reglab/statecodes huggingface dataset:
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 12A - Perinatal Health Care. › Section 22-12A-6 - Use of Funds Generally.

Section 22-12A-6
Use of funds generally.
Available funds will be expended in each geographic area based on provisions within the plan developed in accordance with Section 22-12A-3. Funds when available will be used to support medical care and transportation for women and infants at high risk for infant mortality or major handicapping conditions who are unable to pay for appropriate care. Funds will only be used to provide prenatal care, transportation, hospital care for high risk mothers and infants, outpatient care in the first year of life and educational services to improve such care, including optional educational programs, for pupils in schools at appropriate ages but subject to review and approval by the local school boards involved on an annual basis.
(Acts 1980, No. 80-761, p. 1586, §6; Acts 1981, 3rd Ex. Sess., No. 81-1140, p. 417, §1.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 12B - Mothers and Babies Indigent Care Trust Fund. › Section 22-12B-1 - Established; Purpose.

Section 22-12B-1
Established; purpose.
There is hereby established the Alabama Mothers and Babies Indigent Care Trust Fund in the State Treasury for the purpose of providing for expansion of medical services available to needy pregnant women and children under the Medicaid Program through implementation of Section 9401 of the Omnibus Budget Reconciliation Act of 1986 (Pub. L. 99-509) and for other expansions of the Medicaid Program which are or become feasible.
(Acts 1987, No. 87-707, p. 1245, §1.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 12B - Mothers and Babies Indigent Care Trust Fund. › Section 22-12B-2 - Board Established; Composition; Meetings; Powers.

Section 22-12B-2
Board established; composition; meetings; powers.
There is hereby established the Alabama Mothers and Babies Indigent Care Trust Board to administer said fund. The board shall consist of the Governor, who shall serve as ex officio chairman, the commissioner of the Alabama Medicaid Agency, the Finance Director and the State Health Officer. The board shall meet as necessary to carry out its duties, upon three days' notice to all board members. The board shall have the power to transfer moneys from the trust fund to the Alabama Medicaid Agency to carry out the purposes, intent and provisions of this chapter. The Medicaid Agency may accept unconditional and unrestricted transfers of such moneys. The existence or availability of this trust fund shall not reduce appropriations from the State General Fund.
(Acts 1987, No. 87-707, p. 1245, §2.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 12B - Mothers and Babies Indigent Care Trust Fund. › Section 22-12B-3 - Sources of Funding.

Section 22-12B-3
Sources of funding.
The source of funding for moneys to be received by the Alabama Mothers and Babies Indigent Care Trust Fund shall include, without limitation, grants, appropriations, contributions, and donations. For the purposes of this chapter, political subdivisions may appropriate moneys directly to the trust fund. Any such grants, appropriations, contributions, and donations are hereby appropriated and allocated to the Alabama Mothers and Babies Indigent Care Trust Fund Board, at the time of the receipt of the grant, contribution or donation, or at the effective date of the legislation making the appropriation.
(Acts 1987, No. 87-707, p. 1245, §3.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 12B - Mothers and Babies Indigent Care Trust Fund. › Section 22-12B-4 - Unobligated Fund Balance Shall Automatically Carry Forward Into Succeeding Fiscal Year.

Section 22-12B-4
Unobligated fund balance shall automatically carry forward into succeeding fiscal year.
Any unobligated balance in the Alabama Mothers and Babies Indigent Care Trust Fund shall not revert to the General Fund at the end of any state fiscal year but shall be automatically carried forward into each succeeding state fiscal year in said trust fund. The moneys in such fund shall be disbursed under the authority of the Alabama Mothers and Babies Indigent Care Trust Fund Board and shall be used exclusively on behalf of persons eligible under the Alabama Medicaid Program.
(Acts 1987, No. 87-707, p. 1245, §4.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 12C - Administration of Women, Infants, and Children Program. › Section 22-12C-1 - Definitions.

Section 22-12C-1
Definitions.
For the purpose of this chapter, the following words shall have the following meanings unless the context clearly indicates otherwise:
(1) LOCAL AGENCY. A private, nonprofit health agency that provides program services in a designated area by written agreement with the State Board of Health.
(2) PARTICIPANT. A certified pregnant, postpartum, or breastfeeding woman, infant, or a child who is receiving supplemental food or a food instrument under the WIC Program.
(3) PERSON. Any individual, partnership, limited partnership, corporation, association, firm, trust, estate, or any other legal entity.
(4) STATE BOARD OF HEALTH. The State Department of Public Health.
(5) VENDORS. The individual, partnership, limited partnership, or corporation authorized by the State Board of Health.
(6) WIC PROGRAM. The United States Department of Agriculture Food and Nutrition Service Special Supplemental Food Program for Women, Infants, and Children.
(Acts 1993, No. 93-642, p. 1100, §1.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 12C - Administration of Women, Infants, and Children Program. › Section 22-12C-2 - Adoption of Rules; Application of Alabama Administrative Procedure Act.

