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 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 qualified providers notify the Medicaid agency of the eligibility determination within five working days and inform the woman of her obligation to apply for Medicaid by the end of the following month. The agency is tasked with adopting rules to define acceptable documentation for preliminary information and may create necessary forms for providers. The provisions of this act will be repealed on October 1, 2028, and it is set to take effect on October 1, 2025.