Alabama Administrative Code

(1) No physician or pharmacist may engage in a Collaborative Drug Therapy Management Agreement unless each Collaborating Physician and Collaborating Pharmacist who is a party to the Agreement holds an active, unrestricted license in Alabama. (2) No physician may enter into an Agr…

(1) Each Agreement shall contain the following elements, at a minimum: (a) Names and Titles of Collaborating Providers. The Agreement must contain identification of the Collaborating Pharmacist, the Collaborating Physician, Covering Physician(s), and Covering Pharmacist(s) who ar…

(1) The scope of an Agreement shall NOT include:(a) Any person or patient of a Collaborating Physician for whom such Collaborating Physician has not prepared a patient-specific, drug- or drug class-specific, diseasespecific, or condition-specific plan of care based on a physical …

(1) Physicians engaged in an Agreement shall: (a) Provide professional medical oversight and instruction to the Collaborating Pharmacist; (b) Establish and maintain a physician-patient relationship with each patient receiving services under the Agreement, with the exception of im…

(1) Pharmacists engaged in an Agreement shall:(a) Establish and maintain a pharmacist-patient relationship with each patient receiving services under the Agreement; (b) Be readily available to the Collaborating Physician through direct telecommunication for consultation, assistan…

(1) A physician and pharmacist shall not engage in Collaborative Drug Therapy Management until the Agreement is approved by both the Board of Medical Examiners and the Board of Pharmacy. (2) Agreements must be submitted to the Board of Medical Examiners and the Board of Pharmacy …

(1) The Board of Medical Examiners or Board of Pharmacy may deny approval of any Agreement based on any of the grounds specified in this Chapter. (2) Before denying an Agreement on any of the grounds specified in this Chapter, the Board of Medical Examiners and/or Board of Pharma…

(1) The Board of Medical Examiners and/or Board of Pharmacy on its own motion may investigate any evidence which appears to show that its respective licensees may be guilty of a violation of any of the acts, offenses, or conditions set out in this Chapter. A violation of this Cha…

(1) Any physician engaging in a Collaborative Drug Therapy Management Agreement shall be subject to disciplinary action by the Board of Medical Examiners if he or she violates the terms of this Chapter or the terms of the Agreement. The Board of Medical Examiners shall report to …

(1) Agreements shall be renewed by December 31 every two (2) years. (2) Each Collaborating Physician and Collaborating Pharmacist renewing an Agreement shall review the terms, conditions, protocols, parties, and content of the Agreement and shall certify that the information is a…

(1) There shall be established a Joint Committee on Pharmacy Collaborative Practice for the purpose of enabling a mechanism for the exchange of information between the Board of Medical Examiners and the Board of Pharmacy on matters related to physician-pharmacist collaboration. (…

(1) The Board of Medical Examiners and the Board of Pharmacy shall promulgate standard protocols consistent with the recommendation of the Joint Committee establishing the patient care services that may be rendered under an Agreement. (2) Protocols deviating from the standard pro…

(1) The Board of Medical Examiners and the Board of Pharmacy shall promulgate a standard formulary of legend drugs and/or drug classes consistent with the recommendations of the Joint Committee that may be utilized under an Agreement. (2) Any Formulary that includes prescription …

(1) The foregoing provisions of this Chapter shall not apply to a pharmacist licensed by the Alabama State Board of Pharmacy who is employed by a Licensed Healthcare Facility. (2) The Board of Medical Examiners and/or the Board of Pharmacy shall each have the authority to identif…

Any physician and/or pharmacist currently participating in any activities described by this Chapter must be in full compliance with these rules no later than April 30, 2022. The provisions of this Chapter shall become enforceable by the Board of Medical Examiners and Board of Pha…

(1) BOARD. The Board of Medical Examiners of the State of Alabama. (2) BRIDGE YEAR GRADUATE PHYSICIAN. A person who meets the requirements for issuance of a Bridge Year Graduate Physician permit by the Board to practice medicine under the supervision of a physician approved by th…

(1) To qualify for a permit to practice as a bridge year graduate physician, an individual must meet the following requirements:(a) Medical Education Requirement: Provide evidence, satisfactory to the Board, of graduation from any of the following institutions:1. A college of med…

(1) The physician to whom a bridge year graduate physician is registered shall: (a) Possess a current, unrestricted license to practice medicine in the State of Alabama; (b) On the date of the application, have satisfied one of the following experience requirements: 1. Practiced …

(1) To apply for a permit to practice as a bridge year graduate physician, an individual must complete the following: (a) Submit an application on form(s) approved by the Board; and (b) Pay to the Board in advance the required application fee of $200.00. This fee is nonrefundable…

(1) Upon the filing of an application in the proper form, if the Board is satisfied that all requirements of the law and these rules have been met and that the application should be approved in the interest of public welfare, the Board shall issue a permit to practice as a bridge…

(1) A permit to practice as a bridge year graduate physician shall be valid for one (1) year and may be renewed for no more than one (1) additional one (1) year period. (2) An application for renewal shall be received by the Board before the expiration date of the permit and shal…

(1) A bridge year graduate physician or supervising physician may terminate the supervisory relationship between the parties at any time, for any reason. (2) The bridge year graduate physician or the supervising physician shall inform the Board in writing of the effective date of…

The commission by a bridge year graduate physician of any act, offense or condition set forth in Rule 540-X-27-.11 shall be grounds, within the discretion of the Board, to deny an application for a permit to practice as a bridge year graduate physician. Notes Ala. Admin. Code r. …

(1) If, after examination of the application for a permit to practice as a bridge year graduate physician and after consideration of any information developed by the Board pursuant to an investigation into the qualifications of the bridge year graduate physician's permit to pract…