Section 22-12C-2
Adoption of rules; application of Alabama Administrative Procedure Act.
(a) The State Board of Health may promulgate and adopt rules it deems necessary to carry out its responsibilities under this chapter and under relevant federal laws and regulations pursuant to the Alabama Administrative Procedure Act (§41-22-1, et seq.). The rules shall have the force and effect of law and shall include, but not be limited to, an administrative appeal process for vendors subject to sanctions under this chapter and the rules promulgated pursuant to this chapter.
(b) The Alabama Administrative Procedure Act shall apply to all administrative rules and procedures of the board under this chapter, except that in case of conflict between the Alabama Administrative Procedure Act and this chapter, this chapter shall control. The Alabama Administrative Procedure Act shall not apply to the adoption of any rule required by federal law in which the board is precluded from exercising any discretion.
(Acts 1993, No. 93-642, p. 1100, §2.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 12C - Administration of Women, Infants, and Children Program. › Section 22-12C-3 - Procedures for Investigations, Sanctions, Penalties and Contract Terminations.

Section 22-12C-3
Procedures for investigations, sanctions, penalties and contract terminations.
The State Board of Health may establish procedures for investigations, sanctions, penalties, and contract terminations for private nonprofit local agencies, WIC Program food vendors, suppliers, distributors, wholesalers, manufacturers, or participants in accordance with relevant federal regulations.
(Acts 1993, No. 93-642, p. 1100, §3.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 12C - Administration of Women, Infants, and Children Program. › Section 22-12C-4 - Collection of Erroneously Paid Moneys; Collection Costs Recoverable.

Section 22-12C-4
Collection of erroneously paid moneys; collection costs recoverable.
(a) The State Board of Health may recover moneys erroneously paid to private nonprofit local agencies, WIC Program food vendors, suppliers, distributors, wholesalers, manufacturers, or participants.
(b) The board may file an action in any district or circuit court to collect the sum upon refusal to pay by any entity or individual stated in subsection (a). The board is also authorized to collect the costs of court plus reasonable attorneys' fees in the collection of these costs.
(Acts 1993, No. 93-642, p. 1100, §4.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 12C - Administration of Women, Infants, and Children Program. › Section 22-12C-5 - Probation or Civil Monetary Penalties for Food Vendors; Mitigation or Settlement of Adverse Action.

Section 22-12C-5
Probation or civil monetary penalties for food vendors; mitigation or settlement of adverse action.
(a) The State Board of Health may establish procedures to administer probation or civil monetary penalties, or both, to WIC Program food vendors. If probation is imposed, the vendor shall be informed that any violation of the WIC Program during the probationary period shall result in the implementation of the original proposed sanction. A civil monetary penalty shall be determined by the vendor's average monthly redemption of WIC Program food instruments for the 12-month period ending with the month immediately preceding that month during which the vendor was charged with the violation. The average monthly redemption figure will be multiplied by 5 percent. The product of this calculation shall be multiplied by the number of months for which the vendor would have been disqualified under the sanctions for which the vendor was charged. Consideration shall also be given as to the ability of the vendor to pay. The total civil monetary penalty shall not exceed $10,000 for any vendor.
(b) The board, through its authorized representative including the WIC Program Director, the administrative hearing officer, or other persons as designated by the State Health Officer may mitigate or settle any adverse action under this chapter that it considers advantageous to the WIC Program prior to, at, or subsequent to an administrative hearing under the Alabama Administrative Procedure Act.
(Acts 1993, No. 93-642, p. 1100, §5; Acts 1996, No. 96-481, p. 609, §2.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 12C - Administration of Women, Infants, and Children Program. › Section 22-12C-6 - Designated Account for Monetary Penalties or Overcharges Collected; Expenditure of Sums.

