reglab/statecodes huggingface dataset:
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-10-1 - CARE AND TREATMENT OF INFANTS IDENTIFIED THROUGH THE NEWBORN SCREENING PROGRAM › Section 420-10-1-.01 - Purpose

Current through Register Vol. 42, No. 9, June 28, 2024
The purpose of these rules is to provide administrative details
				and procedures for the care and treatment of newborns identified with
				phenylketonuria, hypothyroidism, galactosemia, congenital adrenal hyperplasia,
				hearing loss, hemoglobinopathy, biotinidase deficiency, cystic fibrosis,
				aminoacidopathies, fatty acid oxidation disorders, organic acidurias and
				acidemias, critical congenital heart disease, severe combined immunodeficiency,
				spinal muscular atrophy, x-linked adrenoleukodystrophy, lysosomal storage
				disorders, and other heritable diseases.
Authors:
P. Scott Harris, M.D., Thomas M.
				  Miller, M.D., Lucinda G. Ashley, R.N. - B.C., Rachael N. Montgomery, B.S.N.,
				  R.N.
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2,
				  22-20-3.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-10-1 - CARE AND TREATMENT OF INFANTS IDENTIFIED THROUGH THE NEWBORN SCREENING PROGRAM › Section 420-10-1-.02 - Definitions

Current through Register Vol. 42, No. 9, June 28, 2024
(a)
Phenylketonuria
- A congenital disease due to a deficit in the
			 metabolism of the amino acid phenylalanine.
(b)
Hypothyroidism
- A
			 deficiency of thyroid gland activity with underproduction of thyroxin or the
			 condition resulting from it.
(c)
Hemoglobinopathy
- Any hemoglobin phenotype which is other than
			 AA.
(d)
Physician of
			 Record
- The physician who requests the test.
(e)
Galactosemia
- An inherited
			 error in the metabolism of galactose.
(f)
Congenital adrenal
			 hyperplasia
- an inherited error in steroid biosynthesis.
(g)
Hearing loss
- the total or
			 partial inability to hear sound in one or both ears.
(h)
Biotinidase deficiency
-
			 inherited deficiency caused by the lack of an enzyme involved in biotin
			 synthesis.
(i)
Amino acid
			 disorders
B inherited disorders in amino acid metabolism.
(j)
Fatty acid oxidation
			 disorders
B inherited disorders in fatty acid metabolism.
(k)
Organic acid disorders
B
			 inherited disorders in organic acid metabolism.
(l) Cystic Fibrosis - inherited disorder
			 caused by a defective protein (cystic fibrosis transmembrane regulator, CFTR)
			 involved in the salt balance of the body
(m)
Critical Congenital Heart Disease
			 (CCHD) - a
subset of congenital heart defects characterized by a
			 diminished availability of oxygen to the body tissues that causes severe and
			 life-threatening symptoms and requires intervention within the first days or
			 first year of life.
(n)
Severe Combined Immunodeficiency (SCID) and Related T-Cell Lymphocyte
			 Deficiencies -
a group of rare inherited immune disorders in which T
			 lymphocytes are either absent or compromised.
(o)
Licensed Midwife
- a
			 practitioner who holds a certified professional midwife credential and is
			 licensed by the Alabama State Board of Midwifery to practice
			 midwifery.
(p)
Spinal
			 Muscular Atrophy (SMA)
- a rare genetic disorder caused by spinal motor
			 neuron gene change.
(q)
X-Linked Adrenoleukodystrophy (X-ALD) - a genetic
disease that
			 affects the nervous system and the adrenal glands.
(r)
Lysosomal Storage Disorders
- inherited metabolic diseases that are characterized by an abnormal build-up
			 of various toxic materials in the body's cells as a result of enzyme
			 deficiencies.
Authors:
P. Scott Harris, M.D., Thomas M.
				  Miller, M.D.; William J. Callan, Ph.D.; Sharon P. Massingale, Ph.D., Aretha M.
				  Williams, PhD., Lucinda G. Ashley, R.N. - B.C.; Rachael N. Montgomery, B.S.N.,
				  R.N.
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2,
				  22-20-3.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-10-1 - CARE AND TREATMENT OF INFANTS IDENTIFIED THROUGH THE NEWBORN SCREENING PROGRAM › Section 420-10-1-.03 - Designation Of Additional Heritable Diseases

Current through Register Vol. 42, No. 9, June 28, 2024
The State Board of Health hereby designates the following as a
				heritable disease subject to testing, reporting and notification requirements
				herein below specified. Phenylketonuria, hypothyroidism, galactosemia,
				congenital adrenal hyperplasia, hearing loss, hemoglobinopathy, biotinidase
				deficiency, cystic fibrosis, aminoacidopathies, fatty acid oxidation disorders,
				organic acidurias and acidemias, CCHD, SCID, SMA, X-ALD, lysosomal storage
				disorders, and other heritable disorders.
Authors:
P. Scott Harris, M.D., Thomas M.
				  Miller, M.D.; William J. Callan, Ph.D.; Sharon P. Massingale, Ph.D., Aretha M.
				  Williams, Ph.D., Lucinda G. Ashley, R.N. - B.C., Rachael N. Montgomery, B.S.N.,
				  R.N.
Statutory Authority:
Code of Ala.
				  1975
, §
										22-2-2,
				  22-20-3.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-10-1 - CARE AND TREATMENT OF INFANTS IDENTIFIED THROUGH THE NEWBORN SCREENING PROGRAM › Section 420-10-1-.04 - Reporting And Notification

