---
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).