Office of Governor Kay Ivey
Alabama's second rural health round funds Cahaba and Franklin Primary Health Center
Alabama announced 34 more Rural Health Transformation grants totaling nearly $55 million, bringing year-one awards past $198 million.
The Record
Alabama: the record
Every Alabama record from every file, newest first; federal records that apply in every state are in the full archive.
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Issues active in Alabama
Tracked issues with at least one Alabama record since Apr 27, 2026.
- The $50 billion Rural Health Transformation Program8 records
- ACA marketplace coverage and uninsured demand5 records
- Health center openings, closures and mergers3 records
- Medicaid financing and eligibility operations3 records
- Community Health Center Fund and federal appropriations2 records
- HRSA Health Center Program rules2 records
Alabama Medicaid Agency
Alabama Medicaid ends prior authorization for MRI, CT and heart scans
Alabama Medicaid's October 2026 provider bulletin says prior authorization ends November 1, 2026 for MRI, MRA, CT, CTA and PET scans and several heart tests. Claims for services before that date still need approval or are denied.
HAPPI Health
HAPPI Health moves from look-alike to funded health center
HAPPI Health said HRSA Administrator Thomas Engels and Rep. Dale Strong visited Huntsville on September 10, 2026, after its New Access Point award.
Office of Governor Kay Ivey
Alabama's first rural-health awards name and fund community health centers by name
Governor Ivey announced 138 first-round Alabama Rural Health Transformation Program grants totaling more than $144 million, drawn from Alabama's $203,404,326.54 first-year CMS allocation, across five initiatives.
WEIS Radio
Thrive Alabama will open a new federally qualified health center in Albertville on a $650,000 HRSA award, targeting a mid-December opening
Thrive Alabama was awarded $650,000 through HRSA's Health Center Program to open what the reporting describes as “a new Federally Qualified Health Center” in Albertville, Marshall County, with a mid-December target.
Office of Alabama Governor Kay Ivey
Alabama names FQHCs among its first 138 rural health grants
Alabama announced 138 initial Rural Health Transformation grants totaling more than $144 million.
ACA Signups
Alabama's individual insurance market has shed roughly 115,000 people
Alabama carriers have filed for a 20.7% weighted-average individual-market increase for 2027 (12.5% non-weighted for small group): Blue Cross Blue Shield of Alabama 19.7% on about 184,000 members, Celtic 11.6% on about 66,674…
Alabama Medicaid Agency
Alabama Medicaid adds nine pediatric hearing-aid service codes without prior authorization
Alabama Medicaid's July 28 Coverage Update adds nine CPT codes for hearing-aid selection, fitting, follow-up, and verification for eligible beneficiaries ages 0–20.
Capstone Health
Capstone Health operates integrated primary care and pharmacy services at its Nauvoo center
As verified July 16, 2026, Capstone Health’s current Nauvoo page lists an operating center at 532 4th Street with weekday primary-care hours of 8:00 a.m.–5:00 p.m. And pharmacy hours of 8:00 a.m.–4:45 p.m., with a 12:30–1:30 p.m. Lunch closure.
Franklin Primary Health Center
Franklin Primary Health Center, Inc. Adds pediatric care for ages 0–19 at Maysville Medical Center
Franklin Primary Health Center announced on June 23, 2026 that pediatric care for patients ages 0–19 would begin July 1 at Maysville Medical Center, with Dr. Ryan Avery accepting new patients.
Rural Health Medical Program Inc.
RHMPI lists mental and behavioral health appointments at all nine Black Belt locations
On its current homepage, Rural Health Medical Program says mental and behavioral health appointments are available at all locations and separately lists nine locations.
Whatley Health Services Inc.
Whatley Health lists 8 p.m. Weekday and Saturday hours at its Tuscaloosa service hub
Whatley Health Services' locations page, timestamped March 5, 2026, lists Maude L. Whatley Health Center at 2731 Martin Luther King Jr. Boulevard in Tuscaloosa as open 8 a.m.–8 p.m. Monday–Friday and 8 a.m.–3 p.m. Saturday.
Peterson-KFF Health System Tracker
Early 2027 Marketplace filings show a 14% median proposed increase, but Alabama rates were not yet in the dataset
Peterson-KFF analyzed 77 insurers in 16 states and the District of Columbia and found a median proposed 2027 Marketplace premium increase of 14%; Alabama was not one of the states with filings in the analysis.
Alabama Department of Economic and Community Affairs
Alabama opens Round 2 of its $203M Rural Health Transformation Program: five new funding opportunities with an August 7 deadline
ADECA's official program page and linked notices list five open opportunities: Cancer Digital Regionalization, Statewide EMS Trauma and Stroke, EMS Treat-in-Place, Maternal and Fetal Health, and Simulation Training.
Alabama Medicaid Agency
Alabama Medicaid confirms its 340B duplicate-discount control: the HRSA Medicaid Exclusion File
Alabama Medicaid's official 340B page says HRSA created the Medicaid Exclusion File for Medicaid fee-for-service claims to help covered entities, states, and manufacturers avoid duplicate discounts.
