Alabama Administrative Code

Marriage and family therapists make financial arrangements with clients, third-party payers, and supervisees that are reasonably understandable and conform to accepted professional practices. (1) Marriage and family therapists do not offer or accept kickbacks, rebates, bonuses, o…

Marriage and family therapists engage in appropriate informational activities, including those that enable the public, referral sources, or others to choose professional services on an informed basis. (1) Marriage and family therapists accurately represent their competencies, edu…

(1) Marriage and family therapists who conduct teletherapy within the state of Alabama must be accountable to education and training standards for teletherapy prior to initiating services. (2) Therapists may only advertise and perform those services they are licensed and trained …

(1) Adhering to Laws and Rules in Each Jurisdiction(a) Marriage and Family Therapists are authorized to practice teletherapy within the boundaries of the state of Alabama. Marriage and family therapists are licensed to practice in Alabama serving the citizens of Alabama. The prac…

(1) Review Process. All Applications must be received two (2) weeks prior to the next available board meeting date in order to ensure adequate processing time before board review. Upon receipt of an application and the appropriate fee for a Board approved designation in marriage …

The Board of Censors of the Medical Association of the State of Alabama, as constituted under the laws now in force, or which may hereinafter be in force, and under the constitution of said association, as said constitution now exists or may hereafter exist, is constituted the St…

(1) The Board shall elect from its members a chairman and a vice chairman. The election of officers shall be held annually. (2) The duties of the officers shall be as follows:(a) The chairman shall preside at meetings of the Board and appoint members to serve on such committees a…

(1) The Board shall hold regularly scheduled meetings. (2) Special meetings may be called at the request of the chairman. (3) At least six members of the Board shall constitute a quorum and as such shall be competent to act. (4) The executive director or his designee shall keep a…

(1) The Board shall employ a qualified individual to serve as Executive Director, whose duties, responsibilities and compensation shall be set by the Board. (2) The Board may, from time to time, direct that the Executive Director perform, execute or carry out specific duties on b…

The Board or the executive director with the concurrence of the Board shall employ qualified individuals to serve as staff and/or administrative personnel, including investigators. The duties, responsibilities and compensation for each such employee shall be set by the Board or t…

Members of the general public may obtain information or make submissions or requests to the Executive Director, Alabama Board of Medical Examiners, P. O. Box 946, Montgomery, Alabama 36104. Author: Notes Ala. Admin. Code r. 540-X-1-.06 Filed November 9, 1982. Readopted: Filed Feb…

The Board is authorized to: (a) Adopt and promulgate rules and regulations and to do such other acts as may be necessary to carry into effect the duties and powers which accrue to the Board under laws now in force or which may hereafter be in force. (b) Issue certificates of qual…

(1) All rules and regulations of the Board shall be adopted, amended or repealed in accordance with the Alabama Administrative Procedure Act. (2) Prior to adoption, amendment or repeal of any rule the Board shall: (a) Give at least thirty-five days' notice of its intended action-…

(1) Any interested person may petition the Board requesting the adoption, amendment or repeal of a rule. The petition shall:(a) Be submitted in writing; (b) Include an exact statement of the proposed rule, amendment or identification of the rule to be repealed; (c) Include the pe…

(1) Any persons substantially affected by a rule may petition the Board for a declaratory ruling with respect to the validity of a rule or the applicability to any person, property or state of facts of any rule or statute enforceable by it or with respect to the meaning and scope…

(1) All rules and other written statements of policy or interpretations formulated, adopted or used by the Board in the discharge of its functions shall be made available for public inspection and copying, at cost. (2) All final orders, decisions and opinions of the Board shall b…

(1) The Board may employ consultants to render professional services such as medical record review and providing expert testimony in contested cases to aid the Board in carrying out the purposes of the laws regulating the practice of medicine or osteopathy within the State of Ala…

(1) The Board shall publish, on a periodic basis, a current listing of all assistants to physicians in all categories established pursuant to Code of Ala. 1975, § 34-24-293(b), who are certified by the Board. The published listing shall contain the following: the name of each ass…

(1) The following fee schedule will apply to all organizations (except state and local government agencies) requesting information from the Board of Medical Examiners/Medical Licensure Commission database: (a) A fee of ten cents ($.10) per record, up to ten (10) data fields, and …

Notes Ala. Admin. Code r. 540-X-1-.15 New Rule: Filed July 23, 1999; effective August 27, 1999. Repealed by Alabama Administrative Monthly Volume XXXVII, Issue No. 07, April 30, 2019, eff. 5/31/2019. Author: Patricia E. Shaner, Associate General Counsel for the Alabama Board of M…

(1) Fee for New Collaborative Practice: (a) At the time a physician enters into a collaborative practice agreement with a Certified Registered Nurse Practitioner (CRNP) or a Certified Nurse Midwife (CNM), for the purpose of registering the collaborative practice, an initial comme…

Members of the Alabama Board of Medical Examiners shall receive per diem at the maximum, amount authorized by Code of Ala. 1975, § 34-24-54 for attendance at an official meeting or function of the Alabama Board of Medical Examiners or the Medical Licensure Commission of Alabama. …

If the Board receives a check that has been dishonored by the financial institution from which it was drawn, the Board may charge a dishonored check fee as set by the Code of Alabama and established by these regulations. Pursuant to Code of Ala. 1975, Section 8-8-15, this fee of …

(1) Types of records requests.(a) Standard request. A public records request that seeks one or more specifically and discretely identified public records that the Board determines would take less than eight hours of staff time to process considering the time needed to identify an…

(1) Office-based surgery is surgery 1 performed outside a hospital or outpatient facility licensed by the Alabama Department of Public Health. It is the position of the Alabama Board of Medical Examiners that the physician is responsible for providing a safe environment for offic…

