---
type: "Bill"
title: "Emergency Medical Services, community paramedicine program established, referral for services after discharge from medical facility, State Board of Health to adopt rules, Sec. 22-18-10 added; Sec. 22-18-1 am'd."
description: "Emergency Medical Services, community paramedicine program established, referral for services after discharge from medical facility, State Board of Health to adopt rules, Sec. 22-18-10 added; Sec. 22-18-1 am'd."
jurisdiction: "us/states/al"
legislature: "Alabama Legislature"
session: "2021rs"
identifier: "HB 141"
citation: "Alabama HB 141 (2021rs)"
classification: ["bill"]
subjects: ["Emergency Medical Services"]
status: "enacted"
primary_sponsors: ["Sells"]
version_count: 4
action_count: 17
vote_count: 3
first_action: "2021-02-02T05:00:00+00:00"
last_action: "2021-04-22T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/a39ddff9-a746-4bff-b457-3a93e60559e1"
source_url: "http://alisondb.legislature.state.al.us/Alison/SESSBillStatusResult.aspx?BILL=HB141"
source_hash: "f86a01efa7dc524bf970a1038cc49790831e8c9752ea3c55545b88d6796ff73f"
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 141 (2021rs) — Emergency Medical Services, community paramedicine program established, referral for services after discharge from medical facility, State Board of Health to adopt rules, Sec. 22-18-10 added; Sec. 22-18-1 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/2021rs/PrintFiles/HB141-int.pdf)
2. **Amd/Sub 211142-1** (committee substitute) — [source](http://alisondb.legislature.state.al.us/ALISON/SearchableInstruments/2021rs/PrintFiles/211142-1.pdf)
3. **Engrossed** (committee substitute) — [source](http://alisondb.legislature.state.al.us/ALISON/SearchableInstruments/2021rs/PrintFiles/HB141-eng.pdf)
4. **Enrolled** (enrolled) — [source](http://alisondb.legislature.state.al.us/ALISON/SearchableInstruments/2021rs/PrintFiles/HB141-enr.pdf)

## Votes

- Motion to Adopt adopted Roll Call 456 — **98–0** (pass) · lower
- Motion to Read a Third Time and Pass adopted Roll Call 1064 — **27–0** (pass) · upper
- Motion to Read a Third Time and Pass adopted Roll Call 457 — **98–0** (pass) · lower

## Sponsors

- Sells — primary (person)

## Timeline

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

- **2021-02-02T05:00:00+00:00** Read for the first time and referred to the House of Representatives committee on Health `reading-1, referral-committee`
- **2021-02-24T05:00:00+00:00** Read for the second time and placed on the calendar `reading-2`
- **2021-03-16T04:00:00+00:00** Third Reading Passed `passage`
- **2021-03-16T04:00:00+00:00** Sells first Substitute Offered `amendment-introduction`
- **2021-03-16T04:00:00+00:00** Motion to Adopt adopted Roll Call 456 `amendment-passage`
- **2021-03-16T04:00:00+00:00** Motion to Read a Third Time and Pass adopted Roll Call 457 `passage`
- **2021-03-16T04:00:00+00:00** Engrossed
- **2021-03-18T04:00:00+00:00** Read for the first time and referred to the Senate committee on Healthcare `reading-1, referral-committee`
- **2021-04-01T04:00:00+00:00** Read for the second time and placed on the calendar `reading-2`
- **2021-04-20T04:00:00+00:00** Third Reading Passed `passage`
- **2021-04-20T04:00:00+00:00** Motion to Read a Third Time and Pass adopted Roll Call 1064 `passage`
- **2021-04-20T04:00:00+00:00** Passed Second House `passage`
- **2021-04-20T04:00:00+00:00** Enrolled
- **2021-04-22T04:00:00+00:00** Signature Requested
- **2021-04-22T04:00:00+00:00** Clerk of the House Certification
- **2021-04-22T04:00:00+00:00** Assigned Act No. 2021-303. `executive-signature`
- **2021-04-22T04:00:00+00:00** Delivered to Governor at 9:49 a.m. on April 22, 2021. `executive-receipt`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/a39ddff9-a746-4bff-b457-3a93e60559e1`. Confidence: reported (aggregated from official Alabama legislature records).