Section 22-12C-6
Designated account for monetary penalties or overcharges collected; expenditure of sums.
(a) A civil monetary penalty or overcharge collected by the State Board of Health shall be deposited in a dedicated account designated by the board to be used in the administration of the WIC Program.
(b) A civil penalty or overcharge collected under this chapter shall not revert to the State General Fund, but shall remain in the account designated under subsection (a) and is continuously appropriated to the State Board of Health; however the expenditure of said sums so appropriated shall be budgeted and allotted pursuant to the Budget Management Act and Article 4 of Chapter 4 of Title 41.
(Acts 1993, No. 93-642, p. 1100, §6.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 12C - Administration of Women, Infants, and Children Program. › Section 22-12C-7 - Fraud or Abuse as a Misdemeanor; Fraud Defined.

Section 22-12C-7
Fraud or abuse as a misdemeanor; fraud defined.
(a) Any person who obtains WIC Program benefits for himself or herself or for another by fraud or abuse or anyone who otherwise defrauds or abuses the WIC Program shall be guilty of a Class A misdemeanor, and, upon conviction, shall be punished as prescribed by law. Fraud or abuse is defined as:
(1) Fraudulently reporting of income to receive benefits.
(2) Receiving benefits for services from two or more clinics at the same time.
(3) Selling, trading, or giving away supplies, medications, food, or food instruments issued by the program.
(4) Accepting cash from vendors.
(5) Using food instruments as payment of any debt.
(6) Unauthorized altering of food instruments.
(7) Redeeming food instruments reported lost, stolen, or destroyed.
(8) Purchasing non-food items with food instruments.
(9) Returning WIC Program foods for credit or cash.
(10) Providing cash or credit in place of authorized foods.
(11) Substitution of non-food items for listed foods.
(12) Providing less foods than is specified on a food instrument and requesting full payment for the specified amount.
(13) Charging WIC Program participants more for foods than other customers are charged.
(14) Receiving, accepting, buying, taking by way of trade or barter, or otherwise unlawfully possessing WIC Program food instruments or WIC Program foods.
(b) A second or subsequent conviction of fraud or abuse of the WIC Program shall be a Class B felony, and, upon conviction, shall be punished as prescribed by law.
(Acts 1993, No. 93-642, p. 1100, §7.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 12C - Administration of Women, Infants, and Children Program. › Section 22-12C-8 - Appeal of Adverse Action; Conflict With Federal Law.

Section 22-12C-8
Appeal of adverse action; conflict with federal law.
A decision of the State Board of Health imposing any adverse action may be appealed pursuant to the Alabama Administrative Procedure Act. If there is a conflict between the provisions relating to penalties and the conduct of administrative hearings under this chapter and federal law, the federal law shall prevail.
(Acts 1993, No. 93-642, p. 1100, §8.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 12C - Administration of Women, Infants, and Children Program. › Section 22-12C-9 - Cumulation of Penalties.

Section 22-12C-9
Cumulation of penalties.
The administrative, civil, and criminal remedies and penalties in this chapter are cumulative, and the use by the State Board of Health of one remedy shall not preclude the use by the board of any other remedy based upon the same incident or occurrence.
(Acts 1993, No. 93-642, p. 1100, §9.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 12D - Office of Women's Health. › Section 22-12D-2 - Financial Contributions.

Section 22-12D-2
Financial contributions.
The Alabama Department of Public Health may seek and accept financial contributions from corporations, limited liability corporations, partnerships, individuals, and other private entities for use by the Office of Women's Health.
(Act 2002-141, p. 384, §2.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 12D - Office of Women's Health. › Section 22-12D-3 - Appointment of Personnel.

Section 22-12D-3
Appointment of personnel.
The State Health Officer shall appoint personnel to staff the Office of Women's Health including an individual who shall serve as the director of the office, in accordance with departmental and State Personnel Department rules and regulations.
(Act 2002-141, p. 384, §3.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 12D - Office of Women's Health. › Section 22-12D-4 - Steering Committee on Women's Health.

Section 22-12D-4
Steering Committee on Women's Health.
(a) There shall be a steering committee called the Steering Committee on Women's Health that shall serve in an advisory capacity to the State Health Officer and the Director of the Office of Women's Health. The membership of the committee shall include all of the following:
(1) Three physicians appointed by the Medical Association of the State of Alabama.
(2) Three nurses appointed by the Alabama State Nurses Association.
(3) Three pharmacists appointed by the Alabama Pharmaceutical Association.
(4) Three employers appointed by the Business Council of Alabama.
(5) Three consumers, one appointed by the Governor, one appointed by the Lieutenant Governor, and one by the Speaker of the House.
(6) Three members appointed by the Alabama Hospital Association.
(7) Three registered dietitians appointed by the Alabama Dietetic Association.
The members of the steering committee shall serve two-year terms of office with the exception of the initial committee on which one appointee from each group specified above shall serve a three-year term and one member from each group specified above will serve a one-year term. The steering committee shall be comprised of persons with an expertise in and knowledge of women's health issues in Alabama.
The Steering Committee shall reflect the racial, ethnic, gender, urban/rural, and economic diversity of the state.
(b) The State Health Officer shall:
(1) Appoint a chair for the steering committee from the committee membership.
(2) Establish the policies and procedures under which the steering committee operates.
(3) Ensure that the steering committee will meet quarterly.
(Act 2002-141, p. 384, §4.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 12D - Office of Women's Health. › Section 22-12D-5 - Funding.

