2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 3A - Alabama Public Health Finance Authority. › Section 22-3A-19 - Certain Public Health Facilities as Primary Obligation of Authority; Reimbursement to Counties; Refinancing or Refunding of Obligations.

Section 22-3A-19
Certain public health facilities as primary obligation of authority; reimbursement to counties; refinancing or refunding of obligations.
(a) As its primary obligation under this chapter, the authority shall, subject to the provisions of subsection (c) of this section, expend the net proceeds derived from the sale of the bonds herein provided (other than refunding bonds), together with the income from the investment of such proceeds, for the purpose of paying the costs of acquiring, constructing, improving and equipping public health facilities in the following locations and in the following amounts:
County
Municipality or Locality
Total
Autauga
Prattville
$8,318
Baldwin
Bay Minette
556,649
Baldwin
Fairhope
619,694
Baldwin
Foley
542,375
Barbour
Clayton
122,267
Barbour
Eufaula
559,930
Bibb
Centreville
739,481
Blount
Oneonta
383,936
Bullock
Union Springs
549,960
Butler
Greenville
683,291
Calhoun
Anniston
2,000,000
Chambers
LaFayette
531,844
Chambers
Valley
170,723
Cherokee
Centre
280,797
Chilton
Clanton
719,032
Choctaw
Butler
584,503
Clarke
Grove Hill
437,119
Clay
Ashland
562,645
Cleburne
Heflin
219,104
Coffee
Coffee County
1,189,787
Colbert
Tuscumbia
20,000
Conecuh
Evergreen
335,723
Coosa
Goodwater
186,217
Coosa
Rockford
545,097
Covington
Andalusia
977,514
Covington
Opp
106,809
Crenshaw
Luverne
19,960
Cullman
Cullman
31,931
Dale
Ozark
242,435
Dallas
Selma
2,169,166
DeKalb
Fort Payne
402,925
Elmore
Wetumpka
206,787
Escambia
Atmore
162,494
Escambia
Brewton
220,209
Etowah
Gadsden
881,132
Fayette
Fayette
561,120
Franklin
Russellville
832,534
Geneva
Geneva
289,600
Greene
Eutaw
243,561
Hale
Greensboro
237,679
Henry
Abbeville
265,452
Henry
Headland
118,223
Houston
Dothan
23,303
Jackson
Scottsboro
490,256
Jefferson
Bessemer
146,763
Jefferson
Birmingham
634,334
Jefferson
Eastern
46,351
Jefferson
Far Eastern Health Center
555,000
Jefferson
Leeds
10,652
Jefferson
Morris
276,050
Jefferson
Northern
33,801
Jefferson
Western
378,268
Lamar
Vernon
314,739
Lauderdale
Florence
816,887
Lawrence
Moulton
582,361
Lee
Opelika
581,900
Limestone
Athens
156,549
Lowndes
Hayneville
331,325
Macon
Tuskegee
256,838
Madison
Huntsville
1,601,875
Madison
Huntsville-Calvary Hill
344,871
Madison
Triana
66,820
Marengo
Linden
569,706
Marion
Hamilton
743,586
Marshall
Albertville
454,107
Marshall
Guntersville
794,541
Mobile
Mobile
1,391,903
Mobile
Northern Part of County
555,000
Mobile
Southern Part of County
555,000
Monroe
Monroeville
556,782
Montgomery
Montgomery
3,000,000
Morgan
Decatur
341,621
Perry
Marion
657,398
Perry
Uniontown
9,532
Pickens
Carrollton
77,869
Pike
Troy
729,479
Randolph
Roanoke
414,345
Randolph
Wedowee
1,493
Russell
Phenix City
553,394
Saint Clair
Ashville
98,664
Saint Clair
Pell City
580,664
Shelby
Columbiana
592,481
Shelby
Pelham
551,363
Sumter
Livingston
548,371
Talladega
Childersburg
9,327
Talladega
Sylacauga
129,015
Talladega
Talladega
243,186
Tallapoosa
Alexander City
607,137
Tallapoosa
Dadeville
312,662
Tuscaloosa
Tuscaloosa
337,852
Walker
Jasper
242,655
Washington
Chatom
237,630
Wilcox
Camden
213,911
Winston
Double Springs
65,989
Winston
Haleyville
26,671
(b) Any county commission in any county for which an allocation of bond proceeds is made in subsection (a) of this section may petition the authority (i) for reimbursement of capital expenditures for public health facilities incurred and paid by a board of health in such county or such county commission after January 1, 1989, or (ii) to refinance or refund any obligations incurred to finance capital expenditures for public health facilities incurred and paid by a board of health in such county or such county commission after January 1, 1989. Out of the total amount of bond proceeds allocated in subsection (a) of this section to any county in which such capital expenditures were incurred and paid, the authority shall reimburse such costs or provide for the refinancing or refunding of obligations incurred to pay such costs, in either case, in an amount not to exceed the total amount allocated to such county. Additionally the county commission to which any such reimbursement is made shall be entitled to use the funds so reimbursed for any capital expenditure permitted by law. It is further provided that any county commission receiving reimbursement under this subsection (b) may use said reimbursement to provide new public facilities and/or to improve existing public facilities.
(c) To the extent consistent with the actual costs of public health facilities needed by the people in the counties, municipalities and localities identified in subsection (a) of this section, the authority, acting with the advice of the State Department of Health, shall expend, out of bond proceeds and income derived from the investment thereof, the amounts respectively allocated by said subsection (a) for public health facilities in such counties, municipalities and localities. The authority may allow such increases above the amounts specifically allocated as are necessary to provide and pay the full costs of such facilities, provided that such increases are approved by unanimous consent of all members of the authority. In the absence of an authority member, his vote may be cast in writing and submitted to the chairman prior to the meeting during which said vote is scheduled. Under no circumstances shall any amount allocated to any county and/or municipality or locality by said subsection (a) be reduced by more than five percent of such amount or $50,000.00, whichever is less, unless the following conditions shall be satisfied:
(1) The board of directors of the authority, based on information and recommendations provided by the State Department of Health, shall have made findings in a resolution justifying the proposed reduction and the alternative expenditure that is to be made with the funds saved by such reduction;
(2) At least 10 days before the first of the meetings referred to in subdivision (3) of this subsection, the chief health officer of the county affected by the proposed reduction and all members of the Senate and House of Representatives representing such county shall have been notified in writing of such proposed reduction, the findings justifying the same, and the date, time and place of the two meetings of the board of directors of the authority at which approval of such reduction will be considered; and
(3) After having given the chief health officer, the Senators and Representatives, and other interested officials and citizens of the county affected by the proposed reduction an opportunity to oppose such reduction at each of the meetings required by this subdivision (3), the unanimous consent of all members of the board of directors of the authority shall vote to approve such reduction, together with the alternative expenditure of the funds to be saved by such reduction, at not less than two different public meetings of the board of directors separated by an interval of not less than 30 days. In the absence of an authority member, his vote may be cast in writing and submitted to the chairman prior to the meeting during which said vote is scheduled.
(Acts 1990, No. 90-598, §19.)