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22-4-3
Section 22-4-3 State Board of Health designated as State Health Planning and Development
Agency; powers and duties generally. (a) The State Board of Health is hereby designated as
the sole and official State Health Planning and Development Agency. (b) The State Board of
Health is authorized and empowered: (1) To conduct the health planning and development activities
of the state; (2) To prepare, review and revise as necessary a preliminary state health plan,
which shall be made up of the health systems plans of the health systems agencies within the
state, and which shall be submitted to the Statewide Health Coordinating Council for approval
or disapproval and for use in developing the state health plan; (3) Upon implementation of
Title XVI of the Public Health Service Act and adoption of federal regulations thereto, to
prepare, review and revise as necessary a State Medical Facilities Plan, which shall be submitted
to the Statewide Health Coordinating Council for approval or...
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34-25A-4
Section 34-25A-4 Referral and consultation limits. (a) A licensed prosthetist, licensed
orthotist, or licensed prosthetist/orthotist may provide services utilizing new prostheses
or orthoses for which he or she is licensed and only under a written order from an authorized
health care practitioner. A consultation with and periodic review by an authorized health
care practitioner is not required for the evaluation, repair, adjusting, or servicing of a
prosthesis by a licensed prosthetist, or licensed prosthetist/orthotist and for the evaluation,
repair, adjusting, or servicing of an orthosis by a licensed orthotist, or licensed prosthetist/orthotist;
nor is an order from an authorized health care practitioner required for maintenance or replacement
of an orthosis or prosthesis to the level of its original prescription for an indefinite period
of time if the original order remains appropriate for the patient's medical needs. (b) Prosthetists
and orthotists must refer persons receiving...
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20-2-213
Section 20-2-213 Reporting requirements. (a) Each of the entities designated in subsection
(b) shall report to the department, or to an entity designated by the department, controlled
substances prescription information as designated by regulation pertaining to all Class II,
Class III, Class IV, and Class V controlled substances in such manner as may be prescribed
by the department by regulation. (b) The following entities or practitioners are subject to
the reporting requirements of subsection (a): (1) Licensed pharmacies, not including pharmacies
of general and specialized hospitals, nursing homes, and any other health care facilities
which provide inpatient care, so long as the controlled substance is administered and used
by a patient on the premises of the facility. (2) Mail order pharmacies or pharmacy benefit
programs filling prescriptions for or dispensing controlled substances to residents of this
state. (3) Licensed physicians, dentists, podiatrists, or optometrists who...
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22-21-275
Section 22-21-275 Procedures for review of applications for certificates of need. The
SHPDA, pursuant to the provisions of Section 22-21-274, shall prescribe by rules and
regulations the procedures for review of applications for certificates of need and for issuance
of certificates of need. Rules and regulations governing review procedures shall include,
but not necessarily be limited to, the following: (1) Agreement with other review agencies
for review procedures consistent with this article and federal regulations. (2) Application
procedures and forms of the application necessary to elicit and provide all necessary information
as required by the review criteria. (3) Establishment of a project review period of 90 days
from the date the state agency determines that the application is complete and notification
thereof is made to the applicant. The rules and regulations may provide for a period of not
more than 15 days for determination of the completeness of the application,...
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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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27-12A-1
Section 27-12A-1 Definitions. As used in this chapter, the following terms shall have
the following meanings: (1) COMMISSIONER. The Alabama Commissioner of Insurance or his or
her designee. (2) DEPARTMENT. The Alabama Department of Insurance. (3) INSURANCE. As defined
in Section 27-1-2, and specifically including any contract, arrangement, or agreement,
in which one undertakes to do any one of the following: a. Pay or indemnify another as to
loss from certain contingencies called risks. b. Pay or grant a specified amount or determinable
benefit to another in connection with ascertainable risk contingencies. c. Pay an annuity
to another. d. Act as surety. For the purposes of this chapter, insurance also includes any
health benefit plan as defined in Section 27-53-1. (4) INSURANCE PRODUCER or PRODUCER.
As defined in Section 27-7-1. (5) INSURER. A person entering into agreements, contracts
of insurance, arrangements, or reinsurance, or a health benefit plan, or a group health plan
as...
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22-21-311
Section 22-21-311 Definitions. (a) The following words and phrases used in this article,
and others evidently intended as the equivalent thereof, shall, in the absence of clear implication
herein otherwise, be given the following respective interpretations herein: (1) APPLICANT.
A natural person who files a written application with the governing body of a county, municipality,
or educational institution, or two or more thereof, in accordance with the provisions of Section
22-21-313. (2) AUTHORITY. A public corporation organized, and any public hospital corporation
reincorporated, pursuant to the provisions hereof. (3) AUTHORIZING RESOLUTION. The resolution
adopted by the governing body of an authorizing subdivision, in accordance with the provisions
of Section 22-21-313 or Section 22-21-341, that authorizes the incorporation
of an authority or the reincorporation of a public hospital corporation. (4) AUTHORIZING SUBDIVISION.
Each county, municipality, and educational institution with...
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22-21A-1
Section 22-21A-1 Definitions. As used in this compact, unless the context clearly indicates
otherwise: (1) COMMISSION. The Interstate Advisory Health Care Commission. (2) EFFECTIVE DATE.
The date upon which this compact shall become effective for purposes of the operation of state
and federal law in a member state, which shall be the later of: a. The date upon which this
compact shall be adopted under the laws of the member state. b. The date upon which this compact
receives the consent of Congress pursuant to Article I, Section 10, of the United States
Constitution, after at least two member states adopt this compact. (3) HEALTH CARE. Care,
services, supplies, or plans related to the health of an individual and includes, but is not
limited to: a. Preventive, diagnostic, therapeutic, rehabilitative, maintenance, or palliative
care and counseling, service, assessment, or procedure with respect to the physical or mental
condition or functional status of an individual or that affects the...
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22-6-226
Section 22-6-226 Review and approval of contracts; rules governing operation of integrated
care networks. (a) All provider contracts of an organization granted final certification as
an integrated care network shall be subject to review and approval of the Medicaid Agency.
(b)(1) If a provider is dissatisfied with any term or provision of the agreement or contract
offered by an integrated care network, the provider shall: a. Seek redress with the integrated
care network. In providing redress, an integrated care network shall afford the provider a
review by a panel composed of a representative of an integrated care network, the same type
of provider, and a representative of the citizens' advisory board appointed by the chair of
the advisory board. b. After seeking redress with an integrated care network, a provider or
an integrated care network who remains dissatisfied may request a review of such disputed
term or provision by the Medicaid Agency. The Medicaid Agency shall have 10 days...
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27-1-20
Section 27-1-20 Patient Right to Know Act. (a) This section shall be known and
may be cited as the "Patient Right to Know Act." (b) As used in this section,
unless the context clearly indicates otherwise, the following words shall have the following
meanings: (1) ENROLLEE. A person who purchases individual health care coverage or an employer
who purchases a group health care plan. (2) PROVIDER. A physician, dentist, podiatrist, pharmacist,
optometrist, psychologist, clinical social worker, advanced nurse practitioner, registered
optician, licensed professional counselor, physical therapist, and chiropractor. (c)(1) All
persons, firms, corporations, associations, health maintenance organizations, health insurance
services, or preferred provider organizations, any employer-sponsored health benefit plan,
or any similar organization or entity, providing health, accident, or dental insurance coverage,
either directly or indirectly, shall provide an enrollee with a written description of the...
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