Section 22-12D-5
Funding.
The provisions of this chapter shall be carried out to the extent that funds are available.
(Act 2002-141, p. 384, §5.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13 - Cancer. › Article 1 - General Provisions. › Section 22-13-1 - Plan for Care of Indigents; Designation of Cancer Units.

Section 22-13-1
Plan for care of indigents; designation of cancer units.
Repealed by Act 2015-70 effective April 21, 2015.
(Acts 1943, No. 425, p. 395, §1.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13 - Cancer. › Article 1 - General Provisions. › Section 22-13-3 - Educational Plan.

Section 22-13-3
Educational plan.
The State Board of Health, in collaboration with the Committee on Cancer Control of the Medical Association of the State of Alabama and other agencies, shall formulate and put into effect an educational plan for the purpose of preventing cancer throughout the State of Alabama, and for the purpose of aiding in the early diagnosis of cancer and for the purpose of informing hospitals and cancer patients of the proper treatment.
(Acts 1943, No. 425, p. 395, §2.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13 - Cancer. › Article 1 - General Provisions. › Section 22-13-4 - Educational Campaign.

Section 22-13-4
Educational campaign.
The board shall conduct an educational campaign relative to the importance of the early diagnosis of cancer. The State Health Officer shall publish an annual statistical report reviewing accomplishments under this article. The campaign shall be conducted through the churches, the schools, and civic organizations, the print and electronic media, platform speaking, and any other available means of publicity.
(Acts 1949, No. 185, p. 215, §2; Acts 1995, No. 95-275, p. 485, §7.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13 - Cancer. › Article 1 - General Provisions. › Section 22-13-5 - Annual Program for Early Diagnosis of Cancer.

Section 22-13-5
Annual program for early diagnosis of cancer.
The State Board of Health may, in its discretion, provide for such an annual program for the early diagnosis of cancer for residents of this state as, in its judgment, is practicable.
(Acts 1949, No. 185, p. 215, §1; Acts 1995, No. 95-275, p. 485, §7.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13 - Cancer. › Article 1 - General Provisions. › Section 22-13-13 - Payment of Expenses.

Section 22-13-13
Payment of expenses.
The expenses incurred in, and the cost of carrying out, the provisions of this article shall be paid out of the appropriation made to the State Health Department for that purpose.
(Acts 1949, No. 185, p. 215, §10.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13 - Cancer. › Article 2 - Alabama Statewide Cancer Registry. › Section 22-13-30 - Short Title.

Section 22-13-30
Short title.
This article shall be known and may be cited as the "Alabama Statewide Cancer Registry Act."
(Acts 1995, No. 95-275, p. 485, §1.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13 - Cancer. › Article 2 - Alabama Statewide Cancer Registry. › Section 22-13-31 - Registry Established; Reporting of Confirmed Cases.

Section 22-13-31
Registry established; reporting of confirmed cases.
(a) There is hereby established within the Department of Public Health the Alabama Statewide Cancer Registry for the purpose of providing accurate and up-to-date information about cancer or benign brain-related tumors in Alabama and facilitating the evaluation and improvement of cancer or benign brain-related tumor prevention, screening, diagnosis, therapy, rehabilitation, and community care activities for the citizens of Alabama. The State Committee of Public Health shall adopt rules necessary to effect the purposes of this article, including the data to be reported, and the effective date after which reporting shall be required. For the purposes of this article, cancer means all malignant neoplasms, regardless of the tissue of origin, including malignant lymphoma, Hodgkin's disease, and leukemia, but excluding basal cell and squamous cell carcinoma of the skin and carcinoma in situ of the cervix.
(b) All cases of confirmed cancer or benign brain-related tumor diagnosed or treated in the state are to be reported to the State Health Department. For the purposes of this article, confirmed cancer or benign brain-related tumor means the best evidence available for determining the nature of the neoplasms.
(c) The State Health Officer shall establish a training program to include instruction on the manner in which data are to be reported and shall be available to personnel of all reporting sources. A quality control program for cancer data shall be instituted to ensure the quality of data submitted.
(Acts 1995, No. 95-275, p. 485, §2; Act 2004-396, p. 666, §1.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13 - Cancer. › Article 2 - Alabama Statewide Cancer Registry. › Section 22-13-32 - Monthly Reports; Further Information to Be Provided Upon Request.

