---
type: "Bill"
title: "Natural Death Act, certification of surrogate to make end of life health care decisions, notarization requirement removed, Sec. 22-8A-11 am'd."
description: "Natural Death Act, certification of surrogate to make end of life health care decisions, notarization requirement removed, Sec. 22-8A-11 am'd."
jurisdiction: "us/states/al"
legislature: "Alabama Legislature"
session: "2022rs"
identifier: "HB 191"
citation: "Alabama HB 191 (2022rs)"
classification: ["bill"]
subjects: ["Health"]
status: "enacted"
primary_sponsors: ["Oliver"]
version_count: 5
action_count: 22
vote_count: 5
first_action: "2022-02-01T05:00:00+00:00"
last_action: "2022-04-07T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/306134bc-28a3-46b6-8fb1-0e0f0efc082c"
source_url: "http://alisondb.legislature.state.al.us/Alison/SESSBillStatusResult.aspx?BILL=HB191"
source_hash: "3cd6c818e1960f688cd53a1557a101c990ea6b8a4ce8a36ada67e260016b380a"
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 191 (2022rs) — Natural Death Act, certification of surrogate to make end of life health care decisions, notarization requirement removed, Sec. 22-8A-11 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/2022rs/PrintFiles/HB191-int.pdf)
2. **Amd/Sub 217302-1** (committee substitute) — [source](http://alisondb.legislature.state.al.us/ALISON/SearchableInstruments/2022rs/PrintFiles/217302-1.pdf)
3. **Amd/Sub 218636-2** (committee substitute) — [source](http://alisondb.legislature.state.al.us/ALISON/SearchableInstruments/2022rs/PrintFiles/218636-2.pdf)
4. **Engrossed** (committee substitute) — [source](http://alisondb.legislature.state.al.us/ALISON/SearchableInstruments/2022rs/PrintFiles/HB191-eng.pdf)
5. **Enrolled** (enrolled) — [source](http://alisondb.legislature.state.al.us/ALISON/SearchableInstruments/2022rs/PrintFiles/HB191-enr.pdf)

## Votes

- Motion to Read a Third Time and Pass adopted Roll Call 75 — **82–7** (pass) · lower
- Motion to Adopt adopted Roll Call 661 — **20–1** (pass) · upper
- Oliver motion to Concur In and Adopt adopted Roll Call 967 — **93–2** (pass) · lower
- Motion to Read a Third Time and Pass adopted Roll Call 958 — **24–5** (pass) · upper
- Motion to Adopt adopted Roll Call 74 — **92–0** (pass) · lower

## Sponsors

- Oliver — primary (person)

## Timeline

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

- **2022-02-01T05:00:00+00:00** Read for the first time and referred to the House of Representatives committee on Health `reading-1, referral-committee`
- **2022-02-02T05:00:00+00:00** Read for the second time and placed on the calendar `reading-2`
- **2022-02-08T05:00:00+00:00** Third Reading Passed `passage`
- **2022-02-08T05:00:00+00:00** Oliver Amendment Offered `amendment-introduction`
- **2022-02-08T05:00:00+00:00** Motion to Adopt adopted Roll Call 74 `amendment-passage`
- **2022-02-08T05:00:00+00:00** Motion to Read a Third Time and Pass adopted Roll Call 75 `passage`
- **2022-02-08T05:00:00+00:00** Engrossed
- **2022-02-08T05:00:00+00:00** Read for the first time and referred to the Senate committee on Healthcare `reading-1, referral-committee`
- **2022-03-09T05:00:00+00:00** Read for the second time and placed on the calendar 1 amendment `reading-2`
- **2022-03-17T04:00:00+00:00** Third Reading Carried Over to Call of the Chair
- **2022-03-17T04:00:00+00:00** Healthcare Amendment Offered `amendment-introduction`
- **2022-03-17T04:00:00+00:00** Motion to Adopt adopted Roll Call 661 `amendment-passage`
- **2022-03-17T04:00:00+00:00** Waggoner motion to Carry Over to the Call of the Chair adopted Voice Vote
- **2022-04-05T04:00:00+00:00** Motion to Read a Third Time and Pass adopted Roll Call 958 `passage`
- **2022-04-07T04:00:00+00:00** Concurrence Requested
- **2022-04-07T04:00:00+00:00** Oliver motion to Concur In and Adopt adopted Roll Call 967 `passage`
- **2022-04-07T04:00:00+00:00** Concurred in Second House Amendment
- **2022-04-07T04:00:00+00:00** Signature Requested
- **2022-04-07T04:00:00+00:00** Enrolled
- **2022-04-07T04:00:00+00:00** Clerk of the House Certification
- **2022-04-07T04:00:00+00:00** Assigned Act No. 2022-434. `executive-signature`
- **2022-04-07T04:00:00+00:00** Forwarded to Governor on April 7, 2022 at 5:36 p.m. on April 7, 2022. `executive-receipt`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/306134bc-28a3-46b6-8fb1-0e0f0efc082c`. Confidence: reported (aggregated from official Alabama legislature records).