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34-25A-4
Section 34-25A-4 Referral and consultation limits. (a) A licensed prosthetist, licensed orthotist,
or licensed prosthetist/orthotist may provide services utilizing new prostheses or orthoses
for which he or she is licensed and only under a written order from an authorized health care
practitioner. A consultation with and periodic review by an authorized health care practitioner
is not required for the evaluation, repair, adjusting, or servicing of a prosthesis by a licensed
prosthetist, or licensed prosthetist/orthotist and for the evaluation, repair, adjusting,
or servicing of an orthosis by a licensed orthotist, or licensed prosthetist/orthotist; nor
is an order from an authorized health care practitioner required for maintenance or replacement
of an orthosis or prosthesis to the level of its original prescription for an indefinite period
of time if the original order remains appropriate for the patient's medical needs. (b) Prosthetists
and orthotists must refer persons receiving...
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22-4-2
Section 22-4-2 Definitions. When used in this article, the following terms shall have the following
meanings, respectively, unless a different meaning clearly appears from the context: (1) STATE
BOARD OF HEALTH. The statutory agency of the State of Alabama operative in the field of general
health matters and performing the duties and exercising the powers as set forth in the statutory
provisions relating thereto. (2) STATEWIDE HEALTH COORDINATING COUNCIL. The advisory council
established pursuant to this article which shall advise the State Board of Health on matters
relating to health planning and resource development. (3) HEALTH SYSTEMS AGENCY. An entity
which is organized and operated under the provisions of Title XV of the Public Health Service
Act (42 U.S.C. §§ 3001 et seq.) and is responsible for the health planning and development
in a health service area designated by the Governor. (4) HEALTH SERVICE AREA. A geographical
area designated by the Governor as being appropriate...
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22-4-31
Section 22-4-31 Legislative findings. The Legislature does hereby set out the following findings
and reasons for passage of this article. Alabama has adopted a system of health planning and
development administered by the State Health Planning and Development Agency (SHPDA). In addition,
the Statewide Health Coordinating Council (SHCC) is charged with reviewing Alabama's health
planning needs and writing the State Health Plan to assist the Certificate of Need Review
Board. The Certificate of Need Review Board is responsible for reviewing and approving certificate
of need applications in Alabama. There is no current systematic way for the SHPDA, SHCC, or
the Certificate of Need Review Board to collect all the health care services information necessary
for proper health care planning in Alabama, because reporting to SHPDA is voluntary. The Legislature
hereby finds and determines that collection of additional health care information is necessary
for informed statewide health planning. The...
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22-6-10
Section 22-6-10 Women's right to health care. (a) This section shall be known and may be cited
as the "Women's Right to Health Care Act." (b) Any state program funded under Title
XIX of the federal Social Security Act, 42 U.S.C. Section 1396 et seq., and any other publicly
funded state health care program which provides coverage for mastectomy surgery shall also
provide coverage for reconstruction of the breast on which surgery has been performed and
surgery and reconstruction of the other breast to produce a symmetrical appearance if the
patient is eligible for Medicaid and elects reconstruction within two years of the mastectomy
surgery and in the manner chosen by the patient and the physician, in accordance with guidelines
consistent with Medicare and other third party payers. Reimbursement is allowed only for breast
reconstructive surgery following a medically necessary mastectomy when performed for the removal
of cancer. As used in this section, the term "reconstruction" shall...
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22-6-120
Section 22-6-120 Legislative findings. The Legislature finds the following: (1) The availability
of appropriate pharmaceutical benefits to every Alabama citizen is a critical component to
the overall health of its population. (2) Alabama should strive to provide appropriate, safe,
effective, and cost-efficient pharmaceutical care to those who depend on health benefits through
state funded programs. (3) The Alabama Medicaid Agency should endeavor to manage the Medicaid
Pharmacy Program utilizing clinical management tools in a manner to foster optimal health
outcomes at reasonable costs. (4) State Medicaid programs and private insurance plans across
the country utilize preferred drug lists as an effective way to foster and encourage clinically
appropriate and safe use of pharmaceuticals in a cost-effective manner. (5) Based on the proven
effectiveness of preferred drug programs to foster appropriate use of drugs, it is in the
best interests of Alabama and its citizens for the Alabama...