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The Alabama Department of Public Health
			 shall report all results of phenylketonuria, hypothyroidism, galactosemia,
			 congenital adrenal hyperplasia, hearing loss, hemoglobinopathy, biotinidase
			 deficiency, cystic fibrosis, aminoacidopathies, fatty acid oxidation disorders,
			 organic acidurias and acidemias, CCHD, SCID, SMA, X-ALD, lysosomal storage
			 disorders, and other heritable disease testing to the submitting health care
			 provider. Test results on transferred infants may be made available to both the
			 transferring and receiving facilities.
(2) The submitting health care provider shall
			 report all results, including positives, suspected positive results, and
			 unsatisfactory specimens, to the physician of record (the physician indicated
			 on the collection form) of the newborns tested and shall use such forms and
			 follow such guidelines as shall be determined by the State Health Officer. The
			 health care provider shall report the results of any hearing tests performed on
			 the newborns to the Alabama Department of Public Health and shall use such
			 forms and follow such guidelines as shall be determined by the State Health
			 Officer.
(3) The Alabama Department
			 of Public Health may release results of newborn screening tests, including
			 hearing screening results, to any physician registered with the Secure Remote
			 Viewer under the terms and conditions of the system without a signed release
			 from the parent or guardian.
(4)
			 The submitting health care provider shall screen all newborns in well baby
			 nurseries for CCHD using pulse oximetry and shall use such forms and follow
			 such guidelines as shall be determined by the State Health Officer.
(5) The submitting health care provider shall
			 report the results of any failed pulse oximetry screening results to the
			 Alabama Department of Public Health and shall use such forms and follow such
			 guidelines as shall be determined by the State Health Officer.
(6) A licensed midwife must refer all
			 newborns in his or her care to a licensed physician within 24 hours of age to
			 perform Newborn Screening Tests which include:
1) bloodspot specimen tests;
2) newborn hearing screening tests; and
3) pulse oximetry screening tests.
			 The licensed midwife must instruct the client regarding the requirements of the
			 administration of these newborn health screening tests by the Alabama
			 Department of Public Health.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-10-1 - CARE AND TREATMENT OF INFANTS IDENTIFIED THROUGH THE NEWBORN SCREENING PROGRAM › Section 420-10-1-.05 - Counseling And Management

Current through Register Vol. 42, No. 9, June 28, 2024
(a)
			 The Alabama Department of Public Health shall make contact with the physician
			 of record and the parent/guardian of newborns who test positive for
			 phenylketonuria, hypothyroidism, galactosemia, congenital adrenal hyperplasia,
			 hearing loss, hemoglobinopathy, biotinidase deficiency, cystic fibrosis,
			 aminoacidopathies, fatty acid oxidation disorders, organic acidurias and
			 acidemias, CCHD, SCID, SMA, X-ALD, lysosomal storage disorders, and other
			 heritable diseases to notify them of positive test results and to ascertain
			 whether or not these newborns are under the care of a private physician.
			 Additionally, the Alabama Department of Public Health shall make contact with
			 the physician of record and the parent/guardian to advise them of the services
			 available through the Alabama Department of Public Health. Newborns who are
			 under the care of a private physician may additionally utilize these same
			 services. The Alabama Department of Public Health may make contact with the
			 family to make their services available or may assist the family in obtaining
			 the services of a private physician. Services include health assessments,
			 treatment, and referrals to tertiary care centers.
(b) The Alabama Department of Public Health
			 shall make contact with the submitting health care provider of newborns with
			 failed pulse oximetry results to verify that appropriate screening, referral,
			 and intervention services have been provided and if needed, may assist in
			 obtaining the services. Services include health assessments, treatment, and
			 referrals to tertiary care centers.
Authors:
P. Scott Harris, M.D., Thomas M.
				  Miller, M.D.; William J. Callan, Ph.D.; Sharon P. Massingale, Ph.D., Aretha M.
				  Williams, Ph.D., Lucinda G, Ashley, R.N. - B.C., Rachael N. Montgomery, B.S.N.,
				  R.N.
Statutory Authority:
Code of Ala.
				  1975
, §
										22-20-3.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-10-1 - CARE AND TREATMENT OF INFANTS IDENTIFIED THROUGH THE NEWBORN SCREENING PROGRAM › Section 420-10-1-.06 - Fees

Current through Register Vol. 42, No. 9, June 28, 2024
The Board shall assess and collect newborn screening fees from
				hospitals and birthing centers or third-party payors. The newborn screening fee
				shall be set by the State Committee of Public Health based on the schedule of
				laboratory fees established by Centers for Medicare and Medicaid Services
				(CMS)for use by Medicare and Medicaid. The Board shall bill the Medicaid Agency
				for Medicaid eligibles.
(1) Hospitals
			 classified as "rural" by CMS or which have less than 105 beds and are located
			 at least twenty (20) miles from the nearest acute care facility with
			 obstetrical capabilities may have newborn screening fees waived for
			 non-Medicaid eligible patients where there is no third-party payor for such
			 fees. The State Health Officer shall annually submit a list of hospitals to the
			 Board which are eligible for waiver of fees.
(2) Additional reasonable and necessary fees
			 may be charged to other payors by the hospital or physician in connection with
			 this rule. The State Health Officer may waive fees deemed uncollectible because
			 of a patient's inability to pay.
(3) There shall be only one (1) fee per birth
			 collected from a hospital by the Board.
Authors:
Lloyd Hofer, M.D., William J. Callan,
				  Ph.D.
Statutory Authority:
Code of Ala.
				  1975
, §
										22-20-3.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-10-2 - WOMEN, INFANTS, AND CHILDREN SUPPLEMENTAL NUTRITION PROGRAM › Section 420-10-2-.01 - Applicability

