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22-55-1
Section 22-55-1 Enactment of compact; terms. The Interstate Compact on Mental Health
is hereby enacted into law and entered into by this state with all other states legally joining
therein in the form substantially as follows: INTERSTATE COMPACT ON MENTAL HEALTH The contracting
states solemnly agree that: Article I The party states find that the proper and expeditious
treatment of the mentally ill and mentally deficient can be facilitated by cooperative action
to the benefit of the patients, their families and society as a whole. Further, the party
states find the necessity of and desirability for furnishing such care and treatment bear
no primary relation to the residence or citizenship of the patient but that, on the contrary,
the controlling factors of community safety and humanitarianism require that facilities and
services be made available for all who are in need of them. Consequently, it is the purpose
of this compact and of the party states to provide the necessary legal basis...
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22-6-153
Section 22-6-153 Contract to provide medical care to Medicaid beneficiaries; enrollment;
grievance procedures; duties of Medicaid Agency. (a) Subject to approval of the federal Centers
for Medicare and Medicaid Services, the Medicaid Agency shall enter into a contract in each
Medicaid region for at least one fully certified regional care organization to provide, pursuant
to a risk contract under which the Medicaid Agency makes a capitated payment, medical care
to Medicaid beneficiaries. However, the Medicaid Agency may enter into a contract pursuant
to this section only if, in the judgment of the Medicaid Agency, care of Medicaid beneficiaries
would be better, more efficient, and less costly than under the then existing care delivery
system. The Medicaid Agency may contract with more than one regional care organization in
a Medicaid region. Pursuant to the contract, the Medicaid Agency shall set capitation payments
for the regional care organization. (b) The Medicaid Agency shall...
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27-1-10.1
Section 27-1-10.1 Insurance coverage for drugs to treat life-threatening illnesses.
(a) The Legislature finds and declares the following: (1) The citizens of this state rely
upon health insurance to cover the cost of obtaining health care and it is essential that
the citizens' expectation that their health care costs will be paid by their insurance policies
is not disappointed and that they obtain the coverage necessary and appropriate for their
care within the terms of their insurance policies. (2) Some insurers deny payment for drugs
that have been approved by the Federal Food and Drug Administration, hereafter referred to
as FDA, when the drugs are used for indications other than those stated in the labelling approved
by the FDA, off-label use, while other insurers with similar coverage terms do pay for off-label
use. (3) Denial of payment for off-label use can interrupt or effectively deny access to necessary
and appropriate treatment for a person being treated for a...
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27-3A-5
Section 27-3A-5 Standards for utilization review agents. (a) Except as provided in subsection
(b), all utilization review agents shall meet the following minimum standards: (1) Notification
of a determination by the utilization review agent shall be mailed or otherwise communicated
to the provider of record or the enrollee or other appropriate individual within two business
days of the receipt of the request for determination and the receipt of all information necessary
to complete the review. (2) Any determination by a utilization review agent as to the necessity
or appropriateness of an admission, service, or procedure shall be reviewed by a physician
or determined in accordance with standards or guidelines approved by a physician. (3) Any
notification of determination not to certify an admission, service, or procedure shall include
the principal reason for the determination and the procedures to initiate an appeal of the
determination. (4) Utilization review agents shall maintain...
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27-56-10
Section 27-56-10 Vision care providers - Contract requirements; rates; reimbursements;
discounts. (a) As used in this section, the following words shall have the following
meanings: (1) CONTRACTUAL DISCOUNT. A percentage reduction from a provider's usual and customary
rate for covered services and materials required under a participating provider agreement.
(2) COVERED MATERIALS. Materials for which reimbursement from the insurer or vision care plan
is provided to a vision care provider by an enrollee's plan contract, or for which a reimbursement
would be available but for the application of the enrollee's contractual limitations of deductibles,
copayments, or coinsurance. (3) COVERED SERVICES. Services for which reimbursement from the
insurer or vision care plan is provided to a vision care provider by an enrollee's plan contract,
or for which a reimbursement would be available but for the application of the enrollee's
contractual plan limitations of deductibles, copayments, or...
