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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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27-12A-23
Section 27-12A-23 Confidentiality. (a) Documents and evidence provided pursuant to Section
27-12A-21 or obtained by the department in an investigation of suspected or actual insurance
fraud shall be privileged and confidential, shall not be a public record, and shall not be
subject to discovery or subpoena in a civil or criminal action. (b) Notwithstanding subsection
(a), the department may release documents and evidence obtained by the unit in an investigation
of suspected or actual insurance fraud pursuant to any of the following: (1) Administrative
or judicial bodies hearing proceedings to enforce laws administered by the department. (2)
Federal, state, or local law enforcement or regulatory agencies, including, but not limited
to, the Attorney General and the Chief Examiner of Public Accounts; the NICB; or the NAIC.
(3) At the discretion of the commissioner, a person in the transaction of the business of
insurance that is aggrieved by the insurance fraud. (c) Release of documents...
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34-30-33
Section 34-30-33 Representation to public as social worker. (a) No person may represent himself
or herself as a social worker by using the title "social worker," "licensed
bachelor social worker," "licensed master social worker," or "licensed
independent clinical social worker," or any other title that includes such words, or
by adding the letters "SW," "LBSW," " LMSW," or "LICSW,"
unless licensed under this chapter or excluded according to its provisions. (b) No public
or private agency, organization, or health facility may use the term "social worker,"
"licensed bachelor social worker," "licensed master social worker," or
"licensed independent clinical social worker" to apply to a person unless that person
is so licensed under this chapter or excluded according to its provisions. (c) After November
24, 1978, nothing contained in this chapter shall prohibit a Merit System or Civil Service
employee who is employed in a social work position whose qualifications are established or...
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22-21B-3
Section 22-21B-3 Definitions. The following words and terms shall have the meanings ascribed
to them in this section, unless otherwise required by their respective context: (1) CONSCIENCE.
The religious, moral, or ethical principles held by a health care provider. (2) DISCRIMINATION.
Discrimination includes, but is not limited to: Hiring, termination, refusal of staff privileges,
refusal of board certification, demotion, loss of career specialty, reduction of wages or
benefits, adverse treatment in the terms and conditions of employment, refusal to award any
grant, contract, or other program, or refusal to provide residency training opportunities.
(3) HEALTH CARE PROVIDER. Any individual who may be asked to participate in any way in a health
care service, including, but not limited to: A physician, physician's assistant, nurse, nurse's
aide, medical assistant, hospital employee, clinic employee, nursing home employee, pharmacist,
researcher, medical or nursing school faculty, student,...
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35-11-371
Section 35-11-371 Perfection of lien. (a) For the purposes of this section, the following terms
shall have the following meanings: (1) HEALTH CARE PAYOR. A health care insurer, health maintenance
organization, or health care service plan organized under Article 6, Chapter 20, Title 10A,
authorized to provide health care coverage in the state. (2) SATISFY THE CLAIM. Receipt by
the hospital of either of the following: a. Full payment for services as billed. b. If the
hospital has a contract with the injured person's health care payor, payment together with
all credits, discounts, and contractual adjustments that the patient's bill would be entitled
under the contract, including recoupments, between the hospital and the patient's health care
payor which extinguish the patient's obligation for the services rendered. (b) Unless specifically
contrary to any contractual agreement between the hospital and the injured person's health
care payor or unless contrary to any statute or governmental...
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6-5-549.1
Section 6-5-549.1 Limits of liability insurance coverage in legal action against health care
providers; testimony of health care providers as specialists. (a) This section and Sections
6-5-548 and 6-5-549 shall be known and may be cited as "The Alabama Medical Liability
Act of 1996." (b) The Legislature of the State of Alabama finds and declares that a crisis
continues to threaten the delivery and availability of medical services to the people of Alabama
and the health and safety of the citizens of this state are in jeopardy as a result of this
crisis. In accordance with the previous declarations of the Legislature of Alabama in Sections
6-5-480 to 6-5-488, inclusive, 27-26-1 to 27-26-4, inclusive, and 27-26-20 to 27-26-43, inclusive,
and Sections 6-5-540 to 6-5-552, inclusive, it is the declared intent of this Legislature
to ensure that quality medical services continue to be available at reasonable costs to the
citizens of the State of Alabama. The continuing and ever increasing...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/6-5-549.1.htm - 4K - Match Info - Similar pages
22-4-37
Section 22-4-37 Penalties for noncompliance. SHPDA shall impose an administrative penalty against
a covered health care reporter that fails to comply with this article in an amount not to
exceed five thousand dollars ($5,000) if the covered health care reporter is a rural health
care provider or ten thousand dollars ($10,000) for all covered health care reporters and
the covered health care reporter may not participate in the Certificate of Need review process
either as an applicant for a Certificate of Need or in opposition to a Certificate of Need
application until the covered health care reporter is in compliance with this article. By
June 11, 2016, SHPDA, following advice and guidance from the Health Care Information and Data
Council, shall adopt rules pursuant to the Administrative Procedure Act necessary to implement
this section. (Act 2015-471, §8.)...
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22-4-38
Section 22-4-38 Information provided to purchasers. Nothing in this article shall prohibit
a purchaser from obtaining information from a covered health care reporter. The obligation
of providing the purchaser, on terms consistent with past practices, data or information previously
provided, or additional data or information not currently provided to a purchaser by the covered
health care reporter pursuant to any existing or future arrangement, agreement, or understanding
shall not be affected by this article. (Act 2015-471, §9.)...
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26-1-4
Section 26-1-4 Alabama State Law Enforcement Agency to provide criminal conviction information
on applicants for positions involving child care and treatment; such information to be confidential;
applicant to be denied status if has felony conviction; children may be removed from home.
(a) Notwithstanding any other provisions of law to the contrary, upon request to the Alabama
State Law Enforcement Agency, by the Department of Human Resources, or by any other youth
service agency approved by the department, such center shall provide information to the department
or an approved agency concerning the felony criminal conviction record in this or another
state of an applicant for a paid or voluntary position, including one established by contract,
whose primary duty is the care or treatment of children, including applicants for adoption
or foster parents. All information, including any criminal conviction record, procured by
the department or an approved agency shall be confidential and...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/26-1-4.htm - 2K - Match Info - Similar pages
26-17-315
Section 26-17-315 Hospital paternity acknowledgment program. (a) Hospitals that have a licensed
obstetric care unit or are licensed to provide obstetric services or licensed birthing centers
associated with a hospital shall provide to the mother and alleged father, if he is present
in the hospital, during the period immediately preceding or following the birth of a child
to an unmarried woman in the hospital, all of the following: (1) written materials about paternity
establishment; (2) form affidavits of paternity; (3) a written description of the rights and
responsibilities of acknowledging paternity; and (4) an opportunity, prior to discharge from
the hospital, to speak with a trained person made available through the Department of Human
Resources, either by telephone or in person, who can clarify information and answer questions
about paternity establishment. The Department of Human Resources shall make materials available
without cost to the hospitals. If the mother and father...
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