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27-55-3
Section 27-55-3 Prohibited practices; disclosure of information. (a) No insurer may:
(1) Deny, refuse to issue, renew, or reissue, cancel, or otherwise terminate, restrict, or
exclude coverage on an insurance policy or health benefit plan on the basis of an applicant's
or insured's abuse status, or on the basis of any association, relationship, or assistance
to a subject of abuse. (2) Exclude or limit coverage for a loss, deny benefits, or deny a
claim on the basis of the insured's abuse status, or on the basis of any association, relationship,
or assistance to a subject of abuse, except as otherwise permitted or required by the laws
of this state relating to acts of abuse committed by a life insurance beneficiary. Notwithstanding
anything to the contrary in this section, a liability insurer may include policy provisions
providing that a payment required by this subsection may be denied or, if paid, recovered
by the insurer from the insured, if the claim arose out of an act of abuse by...
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22-19-161
Section 22-19-161 Definitions. In this article: (1) "Adult" means an individual
who is at least 18 years of age. (2) "Agent" means an individual: (A) authorized
to make health care decisions on the principal's behalf by a power of attorney for health
care; or (B) expressly authorized to make an anatomical gift on the principal's behalf by
any other record signed by the principal. (3) "Anatomical gift" means a donation
of all or part of a human body to take effect after the donor's death for the purpose of transplantation,
therapy, research, or education. (4) "Coroner" means an elected or appointed official
who determines, with the assistance of other forensic scientists and investigators, the cause,
manner, and circumstances surrounding death. (5) "Decedent" means a deceased individual
whose body or part is or may be the source of an anatomical gift. The term includes a stillborn
infant and, subject to restrictions imposed by law other than this article, a fetus. (6) "Disinterested...
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34-19-21
Section 34-19-21 Coverage or reimbursement for services not required. Nothing contained
in this chapter shall be construed to create a requirement that any health benefit plan, group
insurance plan, policy, or contract for health care services that covers hospital, medical,
or surgical expenses, 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 group health care services to patients, insureds, or beneficiaries in this state,
including entities created pursuant to Article 6, commencing with Section 10A-20-6.01,
of Chapter 20, Title 10A, provide coverage or reimbursement for the services described or
authorized in this chapter. (Act 2017-383, §4.)...
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22-1-14
Section 22-1-14 Licensure Freedom Act. (a) State licensure requirements for physicians,
chiropractors, optometrists, and dentists in this state shall be granted based on demonstrated
skill and academic competence. Licensure approval for physicians, chiropractors, optometrists,
and dentists in this state may not be conditioned upon or related to participation in any
public or private health insurance plan, public health care system, public service initiative,
or emergency room coverage. (b) The licensure of dentists, osteopaths, chiropractors, optometrists,
and physicians shall be conducted exclusively pursuant to Chapter 9 of Title 34; Division
1, commencing with Section 34-24-50, of Article 3 of Chapter 24 of Title 34; Article
4, commencing with Section 34-24-120, of Chapter 24 of Title 34; Chapter 22 of Title
34; and Division 1, commencing with Section 34-24-310, of Article 8 of Title 34, respectively.
(c) Physician or optometric licensure shall not be conditioned upon or related to...
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26-23E-8
Section 26-23E-8 Office-based procedure requirements. Physicians performing abortion
procedures in abortion or reproductive health centers shall conform to the rules for office-based
surgery of the Alabama State Board of Medical Examiners, shall meet the standards prescribed
in the rules for office-based procedures - moderate sedation/analgesia, and shall meet all
other requirements in those rules, including the recommended guidelines for follow-up care,
requirements for recovery area, assessment for discharge, reporting requirements, and registration
requirements. (Act 2013-79, p. 165, §8.)...
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22-5D-4
Section 22-5D-4 Coverage and costs. (a) This chapter does not expand the coverage required
of an insurer. (b) A health plan, third party administrator, or governmental agency is not
required to provide coverage for the cost of an investigational drug, biological product,
or device, or the cost of services related to the use of an investigational drug, biological
product, or device under this chapter. (c) This chapter does not require any governmental
agency to pay costs associated with the use, care, or treatment of a patient with an investigational
drug, biological product, or device. (d) This chapter does not require a hospital or other
health care facility to provide new or additional services, unless approved by the hospital
or facility. (Act 2015-320, §4.)...
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26-23C-3
Section 26-23C-3 Opt out of abortion coverage. (a) No abortion coverage may be provided
by a qualified health plan offered through an exchange created pursuant to P.L. 111-148 within
the State of Alabama. (b) This prohibition shall not apply to an abortion performed when the
life of the mother is endangered by a physical disorder, physical illness, or physical injury,
including a life-endangering physical condition caused by or arising from the pregnancy itself,
or when the pregnancy is the result of an act of rape or incest or any procedure to terminate
an ectopic pregnancy. (Act 2012-405, p. 1108, §3.)...
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27-55-8
Section 27-55-8 Construction. This chapter does not and shall not be construed as creating
a private cause of action and does not and shall not require insurers, including any health
benefit plan, to extend coverage to any providers or type of providers for which coverage
is not specifically provided within the policy or certificate of insurance or health benefit
plan, or to add additional providers to existing networks, or to add any health care benefits.
(Act 2000-595, p. 1185, §8.)...
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34-9-6.1
Section 34-9-6.1 Mobile dental facilities or portable dental operations. (a) For purposes
of this section, the following words have the following meanings: (1) DENTAL HOME.
The dental home is the ongoing relationship between the dentist and the patient, inclusive
of all aspects of oral health care, delivered in a comprehensive, continuously accessible,
coordinated, and family-centered way. (2) MOBILE DENTAL FACILITY. Any self-contained facility
in which dentistry or dental hygiene is practiced which may be moved, towed, or transported
from one location to another. (3) OPERATOR. A person licensed to practice dentistry in this
state or an entity which is approved as tax exempt under Section 501(c)(3) of the Internal
Revenue Code which employs dentists licensed in the state to operate a mobile dental facility
or portable dental operation. (4) PORTABLE DENTAL OPERATION. The use of portable dental delivery
equipment which is set up on site to provide dental services outside of a mobile...
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36-29-5
Section 36-29-5 Expenses, treatment, etc., not to be included under plan. (a) Such health
insurance shall not include any of the following: (1) Expenses incurred by or on account of
an individual prior to the effective date of the plan. (2) Cosmetic surgery or treatment,
except to the extent necessary for correction of damages caused by accidental injury while
covered by the plan or as a direct result of disease covered by the plan. (3) Services received
in a hospital owned or operated by the United States government for which no charge is made.
(4) Services received for injury or sickness due to war or any act of war, whether declared
or undeclared, which war or act of war shall have occurred after the effective date of this
plan. (5) Expenses for which the individual is not required to make payment. (6) Expenses
to the extent of benefits provided under any employer group plan other than the plan in which
the state participates in the cost thereof. (7) Such other expenses as may be...
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