63 sections in this chapter.
540-X-7-540-X-7-.01 Definitions
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The following definitions shall apply to these rules: (1) APPROVED PROGRAM: A program for the education and training of assistants to physicians which has been formally approved in writing by the Board. (2) ASSISTANT TO PHYSICIAN. A person who is a graduate of an approved program…
540-X-7-540-X-7-.02 Categories Of Assistants To Physicians
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The two categories of assistants to physicians which are recognized for licensure and registration by the Board are the following: (1) Physician assistant (P.A.) (Rules 540-X-7-.03 through 540-X-7-.33 apply); (2) Anesthesiologist Assistant (A. A.) (Code of Ala. 1975, Rules 540-X-…
540-X-7-540-X-7-.03 Requirements To Practice As A Physician Assistant (P.A.)
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(1) To practice or offer to practice as a physician assistant, each person shall be licensed by and registered by the Board in accordance with Chapter 7 of these rules. (2) Effective January 1, 2024, physician assistants shall obtain continuing education prescribed by the Board o…
540-X-7-540-X-7-.04 Requirements For The Issuance Of A License To Practice As A Physician Assistant (P.A.)
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(1) To qualify for a license to practice as a physician assistant an individual must meet the following requirements: (a) Provide evidence, satisfactory to the Board, of successful completion of a training program accredited by the Committee on Allied Health Education and Accredi…
540-X-7-540-X-7-.05 Issuance Of License To Practice As A Physician Assistant (P.A.)
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(1) The Board shall issue a license to practice as a physician assistant when all requirements for licensure have been met. (2) Every license issued shall be dated, shall be numbered in the order of issuance, and shall be signed by the chair of the Board or the chair's designee. …
540-X-7-540-X-7-.06 License Fee - Physician Assistant (P.A.)
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(1) All applicants for a license to practice as a physician assistant shall submit to the Board an application fee in the amount of $200.00. (2) The initial license fee in paragraph (1) shall be waived for any person who was certified as a physician assistant or surgeon assistant…
540-X-7-540-X-7-.07 License Renewal-Physician Assistant (P.A.)
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(1) A license to practice as a physician assistant shall be renewed annually on or before January 1st of each year. Application for annual renewal shall be received by the Board on or before December 31st and shall be accompanied by a renewal fee in the amount of $100.00. (2) The…
540-X-7-540-X-7-.08 Grandfather Clause - Physician Assistant (P.A.)
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(1) Any person who was certified by the board as a physician assistant or surgeon assistant to a licensed physician on December 21, 1994, shall be eligible for the issuance of a license and a registration to practice as a physician assistant. (2) To qualify for a license under th…
540-X-7-540-X-7-.09 Temporary License - Physician Assistant (P.A.)
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(1) The Board may, in its discretion, grant a temporary license to an applicant who meets the qualifications for licensure as a physician assistant, except that the applicant has not taken the Physician Assistant National Certification Examination (PANCE) for the first time or th…
540-X-7-540-X-7-.10 Grounds For Denial Of License - Physician Assistant (P. A.)
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The commission by a physician assistant of any act, offense or condition set forth in Rule 540-X-7-.12 shall be grounds, within the discretion of the board, to deny an application for a license to practice as a physician assistant. Author: Patricia E. Shiner, Attorney for the Boa…
540-X-7-540-X-7-.11 Denial Of Application For License To Practice As A Physician Assistant (P.A.) - Hearing
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(1) If, after examination of the application for a license to practice as a physician assistant and after consideration of any information developed by the Board pursuant to an investigation into the qualifications of the physician assistant for licensure, the Board determines th…
540-X-7-540-X-7-.12 Discipline Of License - Physician Assistant (P.A.) - Grounds
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After notice and hearing, the Board, within its discretion, shall suspend revoke, place on probation or otherwise discipline the license of a physician assistant who is found guilty on the basis of substantial evidence of any of the following acts or offenses: (1) Conviction of a…
540-X-7-540-X-7-.13 Administrative Fines - Physician Assistant (P.A.)