Section 22-13-32
Monthly reports; further information to be provided upon request.
(a) Each case of confirmed cancer or benign brain-related tumor shall be reported within 180 days of admission or diagnosis in the manner prescribed by rule. Reports are to be submitted on a monthly basis.
(b) Any further demographic, diagnostic, treatment, or follow-up information shall be provided upon request by the State Health Officer concerning any person now or formerly receiving services, or diagnosed as having or having had a malignant neoplasm or benign brain-related tumor. The State Health Officer or his or her authorized representative shall be permitted access to all records, including death certificates, which would identify confirmed cases of cancer or benign brain-related tumor or would establish characteristics of the cancer or benign brain-related tumor, treatment of the cancer or benign brain-related tumor, or medical status of any identified cancer or benign brain-related tumor patient.
(Acts 1995, No. 95-275, p. 485, §3; Act 2004-396, p. 666, §1.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13 - Cancer. › Article 2 - Alabama Statewide Cancer Registry. › Section 22-13-33 - Information to Be Confidential.

Section 22-13-33
Information to be confidential.
(a) All information reported pursuant to this article shall be confidential and privileged.
(b) The State Health Officer shall take strict measures to ensure that all identifying information is kept confidential, except as otherwise provided in this article.
(c) Cancer or benign brain-related tumor information may be provided to researchers or research institutions, or both, in connection with cancer or benign brain-related tumor morbidity and mortality studies upon appropriate review by the State Health Officer. All identifying information regarding an individual patient, health care provider, or health care facility contained in records of interviews, written reports, and statements procured by the State Health Officer or by any other person, agency, or organization acting jointly with the State Health Officer in connection with these studies shall be confidential and privileged and shall be used solely for the purposes of the study. Nothing in this article shall prevent the State Health Officer from publishing statistical compilations relating to morbidity and mortality studies which do not identify individual cases or sources of information.
(d) Information collected under this article is not subject to disclosure under Section 36-12-40.
(Acts 1995, No. 95-275, p. 485, §4; Act 2004-396, p. 666, §1.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13 - Cancer. › Article 2 - Alabama Statewide Cancer Registry. › Section 22-13-34 - State Health Officer Authorized to Enter Into Agreements to Exchange Confidential Information With Other Cancer Registries and to Furnish Confidential Information to Other States, Cancer Registries, Etc.

Section 22-13-34
State Health Officer authorized to enter into agreements to exchange confidential information with other cancer registries and to furnish confidential information to other states, cancer registries, etc.
(a) The State Health Officer may enter into agreements to exchange confidential information with other cancer registries to obtain complete reports of Alabama residents diagnosed or treated in other states and to provide information to other states regarding their residents diagnosed or treated in Alabama.
(b) The State Health Officer may furnish confidential information to other states' cancer registries, federal cancer control agencies, or health researchers in order to collaborate in a national cancer registry or to collaborate in cancer control and prevention research studies.
(Acts 1995, No. 95-275, p. 485, §5.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13 - Cancer. › Article 2 - Alabama Statewide Cancer Registry. › Section 22-13-35 - Liability Under Article.

Section 22-13-35
Liability under article.
(a) No person shall have any claim or cause of action against the State of Alabama, or its political subdivisions, or any individual arising out of any acts or omissions which occurred under the provisions of this article, if the state, political subdivisions, or individual is in compliance with this article.
(b) No person shall have any claim or cause of action against any person, or the employer or employee of any person, who participates in good faith in the reporting or receiving, or both, of cancer registry data or data for cancer or benign brain-related tumor morbidity or mortality studies in accordance with this article.
(c) No license of a health care facility or health care provider may be denied, suspended, or revoked for the good faith disclosure of confidential or privileged information in the reporting of cancer registry data or data for cancer or benign brain-related tumor morbidity or mortality studies in accordance with this article.
(d) No license of a health care facility or health care provider may be denied, suspended, or revoked for the failure to disclose confidential or privileged information in the reporting of cancer or benign brain-related tumor registry data or data for cancer or benign brain-related tumor morbidity or mortality studies.
(e) Nothing in this article shall be construed to apply to the unauthorized disclosure of confidential or privileged information when that disclosure is due to gross negligence or wanton or willful misconduct.
(Acts 1995, No. 95-275, p. 485, §6; Act 2004-396, p. 666, §1.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13 - Cancer. › Article 3 - Breast, Cervical, and Colorectal Cancer Awareness. › Section 22-13-50 - Definitions.

