13,487 sections across 1,554 Alabama regulatory chapters.
540-X-7-540-X-7-.54 Interim Approval - Anesthesiologist Assistant (A.A.)
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(1) An anesthesiologist assistant may obtain interim approval of a supervised practice with an interim supervising anesthesiologist after confirmed receipt by the Board of Medical Examiners of a registration application and may continue in interim practice until such time as the …
540-X-7-540-X-7-.55 Anesthesiologist Assistants (A. A.) Not Employed By Supervising Anesthesiologist/Anesthesiologist Not In Full-Time Practice
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(1) Under the circumstances where an anesthesiologist assistant is seeking registration to an anesthesiologist not regularly engaged in the full-time practice of medicine and/or in the circumstance where the anesthesiologist and the anesthesiologist assistant seeking registration…
540-X-7-540-X-7-.56 Requirements for Supervised Practice - Anesthesiologist Assistants (A.A.)
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(1) Anesthesiologist supervision requires, at all times, a direct, continuing and close supervisory relationship between an anesthesiologist assistant and the supervising anesthesiologist to whom the assistant is registered or an anesthesiologist who is acting in a Board-approved…
540-X-7-540-X-7-.57 Covering Anesthesiologists For Anesthesiologist Assistants (A.A.)
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(1) When the primary supervising anesthesiologist is off duty, out of town, not on call, or not immediately available to respond to patients' medical needs, the anesthesiologist assistant is not authorized to perform any act or render any treatments unless another qualified anest…
540-X-7-540-X-7-.58 Medication Orders - Anesthesiologist Assistants (A.A.)
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An anesthesiologist assistant may administer drugs commonly used in anesthesia practice, by protocol (i.e., routine or urgent/emergent) or as directed by the supervising anesthesiologist who formulates the anesthetic plan and maintains continual supervision. Author: Patricia E. S…
540-X-7-540-X-7-.59 Limitations Upon Utilization Of Anesthesiologist Assistants (A.A.)
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(1) An anesthesiologist may have registered to him or her not more than four (4) anesthesiologist assistants. (2) An anesthesiologist assistant may be registered to more than one supervising anesthesiologist at any one time. The number of supervising anesthesiologists to whom an …
540-X-7-540-X-7-.60 Forms Requiring An Anesthesiologist's Signature - Anesthesiologist Assistant (A.A.)
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(1) Unless prohibited by Federal or state statutes or regulations or by the agency governing a specific form, an anesthesiologist assistant may sign any form which can be authenticated by the supervising anesthesiologist's signature, if signing by the anesthesiologist assistant i…
540-X-7-540-X-7-.61 Grounds For Termination Of Registration - Involuntary - Anesthesiologist Assistant (A.A.)
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The commission by an anesthesiologist assistant or anesthesiologist of any act, offense or condition set forth in Rule 540-X-7-.42 or Rule 540-X-7-.48 shall be grounds, within the discretion of the Board, to terminate the registration of an anesthesiologist assistant to perform m…
540-X-7-540-X-7-.62 Continuing Medical Education - Anesthesiologist Assistant (A.A.)