Current through Register Vol. 42, No. 9, June 28, 2024
This Chapter prescribes general procedures that apply to the
				Women, Infants, and Children Supplemental Nutrition Program, hereinafter
				referred to as WIC, adoption, amendment, and repeal of rules of the State Board
				of Health. The Alabama Department of Public Health is hereinafter referred to
				as "the Department."
Authors:
James M. Richard, Carolyn Battle,
				  Stacey Neumann
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
				  22-12c-2 and 3.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-10-2 - WOMEN, INFANTS, AND CHILDREN SUPPLEMENTAL NUTRITION PROGRAM › Section 420-10-2-.02 - Certification Defined

Current through Register Vol. 42, No. 9, June 28, 2024
Certification is the use of criteria and procedures to assess
				and document each applicant's eligibility for participation in the Alabama WIC
				Program.
(1) This eligibility
			 determination is to be made at no cost to the participant. During this process,
			 the holistic and social needs of the participant are considered.
(2) Food instruments may not be issued to a
			 participant unless that participant's certification is current.
Authors:
James M. Richard, Carolyn Battle,
				  Stacey Neumann
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
				  22-12c-2 and 3.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-10-2 - WOMEN, INFANTS, AND CHILDREN SUPPLEMENTAL NUTRITION PROGRAM › Section 420-10-2-.03 - Eligibility Requirements

Current through Register Vol. 42, No. 9, June 28, 2024
To be certified as eligible for the Alabama WIC Program, the
				applicant shall meet the following requirements and provide proof of
				identification, residence, and income.
(1)
Individual Status.
Participants shall be one of the following:
(a) A woman who is:
(i) Pregnant;
(ii) Within six months after the baby is born
			 or the pregnancy ends; or
(iii)
			 Breast-feeding up to one year postpartum.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-10-2 - WOMEN, INFANTS, AND CHILDREN SUPPLEMENTAL NUTRITION PROGRAM › Section 420-10-2-.04 - Food Delivery System

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
Approved Food Selection Criteria.
Written criteria used in
			 selecting authorized foods are outlined in the WIC Procedure Manual.
			 Established criteria must meet the minimum Federal requirements. The Department
			 reserves the right to, at any time, disallow certain brands, types, or
			 varieties of foods because of cost, availability, packaging, or any other
			 reason deemed necessary.
(2) The
			 review period for adding new foods will be posted on the Department's web
			 site.
Authors:
James M. Richard, Carolyn Battle,
				  Stacey Neumann
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
				  22-12c-2 and 3.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-10-2 - WOMEN, INFANTS, AND CHILDREN SUPPLEMENTAL NUTRITION PROGRAM › Section 420-10-2-.05 - Vendor Management

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
General.
The Department through the Alabama WIC Program provides
			 special supplemental food to its participants through a retail purchase
			 delivery system. Some special infant formulas are exceptions to this; these
			 infant formulas are provided by direct distribution at the local WIC clinics.
			 The retail purchase delivery system allows a WIC participant to redeem food
			 instruments or Electronic Benefits Transfer (EBT)e-WIC cards for special
			 supplemental food at authorized vendors. The State WIC Office issues blank
			 stock food instrument paper or e-WIC cards to each clinic. The clinics produce
			 a computer printed or manual food instrument or issue an e-WIC card. Each food
			 instrument or e-WIC card has a unique sequential identifying number. Clinic
			 staff issue benefits to WIC participants for the purchase of authorized foods.
			 The participant may redeem the food instrument or e-WIC card only at authorized
			 WIC vendors. In accordance with the terms of the Alabama WIC Vendor Contract,
			 the vendor deposits food instruments at its bank. The food instruments are then
			 processed through the Alabama WIC Program's contract bank for payment to the
			 vendor. Vendors that use e-WIC shall have their bank account credited with
			 payments for completed EBT transactions. e-WIC card reimbursement occurs
			 through electronic transfer. Authorized WIC vendors shall not be reimbursed for
			 food instruments, cash value vouchers, or e-WIC transactions that are not
			 properly transacted at their store.
(2)
Vendor Applicants.
(a) Vendors who wish to participate in the
			 Alabama WIC Program shall submit a completed Vendor Application Packet. Vendors
			 can obtain an application packet at all local WIC clinics and on the
			 Department's website. During a contract renewal year the Alabama WIC Program
			 will not accept applications from June 1 to September 30.
(b) If a vendor's application is denied, the
			 vendor may reapply 90 days after service of the notice of denial. A vendor may
			 not submit more than two applications in a 12-month period.
(c) The Department may, in its discretion,
			 waive any of the vendor criteria for participation outlined in
			 420-10-2-.05(3) 
			 in order to ensure adequate participant access to WIC Program benefits.
			 Adequate participant access exists if another authorized WIC vendor is located
			 within ten miles and no geographic barriers or other conditions make
			 participant access unreasonably difficult.
(d) Out of state vendors will not receive
			 approval unless needed for adequate participant access. Participant access
			 determinations in regards to out of state vendors is at the discretion of the
			 Department.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-10-2 - WOMEN, INFANTS, AND CHILDREN SUPPLEMENTAL NUTRITION PROGRAM › Section 420-10-2-.06 - Appeals For Vendors And Local Agencies

