|
36-1-6.2
Section 36-1-6.2 Insurance coverage for state instrumentalities and agencies; prior contracts
and policies ratified. (a) Any instrumentality or agency of the State of Alabama, whose principal
activity consists of distributing goods or services by contract with the United States, or
any federal governmental corporation, and which are not covered by the provisions of Chapter
29 of this title, shall be subject to all the provisions of this section. Such instrumentality
or agency is hereby empowered to purchase and pay for group health, accident or hospitalization
insurance coverage for its officers and employees. Such instrumentality or agency is hereby
further authorized to contract with the State Employees' Insurance Board for group health,
accident or hospitalization insurance coverage, and under such terms, conditions, and costs
as the State Employees' Insurance Board and the instrumentality or agency shall mutually determine.
The cost or premium for such group health, accident or...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/36-1-6.2.htm - 1K - Match Info - Similar pages
6-5-548
Section 6-5-548 Burden of proof; reasonable care as similarly situated health care provider;
no evidence admitted of medical liability insurance. (a) In any action for injury or damages
or wrongful death, whether in contract or in tort, against a health care provider for breach
of the standard of care, the plaintiff shall have the burden of proving by substantial evidence
that the health care provider failed to exercise such reasonable care, skill, and diligence
as other similarly situated health care providers in the same general line of practice ordinarily
have and exercise in a like case. (b) Notwithstanding any provision of the Alabama Rules of
Evidence to the contrary, if the health care provider whose breach of the standard of care
is claimed to have created the cause of action is not certified by an appropriate American
board as being a specialist, is not trained and experienced in a medical specialty, or does
not hold himself or herself out as a specialist, a "similarly...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/6-5-548.htm - 4K - Match Info - Similar pages
27-3A-3
Section 27-3A-3 Definitions. As used in this chapter, the following words and phrases shall
have the following meanings: (1) DEPARTMENT. The Alabama Department of Public Health. (2)
ENROLLEE. An individual who has contracted for or who participates in coverage under an insurance
policy, a health maintenance organization contract, a health service corporation contract,
an employee welfare benefit plan, a hospital or medical services plan, or any other benefit
program providing payment, reimbursement, or indemnification for health care costs for the
individual or the eligible dependents of the individual. (3) PROVIDER. A health care provider
duly licensed or certified by the State of Alabama. (4) UTILIZATION REVIEW. A system for prospective
and concurrent review of the necessity and appropriateness in the allocation of health care
resources and services given or proposed to be given to an individual within this state. The
term does not include elective requests for clarification of...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-3A-3.htm - 3K - Match Info - Similar pages
29-1-26
Section 29-1-26 Legislative double dipping prohibited. (a) This section shall be known and
may be cited as the Legislative Double Dipping Prohibition Act. (b) Any other provision of
law to the contrary notwithstanding, and except as provided in subsection (c), a member of
the Legislature, during his or her term of office, may not be an employee of any other branch
of state government, any department, agency, board, or commission of the state, or any public
educational institution including, but not limited to, a local board of education, a two-year
institution of higher education, or a four-year institution of higher education. For purposes
of this section, employee means any of the following: (1) An employee as defined in Section
36-27-1, or a teacher as defined in Section 16-25-1. An employee as defined in this subsection
shall not include any person receiving pension benefits from the Retirement Systems of Alabama.
(2) A person who is personally providing services under a personal...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/29-1-26.htm - 5K - Match Info - Similar pages
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...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-55-3.htm - 8K - Match Info - Similar pages
40-26B-77.1
Section 40-26B-77.1 Intergovernmental transfers to the Medicaid Agency. (a) Beginning on October
1, 2016, and ending on September 30, 2022, publicly owned and state-owned hospitals shall
begin making intergovernmental transfers to the Medicaid Agency. If the agency begins making
payments pursuant to Article 9 of Chapter 6 of Title 22, on or before September 30, 2019,
the amount of the intergovernmental transfers shall be calculated for each hospital using
a pro-rata basis based on the hospital's IGT contribution for FY 2018 in relation to the total
IGT for FY 2018. Total IGTs for any given fiscal year shall not exceed three hundred thirty-three
million, four hundred thirty-four thousand, and forty-eight dollars ($333,434,048) with the
exception of an adjustment as described in subsection (d) and to the extent adjustments are
required to comply with federal regulations or terms of any waiver issued by the federal government
relating to the state's Medicaid program. The total...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/40-26B-77.1.htm - 2K - Match Info - Similar pages
45-37-171.44
Section 45-37-171.44 Ability to pay fees; increase in costs and fees; funding. No person shall
be denied any service because that person, or if a minor, the parent or legal guardian of
such person, is unable to pay the fee for such service established pursuant to this subpart.
The determination of a person's ability to pay shall be made in confidence and under circumstances
that will protect the dignity of the person receiving the service. Using any appropriate standards
of ability to pay for health care provided by the United States Government or any agency thereof,
the Jefferson County Board of Health may establish a sliding fee scale based on a person's
ability to pay. Any provision of this subpart to the contrary notwithstanding, this subpart
shall not be interpreted or applied to authorize any increase in the fees, if any, that any
person may be required to pay for any examination, treatment, vaccination, inoculation, or
other health care service of any kind that, as of September...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/45-37-171.44.htm - 2K - Match Info - Similar pages
26-23C-2
Section 26-23C-2 Legislative findings. (a) The Legislature of the State of Alabama finds all
of the following: (1) Under the Patient Protection and Affordable Care Act, P.L. 111-148,
federal tax dollars, via affordability credits, subsidies provided to individuals between
150-400 percent of the federal poverty level, are routed to exchange participating health
insurance plans, including plans that provide coverage for abortions. (2) Federal funding
of insurance plans that provide abortions is an unprecedented change in federal abortion funding
policy. The Hyde Amendment, as passed each year in the Labor Health and Human Services Appropriations
bill, and the Federal Employee Health Benefits Program, FEHBP, prohibit federal funds from
subsidizing health insurance plans that provide abortions. Under this new law, however, exchange
participating health insurance plans that provide abortions can receive federal funds. (3)
The provision of federal funding for health insurance plans that...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/26-23C-2.htm - 2K - Match Info - Similar pages
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...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-1-10.1.htm - 6K - Match Info - Similar pages
36-29-19.7
Section 36-29-19.7 Retiree contribution based on years of service. (a) The board shall set
forth the employer contribution to the health insurance premium for each retiree class. (b)
For employees who retire other than for disability after September 30, 2005, but before January
1, 2012, the employer contribution to the health insurance premium set forth by the board
for each retiree class shall be reduced by two percent for each year of service less than
25 and increased by two percent for each year of service over 25, subject to adjustment by
the board for changes in Medicare premium costs required to be paid by a retiree. In no case
shall the employer contribution of the health insurance premium exceed 100 percent of the
total health insurance premium cost for the retiree. (c)(1) Except as provided in subdivision
(2), for employees who retire after December 31, 2011, the employer contribution to the health
insurance premium set forth by the board for each retiree class shall be...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/36-29-19.7.htm - 3K - Match Info - Similar pages
|