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SB270
SB270 By Senator Blackwell ENROLLED, An Act, Relating to vision care providers; to prohibit
insurers of vision care services from limiting a vision care provider’s ability to set fees
for services and materials, to participate in specific vision care plans, and to choose sources
of suppliers in certain circumstances; to prohibit vision care providers from charging more
to an insurer than the customary rates of those vision care providers; to require reasonable
reimbursements for vision care services and materials to vision care providers; to exempt
certain health care service plans; and to authorize the Department of Insurance to adopt rules
to implement this act. BE IT ENACTED BY THE LEGISLATURE OF ALABAMA: Section 1. (a) As used
in this section, the following words shall have the following meanings: (1) CONTRACTUAL DISCOUNT.
A percentage reduction from a provider's usual and customary rate for covered services and
materials required under a participating provider agreement. (2)...
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HB540
167902-1:n:04/16/2015:PMG/tj LRS2015-1607 HB540 By Representative Fridy RFD Insurance Rd 1
23-APR-15 SYNOPSIS: This bill would prohibit insurers of vision care services from limiting
a vision care provider’s ability to set fees for services and materials, to participate in
specific vision care plans, and to choose sources of suppliers in certain circumstances. This
bill would prohibit vision care providers from charging more to an insurer than the customary
rates of those vision care providers. This bill would require reasonable reimbursements for
vision care services and materials to vision care providers. This bill would exempt certain
health care service plans. This bill would also authorize the Department of Insurance to adopt
rules to implement this act. A BILL TO BE ENTITLED AN ACT Relating to vision care providers;
to prohibit insurers of vision care services from limiting a vision care provider’s ability
to set fees for services and materials, to participate in specific...
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SB483
169136-1:n:05/08/2015:MCS/mfc LRS2015-1981 SB483 By Senator Marsh RFD Banking and Insurance
Rd 1 19-MAY-15 SYNOPSIS: This bill would amend the Pharmaceutical Insurance Coverage Chapter
of the Alabama Insurance Code to provide further for the applicability of Chapter 45 of Title
27, Code of Alabama, to pharmacy benefit management administered by various health care plans,
companies, and facilities; to provide for definitions, choice of pharmacy services, and contracting
providers, void policies, non-mandated benefits and services; requirements of compliance;
nonconforming policies; duty of Insurance Department to enforce, adoption of rules, regulated
activities; and violations. This bill would add a new Article 3 to Chapter 45 of Title 27,
Code of Alabama, relating to the administration of pharmaceutical insurance coverage, including
timely notice of changes in terms of managers; reimbursement and payment; cancellation procedures;
denial of payment; preservation of patient care; use of...
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SB296
SB296 By Senator Bussman ENROLLED, An Act, Relating to the terms of certain health insurance
policies, health maintenance organization plans, and other health benefit plans, with respect
to dental services; to prohibit a policy or plan to set fees for services that are not covered
by the plan or policy; and to provide certain exceptions. BE IT ENACTED BY THE LEGISLATURE
OF ALABAMA: Section 1. As used in this act, the following terms shall have the following meanings:
(1) COVERED PERSON. Any individual, family, or family member on whose behalf third-party payment
or prepayment of health or medical expenses is provided under an insurance policy, plan, or
contract providing for third-party payment or prepayment of health care or medical expenses.
(2) COVERED SERVICES. Dental care services for which a reimbursement is available under an
enrollee's plan contract, or for which a reimbursement would be available but for the application
of contractual limitations such as deductibles,...
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HB591
167567-1:n:04/20/2015:FC*/mfc LRS2015-1519 HB591 By Representative Martin RFD Insurance Rd
1 30-APR-15 SYNOPSIS: Under existing law, insurance adjusters are defined to be representatives
of the insurance company and not of the insured. This bill would provide for the licensing
and regulation of public adjusters of insurance claims on behalf of insureds. A BILL TO BE
ENTITLED AN ACT Relating to insurance; to provide for the qualifications and procedures for
the licensing of public adjusters; to provide definitions and exceptions to the licensing
and registration requirements; to require public adjusters to take and pass a written examination,
with exception; to provide for nonresident licensing; to require public adjusters to complete
a minimum of 24 hours of continuing education on a biennial basis; to provide standards of
conduct for public adjusters; to require public adjusters to report administrative action
taken against them in other jurisdictions; to give the Commissioner of...
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SB431
SB431 By Senators Reed, Marsh and Waggoner ENROLLED, An Act, Relating to the Medicaid Agency;
to amend Section 22-6-160 of the Code of Alabama 1975, to provide for the delivery of medical
care services to certain elderly and disabled Medicaid beneficiaries on a managed care basis
through one or more statewide integrated care networks; and to establish requirements for
the governance and operation of the integrated care network. BE IT ENACTED BY THE LEGISLATURE
OF ALABAMA:Section 1. Section 22-6-160, Code of Alabama 1975, is amended to read as follows:
§22-6-160. "(a) The Medicaid Agency, with input from long-term care providers, shall
conduct an evaluation of the existing long-term care system for Medicaid beneficiaries and,
on October 1, 2015, shall report the findings of the evaluation to the Legislature and Governor.
"(b) The Medicaid Agency shall decide which groups of Medicaid beneficiaries to include
for coverage by a regional care organization or alternate care provider. The...
alisondb.legislature.state.al.us/...bleinstruments/2015rs/bills/SB431.htm - 29K - Match Info - Similar pages

