Code of Alabama

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45-22-243.99
Section 45-22-243.99 Use of tax proceeds. (a) Commencing with the first month during which
proceeds from the taxes herein levied are paid and thereafter, the county treasurer shall
make monthly distributions of the proceeds so paid to him or her as follows: (1) From the
first 50 percent of the net proceeds from the tax, levied in Section 45-22-243.91, shall be
paid each month to the Cullman County Health Care Authority Board, a public corporation existing
under the provisions of Act 46 adopted at the 1949 Regular Session of the Legislature of Alabama,
as amended, a total of thirty-three thousand three hundred thirty-three dollars and thirty-three
cents ($33,333.33) per month, and no more. (2) One-half (50 percent) of the residue of the
proceeds from the taxes herein levied that remains each month after the payment provided for
in subdivision (1) (the residue consisting of that portion of the tax levied in Section 45-22-243.91
that remains each month after making the payment provided...
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16-25A-6
Section 16-25A-6 Exclusions. Such health insurance shall not include the following: (1) Expenses
incurred by or on account of an individual prior to the effective date of the plan as to him;
(2) Hearing aids and examinations for the prescription or fitting thereof; (3) Cosmetic surgery
or treatment, except to the extent necessary for correction of damage caused by accidental
injury while covered by the plan or as a direct result of disease covered by the plan; (4)
Services received in a hospital owned or operated by the United States government for which
no charge is made; (5) 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; (6) Expenses for which the individual is not required to make payment;
(7) Expenses to the extent of benefits provided under any employer group plan other than this
plan in which the state participates in the cost thereof; (8)...
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22-6-220
Section 22-6-220 Definitions. For the purposes of this article, the following words shall have
the following meanings: (1) CAPITATION PAYMENT. A payment the state Medicaid Agency makes
periodically to the integrated care network on behalf of each recipient enrolled under a contract
for the provision of medical services pursuant to this article. (2) COLLABORATOR. A private
health carrier, third party purchaser, provider, health care center, health care facility,
state and local governmental entity, or other public payers, corporations, individuals, and
consumers who are expecting to collectively cooperate, negotiate, or contract with another
collaborator, or integrated care network in the health care system. (3) INTEGRATED CARE NETWORK.
One or more statewide organizations of health care providers, with offices in each regional
care organization region, that contracts with the Medicaid Agency to provide Medicaid benefits
to certain Medicaid beneficiaries as defined in subdivision (4) and...
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26-23E-4
Section 26-23E-4 Physician requirements. (a) Only a physician may perform an abortion. (b)
During and after an abortion procedure performed at an abortion or reproductive health center,
a physician must remain on the premises until all patients are discharged. The discharge order
must be signed by the physician. Prior to discharge from the facility, the patient shall be
provided with the name and telephone number of the physician who will provide care in the
event of complications, and the name of the medications given at the abortion clinic. (c)
Every physician referenced in this section shall have staff privileges at an acute care hospital
within the same standard metropolitan statistical area as the facility is located that permit
him or her to perform dilation and curettage, laparotomy procedures, hysterectomy, and any
other procedures reasonably necessary to treat abortion-related complications. (Act 2013-79,
p. 165, §4.)...
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26-23G-4
Section 26-23G-4 Injunctive relief. (a) A cause of action for injunctive relief against an
individual who has performed or attempted to perform a dismemberment abortion in violation
of Section 26-23G-3 may be maintained by any of the following: (1) A woman upon whom a dismemberment
abortion was performed or attempted to be performed. (2) An individual who is the spouse,
parent, or guardian of, or a current or former licensed health care provider of, a woman upon
whom such a dismemberment abortion was performed or attempted to be performed. (3) A prosecuting
attorney with appropriate jurisdiction. (b) The injunction shall prevent the defendant from
performing or attempting to perform further dismemberment abortions in violation of Section
26-23G-3. (Act 2016-397, §4.)...