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34-24-166
Section 34-24-166 Refusal, revocation, or suspension - Grounds; rules; disciplinary
action. (a) The State Board of Chiropractic Examiners may refuse to grant a license or permit
to any applicant who is not of good moral character and reputation or has a history of narcotic
addiction or has previously been convicted of a felony or any crime of moral turpitude or
has previously been diagnosed as having a psychopathic disorder. (b) The State Board of Chiropractic
Examiners may invoke disciplinary action as outlined in subsection (c) whenever the licensee
or permit holder shall be found guilty of any of the following: (1) Fraud in procuring a license
or permit, or any fraud in obtaining money or other thing of value. (2) Immoral conduct. (3)
Unprofessional conduct. (4) Habitual intoxication or addiction to the use of drugs. (5) Conviction
of a felony or any crime of moral turpitude. (6) Conviction for violation of any narcotic
or controlled substance statute. (7) Unlawful invasion of the...
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27-19-103
Section 27-19-103 Definitions. Unless the context requires otherwise, the definitions
in this section apply throughout this article. (1) APPLICANT. In the case of: a. An
individual long-term care insurance policy, the person who seeks to contract for benefits.
b. A group long-term care insurance policy, the proposed certificate holder. (2) CERTIFICATE.
Any certificate issued under a group long-term care insurance policy, which policy has been
delivered or issued for delivery in this state. (3) COMMISSIONER. The Alabama Commissioner
of Insurance. (4) GROUP LONG-TERM CARE INSURANCE. A long-term care insurance policy which
is delivered or issued for delivery in this state and issued to any of the following: a. One
or more employers or labor organizations, or to a trust or to the trustees of a fund established
by one or more employers or labor organizations, or a combination thereof, for employees or
former employees or a combination thereof, or for members or former members or a...
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34-39-3
Section 34-39-3 Definitions. In this chapter, the following terms shall have the respective
meanings provided in this section unless the context clearly requires a different meaning:
(1) ASSOCIATION. The Alabama Occupational Therapy Association. (2) BOARD. The Alabama State
Board of Occupational Therapy. (3) LICENSE. A valid and current certificate of registration
issued by the Alabama State Board of Occupational Therapy. (4) OCCUPATIONAL THERAPY. a. The
practice of occupational therapy means the therapeutic use of occupations, including everyday
life activities with individuals, groups, populations, or organizations to support participation,
performance, and function in roles and situations in home, school, workplace, community, and
other settings. Occupational therapy services are provided for habilitation, rehabilitation,
and the promotion of health and wellness to those who have or are at risk for developing an
illness, injury, disease, disorder, condition, impairment, disability,...
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36-29-1
Section 36-29-1 Definitions. When used in this chapter, the following terms shall have
the following meanings, respectively, unless the context clearly indicates otherwise: (1)
BOARD. The State Employees' Insurance Board. (2) CLASS. An employee or retiree shall be included
in one of the following classes: (i) active employee single, (ii) active employee family,
(iii) non-Medicare retiree single, (iv) non-Medicare retiree family, (v) Medicare retiree
single, (vi) Medicare retiree family, (vii) non-Medicare retiree with Medicare eligible dependent(s),
or (viii) Medicare retiree with non-Medicare dependent(s). (3) EMPLOYEE. A person who works
full time for the State of Alabama or for a county health department and who receives his
or her full compensation on a monthly basis through means of a state warrant drawn upon the
State Treasury or by check drawn by the Treasurer of the Alabama State Port Authority or by
check drawn by the treasurer of the Alabama state agency for surplus property...
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13A-9-71
Section 13A-9-71 Registration of charitable organizations, professional fund raisers,
and commercial co-venturers, and professional solicitors; notification of changes; exempt
persons; annual report; prohibition against fund raising by unregistered person; contracts
between professional fund raisers and commercial co-venturers; appointment of Secretary of
State as agent for service of process; use of name of charitable organization without consent;
disclosure by solicitors; violations and penalties; injunctive relief. (a) Every charitable
organization, except those granted an exemption in subsection (f), which is physically located
in this state, intends to solicit contributions in or from this state, or to have contributions
solicited in this state, on its behalf, by other charitable organizations, paid solicitors,
or commercial co-venturers in or from this state shall, prior to any solicitation, file a
registration statement with the Attorney General upon a form prescribed by the...
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