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22-6-163
Section 22-6-163 Legislative findings; rules; collaboration; approval of agreements and contracts;
state action immunity; confidentiality of records; additional duties. (a) The Legislature
declares that collaboration among public payers, private health carriers, third party purchasers,
and providers to identify appropriate service delivery systems and reimbursement methods in
order to align incentives in support of integrated and coordinated health care delivery is
in the best interest of the public. Collaboration pursuant to this article is to provide quality
health care at the lowest possible cost to Alabama citizens who are Medicaid eligible. The
Legislature, therefore, declares that this health care delivery system affirmatively contemplates
the foreseeable displacement of competition, such that any anti-competitive effect may be
attributed to the state's policy to displace competition in the delivery of a coordinated
system of health care for the public benefit. In furtherance of...
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22-6-233
Section 22-6-233 Legislative findings; certification of collaborators; powers of Medicaid Agency;
state action immunity. (a) The Legislature declares that collaboration among public payers,
private health carriers, third party purchasers, and providers to identify appropriate service
delivery systems and reimbursement methods in order to align incentives in support of integrated
and coordinated health care delivery is in the best interest of the public. Collaboration
pursuant to this article is to provide quality health care at the lowest possible cost to
Alabama citizens who are Medicaid eligible. The Legislature, therefore, declares that this
health care delivery system affirmatively contemplates the foreseeable displacement of competition,
such that any anti-competitive effect may be attributed to the state's policy to displace
competition in the delivery of a coordinated system of health care for the public benefit.
In furtherance of this goal, the Legislature declares its intent...
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27-1-17.1
Section 27-1-17.1 Payment of providers through electronic funds transfer methods. (a) As used
in this section, the following words shall have the following meanings: (1) ACH ELECTRONIC
FUNDS TRANSFER. An electronic funds transfer through the Health Insurance Portability and
Accountability Act (HIPPA) standard Automated Clearing House network. (2) COVERED HEALTH CARE
PROVIDER. A physician as defined in Section 34-24-50.1; a dentist as defined in Section 34-9-1;
a chiropractor as defined in Section 34-24-120; an individual engaged in the practice of optometry
as defined in Section 34-22-1; other licensed health care professionals as defined in Title
34; a hospital as defined in Section 22-21-20; and a health care facility, or other provider
who or that is accredited, licensed, or certified and who or that is performing within the
scope of that accreditation, license, or certification. (3) HEALTH INSURANCE PLAN. Any hospital
and medical expense incurred policy, health maintenance...
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27-14-11.1
Section 27-14-11.1 Contents of policies - Denial or reduction of benefits due to Medicaid eligibility
void. (a) For purposes of this section, "private insurer" is defined as any of the
following: (1) Any commercial insurance company offering health or casualty insurance to individuals
or groups, including both experience-rated contracts and indemnity contracts. (2) Any profit
or nonprofit prepaid plan offering either medical services or full or partial payment for
the diagnosis or treatment of an injury, disease, or disability. (3) Any organization administering
health or casualty insurance plans for professional associations, unions, fraternal groups,
employer-employee benefit plans, and any similar organization offering these payments or services,
including self-insured and self-funded plans. (4) Any health insurer, including group health
plans, as defined in Section 607(1) of the Employee Retirement Income Security Act of 1974,
self-insured plans, service benefit plans, managed care...
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34-27B-11
Section 34-27B-11 Additional activities permitted under chapter. Nothing in this chapter shall
be construed as preventing or restricting the practice, services, or activities of any of
the following: (1) Any person who is licensed in Alabama or certified by an organization accredited
by the National Commission for Certifying Agencies and acceptable to the state from engaging
in the profession or occupation for which the person is licensed or certified. (2) Any person
employed by the United States government who provides respiratory therapy solely under the
direction or control of the United States government agency or organization. (3) Any person
receiving clinical training while pursuing a course of study leading to registry or certification
in a respiratory therapy educational program accredited by the Council on Allied Health Education
Programs in collaboration with the Committee on Accreditation for Respiratory Care or their
successor organizations. This person will be under direct...
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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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34-24-344
Section 34-24-344 Limited waiver of licensing requirements for certain athletic team physicians.
(a) Subject to subsection (b), the licensing requirements of this chapter do not apply to
any person who holds a current unrestricted license to practice medicine or osteopathy in
another state when the person, pursuant to a written agreement with an athletic team located
in that state provides medical services to any member of the official traveling party. (b)
In providing medical services pursuant to subsection (a), the person may not provide medical
services at a health care facility including, but not limited to, a hospital, an ambulatory
surgical facility, or any other facility in which medical care, diagnosis, or treatment is
provided on an inpatient or outpatient basis. (Act 2015-451, ยง1.)...
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6-5-662
Section 6-5-662 Definitions. For purposes of this article, the following words shall have the
following meanings: (1) ESTABLISHED FREE MEDICAL CLINIC. An organized community-based program
providing medical care, without charge to individuals unable to pay for it, and which is limited
to care that does not require the services of a licensed hospital or ambulatory surgical center,
and care that does not include the use of general anesthesia or require an overnight stay
in a health care facility. (2) MEDICAL PROFESSIONAL. A person licensed by the Alabama Medical
Licensure Commission established under Section 34-24-310, or licensed to practice the treatment
of human ailments in any other state or territory of the United States; or a person licensed
by the Alabama Board of Nursing established under Section 34-21-2; or a person licensed by
the Board of Chiropractic Examiners established under Section 34-24-140; or a person licensed
by the Alabama Board of Optometry established under Section...
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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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22-21-263
Section 22-21-263 New institutional health services subject to review. (a) All new institutional
health services which are subject to this article and which are proposed to be offered or
developed within the state shall be subject to review under this article. No institutional
health services which are subject to this article shall be permitted which are inconsistent
with the State Health Plan. For the purposes of this article, new institutional health services
shall include any of the following: (1) The construction, development, acquisition through
lease or purchase, or other establishment of a new health care facility or health maintenance
organization. A transaction involving the sale, lease, or other transfer or change of control
of an existing health care facility, existing health maintenance organization, or existing
institutional health service is not subject to certificate of need review or approval under
this article unless the transaction also involves implementing one or...
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