As of May 26, 2017 became the 22nd state to pass a DPC defining "not insurance" law with SB 94.  DPC practices are known to be operating within the state.  

When designing your contract be sure to review the Alabama Insurance Code, most importantly Title 27, Code Of Alabama 1975, including Section 27-21B (Health Insurance) and Section 27-21A (Health Maintenance Organizations).  Some of the most important definitions are included below.  

Section 27-21B-2

(2) INSURER. A health insurer, including a group health plan as defined in Section 607(1) of the Employee Retirement Income Security Act of 1974, a health maintenance organization, or an entity offering a service benefit plan.

Section 27-21A-1

(7) HEALTH MAINTENANCE ORGANIZATION. Any person that undertakes to provide or arrange for basic health care services through an organized system which combines the delivery and financing of health care to enrollees. The organization shall provide physician services directly through physician employees or under contractual arrangements with either individual physicians or a group or groups of physicians. The organization shall provide basic health care services directly or under contractual arrangements. When reasonable and appropriate, the organization may provide physician services and basic health care services through other arrangements. The organization may provide, or arrange for, health care services on a prepayment or other financial basis.

(2) BASIC HEALTH CARE SERVICES. Emergency care, inpatient hospital and physician care, and outpatient medical services.