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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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27-56-4
Section 27-56-4 Prohibited activities. An insurance policy, plan, or contract providing
for third-party payment or prepayment of health or medical expenses shall not do any of the
following: (1) Impose a practice restriction for optometrists which is inconsistent with or
more restrictive than provided by law. (2) Discriminate between classes of eye care providers
with respect to any covered service which falls within the scope of the eye care provider's
license. (3) Require an eye care provider to hold hospital privileges as a condition of participation
in or receiving payment from the policy, plan, or contract. (4) Impose any restriction not
required by law based on the eye care provider's professional degree. (5) Discriminate between
eye care providers in connection with the amount of reimbursement for the provision of the
same services. (6) Require an eye care provider to purchase or maintain a minimum quantity
or minimum dollar amount of a specified brand of ophthalmic materials as...
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33-1-5.2
Section 33-1-5.2 Life and health insurance for certain salaried officers and employees
of state docks. (a) The Alabama State Port Authority is hereby authorized to provide and establish
a plan of life and health insurance for the salaried officers and employees of Alabama state
docks who work full time for the Alabama state docks and receive their compensation on a bi-weekly
basis and also a plan of health insurance for the spouses and dependent children of such officers
and employees and to pay the costs and premiums of such life and health insurance from the
revenues of the Alabama State Port Authority. (b) Such health insurance plan may provide for
group hospitalization, surgical, medical and dental insurance against the financial costs
of hospitalization, surgical, medical and dental treatment and care, and may also include,
among other things, prescribed drugs, medicines, prosthetic appliances, hospital in-patient
and out-patient service benefits, including major medical benefits,...
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34-13A-8
Section 34-13A-8 Exemptions. This chapter does not apply to any of the following: (1)
Any individual licensed by the state to practice in a profession other than that of a genetic
counselor, when acting within the scope of his or her profession and doing work of a nature
consistent with his or her training. The individual may not hold himself or herself out to
the public as a genetic counselor. (2) Any physician licensed to practice medicine or osteopathy
in this state. (3) Any individual who is certified by ABMGG as a doctor of philosophy medical
geneticist before December 31, 2018. (4) Any individual employed as a genetic counselor by
the federal government or an agency thereof, if the individual provides genetic counseling
services solely under the direction and control of the organization through which he or she
is employed. (5) A genetic counseling intern enrolled in an ACGC or ABMGG accredited genetic
counseling educational program, if genetic counseling services performed by the...
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34-24-310
Section 34-24-310 Created; composition; appointment of members; terms of office; public
members. (a) There is created the Medical Licensure Commission composed of seven physicians,
each of whom shall be either a doctor of medicine or a doctor of osteopathy and be licensed
to practice medicine or osteopathy in this state. The members of the commission shall be appointed
as follows: Two physicians shall be appointed by the Lieutenant Governor; two physicians shall
be appointed by the Speaker of the House of Representatives; and the remaining three physicians
shall be appointed by the Governor. Each member of the commission shall be a citizen of this
state and the membership of the commission shall be inclusive and reflect the racial, gender,
geographic, urban/rural, and economic diversity of the state. The members shall serve a five-year
term with no limit as to the number of terms a member can serve. In order to stagger the terms,
the initial appointment shall be as follows: The two...
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45-15-171.30
Section 45-15-171.30 Physician inducement. In Cleburne County, the Cleburne County Hospital
Board is hereby authorized to use any available monies from any sources, any facilities or
means of the association, and to enter into any agreements as deemed necessary by the board,
for the purpose of providing any inducement to, or carrying out any agreements with, any physician
willing to practice medicine in Cleburne County, and serve as a medical staff member of the
Cleburne County Hospital. This agreement shall include but not be limited to the advancement
of funds, the making of loans, and the payment of supplemental salaries. (Act 80-260, p. 336,
ยง1.)...
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20-2-211
Section 20-2-211 Definitions. For the purposes of this article, the following terms
shall have the respective meanings ascribed by this section: (1) CERTIFYING BOARDS.
Those boards designated in subdivision (3) of Section 20-2-2. (2) CONTROLLED SUBSTANCE.
Any drug or medication defined as a controlled substance within the meaning of subdivision
(4) of Section 20-2-2. (3) DEPARTMENT. The Alabama Department of Public Health. (4)
LICENSING BOARD OR COMMISSION. The board, commission, or other entity that is authorized to
issue a professional license to a pharmacist or an authorized practitioner. (5) PHARMACIST.
Any person, as defined in subdivision (17) of Section 34-23-1, licensed by the Alabama
State Board of Pharmacy or otherwise permitted by Alabama or federal law to practice the profession
of pharmacy within this state. (6) PHARMACY. A retail establishment, as defined in subdivision
(18) of Section 34-23-1, licensed by the Alabama State Board of Pharmacy. (7) PRACTITIONER
or...
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20-2-214
Section 20-2-214 Limited access to database permitted for certain persons or entities.
(a) The following persons or entities shall be permitted access to the information in the
controlled substances database, subject to the limitations indicated below: (1) Authorized
representatives of the certifying boards; provided, however, that access shall be limited
to information concerning the licensees of the certifying board, however, authorized representatives
from the Board of Medical Examiners may access the database to inquire about certified registered
nurse practitioners (CRNPs), or certified nurse midwives (CNMs) that hold a Qualified Alabama
Controlled Substances Registration Certificate (QACSC). (2) A licensed practitioner approved
by the department who has authority to prescribe, dispense, or administer controlled substances.
The licensed practitioner's access shall be limited to information concerning himself or herself,
registrants who possess a Qualified Alabama Controlled...
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20-2-250
Section 20-2-250 Definitions. As used in this article, the following words shall have
the following meanings: (1) ADMINISTER. The direct application of a controlled substance whether
by injection, inhalation, ingestion, or any other means, to the body of a patient by any of
the following: a. A collaborating physician or, in his or her presence, his or her authorized
agent. b. A certified registered nurse practitioner or certified nurse midwife. c. The patient
at the direction and in the presence of the collaborating physician, certified registered
nurse practitioner, or certified nurse midwife. (2) BOARD. The Board of Medical Examiners
of the State of Alabama. (3) CERTIFIED NURSE MIDWIFE or CNM. An advanced practice nurse who
is subject to a collaborative practice agreement with a collaborating physician pursuant to
Title 34, Chapter 21, Article 5, and who has advanced knowledge and skills relative to the
management of women's health care focusing on pregnancy, childbirth, the...
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22-18-1
Section 22-18-1 Definitions. For the purposes of this article, the following terms shall
have the meanings respectively ascribed to them by this section: (1) ADVANCED EMERGENCY
MEDICAL TECHNICIAN. Any person 18 years of age or older who satisfies all of the following:
a. Has successfully completed the advanced emergency medical technician course of instruction,
or its equivalent, as approved by the State Board of Health. b. Has passed the state Advanced
EMT examination, as well as having met the requirements for becoming a licensed emergency
medical technician. c. Has been granted a license by the State Board of Health. (2) ADVANCED
LIFE SUPPORT (ALS). The treatment of potentially life-threatening medical emergencies through
the use of invasive medical techniques specified as advanced life support techniques by the
Board of Health, which ordinarily would be performed or provided by licensed physicians, but
which may be performed by emergency medical service personnel during emergencies...
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