Code of Alabama

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22-4-5
Section 22-4-5 Adoption, revision, etc., of rules, regulations, standards, etc., by State Board
of Health; appeals therefrom; State Board of Health not to discriminate among branches of
healing arts in administration of funds. (a) The State Board of Health, with the advice and
consultation of the Statewide Health Coordinating Council, is hereby authorized and empowered
to adopt, revise, abolish, promulgate and publish rules, regulations, standards and procedures
for: (1) The preparation of the preliminary State Health Plan and the State Medical Facilities
Plan; (2) The administration of the State Health Plan and of the State Medical Facilities
Plan after approval by the Statewide Health Coordinating Council; (3) The construction and
operation of health care facilities established under the State Medical Facilities Plan; and
(4) Such other matters as may be necessary to carry out the intent and purpose of this article.
(b) The State Board of Health is also authorized and empowered to...
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22-6-150
Section 22-6-150 Definitions. For the purposes of this article, the following words shall have
the following meanings: (1) ALTERNATE CARE PROVIDER. A contractor, other than a regional care
organization, that agrees to provide a comprehensive package of Medicaid benefits to Medicaid
beneficiaries in a defined region of the state pursuant to a risk contract. (2) CAPITATION
PAYMENT. A payment the state Medicaid Agency makes periodically to a contractor on behalf
of each recipient enrolled under a contract for the provision of medical services. (3) CARE
DELIVERY SYSTEM. The manner in which the benefits and services set forth in the state Medicaid
plan are provided to Medicaid beneficiaries. (4) COLLABORATOR. A private health carrier, third
party purchaser, provider, health care center, health care facility, state and local governmental
entity, or other public payers, corporations, individuals, and consumers who are expecting
to collectively cooperate, negotiate, or contract with another...
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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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22-4-2
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. ยงยง 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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22-5C-3
Section 22-5C-3 Palliative Care Information and Education Program. (a) There is created a statewide
Palliative Care Information and Education Program in the State Health Department. The purpose
of the palliative care information and education program is to maximize the effectiveness
of palliative care initiatives in the state by ensuring that comprehensive and accurate information
and education about palliative care is available to the public, health care providers, and
health care facilities. The department shall publish on its website information and resources,
including links to external resources, about palliative care for the public, health care providers,
and health care facilities. This information shall include, but not be limited to, continuing
educational opportunities for health care providers; information about palliative care delivery
in the home and in other primary, secondary, and tertiary environments; and consumer educational
materials and referral information for...
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22-4-7
Section 22-4-7 Statewide Health Coordinating Council - Establishment; composition; qualifications,
appointment and terms of office of members; officers; meetings; vacancies; appointment of
consultants and task forces; compensation of members of council and members of task forces.
There shall be established an advisory council, to be designated the Statewide Health Coordinating
Council, which shall advise and consult with the State Board of Health as the designated health
planning and development agency in the administration of the health planning and resource
development functions set forth in this article. The council shall have not less than 16 members
appointed by the Governor from a list of not less than five nominees submitted by each health
systems agency which falls, in whole or in part, within the state. Each health systems agency
shall be entitled to not less than two members of the council, and each shall have the same
number of members. Of the representatives of a health...
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25-5-312
Section 25-5-312 Powers and duties of the board. The board shall exercise general supervision
in all matters related to the provision of medical services provided by physicians, as defined
in Section 25-5-310, rendered to workers under this article. The duties of the board shall
include, but are not limited to, the following: (1) Study, develop, and implement any necessary
and reasonable guidelines for medical services and physician care provided by physicians.
In addition, with respect to services provided by physicians, the board shall study, develop,
and recommend to the secretary uniform medical criteria and policies for the conduct of utilization
review, bill screenings, and medical necessity determinations for use by insurance carriers,
self-insurers, and claims administrators. (2) Study, design, and implement standardized uniform
claims processing forms and forms for the reporting of medical information to employers and
insurance companies by physicians. (3) Address and give...
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22-4-3
Section 22-4-3 State Board of Health designated as State Health Planning and Development Agency;
powers and duties generally. (a) The State Board of Health is hereby designated as the sole
and official State Health Planning and Development Agency. (b) The State Board of Health is
authorized and empowered: (1) To conduct the health planning and development activities of
the state; (2) To prepare, review and revise as necessary a preliminary state health plan,
which shall be made up of the health systems plans of the health systems agencies within the
state, and which shall be submitted to the Statewide Health Coordinating Council for approval
or disapproval and for use in developing the state health plan; (3) Upon implementation of
Title XVI of the Public Health Service Act and adoption of federal regulations thereto, to
prepare, review and revise as necessary a State Medical Facilities Plan, which shall be submitted
to the Statewide Health Coordinating Council for approval or...
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41-10-351
Section 41-10-351 Definitions. The following terms hereafter used in this article shall have
the following respective meanings: (1) AUTHORITY. The public corporation organized pursuant
to the provisions of this article. (2) BONDS. The bonds issued under the provisions of this
article. (3) COMMISSIONER. The Commissioner of Mental Health. (4) DEPARTMENT. The Department
of Mental Health provided for in Chapter 50 of Subtitle 2 of Title 22. (5) DIRECTORS. The
board of directors of the authority. (6) MENTAL HEALTH FACILITIES. Any one or more of the
following: hospitals and other facilities of any kind for treatment and care of the mentally
ill and individuals with an intellectual disability; regional or community-based mental health
centers; regional or community-based facilities for treatment and care of the mentally ill
or individuals with an intellectual disability; regional or community-based centers for the
treatment of alcoholism or drug addiction; and improvements to existing state...
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22-6-122
Section 22-6-122 Medicaid Pharmacy and Therapeutics Committee - Classification and recommendation
of drugs; assurance of quality patient care; review of pharmaceutical products. (a) The Medicaid
Pharmacy and Therapeutics Committee shall review and recommend classes of drugs to the Medicaid
Commissioner for inclusion in the Medicaid Preferred Drug Plan. Class means a therapeutic
group of pharmaceutical agents approved by the FDA as defined by the American Hospital Formulary
Service. The classes of anti-retroviral and anti-psychotic drugs shall not be included in
the Medicaid Preferred Drug Plan. (b) The Medicaid Pharmacy and Therapeutics Committee shall
develop its preferred drug list recommendations by considering the clinical efficacy, safety,
and cost effectiveness of a product. Within each covered class, the committee shall review
and recommend drugs to the Medicaid Commissioner for inclusion on a preferred drug list. Generics
and over the counter drugs covered by Medicaid may be...
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