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
Vendor appeals
(a)
Adverse actions subject to
			 administrative review.
The Department shall provide full administrative reviews to
				vendors that appeal the following adverse actions:
1. Denial of authorization based on the
			 application of the vendor selection criteria for minimum variety and quantity
			 of authorized supplemental foods or on a determination that the vendor is
			 attempting to circumvent a sanction.
2. Termination of a vendor contract for
			 cause.
3.
			 Disqualification.
4. Imposition of
			 a fine or a civil money penalty in lieu of disqualification.
5. Denial of authorization based on the
			 vendor selection criteria for business integrity or for a current Supplemental
			 Nutrition Assistance Program disqualification or civil money penalty for
			 hardship.
6. Denial of
			 authorization based on a state agency-established vendor selection criteria if
			 the basis of the denial is a WIC vendor sanction or a Supplemental Nutrition
			 Assistance Program withdrawal of authorization or disqualification.
7. Denial of authorization based on the
			 Department's vendor limiting criteria.
8. Denial of authorization because a vendor
			 submitted its application outside the time frames during which applications are
			 being accepted and processed as established by the Department under
			 7 CFR §
											246.12(g)(7).
9. Termination of a vendor contract due to a
			 change in ownership, a change in location, or the cessation of
			 operations.
10. Disqualification
			 based on a trafficking conviction.
11. Disqualification based on the imposition
			 of a Supplemental Nutritional Assistance Program civil money penalty for
			 hardship.
12. Disqualification or a
			 civil money penalty imposed in lieu of disqualification based on a mandatory
			 sanction imposed by another WIC state agency.
13. A civil money penalty imposed in lieu of
			 disqualification based on a Supplemental Nutritional Assistance Program
			 disqualification under
			 7 CFR §
											246.12(1)(1)(vii).
14. Denial of authorization based on a
			 determination of whether an applicant vendor is currently authorized by the
			 Supplemental Nutritional Assistance Program.
15. Denial of authorization based on the
			 application of the vendor selection criteria for competitive pricing.
16. The application of the Department's
			 vendor peer group criteria and the criteria used to identify vendors that are
			 above-50-percent vendors or comparable to above-50-percent vendors.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-10-2 - WOMEN, INFANTS, AND CHILDREN SUPPLEMENTAL NUTRITION PROGRAM › Section 420-10-2-.07 - Appeal Procedures For Participants

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
Availability of hearings.
The Department shall provide a hearing procedure through which any individual
			 may appeal a state or local agency action that:
(a) Results in a claim against the individual
			 for repayment of the cash value of improperly issued benefits.
(b) Results in the individual's denial of
			 participation in the Alabama WIC Program
(c) Results in the individual's
			 disqualification from the Alabama WIC Program.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-10-2 - WOMEN, INFANTS, AND CHILDREN SUPPLEMENTAL NUTRITION PROGRAM › Section 420-10-2-.08 - Hearing Procedures

Current through Register Vol. 42, No. 9, June 28, 2024
The formal administrative hearings regarding adverse actions
				taken against WIC vendors, local agencies, or participants must adhere to the
				Hearing of Contested Cases rules found in Chapter 420-1-3 of the Alabama
				Administrative Code unless those rules are contrary to this Chapter or Part
				246, Title 7 of the Code of Federal Regulations.
(1)
Hearing official.
An
			 impartial official who does not have any personal stake or involvement in the
			 decision and who was not directly involved in the initial determination of the
			 action being contested shall conduct the hearings. For participant hearings,
			 the hearing official shall order, where relevant and necessary, an independent
			 medical assessment or professional evaluation from a source mutually
			 satisfactory to the appellant and the Department.
(2)
Conduct of the hearing.
The
			 Department shall also provide the appellant or representative an opportunity
			 to:
(a) Examine, prior to and during the
			 hearing, the documents and records presented to support the decision under
			 appeal;
(b) Be assisted or
			 represented by an attorney or other persons at the appellant's
			 expense;
(c) Bring
			 witnesses;
(d) Advance arguments
			 without undue interference;
(e)
			 Question or refute any testimony or evidence, including an opportunity to
			 confront and cross-examine adverse witnesses; and
(f) Submit evidence to establish all
			 pertinent facts and circumstances in the case.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-10-2 - WOMEN, INFANTS, AND CHILDREN SUPPLEMENTAL NUTRITION PROGRAM › Section 420-10-2-.09 - Affirmative Action

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Alabama WIC
			 agencies are providing services in all of the 67 counties that are administered
			 through the local clinics. The Affirmative Action Plan will be used as a method
			 to reallocate existing funds, expand the WIC Program if additional funds are
			 received, and target benefits to priorities of participants highest in need.
			 The reallocations and expenses will be to the neediest one-third. All of these
			 efforts have been made to increase the access points in geographically
			 strategic areas of the state.
(2)
			 Selection criterion for local agencies is based on the availability of health
			 and administrative services. Selection is made on the priorities listed in
			 7 CFR §
									246.5(d). Private agencies
			 will be reviewed for civil rights compliance.
Authors:
James M. Richard, Carolyn Battle,
				  Stacey Neumann
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
				  22-12c-2 and 3.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-10-2 - WOMEN, INFANTS, AND CHILDREN SUPPLEMENTAL NUTRITION PROGRAM › Section 420-10-2-.10 - Audits