Section 22-13-50
Definitions.
As used in this article, the following terms shall have the following meanings:
(1) BOARD. The State Board of Health.
(2) DEPARTMENT. The Alabama Department of Public Health.
(Act 2010-587, p. 1318, §1.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13 - Cancer. › Article 3 - Breast, Cervical, and Colorectal Cancer Awareness. › Section 22-13-51 - Establishment and Purpose of Programs.

Section 22-13-51
Establishment and purpose of programs.
The department shall establish programs for breast, cervical, and colorectal cancer awareness for the following purposes:
(1) Reducing morbidity and mortality from breast, cervical, and colorectal cancer through prevention, early detection, and treatment.
(2) Making breast, cervical, and colorectal cancer screening services available to underserved and uninsured individuals throughout the state, especially those whose economic circumstances or geographic locations limit access to screening facilities.
(3) Raising public awareness about breast, cervical, and colorectal cancer.
(4) Collecting, classifying, and analyzing relevant research information and data concerning breast, cervical, and colorectal cancer.
(5) Serving as a resource for information regarding breast, cervical, and colorectal cancer.
(Act 2010-587, p. 1318, §2.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13 - Cancer. › Article 3 - Breast, Cervical, and Colorectal Cancer Awareness. › Section 22-13-52 - Operation of Programs; Referral Services.

Section 22-13-52
Operation of programs; referral services.
The services provided pursuant to this article may be undertaken by private contracts or operated by the department, or both. The department may also provide referral services for the benefit of individuals for whom further examination or treatment is indicated by cancer screenings.
(Act 2010-587, p. 1318, §3.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13 - Cancer. › Article 3 - Breast, Cervical, and Colorectal Cancer Awareness. › Section 22-13-53 - Funding; Federal Waiver.

Section 22-13-53
Funding; federal waiver.
(a) The department shall distribute funding allocated to it for providing and administering services pursuant to this article. The department may seek any federal waiver that may be necessary to maximize funds from the federal government to implement the purposes of this article.
(b) The department may seek any federal waiver that may be necessary for activities related to the purposes of this article.
(Act 2010-587, p. 1318, §4.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13 - Cancer. › Article 3 - Breast, Cervical, and Colorectal Cancer Awareness. › Section 22-13-54 - Administration of Article.

Section 22-13-54
Administration of article.
The board shall establish such rules, guidelines, policies, and protocols as may be necessary to implement and administer this article.
(Act 2010-587, p. 1318, §5.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13 - Cancer. › Article 3 - Breast, Cervical, and Colorectal Cancer Awareness. › Section 22-13-55 - Implementation of Article.

Section 22-13-55
Implementation of article.
This article shall be implemented only to the extent that sufficient funds are made available for its implementation and administration.
(Act 2010-587, p. 1318, §6.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13 - Cancer. › Article 4 - Breast Cancer Education and Coverage. › Section 22-13-70 - Standardized Summary of Treatment Methods, Reconstruction Options, and Availability of Coverage.

Section 22-13-70
Standardized summary of treatment methods, reconstruction options, and availability of coverage.
(a) The Alabama Department of Public Health shall develop a standardized written summary, in plain nontechnical language, which shall contain all of the following:
(1) An explanation of the alternative medically viable methods of treating breast cancer including, but not limited to, hormonal, radiological, chemotherapeutic, or surgical treatments, or combinations thereof.
(2) Information on breast reconstructive surgery including, but not limited to, the use of breast implants, their side effects, risks, and other pertinent information to aid a person in deciding on a course of treatment.
(3) An explanation of the special provisions relating to mastectomy, lymph node dissection, lumpectomy, and breast reconstructive surgery coverage, and second opinion coverage, including out-of-network options, under the insurance law, Section 22-6-10, Section 22-6-11, and Chapter 50, Title 27, and suggest that patients undergoing such procedures check their health plans or insurance policies, or both, for the details of their coverage.
(4) Any other information the department deems necessary.
(b) The standardized written summary for alternative breast cancer treatments shall be provided by a physician to each person under his or her care who has been diagnosed to be afflicted with breast cancer upon diagnosis, or as soon thereafter as practicable. Hospitals that provide mastectomy surgery, lymph node dissection, or a lumpectomy shall also provide the information developed by the department.
(c) The summary shall be updated as is necessary.
(d) Nothing in this article shall be construed to create a cause of action for lack of informed consent. Nothing in this article shall be construed to establish a standard of care for physicians or otherwise modify, amend, or supersede any provision of the Alabama Medical Liability Act of 1987 or the Alabama Medical Liability Act of 1996, commencing with Section 6-5-540 et seq., or any amendment thereto, or any judicial interpretation thereof.
(Act 2013-284, p. 959, §1.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13 - Cancer. › Article 4 - Breast Cancer Education and Coverage. › Section 22-13-71 - Mammography Results, Notification Requirements; Dense Breast Tissue.

