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26-23H-7
Section 26-23H-7 Medical emergencies. This chapter shall not apply to a physician licensed
in Alabama performing a termination of a pregnancy or assisting in performing a termination
of a pregnancy due to a medical emergency as defined by this chapter. (Act 2019-189, §7.)...
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22-18-42
Section 22-18-42 Regulation of certain types of care and personnel; purchase of drugs and fluids.
This chapter shall govern and it shall authorize the Board of Health to regulate only emergency
medical care provided outside of hospitals, EMSP who provide care outside of hospitals, provider
services ground ambulances, air ambulances, ALS nontransport services, the training of EMSP
who provide care outside of hospitals, and orders given for emergency medical care to be provided
outside of hospitals. Notwithstanding any provision of law to the contrary, authorized drugs
and fluids for emergency medical care and services may be purchased from any reliable source,
including wholesalers, distributors, and hospitals. To the extent medical care and nursing
care provided within hospitals is governed by other provisions of law, those provisions of
law shall not be construed to have been repealed, amended, abridged, or otherwise altered
by this chapter. (Acts 1995, No. 95-276, p. 488, §5; Act...
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22-6-4.1
Section 22-6-4.1 Copayments by persons receiving medical services from physicians or other
medical practitioners under program. (a) Medicaid eligible persons shall pay a $2.00 copayment
for medical services provided by a physician or other medical practitioner under the Medicaid
Program. (b) The $2.00 copayment shall be collected by the provider of services and credited
against the Medicaid payment to the provider for the service. (c) Medical services shall include
any services covered by the Medicaid Program and rendered by a physician or other medical
practitioner. (d) The provisions of this section shall not be effective if they are found
by a court of competent jurisdiction to contravene federal laws or federal regulations applicable
to the Medicaid Program. (Acts 1980, No. 80-126, p. 189.)...
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27-1-19
Section 27-1-19 Reimbursement of health care providers. (a) The insured, or health or dental
plan beneficiary may assign reimbursement for health or dental care services directly to the
provider of services. Health benefits include medical, pharmacy, podiatric, chiropractic,
optometric, durable medical equipment, and home care services. The company or agency, when
authorized by the insured, or health or dental plan beneficiary, shall pay directly to the
health care provider the amount of the claim, under the same criteria and payment schedule
that would have been reimbursed directly to the contract provider, and any applicable interest.
This amount only applies to assigned claims. Any company or agency making a payment to the
insured, or health or dental plan beneficiary, after the rights of reimbursement have been
assigned to the provider of services, shall be liable to the provider for the payment. If
the company or agency fails to reimburse the provider in accordance with the terms...
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27-48-1
Section 27-48-1 Definitions. As used in this chapter, the following terms shall have the following
meanings: (1) HEALTH BENEFIT PLAN. A health insurance policy 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. For
the purpose of this chapter, a health benefit plan located or domiciled outside of the State
of Alabama is deemed to be subject to the provisions of this chapter if it receives, processes,
adjudicates, pays, or denies claims for health care services submitted by or on behalf of
the State of Alabama or who receive health care services in the State of Alabama. The term
includes, but is not limited to, entities created pursuant to Article 6 of...
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34-19-21
Section 34-19-21 Coverage or reimbursement for services not required. Nothing contained in
this chapter shall be construed to create a requirement that any health benefit plan, group
insurance plan, policy, or contract for health care services 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 group health care services to patients, insureds, or beneficiaries in this state,
including entities created pursuant to Article 6, commencing with Section 10A-20-6.01, of
Chapter 20, Title 10A, provide coverage or reimbursement for the services described or authorized
in this chapter. (Act 2017-383, §4.)...
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27-48-3
Section 27-48-3 Prohibition against plan termination of services, reduction of capitation payment,
or other penalty for health care provider in compliance with chapter; prohibition against
financial encouragement of early discharge from postpartum care. No health benefit plan subject
to the provisions of this chapter shall terminate the services, reduce capitation payment,
or otherwise penalize an attending physician, certified nurse midwife, or other health care
provider who orders medical care consistent with this chapter. No health benefit plan shall
provide, directly or indirectly, any financial incentive or disincentive or grant or deny
any special favor or advantage of any kind or nature to any person to encourage or cause early
discharge of a hospital patient from postpartum care, excluding capitation or global fee arrangements.
Provided nothing contained in this chapter is intended to expand the list or designation of
covered providers as specified in any health benefit plan or...
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27-50-5
Section 27-50-5 Penalties for compliance with article - Prohibited. (a) No health benefit plan
subject to the provisions of this chapter shall terminate the services, reduce capitation
payment, or otherwise penalize an attending physician or other health care provider who orders
medical care consistent with this chapter. (b) Nothing in this chapter is intended to expand
the list or designation of covered providers as specified in any health benefit plan. (Acts
1997, No. 97-414, p. 685, §5.)...
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27-56-3
Section 27-56-3 Payment for services. An insurance policy, plan, or contract providing for
third-party payment or prepayment of health or medical expenses shall include a provision
for the payment to a licensed optometrist for each service which falls within the scope of
the optometrist's license, if the policy, plan, or contract pays for the same service when
provided by any other provider for such services. (Act 2001-477, p. 640, §3.)...
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44-1-33
Section 44-1-33 Authorization of medical, psychiatric, surgical and dental treatment. (a) The
state youth services director or his delegate may authorize major surgery or medical treatment
to be performed upon any committed youth or general anesthetic to be administered to a committed
youth when it is deemed necessary by a licensed medical physician and approval by the parent
or guardian is acquired. If such approval is not given or the parent or guardian is unavailable
for two weeks, the director or his delegate may apply to the juvenile court in the county
where the child is confined for an order to undertake such surgery or treatment. A ruling
must be made within 24 hours by the said juvenile judge. (b) The state youth services director
or his delegate may authorize major surgery or medical treatment to be performed upon any
committed youth or general anesthetic to be administered to a committed youth when it is deemed
an emergency situation where a child has suffered serious injury...
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