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
Private
			 Non-Profit Agencies.
The Alabama Department of Public Health, WIC
			 Division, will coordinate and perform internal reviews to ensure proper
			 administration of WIC Program funds on an annual basis, and in accordance with
			 existing contracts.
(a) A summary of audit
			 findings and recommended corrective actions will be reviewed with the WIC
			 director and given to the specified agency administrator.
(b) A written response will be requested from
			 the agency within a specified time frame. The agency response must state the
			 corrective action taken or if planned, submitted with a reasonable time period
			 for completion.
(c) The WIC
			 Division staff will be responsible for follow-up to ensure that appropriate
			 corrective actions are in place and operating as planned. This follow-up will
			 be conducted during regular monitoring visits.
(d) The WIC Division will provide technical
			 assistance and training as needed to correct audit deficiencies.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-10-2 - WOMEN, INFANTS, AND CHILDREN SUPPLEMENTAL NUTRITION PROGRAM › Section 420-10-2-.11 - Severability

Current through Register Vol. 42, No. 9, June 28, 2024
The parts, sections, paragraphs, and provisions of this chapter
				are severable. Should any portion thereof be ruled unconstitutional or
				unenforceable by any court, the said ruling shall not affect any other
				provisions of this chapter not ruled upon.
Authors:
James M. Richard, Carolyn Battle,
				  Stacey Neumann
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
				  22-12c-2 and 3.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-10-2 - WOMEN, INFANTS, AND CHILDREN SUPPLEMENTAL NUTRITION PROGRAM › Section 420-10-2-.12 - Conflicts Of Regulations

Current through Register Vol. 42, No. 9, June 28, 2024
To the extent that these regulations conflict with the Code of
				Federal Regulations as adopted herein, the provisions of the Code of Federal
				Regulations shall prevail.
Authors:
Wendy Blackmon, Carolyn Battle, Stacey
				  Neumann
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
				  22-12c-2 and 3.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-10-2 - WOMEN, INFANTS, AND CHILDREN SUPPLEMENTAL NUTRITION PROGRAM › Section 420-10-2-.13 - Repealer

Current through Register Vol. 42, No. 9, June 28, 2024
All rules promulgated and adopted by the Board which are in
				conflict with this Chapter or any provisions thereof are hereby expressly
				repealed.
Authors:
Wendy Blackmon, Stacey Neumann
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
				  22-12c-2 and 3.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-10-2 - WOMEN, INFANTS, AND CHILDREN SUPPLEMENTAL NUTRITION PROGRAM › Appendix A

Current through Register Vol. 42, No. 9, June 28, 2024
Data Sources and Methodologies for Determining if a
				Vendor is Expected to Meet the More Than 50 Percent Criterion
Indicator
Data Sources and Methodologies
The vendor applicant currently has one or more
							 WIC-authorized stores where WIC food sales are more than 50 percent of total
							 annual food sales.
1) Compare WIC redemptions and food sales in existing
							 stores owned by applicant vendor as reported by applicant, documented in tax
							 records or other verifiable source.
2) Compare WIC redemptions to Supplemental Nutrition
							 Assistance Program (SNAP) redemptions in existing stores owned by applicant
							 vendor. If WIC redemptions are greater than SNAP redemptions, WIC revenue may
							 exceed the more than 50 percent criterion. In this case, the state agency must
							 consider documentation that shows the amount of revenue that the vendor
							 obtained from other sources (e.g., cash and credit sales).
3) If vendor applicant is currently authorized in
							 another state, contact state to determine if vendor applicant meets the more
							 than 50 percent criterion in that state.
The vendor applicant is expected to accept WIC as the
							 primary form of payment for the sale of supplemental food items.
1) Request percentage of anticipated food sales by
							 type of payment, i.e., cash, SNAP, WIC, credit/debit, etc.
2) To the extent possible, validate information
							 against other data sources.
The vendor applicant is expected to or currently
							 offers for sale primarily WIC-authorized food items (i.e., does not offer a
							 variety of foods in the staple food groups-meat, poultry, or fish; bread or
							 cereal; vegetables or fruits; and dairy).
1) Request inventory invoices to substantiate foods
							 that have been purchased for sale.
2) Determine if a variety of foods in each of the
							 following staple food groups will be or are currently offered for sale on a
							 continuous basis: meat, poultry or fish; bread or cereal; vegetables or fruits;
							 and dairy. (Continuous basis means that on any given day of operation, a store
							 must offer for sale and normally display in a public area, qualifying staple
							 food items, with no fewer than three different varieties of food items in each
							 of the four staple food categories.)
3) Request percentage of foods intended to be offered
							 for sale in each category, i.e., 40 percent dairy, 2 percent meat, poultry or
							 fish, etc.
The vendor applicant is dependent upon WIC
							 authorization before the store can open for business.
Request date the store will open for continuous
							 business on vendor application.
Authors:
James M. Richard ; Wendy Blackmon; D
				  ana Driscol l; Carolyn Battle; Stacey Neumann
Statutory Authority:
Code of Ala.
				  1975
, 22-2-2(6), 22-12C-2 and 3;
				  7 CFR §§
											246.12,
				  246.18.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-11-1 - PROCEDURES FOR DONATION OF CERTAIN PRESCRIPTION DRUGS TO CHARITABLE CLINICS › Section 420-11-1-.01 - Definitions

