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27-45A-4
Section 27-45A-4 Licensure of pharmacy benefits managers. (a) (1) Effective January 1, 2020,
to conduct business in this state, a pharmacy benefits manager must be licensed by the commissioner.
To initially obtain a license or renew a license, a pharmacy benefits manager shall submit
all of the following: a. A nonrefundable fee not to exceed $500. b. A copy of the licensee's
corporate charter, articles of incorporation, or other charter document. c. A completed licensure
form adopted by the commissioner containing: 1. The name and address of the licensee. 2. The
name, address, and official position of an employee who will serve as the primary contact
for the Department of Insurance. 3. Any additional contact information deemed appropriate
by the commissioner or reasonably necessary to verify the information contained in the application.
(2) The licensee shall inform the commissioner by any means acceptable to the commissioner
of any change in the information required by this subsection...
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27-45A-1
Section 27-45A-1 Short title. This chapter shall be known as and may be cited as the Alabama
Pharmacy Benefits Manager Licensure and Regulation Act. (Act 2019-457, §1.)...
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27-45A-7
Section 27-45A-7 Construction and application of division. (a) This chapter is applicable to
a contract or health benefit plan issued, renewed, recredentialed, amended, or extended on
and after January 1, 2020. (b) A contract existing on the date of licensure of the pharmacy
benefits manager shall comply with the requirements of this chapter as a condition of licensure
for the pharmacy benefits manager. (c) Nothing in this chapter is intended or shall be construed
to be in conflict with existing relevant federal law. (Act 2019-457, §7.)...
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34-23-2
Section 34-23-2 Objects and purposes of chapter. The practice of pharmacy and the management
and operation of pharmacies are hereby declared to affect the public health, safety, and welfare
of the people of Alabama, and thereby subject to regulation and control in the public interest.
It is further declared to be a matter of public interest and concern that only qualified persons
compound or dispense prescription drugs and medicines, and that pharmacies be managed in such
a manner as to protect the public, and all provisions of this chapter shall be liberally construed
to carry out these objects and purposes. (Acts 1966, Ex. Sess., No. 205, p. 231, §1.)...
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34-23-30
Section 34-23-30 Pharmacy permits generally. (a) Every pharmacy, hospital pharmacy, drugstore,
pharmacy department, prescription department, prescription laboratory, dispensary, apothecary,
or any other establishment with a title implying the sale, offering for sale, compounding,
or dispensing of drugs in this state, or any person performing pharmacy services in this state,
shall register biennially and receive a permit from the board. Any person desiring to open,
operate, maintain, or establish a pharmacy or perform pharmacy services in this state shall
apply to the board for a permit at least 30 days prior to the opening of the business. No
pharmacy or entity performing pharmacy services shall open for the transaction of business
until it has been registered, inspected, and a permit issued by the board. The application
for a permit shall be made on a form prescribed and furnished by the board which when properly
executed shall indicate the ownership desiring such permit and the names...
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34-14C-5
Section 34-14C-5 Exemptions. The licensure requirements of this chapter do not apply to the
following entities or practitioners: (1) Home health agencies certified by the State of Alabama
to participate in the Medicare and Medicaid programs. (2) Hospital based home medical equipment
services, whether or not the services are provided through a separate corporation or other
business entity. (3) Health care practitioners legally eligible to order or prescribe home
medical equipment, or who use home medical equipment to treat patients in locations other
than the patient's residence, including, but not limited to, physicians, nurses, physical
therapists, respiratory therapists, speech therapists, occupational therapists, optometrists,
chiropractors, and podiatrists, except for those practitioners, other than a licensed physician
practicing medicine, who provide home medical equipment services in a patient's residence.
Nothing in this chapter shall be construed as prohibiting or restricting...
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22-21B-2
Section 22-21B-2 Legislative findings. The Legislature finds and declares: (1) It is the public
policy of the State of Alabama to respect and protect the fundamental right of conscience
of individuals who provide health care services. (2) Without comprehensive protection, health
care rights of conscience may be violated in various ways, such as harassment, demotion, salary
reduction, termination, loss of privileges, denial of aid or benefits, and refusal to license,
or refusal to certify. (3) It is the purpose of this chapter to protect religious or ethical
rights of all health care providers to decline to provide, perform, assist, or participate
in providing or performing certain health care services that violate their consciences, where
they have made their objections known in writing in advance. (4) It is the purpose of this
chapter to prohibit discrimination, disqualification, or coercion upon such health care providers
who decline to perform any health care service that violates...
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34-23-181
Section 34-23-181 Definitions. The following words shall have the following meanings as used
in this article: (1) HEALTH BENEFIT PLAN. Any individual or group plan, employee welfare benefit
plan, policy, or contract for health care services issued, delivered, issued for delivery,
or renewed in this state by a health care insurer, health maintenance organization, accident
and sickness insurer, fraternal benefit society, nonprofit hospital service corporation, nonprofit
medical service corporation, health care service plan, or any other person, firm, corporation,
joint venture, or other similar business entity that pays for insureds or beneficiaries in
this state. The term includes, but is not limited to, entities created pursuant to Article
6 of Chapter 20 of Title 10A. A health benefit plan located or domiciled outside of the State
of Alabama is deemed to be subject to this article if it receives, processes, adjudicates,
pays, or denies claims for health care services submitted by or...
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27-1-20
Section 27-1-20 Patient Right to Know Act. (a) This section shall be known and may be cited
as the "Patient Right to Know Act." (b) As used in this section, unless the context
clearly indicates otherwise, the following words shall have the following meanings: (1) ENROLLEE.
A person who purchases individual health care coverage or an employer who purchases a group
health care plan. (2) PROVIDER. A physician, dentist, podiatrist, pharmacist, optometrist,
psychologist, clinical social worker, advanced nurse practitioner, registered optician, licensed
professional counselor, physical therapist, and chiropractor. (c)(1) All persons, firms, corporations,
associations, health maintenance organizations, health insurance services, or preferred provider
organizations, any employer-sponsored health benefit plan, or any similar organization or
entity, providing health, accident, or dental insurance coverage, either directly or indirectly,
shall provide an enrollee with a written description of the...
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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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