reglab/housing_qa huggingface dataset:
AL Code § 27-51-1 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 51 - Licensed Physician Assistant Supervision Coverage.|Section 27-51-1 - Payment for Services of Licensed Physician Assistant.

Section 27-51-1Payment 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 contract's anniversary or renewal date, or upon the expiration of the applicable collective bargaining contract, if any, whichever is later. (d) This section does not apply to policyholders or subscribers eligible for coverage under Title XVIII of the federal Social Security Act or any similar coverage under a state or federal government plan. (e) For purposes of this section, third-party payment or prepayment includes an individual or group policy or accident or health insurance or individual or group hospital or health care service contract, an individual or group health maintenance organization contract, an organized delivery system contract, a medical service organization created pursuant to Article 6, Chapter 4, Title 10, or a preferred provider organization contract. (f) This section shall not be interpreted to require an individual or group health maintenance organization, an organized delivery system, a medical service organization created pursuant to Article 6, Chapter 4, Title 10, or a preferred provider organization or arrangement to provide payment or prepayment to a physician for services provided by a physician assistant, unless the supervising physician of the physician assistant has entered into a contract or other agreement to provide services with the individual or group health maintenance organization, the organized delivery system, the medical service organization, or the preferred provider organization or arrangement. (Acts 1997, No. 97-635, p. 1157, §1.)
AL Code § 27-53-1 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 53 - Genetic Testing for Cancer.|Section 27-53-1 - Definitions.

Section 27-53-1Definitions. As used in this chapter, the following terms shall have the following meanings: (1) GENETIC CHARACTERISTICS. A scientifically or medically identifiable gene or chromosome, or alteration thereof, that is known to be a cause of a disease or disorder, or determined to be associated with a statistically increased risk of development of a disease or disorder. (2) GENETIC TEST. A pre-symptomatic laboratory test which is generally accepted in the scientific and medical communities for the determination of the presence or absence of the genetic characteristics that cause or are associated with risk of a disease or disorder. (3) HEALTH BENEFIT PLAN. A health insurance policy, including a self-insured health plan, that covers hospital, medical, or surgical expenses, health maintenance organizations, preferred provider organizations, medical service organizations, physician-hospital organizations, or any other person, firm, corporation, joint venture, or other similar business entity that pays for, purchases, or furnishes health care services to patients, insureds, or beneficiaries in this state. For the purpose of this chapter, a health benefit plan located or domiciled outside of the State of Alabama is deemed to be subject to the provisions of this chapter if it receives, processes, adjudicates, pays, or denies claims for health care services submitted by or on behalf of patients, insureds, or beneficiaries who reside in the State of Alabama or who receive health care services in the State of Alabama. The term includes, but is not limited to, entities created pursuant to Article 6 of Chapter 4 of Title 10. (Acts 1997, No. 97-721, p. 1492, §1.)
AL Code § 27-53-2 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 53 - Genetic Testing for Cancer.|Section 27-53-2 - Genetic Test.

Section 27-53-2Genetic 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 person for cancer to determine insurability or to otherwise discriminate against the person in rates or benefits based on the genetic test results. (Acts 1997, No. 97-721, p. 1492, §2.)
AL Code § 27-53-3 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 53 - Genetic Testing for Cancer.|Section 27-53-3 - Violation of Chapter.

Section 27-53-3Violation 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 1997, No. 97-721, p. 1492, §3.)
AL Code § 27-53-4 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 53 - Genetic Testing for Cancer.|Section 27-53-4 - Applicability to Medicaid Programs.

Section 27-53-4Applicability to Medicaid programs. This chapter shall apply to all programs administered by the Alabama Medicaid Agency. (Acts 1997, No. 97-721, p. 1492, §4.)
AL Code § 27-54-1 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 54 - Mental Illness Coverage in Health Benefit Plans|Section 27-54-1 - Legislative Intent; Public Policy.