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In addition to any other penalty authorized by Ala. Code § 34-24-302, the Board may in its discretion assess administrative fines not to exceed ten thousand dollars ($10,000.00) for each violation of the provisions of § 34-24-302, Board Rule 540-X-7-.12 or any of the Board rules …
540-X-7-540-X-7-.14 Discipline Of License - Physician Assistant (P.A.) - Hearings
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Before revoking, suspending, placing on probation, assessing administrative fines against, or otherwise disciplining the license of a physician assistant on any of the grounds specified in Rule 540-X-7-.12, the Board shall conduct a hearing pursuant to the provisions of the Alaba…
540-X-7-540-X-7-.15 Registration - Physician Assistant (P.A.)
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(1) Registration of a physician assistant by the Board to perform medical services under the supervision of a physician approved by the Board to supervise the assistant shall be accomplished in the following manner: (a) A completed application for registration in the form specifi…
540-X-7-540-X-7-.16 Qualifications For Registration - Physician Assistant (P.A.)
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To qualify for registration as a physician assistant an individual must meet the following requirements: (1) Be employed by: (2) A physician qualified under these rules or by a partnership, medical professional corporation, medical professional association or physician practice f…
540-X-7-540-X-7-.17 Qualifications Of The Supervising Physician - Physician Assistants (P.A.)
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The physician to whom a physician assistant is registered shall: (1) Possess a current, unrestricted license to practice medicine in the State of Alabama; (2) On the date of the application: (a) Have satisfied one of the following experience requirements:1. Practiced medicine for…
540-X-7-540-X-7-.18 Grounds For Denial Of Registration - Physician Assistant (P.A.) And Supervising Physician
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Grounds, within the discretion of the Board, to deny an application for registration as a physician assistant shall be the following: (1) The commission by a physician assistant of any act, offense or condition stated in Rule 540-X-7-.12 (2) The physician to whom the physician as…
540-X-7-540-X-7-.19 Denial Of Registration - Physician Assistant (P.A.) - Hearing
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(1) If after examination of the application for registration and after consideration of any information developed by the Board pursuant to an investigation into the qualifications of the physician or of the physician assistant for registration, the Board determines that there is …
540-X-7-540-X-7-.20 Termination Of Registration - Voluntary - Physician Assistants (P.A.)
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When for any reason a physician assistant shall discontinue his or her employment with the employer designated in the application for registration, then registration of such physician assistant to the supervising physician designated in the application is automatically terminated…
540-X-7-540-X-7-.21 Interim Approval-Physician Assistant (P.A.)
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(1) A physician assistant may obtain interim approval of a supervised practice with an interim supervising physician after confirmed receipt by the Board of Medical Examiners of a registration application and may continue in interim practice until such time as the pending applica…
540-X-7-540-X-7-.22 Physician Assistants (P.A.) Not Employed By Supervising Physician/Physician Not In Full-Time Practice
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(1) Under the circumstances where a physician assistant is seeking registration to a physician not regularly engaged in the full-time practice of medicine and/or in the circumstance where the physician and the physician assistant seeking registration are each employees of a legal…
540-X-7-540-X-7-.23 Requirements For Supervised Practice - Physician Assistants (P.A.)
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(1) Physician supervision requires, at all times, a direct, continuing and close supervisory relationship between a physician assistant and the physician to whom the assistant is registered. (2) There shall be no independent, unsupervised practice by physician assistants. (3) The…
540-X-7-540-X-7-.24 Covering Physicians For Physician Assistants (P.A.)
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(1) When the primary supervising physician is not readily available to respond to patients' medical needs, the physician assistant is not authorized to perform any act or render any treatments unless another qualified physician in the same medical practice, practice group, or mul…
540-X-7-540-X-7-.25 Functions And Activities Of A Physician Assistant (P.A.)
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(1) There shall be at all times a direct continuing and close supervisory relationship between the physician assistant and the physician to whom that assistant is registered. The supervising physician shall at all times be responsible for the activities of the physician assistant…
540-X-7-540-X-7-.26 Limitations Upon Utilization Of Physician Assistants (P.A.)
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(1) A supervising physician must be present in the operating room or be immediately available to that operating room whenever a physician assistant is involved in the care of a patient in the operating room. Whenever a physician assistant performs or assists in performing invasiv…
540-X-7-540-X-7-.27 Prohibited Activities And Functions - Physician Assistants (P.A.)
