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22-21-70
Section 22-21-70 Definitions. For the purposes of this division, the following terms shall
have the meanings respectively ascribed to them by this section: (1) THE CORPORATION. A corporation
organized pursuant to the provisions of this division. (2) SECURITIES. Notes, bonds, certificates
of indebtedness, warrants or other evidences of indebtedness. (3) HOSPITAL. Such term includes
the plural as well as the singular and means: a. Public hospitals of all types, public clinics,
public health centers and related public health facilities, such as laboratories, outpatient
departments, nurses' homes and nurses' training facilities and central service facilities
operated in connection with public hospitals; b. Appurtenant buildings and other facilities
to provide offices for persons engaged in the diagnosis, treatment or cure of diseased, sick
and injured persons and to house or service equipment used for the diagnosis, treatment or
cure of diseased, sick or injured persons or the records of...
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22-52-30
Section 22-52-30 Definitions. When used in this article, the following terms shall have the
following meanings, respectively, unless the context clearly indicates otherwise: (1) CAPACITY
TO PROCEED OR CONTINUE TO TRIAL. Whether or not a defendant accused of a crime: a. Understands
the nature of the charges preferred against him; and b. Is capable of assisting his attorney
in the preparation of the defense of his case. (2) COMMISSIONER. The Commissioner of the Department
of Mental Health of the State of Alabama. (3) SUPERINTENDENT. The superintendent or director
of Bryce Hospital located in Tuscaloosa County, the superintendent or director of Searcy Hospital
located in Mobile County or the superintendent or director of any such facility as defined
in subdivision (4) of this section. (4) FACILITY. Any state-owned or state-operated hospital
or other facility, whether currently operating or to be operated in the future, utilized for
the diagnosis, care, treatment, training or...
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22-56-2
Section 22-56-2 Definitions. As used in this chapter, the following terms shall have the following
meanings: (1) CONSUMER. A person who receives or uses mental health services. (2) DEPARTMENT.
The Alabama Department of Mental Health. (3) FAMILY MEMBER. A person within the immediate
family or a legal guardian of a mental health consumer. (4) MENTAL HEALTH SERVICES. Services
designed to treat or deal with persons with mental illness. (5) MENTAL ILLNESS. A psychiatric
disorder of thought or mood, or both, which significantly impairs judgment, behavior, capacity
to recognize reality, or ability to cope with the ordinary demands of life. "Mental illness"
as used herein specifically excludes the primary diagnoses of epilepsy, intellectual disability,
substance abuse including alcoholism, or a developmental disability, or any combination thereof.
(6) PROGRAM. A program for providing mental health services. (7) PROVIDER. Any agency, corporation,
or individual who provides inpatient,...
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25-5-290
Section 25-5-290 Ombudsman program, creation; purpose; members; notification of service; benefit
review conferences. (a) The Department of Industrial Relations shall establish an Ombudsman
Program to assist injured or disabled employees, persons claiming death benefits, employers,
and other persons in protecting their rights and obtaining information available under the
Workers' Compensation Law. (b) Providing that the employer and the employee agree to participate
in the benefit review conference, the ombudsmen shall meet with or otherwise provide information
to injured or disabled employees, investigate complaints, and communicate with employers,
insurance carriers, and health care providers on behalf of injured or disabled employees.
(c) Ombudsmen shall be Merit System employees and demonstrate familiarity with the Workers'
Compensation Law. An ombudsman shall not be an advocate for any person who shall assist a
claimant, employer, or other person in any proceeding beyond the...
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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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27-51-1
Section 27-51-1 Payment for services of licensed physician assistant. (a) An insurance policy
or contract providing for third-party payment or prepayment of health or medical expenses
shall include a provision for the payment to a supervising physician for necessary medical
or surgical services that are provided by a licensed physician assistant practicing under
the supervision of the physician, and pursuant to the rules, regulations, and parameters for
physician assistants, if the policy or contract pays for the same care and treatment provided
by a licensed physician or doctor of osteopathy. (b) An insurance policy or contract subject
to this section shall not impose a practice or supervision restriction which is inconsistent
with or more restrictive than provided by law. (c) This section shall apply to services provided
under a policy or contract delivered, continued, or renewed in this state on or after August
1, 1997, and to any existing policy or contract, on the policy's or...
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27-54-2
Section 27-54-2 Definitions. For purposes of this chapter, the following terms have the following
meanings: (1) DAY TREATMENT SERVICES. Includes, but is not limited to: Physiological, psychological,
and psychosocial concepts, techniques, and processes necessary to maintain or develop functional
skills of clients, provided to individuals and groups for periods of more than two hours but
less than 24 hours a day. (2) HEALTH BENEFIT PLAN. A health care service plan governed by
the provisions of Article 6, Chapter 4, Title 10, and a group health insurance policy, including
an employee welfare health benefit plan, that covers hospital, medical, or surgical expenses,
issued by insurers, health maintenance organizations, preferred provider organizations, medical
service organizations, physician-hospital organizations, or any other person, firm, corporation,
joint venture, or other similar business entity that pays for, purchases, or furnishes health
care services to patients, insureds, 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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36-29-4
Section 36-29-4 Establishment and provisions of health insurance plan; rules and regulations.
The board is hereby empowered and authorized to establish a fully insured or self-insured
health insurance plan for employees and retirees of the State of Alabama and to adopt and
promulgate rules and regulations for the administration of such plan, subject to such limitations
as may be contained in this chapter. Such plan may provide for group hospitalization, surgical,
and medical insurance against the financial costs of hospitalization, surgical, and medical
treatment and care and may also include, among other things, prescribed drugs, medicines,
prosthetic appliances, hospital inpatient and outpatient service benefits, and medical expenses
indemnity benefits, including major medical benefits or such other coverage or benefits as
may be deemed appropriate and desirable by the board. (Acts 1965, No. 833, p. 1564, §3; Act
2004-647, 1st Sp. Sess., p. 17, §1.)...
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38-15-8
Section 38-15-8 Rulemaking authority; authority of department to act in loco parentis; registration
approval required; performance of services in accordance with religious beliefs. (a) On or
before January 1, 2018, the department shall adopt rules to implement this chapter, in consultation
with interested parties, including representatives of any institution with any combination
of organizational characteristics defined by this section, former residents of long-term youth
residential facilities, advocates for youth, and private concerned parties. Until rules are
adopted by the department and become effective any existing child or youth residential organization,
facility, institution, boarding school, or program operating in this state shall be governed
by the rules applicable to residential care facilities regulated by the Department of Human
Resources pursuant to published minimum standards for residential child care facilities. Any
institution, facility, or program subject to this...
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