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22-12A-3
Section 22-12A-3 Plan to reduce infant mortality and handicapping conditions; procedure,
contents, etc. The Bureau of Maternal and Child Health under the direction of the State Board
of Health shall, in coordination with the State Health Planning and Development Agency, the
State Health Coordinating Council, the Alabama Council on Maternal and Infant Health and the
regional and State Perinatal Advisory Committees, annually prepare a plan, consistent with
the legislative intent of Section 22-12A-2, to reduce infant mortality and handicapping
conditions to be presented to legislative health and finance committees prior to each regular
session of the Legislature. Such a plan shall include: primary care, hospital and prenatal;
secondary and tertiary levels of care both in hospital and on an out-patient basis; transportation
of patients for medical services and care and follow-up and evaluation of infants through
the first year of life; and optional educational programs, including pupils in...
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22-8A-3
Section 22-8A-3 Definitions. As used in this chapter, the following terms shall have
the following meanings, respectively, unless the context clearly indicates otherwise: (1)
ADULT. Any person 19 years of age or over. (2) ARTIFICIALLY PROVIDED NUTRITION AND HYDRATION.
A medical treatment consisting of the administration of food and water through a tube or intravenous
line, where the recipient is not required to chew or swallow voluntarily. Artificially provided
nutrition and hydration does not include assisted feeding, such as spoon or bottle feeding.
(3) ADVANCE DIRECTIVE FOR HEALTH CARE. A writing executed in accordance with Section
22-8A-4 which may include a living will, the appointment of a health care proxy, or both such
living will and appointment of a health care proxy. (4) ATTENDING PHYSICIAN. The physician
selected by, or assigned to, the patient who has primary responsibility for the treatment
and care of the patient. (5) CARDIOPULMONARY CESSATION. A lack of pulse or...
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25-5-313
Section 25-5-313 Schedule of maximum fees. Within 60 days from May 19, 1992, the Workers'
Compensation Medical Services Board shall submit to the Governor an initial schedule of maximum
fees for medical services covered by this article, which schedule shall become effective immediately
upon submission to the Governor. The initial schedule of maximum fees shall be established
by the board in the manner prescribed in this section. The fee for each service in
the schedule shall be exactly equal to an amount derived by multiplying the preferred provider
reimbursement customarily paid on May 19, 1992, by the largest health care service plan incorporated
pursuant to Sections 10-4-100 to 10-4-115, inclusive, by a factor of 1.075, which product
shall be the maximum fee for each such service. In addition the board may submit to the Governor
for approval on or before January 31, 1993, a revised schedule of selected fees for medical
services covered by this article, which fees shall not exceed...
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27-1-10.1
Section 27-1-10.1 Insurance coverage for drugs to treat life-threatening illnesses.
(a) The Legislature finds and declares the following: (1) The citizens of this state rely
upon health insurance to cover the cost of obtaining health care and it is essential that
the citizens' expectation that their health care costs will be paid by their insurance policies
is not disappointed and that they obtain the coverage necessary and appropriate for their
care within the terms of their insurance policies. (2) Some insurers deny payment for drugs
that have been approved by the Federal Food and Drug Administration, hereafter referred to
as FDA, when the drugs are used for indications other than those stated in the labelling approved
by the FDA, off-label use, while other insurers with similar coverage terms do pay for off-label
use. (3) Denial of payment for off-label use can interrupt or effectively deny access to necessary
and appropriate treatment for a person being treated for a...
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27-19A-2
Section 27-19A-2 Definitions. As used in this chapter, the following terms shall have
the respective meanings herein set forth, unless the context shall otherwise require: (1)
ALABAMA INSURANCE CODE. Title 27 of the Code of Alabama 1975. (2) INSURER. Such term shall
have the meaning ascribed in Section 27-1-2. (3) PERSON. Such term shall have the meaning
ascribed in Section 27-1-2. (4) COMMISSIONER and DEPARTMENT. Such terms, respectively,
shall have the meanings ascribed in Section 27-1-2. (5) CONTRACTUAL OBLIGATION. Any
obligation under covered policies or employee benefit plans. (6) COVERED POLICY OR PLAN. Any
policy, employee benefit plan, or contract within the scope of this chapter. (7) HEALTH INSURANCE
POLICY. Any individual, group, blanket, or franchise insurance policy, insurance agreement,
or group hospital service contract providing benefits for dental care expenses incurred as
a result of an accident or sickness. (8) EMPLOYEE BENEFIT PLAN. Any plan, fund, or program...
