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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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