Section 27-57-1 – Definitions.
Section 27-57-1 Definitions. As used in this chapter, the following words and terms shall have the following meanings: (1) COLORECTAL CANCER EXAMINATIONS. Examinations and laboratory tests specified in current American Cancer Society guidelines for colorectal cancer screening of asymptomatic individuals. (2) HEALTH BENEFIT PLAN. A group health insurance policy that covers hospital, medical, or surgical […]
Section 27-53-2 – Genetic Test.
Section 27-53-2 Genetic test. (a) A health benefit plan may not require as a condition of insurability that a person take a genetic test to determine if the person has a predisposition for cancer. (b) A health benefit plan may not use the results of a genetic test which may show the predisposition of a […]
Section 27-55-5 – Application.
Section 27-55-5 Application. This chapter shall not be applied or construed to prohibit or limit the application or scope of coverage, limitations, exclusions, and other terms and provisions of insurance contracts so long as such terms and provisions do not apply solely to persons who are in abuse status. (Act 2000-595, p. 1185, §5.)
Section 27-53-3 – Violation of Chapter.
Section 27-53-3 Violation of chapter. A license issued by the Department of Insurance to an insurance company or a health maintenance organization shall be subject to suspension, revocation, or imposition or other administrative penalty authorized by law, within the discretion of the Commissioner of Insurance, for any violation of the provisions of this chapter. (Acts […]
Section 27-55-6 – Complaint; Investigation; Relief.
Section 27-55-6 Complaint; investigation; relief. (a) A person claiming to be adversely affected by an act or practice prohibited by this chapter may file a complaint with the commissioner for individual relief seeking remedies and penalties authorized by this chapter. (b) The commissioner shall conduct a reasonable investigation based on a written and signed complaint […]
Section 27-53-4 – Applicability to Medicaid Programs.
Section 27-53-4 Applicability to Medicaid programs. This chapter shall apply to all programs administered by the Alabama Medicaid Agency. (Acts 1997, No. 97-721, p. 1492, §4.)
Section 27-55-7 – Enforcement.
Section 27-55-7 Enforcement. The commissioner shall enforce this chapter in the manner authorized for the enforcement of this title. In lieu of any other penalty provided in this title, a violation of this chapter shall be punishable as provided by Section 27-55-6. (Act 2000-595, p. 1185, §7.)
Section 27-54-1 – Legislative Intent; Public Policy.
Section 27-54-1 Legislative intent; public policy. (a) The Legislature finds the following: (1) Mental illness affects many citizens of this state each year, resulting in anguish, grief, desperation, fear, isolation, and a sense of hopelessness of significant levels among victims and families. (2) Consequences of mental illness include the significant expenditures of public operating funds […]
Section 27-55-8 – Construction.
Section 27-55-8 Construction. This chapter does not and shall not be construed as creating a private cause of action and does not and shall not require insurers, including any health benefit plan, to extend coverage to any providers or type of providers for which coverage is not specifically provided within the policy or certificate of […]
Section 27-54-2 – Definitions.
Section 27-54-2 Definitions. For purposes of this chapter, the following terms have the following meanings: (1) DAY TREATMENT SERVICES. Includes, but is not limited to: Physiological, psychological, and psychosocial concepts, techniques, and processes necessary to maintain or develop functional skills of clients, provided to individuals and groups for periods of more than two hours but […]