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27-14-11.1
Section 27-14-11.1 Contents of policies - Denial or reduction of benefits due to Medicaid eligibility
void. (a) For purposes of this section, "private insurer" is defined as any of the
following: (1) Any commercial insurance company offering health or casualty insurance to individuals
or groups, including both experience-rated contracts and indemnity contracts. (2) Any profit
or nonprofit prepaid plan offering either medical services or full or partial payment for
the diagnosis or treatment of an injury, disease, or disability. (3) Any organization administering
health or casualty insurance plans for professional associations, unions, fraternal groups,
employer-employee benefit plans, and any similar organization offering these payments or services,
including self-insured and self-funded plans. (4) Any health insurer, including group health
plans, as defined in Section 607(1) of the Employee Retirement Income Security Act of 1974,
self-insured plans, service benefit plans, managed care...
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27-19A-12
Section 27-19A-12 Dental services - Coverages; fees; exceptions. (a) As used in this section,
the following terms shall have the following meanings: (1) COVERED PERSON. Any individual,
family, or family member on whose behalf third-party payment or prepayment of health or medical
expenses is provided under an insurance policy, plan, or contract providing for third-party
payment or prepayment of health care or medical expenses. (2) COVERED SERVICES. Dental care
services for which a reimbursement is available under an enrollee's plan contract, or for
which a reimbursement would be available but for the application of contractual limitations
such as deductibles, copayments, coinsurance, waiting periods, annual or lifetime maximums,
frequency limitations, alternative benefit payments, or any other limitation. (3) DENTAL CARE
PROVIDER. A licensed dentist. (4) DENTAL PLAN. Includes any policy of insurance which is issued
by a health care service contractor which provides for coverage of...
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27-57-5
Section 27-57-5 Coverage by participating providers; selection criteria and utilization protocols;
maximum benefits, exclusions, etc. (a) This chapter does not require and shall not be construed
to require the coverage of services of providers who are not designated as covered providers,
or who are not selected as a participating provider, by a group health benefit plan or insurer
having a participating network of service providers. Nothing in this chapter is intended to
expand the list or designation of participating providers as specified in any health benefit
plan. (b) Insurers or other issuers of any health benefit plan covered by this chapter shall
continue to be able to establish and apply selection criteria and utilization protocols for
health care providers including the designation of types of providers for which coverage is
provided as well as credentialing criteria used in the selection of providers. (c) A group
health benefit plan, policy, or contract that provides coverage...
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27-59-3
Section 27-59-3 Implementation of coverage. (a) The benefits provided in this chapter shall
be subject to the same annual deductible or co-insurance established for all covered benefits
within a given policy. Private third party payors may not reduce or eliminate coverage due
to the requirements of this chapter. (b) A health benefit plan subject to this chapter may
not terminate services, reduce capitation payment, or otherwise penalize an attending physician
or health care provider who orders medical care consistent with this chapter. (c) Nothing
in this chapter is intended to expand the list of designations of covered providers as specified
in any health benefit plan. (Act 2008-502, p. 1106, §3.)...
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26-16-112
Section 26-16-112 Definitions. For purposes of this arciclet, the following words shall have
the following meanings: (1) FORENSIC PATHOLOGIST. A pathologist trained or with experience
in forensic pathology, licensed to practice medicine and surgery or osteopathic medicine and
surgery in the State of Alabama and board certified by the American Board of Pathology, or
under the direct supervision of a physician with these qualifications. (2) INFANT DEATH. The
sudden death of an person less than one year of age whose death occurs outside the direct
care of a physician in a hospital or other health care setting. (3) SUDDEN UNEXPLAINED INFANT
DEATH (SUID). The sudden death of an infant less than one year of age whose death occurs outside
the direct care of a physician in a hospital or other health care setting and whose cause
of death is not reasonably ascertainable after a thorough investigation and examination by
the person signing the death certificate. (Act 2011-705, p. 2184, §3.)...
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