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(1) Notwithstanding any other provision of law, a physician assistant may perform medical service when such services are rendered under the supervision of a licensed physician or physicians approved by the Board; except, that no medical services may be performed except under the …
540-X-7-540-X-7-.28 Prescriptions And Medication Orders - Physician Assistants (P.A.)
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(1) A physician assistant may prescribe a legend drug to a patient subject to both of the following conditions being met: (a) The drug type, dosage, quantity prescribed, and number of refills are authorized in the job description which is signed by the supervising physician to wh…
540-X-7-540-X-7-.29 Continuing Medical Education - Physician Assistant
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(1) Effective January 1, 2025, every two calendar years, each physician assistant licensed by the Board must earn not less than fifty (50) hours of AMA PRA Category 1 CreditsT or the equivalent as defined in this rule of continuing medical education as a condition precedent to re…
540-X-7-540-X-7-.30 Physician Assistants' Advisory Committee
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(1) The Physician Assistants' Advisory Committee is established for the purpose of enabling a mechanism for the exchange of information between the Alabama Board of Medical Examiners and the physician assistants through their representative organization on issues related to physi…
540-X-7-540-X-7-.31 Forms Requiring A Physician' s Signature - Physician Assistant (P.A.)
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Unless prohibited by Federal or state statutes or regulations or by the agency governing a specific form, a physician assistant may sign any form which can be authenticated by the supervising physician's signature, if signing by the physician assistant is authorized by the superv…
540-X-7-540-X-7-.32 Grounds For Termination Of Registration -Involuntary - Physician Assistant (P.A.)
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The commission by a physician assistant or physician of any act, offense or condition set forth in Rule 540-X-7-.12 or Rule 540-X-7-.18 shall be grounds, within the discretion of the Board, to terminate the registration of a physician assistant to perform medical services under t…
540-X-7-540-X-7-.33 Termination Of Registration - Involuntary - Physician Assistant (P.A.) - Hearings
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Before terminating the registration of a physician assistant on any of the grounds specified in Rule 540-X-7-.32, the Board shall conduct a hearing under the provisions of the Alabama Administrative Procedure Act, §§ 34-22-1, et. Seq., Code of Ala. 1975, and Chapter 6 of the Rule…
540-X-7-540-X-7-.34 Requirements To Practice As An Anesthesiologist Assistant (A.A.)
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To practice or offer to practice as an anesthesiologist assistant, each person shall be licensed by and registered by the Board in accordance with Chapter 7 of these rules. Author: Patricia E. Shiner, Attorney for the Board of Medical Examiners Notes Ala. Admin. Code r. 540-X-7-.…
540-X-7-540-X-7-.35 Requirements For The Issuance Of A License To Practice As An Anesthesiologist Assistant (A.A.)
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To qualify for a license to practice as an anesthesiologist assistant an individual shall meet the following requirements: (1) Provide evidence, satisfactory to the Board, of successful completion of a training program accredited by the Committee on Allied Health Education and Ac…
540-X-7-540-X-7-.36 Issuance Of License To Practice As An Anesthesiologist Assistant (A.A.)
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(1) The Board shall issue a license to practice as an anesthesiologist assistant when all requirements for licensure have been met. (2) Every license issued shall be dated, shall be numbered in the order of issuance, and shall be signed by the chair of the Board or the chair's de…
540-X-7-540-X-7-.37 Requirements To Practice As An Anesthesiologist Assistant (A.A.)
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(1) To practice or offer to practice as an anesthesiologist assistant, each person shall be licensed by and registered by the Board in accordance with Chapter 7 of these rules. (2) Effective January 1, 2024, anesthesiologist assistants shall obtain continuing education prescribed…
540-X-7-540-X-7-.38 Requirements For The Issuance Of A License To Practice As An Anesthesiologist Assistant (A.A.)
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To qualify for a license to practice as an anesthesiologist assistant an individual shall meet the following requirements: (1) Provide evidence, satisfactory to the Board, of successful completion of a training program accredited by the Committee on Allied Health Education and Ac…
540-X-7-540-X-7-.39 Temporary License - Anesthesiologist Assistant (A.A.)