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22-50-90
Section 22-50-90 Definitions. (a) When used in this article, the following words and terms
shall have the following meanings: (1) CRIMINAL HISTORY BACKGROUND INFORMATION. Any information
collected and stored in the criminal record repository of the Federal Bureau of Investigation
(FBI) reflecting the result of an arrest, detention, or initiation of a criminal proceeding
by criminal justice agencies, including, but not limited to, arrest record information, fingerprint
cards, correctional induction and release information, identifiable descriptions, and notations
of arrests, detention, indictments, or other formal charges. The term shall not include analytical
records or investigative reports that contain criminal intelligence information or criminal
investigation information. (2) DIRECT CARE PROVIDER. A psychiatrist, medical doctor, psychologist,
social worker, community service specialist, therapist, nurse, mental health worker, foster
care provider, police officer, and any other...
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27-12A-1
Section 27-12A-1 Definitions. As used in this chapter, the following terms shall have the following
meanings: (1) COMMISSIONER. The Alabama Commissioner of Insurance or his or her designee.
(2) DEPARTMENT. The Alabama Department of Insurance. (3) INSURANCE. As defined in Section
27-1-2, and specifically including any contract, arrangement, or agreement, in which one undertakes
to do any one of the following: a. Pay or indemnify another as to loss from certain contingencies
called risks. b. Pay or grant a specified amount or determinable benefit to another in connection
with ascertainable risk contingencies. c. Pay an annuity to another. d. Act as surety. For
the purposes of this chapter, insurance also includes any health benefit plan as defined in
Section 27-53-1. (4) INSURANCE PRODUCER or PRODUCER. As defined in Section 27-7-1. (5) INSURER.
A person entering into agreements, contracts of insurance, arrangements, or reinsurance, or
a health benefit plan, or a group health plan as...
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27-57-2
Section 27-57-2 Coverage; applicability. (a) All group health benefit plans, policies, contracts,
and certificates executed, delivered, issued for delivery, continued, or renewed in this state
on or after August 1, 2004, shall offer, at the time of proposal, sale, or renewal of a policy
subject to this chapter, to include colorectal cancer examinations within the coverage. Such
offer of coverage shall include colorectal cancer examinations for covered persons who are
50 years of age or older, or for covered persons who are less than 50 years of age and at
high risk for colorectal cancer according to current American Cancer Society colorectal cancer
screening guidelines. (b) This chapter shall apply to group accident and sickness insurance
policies issued by a fraternal benefit society, a nonprofit hospital service corporation,
a nonprofit medical service corporation, a group health care plan, a health maintenance organization,
or any similar entity. (Act 2004-502, p. 969, §2.)...
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34-24-210.1
(a), which may be performed without prescription or referral, include and are limited to the
following: (1) To a child with a diagnosed developmental disability pursuant to the plan of
care for the child. (2) To a patient of a home health care agency pursuant to the plan of
care for the patient. (3) To a patient in a nursing home pursuant to the plan of care for
the patient. (4) Related to conditioning or to providing education or activities in a wellness
setting for the purpose of injury prevention, reduction of stress, or promotion of
fitness. (5) To an individual for a previously diagnosed condition or conditions for which
physical therapy services are appropriate after informing the health care provider rendering
the diagnosis. The diagnosis shall have been made within the immediately preceding 90 days.
The physical therapist shall provide the health care provider who rendered the diagnosis with
a plan of care for physical therapy services within the first 15 days of...
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36-1A-5
Section 36-1A-5 Participation limited to voluntary, charitable, health and human care federations
and agencies with a substantial local presence. (a) Participation in the Alabama State Employee
Combined Charitable Campaign shall be limited to voluntary, charitable, health and human care
federations and agencies with a substantial local presence that provide or support direct
health and welfare services to individuals or their families and meet the criteria set forth
in this section. "Substantial local presence" is defined as a facility, staffed
by professionals or volunteers, available to provide its services and open at least 15 hours
a week. Such services must be available to state employees in the local campaign community,
unless they are rendered to needy persons overseas. Such services must directly benefit human
beings, whether children, youth, adults, the aged, the ill and infirm, or the mentally or
physically handicapped. Such services must consist of care, research, or...
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