The bill proposes to establish presumptive eligibility for pregnant women seeking Medicaid coverage in Alabama prior to the formal approval of their applications. Under the new provisions, a qualified provider can determine a woman's eligibility based on preliminary information, which includes proof of pregnancy and documentation of household income. This presumptive eligibility period will last for up to 60 days, during which the woman can receive ambulatory prenatal care. The bill specifies that a woman can only receive one presumptive eligibility period per pregnancy and that coverage cannot be retroactively denied due to the failure to submit an application or a negative decision on the application.

Additionally, the bill mandates that the Medicaid agency adopt rules to define acceptable documentation for preliminary information and allows for the development of necessary forms for qualified providers. The act is set to be repealed on October 1, 2028, and will take effect on October 1, 2025. The language of the bill includes new insertions regarding the definitions of terms such as "qualified provider" and "presumptive eligibility period," while no deletions from current law are specified.