Section 22-13-71
Mammography results, notification requirements; dense breast tissue.
(a) If the mammogram of a patient demonstrates dense breast tissue, the physician issuing the report of the mammography results shall provide notification to the patient that includes, but is not limited to, the following statement:
"Your mammogram shows that your breast tissue is dense. Dense breast tissue is very common and is not abnormal. However, dense breast tissue may make it harder to find cancer on a mammogram and may also be associated with an increased risk of breast cancer. This information about the result of your mammogram is given to you to raise your awareness. Use this information to talk to your doctor about your own risks for breast cancer. At that time, ask your doctor if more screening tests might be useful, based on your risk. A report of your results was sent to your physician."
(b) For the purposes of this section, dense breast tissue means heterogeneously dense or extremely dense tissue as defined in nationally recognized guidelines or systems for breast imaging reporting of mammography screening including, but not limited to, the breast imaging reporting and data system of the American College of Radiology, and any equivalent new terms, as such guidelines or systems are updated.
(Act 2013-284, p. 959, §2.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13A - Osteoporosis Prevention and Treatment Education Act. › Section 22-13A-1 - Short Title.

Section 22-13A-1
Short title.
This chapter may be cited as the "Osteoporosis Prevention and Treatment Education Act of 1995."
(Acts 1995, No. 95-259, p. 435, §1.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13A - Osteoporosis Prevention and Treatment Education Act. › Section 22-13A-2 - Legislative Findings.

Section 22-13A-2
Legislative findings.
(a) The Legislature finds all of the following:
(1) Osteoporosis, a bone-thinning disease, is a major public health problem that poses a threat to the health and quality of life to as many as 25 million Americans.
(2) The 1.5 million fractures each year that result from osteoporosis cause pain, disability, immobility and social isolation, affecting quality of life and threatening the ability of people to live independently.
(3) Because osteoporosis progresses silently and without sensation over many years, and many cases remain undiagnosed, the first symptom of the disease is often a fracture, typically of the hip, spine, or wrist.
(4) One of two women and one of five men will suffer an osteoporotic fracture in their lifetime.
(5) A woman's risk of hip fracture is equal to her combined risk of breast, uterine, and ovarian cancer.
(6) The annual direct and indirect costs of osteoporosis to the health care system are estimated to be as high as eighteen billion dollars ($18,000,000,000) in 1993, and are expected to rise above sixty billion dollars ($60,000,000,000) by the year 2020.
(7) Since osteoporosis progresses silently and currently has no cure, prevention, early diagnosis, and treatment are keys to reducing the prevalence of and devastation from this disease.
(8) Although there exists a large quantity of public information about osteoporosis, it remains inadequately disseminated and not tailored to meet the needs of specific population groups.
(9) Most people, including physicians, health care providers, and government agencies, continue to lack knowledge in the prevention, detection, and treatment of the disease.
(10) Experts in the field of osteoporosis believe that with greater awareness of the value of prevention among medical experts, service providers, and the public, osteoporosis will be preventable and treatable in the future, thereby reducing the costs of long-term care.
(11) Osteoporosis is a multi-generational issue because building strong bones during youth and preserving them during adulthood may prevent fractures in later life.
(12) Educating the public and health care community throughout the state about this potentially devastating disease is of paramount importance and is in every respect in the public interest and to the benefit of all residents of the state.
(Acts 1995, No. 95-259, p. 435, §2.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13A - Osteoporosis Prevention and Treatment Education Act. › Section 22-13A-3 - Purposes of Chapter.

