Title 22

All laws or parts of laws which conflict with this act are repealed. Notwithstanding the above, it is expressly declared that the provisions of Sections 22-6-220 to 22-6-234, inclusive, apply only to long-term care and integrated care networks as provided for in those sections. T…

Any other provision of law to the contrary notwithstanding, integrated care networks as defined in this article are exempt from the payment of any and all state, county, and municipal license fees, including any business privilege or license tax heretofore or hereafter levied by …

This article shall be known as the Medicaid Emergency Reserve Fund Act. (Act 2023-359, §1.)

The Legislature finds that it is in the best interest of the State of Alabama that the Alabama Medicaid Agency is not forced to reduce payments to medical providers or eliminate optional but essential medical benefits to Medicaid recipients when the fiscal year appropriation is i…

There is created in the State Treasury a fund to be known as the Medicaid Emergency Reserve Fund. The fund shall be administered in accordance with the provisions of this article. The fund shall be budgeted and allotted in accordance with Sections 41-4-80 through 41-4-96 and Sect…

(a) The Medicaid Emergency Reserve Fund shall only be used for the following reasons: (1) To cover expenditure variances due to cost increases. (2) To cover expenditure variances due to unforeseen cost. (3) To prevent overdraft or deficit if the Alabama Medicaid Agency is expecte…

(a) The Commissioner of the Alabama Medicaid Agency shall notify the Governor when he or she foresees that the Alabama Medicaid Agency will exhaust its State General Fund appropriation within 180 days or less due to any of the reasons stated in Section 22-6-253(a). The notificati…

The Governor shall notify the Commissioner of the Alabama Medicaid Agency, the Director of Finance, and all individuals listed in Section 22-6-254(b) of his or her decision to release funds in the Medicaid Emergency Reserve Fund. The Governor shall include the maximum amount of f…

At the end of fiscal year 2024, and at the end of every fiscal year thereafter, the unencumbered balance of both the Medicaid State General Fund Account, Account No. 0106, and the Medicaid State General Fund Carryforward Account, Account No. 0110, which was not appropriated in a …

(a) In addition to all other appropriations, there is appropriated eighty-eight million dollars ($88,000,000) from the Medicaid State General Fund Carryforward Account to the Medicaid Emergency Reserve Fund for the state fiscal year ending September 30, 2024. (b) In addition to a…

The balance in the Medicaid Emergency Reserve Fund shall not exceed one hundred million dollars ($100,000,000). No transfers may be made to the Medicaid Emergency Reserve Fund if the balance exceeds one hundred million dollars ($100,000,000). (Act 2023-359, §9.)

The State Treasurer shall invest the funds in the Medicaid Emergency Reserve Fund in investments that are eligible investments for the State Treasurer, as authorized by subsections (b), (c), and (d) of Section 41-14-30. All interest earned on the investment of money in the reserv…

This chapter shall be known and may be cited as “The Health Care Sharing Ministries Freedom to Share Act.” (Act 2012-430, p. 1187, §1.)

(a) Health care sharing ministry means a faith-based nonprofit organization that is tax exempt under the Internal Revenue Code and which does all of the following: (1) Limits its participants to those who are of a similar faith. (2) Acts as a facilitator among participants who ha…

A health care sharing ministry shall not be considered to be engaging in the business of insurance pursuant to Title 27, for purposes of this chapter. (Act 2012-430, p. 1187, §3.)

The State Board of Health is hereby authorized to charge and collect a reasonable fee or charge for services rendered by salaried employees of the State or County Board of Health or State or County Health Department in home health service programs administered by those agencies. …

The State Board of Health shall fix a reasonable schedule of fees to be charged and collected from, or on behalf of, persons receiving home health services, and the amount of such fees shall include charges for personal services of the said employee and the expense attendant upon…

The State Board of Health, on recommendation of the county health officer, may waive all, or any part of, the payment of said fees upon a finding satisfactory to said board that the person obligated to pay is medically indigent. (Acts 1967, No. 374, p. 938, §3.)

Such fees when collected shall be paid into a special fund in the State Treasury to be called the Home Health Service Fund. (Acts 1967, No. 374, p. 938, §4.)

All of the receipts of said Home Health Service Fund are hereby appropriated annually to the State Board of Health to be allocated and expended by said board in each of those counties respectively from which said receipts were collected and for the purpose of administering and op…

The State Board of Health is authorized to promulgate reasonable rules and regulations prescribing the home health services which may be performed and other rules necessary or proper for the operation of this chapter. (Acts 1967, No. 374, p. 938, §6.)

