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22-21-210
Section 22-21-210 Definitions. For the purposes of this article, unless otherwise indicated,
the following terms shall have the meanings respectively ascribed to them by this section:
(1) HOSPITAL. Any state, county, municipal or other public or private hospital licensed under
the laws of this state, except a hospital, whether public or private, which is operated primarily
for the care and treatment of tuberculosis, mental disorders or any other such chronic disease
or illness. (2) INDIGENT. Any person who has resided continuously in this state for not less
than one year and who is acutely ill or injured and can be helped markedly by treatment in
a hospital, but who is unable to pay the cost of such hospitalization from his own resources
or from the resources of those upon whom he is legally dependent. (3) PHYSICIAN. Any person
who has been duly licensed to practice medicine in the State of Alabama. (4) PARTICIPATING
HOSPITAL. Any hospital, as defined by this section, which has been...
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27-3A-3
Section 27-3A-3 Definitions. As used in this chapter, the following words and phrases shall
have the following meanings: (1) DEPARTMENT. The Alabama Department of Public Health. (2)
ENROLLEE. An individual who has contracted for or who participates in coverage under an insurance
policy, a health maintenance organization contract, a health service corporation contract,
an employee welfare benefit plan, a hospital or medical services plan, or any other benefit
program providing payment, reimbursement, or indemnification for health care costs for the
individual or the eligible dependents of the individual. (3) PROVIDER. A health care provider
duly licensed or certified by the State of Alabama. (4) UTILIZATION REVIEW. A system for prospective
and concurrent review of the necessity and appropriateness in the allocation of health care
resources and services given or proposed to be given to an individual within this state. The
term does not include elective requests for clarification of...
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27-51-1
Section 27-51-1 Payment for services of licensed physician assistant. (a) An insurance policy
or contract providing for third-party payment or prepayment of health or medical expenses
shall include a provision for the payment to a supervising physician for necessary medical
or surgical services that are provided by a licensed physician assistant practicing under
the supervision of the physician, and pursuant to the rules, regulations, and parameters for
physician assistants, if the policy or contract pays for the same care and treatment provided
by a licensed physician or doctor of osteopathy. (b) An insurance policy or contract subject
to this section shall not impose a practice or supervision restriction which is inconsistent
with or more restrictive than provided by law. (c) This section shall apply to services provided
under a policy or contract delivered, continued, or renewed in this state on or after August
1, 1997, and to any existing policy or contract, on the policy's or...
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10A-20-6.07
Section 10A-20-6.07 Certificates of authority; contracts with public. Every corporation organized
under this article shall procure from the Commissioner of Insurance a certificate of authority
to do business, for which the corporation shall pay the sum of two hundred dollars ($200),
and the certificates of authority shall be renewed thereafter on or before the first day of
March of each year. The corporation may then enter into contracts with the public, subject
to the restrictions contained in this article, for benefits under its health service plan.
It shall be the duty of the corporation to enter into contracts with and issue certificates
to those of the public who may desire to avail themselves of the benefits of the health service
plan and who, under its rules and regulations, make application and are eligible therefor.
The contracts may provide for more than one class of services or benefits, may designate the
person or persons, or the class of persons, entitled thereto, may...
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11-3A-2
Section 11-3A-2 Powers for public welfare, health, and safety; authorization; scope. (a) Except
where otherwise specifically prohibited or provided for either heretofore or hereafter by
general law or the constitution of this state and subject to the procedures and limitations
set out in this chapter, the county commission of a county may provide for its property and
affairs; and for the public welfare, health, and safety of the citizens throughout the unincorporated
areas of the county by exercising certain powers for the protection of the county and public
property under its control. The powers granted herein to provide for the public welfare, health,
and safety of its citizens shall only include the following: (1) Abatement of weeds as a public
nuisance as defined in Section 11-67-60. (2) Subject to the provisions of Section 6-5-127,
control of animals and animal nuisances. (3) Control of litter as defined in subsection (b)
of Section 13A-7-29, or rubbish as defined in subdivision...