Current through Register Vol. 42, No. 9, June 28, 2024
When used herein, the following words and terms shall have the
				meaning hereinafter ascribed to them unless the context prohibits.
(1) Charitable clinic - An established free
			 medical clinic as defined in subdivision (1) of Section 4 of Act No. 2000-680
			 and any community health center provided for under the United States Public
			 Health Service Act.
(2) Charitable
			 patient - A person who is a recipient of services of a charitable clinic but
			 shall not include people who are eligible to receive drugs under the Alabama
			 Medicaid Program or under any other prescription drug program funded in whole
			 or in part by the State of Alabama.
(3) Legend drug - Any substance required to
			 bear or that bears upon the label the words "Caution, Federal Law Prohibits
			 Dispensing Without A Prescription" or "RX Only" or similar wording.
(4) Donating patient - A person who is a
			 recipient of services in an authorized institution as defined in this
			 rule.
(5) Physician - A person
			 currently licensed by the Alabama Medical Licensure Commission to practice
			 medicine and surgery in Alabama. The use of the word, "physician" in this rule
			 shall not be deemed to preclude a properly licensed nurse practitioner or a
			 physician's assistant from performing any function that is within that
			 individual's scope of practice.
(6)
			 Pharmacist - A person licensed by the Alabama Board of Pharmacy to practice
			 pharmacy.
(7) Unit dose -
			 Medication packaged in individually sealed pockets in a card.
(8) Authorized institution - A licensed
			 hospital, nursing facility, intermediate care facility, assisted living
			 facility, specialty care assisted living facility, or hospice in Alabama.
Author:
Charles C. Thomas, R. Ph., FAPhA, State
				Pharmacy Director
Authority:
Act No. 2002-498.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-11-1 - PROCEDURES FOR DONATION OF CERTAIN PRESCRIPTION DRUGS TO CHARITABLE CLINICS › Section 420-11-1-.02 - Procedures

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Legend drugs
			 dispensed to a patient except controlled substances may be donated by the
			 patient or, if the patient is deceased or incompetent, the patient's spouse, an
			 adult child, a brother or sister, either parent, a legally-appointed guardian,
			 or the administrator of the estate of a deceased patient.
(2) The physician or pharmacist associated
			 with the charitable clinic shall ensure that the drugs that are accepted for
			 use by the charitable clinic meet the following criteria:
(a) The drugs are no longer needed by the
			 original patient due to death or a stop order by the patient's
			 physician.
(b) The drugs have been
			 maintained in accordance with the United States Pharmacopeia and National
			 Formulary storage requirements.
(c)
			 The drugs were originally dispensed by unit dose or an individually sealed dose
			 and they are still intact in the original dispensed container. Medications in a
			 bulk container are only acceptable from a hospice program.
(d) The drugs have not expired. The drugs
			 must be used prior to the expiration date on the package.
Author:
Charles C. Thomas, R. Ph., FAPhA, State
				Pharmacy Director
Authority:
Act No. 2002-498.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-11-1 - PROCEDURES FOR DONATION OF CERTAIN PRESCRIPTION DRUGS TO CHARITABLE CLINICS › Section 420-11-1-.03 - Transfer Of Drugs

Current through Register Vol. 42, No. 9, June 28, 2024
Charitable clinics must have a written agreement with an
				authorized institution before accepting drugs. The following procedures must be
				followed by the authorized institution before releasing custody of the
				medications to the charitable clinic.
(1) Any person accepting custody of donated
			 prescription medications on behalf of a charitable clinic shall have written
			 authorization from the charitable clinic's administrator to do so.
(2) An institution transferring custody of
			 drugs shall have on file written documentation that the patient or family
			 member donated the drugs to the charitable clinic. The documentation shall be
			 maintained for a minimum of two years at the institution.
(3) The prescription container shall have any
			 specific patient identifying information removed from or made illegible on the
			 container.
(4) The name, strength,
			 and expiration date of the drug must remain on the container.
(5) The person who releases the drugs to the
			 delivery or pick-up person for the charitable clinic shall provide an inventory
			 list of the drugs to the delivery or pick-up person that includes the name of
			 the medication, strength, expiration date, and quantity. The list must be dated
			 and signed by the person releasing the medication from the transferring
			 institution. The delivery or pick-up person must sign and date the list to be
			 maintained at the institution transferring custody of the drugs. The list must
			 be signed and dated by a representative of the charitable institution that
			 receives the medication and a copy maintained at the charitable institution for
			 a period of at least two years. The medications must be physically transferred
			 within seven days of notification that they are available.
(6) All records of the transfer will be open
			 to inspection by the Board of Pharmacy, Board of Medical Examiners, Alabama
			 Department of Public Health, and law enforcement officials in
			 Alabama.
(7) Charitable clinics may
			 give donated drugs only to charitable patients as defined by these rules.
Author:
Charles C. Thomas, R. Ph., FAPhA, State
				Pharmacy Director
Authority:
Act No. 2002-498.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-11-2 - RULES FOR QUALIFICATIONS AND CRITERIA FOR RETIRED PHYSICIANS AND DENTISTS TO BE ELIGIBLE TO PARTICIPATE IN PROFESSIONAL LIABILITY COVERAGE WHILE SERVING AT FREE HEALTH CARE CLINICS › Section 420-11-2-.01 - Purpose

