FN-234AKS-1 Page 1 FISCAL NOTE House Bill 279 Committee: Ways and Means General FundSponsor: Representative Kyle South Analyst: Tiffany Weaver Date: 04/17/2023 House Bill 279 as introduced could increase the obligations of the Alabama Medicaid Agency by an undetermined amount dependent on the amount of any increase in the ceiling for reimbursement of nursing facilities' allowable costs during a fiscal year, as determined by the Medicaid Commissioner and provided by this bill, due to any of the following: (1) a public health emergency; (2) a new federal or state law or regulation; or (3) a statewide uncontrollable catastrophic event.