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27-56-10
Section 27-56-10 Vision care providers - Contract requirements; rates; reimbursements;
discounts. (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) COVERED MATERIALS. Materials for which reimbursement from the insurer or vision care plan
is provided to a vision care provider by an enrollee's plan contract, or for which a reimbursement
would be available but for the application of the enrollee's contractual limitations of deductibles,
copayments, or coinsurance. (3) COVERED SERVICES. Services for which reimbursement from the
insurer or vision care plan is provided to a vision care provider by an enrollee's plan contract,
or for which a reimbursement would be available but for the application of the enrollee's
contractual plan limitations of deductibles, copayments, or...
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11-91A-7
Section 11-91A-7 Jurisdiction of board; funding; powers of board. The board shall have
full, complete, and exclusive jurisdiction over the program and shall allocate funds from
its treasury for the fulfillment and accomplishment of its duties and responsibilities in
a manner as may be necessary and appropriate to carry out the purposes of this chapter. The
board shall have the general powers and authority granted under the laws of this state for
health insurers, and in addition thereto, the specific authority to do all of the following:
(a) Subject to compliance with Section 11-91A-8 where applicable, execute a contract
or contracts to provide for the administration of the program in accordance with this chapter.
The contract or contracts may be executed with one or more agencies or corporations licensed
to transact or administer group health care business in this state with similar plans of the
state for the joint performance of common administrative functions. (b) Establish, and...
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16-18A-2
Section 16-18A-2 Definitions. As used in this chapter, the following words and terms
shall have the following meanings unless the context clearly indicates otherwise: (1) AUTHORITY.
The Private Colleges and Universities Facilities Authority created by this chapter and any
successor or successors thereto. Any change in name or composition of the authority shall
in no way affect the vested rights of any person under the provisions of this chapter. (2)
PROJECT. A structure or structures available for use as a dormitory or other student housing
facility, a dining hall, student union, administration building, academic building, library,
laboratory, research facility, classroom, athletic facility, health care facility, maintenance,
storage or utility facility and other structures or facilities related thereto or required
or useful for the instruction of students or the conducting of research or the operation of
an institution of higher education, whether proposed, under construction or...
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16-22-16
Section 16-22-16 Registered nurses required. (a) The State Department of Education and
the Alabama Institute for Deaf and Blind shall require the employment of school nurses in
each local school system. (b) There shall not be greater than five licensed practical nurses
to one registered nurse within each school system. However, based upon individual circumstances,
including specific medical needs and tasks which must be performed by a registered nurse as
set forth in the Nurse Practice Act and the Administrative Code rules of the Alabama Board
of Nursing, there may be a lower registered nurse to licensed practical nurse ratio within
each school system. (c) The allotment of school nurses shall be distributed so that each school
system shall receive one registered nurse and an additional nurse or nurses or fraction of
a nursing allocation based upon the average daily membership during the first 20 scholastic
days after Labor Day of the preceding school year. (d) Each local school...
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16-6A-9
Section 16-6A-9 Development of plan for improving courses in critical needs areas. (a)
The State Board of Education shall develop and establish a comprehensive plan for improving
courses in science, mathematics, computer education and other critical needs areas. In developing
such plan, the superintendent shall consult with teacher organizations, school personnel,
legislative leaders, the Governor's office, representatives from private industry, public
and private higher education and from the fields of education, mathematics, science and computer
education. Such program shall be divided into three phases with the first phase being introduced
at the beginning of the 1985-1986 school year and another phase to begin each of the following
two years. The entire program should be operative at the end of three years. (b) The comprehensive
plan shall provide a framework for the preparation and approval of programs, provide direction
for program development and shall include the following...
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