Section 27-54-1Legislative 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 for treatment and losses of millions of dollars by businesses in the state in accidents, absenteeism, nonproductivity, and turnover. Excessive stress and anxiety and other forms of mental illness clearly contribute to general health problems and costs. (3) Typical health coverage in this state by some insurers provides individuals and affected families of mental illness with nonexistent or limited benefits compared to provisions for other illnesses. (4) Experience in this state and several other states demonstrates that the risk of mental illness can be insured at reasonable additional cost, provided strict controls on quality and utilization of treatment are applied. (b) The Legislature declares that the following is the policy of this state: (1) To promote equitable and nondiscriminatory health coverage benefits for all forms of illness including mental and emotional disorders that are of significant consequence to the health of people of the state and that can be treated in a cost-effective manner. (2) To ensure that victims of mental and other illnesses have access to and choice of appropriate treatment at the earliest point of illness in the least restrictive settings. (3) To ensure that costs of treatment of mental illness are supported through an equitable combination of public and private responsibilities. (Act 2000-386, p. 605, §§1, 2.)
AL Code § 27-54-3 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 54 - Mental Illness Coverage in Health Benefit Plans|Section 27-54-3 - Additional Benefits.

Section 27-54-3Additional benefits. Each group health benefit plan shall offer to provide, at a minimum, the following additional benefits for a person suffering from a mental or nervous condition: (1) Inpatient services. (2) Day treatment services. (3) Outpatient services. (Act 2000-386, p. 605, §4.)
AL Code § 27-54-5 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 54 - Mental Illness Coverage in Health Benefit Plans|Section 27-54-5 - Implementation of Coverage.

Section 27-54-5Implementation of coverage. (a) A group health benefit plan, policy, or contract that provides coverage for the services to be offered pursuant to this chapter may contain provisions for maximum benefits and coinsurance and limitations, deductibles, exclusions, and utilization review protocols to the extent that these provisions are not inconsistent with the requirements of this chapter. (b) The issuer of a group health benefit plan, policy, or contract may either disclose the additional premium for such additional mental health benefits to the prospective contract holder and allow the contract holder to elect such additional benefits on an optional basis; or conform its policies, contracts, or certificates issued on and after January 1, 2001, and adjust its premium costs to reflect the additional benefit costs. (Act 2000-386, p. 605, §6.)
AL Code § 27-54-6 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 54 - Mental Illness Coverage in Health Benefit Plans|Section 27-54-6 - Cost Report.

Section 27-54-6Cost report. Every issuer of a group health benefit plan subject to this chapter shall provide a cost report for each calendar year to the Commissioner of Insurance no later than April 30th of the following year. The report shall be in a form prescribed by the commissioner and shall include certification of parity in mental health benefits and total annual costs of mental health services relative to total health costs. The commissioner shall compile this data for all health benefit plans in an annual report solely for the purpose of demonstrating the health cost impact of the requirements of this chapter. (Act 2000-386, p. 605, §7.)
AL Code § 27-54-7 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 54 - Mental Illness Coverage in Health Benefit Plans|Section 27-54-7 - Conflicting Laws Superseded.

Section 27-54-7Conflicting laws superseded. This chapter shall supersede subsection (c), Section 27-1-18, and any other conflicting laws to the extent there is a conflict with this chapter. (Act 2000-386, p. 605, §8.)
AL Code § 27-54A-1 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 54A - Autism Spectrum Disorder Coverge in Health Benefit Plans.|Section 27-54A-1 - Short Title.

Section 27-54A-1Short title.  This chapter may be known and cited as the Riley Ward Act. (Act 2012-298, p. 647, §1.)
AL Code § 27-55-1 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 55 - Domestic Abuse Insurance Protection Act.|Section 27-55-1 - Short Title.

Section 27-55-1Short title. This chapter shall be known as and may be cited as the Domestic Abuse Insurance Protection Act. (Act 2000-595, p. 1185, §1.)
AL Code § 27-55-4 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 55 - Domestic Abuse Insurance Protection Act.|Section 27-55-4 - Statement of Reasons for Adverse Action.

Section 27-55-4Statement of reasons for adverse action.  An insurer that takes an action which adversely affects a subject of abuse, or a related individual or entity, based on an abuse-related medical condition, abuse-related claim, abuse status, or association or relationship with a subject of abuse, pursuant to an individual or group insurance policy or health benefit plan, shall advise the applicant or the insured of the specific reasons for the action in writing. Reference to general underwriting practices or guidelines shall constitute a specific reason. The specific reason for the actions of the insurer shall be stated in writing. The actions of the health carrier or insurer, and any applicable policy provisions, shall be applied equally to all applicants or insureds with similar medical conditions or similar claim or claims history without regard to whether the condition or the claims are abuse related. (Act 2000-595, p. 1185, §4.)
AL Code § 27-55-5 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 55 - Domestic Abuse Insurance Protection Act.|Section 27-55-5 - Application.

