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---
type: "Bill"
title: "Chiropractors, chiropractic agreements with patients, not considered insurance, license to sell or market not required, requirements for agreement established, discontinuance of services under the agreement, Ala. Chiropractors Direct Pay Act"
description: "Chiropractors, chiropractic agreements with patients, not considered insurance, license to sell or market not required, requirements for agreement established, discontinuance of services under the agreement, Ala. Chiropractors Direct Pay Act"
jurisdiction: "us/states/al"
legislature: "Alabama Legislature"
session: "2018rs"
identifier: "SB 234"
citation: "Alabama SB 234 (2018rs)"
classification: ["bill"]
subjects: ["Health"]
status: "enacted"
primary_sponsors: ["Dunn"]
version_count: 2
action_count: 12
vote_count: 2
first_action: "2018-01-25T05:00:00+00:00"
last_action: "2018-03-20T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/cbc74ddf-2b42-4f27-b4f5-b7aea57cb577"
source_url: "http://alisondb.legislature.state.al.us/Alison/SESSBillStatusResult.aspx?BILL=SB234"
source_hash: "5d9baa1227b4d9603b2abba849a961832b4b1cf2b4c0ddc064e2c8be81b86cfc"
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 234 (2018rs) — Chiropractors, chiropractic agreements with patients, not considered insurance, license to sell or market not required, requirements for agreement established, discontinuance of services under the agreement, Ala. Chiropractors Direct Pay Act
## 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/2018rs/PrintFiles/SB234-int.pdf)
2. **Enrolled** (enrolled) — [source](http://alisondb.legislature.state.al.us/ALISON/SearchableInstruments/2018rs/PrintFiles/SB234-enr.pdf)
## Votes
- Motion to Read a Third Time and Pass adopted Roll Call 869 — **960** (pass) · lower
- Motion to Read a Third Time and Pass adopted Roll Call 310 — **190** (pass) · upper
## Sponsors
- Dunn — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2018-01-25T05:00:00+00:00** Read for the first time and referred to the Senate committee on Health and Human Services `reading-1, referral-committee`
- **2018-02-01T05:00:00+00:00** Read for the second time and placed on the calendar `reading-2`
- **2018-02-06T05:00:00+00:00** Third Reading Passed `passage`
- **2018-02-06T05:00:00+00:00** Motion to Read a Third Time and Pass adopted Roll Call 310 `passage`
- **2018-02-06T05:00:00+00:00** Read for the first time and referred to the House of Representatives committee on Insurance `reading-1, referral-committee`
- **2018-02-22T05:00:00+00:00** Read for the second time and placed on the calendar `reading-2`
- **2018-03-15T04:00:00+00:00** Third Reading Passed `passage`
- **2018-03-15T04:00:00+00:00** Motion to Read a Third Time and Pass adopted Roll Call 869 `passage`
- **2018-03-20T04:00:00+00:00** Passed Second House `passage`
- **2018-03-20T04:00:00+00:00** Signature Requested
- **2018-03-20T04:00:00+00:00** Enrolled
- **2018-03-20T04:00:00+00:00** Assigned Act No. 2018-390. `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/cbc74ddf-2b42-4f27-b4f5-b7aea57cb577`. Confidence: reported (aggregated from official Alabama legislature records).