Back to Alabama

HB66 • 2026

Motor vehicles; driver licenses; designation of certain medical conditions, provided for

Motor vehicles; driver licenses; designation of certain medical conditions, provided for

Healthcare
Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Tillman
Last action
2026-02-24
Official status
Enacted
Effective date
2026-10-01

Plain English Breakdown

The official text defines 'invisible medical condition' but does not specify if the list is exhaustive or if other conditions may qualify in the future.

Driver Communication and Safety Enhancement Act

This law requires the Alabama State Law Enforcement Agency to let people add a mark on their driver license or ID card if they have certain invisible medical conditions.

What This Bill Does

  • Requires ALEA to create a way for individuals to voluntarily request a designation on their license or ID card.
  • Creates a specific mark that ALEA will place on the card of someone who requests it.
  • Allows people with invisible medical conditions to show this information without paying an extra fee just for the mark.
  • Requires applicants to provide proof from a physician licensed in Alabama before receiving the designation.

Who It Names or Affects

  • Individuals diagnosed with specific invisible medical conditions who hold or apply for driver licenses or ID cards.
  • The Alabama State Law Enforcement Agency (ALEA), which must manage this new process.
  • Physicians licensed in Alabama, whose proof of diagnosis is required.

Terms To Know

Invisible medical condition
A physical or mental health issue that might make it hard for a person to talk with first responders. This includes communication problems, autism spectrum disorder, traumatic brain injury, epilepsy, schizophrenia, and cognitive disabilities.
ALEA
The Alabama State Law Enforcement Agency, the state group that issues driver licenses and ID cards.

Limits and Unknowns

  • This law does not say exactly what the mark or symbol will look like.
  • It is unclear how long it might take for ALEA to set up this new system before October 1, 2026.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

FKWLT55-1

R 183

Adopted

Plain English: This amendment requires Alabama to create a free, voluntary option for people with specific invisible medical conditions to add a special mark on their driver's license or ID card.

  • The law creates the 'Driver Communication and Safety Enhancement Act' to help first responders understand if someone has certain health issues during an emergency.
  • People can ask Alabama State Law Enforcement Agency (ALEA) to put a special mark on their driver's license or ID card showing they have an invisible medical condition.
  • To get this mark, the person must give proof from a doctor licensed in Alabama that they were diagnosed with one of the listed conditions.
  • The list of covered conditions includes autism spectrum disorder, traumatic brain injury, epilepsy, schizophrenia, cognitive disabilities, and communication impediments.
  • The text does not explain exactly what the special mark or designation will look like on the card.
  • It is unclear how first responders are expected to use this information once they see the mark.
  • The amendment only covers conditions listed in Section (f) and does not mention other medical issues.

Bill History

  1. 2026-02-24 House

    Enacted

  2. 2026-02-17 House

    Delivered to Governor

  3. 2026-02-17 Senate

    Signature Requested

  4. 2026-02-12 House

    Enrolled

  5. 2026-02-12 House

    Ready to Enroll

  6. 2026-02-10 Senate

    Motion to Read a Third Time and Pass - Adopted Roll Call 326 (Yeas 32, Nays 0)

  7. 2026-02-10 Senate

    Third Reading in Second House (Yeas 32, Nays 0)

  8. 2026-02-05 Senate

    Read for the Second Time and placed on the Calendar

  9. 2026-02-04 Senate

    Reported Out of Committee Second House

  10. 2026-01-27 House

    Motion to Add Cosponsor - Adopted Roll Call 185 (Yeas 59, Nays 0)

  11. 2026-01-27 House

    Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 184 (Yeas 103, Nays 0)

  12. 2026-01-27 House

    Motion to Adopt - Adopted Roll Call 183 (Yeas 102, Nays 0)

  13. 2026-01-27 House

    Third Reading in House of Origin (Yeas 104, Nays 0)

  14. 2026-01-27 Senate

    Pending Committee Action in Second House

  15. 2026-01-27 Senate

    Read for the first time and referred to the Senate Committee on State Governmental Affairs

  16. 2026-01-27 House

    Engrossed

  17. 2026-01-27 House

    Ways and Means General Fund Engrossed Substitute Offered

  18. 2026-01-21 House

    Read for the Second Time and placed on the Calendar

  19. 2026-01-21 House

    Reported Out of Committee House of Origin

  20. 2026-01-13 House

    Pending Committee Action in House of Origin

  21. 2026-01-13 House

    Read for the first time and referred to the House Committee on Ways and Means General Fund

Official Summary Text

This act is the Driver Communication and Safety Enhancement Act. This act adds Section 32-6-6 to the Code of Alabama 1975, to require the Alabama State Law Enforcement Agency to allow an individual to request a designation be placed on his or her driver license or identification card indicating the individual has an invisible medical condition upon providing proof of the condition.