HB585
168266-1:n:04/28/2015:JMH/agb LRS2015-1690 HB585 By Representative Weaver RFD Health Rd 1 30-APR-15
SYNOPSIS: This bill would provide for the delivery of long-term care services to certain elderly
and disabled Medicaid beneficiaries on a managed care basis through one or more statewide
integrated care networks. This bill would establish requirements for the operation of an integrated
care network under the Medicaid Program and would require the network to be governed by a
board of directors. This bill would also provide for the creation of a citizens' advisory
committee to advise the network. A BILL TO BE ENTITLED AN ACT Relating to the Medicaid Agency;
to amend Section 22-6-160 of the Code of Alabama 1975, to provide for the delivery of long-term
care services to certain elderly and disabled Medicaid beneficiaries on a managed care basis
through one or more statewide integrated care networks; and to establish requirements for
the governance and operation of the integrated care...
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HB135
Program 7,935,026 24,206,365 32,141,391 Children's Health Insurance Program 167,984,830 167,984,830
Any funds appropriated for the CHIP Program in prior years which are reappropriated shall
be utilized for other public health services programs. Public Health Services Program 9,137,228
498,665,879 507,803,107 Of the above appropriation, $17,353 shall be expended for the Amyotrophic
Lateral Sclerosis (ALS) Association for the Regional Certified Clinic; and $250,000 shall
be expended for the Breast and Cervical Cancer Early Detection Program. Of the above
appropriation, at least $2,419,796 shall be expended for the Alabama Drug Assistance Program
and other AIDS programs; $79,429 shall be expended for Hepatitis A and B vaccines to be provided
to adults; $60,000 shall be expended for prostate screening and colorectal cancer screening;
$100,000 shall be transferred to the Kidney Foundation for dialysis patient transportation;
$125,000 shall be expended for the Alabama Cancer Research...
alisondb.legislature.state.al.us/...bleinstruments/2015rs/bills/HB135.htm - 241K - Match Info - Similar pages

SB67
SB67 By Senator Ward ENROLLED, An Act, Relating to crimes and offenses and supervision; to
amend Sections 12-25-32 and 12-25-33, Code of Alabama 1975, relating to the Alabama Sentencing
Commission; to amend Sections 13A-5-3, 13A-5-6, 13A-5-9, 13A-5-11, 13A-5-13, 13A-7-7, 13A-8-4,
13A-8-5, 13A-8-8, 13A-8-9, 13A-8-10.2, 13A-8-10.3, 13A-8-18, 13A-8-19, 13A-9-3, 13A-9-4, 13A-9-7,
13A-9-14, 13A-12-212, 13A-12-213, and 13A-12-291, Code of Alabama 1975, relating to crimes
and offenses to create a Class D felony offense classification and to reclassify certain crimes
and offenses based on such Class D classification and to revise certain driver license suspension
provisions for drug related offenses; to amend Sections 14-14-2, 14-14-4, 14-14-5, 15-12-21,
15-18-8, 15-18-171, 15-18-172, 15-18-174, 15-18-176, 15-18-180, 15-18-182, 15-22-24, 15-22-26,
15-22-28, 15-22-29, 15-22-31, 15-22-32, 15-22-33, 15-22-36, 15-22-36.2, 15-22-37, 15-22-50,
15-22-51, 15-22-52, 15-22-53, and 15-22-54, Code of...
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HB316
Rep(s). By Representatives Givan, Beckman, England, Treadaway and Coleman-Evans HB316 ENROLLED,
An Act, Relating to sex offender registration, to amend Sections 12-15-107, 12-15-116, 13A-5-2,
13A-5-6, 14-9-41, 15-18-8, 15-19-7, 15-20A-4, 15-20A-5, 15-20A-6, 15-20A-7, 15-20A-8, 15-20A-9,
15-20A-10, 15-20A-11, 15-20A-12, 15-20A-13, 15-20A-14, 15-20A-15, 15-20A-16, 15-20A-17, 15-20A-18,
15-20A-20, 15-20A-21, 15-20A-22, 15-20A-23, 15-20A-24, 15-20A-25, 15-20A-26, 15-20A-27, 15-20A-28,
15-20A-29, 15-20A-30, 15-20A-31, 15-20A-32, 15-20A-34, 15-20A-35, 15-20A-36, 15-20A-37, 15-20A-38,
15-20A-39, 15-20A-40, 15-20A-42, 15-20A-43, 15-20A-44, 15-20A-45, 15-20A-46, 15-22-27.3, 32-6-49.24,
36-18-24, 36-18-25, 38-13-2, and 38-13-4, Code of Alabama 1975, to make technical revisions
to the Alabama Sex Offender Registration and Community Notification Act; to update internal
citations to reflect the appropriate section of the current registration and community notification
law; to clarify that petitions...
alisondb.legislature.state.al.us/...bleinstruments/2015rs/bills/HB316.htm - 190K - Match Info - Similar pages

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