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27-1-17
Section 27-1-17 Limitation periods for payment of claims; overdue claims; retroactive
denials, adjustments, etc.; penalties. (a) Each insurer, health service corporation, and health
benefit plan that issues or renews any policy of accident or health insurance providing benefits
for medical or hospital expenses for its insured persons shall pay for services rendered by
Alabama health care providers within 45 calendar days upon receipt of a clean written claim
or 30 calendar days upon receipt of a clean electronic claim. If the insurer, health service
corporation, or health benefit plan is denying or pending the claim, the insurer, health service
corporation, or health benefit plan shall, within 45 calendar days for a written claim and
30 calendar days for an electronic claim, notify the health care provider or certificate holder
of the reason for denying or pending the claim and what, if any, additional information is
required to process the claim. Any undisputed portion of the claim...
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34-13A-2
Section 34-13A-2 Definitions. For the purposes of this chapter, the following terms
shall have the following meanings: (1) ABGC. The American Board of Genetic Counseling, or
its successor or equivalent. (2) ABMGG. The American Board of Medical Genetics and Genomics,
or its successor or equivalent. (3) ACGC. The Accreditation Council for Genetic Counseling,
or its successor or equivalent. (4) BOARD. The Alabama Board of Genetic Counseling. (5) EXAMINATION
FOR LICENSURE. The ABGC or ABMGG certification examination, or the examination provided by
a successor entity to the ABGC or ABMGG, to test the competence and qualifications of applicants
to practice genetic counseling. (6) GENETIC COUNSELING. The provision of services by a genetic
counselor to do any of the following: a. Obtain and evaluate individual, family, and medical
histories to determine genetic risk for genetic or medical conditions and diseases in a patient,
his or her offspring, or other family members. b. Discuss the...
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6-5-333
Section 6-5-333 Dentists, chiropractors, and physicians serving on utilization and quality
control committees, peer review committees, or professional standards review committees; consultants
thereto and employees thereof; dental, chiropractic and medical societies and associations;
appeal to Alabama Dental Association; confidentiality. (a) Any dentist, chiropractor, or physician
licensed to practice medicine in Alabama who serves on a peer review or a utilization and
quality control committee or professional standards review committee or a similar committee
or a committee of similar purpose or any dentist, physician, chiropractor, or individual who
serves as a consultant or employee to one of said committees established either by a dental
society or dental association or by a chiropractic society or chiropractic association or
by a state medical association or county medical society to review any aspect of dental care,
chiropractic care, or medical care at the request of a government...
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16-22A-3
Section 16-22A-3 Definitions. When used in this chapter only, the following terms shall
have the following meanings, respectively, unless the context clearly indicates otherwise:
(1) APPLICANT. A certified or noncertified individual who submits an application for employment
to a local employing board or any nonpublic school, to act in any capacity in which the individual
will have unsupervised access to children in an educational environment. (2) APPLICANT FOR
CERTIFICATION. An individual who submits an application for certification issued by the State
Superintendent of Education. (3) AUTHORIZED EMPLOYER. Any educational entity authorized to
obtain criminal history background information, including the State Department of Education,
local employing boards, and nonpublic schools which are responsible for hiring employees or
contracting with private employers to provide personnel who have unsupervised access to children
in an educational setting. (4) CERTIFIED APPLICANT FOR EMPLOYMENT. A...
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34-9-6.1
Section 34-9-6.1 Mobile dental facilities or portable dental operations. (a) For purposes
of this section, the following words have the following meanings: (1) DENTAL HOME.
The dental home is the ongoing relationship between the dentist and the patient, inclusive
of all aspects of oral health care, delivered in a comprehensive, continuously accessible,
coordinated, and family-centered way. (2) MOBILE DENTAL FACILITY. Any self-contained facility
in which dentistry or dental hygiene is practiced which may be moved, towed, or transported
from one location to another. (3) OPERATOR. A person licensed to practice dentistry in this
state or an entity which is approved as tax exempt under Section 501(c)(3) of the Internal
Revenue Code which employs dentists licensed in the state to operate a mobile dental facility
or portable dental operation. (4) PORTABLE DENTAL OPERATION. The use of portable dental delivery
equipment which is set up on site to provide dental services outside of a mobile...
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16-28B-8
Section 16-28B-8 Suicide prevention programs, training, and policies; advisory committee;
liability. (a) To the extent that the Legislature shall appropriate funds, or to the extent
that any local board may provide funds from other sources, each school system shall implement
the following standards and policies for programs in an effort to prevent student suicide:
(1) Foster individual, family, and group counseling services related to suicide prevention.
(2) Make referral, crisis intervention, and other related information available for students,
parents, and school personnel. (3) Foster training for school personnel who are responsible
for counseling and supervising students. (4) Increase student awareness of the relationship
between drug and alcohol use and suicide. (5) Educate students in recognizing signs of suicidal
tendencies and other facts and warning signs of suicide. (6) Inform students of available
community suicide prevention services. (7) Promote cooperative efforts...
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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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34-29-69
Section 34-29-69 Powers of board. The board shall be a body corporate and shall have
the power to do all of the following: (1) Examine and determine the qualifications and fitness
of applicants for a license to practice veterinary medicine in the state. (2) Issue, renew,
deny, suspend, and revoke licenses, issue private reprimands and private informed admonitions
to practitioners who practice veterinary medicine in this state, or otherwise discipline or
censure veterinary professionals, irrespective of their licensure status, whether active,
inactive, expired, lapsed, surrendered, or disciplined, relative to acts, omissions, complaints,
and investigations which occurred during the licensure period consistent with this article.
(3) Conduct investigations for the purpose of discovering violations of this article or grounds
for disciplining licensed veterinary professionals or other non-licensed individuals pursuant
to the administrative code of the board and appoint individuals and...
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13A-9-150
Section 13A-9-150 Public assistance fraud; penalties. (a) For the purposes of this section,
public assistance means money or property provided directly or indirectly to eligible persons
through programs of the federal government, the state, or any political subdivision thereof,
including any program administered by a public housing authority. (b) It shall be unlawful
for an individual or business entity to knowingly do any of the following: (1) Fail, by false
statement, misrepresentation, impersonation, or other fraudulent means, to disclose a material
fact used in making a determination as to the qualification of the person to receive public
assistance. (2) Fail to disclose a change in circumstances in order to obtain or continue
to receive any public assistance to which he or she is not entitled or in an amount larger
than that to which he or she is entitled. (3) Aid and abet another person in the commission
of the prohibitions enumerated in subdivisions (1) and (2). (4) Use,...
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34-29-72
Section 34-29-72 Application; qualifications; faculty license. (a) Any person desiring
a license to practice veterinary medicine in this state shall make written application in
the English language to the board. The application shall show that the applicant is at least
21 years old, is a graduate of an accredited veterinary school, is a citizen of the United
States or, if not a citizen of the United States, is legally present in the United States
with appropriate documentation from the federal government, and any other information and
proof as the board may require pursuant to the administrative code of the board. The application
shall be accompanied by application and examination fees in the amounts established and published
by the board. (b) Graduates of veterinary medical programs not accredited by the AVMA shall
furnish satisfactory proof of an Educational Commission for Foreign Veterinarian Graduates
(ECFVG) certificate or its equivalent provided by the American Veterinary Medical...
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