Code of Alabama

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22-2A-3
Section 22-2A-3 Program and procedures; exceptions; competitive bidding. (a) The State Health
Officer may develop, maintain, and implement a program and procedures to do the following:
(1) Aggregate or negotiate the purchase of pharmaceuticals for pharmaceutical programs for
state agencies, as defined herein, or joining a multi-state pooling initiative, or both, and
(2) maximize savings, rebates, and discounts from suppliers on pharmaceutical purchases under
any pharmaceutical program enumerated in this chapter. The State Board of Health shall promulgate
rules and regulations for the purpose of implementing this chapter with the approval of the
chief executive officers of the departments and agencies administering a pharmaceutical program.
(b) Subdivision (1) of subsection (a) shall not apply to state insurance plans that provide
reimbursement for the purchase of pharmaceuticals to public employees. (c) All purchase contracts
for pharmaceuticals for pharmaceutical programs for state...
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36-29-7
Section 36-29-7 Payment of employer's contribution; coverage for dependents; changes to contributions;
withholding of employee's contribution; State Employees' Insurance Fund. (a) The board is
hereby authorized to provide under the provisions of this chapter that the employer's contribution
to the cost of such plan for coverage of the employee and retiree shall be paid by the employer.
(b) Each employee and retiree shall be entitled to have his or her spouse and dependent children,
as defined by the rules and regulations of the board, included in the coverage provided upon
agreeing to pay the employee's contribution of the health insurance premium for such dependents.
The board shall adopt regulations governing the discontinuance and resumption by such employees
and retirees of coverage for dependents. (c) Subject to Section 36-29-19.3, any further changes
in employee or retiree contribution to the health insurance premium or other out-of-pocket
expenses including, but not limited to,...
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22-50-11
Section 22-50-11 Department - Additional and cumulative powers. The Department of Mental Health
is given hereby the following additional and cumulative powers through its commissioner: (1)
It is authorized and directed to set up state plans for the purpose of controlling and treating
any and all forms of mental and emotional illness and any and all forms of mental retardation
and shall divide the state into regions, districts, areas or zones, which need not be geographic
areas, but shall be areas for the purpose of establishing priorities and programs and for
organizational and administrative purposes in accordance with these state plans. (2) It is
designated and authorized to supervise, coordinate, and establish standards for all operations
and activities of the state related to mental health and the providing of mental health services;
and it is authorized to receive and administer any funds available from any source for the
purpose of acquiring building sites for, constructing,...
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27-19A-12
Section 27-19A-12 Dental services - Coverages; fees; exceptions. (a) As used in this section,
the following terms shall have the following meanings: (1) COVERED PERSON. Any individual,
family, or family member on whose behalf third-party payment or prepayment of health or medical
expenses is provided under an insurance policy, plan, or contract providing for third-party
payment or prepayment of health care or medical expenses. (2) COVERED SERVICES. Dental care
services for which a reimbursement is available under an enrollee's plan contract, or for
which a reimbursement would be available but for the application of contractual limitations
such as deductibles, copayments, coinsurance, waiting periods, annual or lifetime maximums,
frequency limitations, alternative benefit payments, or any other limitation. (3) DENTAL CARE
PROVIDER. A licensed dentist. (4) DENTAL PLAN. Includes any policy of insurance which is issued
by a health care service contractor which provides for coverage of...
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27-58-1
Section 27-58-1 Definitions. As used in this chapter, the following terms shall have the following
meanings: (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 chapter if it receives, processes, adjudicates,
pays, or denies claims for health care services submitted by or on...
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27-59-1
Section 27-59-1 Definitions. As used in this chapter, the following terms shall have the following
meanings: (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 chapter if it receives, processes, adjudicates,
pays, or denies claims for health care services submitted by or on...
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36-28-4
Section 36-28-4 Agreements with federal agency for extension of Social Security to employees
of state, etc.; powers of instrumentalities created jointly with other states. (a) Federal-state
agreement. The state Comptroller, with the approval of the Governor, is hereby authorized
to enter on behalf of the state into an agreement with the federal agency, consistent with
the terms and provisions of this chapter, for the purpose of extending the benefits of the
federal Old-Age and Survivors' Insurance System to employees of the state or any political
subdivision thereof or of any instrumentality of any one or more of the foregoing with respect
to services specified in such agreement, which constitute employment as defined in Section
36-28-1. Such agreement may contain such provisions relating to coverage benefits, contributions,
effective date, modification and termination of the agreement, administration and other appropriate
provisions as the state Comptroller and federal agency shall...
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27-1-18
Section 27-1-18 Contract providing for mental health services to entitle insured to reimbursement
for outpatient and inpatient services by qualified psychiatrist or psychologist. (a) Whenever
any group, or blanket hospital or medical expense insurance policy or hospital or medical
service contract issued for delivery in this state provides for the reimbursement of health
or health related services which includes mental health services, and such services are within
the lawful scope of practice of a duly qualified psychiatrist or psychologist, the insured
or other person entitled to benefits under such policy or contract shall be entitled to reimbursement
for outpatient services, and inpatient services if requested by the attending physician, performed
by a duly qualified psychiatrist or psychologist notwithstanding any provisions of the policy
or contract to the contrary. (b) For purposes of this section, a duly qualified psychologist
means, one who is duly licensed or certified at the...
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27-15-2
Section 27-15-2 Life insurance policy provisions - Generally. (a) No policy of life insurance
other than industrial, group, and pure endowments, with or without return of premiums or of
premiums and interest, shall be delivered or issued for delivery in this state unless it contains
in substance all of the provisions required by Sections 27-15-3 through 27-15-14. This section
shall not apply to burial insurance, annuity contracts, to any provision of a life insurance
policy, or contract supplemental thereto, relating to disability benefits or to additional
benefits in the event of death or dismemberment by accident or accidental means or to any
provision relating to waiver of premiums in the event of death or disability of the beneficiary
or premium payer. (b) Any of such provisions, or portions thereof not applicable to single
premium or term policies, shall, to that extent, not be incorporated therein. (Acts 1971,
No. 407, p. 707, ยง347.)...
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38-9A-2
Section 38-9A-2 Individual and Family Support Program. (a) The Individual and Family Support
Program is created and shall be administered through a system of regional support councils
and their affiliated community councils and a state council. One regional support council
is created and incorporated as a private nonprofit corporation in each of the mental retardation
regions as defined by the Department of Mental Health. The regional support councils and their
affiliated community councils may receive and accept funds, real estate, and other items of
value from state agencies and other organizations, and enter into any necessary agreements
and contracts for the purposes of implementing this chapter. Councils may employ adequate
staff personnel including a state coordinator to implement the program. If staff personnel
are employed through a fiscal agent or other entity apart from the council, a memorandum of
understanding which defines the roles and responsibilities of the staff shall...
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