27-26-1
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 Alabama. (7)
HOSPITAL. Such institutions as are defined in Section 22-21-20 as hospitals. (8) OTHER HEALTH
CARE PROVIDERS. Any professional corporation or any person employed by physicians, dentists,
and hospitals who are directly involved in the delivery of health care services. (9) MEDICAL
LIABILITY. A finding by a judge, jury, or arbitration panel that a physician, dentist, medical
institution, or other health care provider did not meet the applicable standard of care and
that such failure was the proximate cause of the injury complained of, resulting in
damage to the patient. (10) BOARD. The board of directors of the joint underwriting association
created by Section 27-26-22. (Acts 1975, No. 513, p. 1148, §3.)...
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36-36-6
Section 36-36-6 Sources of funding; use of assets; distributions; modification and termination
of trusts; taxation; financial statement. (a) The sources of funding to the Alabama Retired
State Employees' Health Care Trust may be: (1) appropriations made by the Legislature; (2)
contributions by employees and retired employees; (3) employer contributions; (4) investment
income; (5) proceeds of any gifts, grants, or contributions; (6) transfers from the State
Employees' Insurance Fund; and (7) all other sources permitted by law. (b) The sources of
funding to the Alabama Retired Education Employees' Health Care Trust may be: (1) appropriations
made by the Legislature; (2) contributions by employees and retired employees; (3) employer
contributions; (4) investment income; (5) proceeds of any gifts, grants, or contributions;
(6) transfers from the Public Education Employees' Health Insurance Fund; and (7) all other
sources permitted by law. (c) The agreements creating the trusts shall be...
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6-5-481
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
Alabama. (7) HOSPITAL. Such institutions as are defined in Section 22-21-21 as hospitals.
(8) OTHER HEALTH CARE PROVIDERS. Any professional corporation or any person employed by physicians,
dentists, or hospitals who are directly involved in the delivery of health care services.
(9) MEDICAL LIABILITY. A finding by a judge, jury, or arbitration panel that a physician,
dentist, medical institution, or other health care provider did not meet the applicable standard
of care, and that such failure was the proximate cause of the injury complained of,
resulting in damage to the patient. (Acts 1975, No. 513, p. 148, §3.)...
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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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27-48-1
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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22-11D-1
Section 22-11D-1 Legislative findings. The Legislature finds that trauma is one of many severe
health problems in the State of Alabama and a major cause of death and long-term disability.
It is in the best interest of the citizens of Alabama to establish an efficient and well-coordinated
statewide trauma system and to provide for other systems of care as the needs are recognized
and funding becomes available to reduce costs and incidences of inappropriate or inadequate
emergency medical services. (Act 2007-299, p. 541, §1; Act 2012-526, p. 1556, §1.)...
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22-21-264
Section 22-21-264 Criteria for state agency review. The SHPDA, pursuant to the provisions of
Section 22-21-274, shall prescribe by rules and regulations the criteria and clarifying definitions
for reviews covered by this article. These criteria shall include at least the following:
(1) Consistency with the appropriate State Health Facility and services plans effective at
the time the application was received by the State Agency, which shall include the latest
approved revisions of the following plans: a. The most recent Alabama State Health Plan which
shall include updated inventories and separate bed need methodologies for inpatient rehabilitation
beds, inpatient psychiatric beds and inpatient/residential alcohol and drug abuse beds. b.
Alabama State Health Plan for services to the mentally ill. c. Alabama State Plan for rehabilitation
facilities. d. Alabama developmental disabilities plan. e. Alabama State alcoholism plan.
f. Such other State Plans as may from time to time be...
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27-7-1
with or offering advice directly to a purchaser or prospective purchaser of a particular contract
of insurance concerning any of the substantive benefits, terms, or conditions of the contract,
provided that the person engaged in that act either sells insurance or obtains insurance from
insurers for purchasers. (17) PERSON. An individual or a business entity. (18) PROPERTY LINES
OF AUTHORITY. Any one or more of the following lines as defined in Section 27-7-14.1: Property;
casualty; and personal lines. (19) SELL. To exchange a contract of insurance by any
means, for money or its equivalent, on behalf of an insurance company. (20) SERVICE REPRESENTATIVE.
A natural person, other than an officer, manager, or managing general agent of the insurer,
employed on salary or at an hourly rate by an insurer, managing general agent, or a captive
producer to work for, with or through producers in selling, soliciting, or negotiating insurance
in the insurer or in the insurers represented by the...
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22-21-265.3
Section 22-21-265.3 Certificates of need - All-digital, automated hospital exempt from review
process. The Legislature finds and determines that the well-being and health of the citizens
of the State of Alabama will be enhanced by the development and growth of a state of the art
digital, automated hospital using the latest technological advances in healthcare to lower
healthcare costs, reduce human errors, and provide patients with the best medical care available,
and that it is in the best interest of the state to induce the location of one all-digital,
automated hospital, meeting the requirements of a digital hospital as provided in subsection
(f) of Section 22-21-265, in a county in which is located an accredited medical school and
teaching facility and not less than 3,000 licensed general hospital beds, in order to set
new standards for quality, efficiency, and cost-effective delivery of healthcare services,
and to promote these purposes by exempting from the certificate of need...
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27-4A-3
Section 27-4A-3 Generally. (a) Subject to the exceptions and exemptions hereinafter set forth,
for the year beginning on January 1, 1995, and for each year thereafter, every insurer shall
pay to the commissioner a premium tax equal to the percentage, as set out in this subsection,
of the premiums received by the insurer for business done in this state, whether the same
was actually received by the insurer in this state or elsewhere: (1) PREMIUM TAX ON LIFE INSURANCE
PREMIUMS. a. Except as hereinafter provided, the rates of taxation on life insurance premiums
shall be those amounts set out in the following schedule: Year Foreign Insurers Domestic Insurers
1995 2.9 1.3 1996 2.8 1.6 1997 2.7 1.8 1998 2.5 2.1 Every Year Thereafter 2.3 2.3 b. Individual
life insurance policies in a face amount of greater than $5,000 and up to and including $25,000,
excluding group life insurance policies, shall be taxed at the rate of one percent per annum.
c. Individual life insurance policies in a face...
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