Current through Register Vol. 42, No. 9, June 28, 2024
This chapter establishes the qualifications and criteria for
				retired physicians and dentists who volunteer their services at established
				free medical clinics to be eligible to participate in professional liability
				coverage administered by the Department of Finance.
Author:
John R. Wible
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
				  36-1-6.1
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-11-2 - RULES FOR QUALIFICATIONS AND CRITERIA FOR RETIRED PHYSICIANS AND DENTISTS TO BE ELIGIBLE TO PARTICIPATE IN PROFESSIONAL LIABILITY COVERAGE WHILE SERVING AT FREE HEALTH CARE CLINICS › Section 420-11-2-.02 - Definitions

Current through Register Vol. 42, No. 9, June 28, 2024
The following terms shall have the following meanings
				respectively ascribed to them.
(a)
			 "Board" - The State Board of Health as constituted by
Code of Ala.
			 1975
, §§
								22-2-1.
(b) "Dentist" - A person authorized to
			 practice dentistry in accordance with
Code of Ala.
			 1975
, §
								34-9-3 and in good standing with
			 the Board of Dental Examiners.
(c)
			 "Department" - The Alabama Department of Public Health.
(d) "CE Hours" - Hours of continuing
			 professional education required for physicians as determined by the Alabama
			 Board of Medical Examiners or required for dentists as determined by the
			 Alabama Board of Dental Examiners.
(e) "Established Free Medical Clinic" - An
			 established free medical clinic as defined by
Code of Ala.
			 1975
, §
								6-5-662 as an organized
			 community-based program providing medical care, without charge to individuals
			 unable to pay for it, and which is limited to care that does not require the
			 services of a licensed hospital or ambulatory surgical center, and care that
			 does not include the use of general anesthesia or require an overnight stay in
			 a health care facility.
(f)
			 "Physician" - A person authorized to practice medicine or osteopathy in
			 accordance with
Code of Ala. 1975
, §
								34-24-50,
et seq.
and in good standing with the Board of Medical Examiners.
(g) "Retired" - A physician in "retired"
			 status as determined by the Board of Medical Examiners or a dentist in
			 "retired" status as determined by the Board of Dental Examiners.
(h) "Volunteer" - To provide medical or
			 dental services, including treatment, diagnosis and advice, without a fee or
			 compensation.
Author:
John R. Wible
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
				  36-1-6.1
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-11-2 - RULES FOR QUALIFICATIONS AND CRITERIA FOR RETIRED PHYSICIANS AND DENTISTS TO BE ELIGIBLE TO PARTICIPATE IN PROFESSIONAL LIABILITY COVERAGE WHILE SERVING AT FREE HEALTH CARE CLINICS › Section 420-11-2-.03 - Limitations On Areas Of Practice

Current through Register Vol. 42, No. 9, June 28, 2024
To be eligible to participate in the professional liability
				coverage program under this Chapter an individual shall be either a retired
				dentist trained in general dentistry or a retired physician trained within the
				professional guidelines of one of the following areas of specialty:
(a) Family Practice;
(b) Internal Medicine;
(c) Pediatrics.
Author:
John R. Wible
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
				  36-1-6.1
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-11-2 - RULES FOR QUALIFICATIONS AND CRITERIA FOR RETIRED PHYSICIANS AND DENTISTS TO BE ELIGIBLE TO PARTICIPATE IN PROFESSIONAL LIABILITY COVERAGE WHILE SERVING AT FREE HEALTH CARE CLINICS › Section 420-11-2-.04 - Minimum And Maximum Hours Per Month

Current through Register Vol. 42, No. 9, June 28, 2024
(1) To be eligible for participation in the
			 professional liability coverage program under this chapter a retired physician
			 or dentist shall provide volunteer services no less than 4 hours and no more
			 than 32 hours per month at an established free medical clinic.
(2) Retired physicians and dentists shall
			 establish generally acceptable methods of maintaining accurate records of hours
			 practiced and permit reasonable inspection of such records for audit
			 purposes.
(3) The Department shall
			 require monthly reporting of hours volunteered at established free medical
			 clinics.
(4) Failure to comply with
			 the provisions of this rule may result in disqualification to participate in
			 professional liability coverage provided by the Department of
			 Finance.
Author:
John R. Wible
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
				  36-1-6.1
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-11-2 - RULES FOR QUALIFICATIONS AND CRITERIA FOR RETIRED PHYSICIANS AND DENTISTS TO BE ELIGIBLE TO PARTICIPATE IN PROFESSIONAL LIABILITY COVERAGE WHILE SERVING AT FREE HEALTH CARE CLINICS › Section 420-11-2-.05 - Licensure And Continuing Education