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(1) Effective January 1, 2025, every two calendar years, each anesthesiologist 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 preceden…
540-X-7-540-X-7-.69 Expedited License For Military Members And Spouses
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(1) The intent of this rule is to provide for the expedited issuance of a license to military service members and the spouses of military service members who are relocated to and stationed in Alabama and who are also qualified assistants to physicians. (2) The board, at its discr…
540-X-8-540-X-8-.01 Definitions. The following definitions will apply to these rules:
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(1) BOARD OF MEDICAL EXAMINERS. The State Board Of Medical Examiners established pursuant to Code of Ala. 1975, § 34-24-53. (2) BOARD OF NURSING. The Board of Nursing established under Code of Ala. 1975, § 34-21-2. (3) ADVANCED PRACTICE NURSE. A registered nurse who has gained ad…
540-X-8-540-X-8-.02 Terms And Functions Of The Joint Committee
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(1) The registered nurse members of the Joint Committee shall be appointed to three year terms by the Board of Nursing in accordance with Code of Ala. 1975, §§ 34-21-80 et. seq. (2) The physician members of the Joint committee shall be appointed to three year terms by the Board o…
540-X-8-540-X-8-.03 Qualifications For Approval To Practice As A Certified Registered Nurse Practitioner
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(1) The applicant for approval to practice as a certified registered nurse practitioner shall have: (a) An active Alabama registered nurse license, or a multistate registered nurse license issued by a party state, as defined in Chapter 610-X-4 of the Rules of the Alabama Board of…
540-X-8-540-X-8-.04 Qualifications For Physicians In Collaborative Practice With Certified Registered Nurse Practitioners
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(1) The physician in collaborative practice with a certified registered nurse practitioner shall: (a) Possess a current, unrestricted license to practice medicine in the State of Alabama; (b) Have satisfied one of the following experience requirements:1. Have practiced medicine f…
540-X-8-540-X-8-.05 Application And Approval To Practice As A Certified Registered Nurse Practitioner
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(1) The applicant for approval to practice as a certified registered nurse practitioner shall submit to the Nursing Board: (a) The required fee(s) and a completed application including the standard protocol to be followed by the certified registered nurse practitioner and each co…
540-X-8-540-X-8-.05.1 Reinstatement Of Lapsed Approval For Practice As A Certified Registered Nurse Practitioner
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(1) Lapsed approval as a certified registered nurse practitioner may be reinstated upon submission of a completed application and compliance with the following: (a) An active Alabama registered nurse license, or a multistate registered nurse license issued by a party state, as de…
540-X-8-540-X-8-.06 Authorization For Practice As A Certified Registered Nurse Practitioner
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(1) The Board of Nursing may grant a certificate of qualification for advanced practice nursing as a certified registered nurse practitioner to applicants who meet the requirements of 540-X-8-.03 (2) Use of the designation "CRNP" or of any titles that imply that they are certifie…
540-X-8-540-X-8-.07 Temporary Approval To Practice As A Certified Registered Nurse Practitioner
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(1) The applicant for approval to practice as a certified registered nurse practitioner may be granted temporary approval for practice under the following stipulations until such time as the application is approved or denied by the Board of Nursing and the Board of Medical Examin…
540-X-8-540-X-8-.08 Requirements For Collaborative Practice By Physicians And Certified Registered Nurse Practitioners
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(1) The collaborating physician shall: (a) Provide professional medical oversight and direction to the certified registered nurse practitioner. (b) Be readily available for direct communication or by radio, telephone or telecommunications. (c) Be readily available for consultatio…
540-X-8-540-X-8-.09 Standards Of Practice For Certified Registered Nurse Practitioners
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The certified registered nurse practitioner shall practice in accordance with national standards and functions identified by the appropriate specialty-certifying agency as recognized by the Board of Nursing and as congruent with Alabama law. Author: Patricia E. Shaner, Attorney f…
540-X-8-540-X-8-.10 Functions And Activities Of Certified Registered Nurse Practitioners
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(1) The certified registered nurse practitioner is responsible and accountable for the continuous and comprehensive management of a broad range of health services for which the certified registered nurse practitioner is educationally prepared and for which competency is maintaine…
540-X-8-540-X-8-.11 Prescriptions And Medication Orders By Certified Registered Nurse Practitioners
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(1) Certified registered nurse practitioners engaged in collaborative practice with physicians may be granted prescriptive authority upon submission of evidence of completion of an academic course in pharmacology or evidence of integration of pharmacology theory and clinical appl…
