Even after the Civil War and Reconstruction amendments had ended slavery and declared Black people to be citizens with civil rights and the power to vote, many Southern state and local lawmakers passed laws forbidding Black and white people from playing checkers or pool together, entering a circus through the same entrance, or being buried in the same cemetery.

In some instances, these laws interfered with the provision of very important services, including education and health care. The statute mandated segregated nursing and threatened violators with a fine of $10-$200 and up to six months incarceration or hard labor.

Today, historians acknowledge that Black patients of the Jim Crow era were often relegated to overcrowded, under-resourced basement wards in segregated hospitals—and sometimes denied care altogether. In the neighboring state of Georgia in 1931, two Black women injured in a car accident died from their injuries after the local hospital refused them care due to their race.

At a time when many institutional barriers limited the number of Black people able to become doctors and nurses in Alabama and restricted them from practicing in most state hospitals and other medical facilities, laws like this one inflicted further harm on Black people in need of care.