Section 22-13A-3
Purposes of chapter.
The purposes of this chapter are as follows:
(1) To create and foster a multi-generational, statewide program to promote public awareness and knowledge about the causes of osteoporosis, personal risk factors, the value of prevention and early detection, and the options available for treatment.
(2) To facilitate and enhance knowledge and understanding of osteoporosis by disseminating educational materials, information about research results, services, and strategies for prevention and treatment to patients, health professionals, and the public.
(3) To utilize educational and training resources and services that have been developed by organizations with appropriate expertise and knowledge of osteoporosis and to use available technical assistance.
(4) To evaluate existing osteoporosis services in the community and assess the need for improving the quality and accessibility of community-based services.
(5) To provide easy access to clear, complete, and accurate osteoporosis information and referral services.
(6) To educate and train service providers, health professionals, and physicians.
(7) To heighten awareness about the prevention, detection, and treatment of osteoporosis among state and local health and human service officials, health educators, and policy makers.
(8) To coordinate state programs and services to address the issue of osteoporosis.
(9) To promote the development of support groups for osteoporosis patients and their families and caregivers.
(10) To adequately fund these programs.
(11) To provide lasting improvements in the delivery of osteoporosis health care, thus providing patients with an improved quality of life and society with the containment of health care costs.
(Acts 1995, No. 95-259, p. 435, §3.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13A - Osteoporosis Prevention and Treatment Education Act. › Section 22-13A-5 - Needs Assessment; List of Services and Providers.

Section 22-13A-5
Needs assessment; list of services and providers.
(a) The department shall conduct a needs assessment to identify any or all of the following:
(1) Research being conducted within the state.
(2) Available technical assistance and educational materials and programs nationwide.
(3) The level of public and professional awareness about osteoporosis.
(4) The needs of osteoporosis patients, their families, and caregivers.
(5) Needs of health care providers, including physicians, nurses, managed care organizations, and other health care providers.
(6) The services available to the osteoporosis patient.
(7) Existence of osteoporosis treatment programs.
(8) Existence of osteoporosis support groups.
(9) Existence of rehabilitation services.
(10) The number and location of bone density testing equipment.
(b) Based on the needs assessment, the department shall develop and maintain a list of osteoporosis-related services and osteoporosis health care providers with specialization in services to prevent, diagnose, and treat osteoporosis. The list shall be disseminated with a description of diagnostic testing procedures, appropriate indications for their use, drug therapies currently approved by the United States Food and Drug Administration, and a cautionary statement about the current status of osteoporosis research, prevention, and treatment. Such a statement shall also indicate that the department does not license, certify, or in any way approve osteoporosis programs or centers in the state.
(Acts 1995, No. 95-259, p. 435, §5.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13A - Osteoporosis Prevention and Treatment Education Act. › Section 22-13A-6 - Interagency Council on Osteoporosis.

Section 22-13A-6
Interagency Council on Osteoporosis.
(a) The department shall establish an Interagency Council on Osteoporosis. The State Health Officer, or his or her designee, shall chair the interagency council. The council shall have representatives from appropriate state departments and agencies, including, but not limited to, the entities with responsibility for aging, health care reform implementation, education, public welfare, and programs for women.
(b) The council shall be responsible for all of the following:
(1) Coordinate osteoporosis programs conducted by or through the department.
(2) Establish a mechanism for sharing information on osteoporosis among all officials and employees involved in carrying out osteoporosis-related programs.
(3) Review and coordinate the most promising areas of education, prevention, and treatment concerning osteoporosis.
(4) Assist the department and other offices in developing and coordinating plans for education and health promotion on osteoporosis.
(5) Establish mechanisms to use the results of research concerning osteoporosis in the development of relevant policies and programs.
(6) Prepare a report that describes educational initiatives on osteoporosis sponsored by the state and makes recommendations for new educational initiatives on osteoporosis, and transmit the report to the Legislature and make the report available to the public.
(Acts 1995, No. 95-259, p. 435, §6.)
2023 Code of Alabama › Title 22 - Health, Mental Health, and Environmental Control. › Title 1 - Health and Environmental Control Generally. › Chapter 13A - Osteoporosis Prevention and Treatment Education Act. › Section 22-13A-7 - Advisory Panel on Osteoporosis.

Section 22-13A-7
Advisory Panel on Osteoporosis.
The Interagency Council on Osteoporosis shall establish and coordinate an Advisory Panel on Osteoporosis which shall provide non-governmental input regarding the Osteoporosis Prevention and Treatment Education Program. The membership of the panel shall include, but is not limited to, persons with osteoporosis, women's health organizations, public health educators, osteoporosis experts, providers of osteoporosis health care, persons knowledgeable in health promotion and education, and representatives of national osteoporosis organizations or their state or regional affiliates.
(Acts 1995, No. 95-259, p. 435, §7.)