(1) Local Anesthesia. The administration of an agent which produces a localized and reversible loss of sensation in a circumscribed portion of the body. (2) Minimal Sedation (anxiolysis). A drug-induced state during which patients respond normally to verbal commands. Although cog…

A medical history, a physical examination consistent with the type and level of anesthesia and/or analgesia and the level of surgery to be performed, and the appropriate laboratory studies should be performed by a practitioner qualified to assess the impact of co-existing disease…

(1) Equipment and supplies: Oral airway positive pressure ventilation device, epinephrine, and atropine should be available. (2) Training required: The physician is expected to be knowledgeable in proper drug dosages, recognition and management of toxicity or hypersensitivity to …

(1) Equipment and supplies: Oral airway positive pressure ventilation device, epinephrine, and atropine should be available. (2) Training required: The physician is expected to be knowledgeable in proper drug dosages, recognition and management of toxicity or hypersensitivity to …

(1) Physician Registration Requirement: The Alabama Board of Medical Examiners requires each physician who offers office-based surgery that requires moderate sedation, deep sedation or general anesthesia, as defined in these rules to register with the State Board of Medical Exami…

(1) Physician Registration Requirement: The Alabama Board of Medical Examiners requires each physician who offers office-based surgery that requires moderate sedation, deep sedation or general anesthesia, as defined in these rules to register with the State Board of Medical Exami…

(1) Physician Registration Requirement: The Alabama Board of Medical Examiners requires each physician who offers office-based surgery that requires moderate sedation, deep sedation or general anesthesia, as defined in these rules to register with the State Board of Medical Exami…

Monitoring in the recovery area should be performed by a dedicated person, trained in their specific job skills as determined by the supervising physician, and must include pulse oximetry and non-invasive blood pressure measurement. The patient must be assessed periodically for l…

(1) In the performance of liposuction when infiltration methods such as the tumescent technique are used, they should be regarded as regional or systemic anesthesia because of the potential for systemic toxic effects. (2) When infiltration methods such as the tumescent technique …

(1) Reporting to the Alabama Board of Medical Examiners is required within three (3) business days of the occurrence and will include all surgical related deaths and all events related to a procedure(s) that resulted in an emergency transfer of the surgical patient to the hospita…

(1) Prior to performing any office-based surgery/procedures as defined in this rule, registration is required of any physician who is licensed to practice medicine in Alabama, who maintains a practice location in Alabama, and who performs or offers to perform the following: (a) A…

(1) A physician may be guilty of unprofessional conduct within the meaning of Code of Ala. 1975, § 34-24-360(2) if he fails to comply with the requirements of these rules concerning any of the following:(a) Standards for office-based procedures for moderate sedation/analgesia or …

(1) The use of lasers/pulsed light devices, or any energy source, chemical, or other modality that affects living tissue (when referring to the skin, anything below the stratum corneum), whether applied for surgical, therapeutic, or cosmetic purposes, is the practice of medicine.…

For the purpose of these rules, the following definitions will apply: (1) Ablative Treatment-Ablative treatment shall include any laser device, any energy-based device, any chemical, mechanical resection devices, or any modality that is expected or intended to remove, burn, or va…

(1) The use of lasers/pulsed light devices, or other energy source, chemical, or modality that affects living tissue, for the purpose of treating a physical disease, disorder, deformity, injury, or other condition, including cosmetic, shall constitute the practice of medicine pur…

(1) A physician may delegate the performance of non-ablative treatments as defined in these rules through the use of written protocols to a properly trained Level 1 or 2 Delegate. (2) A delegating physician shall supervise the performance of all non-ablative treatments delegated …

Written protocols for the purpose of this section shall mean physician's order, standing delegation order, standing medical order, or other written order that is maintained on site. A written protocol must be provided to the Board upon request and must provide, at a minimum, the …

Physicians and delegates involved in the use of lasers/pulsed light devices, or any energy source, chemical, or other modality that affects living tissue, whether applied for surgical, therapeutic, or cosmetic purposes, must meet the following training requirements before utilizi…

Physicians and delegates involved in the use of LLBDs must complete a minimum number of procedure/device-specific training hours, a minimum number of observed procedures, a minimum number of supervised procedures, and a minimum number of cases under supervision as set forth below…

(1) For the purposes of the rules in this Chapter, a remote practice site is a practice site at which a Level 1 Delegate may, if authorized by a written job description or collaborative protocol, use LLBDs for non-ablative procedures under locally remote supervision. (2) A Level …

(1) If a delegating physician will be unavailable to supervise a Level 1 or 2 Delegate as required by these rules, arrangements shall be made for an alternate physician to provide that supervision. (2) An alternate physician must have the same training in performance of non-ablat…

The physician must ensure that there is a quality assurance program for the facility where non-ablative procedures are performed for the purpose of continuously improving the selection and treatment of patients. An appropriate quality assurance program shall consist of the elemen…

All equipment used for the purposes stated in this Chapter must be inspected, calibrated, and certified as safe to use according to the manufacturer's specifications. Notes Ala. Admin. Code r. 540-X-11-.11 New Rule: Filed August 16, 2007; effective September 20, 2007. Amended by …

In addition to the requirements of these rules, all physicians and delegates who use or operate lasers must comply with any regulations, standards, directives and guidelines for laser safety and use issued by the Occupational Safety and Health Administration, United States Depart…

(1) Every physician who proposes to perform any LLBD procedure in Alabama under these rules shall register with the Board prior to performing any procedure. (2) Registration shall be accomplished on a form provided by the Board. (3) After initially registering, it shall be the ob…