Ala. Const. art. I, § 36.04

(a) In order to preserve the freedom of all residents of Alabama to provide for their own health care, a law or rule shall not compel, directly or indirectly, any person, employer, or health care provider to participate in any health care system. (b) A person or employer may pay directly for health care services and shall not be required to pay penalties or fines for paying directly for lawful health care services. A health care provider may accept direct payment for lawful health care services and shall not be required to pay penalties or fines for accepting direct payment from a person or employer for lawful health care services. (c) The purchase or sale of health insurance in private health care systems shall not be prohibited by law or rule. (Proposed by Act 2011-617, ratified December 13, 2012, as Amendment 864.)