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27-1-17
Section 27-1-17 Limitation periods for payment of claims; overdue claims; retroactive denials,
adjustments, etc.; penalties. (a) Each insurer, health service corporation, and health benefit
plan that issues or renews any policy of accident or health insurance providing benefits for
medical or hospital expenses for its insured persons shall pay for services rendered by Alabama
health care providers within 45 calendar days upon receipt of a clean written claim or 30
calendar days upon receipt of a clean electronic claim. If the insurer, health service corporation,
or health benefit plan is denying or pending the claim, the insurer, health service corporation,
or health benefit plan shall, within 45 calendar days for a written claim and 30 calendar
days for an electronic claim, notify the health care provider or certificate holder of the
reason for denying or pending the claim and what, if any, additional information is required
to process the claim. Any undisputed portion of the claim...
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27-1-16
Section 27-1-16 Standard health insurance claim form; electronic claims form; various claim
forms. (a)(1) The Commissioner of the Department of Insurance shall prescribe a standard health
insurance claim form to be used by all hospitals. The forms shall be prescribed in a format
which allows for the use of generally accepted diagnosis and treatment coding systems by providers
of health care and payors. The standard form shall be accepted and used by all insurers doing
business in the State of Alabama and by all state agencies which pay providers of health care
for hospital services. (2) The Commissioner of the Department of Insurance shall also prescribe
a format for all health insurance claims transmitted or submitted for payment by electronic
or electro-mechanical means. Such a format shall be used by all insurers doing business in
the State of Alabama and by all state agencies which pay providers of health care for hospital
services. (b) An advisory committee of five persons, two...
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22-11C-4
Section 22-11C-4 Alabama Statewide Head and Spinal Cord Injury Registry. The State Health Officer
may establish, contingent on the availability of funding, within the Department of Public
Health the Alabama Statewide Head and Spinal Cord Injury Registry for the purpose of providing
accurate and up-to-date information about head and spinal cord injuries in Alabama and facilitating
the evaluation and improvement of head and spinal cord injuries prevention, diagnosis, therapy,
rehabilitation, and referral to coordinated, rehabilitation programs administered by other
state agencies. The purpose of these referrals shall be to ensure that these programs shall
provide eligible persons the opportunity to obtain the necessary rehabilitative services enabling
them to be referred to a vocational rehabilitation program or to return to an appropriate
level of functioning in their community. The State Committee of Public Health shall adopt
rules necessary to effect the purposes of this chapter,...
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16-47-240
Section 16-47-240 Alabama Rural Hospital Resource Center. (a) The University of Alabama at
Birmingham shall establish the Alabama Rural Hospital Resource Center. (b) The purpose of
the resource center is to facilitate access to high quality care for rural Alabamians and
improve their health by increasing the viability and capabilities of eligible hospitals at
no or minimal cost to those hospitals. (c) For the purposes of this section, the following
terms shall have the following meanings: (1) ELIGIBLE HOSPITAL. A nonprofit or public rural
hospital. (2) RESOURCE CENTER. The Rural Hospital Resource Center of the University of Alabama
at Birmingham. (3) RURAL. Located in one of the following: a. An area designated as a shortage
area as defined in 42 C.F.R. ยง 491.5(c) and (d); or b. A rural area as defined by the Federal
Office of Rural Health Policy. (d) The resource center shall do all of the following: (1)
Hire necessary staff that is inclusive and reflects the racial, gender,...
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22-21B-2
Section 22-21B-2 Legislative findings. The Legislature finds and declares: (1) It is the public
policy of the State of Alabama to respect and protect the fundamental right of conscience
of individuals who provide health care services. (2) Without comprehensive protection, health
care rights of conscience may be violated in various ways, such as harassment, demotion, salary
reduction, termination, loss of privileges, denial of aid or benefits, and refusal to license,
or refusal to certify. (3) It is the purpose of this chapter to protect religious or ethical
rights of all health care providers to decline to provide, perform, assist, or participate
in providing or performing certain health care services that violate their consciences, where
they have made their objections known in writing in advance. (4) It is the purpose of this
chapter to prohibit discrimination, disqualification, or coercion upon such health care providers
who decline to perform any health care service that violates...
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22-56-7
Section 22-56-7 Abuse, exploitation, neglect - Providers to implement written policies and
procedures. All providers of mental health services in Alabama shall develop and implement
written policies and procedures that prohibit abuse, exploitation, or neglect of consumers
in programs operated by the providers. At a minimum, these policies and procedures shall accomplish
the following: (1) Affirm and safeguard the rights of a consumer stated pursuant to this chapter.
(2) Ensure that prompt action is taken to prevent the potential of further abuse while an
investigation is in process. (3) Provide for an immediate and thorough investigation of all
allegations of abuse, exploitation, or neglect by trained, experienced personnel delegated
with all necessary authority. The status of all investigations shall be reported to the administrator(s)
of the program or his or her designated representative on a continuous basis. (4) Establish
reasonable and appropriate corrective action, including...
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27-26-2
Section 27-26-2 Purpose of chapter. It is hereby declared by the Legislature of the State of
Alabama that the availability of medical liability insurance at reasonable rates for the medical
profession, medical institutions, and other health care providers is essential to provide
adequate health services to the people of Alabama, and without such insurance, medical services
by the medical profession may be curtailed, and that while the need for such insurance is
increasing, availability is limited and likely to become increasingly so, unless remedial
legislation is enacted. The Legislature further finds and declares that by reason of complicated
and highly technical medical concepts, and the existence of sophisticated medical techniques,
decisions with respect to optional procedures of diagnosis and treatment have become increasingly
complex and are necessarily made on the basis of professional judgment, on which opinions
may and often will reasonably vary. It is the purpose of this...
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31-9B-3
Section 31-9B-3 Providing of information; requirements for emergency and disaster planning
provisions; immunity. (a) All appropriate agencies and community-based service providers,
including, but not limited to, home health care providers, hospices, community mental health
centers, and related facilities, but not including health care facilities which provide inpatient
care to include general and specialized hospitals including ancillary services, skilled nursing
facilities, intermediate care facilities, or any assisted living facility, shall provide information
on the number of individuals with medical needs and shall assist the State Health Department
in the establishment of programs to increase the awareness of medical needs shelters, and
in educating clients and sponsors or caregivers about the procedures that may be necessary
for their safety during disasters. (b) State agencies that regulate or contract with providers
of services, or both, for persons with disabilities or...
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41-16-78
Section 41-16-78 Exceptions. (a) This article shall not apply to any entity that does not receive
state funds. (b) This article shall also not apply to direct health care services provided
by the Alabama Department of Public Health. (c) This article shall not apply to any county
or municipality, or any board, public corporation, authority, public utility district, or
other entity created by any county or municipality, or to the Alabama Municipal Electric Authority
created pursuant to the provisions of Section 11-50A-1, et seq., nor shall it apply to any
local school board, the State Department of Education, or other entity covered under Section
41-16-50, et seq., except as herein provided for future support of computer technology or
any educational and eleemosynary institutions governed by a board of trustees or other similar
governing body, nor shall it apply to any statewide non-profit water and wastewater utility
association. (d) This article shall not apply to any state authority,...
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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...
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