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22-11A-60
Section 22-11A-60 Definitions. As used in this article, the following words shall have
the following meanings: (1) HEALTH CARE FACILITY. A hospital, nursing home, ambulatory surgical
center, outpatient surgical facility, ambulance service, rescue squad, paid fire department,
volunteer fire department, or any other clinic, office, or facility in which medical, dental,
nursing, or podiatric services are offered. (2) HEALTH CARE WORKER. Physicians, dentists,
nurses, respiratory therapists, phlebotomists, surgical technicians, physician assistants,
podiatrist, dialysis technicians, emergency medical technicians, paramedics, ambulance drivers,
dental hygienists, dental assistants, students in the healing arts, or any other individual
who provides or assists in the provision of medical, dental, or nursing services. (3) HEPATITIS
B VIRUS (HBV) INFECTION. The presence of the HBV as determined by the presence of hepatitis
B(e) antigen for six months or longer or by other means as determined by...
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22-21-293
Section 22-21-293 Financial responsibility for out-of-county indigent patients treated
at a regional referral hospital. Ultimate financial responsibility for treatment received
at a regional referral hospital by a certified indigent patient, who is a resident of the
State of Alabama but is not a resident of the county in which the regional referral hospital
is located, shall be the obligation of the county of which the certified indigent patient
is a resident. A county's annual financial responsibility for each of its resident certified
indigent patients receiving treatment at a regional referral hospital shall be limited to
payment for 30 days or the number of days of services allowed per annum for the care of Medicaid
patients through the State Medicaid Program at the time of the patient's hospitalization,
whichever shall be less, at the per diem reimbursement rate currently in effect for the regional
referral hospital under the medical assistance program for the needy under Title...
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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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12-1-15
Section 12-1-15 Benefits to which judges, officers, employees, etc., of judicial branch
of government entitled; uniformity of treatment as to benefits, etc., of supernumerary justices
and judges and retired justices and judges; failure by justice or judge to apply for supernumerary
or retirement benefits at time of leaving active state service not to forfeit entitlement
to rights. (a) Any justice, judge, officer, official or employee of the judicial branch of
government, including retired and supernumerary justices, judges or employees, other than
probate and municipal court judges and employees, shall be entitled to any and all employee
benefits to which other state employees, officers or officials on active duty status are entitled,
including, but not limited to, group hospital, medical and surgical insurance, regardless
of whether such officer, official or employee is receiving his compensation from grant funds
or otherwise. (b) All supernumerary justices and judges and retired...
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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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21-8-5
Section 21-8-5 Duties of Children's Rehabilitation Service. It is the duty of the Children's
Rehabilitation Service, with the advice of the committee, to: (1) Develop standards for determining
eligibility for care and treatment under this chapter. (2) Assist in the development and expansion
of programs for the care and treatment of persons suffering from hemophilia and related diseases,
including home care and medical and dental procedures designed to provide maximum control
over bleeding. (3) Extend financial assistance to persons suffering from hemophilia for the
purpose of obtaining blood, blood derivatives and concentrates, and other efficacious agents
for use in hospital, medical and dental facilities, and in the home. (4) Institute and carry
on community educational programs for the detection of hemophilia and for the counseling of
individuals and families. (5) Conduct educational programs for physicians, dentists, hospitals,
regional health departments, and the public concerning...
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25-5-290
Section 25-5-290 Ombudsman program, creation; purpose; members; notification of service;
benefit review conferences. (a) The Department of Industrial Relations shall establish an
Ombudsman Program to assist injured or disabled employees, persons claiming death benefits,
employers, and other persons in protecting their rights and obtaining information available
under the Workers' Compensation Law. (b) Providing that the employer and the employee agree
to participate in the benefit review conference, the ombudsmen shall meet with or otherwise
provide information to injured or disabled employees, investigate complaints, and communicate
with employers, insurance carriers, and health care providers on behalf of injured or disabled
employees. (c) Ombudsmen shall be Merit System employees and demonstrate familiarity with
the Workers' Compensation Law. An ombudsman shall not be an advocate for any person who shall
assist a claimant, employer, or other person in any proceeding beyond the...
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27-19A-2
Section 27-19A-2 Definitions. As used in this chapter, the following terms shall have
the respective meanings herein set forth, unless the context shall otherwise require: (1)
ALABAMA INSURANCE CODE. Title 27 of the Code of Alabama 1975. (2) INSURER. Such term shall
have the meaning ascribed in Section 27-1-2. (3) PERSON. Such term shall have the meaning
ascribed in Section 27-1-2. (4) COMMISSIONER and DEPARTMENT. Such terms, respectively,
shall have the meanings ascribed in Section 27-1-2. (5) CONTRACTUAL OBLIGATION. Any
obligation under covered policies or employee benefit plans. (6) COVERED POLICY OR PLAN. Any
policy, employee benefit plan, or contract within the scope of this chapter. (7) HEALTH INSURANCE
POLICY. Any individual, group, blanket, or franchise insurance policy, insurance agreement,
or group hospital service contract providing benefits for dental care expenses incurred as
a result of an accident or sickness. (8) EMPLOYEE BENEFIT PLAN. Any plan, fund, or program...
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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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34-14C-2
Section 34-14C-2 Board of Home Medical Equipment. (a) The Governor shall appoint a minimum
of nine persons to serve on the Board of Home Medical Equipment, such persons to include a
majority who are employed in the home medical equipment industry, and at least one person
from each of the following categories: A consumer of home medical equipment services, a physician,
a representative from the acute-care hospital community, and a representative from the home
health agency community. Those persons employed in the home medical equipment industry shall
be selected from a list submitted by the Alabama Durable Medical Equipment Association, or
its successor. The consumer member shall be selected from a list of names submitted by the
Governor's Office on Disability, or its successor. The physician member shall be selected
from a list of names submitted by the Medical Association of Alabama, or its successor. The
acute-care hospital community member shall be selected from a list submitted by...
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