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27-21A-17
Section 27-21A-17 Suspension or revocation of certificate of authority. (a) The commissioner
in consultation with and with the approval of the State Health Officer, where necessary, may
suspend or revoke any certificate of authority issued to a health maintenance organization
under this chapter if he finds that any of the following conditions exist: (1) The health
maintenance organization is operating significantly in contravention of its basic organizational
document or in a manner contrary to that described in any other information submitted under
Section 27-21A-2, unless amendments to such submissions have been filed with the commissioner
and the State Health Officer and approved by the commissioner; (2) The health maintenance
organization issues evidence of coverage or uses a schedule of charges for health care services
which do not comply with requirements of Section 27-21A-7; (3) The health maintenance organization
does not provide or arrange for basic health care services; (4)...
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27-26-1
Section 27-26-1 Definitions. For purposes of this chapter, the following words and phrases
shall have the respective meanings ascribed by this section: (1) MEDICAL PRACTITIONER. Anyone
licensed to practice medicine or osteopathy in the State of Alabama, engaged in such practice,
and shall include medical professional corporations, associations, and partnerships. (2) DENTAL
PRACTITIONER. Anyone licensed to practice dentistry in the State of Alabama, engaged in such
practice, and such term includes professional dental corporations, associations, and partnerships.
(3) MEDICAL INSTITUTION. Any licensed hospital, or any physicians' or dentists' offices or
clinics 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...
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27-45-2
Section 27-45-2 Definitions. As used in this article, the following terms shall have the respective
meanings herein set forth, unless the context shall otherwise require: (1) ALABAMA INSURANCE
CODE. Title 27 of the Code of Alabama 1975. (2) INSURER. Such term shall have the meaning
ascribed in Section 27-1-2. (3) PERSON. Such term shall have the meaning ascribed in Section
27-1-2. (4) COMMISSIONER and DEPARTMENT. Such terms, respectively, shall have the meanings
ascribed in Section 27-1-2. (5) CONTRACTUAL OBLIGATION. Any obligation under covered policies
or employee benefit plans. (6) COVERED POLICY OR PLAN. Any policy, employee benefit plan,
or contract within the scope of this article. (7) HEALTH INSURANCE POLICY. Any individual,
group, blanket, or franchise insurance policy, insurance agreement, or group hospital service
contract providing for pharmaceutical services, including without limitation, prescription
drugs, incurred as a result of accident or sickness, or to prevent same....
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27-57-1
Section 27-57-1 Definitions. As used in this chapter, the following words and terms shall have
the following meanings: (1) COLORECTAL CANCER EXAMINATIONS. Examinations and laboratory tests
specified in current American Cancer Society guidelines for colorectal cancer screening of
asymptomatic individuals. (2) HEALTH BENEFIT PLAN. A group 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 purposes of this chapter, a health benefit plan located or domiciled outside
of the State of Alabama is deemed to be subject to this chapter if it receives, processes,
adjudicates, pays, or denies claims for health care services submitted...
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6-5-481
Section 6-5-481 Definitions. For the purposes of this article, the following terms shall have
the meanings respectively ascribed to them by this section: (1) MEDICAL PRACTITIONER. Anyone
licensed to practice medicine or osteopathy in the State of Alabama, engaged in such practice,
including medical professional corporations, associations, and partnerships. (2) DENTAL PRACTITIONER.
Anyone licensed to practice dentistry in the State of Alabama, engaged in such practice, including
professional dental corporations, associations, and partnerships. (3) MEDICAL INSTITUTION.
Any licensed hospital, or any physician's 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...
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22-11A-4
Section 22-11A-4 Certain records to be provided to State Health Officer or Bureau of Clinical
Laboratories. (a) For purposes of this article, the following terms have the following meanings:
(1) CLINICAL MATERIALS. Either of the following: a. A clinical isolate that contains or that
may contain an infectious agent of public health importance. b. Material that contains or
that may contain an infectious agent of public health importance, if an isolate is not available,
in the following order of preference: 1. A patient specimen. 2. Nucleic acid. 3. Other laboratory
material. (2) PROVIDER OF MEDICAL SERVICES. A physician, hospital, laboratory, or other medical
facility or medical professional that renders medical care relating to treatment of possible
or confirmed cases of public health importance. (b) A provider of medical services that is
currently rendering or that has rendered treatment, care, diagnostic services, or laboratory
services to any person suspected of having a notifiable...
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22-11A-67
Section 22-11A-67 Records and information necessary to assist investigation. (a) Any health
care worker found to have HBV, HIV, or HCV, or other disease designated by the State Board
of Health and any health care facility at which an infected health care worker is employed
or practices shall make available to the State Board of Health, and to the expert review panel,
any and all patient medical records and other records requested by those groups, except that
records or documents greater than three years old shall not be provided. (b) The following
persons and facilities shall provide to the State Board of Health and the expert review panel
all requested documents or records three years old or less: (1) Any person having knowledge
of a health care worker diagnosed as infected with HIV, HBV, HCV, or other disease designated
by the State Board of Health. (2) The administrator of any health facility having knowledge
of a health care worker diagnosed as infected with HIV, HBV, HCV, or other...
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22-11D-4
Section 22-11D-4 Verification and certification of trauma or health care center status. (a)
With the advice of and after approval of the council, the board may adopt rules for verification
and certification of trauma or health care center status which assign level designations based
on resources available within the facility. Rules shall be based upon national guidelines,
including, but not limited to, those established by the American College of Surgeons, the
Joint Commission of Accreditation of Health Care Organizations, in Hospital and Pre-hospital
Resources for Optimal Care of the Injured Patient, and any published appendices thereto. Rules
specific to rural and urban areas shall be developed and adopted by rule of the board. (b)
Any medical facility that desires to be a designated trauma or other health care center shall
request a designation from the department whereby the medical facility agrees to maintain
a level of commitment and resources sufficient to meet the...
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22-12A-2
Section 22-12A-2 Legislative intent; "perinatal" defined. (a) It is the legislative
intent to effect a program in this state of: (1) Perinatal care in order to reduce infant
mortality and handicapping conditions; (2) Administering such policy by supporting quality
perinatal care at the most appropriate level in the closest proximity to the patients' residences
and based on the levels of care concept of regionalization; and (3) Encouraging the closest
cooperation between various state and local agencies and private health care services in providing
high quality, low cost prevention oriented perinatal care, including optional educational
programs. (b) For the purposes of this chapter, the word "perinatal" shall include
that period from conception to one year post delivery. (Acts 1980, No. 80-761, p. 1586, §2;
Acts 1981, 3rd Ex. Sess., No. 81-1140, p. 417, §1.)...
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22-12A-3
Section 22-12A-3 Plan to reduce infant mortality and handicapping conditions; procedure, contents,
etc. The Bureau of Maternal and Child Health under the direction of the State Board of Health
shall, in coordination with the State Health Planning and Development Agency, the State Health
Coordinating Council, the Alabama Council on Maternal and Infant Health and the regional and
State Perinatal Advisory Committees, annually prepare a plan, consistent with the legislative
intent of Section 22-12A-2, to reduce infant mortality and handicapping conditions to be presented
to legislative health and finance committees prior to each regular session of the Legislature.
Such a plan shall include: primary care, hospital and prenatal; secondary and tertiary levels
of care both in hospital and on an out-patient basis; transportation of patients for medical
services and care and follow-up and evaluation of infants through the first year of life;
and optional educational programs, including pupils in...
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