursing facilities, supplemental privilege assessment and monthly surcharge for Medicaid extended, expiration under certain conditions, Sec. 40-26B-21 am'd."
description: "Nursing facilities, supplemental privilege assessment and monthly surcharge for Medicaid extended, expiration under certain conditions, Sec. 40-26B-21 am'd."
jurisdiction: "us/states/al"
legislature: "Alabama Legislature"
session: "2018rs"
identifier: "HB 321"
citation: "Alabama HB 321 (2018rs)"
classification: ["bill"]
subjects: ["Taxation"]
status: "enacted"
primary_sponsors: ["Clouse"]
version_count: 2
action_count: 14
vote_count: 2
first_action: "2018-01-30T05:00:00+00:00"
last_action: "2018-03-28T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/8ed2d6d1-2e3b-48c3-ab05-5d9fbc5924ec"
source_url: "http://alisondb.legislature.state.al.us/Alison/SESSBillStatusResult.aspx?BILL=HB321"
source_hash: "f02dc56ca650b6023424340a7b9661c1c97f893c9340b68e54af74ff0630694a"
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 321 (2018rs) — Nursing facilities, supplemental privilege assessment and monthly surcharge for Medicaid extended, expiration under certain conditions, Sec. 40-26B-21 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/2018rs/PrintFiles/HB321-int.pdf)
2. **Enrolled** (enrolled) — [source](http://alisondb.legislature.state.al.us/ALISON/SearchableInstruments/2018rs/PrintFiles/HB321-enr.pdf)

## Votes

- Motion to Read a Third Time and Pass adopted Roll Call 1212 — **26–0** (pass) · upper
- Motion to Read a Third Time and Pass adopted Roll Call 320 — **102–0** (pass) · lower

## Sponsors

- Clouse — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2018-01-30T05:00:00+00:00** Read for the first time and referred to the House of Representatives committee on Ways and Means General Fund `reading-1, referral-committee`
- **2018-02-08T05:00:00+00:00** Read for the second time and placed on the calendar `reading-2`
- **2018-02-13T05:00:00+00:00** Third Reading Passed `passage`
- **2018-02-13T05:00:00+00:00** Motion to Read a Third Time and Pass adopted Roll Call 320 `passage`
- **2018-02-13T05:00:00+00:00** Read for the first time and referred to the Senate committee on Finance and Taxation General Fund `reading-1, referral-committee`
- **2018-03-27T04:00:00+00:00** Read for the second time and placed on the calendar `reading-2`
- **2018-03-28T04:00:00+00:00** Third Reading Passed `passage`
- **2018-03-28T04:00:00+00:00** Motion to Read a Third Time and Pass adopted Roll Call 1212 `passage`
- **2018-03-28T04:00:00+00:00** Passed Second House `passage`
- **2018-03-28T04:00:00+00:00** Enrolled
- **2018-03-28T04:00:00+00:00** Signature Requested
- **2018-03-28T04:00:00+00:00** Clerk of the House Certification
- **2018-03-28T04:00:00+00:00** Assigned Act No. 2018-542. `executive-signature`
- **2018-03-28T04:00:00+00:00** Delivered to Governor at 4;30 p.m. on March 28, 2018. `executive-receipt`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/8ed2d6d1-2e3b-48c3-ab05-5d9fbc5924ec`. Confidence: reported (aggregated from official Alabama legislature records).