Section 27-55-5Application. 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.)
AL Code § 27-55-6 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 55 - Domestic Abuse Insurance Protection Act.|Section 27-55-6 - Complaint; Investigation; Relief.

Section 27-55-6Complaint; 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 received by the commissioner and shall issue a prompt determination as to whether a violation of this chapter has occurred. If the commissioner finds from the investigation that a violation of this chapter has occurred, the commissioner shall promptly begin proceedings to address the violation through means such as imposition of injunctive relief, requiring restitution, and, in cases of repeated violation after previous findings or warnings of violations from the commissioner, suspension or revocation of certificates of authority or licenses. The powers and duties set forth in this chapter shall be in addition to all other authority of the commissioner. (c) An insurer which is found by the commissioner to have violated this chapter may be ordered by the commissioner to do any of the following: (1) Pay a civil penalty not to exceed five thousand dollars ($5,000) for each act or violation. Each violation shall be a separate offense. (2) Provide appropriate specific relief, other than the award of damages, to the complainant which may include temporary, preliminary, or permanent injunctive relief. (Act 2000-595, p. 1185, §6.)
AL Code § 27-55-7 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 55 - Domestic Abuse Insurance Protection Act.|Section 27-55-7 - Enforcement.

Section 27-55-7Enforcement. 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.)
AL Code § 27-55-8 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 55 - Domestic Abuse Insurance Protection Act.|Section 27-55-8 - Construction.

Section 27-55-8Construction. 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 insurance or health benefit plan, or to add additional providers to existing networks, or to add any health care benefits. (Act 2000-595, p. 1185, §8.)
AL Code § 27-55-9 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 55 - Domestic Abuse Insurance Protection Act.|Section 27-55-9 - Search of Files.

Section 27-55-9Search of files. Nothing in this chapter shall require an insurer to conduct a comprehensive search of its contract files existing on August 1, 2000, to determine which applicants or insureds are subjects of abuse. (Act 2000-595, p. 1185, §10.)
AL Code § 27-56-1 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 56 - Access to Eye Care Act.|Section 27-56-1 - Short Title.

Section 27-56-1Short title. This chapter shall be known and may be cited as the "Access to Eye Care Act." (Act 2001-477, p. 640, §1.)
AL Code § 27-56-2 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 56 - Access to Eye Care Act.|Section 27-56-2 - Definitions.

Section 27-56-2Definitions. As used in this chapter, the following terms shall have the following meanings: (1) COVERED PERSON. Any individual, family, or family member on whose behalf third-party payment or prepayment of health or medical expenses is provided under an insurance policy, plan, or contract providing for third-party payment or prepayment of health care or medical expenses. (2) EYE CARE PROVIDER. A licensed optometrist or a licensed ophthalmologist. (3) INSURANCE POLICY, PLAN, OR CONTRACT PROVIDING FOR THIRD-PARTY PAYMENT OR PREPAYMENT OF HEALTH OR MEDICAL EXPENSES. Includes an individual or group policy for accident or health insurance, an individual or group hospital or health care service contract, an individual or group health maintenance organization contract, an organized delivery system contract, or a preferred provider organization contract, and any other similar policy, plan, or contract. This term shall not include any employee welfare benefit plan, as defined in 29 U.S.C. Section 1002(1), or any plan administered by a third party to the extent it provides services to an employee welfare benefit plan, as defined in 29 U.S.C. Section 1002(1). (Act 2001-477, p. 640, §2.)
AL Code § 27-56-3 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 56 - Access to Eye Care Act.|Section 27-56-3 - Payment for Services.

Section 27-56-3Payment for services.  An insurance policy, plan, or contract providing for third-party payment or prepayment of health or medical expenses shall include a provision for the payment to a licensed optometrist for each service which falls within the scope of the optometrist's license, if the policy, plan, or contract pays for the same service when provided by any other provider for such services. (Act 2001-477, p. 640, §3.)
AL Code § 27-56-4 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 56 - Access to Eye Care Act.|Section 27-56-4 - Prohibited Activities.