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22-6-233
Section 22-6-233 Legislative findings; certification of collaborators; powers of Medicaid Agency;
state action immunity. (a) The Legislature declares that collaboration among public payers,
private health carriers, third party purchasers, and providers to identify appropriate service
delivery systems and reimbursement methods in order to align incentives in support of integrated
and coordinated health care delivery is in the best interest of the public. Collaboration
pursuant to this article is to provide quality health care at the lowest possible cost to
Alabama citizens who are Medicaid eligible. The Legislature, therefore, declares that this
health care delivery system affirmatively contemplates the foreseeable displacement of competition,
such that any anti-competitive effect may be attributed to the state's policy to displace
competition in the delivery of a coordinated system of health care for the public benefit.
In furtherance of this goal, the Legislature declares its intent...
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27-1-16
Section 27-1-16 Standard health insurance claim form; electronic claims form; various claim
forms. (a)(1) The Commissioner of the Department of Insurance shall prescribe a standard health
insurance claim form to be used by all hospitals. The forms shall be prescribed in a format
which allows for the use of generally accepted diagnosis and treatment coding systems by providers
of health care and payors. The standard form shall be accepted and used by all insurers doing
business in the State of Alabama and by all state agencies which pay providers of health care
for hospital services. (2) The Commissioner of the Department of Insurance shall also prescribe
a format for all health insurance claims transmitted or submitted for payment by electronic
or electro-mechanical means. Such a format shall be used by all insurers doing business in
the State of Alabama and by all state agencies which pay providers of health care for hospital
services. (b) An advisory committee of five persons, two...
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34-30-33
Section 34-30-33 Representation to public as social worker. (a) No person may represent himself
or herself as a social worker by using the title "social worker," "licensed
bachelor social worker," "licensed master social worker," or "licensed
independent clinical social worker," or any other title that includes such words, or
by adding the letters "SW," "LBSW," " LMSW," or "LICSW,"
unless licensed under this chapter or excluded according to its provisions. (b) No public
or private agency, organization, or health facility may use the term "social worker,"
"licensed bachelor social worker," "licensed master social worker," or
"licensed independent clinical social worker" to apply to a person unless that person
is so licensed under this chapter or excluded according to its provisions. (c) After November
24, 1978, nothing contained in this chapter shall prohibit a Merit System or Civil Service
employee who is employed in a social work position whose qualifications are established or...
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34-34A-10
Section 34-34A-10 Exceptions. This chapter does not prevent or restrict the practice, services,
or activities of: (1) A dietetic technician, from engaging in the practice of dietetics/nutrition
under the supervision of a licensed dietitian/nutritionist provided such activities are related
to employment. (2) A student enrolled in an approved educational program in dietetics/nutrition
from engaging in the practice of dietetics/nutrition under the supervision of a licensed dietitian/nutritionist
provided the activities are part of such program. (3) A dietitian/nutritionist who is serving
in the armed forces or the public health services of the United States or is employed by the
Veterans Administration or other federal government agencies or the cooperative extension
system from engaging in the practice of dietetics/nutrition provided such practice is related
to such service or employment. (4) A duly licensed health professional from engaging in the
practice of dietetics/nutrition when...
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37-6-42
Section 37-6-42 Enumerated powers. (a) Any such electric cooperative shall have power: (1)
To supply telephone service in rural areas to its members, to governmental agencies and political
subdivisions, to other persons, and to business entities not in excess of 40 percent of the
number of its members; provided that wireless communications services, including, without
limitation, services classified as of January 1, 1997, as "commercial mobile radio services"
by the Federal Communications Commission, may be provided to any person, firm, corporation,
governmental agency, or political subdivision within any area for which the electric cooperative
is authorized to provide such wireless service under federal law or regulations, without the
business entity being a member of the cooperative, regardless of whether the business entity
is in excess of 40 percent of the number of its members, and, without limiting the foregoing,
should a cooperative acquire any facilities in rural areas...
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