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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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27-52-6
Section 27-52-6 Exemptions. The plan established pursuant to this article shall be exempt from
payment of all fees and all taxes levied by this state or any of its subdivisions. If the
Commissioner of Insurance enters into a contract with one or more third parties to provide
any or all of the services in the operation of the plan, this exemption shall not extend to
said third parties except as to the tax on the premiums collected through the plan and any
fees required for the filing of forms, rates, and other reports with the Commissioner of Insurance
as may be specifically related to the plan. (Acts 1997, No. 97-713, p. 1476, ยง6.)...
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34-21-88
Section 34-21-88 Acts which constitute grounds for termination. The following acts shall constitute
grounds for the termination by the Board of Nursing of a certified registered nurse practitioner's
or a certified nurse midwife's certificate of qualification to engage in these areas of advanced
practice nursing and for the termination of the approval of the State Board of Medical Examiners
of the collaborating practice of a physician and certified registered nurse practitioner or
a certified nurse midwife, or both: (1) Prescribing in violation of this article or the rules
and regulations of the State Board of Medical Examiners or the Board of Nursing. (2) For a
certified registered nurse practitioner or a certified nurse midwife to engage in any act
or render any services not authorized in his or her protocol or for a physician to require
or to knowingly permit or condone such an act. (3) Failure on the part of a certified registered
nurse practitioner or a certified nurse midwife to...
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34-24-210.1
Section 34-24-210.1 Evaluation and treatment by physical therapist. (a) Without prescription
or referral, a licensed physical therapist may perform an initial evaluation or consultation
of a screening nature to determine the need for physical therapy and may perform the physical
therapy and other services provided in subdivisions (1) to (5), inclusive, of subsection (b).
Implementation of physical therapy shall otherwise be based on the referral of a person licensed
to practice medicine, surgery, dentistry, chiropractic, licensed assistant to a physician
acting pursuant to a valid supervising agreement, or a licensed certified registered nurse
practitioner in a valid collaborative practice agreement with a licensed physician. (b) The
physical therapy and other services referred to in subsection (a), which may be performed
without prescription or referral, include and are limited to the following: (1) To a child
with a diagnosed developmental disability pursuant to the plan of care for...
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25-5-3
Section 25-5-3 Secretary to prepare and distribute forms, etc. The secretary shall prepare
and cause to be printed, at the expense of the state, and to be paid for as other supplies
are paid for, and upon request furnish free sample copies to any employer or employee the
blank forms and literature as he or she shall deem requisite to facilitate or promote the
efficient administration of Articles 2, 3, and 4 of this chapter, other than the papers relating
to court proceedings. The secretary shall adopt and cause a standardized claim reimbursement
form to be used by providers. The secretary shall also assist providers in developing a system
for electronic reporting, billing, and payment in workers' compensation cases. Standardized
claim reimbursement forms for physicians licensed to practice medicine and for other providers
shall be approved by the secretary and the Workers' Compensation Medical Services Board. If
the board and the secretary are unable to agree on a standardized claim...
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27-21A-7
Section 27-21A-7 Evidence of coverage and charges for health care services. (a)(1) Every enrollee
residing in this state is entitled to an evidence of coverage. If the enrollee obtains such
coverage through an insurance policy or a contract issued by a health care service plan, the
insurer or the health care service plan shall issue the evidence of coverage. Otherwise, the
health maintenance organization shall issue the evidence of coverage. (2) No evidence of coverage,
or amendment thereto, shall be issued or delivered to any person in this state until a copy
of the basic form of the evidence of coverage, or amendment thereto, has been filed with the
commissioner and the State Health Officer, and approved by the commissioner. (3) An evidence
of coverage shall contain: a. No provisions or statements which encourage misrepresentation,
or which are untrue, misleading, or deceptive as defined in subsection (a) of Section 27-21A-13;
and b. A clear and concise statement, if a contract, or a...
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34-21-96
Section 34-21-96 Awarding of loans and terms of repayment. (a)(1) The board shall establish
and award, according to the judgment of the board, loans to provide for the training of qualified
applicants for admission or students in accredited nursing education programs approved by
the board who are pursuing, or have completed within the five years immediately preceding
the current loan term, a graduate degree to become a certified registered nurse practitioner
(CRNP), a certified nurse midwife (CNM), or a certified registered nurse anesthetist (CRNA),
but only for people who have signed contracts as provided in subsection (b). The board may
permit eligible people to apply for a loan under the Alabama Loan-Repayment Program for Advanced-Practice
Nursing in any scholastic year and for any previously completed scholastic year. (2) The board
may award to an eligible person, for as many as three years for a person pursuing or holding
an eligible master's degree and as many as four years for a...
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27-45-2
Section 27-45-2 Definitions. As used in this article, the following terms shall have the respective
meanings herein set forth, unless the context shall otherwise require: (1) ALABAMA INSURANCE
CODE. Title 27 of the Code of Alabama 1975. (2) INSURER. Such term shall have the meaning
ascribed in Section 27-1-2. (3) PERSON. Such term shall have the meaning ascribed in Section
27-1-2. (4) COMMISSIONER and DEPARTMENT. Such terms, respectively, shall have the meanings
ascribed in Section 27-1-2. (5) CONTRACTUAL OBLIGATION. Any obligation under covered policies
or employee benefit plans. (6) COVERED POLICY OR PLAN. Any policy, employee benefit plan,
or contract within the scope of this article. (7) HEALTH INSURANCE POLICY. Any individual,
group, blanket, or franchise insurance policy, insurance agreement, or group hospital service
contract providing for pharmaceutical services, including without limitation, prescription
drugs, incurred as a result of accident or sickness, or to prevent same....
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27-54A-2
Section 27-54A-2 Treatment under certain policies and contracts. (a) As used in this section,
the following words have the following meanings: (1) APPLIED BEHAVIOR ANALYSIS. The design,
implementation, and evaluation of environmental modifications, using behavioral stimuli and
consequences, to produce socially significant improvement in human behavior, including the
use of direct observation, measurement, and functional analysis of the relationship between
environment and behavior. (2) AUTISM SPECTRUM DISORDER. Any of the pervasive developmental
disorders or autism spectrum disorders as defined by the most recent edition of the Diagnostic
and Statistical Manual of Mental Disorders (DSM) or the edition that was in effect at the
time of diagnosis. (3) BEHAVIORAL HEALTH TREATMENT. Counseling and treatment programs, including
applied behavior analysis that are both of the following: a. Necessary to develop, maintain,
or restore, to the maximum extent practicable, the functioning of an...
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22-50-17
Section 22-50-17 Operation of a facility for care or treatment of mental or emotional illness
or substance abuse, or services to persons with an intellectual disability. (a) No person,
partnership, corporation, or association of persons shall operate a facility or institution
for the care or treatment of any kind of mental or emotional illness or substance abuse or
for providing services to persons with an intellectual disability as defined in this chapter,
without being certified by the department or licensed by the State Board of Health; provided
that nothing in this section shall be construed so as to require a duly authorized physician,
psychiatrist, psychologist, social worker, licensed professional counselor operating under
the scope of his or her license, or Christian Science practitioner to obtain a license for
treatment of patients in his private office, unless he keeps two or more patients in his office
for continuous periods of 24 hours or more in one week, or that a church...
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