Section 27-56-4Prohibited activities. An insurance policy, plan, or contract providing for third-party payment or prepayment of health or medical expenses shall not do any of the following: (1) Impose a practice restriction for optometrists which is inconsistent with or more restrictive than provided by law. (2) Discriminate between classes of eye care providers with respect to any covered service which falls within the scope of the eye care provider's license. (3) Require an eye care provider to hold hospital privileges as a condition of participation in or receiving payment from the policy, plan, or contract. (4) Impose any restriction not required by law based on the eye care provider's professional degree. (5) Discriminate between eye care providers in connection with the amount of reimbursement for the provision of the same services. (6) Require an eye care provider to purchase or maintain a minimum quantity or minimum dollar amount of a specified brand of ophthalmic materials as a condition of participation in or receiving payments from a policy, plan, or contract. (Act 2001-477, p. 640, §4; Act 2010-583, p. 1303, §1.)
AL Code § 27-56-5 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 56 - Access to Eye Care Act.|Section 27-56-5 - Third-Party Payment.

Section 27-56-5Third-party payment.  (a) No insurance policy, plan, or contract providing for third-party payment or prepayment of health or medical expenses that provides coverage for eye care services shall be issued or renewed after August 1, 2001, unless such insurance policy, plan, or contract does the following: (1) Provides a covered person direct access to any eye care provider participating in, or otherwise eligible to provide services under, the policy, plan, or contract for all eye care services covered under the policy, plan, or contract, without any referral or preapproval requirement, including, but not limited to, the following services, if covered: a. Medical treatment of glaucoma. b. Postoperative eye care. (2) Ensures that any list of medical or health care providers participating in, or otherwise eligible to provide services under, the policy, plan, or contract includes eye care providers to the same extent that such list includes other medical or health care providers to whom a covered person has direct access, without need for referral or preapproval, under the policy, plan, or contract. (b) An insurance policy, plan, or contract providing for third-party payment or prepayment of health or medical expenses shall not deny or limit reimbursement to any covered person on the ground that the covered person was not referred to the eye care provider by a person acting on behalf of, or under an agreement with, the company, entity, or person providing the insurance policy, plan, or contract. (Act 2001-477, p. 640, §5.)
AL Code § 27-56-6 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 56 - Access to Eye Care Act.|Section 27-56-6 - When Provisions Applicable.

Section 27-56-6When provisions applicable.  This chapter shall apply to services provided under a policy, plan, or contract providing for third-party payment or prepayment of health or medical expenses delivered, continued, or renewed in this state on or after August 1, 2001, and to any such existing policy, plan, or contract, on its anniversary or renewal date, or upon the expiration of the applicable collective bargaining contract, if any, whichever is later. (Act 2001-477, p. 640, §6.)
AL Code § 27-56-7 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 56 - Access to Eye Care Act.|Section 27-56-7 - Applicability to Certain Providers.

Section 27-56-7Applicability to certain providers. (a) This chapter does not require and shall not be construed to require any insurance policy, plan, or contract to provide health care coverage for eye care. The provisions of this chapter are applicable only to those insurance policies, plans, or contracts which provide coverage for eye care. (b) Insurers or other issuers of any insurance policy, plan, or contract which provides coverage for eye care shall continue to be able to establish and apply selection criteria and utilization protocols for health care providers as well as credentialing criteria used in the selection of providers. (c) This chapter does not require and shall not be construed to require the coverage of eye care services by providers who are not designated as covered providers, or who are not selected as participating providers, by an insurance policy, plan, or contract, or the issuer thereof having a participating network of service providers. Provided, however, if eye care coverage is provided, reasonable efforts shall be made to include a sufficient number of qualified providers, including optometrists, to insure reasonable access to eye care services. (Act 2001-477, p. 640, §7.)
AL Code § 27-56-8 (2021)
2021 Code of Alabama|Title 27 - Insurance.|Chapter 56 - Access to Eye Care Act.|Section 27-56-8 - Implementation of Coverage.

Section 27-56-8Implementation of coverage. (a) Any insurance policy, plan, or contract that provides coverage for eye care services may contain provisions for maximum benefits and coinsurance limitations, deductibles, exclusions, and utilization review protocols to the extent that these provisions are not inconsistent with the requirements of this chapter. (b) If eye care coverage is provided, the eye care benefits for services provided by optometrists within the scope of their licenses shall be subject to the same annual deductible or coinsurance established for all other eye care providers for which coverage is provided. (Act 2001-477, p. 640, §8.)