Current through Register Vol. 42, No. 9, June 28, 2024
To be eligible to participate in the professional liability
				coverage program under this chapter a retired physician or dentist shall
				possess a the appropriate license to practice the profession in the State of
				Alabama and must maintain the current number of CE hours as prescribed by the
				applicable examining board.
Author:
John R. Wible
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
				  36-1-6.1
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-11-2 - RULES FOR QUALIFICATIONS AND CRITERIA FOR RETIRED PHYSICIANS AND DENTISTS TO BE ELIGIBLE TO PARTICIPATE IN PROFESSIONAL LIABILITY COVERAGE WHILE SERVING AT FREE HEALTH CARE CLINICS › Section 420-11-2-.06 - Application

Current through Register Vol. 42, No. 9, June 28, 2024
An application to participate in the professional liability
				coverage program for a retired physician or dentist who volunteers at an
				established free medical clinic shall be completed and submitted to the
				Department. The following information may be required in the
				application:
(a) Name, addresses,
			 phone numbers, and e-mail addresses of the applicant.
(b) Educational background and qualifications
			 of the applicant.
(c) Area of
			 practice of the applicant.
(d)
			 State of Alabama medical or dentistry license number of the
			 applicant.
(e) Name, address, phone
			 numbers and e-mail addresses of the established free medical clinic.
(f) The number of hours the established free
			 medical clinic will be open to the public.
(g) The applicant's practice agreement with
			 the established free medical clinic.
(h) The number of hours the applicant will
			 volunteer to work at the established free medical clinic.
(i) Number of patients that visit the
			 established free medical clinic annually.
(j) Attestation of compliances with these
			 rules.
(k) Statements of
			 assurance.
(l) Signature and/or
			 initials of the applicant, as well as dates.
Author:
John R. Wible
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
				  36-1-6.1
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-11-2 - RULES FOR QUALIFICATIONS AND CRITERIA FOR RETIRED PHYSICIANS AND DENTISTS TO BE ELIGIBLE TO PARTICIPATE IN PROFESSIONAL LIABILITY COVERAGE WHILE SERVING AT FREE HEALTH CARE CLINICS › Section 420-11-2-.07 - Selection Process

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 Eligible applicants shall be selected to participate in the professional
			 liability coverage program based upon area of discipline and shall be selected
			 on a first-come, first-served basis as long as funding is available.
(2) The number of retired physicians and
			 dentists selected to participate shall be determined by the State Health
			 Officer based upon available funding.
Author:
John R. Wible
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
				  36-1-6.1
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-11-2 - RULES FOR QUALIFICATIONS AND CRITERIA FOR RETIRED PHYSICIANS AND DENTISTS TO BE ELIGIBLE TO PARTICIPATE IN PROFESSIONAL LIABILITY COVERAGE WHILE SERVING AT FREE HEALTH CARE CLINICS › Section 420-11-2-.08 - Authorization Period

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 Participation in the program shall be authorized for a period of 12 months from
			 the date of the approval of the application.
(2) In order to be reauthorized to
			 participate in the program, an application must be submitted to and approved by
			 the Department pursuant to the requirements of this Chapter.
Author:
John R. Wible
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
				  36-1-6.1
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-11-2 - RULES FOR QUALIFICATIONS AND CRITERIA FOR RETIRED PHYSICIANS AND DENTISTS TO BE ELIGIBLE TO PARTICIPATE IN PROFESSIONAL LIABILITY COVERAGE WHILE SERVING AT FREE HEALTH CARE CLINICS › Section 420-11-2-.09 - Relationship To Volunteer Medical Professional Act

Current through Register Vol. 42, No. 9, June 28, 2024
Nothing in this chapter is intended to affect in any way the
				provisions of and protections provided by the Volunteer Medical Professional
				Act,
Code of Ala. 1975
, §
								6-5-660, et seq.
Author:
John R. Wible
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
				  36-1-6.1
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-11-3 - YOUTH INJURY MITIGATION TRAINING › Section 420-11-3-.01 - Minimum Course Requirements

Current through Register Vol. 42, No. 9, June 28, 2024
Youth athletics associations and recreational organizations
				that sponsor or conduct sports training, or high-risk youth athletic activities
				for children age 14 years and younger, shall require all unpaid or volunteer
				coaches and athletics personnel to complete a didactic, online, or residence
				course that addresses, at the very minimum:
(a) Emergency preparedness, planning, and
			 rehearsal for traumatic injuries.
(b) Concussions and head trauma.
(c) Heat and extreme weather-related injury
			 familiarization.
(d) Physical
			 conditioning and training equipment usage.
(e) Heart defects and abnormalities leading
			 to sudden cardiac health death.
The course requirement under this section shall be an annual
				requirement to be completed no later than the anniversary of the date on which
				the individual became actively engaged in serving as athletic personnel or
				coach for the association.
High-risk youth athletic activities is defined as any organized
				sport in which there is a significant possibility for a youth athlete to
				sustain a serious physical injury, including, but not limited to, the sports of
				football, basketball, baseball, volleyball, soccer, ice or field hockey,
				cheerleading, and lacrosse.
Author:
Jamey Durham
Statutory Authority:
Code of Ala.
				  1975
, Act 2018-496.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-11-3 - YOUTH INJURY MITIGATION TRAINING › Section 420-11-3-.02 - Available Resources Meeting Requirements

Current through Register Vol. 42, No. 9, June 28, 2024
Resources that fulfill the minimum requirements shall be listed
				on the Alabama Department of Public Health's website at
www.alabamapublichealth.gov
under Youth Athletic Training Resources.
Author:
Jamey Durham
Statutory Authority:
Code of Ala.
				  1975
, Act 2018-496.