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27-49-3
Section 27-49-3 Definitions. As used in this chapter, the following terms shall have the following
meanings: (1) HEALTH BENEFIT PLAN. Any individual or group plan, policy, or contract for health
care services issued, delivered, issued for delivery, 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, purchases, or furnishes health care services to patients, insureds,
or beneficiaries in this state. The term includes, but is not limited to, entities created
pursuant to Article 6 of Chapter 4 of Title 10. 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 the provisions of this chapter if it receives, processes,...
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36-35-8
Section 36-35-8 Election of participation. Any state department or other governmental entity
may elect to participate in the Alabama Prescription Cost Initiative by providing written
notice to the board. Notwithstanding the foregoing, the Alabama Medicaid Agency may participate
only if the agency's participation is approved by the Federal Centers for Medicare and Medicaid
Services. (Act 2004-539, p. 1137, §8.)...
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22-6-91
Section 22-6-91 Definitions. For purposes of this article, the following words shall have the
following meanings: (1) HEALTHCARE SERVICES. Any services of the type for which the Medicaid
Agency may reimburse a provider. (2) PARTNERSHIP HOSPITAL PROGRAM. The Medicaid managed care
program for the provision of inpatient care in this state. (Act 2002-410, p. 1031, §2.)...
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27-1-10
Section 27-1-10 Payment for health services of chiropractor; insured to have exclusive right
to select practitioner of healing arts. Any contract or policy of insurance or any plan or
agreement for health services providing for reimbursement or payment for health services performed
by a medical doctor or physician or upon the certification of a medical doctor, surgeon, osteopath
or physician, shall also reimburse or pay for such health services performed by a doctor of
chiropractic or upon his certificate; provided, that the health services performed by the
doctor of chiropractic are within the scope of his license and he is duly licensed by the
State of Alabama. The insured or such other person entitled to benefits under such contract
or policy of insurance or plan or agreement for health services shall have the exclusive right
to choose or select any practitioner or member of the healing arts of Alabama to perform such
services, notwithstanding any provisions of such contract or...
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27-1-21
Section 27-1-21 Uniformity of limits applied to fulfillment of certain drug prescriptions.
(a) For the purposes of this section, the following words shall have the following meanings:
(1) ENROLLEE. A person enrolled in a health benefit plan. (2) HEALTH BENEFIT PLAN. Any individual
or group plan, policy, or contract for health care services issued, delivered, issued for
delivery, 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, purchases, or
furnishes health care services to patients, insureds, or beneficiaries in this state. The
term includes, but is not limited to, entities created pursuant to Article 6 of Chapter 4
of Title 10. The term shall not include any collective bargaining agreement...
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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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40-26B-73
Section 40-26B-73 Hospital Assessment Account. (a)(1) There is created within the Health Care
Trust Fund referenced in Article 3 of Chapter 6 of Title 22 of a designated account known
as the Hospital Assessment Account. (2) The hospital assessments imposed under this article
shall be deposited into the Hospital Assessment Account. (3) If the Medicaid Agency begins
making payments under Article 9 of Chapter 6 of Title 22, while Act 2017-382 is in force,
the hospital intergovernmental transfers imposed under this article shall be deposited into
the Hospital Assessment Account. (b) Moneys in the Hospital Assessment Account shall consist
of: (1) All moneys collected or received by the department from privately operated hospital
assessments imposed under this article; (2) Any interest or penalties levied in conjunction
with the administration of this article; and (3) Any appropriations, transfers, donations,
gifts, or moneys from other sources, as applicable; and (4) If the Medicaid Agency...
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40-9-30
Section 40-9-30 Durable medical equipment; exemptions from certain taxes. (a) As used in this
section, the term "durable medical equipment" means equipment which can stand repeated
use, is used to serve a purpose for medical reasons, and is appropriate and suitable for use
in the home. (b) Oxygen or durable medical equipment dispensed under orders from a duly licensed
physician by a participating provider to a recipient of benefits under the Medicare program
shall be exempt from state and local sales and use taxes. (c) A provider who rents or leases
oxygen or durable medical equipment to a recipient of benefits under the Medicare or Medicaid
program under orders from a duly licensed physician shall be exempt from all state and local
rental and leasing taxes. (d) In addition to any other exemptions provided in subsection (b)
or (c), any items used for the treatment of illness or injury or to replace all or part of
a limb or internal body part purchased by or on behalf of an individual...
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10A-2A-9.14
Section 10A-2A-9.14 Amendment of plan of conversion; abandonment. (a) A plan of conversion
of a converting organization that is a corporation may be amended: (1) in the same manner
as the plan was approved, if the plan does not provide for the manner in which it may be amended;
or (2) in the manner provided in the plan, except that if the plan has been approved by the
stockholders that were entitled to vote on, consent to, or approve of the plan, then those
stockholders are entitled to vote on, consent to, or approve of any amendment of the plan
that will change: (i) the amount or kind of eligible interests or other securities, obligations,
rights to acquire eligible interests or other securities, cash, other property, or any combination
of the foregoing, to be received by any of the stockholders of the converting corporation
under the plan; (ii) the organizational documents of the converted organization that will
be in effect immediately after the conversion becomes effective, except...
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22-4-2
Section 22-4-2 Definitions. When used in this article, the following terms shall have the following
meanings, respectively, unless a different meaning clearly appears from the context: (1) STATE
BOARD OF HEALTH. The statutory agency of the State of Alabama operative in the field of general
health matters and performing the duties and exercising the powers as set forth in the statutory
provisions relating thereto. (2) STATEWIDE HEALTH COORDINATING COUNCIL. The advisory council
established pursuant to this article which shall advise the State Board of Health on matters
relating to health planning and resource development. (3) HEALTH SYSTEMS AGENCY. An entity
which is organized and operated under the provisions of Title XV of the Public Health Service
Act (42 U.S.C. §§ 3001 et seq.) and is responsible for the health planning and development
in a health service area designated by the Governor. (4) HEALTH SERVICE AREA. A geographical
area designated by the Governor as being appropriate...
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