---
type: "Bill"
title: "Relating to Medicaid; to amend Section 40-26B-26, Code of Alabama 1975, to revise the circumstances under which the Alabama Medicaid Agency may revise the ceiling for the Medicaid reimbursement rate to nursing facilities during a given fiscal year; and to make nonsubstantive, technical revisions to update the existing code language to current style."
description: "Medicaid, circumstances for revising reimbursement rates to nursing facilities revised"
jurisdiction: "us/states/al"
legislature: "Alabama Legislature"
session: "2023rs"
identifier: "SB 189"
citation: "Alabama SB 189 (2023rs)"
classification: ["bill"]
subjects: ["Medicaid"]
status: "enacted"
primary_sponsors: ["Greg Albritton"]
version_count: 3
action_count: 17
vote_count: 2
first_action: "2023-04-06T04:00:00+00:00"
last_action: "2023-06-01T13:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/4cd7d781-eb8b-4370-a2ba-9dadecd58b17"
source_url: "https://alison.legislature.state.al.us/bill-search"
source_hash: "03ca82e4ccc5dd34b66d23c10e3dacbb35cd5607b72e4c45c8f089536715e66e"
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 SB 189 (2023rs) — Relating to Medicaid; to amend Section 40-26B-26, Code of Alabama 1975, to revise the circumstances under which the Alabama Medicaid Agency may revise the ceiling for the Medicaid reimbursement rate to nursing facilities during a given fiscal year; and to make nonsubstantive, technical revisions to update the existing code language to current style.

Medicaid, circumstances for revising reimbursement rates to nursing facilities revised

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](https://www.legislature.state.al.us/pdf/SearchableInstruments/2023RS/SB189-int.pdf)
2. **Act 2023-338** (committee substitute) — [source](http://arc-sos.state.al.us/ucp/L1274791.AI1.pdf)
3. **Enrolled** (enrolled) — [source](https://www.legislature.state.al.us/pdf/SearchableInstruments/2023RS/SB189-enr.pdf)

## Votes

- Roll of the S for Vote 389 on SB189 (2023 Regular Session) — **32–0** (pass) · upper
- Roll of the H for Vote 815 on SB189 (2023 Regular Session) — **103–0** (pass) · lower

## Sponsors

- Greg Albritton — primary (person)

## Timeline

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

- **2023-05-23T04:00:00+00:00** Enrolled
- **2023-05-23T04:00:00+00:00** Ready to Enroll
- **2023-05-23T04:00:00+00:00** Read a Third Time and Pass `passage`
- **2023-05-23T04:00:00+00:00** On Third Reading in Second House
- **2023-05-11T04:00:00+00:00** Read Second Time in Second House
- **2023-05-10T04:00:00+00:00** Reported Out of Committee in Second House
- **2023-05-10T04:00:00+00:00** Reported Favorably (Ways and Means General Fund) `committee-passage`
- **2023-04-25T04:00:00+00:00** Referred to Committee (Ways and Means General Fund) `referral-committee`
- **2023-04-25T04:00:00+00:00** Read First Time in Second House `reading-1`
- **2023-04-25T04:00:00+00:00** Read a Third Time and Pass `passage`
- **2023-04-25T04:00:00+00:00** On Third Reading in House of Origin
- **2023-04-12T04:00:00+00:00** Read Second Time in House of Origin
- **2023-04-12T04:00:00+00:00** Reported Out of Committee in House of Origin
- **2023-04-12T04:00:00+00:00** Reported Favorably (Finance and Taxation General Fund) `committee-passage`
- **2023-04-06T04:00:00+00:00** Introduced and Referred (Finance and Taxation General Fund) `introduction, referral`
- **2023-04-06T04:00:00+00:00** Read First Time in House of Origin `reading-1`
- **2023-06-01T13:00:00+00:00** Enacted as 2023-338 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/4cd7d781-eb8b-4370-a2ba-9dadecd58b17`. Confidence: reported (aggregated from official Alabama legislature records).