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22-6-163
Section 22-6-163 Legislative findings; rules; collaboration; approval of agreements
and contracts; state action immunity; confidentiality of records; additional duties. (a) The
Legislature declares that collaboration among public payers, private health carriers, third
party purchasers, and providers to identify appropriate service delivery systems and reimbursement
methods in order to align incentives in support of integrated and coordinated health care
delivery is in the best interest of the public. Collaboration pursuant to this article is
to provide quality health care at the lowest possible cost to Alabama citizens who are Medicaid
eligible. The Legislature, therefore, declares that this health care delivery system affirmatively
contemplates the foreseeable displacement of competition, such that any anti-competitive effect
may be attributed to the state's policy to displace competition in the delivery of a coordinated
system of health care for the public benefit. In furtherance of...
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27-1-17.1
Section 27-1-17.1 Payment of providers through electronic funds transfer methods. (a)
As used in this section, the following words shall have the following meanings: (1)
ACH ELECTRONIC FUNDS TRANSFER. An electronic funds transfer through the Health Insurance Portability
and Accountability Act (HIPPA) standard Automated Clearing House network. (2) COVERED HEALTH
CARE PROVIDER. A physician as defined in Section 34-24-50.1; a dentist as defined in
Section 34-9-1; a chiropractor as defined in Section 34-24-120; an individual
engaged in the practice of optometry as defined in Section 34-22-1; other licensed
health care professionals as defined in Title 34; a hospital as defined in Section
22-21-20; and a health care facility, or other provider who or that is accredited, licensed,
or certified and who or that is performing within the scope of that accreditation, license,
or certification. (3) HEALTH INSURANCE PLAN. Any hospital and medical expense incurred policy,
health maintenance...
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27-56-2
Section 27-56-2 Definitions. As used in this chapter, 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) EYE CARE PROVIDER. A licensed optometrist or a licensed ophthalmologist.
(3) INSURANCE POLICY, PLAN, OR CONTRACT PROVIDING FOR THIRD-PARTY PAYMENT OR PREPAYMENT OF
HEALTH OR MEDICAL EXPENSES. Includes an individual or group policy for accident or health
insurance, an individual or group hospital or health care service contract, an individual
or group health maintenance organization contract, an organized delivery system contract,
or a preferred provider organization contract, and any other similar policy, plan, or contract.
This term shall not include any employee welfare benefit plan, as defined...
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15-16-68
Section 15-16-68 Court-imposed conditions for release. The conditions that the court
may impose upon release, if necessary and appropriate, include, the following: (1) That the
defendant take medication as prescribed by doctors in the department or in a regional or community
mental health facility, or by some other doctor whose care the defendant is in; (2) That the
defendant submit to treatment and accept care from a duly authorized outpatient facility such
as a regional or community mental health facility; (3) That the defendant submit to mental
or medical evaluation or testing as prescribed by the department, by a regional or community
mental health facility, or by other appropriate person or facility; (4) That the defendant
submit to periodic or random drug testing designed to ensure that he is taking any prescribed
drugs and avoiding any prescribed drugs including alcohol; (5) That the defendant avoid specified
activities, persons, or places that may be detrimental to his...
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16-39-4
Section 16-39-4 Implementation of program. Within 120 days after July 22, 1971, each
school board in the State of Alabama shall take a careful and thorough survey of persons who
(if thereafter certified by a specialist) would probably qualify as exceptional children residing
in its school district, which survey shall show the name, age, sex and type of exceptionality
of each exceptional child found by it. All such data descriptive of an individual person (as
contrasted with compilations made therefrom which do not reveal information about specific
individuals) shall be maintained in strict confidence and shall not be made available to anyone
except to the survey-takers (in connection with those individuals who are reported by them),
the appropriate superintendent and his staff, the appropriate school principal, the individual
child's parent or guardian and such other persons as may be designated in regulations adopted
by the State Board of Education and under such conditions as may be...
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16-39-6
Section 16-39-6 School board plans. During the fifth year of implementation of the incremental
five-year plan referred to above, each school board shall submit a long-range plan for providing
appropriate instruction and special services for exceptional children and shall submit said
long-range plan to the State Board of Education for its review and approval or disapproval.
Such plan, unless thereafter modified with approval of the State Board of Education, shall
be adhered to by the school board. Said long-range plans, and all modifications thereof, shall
be resubmitted to the State Board of Education for its review and approval or disapproval
at such intervals as may be established by the said state board in regulations, but not in
any event less often than once every seven years or more often than once every two years.
Disapproval of a plan or any amendments thereto shall be only because of failure of the plan
to meet minimum standards set out in regulations of the state board...
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22-11C-7
Section 22-11C-7 Confidentiality; disclosure of information. (a) All information reported
pursuant to this chapter shall be confidential and privileged. (b) The State Health Officer
shall take strict measures to ensure that all identifying information is kept confidential,
except as otherwise provided in this chapter. (c) Head and spinal cord injury information
may be provided to researchers or research institutions, or both, in connection with head
and/or spinal cord injury morbidity and mortality studies upon appropriate review by the State
Health Officer. All identifying information regarding an individual patient, health care provider,
or health care facility contained in records of interviews, written reports, and statements
procured by the State Health Officer or by any other person, agency, or organization acting
jointly with the State Health Officer in connection with these studies shall be confidential
and privileged and shall be used solely for the purposes of the study....
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22-13-33
Section 22-13-33 Information to be confidential. (a) All information reported pursuant
to this article shall be confidential and privileged. (b) The State Health Officer shall take
strict measures to ensure that all identifying information is kept confidential, except as
otherwise provided in this article. (c) Cancer or benign brain-related tumor information may
be provided to researchers or research institutions, or both, in connection with cancer or
benign brain-related tumor morbidity and mortality studies upon appropriate review by the
State Health Officer. All identifying information regarding an individual patient, health
care provider, or health care facility contained in records of interviews, written reports,
and statements procured by the State Health Officer or by any other person, agency, or organization
acting jointly with the State Health Officer in connection with these studies shall be confidential
and privileged and shall be used solely for the purposes of the study....
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27-1-22
Section 27-1-22 Uniform prescription drug information card or technology. (a) Every
health benefit plan that provides coverage for prescription drugs or devices, or administers
a plan, including, but not limited to, third party administrators for self-insured plans and
state administered plans, excluding the Alabama Medicaid Program, shall issue to its insureds
a card or other technology containing prescription drug information. The uniform prescription
drug information card or technology shall be in the format approved by the National Council
for Prescription Drug Programs (NCPDP) and shall include all of the required fields and conform
to the most recent pharmacy ID card or technology implementation guide produced by NCPDP or
conform to a national format acceptable to the Commissioner of Insurance. If a health care
plan includes a conditional or situational field, it shall conform to the most recent pharmacy
information card or technology implementation guide by the NCPDP or conform...
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27-19A-12
Section 27-19A-12 Dental services - Coverages; fees; exceptions. (a) As used in this
section, 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, copayments, coinsurance, waiting periods, annual or lifetime maximums,
frequency limitations, alternative benefit payments, or any other limitation. (3) DENTAL CARE
PROVIDER. A licensed dentist. (4) DENTAL PLAN. Includes any policy of insurance which is issued
by a health care service contractor which provides for coverage of...
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