After diligent work by U.S. Senators Katie Britt (R-Montgomery) and Tommy Tuberville (R-Auburn), the One Big Beautiful Bill Act contains major wins for rural health care in Alabama.

The Senate amended the reconciliation legislation to create the Rural Health Transformation Program, a nationwide fund of $50 billion to be distributed across Fiscal Years 2026-2030.

Half of the funding will be formulaic, with Alabama set to receive a total of $500 million. If that funding is split evenly, that’d be over $9.26 million for each of Alabama’s 54 rural hospitals.

That is not counting the other half of the national fund, which will be awarded competitively based on rural health care need. Given Alabama’s well-documented challenges with rural health care, the state is positioned to be a large beneficiary of this $25 billion pot of money, as well.

Another Senate amendment to the legislation benefits Alabama. The Senate’s One Big Beautiful Bill Act protects the state’s Medicaid funding by locking in Alabama’s hospital provider tax rate of 6%.

With my and @CoachForGov’s support, the Senate just amended the Big Beautiful Bill to invest over $500M in Alabama’s rural hospitals. Our state will also compete for hundreds of millions more—could end up being a $1B+ investment.

This is a huge victory for our state.

— Katie Britt (@KatieBrittforAL) July 1, 2025

Appearing on CNN’s State of the Union on Sunday, Senator Britt outlined how the legislation is designed to protect Medicaid for those truly in need long into the future. Illegal aliens will be removed from Medicaid rolls nationally, and work requirements will be imposed for able-bodied adults ages 18-65 without dependents under the age of 14.

The Senate passed the One Big Beautiful Bill Act on Tuesday after a vote-a-rama that lasted over 24 straight hours. The bill goes back to the House for consideration this week.