HAPPI Health / CareImpact.ai
HAPPI Health pilots CareImpact.ai outreach and care-coordination workflows in North Alabama
A June 30 press release says HAPPI Health, a nonprofit FQHC Look-Alike with multiple Tennessee Valley locations, began a pilot with CareImpact.ai.
Fox10 News
Atmore Community Hospital closes ACH Complete Care while keeping hospital and other care services open
ACH Complete Care, an Atmore Community Hospital primary-care clinic, ceased operations June 18, 2026.
Alabama Rural Health Transformation Program
Alabama's $33.374M Rural Workforce Initiative closed June 26; award notices were planned about three to four weeks later
ADECA's linked Rural Workforce notice set a June 26, 2026, 5 p.m. Central deadline and anticipated about $33,374,000 in competitive subawards.
NACHC
Mandatory funding supplies about 70% of federal CHC support; FY2026 discretionary funding supplies the other 30%
NACHC reports that community health centers recently received $4.6 billion in mandatory funding, which represents about 70% of federal CHC funding, and $1.858 billion in FY2026 discretionary funding, which represents about 30%.
Commonwealth Fund
Commonwealth Fund modeled 9,100 Alabama job losses if enhanced Marketplace credits expired
In October 2025, Commonwealth Fund modeled the effects of letting enhanced Marketplace tax credits expire. Nationally, it projected average enrollee payments rising 114%, from $888 to $1,904 per year, and about 339,100 job losses in 2026.
Office of Governor Kay Ivey
CMS approves Alabama's Rural Health Transformation plan and unlocks $203,404,327 for year one
Governor Ivey announced that CMS had approved Alabama's plan and issued an award number, unlocking $203,404,327 for the first year of the five-year Rural Health Transformation Program. ADECA administers the program.
Office of the Governor of Alabama
Alabama's approved rural-health plan spans 11 named initiatives across care delivery, workforce, EMS, and technology
The approved Alabama plan lists 11 initiatives: collaborative EHR, IT and cybersecurity; rural health; maternal and fetal health; rural workforce; cancer digital regionalization; simulation training; statewide EMS trauma and stroke; EMS treat-in-place…
March of Dimes
March of Dimes gives Alabama an F for a 12.7% preterm-birth rate and documents persistent racial disparity
March of Dimes' November 17 release gave Alabama an F based on a 12.7% preterm-birth rate, ranking 49th of 52 jurisdictions measured.
Alabama Arise / Cover Alabama
Pre-expiration analysis put 477,838 Alabama Marketplace enrollees and 130,000 projected coverage losses at stake
Alabama Arise's October 30, 2025 pre-expiration briefing reported 477,838 Marketplace enrollees as of May 2025, estimated that 98% received enhanced premium tax credits…
Alabama Reflector
Alabama's Legislature sends a $3.7B FY2027 General Fund to the governor with Medicaid level-funded at $1.18B
On April 9, Alabama Reflector reported that the Senate had concurred 20-0 with House changes and sent the $3.7 billion FY2027 General Fund budget to Governor Ivey.
Fox 10 News
State House presentation estimates Medicaid expansion could reach 300,000-340,000 Alabamians and bring up to $619M yearly
A March 11 report on a State House presentation said expansion to 138% of the federal poverty level could cover an estimated 300,000 to 340,000 Alabamians.
FOX10 News
Public Citizen flags three rural Alabama hospitals; the state hospital association disputes imminent closure
Fox10 reported that Public Citizen named Grove Hill Memorial, Hill Hospital of Sumter County, and Hale County Hospital as potentially at risk under federal Medicaid cuts.
National Association of Community Health Centers
Community health centers face separate September 30 and December 31, 2026 federal funding expirations
NACHC's current funding page distinguishes two deadlines: discretionary annual funding expires September 30, 2026, and the mandatory Community Health Center Fund expires December 31, 2026.
Office of the Governor of Alabama
Alabama scheduled six May workshops before the first Rural Health Transformation funding round
Governor Ivey's May 21 announcement scheduled six ADECA roadshow workshops for May 26-28 in Bay Minette, Dothan, Tuscaloosa, Montgomery, Decatur, and Livingston.
Alabama Arise
Alabama Arise reports nearly 155,000 adults in the coverage gap and 18,208 fewer Marketplace plan selections
Alabama Arise reported in May that nearly 155,000 adults remained in the coverage gap and said that figure was expected to grow.
Alabama Political Reporter
Two Alabama behavioral-health systems receive approval to begin CCBHC transitions in four counties
Mountain Lakes Behavioral Healthcare, serving Jackson and Marshall counties, and Highland Health Systems, serving Cleburne and Calhoun counties, received SAMHSA approval to begin transitioning to the Certified Community Behavioral Health Clinic model.
Alabama Reflector
Alabama's 2026 session used all 30 legislative days and enacted two cancer-screening coverage measures
Alabama Reflector reported that lawmakers used all 30 legislative days over 86 calendar days, contrary to leaders' earlier 'get in and get out' goal.