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6-5-481
Section 6-5-481 Definitions. For the purposes of this article, the following terms shall have
the meanings respectively ascribed to them by this section: (1) MEDICAL PRACTITIONER. Anyone
licensed to practice medicine or osteopathy in the State of Alabama, engaged in such practice,
including medical professional corporations, associations, and partnerships. (2) DENTAL PRACTITIONER.
Anyone licensed to practice dentistry in the State of Alabama, engaged in such practice, including
professional dental corporations, associations, and partnerships. (3) MEDICAL INSTITUTION.
Any licensed hospital, or any physician's or dentist's office or clinic containing facilities
for the examination, diagnosis, treatment, or care of human illnesses. (4) PROFESSIONAL CORPORATION.
Any medical or dental professional corporation or any medical or dental professional association.
(5) PHYSICIAN. Any person licensed to practice medicine in Alabama. (6) DENTIST. Any person
licensed to practice dentistry in...
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27-1-20
Section 27-1-20 Patient Right to Know Act. (a) This section shall be known and may be cited
as the "Patient Right to Know Act." (b) As used in this section, unless the context
clearly indicates otherwise, the following words shall have the following meanings: (1) ENROLLEE.
A person who purchases individual health care coverage or an employer who purchases a group
health care plan. (2) PROVIDER. A physician, dentist, podiatrist, pharmacist, optometrist,
psychologist, clinical social worker, advanced nurse practitioner, registered optician, licensed
professional counselor, physical therapist, and chiropractor. (c)(1) All persons, firms, corporations,
associations, health maintenance organizations, health insurance services, or preferred provider
organizations, any employer-sponsored health benefit plan, or any similar organization or
entity, providing health, accident, or dental insurance coverage, either directly or indirectly,
shall provide an enrollee with a written description of the...
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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...
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34-27B-2
Section 34-27B-2 Definitions. As used in this chapter, the following terms shall have the following
meanings: (1) BOARD. The Alabama State Board of Respiratory Therapy. (2) DIRECT CLINICAL SUPERVISION.
A situation where a licensed respiratory therapist or physician is available for the purpose
of communication, consultation, and assistance. (3) HEALTHCARE FACILITY. The definition shall
be the same as in Section 22-21-260. (4) MEDICALLY APPROVED PROTOCOL. A detailed plan for
taking specific diagnostic or treatment actions, or both, authorized by the treating physician
of the patient, all of which actions shall be: a. In a hospital or other inpatient health
care facility, approved by the supervising physician of the respiratory therapist or in an
outpatient treatment setting approved by the supervising physician of the respiratory therapist.
b. Except in cases of medical emergency, instituted following an evaluation of the patient
by a physician or otherwise directed by the supervising...
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22-21B-4
Section 22-21B-4 Participation in a health care service that violates the conscience of health
care provider; written objection; liability. (a) A health care provider has the right not
to participate, and no health care provider shall be required to participate, in a health
care service that violates his or her conscience when the health care provider has objected
in writing prior to being asked to provide such health care services. (b) When objecting in
writing in accordance with this chapter, no health care provider shall be civilly, criminally,
or administratively liable for declining to participate in a health care service that violates
his or her conscience except when failure to do so would immediately endanger the life of
a patient. (c) It shall be unlawful for any person, health care provider, health care institution,
public or private institution, public official, or any board which certifies competency in
medical or health care specialties to discriminate against any health...
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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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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...
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27-56-2
Section 27-56-2 Definitions. As used in this chapter, 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) EYE CARE PROVIDER. A licensed optometrist or a licensed ophthalmologist. (3)
INSURANCE POLICY, PLAN, OR CONTRACT PROVIDING FOR THIRD-PARTY PAYMENT OR PREPAYMENT OF HEALTH
OR MEDICAL EXPENSES. Includes an individual or group policy for accident or health insurance,
an individual or group hospital or health care service contract, an individual or group health
maintenance organization contract, an organized delivery system contract, or a preferred provider
organization contract, and any other similar policy, plan, or contract. This term shall not
include any employee welfare benefit plan, as defined...
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26-23H-3
Section 26-23H-3 Definitions. As used in this chapter, the following terms shall have the following
meanings: (1) ABORTION. The use or prescription of any instrument, medicine, drug, or any
other substance or device with the intent to terminate the pregnancy of a woman known to be
pregnant with knowledge that the termination by those means will with reasonable likelihood
cause the death of the unborn child. The term does not include these activities if done with
the intent to save the life or preserve the health of an unborn child, remove a dead unborn
child, to deliver the unborn child prematurely to avoid a serious health risk to the unborn
child's mother, or to preserve the health of her unborn child. The term does not include a
procedure or act to terminate the pregnancy of a woman with an ectopic pregnancy, nor does
it include the procedure or act to terminate the pregnancy of a woman when the unborn child
has a lethal anomaly. (2) ECTOPIC PREGNANCY. Any pregnancy resulting from...
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34-24-603
Section 34-24-603 Definitions. Unless otherwise indicated from the context, the terms set out
below, as used in this article shall have the following meanings: (1) APPLICANT. A person
who has submitted or that is in the process of submitting a registration under this article.
(2) BOARD. The Alabama Board of Medical Examiners. (3) CONTROLLED SUBSTANCE. A drug, substance,
or immediate precursor identified, defined, or listed in Sections 20-2-20 to 20-2-32, inclusive.
(4) HOSPITAL. A health care institution licensed by the Alabama Department of Public Health
and has the same definition as provided in Chapter 420-5-7 of the Alabama Administrative Code.
The term shall include any outpatient facility or clinic that is separated from the hospital
that is owned, operated, or controlled by the hospital. (5) PAIN MANAGEMENT SERVICES. Those
medical services that involve the prescription of controlled substances in order to treat
chronic nonmalignant pain by a physician who treats pain. (6)...
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