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40-23-5
Section 40-23-5 Certain organizations and vendors exempt from payment of state, county, and
municipal sales and use taxes. (a) The Diabetes Trust Fund, Inc., and any of its branches
or agencies, heretofore or hereafter organized and existing in good faith in the State of
Alabama for purposes other than for pecuniary gain and not for individual profit, are exempted
from paying any state, county, or municipal sales or use taxes. (b) The Chilton County Rescue
Squad is exempted from paying any sales or use taxes. (c) The state headquarters only of the
American Legion, the American Veterans of World War II, Korea, and Vietnam, also known as
AMVETS, the Disabled American Veterans, the Veterans of Foreign Wars, also known as VFW, Alabama
Goodwill Industries, and the Alabama Sight Conservation Association are exempted from paying
any state, county, or municipal sales or use taxes. (d) The Grand Chapter of all Orders of
the Eastern Star and the South Alabama State Fair Association Southeastern...
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25-5-1
Section 25-5-1 Definitions. Throughout this chapter, the following words and phrases as used
therein shall be considered to have the following meanings, respectively, unless the context
shall clearly indicate a different meaning in the connection used: (1) COMPENSATION. The money
benefits to be paid on account of injury or death, as provided in Articles 3 and 4. The recovery
which an employee may receive by action at law under Article 2 of this chapter is termed "recovery
of civil damages," as provided for in Sections 25-5-31 and 25-5-34. "Compensation"
does not include medical and surgical treatment and attention, medicine, medical and surgical
supplies, and crutches and apparatus furnished an employee on account of an injury. (2) CHILD
or CHILDREN. The terms include posthumous children and all other children entitled by law
to inherit as children of the deceased; stepchildren who were members of the family of the
deceased, at the time of the accident, and were dependent upon him or...
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40-26B-61
Section 40-26B-61 Payment in timely manner. Any disproportionate share payment due a hospital
shall be paid in a timely fashion. If the amount payable is not in dispute and is not paid
by the Alabama Medicaid Agency within 30 days of the due date, interest on the amount due
shall be charged. The interest rate shall be the legal amount currently charged by the state.
(Acts 1993, No. 93-314, p. 471, §3(b).)...
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40-26B-62
Section 40-26B-62 Funds appropriated for reimbursement. In meeting its requirements under the
Social Security Act that payments to hospitals will take into account the situation of disproportionate
share hospitals, the agency shall, not later than the beginning of each fiscal year, promulgate
regulations establishing the total amount of funds to be appropriated for each fiscal year
by the agency for reimbursement, in accordance with its approved methodology, to disproportionate
share hospitals other than state-owned teaching hospitals. In no event shall the total amount
of funds appropriated for reimbursement to disproportionate share hospitals in accordance
with and subject to the approved methodology be less than the disproportionate cap established
by the Health Care Financing Administration. (Acts 1993, No. 93-314, p. 471, §3(c).)...
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40-26B-82
Section 40-26B-82 Effectiveness and cessation. (a) The assessment imposed under this article
shall not take effect or shall cease to be imposed and any moneys remaining in the Hospital
Assessment Account in the Alabama Medicaid Program Trust Fund shall be refunded to hospitals
in proportion to the amounts paid by them if any of the following occur: (1) Expenditures
for hospital inpatient and outpatient services paid for by the Alabama Medicaid Program for
fiscal years 2020, 2021, and 2022, are less than the amount paid during fiscal year 2017.
Reimbursement rates under this article for fiscal years 2020, 2021, and 2022, are less than
the rates approved by CMS in Sections 40-26B-79 and 40-26B-80. (2) The Medicaid Agency makes
changes in its rules that reduce hospital inpatient payment rates, outpatient payment rates,
or adjustment payments, including any cost settlement protocol, that were in effect on September
30, 2019. (3) The inpatient or outpatient hospital access payments required...
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40-26B-85
Section 40-26B-85 Eligibility and benefit expansions. Except for Medicaid expansion under the
Affordable Care Act, as amended, if the Medicaid Agency elects to liberalize the eligibility
criteria for individuals who apply for Medicaid services or to expand or increase the medical
assistance benefits as defined in Title XIX of the Social Security Act which it currently
provides to Medicaid beneficiaries, the state share of such funds necessary to increase medical
assistance benefits or allow more persons to become eligible for Medicaid shall only be appropriated
from the state General Fund and not from any funds produced or segregated for hospital payments
under this article. (Act 2009-549, p. 1454, §2; Act 2019-278, §1.)...
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40-26B-79
Section 40-26B-79 Inpatient Medicaid base payments. If the Medicaid Agency begins making payments
pursuant to Article 9 of Chapter 6 of Title 22, on or before September 30, 2019, the agency
shall pay hospitals as a base amount for state fiscal year 2019, for inpatient services an
APR-DRG payment that is equal to the total modeled UPL submitted and approved by CMS during
fiscal year 2019. If the agency begins making payments pursuant to Article 9 of Chapter 6
of Title 22, on a date other than the first day of fiscal year 2019, there shall be no retroactive
adjustment to payments already made to hospitals in accordance with the approved state plan.
If approved by CMS, the agency shall publish the APR-DRG rates for each hospital prior to
September 30, 2018. If the agency does not begin making payments pursuant to Article 9 of
Chapter 6 of Title 22, on or before September 30, 2022, the agency shall pay hospitals as
a base amount for fiscal years 2020, 2021, and 2022, the total inpatient...
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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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35-11-371
Section 35-11-371 Perfection of lien. (a) For the purposes of this section, the following terms
shall have the following meanings: (1) HEALTH CARE PAYOR. A health care insurer, health maintenance
organization, or health care service plan organized under Article 6, Chapter 20, Title 10A,
authorized to provide health care coverage in the state. (2) SATISFY THE CLAIM. Receipt by
the hospital of either of the following: a. Full payment for services as billed. b. If the
hospital has a contract with the injured person's health care payor, payment together with
all credits, discounts, and contractual adjustments that the patient's bill would be entitled
under the contract, including recoupments, between the hospital and the patient's health care
payor which extinguish the patient's obligation for the services rendered. (b) Unless specifically
contrary to any contractual agreement between the hospital and the injured person's health
care payor or unless contrary to any statute or governmental...
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22-21-293
Section 22-21-293 Financial responsibility for out-of-county indigent patients treated at a
regional referral hospital. Ultimate financial responsibility for treatment received at a
regional referral hospital by a certified indigent patient, who is a resident of the State
of Alabama but is not a resident of the county in which the regional referral hospital is
located, shall be the obligation of the county of which the certified indigent patient is
a resident. A county's annual financial responsibility for each of its resident certified
indigent patients receiving treatment at a regional referral hospital shall be limited to
payment for 30 days or the number of days of services allowed per annum for the care of Medicaid
patients through the State Medicaid Program at the time of the patient's hospitalization,
whichever shall be less, at the per diem reimbursement rate currently in effect for the regional
referral hospital under the medical assistance program for the needy under Title...
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