09/01/2026
Alabama has been funding spay/neuter since 2009. Almost nobody in animal welfare here seems to know it.
There is a specialty license plate. It costs $50. Of that, $35.06 goes to paying veterinarians for spay/neuter surgeries on the pets of Medicaid families. Since 2009 that plate and a tax return check-off have put $2,495,848 into sterilization and paid for 42,677 surgeries.
So the question of whether this state believes prevention is worth public money is already answered. It answered yes in 2007, before most of the field was having the conversation.
Here is the part I did not expect.
Divide those surgeries by the seventeen years the program has run and you get about 2,510 a year. Alabama has 5,157,699 people. That is 0.49 surgeries per thousand residents per year.
The working benchmark from practitioners who have built these programs is that three to four per thousand still lets a pet population grow, five to six holds it flat, and seven to eight starts bringing it down. Field-derived guidance, not peer-reviewed research, and I present it that way.
Against that, the state program is running at about six percent of the dose.
That is not a criticism of the foundation administering it. They are doing what the revenue allows, and the revenue was capped by a decision made in 2007 that nobody has revisited.
Then there is the geography. The participating clinic list, updated in April, has 33 veterinary hospitals in the whole state, sitting in 19 counties. Alabama has 67. So 48 Alabama counties contain no clinic that participates in the state spay/neuter program. If you are on Medicaid in one of those counties, the help exists and you cannot reach it.
Five of the seven counties Animal-Angels Foundation serves have none.
The honest version of this argument is not that Alabama has done nothing. Alabama built the right thing and then never sized it. The debate is not whether to start funding prevention. It is why we stopped at six percent.
And one fix needs no legislature at all.
Enrollment is a form signed by the veterinarians in the practice, a W-9, and an address in Pike Road. The state pays $100 for a dog spay on top of what your client pays.
If you are a veterinarian in one of those 48 counties, that is a phone call.
New on The Shift to Prevention: https://conta.cc/3V7I6As