The bill establishes a framework for presumptive eligibility for Medicaid coverage for pregnant women in Alabama. It allows qualified providers to determine eligibility based on preliminary information, which includes proof of pregnancy and documentation of household income. The presumptive eligibility period lasts for up to 60 days, during which the woman can receive ambulatory prenatal care. The bill specifies that a woman can only have 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 Medicaid agency is authorized to adopt rules to implement these provisions.

Key provisions include the requirement for qualified providers to notify the Medicaid agency of their determination within five working days and to inform the woman of her obligation to apply for Medicaid by the end of the following month. The agency is tasked with defining acceptable documentation for preliminary information and may create necessary forms for providers. The bill also includes a repeal date of October 1, 2028, and is set to take effect on October 1, 2025. There are no deletions from current law mentioned in the text provided.