(a) For the purposes of this chapter, the following words shall have the following meanings: (1) DENTIST. A person licensed to practice dentistry in this state. (2) DENTIST AGREEMENT or AGREEMENT. A contract between a dentist and a patient or his or her legal representative in wh…

No consent shall be required for a licensed physician, psychiatrist, psychologist, nurse practitioner, or physician assistant to provide any legally authorized medical or mental health services to a person when the person is either physically unable to consent or mentally unable …

The parent or legal guardian of a minor who is at least 16 years of age and under 19 years of age may authorize medical treatment for any mental health services even if the minor has expressly refused such treatment services if the parent or legal guardian and a mental health pro…

(a) As used in this section, the terms “vaccination” and “vaccine” mean any injection intended to prevent the spread of COVID-19 or minimize the effects of COVID-19, irrespective of whether or not the injection meets the classical definition of vaccine. (b) Notwithstanding Sectio…

(a) Except as provided in subsection (b), no health care provider or governmental entity may deny a parent or legal guardian access to his or her minor child’s health information when: (1) The health information is in the control of the health care provider or governmental entity…

Parents have the fundamental right and duty to make decisions concerning the furnishing of health care services to their minor child, subject to the provisions of this chapter and Section 16-22-16.2. (Act 2025-455, §2.)

Nothing in this chapter shall limit, preclude, or prevent the provision of any health care service to a minor when the health care provider providing the service has a good faith belief that one of the following conditions exist in regard to the minor: (1) An imminent threat, as …

When a person, minor or adult, has not lived with his or her husband or wife for a period of one year or longer and when the location of said person’s husband or wife is not known by the person whose husband or wife is missing, then such person, minor or adult, may give his or he…

Any legally authorized medical, dental, health or mental health services may be rendered to minors of any age without the consent of a parent or legal guardian when, in the physician’s judgment, an attempt to secure consent would result in delay of treatment which would increase …

(a) Each of the following individuals may give effective consent to any legally authorized medical, dental, or mental health services for himself or herself, and the consent of no other individual shall be necessary: (1) An individual who is 16 years of age or older. (2) A minor …

Any minor who is married, or having been married is divorced or has borne a child may give effective consent to any legally authorized medical, dental, health or mental health services for himself or his child or for herself or her child. (Acts 1971, No. 2281, p. 3681, §2.)

(a) Any minor may give effective consent for any legally authorized medical or mental health services to: (1) Determine the presence of or treat sexually transmitted infections, drug dependency, or alcohol toxicity; (2) Determine the presence of any reportable disease; or (3) Pre…

(a) The consent of a minor who professes to be, but is not, a minor whose consent alone is effective to medical, dental, health or mental health services shall be deemed effective without the consent of the minor’s parent or legal guardian if the physician or other person relied …

Consents authorized by this chapter are cumulative to all other existing legal consents, and this chapter is not to be construed as revoking any existing legal consents to any authorized legal, dental, mental health or health service. (Acts 1971, No. 2281, p. 3681, §8.)

(a) Each of the following individuals may give effective consent to the donation of his or her bone marrow for the purpose of bone marrow transplantation: (1) An individual who is 16 years of age or older. (2) A minor who has graduated from high school. (3) A minor who meets any …

This chapter shall be known and may be cited as the “Natural Death Act.” (Acts 1981, No. 81-772, p. 1329, §1.)

Nothing in this chapter shall be construed to condone, authorize or approve mercy killing or physician assisted suicide or to permit any affirmative or deliberate act or omission to end life other than to permit the natural process of dying as provided in this chapter. (Acts 1981…

(a) If no advance directive for health care has been made, or if no duly appointed health care proxy is reasonably available, or if a valid advance directive for health care fails to address a particular circumstance, subject to the provisions of subsection (c), a surrogate, in c…

An advance health care directive executed in another state in compliance with the law of that state or of this state is valid for purposes of this chapter, but this section does not authorize the administration, withholding, or withdrawal of health care otherwise prohibited by th…

Any declaration made prior to August 1, 2001, shall be given effect as provided in this chapter provided that: (a) Such declaration was legally effective when written; and (b) Artificially provided nutrition and hydration shall not be withdrawn pursuant to the declaration unless …

(a) A person may file and have recorded a living will in the office of the judge of probate in the county where the person resides. For the purpose of this section, the term “living will” means an advanced directive for health care as provided for in this chapter, or a similar do…

(a) The representative of a qualified minor may execute a directive with respect to the extent of medical treatment, medication, and other interventions available to provide palliative and supportive care to the qualified minor by completing and signing an Order for PPEL Care for…

(a) A task force is created to serve under the supervision of the Department of Public Health to establish the Order for PPEL Care form. The task force shall include all of the following representatives: (1) One representative of urban emergency medical services, appointed by the…

(a) An Order for Pediatric Palliative and End of Life (PPEL) Care shall only apply in the school setting if the order is included as part of a Palliative and End of Life Individual Health Plan executed pursuant to Chapter 30B of Title 16. (b) The attending physician of a qualifie…

(a) This section shall be known and may be cited as Simon’s Law. (b)(1) Unless an Order for Pediatric Palliative and End of Life (PPEL) Care has been executed by the representative of a qualified minor and entered into the medical record of the qualified minor by the attending ph…