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(1) The Board may, in its discretion, grant a temporary license to an applicant who meets the qualifications for licensure as an anesthesiologist assistant, except that the applicant has not yet taken the Certifying Examination for Anesthesiologist Assistants (CEAA) for the first…
540-X-7-540-X-7-.40 Grounds For Denial Of License - Anesthesiologist Assistant (A.A.)
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The commission by an anesthesiologist assistant of any act, offense or condition set forth in Rule 540-X-7-.41 shall be grounds, within the discretion of the board, to deny an application for a license to practice as an anesthesiologist assistant. Author: Patricia E. Shiner, Atto…
540-X-7-540-X-7-.41 License Renewal - Anesthesiologist Assistant (A.A)
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(1) A license to practice as an anesthesiologist assistant shall be renewed annually on or before January 1st of each year. Application for annual renewal shall be received by the Board on or before December 31st and shall be accompanied by a renewal fee in the amount of $100.00.…
540-X-7-540-X-7-.42 Discipline Of License - Anesthesiologist Assistant (A.A.) - Grounds
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After notice and hearing, the Board, within its discretion, shall suspend, revoke, place on probation or otherwise discipline the license of an anesthesiologist assistant who is found guilty on the basis of substantial evidence of any of the following acts or offenses: (1) Convic…
540-X-7-540-X-7-.43 Administrative Fines-Anesthesiologist Assistant (A.A.)
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In addition to any other penalty authorized by Ala. Code § 34-24-302, the Board may in its discretion assess administrative fines not to exceed ten thousand dollars ($10,000) for each violation of the provisions of § 34-24-302, Board Rule 540-X-7-.42 or any of the Board rules con…
540-X-7-540-X-7-.44 Discipline Of License - Anesthesiologist Assistant (A.A.) - Hearings
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Before revoking, suspending, placing on probation, assessing administrative fines against, or otherwise disciplining the license of an anesthesiologist assistant on any of the grounds specified in Rule 540-X-7-.42, the Board shall conduct a hearing pursuant to the provisions of t…
540-X-7-540-X-7-.45 Registration - Anesthesiologist Assistant (A.A.)
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Registration of an anesthesiologist assistant by the Board to perform medical services under the supervision of an anesthesiologist approved by the Board to supervise the assistant shall be accomplished in the following manner: (1) A completed application for registration in the …
540-X-7-540-X-7-.46 Qualifications For Registration - Anesthesiologist Assistant (A.A.)
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To qualify for registration as an anesthesiologist assistant an individual must meet the following requirements: (1) Be employed by: (a) An anesthesiologist who practices in the medical specialty of anesthesiology and who is qualified under these rules or by a partnership, medica…
540-X-7-540-X-7-.47 Qualifications Of The Supervising Anesthesiologist - Anesthesiologist Assistants (A.A.)
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The anesthesiologist to whom an anesthesiologist assistant is registered shall: (1) Hold a current, unrestricted license to practice medicine in the State of Alabama and practice in the medical specialty of anesthesiology; (2) On the date of the application, be eligible for board…
540-X-7-540-X-7-.48 Grounds For Denial Of Registration - Anesthesiologist Assistant (A.A.) And Supervising Anesthesiologist
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Grounds, within the discretion of the Board, to deny an application for registration as an anesthesiologist assistant shall be the following: (1) The commission by an anesthesiologist assistant or an anesthesiologist of any act, offense or condition stated in Rule 540-X-7-.42. (2…
540-X-7-540-X-7-.49 Qualifications For Registration - Anesthesiologist Assistant (A.A.)
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To qualify for registration as an anesthesiologist assistant an individual must meet the following requirements: (1) Be employed by: (a) An anesthesiologist who practices in the medical specialty of anesthesiology and who is qualified under these rules or by a partnership, medica…
540-X-7-540-X-7-.50 Qualifications Of The Supervising Anesthesiologist - Anesthesiologist Assistants (A.A.)
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The anesthesiologist to whom an anesthesiologist assistant is registered shall: (1) Possess a current, unrestricted license to practice medicine in the State of Alabama and practice in the medical specialty of anesthesiology; (2) On the date of the application, have satisfied one…