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27-21A-1
Section 27-21A-1 Definitions. As used in this chapter, the following terms shall have
the following meanings, respectively: (1) AGENT. A person who is appointed or employed by
a health maintenance organization and who engages in solicitation of membership in such organization.
This definition does not include a person enrolling members on behalf of an employer, union,
or other organization. (2) BASIC HEALTH CARE SERVICES. Emergency care, inpatient hospital
and physician care, and outpatient medical services. (3) COMMISSIONER. The Commissioner of
Insurance. (4) ENROLLEE. An individual who is enrolled in a health maintenance organization.
(5) EVIDENCE OF COVERAGE. Any certificate, agreement, or contract issued to an enrollee setting
out the coverage to which he is entitled. (6) HEALTH CARE SERVICES. Any services included
in the furnishing to any individual of medical or dental care, or hospitalization or incident
to the furnishing of such care or hospitalization, as well as the...
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27-50-3
Section 27-50-3 Health benefit plan. As used in this chapter, the term "health
benefit plan" has the following meaning: A health insurance policy, including a self-insured
health plan, 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 health care services to patients, insureds, or beneficiaries
in this state. The term does not include accident-only, specified disease, individual hospital
indemnity, credit, dental-only, Medicare-supplement, long-term care, or disability income
insurance; coverage issued as a supplement to liability insurance, workers' compensation or
similar insurance; or automobile medical-payment insurance. For the purpose of this chapter,
a health benefit plan located or domiciled outside of the State of...
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14-14-5
Section 14-14-5 Medical release application; eligibility factors; revocation; notice.
(a) An inmate, or any concerned person, including, but not limited to, the inmate's attorney,
family, physician, or an employee or official of the department may initiate consideration
for medical furlough by submitting to the department an initial medical release application
form along with supporting documentation. (b)(1) The initial application form shall include
the report of a physician or physicians employed by the department or its health care provider
and a notarized report of at least one other duly licensed physician who is board certified
in the field of medicine for which the inmate is seeking a medical furlough and who is not
an employee of the department. These reports shall each be of the opinion that the inmate
is either terminally ill, permanently incapacitated, or that the inmate suffers from a chronic
infirmity, illness, or disease related to aging. (2) The commissioner shall...
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22-11A-4
Section 22-11A-4 Certain records to be provided to State Health Officer or Bureau of
Clinical Laboratories. (a) For purposes of this article, the following terms have the following
meanings: (1) CLINICAL MATERIALS. Either of the following: a. A clinical isolate that contains
or that may contain an infectious agent of public health importance. b. Material that contains
or that may contain an infectious agent of public health importance, if an isolate is not
available, in the following order of preference: 1. A patient specimen. 2. Nucleic acid. 3.
Other laboratory material. (2) PROVIDER OF MEDICAL SERVICES. A physician, hospital, laboratory,
or other medical facility or medical professional that renders medical care relating to treatment
of possible or confirmed cases of public health importance. (b) A provider of medical services
that is currently rendering or that has rendered treatment, care, diagnostic services, or
laboratory services to any person suspected of having a notifiable...
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6-5-333
Section 6-5-333 Dentists, chiropractors, and physicians serving on utilization and quality
control committees, peer review committees, or professional standards review committees; consultants
thereto and employees thereof; dental, chiropractic and medical societies and associations;
appeal to Alabama Dental Association; confidentiality. (a) Any dentist, chiropractor, or physician
licensed to practice medicine in Alabama who serves on a peer review or a utilization and
quality control committee or professional standards review committee or a similar committee
or a committee of similar purpose or any dentist, physician, chiropractor, or individual who
serves as a consultant or employee to one of said committees established either by a dental
society or dental association or by a chiropractic society or chiropractic association or
by a state medical association or county medical society to review any aspect of dental care,
chiropractic care, or medical care at the request of a government...
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27-51-1
Section 27-51-1 Payment for services of licensed physician assistant. (a) An insurance
policy or contract providing for third-party payment or prepayment of health or medical expenses
shall include a provision for the payment to a supervising physician for necessary medical
or surgical services that are provided by a licensed physician assistant practicing under
the supervision of the physician, and pursuant to the rules, regulations, and parameters for
physician assistants, if the policy or contract pays for the same care and treatment provided
by a licensed physician or doctor of osteopathy. (b) An insurance policy or contract subject
to this section shall not impose a practice or supervision restriction which is inconsistent
with or more restrictive than provided by law. (c) This section shall apply to services
provided under a policy or contract delivered, continued, or renewed in this state on or after
August 1, 1997, and to any existing policy or contract, on the policy's or...
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27-53-1
Section 27-53-1 Definitions. As used in this chapter, the following terms shall have
the following meanings: (1) GENETIC CHARACTERISTICS. A scientifically or medically identifiable
gene or chromosome, or alteration thereof, that is known to be a cause of a disease or disorder,
or determined to be associated with a statistically increased risk of development of a disease
or disorder. (2) GENETIC TEST. A pre-symptomatic laboratory test which is generally accepted
in the scientific and medical communities for the determination of the presence or absence
of the genetic characteristics that cause or are associated with risk of a disease or disorder.
(3) HEALTH BENEFIT PLAN. A health insurance policy, including a self-insured health plan,
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...
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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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22-1-16
Section 22-1-16 Prescribing, dispensing, and administering auto-injectable epinephrine;
liability; reports; rulemaking authority. (a) As used in this section, the following
words shall have the following meanings: (1) ADMINISTER. The direct application of an epinephrine
auto-injector to the body of an individual. (2) AUTHORIZED ENTITY. Any entity or organization
other than a K-12 public school subject to Section 16-1-48, in connection with or at
which allergens capable of causing anaphylaxis may be present, including, but not limited
to, recreation camps, colleges and universities, day care facilities, youth sport leagues,
amusement parks, restaurants, places of employment, and sports arenas. (3) EPINEPHRINE AUTO-INJECTOR.
A single-use device used for the automatic injection of a premeasured dose of epinephrine
into the human body. (4) MEDICAL PRACTITIONER. A physician or other individual licensed under
Title 34 authorized to treat, use, or prescribe medicine and drugs for sick and...
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22-18-1
Section 22-18-1 Definitions. For the purposes of this article, the following terms shall
have the meanings respectively ascribed to them by this section: (1) ADVANCED EMERGENCY
MEDICAL TECHNICIAN. Any person 18 years of age or older who satisfies all of the following:
a. Has successfully completed the advanced emergency medical technician course of instruction,
or its equivalent, as approved by the State Board of Health. b. Has passed the state Advanced
EMT examination, as well as having met the requirements for becoming a licensed emergency
medical technician. c. Has been granted a license by the State Board of Health. (2) ADVANCED
LIFE SUPPORT (ALS). The treatment of potentially life-threatening medical emergencies through
the use of invasive medical techniques specified as advanced life support techniques by the
Board of Health, which ordinarily would be performed or provided by licensed physicians, but
which may be performed by emergency medical service personnel during emergencies...
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