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27-56-10
Section 27-56-10 Vision care providers - Contract requirements; rates; reimbursements; discounts.
(a) As used in this section, the following words shall have the following meanings: (1) CONTRACTUAL
DISCOUNT. A percentage reduction from a provider's usual and customary rate for covered services
and materials required under a participating provider agreement. (2) COVERED MATERIALS. Materials
for which reimbursement from the insurer or vision care plan is provided to a vision care
provider by an enrollee's plan contract, or for which a reimbursement would be available but
for the application of the enrollee's contractual limitations of deductibles, copayments,
or coinsurance. (3) COVERED SERVICES. Services for which reimbursement from the insurer or
vision care plan is provided to a vision care provider by an enrollee's plan contract, or
for which a reimbursement would be available but for the application of the enrollee's contractual
plan limitations of deductibles, copayments, or...
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36-29-4
Section 36-29-4 Establishment and provisions of health insurance plan; rules and regulations.
The board is hereby empowered and authorized to establish a fully insured or self-insured
health insurance plan for employees and retirees of the State of Alabama and to adopt and
promulgate rules and regulations for the administration of such plan, subject to such limitations
as may be contained in this chapter. Such plan may provide for group hospitalization, surgical,
and medical insurance against the financial costs of hospitalization, surgical, and medical
treatment and care and may also include, among other things, prescribed drugs, medicines,
prosthetic appliances, hospital inpatient and outpatient service benefits, and medical expenses
indemnity benefits, including major medical benefits or such other coverage or benefits as
may be deemed appropriate and desirable by the board. (Acts 1965, No. 833, p. 1564, §3; Act
2004-647, 1st Sp. Sess., p. 17, §1.)...
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20-2-251
Section 20-2-251 Certifying board; advisory committee; access to records; protocols, formularies,
medical regimens. (a) The Board of Medical Examiners is hereby designated as the certifying
board for the registration and approval of a certified registered nurse practitioner (CRNP)
or a certified nurse midwife (CNM) in obtaining or renewing a Qualified Alabama Controlled
Substances Registration Certificate (QACSC). The board may adopt regulations concerning the
application procedures, fees, and grounds for the restriction, limitation, suspension, or
revocation of a QACSC, excluding the charge of expenses for conducting an investigation or
expenses of a hearing, and to provide for hearings in connection with the same. The board
shall establish a unique QACSC number that identifies the particular applicant as a certified
registered nurse practitioner or certified nurse midwife with a valid QACSC. However, nothing
in this article shall permit the board to encroach on the powers, duties,...
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2-28-10.1
Section 2-28-10.1 Financial responsibility. (a) The commissioner with the approval of the State
Board of Agriculture and Industries may promulgate rules and regulations which require any
applicant for a permit to perform professional work or services to provide evidence of his
ability to properly indemnify persons damaged in any manner by the use or application of pesticides.
The amount and form of indemnification required shall be determined by rules and regulations
promulgated by the commissioner with the approval of the State Board of Agriculture and Industries.
(b) The commissioner with the approval of the State Board of Agriculture and Industries, may
promulgate rules and regulations requiring an applicant for a permit to perform professional
work or services to furnish and file with the commissioner a surety bond payable to the State
of Alabama. The surety bond shall be conditioned that the principal therein named shall honestly
and in a skillful and workmanlike manner conduct...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/2-28-10.1.htm - 2K - Match Info - Similar pages
27-1-16
Section 27-1-16 Standard health insurance claim form; electronic claims form; various claim
forms. (a)(1) The Commissioner of the Department of Insurance shall prescribe a standard health
insurance claim form to be used by all hospitals. The forms shall be prescribed in a format
which allows for the use of generally accepted diagnosis and treatment coding systems by providers
of health care and payors. The standard form shall be accepted and used by all insurers doing
business in the State of Alabama and by all state agencies which pay providers of health care
for hospital services. (2) The Commissioner of the Department of Insurance shall also prescribe
a format for all health insurance claims transmitted or submitted for payment by electronic
or electro-mechanical means. Such a format shall be used by all insurers doing business in
the State of Alabama and by all state agencies which pay providers of health care for hospital
services. (b) An advisory committee of five persons, two...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-1-16.htm - 3K - Match Info - Similar pages
40-26B-2
Section 40-26B-2 Privilege tax upon providers of pharmaceutical services; exceptions. To provide
further for the availability of indigent health care, the operation of the Medicaid Program
and the maintenance and expansion of medical services thereunder, there is hereby levied and
shall be collected as provided in this article a privilege tax on the business activities
of every provider of pharmaceutical services to the citizens of Alabama, except for a pharmacy,
or portion thereof, serving hospital inpatients or pharmacies owned or operated by the State
of Alabama or an agency thereof. The privilege tax imposed by this article is in addition
to all other taxes of any kind now imposed by law, and shall be at the rate of 10 cents for
each prescription filled or refilled for a citizen of Alabama. (Acts 1991, No. 91-124, p.
148, §2; Act 2002-414, p. 1058, §1.)...
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16-8-26
Section 16-8-26 Definitions; personal leave for teachers during time schools are in session;
reimbursement for unused personal leave. (a) When used in this section, the following terms
shall have the following meanings: (1) BOARD. Any public city or county board of education;
the Board of Trustees of the Alabama Institute for Deaf and Blind; the Alabama Youth Services
Board in its capacity as the Board of Education for the Youth Services School District; the
Board of Directors of the Alabama School of Fine Arts; the Board of Directors of the Alabama
High School of Mathematics and Science; and, as applied to two-year postsecondary education
institutions, the State Board of Education. (2) SUPPORT PERSONNEL or SUPPORT EMPLOYEE. Maid,
custodian, adult bus driver, lunchroom or cafeteria worker, secretary, clerk, clerical assistant,
maintenance worker, or other non-certificated employee who works an average of at least 20
hours weekly, excluding those employees who are covered by the State...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/16-8-26.htm - 3K - Match Info - Similar pages
2-6A-2
Section 2-6A-2 Farm Crisis and Transition Program and Commission established; members; chairman;
powers and duties; use of physical facilities of other agencies; rules and regulations; advisory
committee. There is hereby established the Farm Crisis and Transition Program of the State
of Alabama (herein called "the program") which shall come into existence upon April
29, 1986, and shall continue for a period ending on September 30, 1991, unless earlier terminated
by action of the Legislature. The program shall be under the direction and control of the
Farm Crisis and Transition Program Commission (herein called "the commission"),
which shall consist of the Commissioner of Agriculture and Industries of the state, the Chairman
of the Agriculture, Conservation and Forestry Committee of the Senate of Alabama, the Chairman
of the Agriculture and Forestry Committee of the House of Representatives of Alabama, the
Director of the Alabama Department of Economic and Community Affairs and the...
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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...
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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...
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