Code of Alabama

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36-29-4
Section 36-29-4 Establishment and provisions of health insurance plan; rules and regulations.
The board is hereby empowered and authorized to establish a fully insured or self-insured
health insurance plan for employees and retirees of the State of Alabama and to adopt and
promulgate rules and regulations for the administration of such plan, subject to such limitations
as may be contained in this chapter. Such plan may provide for group hospitalization, surgical,
and medical insurance against the financial costs of hospitalization, surgical, and medical
treatment and care and may also include, among other things, prescribed drugs, medicines,
prosthetic appliances, hospital inpatient and outpatient service benefits, and medical expenses
indemnity benefits, including major medical benefits or such other coverage or benefits as
may be deemed appropriate and desirable by the board. (Acts 1965, No. 833, p. 1564, §3; Act
2004-647, 1st Sp. Sess., p. 17, §1.)...
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22-3-5
Section 22-3-5 County health officers - Duties generally. It shall be the duty of the county
health officer: (1) To exercise, subject to the advice of the county board of health in accordance
with the health laws of the state, general supervision over the sanitary interests of the
county; and, should he discover any cause of disease or the existence of any condition detrimental
to the health of the people, he shall, so far as authorized by law, compel the removal or
abatement of the same; and, should no authority for removal or abatement exist, he shall report
the fact to the county board of health, adding such recommendations as to special action as
he may deem proper; (2) To make personal and thorough investigation of the first case or early
cases of any diseases suspected of being or known to be any one of those enumerated in Chapter
11 of this title that may come to his knowledge or be reported to him; and, should he decide
such case or cases to be one of those enumerated in said...
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22-6-151
Section 22-6-151 Regional care organizations; governing board of directors; citizen's advisory
committee; solvency and financial requirements; reporting; provider standards committee. (a)
A regional care organization shall serve only Medicaid beneficiaries in providing medical
care and services. (b) Notwithstanding any other provision of law, a regional care organization
shall not be deemed an insurance company under state law. (c)(1) A regional care organization
and an organization with probationary regional care organization certification shall have
a governing board of directors composed of the following members: a. Twelve members shall
be persons representing risk-bearing participants in the regional care organization or organization
with probationary certification. A participant bears risk by contributing cash, capital, or
other assets to the regional care organization. A participant also bears risk by contracting
with the regional care organization to treat Medicaid beneficiaries...
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26-1A-404
Section 26-1A-404 Health care powers of attorney executed on or after January 1, 2012. (a)
This section applies to a power of attorney for health care decisions executed on or after
January 1, 2012. (b) A durable power of attorney is a power of attorney by which a principal
designates another his or her attorney in fact or agent in writing and the writing contains
the words "This power of attorney shall not be affected by disability, incompetency,
or incapacity of the principal" or "This power of attorney shall become effective
upon the disability, incompetency, or incapacity of the principal" or similar words showing
the intent of the principal that the authority conferred shall be exercisable notwithstanding
the principal's subsequent disability, incompetency, or incapacity. (c)(1) A principal may
designate under a durable power of attorney an individual who shall be empowered to make health
care decisions on behalf of the principal, in the manner set forth in the Natural Death Act,...

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27-19-106
Section 27-19-106 Effect of misrepresentation; field issuance. (a) For a policy or certificate
that has been in force for less than six months an insurer may rescind a long-term care insurance
policy or certificate or deny an otherwise valid long-term care insurance claim upon a showing
of misrepresentation that is material to the acceptance for coverage. (b) For a policy or
certificate that has been in force for at least six months but less than two years an insurer
may rescind a long-term care insurance policy or certificate or deny an otherwise valid long-term
care insurance claim upon a showing of misrepresentation that is both material to the acceptance
for coverage and which pertains to the condition for which benefits are sought. (c) After
a policy or certificate has been in force for two years it is not contestable upon the grounds
of misrepresentation alone but may be contested only upon a showing that the insured knowingly
and intentionally misrepresented relevant facts...
