---
type: "Bill"
title: "Health, minors end-of-life care, doctors required to obtain consent of parent or legal guardian of minor prior to entering \"do not attempt resuscitation order\" order, Sec. 22-8A-18 added."
description: "Health, minors end-of-life care, doctors required to obtain consent of parent or legal guardian of minor prior to entering \"do not attempt resuscitation order\" order, Sec. 22-8A-18 added."
jurisdiction: "us/states/al"
legislature: "Alabama Legislature"
session: "2021rs"
identifier: "HB 224"
citation: "Alabama HB 224 (2021rs)"
classification: ["bill"]
subjects: ["Health"]
status: "enacted"
primary_sponsors: ["Ledbetter"]
version_count: 4
action_count: 17
vote_count: 3
first_action: "2021-02-02T05:00:00+00:00"
last_action: "2021-05-17T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/8d4b9502-a691-4832-a55e-3232a34bd979"
source_url: "http://alisondb.legislature.state.al.us/Alison/SESSBillStatusResult.aspx?BILL=HB224"
source_hash: "d1d955ccd3c3e29892bf4102d32c4c980251a5de32e04cb2c0df47785e2645a3"
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 224 (2021rs) — Health, minors end-of-life care, doctors required to obtain consent of parent or legal guardian of minor prior to entering "do not attempt resuscitation order" order, Sec. 22-8A-18 added.

## 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/HB224-int.pdf)
2. **Amd/Sub 210100-3** (committee substitute) — [source](http://alisondb.legislature.state.al.us/ALISON/SearchableInstruments/2021rs/PrintFiles/210100-3.pdf)
3. **Engrossed** (committee substitute) — [source](http://alisondb.legislature.state.al.us/ALISON/SearchableInstruments/2021rs/PrintFiles/HB224-eng.pdf)
4. **Enrolled** (enrolled) — [source](http://alisondb.legislature.state.al.us/ALISON/SearchableInstruments/2021rs/PrintFiles/HB224-enr.pdf)

## Votes

- Motion to Adopt adopted Roll Call 555 — **96–0** (pass) · lower
- Motion to Read a Third Time and Pass adopted Roll Call 1443 — **31–0** (pass) · upper
- Motion to Read a Third Time and Pass adopted Roll Call 556 — **97–0** (pass) · lower

## Sponsors

- Ledbetter — 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`
- **2021-02-10T05:00:00+00:00** Read for the second time and placed on the calendar `reading-2`
- **2021-03-30T04:00:00+00:00** Third Reading Passed `passage`
- **2021-03-30T04:00:00+00:00** Ledbetter first Substitute Offered `amendment-introduction`
- **2021-03-30T04:00:00+00:00** Motion to Adopt adopted Roll Call 555 `amendment-passage`
- **2021-03-30T04:00:00+00:00** Motion to Read a Third Time and Pass adopted Roll Call 556 `passage`
- **2021-03-30T04:00:00+00:00** Engrossed
- **2021-03-30T04:00:00+00:00** Read for the first time and referred to the Senate committee on Healthcare `reading-1, referral-committee`
- **2021-04-07T04:00:00+00:00** Read for the second time and placed on the calendar `reading-2`
- **2021-05-17T04:00:00+00:00** Third Reading Passed `passage`
- **2021-05-17T04:00:00+00:00** Motion to Read a Third Time and Pass adopted Roll Call 1443 `passage`
- **2021-05-17T04:00:00+00:00** Passed Second House `passage`
- **2021-05-17T04:00:00+00:00** Enrolled
- **2021-05-17T04:00:00+00:00** Signature Requested
- **2021-05-17T04:00:00+00:00** Clerk of the House Certification
- **2021-05-17T04:00:00+00:00** Assigned Act No. 2021-500. `executive-signature`
- **2021-05-17T04:00:00+00:00** Delivered to Governor at 7:24 p.m. on May 17, 2021. `executive-receipt`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/8d4b9502-a691-4832-a55e-3232a34bd979`. Confidence: reported (aggregated from official Alabama legislature records).