Current Bill Text

Read the full stored bill text
HB66 ENROLLED
Page 0
HB66
FKWLT55-3
By Representative Tillman
RFD: Ways and Means General Fund
First Read: 13-Jan-26
PFD: 17-Nov-25
1
2
3
4
5
6
HB66 Enrolled
Page 1
PFD: 17-Nov-25
Enrolled, An Act,
Relating to motor vehicles; to amend Section 32-6-6,
Code of Alabama 1975, to require the Alabama State Law
Enforcement Agency to establish a method for an individual to
voluntarily designate on a driver license or nondriver
identification card that the individual has certain medical
conditions.
BE IT ENACTED BY THE LEGISLATURE OF ALABAMA:
Section 1. This act shall be known and may be cited as
the Driver Communication and Safety Enhancement Act.
Section 2. Section 32-6-6, Code of Alabama 1975, is
amended to read as follows:
"§32-6-6
(a) Each driver license issued by the Alabama State Law
Enforcement Agency (ALEA) , except temporary permits or other
special circumstances as determined by the Secretary of the
Alabama State Law Enforcement Agency, shall contain a
distinguishing number assigned to the licensee and a color
photograph of the licensee, the name, birthdate, address, and
a description of the licensee ., who, for For the purpose of
identification and as a condition precedent to the validity of
the license, immediately upon receipt of the license, the
licensee shall endorse his or her usual or regular signature
upon the license in the space provided, unless a facsimile of
the licensee's signature appears on the license.
(b) A photo driver license and photo nondriver
identification card as provided in Section 32-6-4 shall have a
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
HB66 Enrolled
Page 2
identification card as provided in Section 32-6-4 shall have a
photo core that meets the minimum width and length dimensions
specified in ANSI standards X4.13-1971 and ANSI standard CR80,
plus or minus 1/4 inch. In addition to all current and
existing fees, the agency ALEA may charge an additional fee to
recover the cost of producing and issuing photo driver
licenses and photo nondriver identification cards. The fee may
not exceed ten cents ($.10) ($0.10) over the actual cost of
producing and issuing the license or card , including the cost
of materials, labor costs, telecommunications costs, computer
costs, postage, and any other costs incurred in producing and
issuing a license or card.
(c)(1) ALEA shall provide a method for an individual to
voluntarily designate on his or her driver license or
nondriver identification card that the individual has been
diagnosed with an invisible medical condition. ALEA shall
create a discrete designation or mark to place on the license
or card of the individual requesting the designation. ALEA may
not charge a fee solely for the designation.
(2) To receive the designation, the individual shall
provide proof of the diagnosis from a physician licensed to
practice medicine in this state.
(c)(d) A driver license issued to a qualifying student
described in Section 16-28-40(b) shall be exempt from any fees
under this section.
(d)(e) Revenues collected under this section shall be
used by the agency ALEA for the sole purpose of this program,
and any excess shall revert to the State General Fund at the
end of each fiscal year.
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
HB66 Enrolled
Page 3
end of each fiscal year.
(f) For the purposes of this section, the term
"invisible medical condition" means a physical or mental
condition that may interfere with an individual's ability to
communicate with a first responder, including:
(1) A communication impediment;
(2) Autism spectrum disorder;
(3) Traumatic brain injury;
(4) Epilepsy;
(5) Schizophrenia; or
(6) A cognitive disability.
Section 3. This act shall become effective on October
1, 2026.
57
58
59
60
61
62
63
64
65
66
67
68
HB66 Enrolled
Page 4
1, 2026.
________________________________________________
Speaker of the House of Representatives
________________________________________________
President and Presiding Officer of the Senate
House of Representatives
I hereby certify that the within Act originated in and
was passed by the House 27-Jan-26.
John Treadwell
Clerk
Senate 10-Feb-26 Passed
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99