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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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34-23-183
Section 34-23-183 Application. This article shall apply to any audit of the records of a pharmacy
conducted by a managed care company, nonprofit hospital or medical service organization, health
benefit plan, third-party payor, pharmacy benefit manager, a health program administered by
a department of the state, except the Alabama Medicaid Agency, or any entity that represents
those companies, groups, or department. (Act 2012-306, p. 668, §4; Act 2018-457, §1.)...
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40-26B-20
Section 40-26B-20 Definitions. The following words, terms, and phrases shall have the following
meanings: (1) BED. Any bed that is licensed by the Alabama Department of Health and its successor
agency to provide nursing home care which is in a nursing facility. (2) DEPARTMENT. The Department
of Revenue of the State of Alabama. (3) FISCAL YEAR. An accounting period of 12 months beginning
on the first day of the first month of the state fiscal year. (4) MEDICAID PROGRAM. The medical
assistance program as established in Title XIX of the Social Security Act and as administered
in the State of Alabama by the Alabama Medicaid Agency pursuant to executive order and Title
560 of the Alabama Administrative Code. (5) NURSING FACILITY. An institution which is licensed
under the laws of the State of Alabama as a skilled nursing facility or an intermediate nursing
facility. Nursing facility shall not include any facility owned or operated by, or operating
under an exclusive contract with, the State...
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40-26B-21
Section 40-26B-21 Privilege assessment on nursing facilities. To provide further for the availability
of indigent health care, the operation of the Medicaid program, and the maintenance and expansion
of medical services: (a) There is levied and shall be collected a privilege assessment on
the business activities of every nursing facility in the State of Alabama. The privilege assessment
imposed is in addition to all other taxes and assessments, and shall be at the annual rate
of one thousand eight hundred ninety-nine dollars and ninety-six cents ($1,899.96) for each
bed in the nursing facility. Beginning September 1, 2020, the privilege assessment shall be
increased from one thousand eight hundred ninety-nine dollars and ninety-six cents ($1,899.96)
for each bed in the nursing facility, by an addition to the privilege assessment equal to
three hundred twenty-seven dollars and forty-eight cents ($327.48) per annum. The addition
to the privilege assessment shall be paid in equal monthly...
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22-21B-3
Section 22-21B-3 Definitions. The following words and terms shall have the meanings ascribed
to them in this section, unless otherwise required by their respective context: (1) CONSCIENCE.
The religious, moral, or ethical principles held by a health care provider. (2) DISCRIMINATION.
Discrimination includes, but is not limited to: Hiring, termination, refusal of staff privileges,
refusal of board certification, demotion, loss of career specialty, reduction of wages or
benefits, adverse treatment in the terms and conditions of employment, refusal to award any
grant, contract, or other program, or refusal to provide residency training opportunities.
(3) HEALTH CARE PROVIDER. Any individual who may be asked to participate in any way in a health
care service, including, but not limited to: A physician, physician's assistant, nurse, nurse's
aide, medical assistant, hospital employee, clinic employee, nursing home employee, pharmacist,
researcher, medical or nursing school faculty, student,...
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22-8A-7
Section 22-8A-7 Competency of declarant; liability of participating physician, facility, etc.
(a) A competent adult may make decisions regarding life-sustaining treatment and artificially
provided nutrition and hydration so long as that individual is able to do so. The desires
of an individual shall at all times supersede the effect of an advance directive for health
care. (b) If the individual is not competent at the time of the decision to provide, withhold,
or withdraw life-sustaining treatment or artificially provided nutrition and hydration, a
living will executed in accordance with Section 22-8A-4(a) or a proxy designation executed
in accordance with Section 22-8A-4(b) is presumed to be valid. For the purpose of this chapter,
a health care provider may presume in the absence of actual notice to the contrary that an
individual who executed an advance directive for health care was competent when it was executed.
The fact of an individual's having executed an advance directive for...
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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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34-24-520
Section 34-24-520 Purpose. In order to strengthen access to health care, and in recognition
of the advances in the delivery of health care, the member states of the Interstate Medical
Licensure Compact have allied in common purpose to develop a comprehensive process that complements
the existing licensing and regulatory authority of state medical boards, provides a streamlined
process that allows physicians to become licensed in multiple states, thereby enhancing the
portability of a medical license and promoting the safety of patients. The compact creates
another pathway for licensure and does not otherwise change a state's existing medical practice
act. The compact also adopts the prevailing standard for licensure and affirms that the practice
of medicine occurs where the patient is located at the time of the physician-patient encounter,
and therefore, requires the physician to be under the jurisdiction of the state medical board
where the patient is located. State medical boards...
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6-12-1
Section 6-12-1 Legislative findings. The Legislature of Alabama finds as follows: (1) Cigarette
smoking presents serious public health concerns to the state and to the citizens of the state.
The Surgeon General has determined that smoking causes lung cancer, heart disease, and other
serious diseases, and that there are hundreds of thousands of tobacco-related deaths in the
United States each year. These diseases most often do not appear until many years after the
person in question begins smoking. (2) Cigarette smoking also presents serious financial concerns
for the state. Under certain health care programs, the state may have a legal obligation to
provide medical assistance to eligible persons for health conditions associated with cigarette
smoking, and those persons may have a legal entitlement to receive such medical assistance.
(3) Under these programs, the state pays millions of dollars each year to provide medical
assistance for these persons for health conditions associated...
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22-2-8
Section 22-2-8 State Health Officer. The State Committee of Public Health shall elect an executive
officer who shall be a physician licensed in the State of Alabama to be known as the State
Health Officer and shall fix his term of office and salary. The qualifications of this individual
shall be determined by the State Committee of Public Health. Before entering upon the duties
of his office, the State Health Officer shall execute to the State of Alabama a bond, to be
approved by the Governor, in the amount of $5,000.00, for the faithful performance of his
duties. The State Health Officer so elected shall, under the direction of the State Committee
of Public Health and with the approval of the State Personnel Board, fix the salaries of the
medical employees of the State Committee of Public Health. When the State Committee of Public
Health is not in session, the State Health Officer, as executive officer of the Department
of Public Health, shall act for said committee and shall have and...
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