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27-36A-2
Section 27-36A-2 Definitions. For purposes of this chapter, the following definitions shall
apply on or after the operative date of the valuation manual as defined by Section 27-36A-15:
(1) ACCIDENT AND HEALTH INSURANCE. Contracts that incorporate morbidity risk and provide protection
against economic loss resulting from accident, sickness, or medical conditions and as may
be specified in the valuation manual. (2) APPOINTED ACTUARY. A qualified actuary who is appointed
in accordance with the valuation manual to prepare the actuarial opinion required in subsection
(b) of Section 27-36A-4. (3) COMPANY. An entity, which (i) has written, issued, or reinsured
life insurance contracts, accident and health insurance contracts, or deposit-type contracts
in this state and has at least one such policy in force or on claim or (ii) has written, issued,
or reinsured life insurance contracts, accident and health insurance contracts, or deposit-type
contracts in any state and is required to hold a...
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27-3A-2
Section 27-3A-2 Purposes. The purposes of this chapter are to: (1) Promote the delivery of
quality health care in a cost-effective manner. (2) Assure that utilization review agents
adhere to reasonable standards for conducting utilization review. (3) Foster greater coordination
and cooperation between health care providers and utilization review agents. (4) Improve communications
and knowledge of benefit plan requirements among all parties concerned before expenses are
incurred. (5) Ensure that utilization review agents maintain the confidentiality of medical
records in accordance with applicable laws. (Acts 1994, 1st Ex. Sess., No. 94-786, p. 80,
§2.)...
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27-57-2
Section 27-57-2 Coverage; applicability. (a) All group health benefit plans, policies, contracts,
and certificates executed, delivered, issued for delivery, continued, or renewed in this state
on or after August 1, 2004, shall offer, at the time of proposal, sale, or renewal of a policy
subject to this chapter, to include colorectal cancer examinations within the coverage. Such
offer of coverage shall include colorectal cancer examinations for covered persons who are
50 years of age or older, or for covered persons who are less than 50 years of age and at
high risk for colorectal cancer according to current American Cancer Society colorectal cancer
screening guidelines. (b) This chapter shall apply to group accident and sickness insurance
policies issued by a fraternal benefit society, a nonprofit hospital service corporation,
a nonprofit medical service corporation, a group health care plan, a health maintenance organization,
or any similar entity. (Act 2004-502, p. 969, §2.)...
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34-14C-4
Section 34-14C-4 Licensure; inspections. (a) Except as otherwise provided in this chapter,
a home medical equipment services provider shall be licensed annually by the board before
the provider may engage in the provision of home medical equipment services. In Alabama, when
a single business entity provides home medical equipment services from more than one location
within the state, each such location shall be licensed. A provider of home medical equipment
services that has a principal place of business outside this state shall maintain at least
one physical location within this state, each of which shall be licensed. (b) A license applicant
shall submit the application for licensing or renewal to the board on a form promulgated and
required by the board. Applicants shall pay a reasonable nonrefundable fee established by
the board at the time the application is submitted. The board shall have the authority to
set reasonable fees for applicants to obtain a license. Upon satisfaction of...
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34-27B-11
Section 34-27B-11 Additional activities permitted under chapter. Nothing in this chapter shall
be construed as preventing or restricting the practice, services, or activities of any of
the following: (1) Any person who is licensed in Alabama or certified by an organization accredited
by the National Commission for Certifying Agencies and acceptable to the state from engaging
in the profession or occupation for which the person is licensed or certified. (2) Any person
employed by the United States government who provides respiratory therapy solely under the
direction or control of the United States government agency or organization. (3) Any person
receiving clinical training while pursuing a course of study leading to registry or certification
in a respiratory therapy educational program accredited by the Council on Allied Health Education
Programs in collaboration with the Committee on Accreditation for Respiratory Care or their
successor organizations. This person will be under direct...
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