Before revoking, suspending, restricting, placing on probation, assessing administrative fines against, or otherwise disciplining the bridge year graduate physician on any of the grounds specified in Rule 540-X-27-.11, the Board shall conduct a hearing pursuant to the provisions …

After notice and hearing, the Board, within its discretion, shall deny, suspend, terminate, or revoke a bridge year graduate physician's permit to practice who is found guilty on the basis of substantial evidence of any of the following acts or offenses: (1) Conviction of a felon…

In addition to any other penalty authorized by Code of Ala. 1975, § 34-24-75.2, 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 § 34-24-75.2 and this chapter. Notes Ala. Admin. Cod…

(1) There shall be at all times a direct continuing and close supervisory relationship between the bridge year graduate physician and the supervising physician. The supervising physician shall at all times be responsible for the activities of the bridge year graduate physician. (…

(1) Physician supervision requires, at all times, a direct, continuing and close supervisory relationship between a bridge year graduate physician and the supervising physician. (2) There shall be no independent, unsupervised practice by bridge year graduate physicians. (3) The s…

(1) A supervising physician may supervise no more than two (2) bridge year graduate physicians at any given time. (2) A bridge year graduate physician cannot be supervised by more than one (1) Board-approved supervising physician, not including any covering physicians, at any giv…

(1) A bridge year graduate physician 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 phys…

(1) When the supervising physician is not readily available to respond to patients' medical needs, the bridge year graduate physician is not authorized to perform any act or render any treatments unless another qualified physician in the same medical practice, practice group, or …

(1) At the end of the initial bridge year, the supervising physician shall submit a report directly to the Board which includes the following: (a) The scope and breadth of the practice of the participating bridge year graduate physician, including the ability of the bridge year g…

Unless prohibited by Federal or state statutes or regulations or by the agency governing a specific form, a bridge year graduate physician may sign any form which can be authenticated by the supervising physician's signature, if signing by the bridge year graduate physician is au…

(1) The Bridge Year Graduate Physician Standing Work Group is established to consult and assist in the drafting of rules related to the practice of bridge year graduate physicians, consisting of the following:(a) Two members appointed by the Medical Association of the State of Al…

The following definitions will apply to these rules: (1) ADVISORY COUNCIL. The Advisory Council of the State Board of Medical Examiners and the Alabama Board of Athletic Trainers, established pursuant to Code of Ala. 1975, as amended, § 34-40-3.2. (2) ATHLETIC TRAINER. A person w…

(1) The Advisory Council's primary purpose is to provide a forum for the exchange of information between the Board of Medical Examiners and the Board of Athletic Trainers and for the formulation of recommendations on matters relating to the supervision of athletic trainers by phy…

(1) There shall be a standard general practice protocol, approved by both the Board of Athletic Trainers and the Board of Medical Examiners, which shall set forth the baseline scope of practice, privileges, and permissible skills of all athletic trainers licensed to practice in t…

Each athletic trainer shall be licensed by the Board of Athletic Trainers and be registered with a supervising physician prior to engaging in athletic training practice as defined by Ala. Code § 34-40-2(4). Registration of an athletic trainer with a supervising physician for the …

(1) A licensed physician may supervise up to fifteen (15) athletic trainers. (2) Requests to supervise more than fifteen (15) athletic trainers must be submitted to the Advisory Council and approved in writing by the Board of Athletic Trainers and Board of Medical Examiners. When…

The physician to whom an athletic trainer is registered shall: (1) Possess a current, unrestricted license to practice medicine in the State of Alabama; (2) Be willing to accept responsibility for the athletic trainer's practice; and (3) On the date of the application, have satis…

The physician to whom an athletic trainer is registered shall: (1) Possess a current, unrestricted license to practice medicine in the State of Alabama; (2) Be willing to accept responsibility for the athletic trainer's practice; and (3) On the date of the application, have satis…

(1) The commission of any act by an athletic trainer which would constitute a violation of Ala. Code § 34-40-10 or any rule of the Board of Athletic Trainers. (2) The commission of any act by a supervising physician which would constitute a violation of Ala. Code §3424-360 or any…

An athletic trainer who has a registration denied by either the Board of Athletic Trainers, the Board of Medical Examiners, or both may petition the denying board(s) for reconsideration of the registration. Any petition must be filed within thirty (30) days of denial of the regis…

(1) The athletic trainer shall immediately inform the Board of Athletic Trainers in writing of the effective date of the termination of any physician supervision. (2) Failure to timely notify the Board of Athletic Trainers of termination may be considered a violation of these rul…

The commission by an athletic trainer or a supervising physician of any act, offense, or condition set forth in Rule 540-X-28-.08 shall be grounds, within the discretion of the Board of Athletic Trainers or the Board of Medical Examiners, to terminate the registration of an athle…

An athletic trainer may obtain temporary approval of a registration with a supervising physician after confirmed receipt by the Board of Athletic Trainers of a registration application and may continue in temporary practice until such time as the pending application for registrat…

The Board of Athletic Trainers shall, not less than quarterly, prepare and submit a report to the Board of Medical Examiners detailing any applications for registration, protocols, amendments thereto, or terminations received under this Chapter, along with a report of any actions…

All athletic trainers and supervising physicians shall be in full compliance with the provisions of this Chapter no later than January 1, 2023. Notes Ala. Admin. Code r. 540-X-28-.14 Adopted by Alabama Administrative Monthly Volume XL, Issue No. 05, February 28, 2022, eff. 4/14/2…

All Applicants For A Certificate Of Qualification. All applicants for a certificate of qualification shall satisfy the requirements of Rules to 540-X-3-.10, inclusive, complete the Federation of State Medical Boards (FSMB) on-line Uniform Application, and submit to FSMB the Sixty…