540-X-8-540-X-8-.12 Limitations Upon Utilization Of Certified Registered Nurse Practitioners
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(1) A physician may enter into collaborative agreements with certified registered nurse practitioners not exceeding a cumulative three hundred and sixty (360) hours (nine FTEs) per week. The physician shall not collaborate with or supervise any combination of certified registered…
540-X-8-540-X-8-.13 Grounds For Denial/Withdrawal Of Approval Of The Certified Registered Nurse Practitioner And Collaborating Physician
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(1) The commission by a certified registered nurse practitioner of any act, offense, or condition set forth in Code of Ala. 1975, § 34-21-25 and/or Board of Nursing Administrative Code Rule 610-X-8 and/or the commission by the collaborating physician of any act, offense or condit…
540-X-8-540-X-8-.14 Denial, Suspension And Revocation Of License
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(1) The Board of Nursing may deny, suspend or revoke the license of a certified registered nurse practitioner for any cause set forth in Code of Ala. 1975, § 34-21-25, and any rules promulgated pursuant to law. (2) The Board of Medical Examiners may seek the denial, suspension or…
540-X-8-540-X-8-.15 Grounds For Termination Of Approval Of A Collaborating Practice
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(1) The following acts may constitute grounds for the termination of the approval of the State Board of Medical Examiners of the collaborating practice of a physician: (a) Prescribing by a physician or certified registered nurse practitioner in violation of §§ 20-2-54, 20-2-254, …
540-X-8-540-X-8-.16 Termination Of Approval Of A Collaborative Practice - Physicians And Certified Registered Nurse Practitioners
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(1) Before terminating the approval of the State Board of Medical Examiners of a collaborating practice of a physician and a certified registered nurse practitioner on any of the grounds specified in this Chapter, the State Board of Medical Examiners shall conduct a hearing under…
540-X-8-540-X-8-.17 Qualifications For Approval As A Certified Nurse Midwife
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(1) The applicant for approval to practice as a certified nurse midwife shall have: (a) An active Alabama registered nurse license, or a multistate registered nurse license issued by a party state, as defined in Chapter 610-X-4 of the Rules of the Alabama Board of Nursing, unless…
540-X-8-540-X-8-.18 Qualifications For Physician In Collaborative Practice With Certified Nurse Midwives
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(1) The physician in collaborative practice with a certified nurse midwife shall: (a) Possess a current, unrestricted license to practice medicine in the State of Alabama; (b) Have satisfied one of the following experience requirements:1. Have practiced medicine for at least thre…
540-X-8-540-X-8-.19 Application For Approval To Practice As A Certified Nurse Midwife
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(1) The physician in collaborative practice with a certified nurse midwife shall have: (a) A current, unrestricted license to practice medicine in the State of Alabama; and (b) Practiced medicine, including the active practice of obstetrics and/or gynecology, for at least one yea…
540-X-8-540-X-8-.19.1 Reinstatement Of Lapsed Approval For Practice As A Certified Nurse Midwife
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(1) Lapsed approval as a certified nurse midwife may be reinstated upon submission of a completed application and compliance with the following: (a) An active Alabama registered nurse license, or a multistate registered nurse license issued by a party state, as defined in Chapter…
540-X-8-540-X-8-.20 Authorization For Practice As A Certified Nurse Midwife
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(1) The Board of Nursing may grant a certificate of qualification for advanced practice nursing as a nurse midwife to applicants who meet all requirements of 540-X-8-.15. (2) Use of the designation "CNM" or of any titles that imply that they are certified nurse midwives shall be …
540-X-8-540-X-8-.21 Temporary Approval To Practice As A Certified Nurse Midwife
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(1) The applicant for approval to practice as a certified nurse midwife may be granted temporary approval for practice under the following stipulations until such time as the application is approved or denied by the Board of Nursing and the Board of Medical Examiners.(a) The appl…
540-X-8-540-X-8-.22 Requirements For Collaborative Practice By Physicians And Certified Nurse Midwives
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(1) The collaborating physician shall: (a) Provide professional medical oversight and direction to the certified nurse midwife. (b) Be readily available for direct communication or by radio, telephone or telecommunications. (c) Be readily available for consultation or referrals o…
540-X-8-540-X-8-.23 Standards Of Practice Of Certified Nurse Midwives
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The certified nurse midwife shall practice in accordance with the standards and functions developed by the American College of Nurse Midwives as recognized by the Board of Nursing and as congruent with Alabama law. Author: Patricia E. Shaner, Attorney for the Board of Medical Exa…
540-X-8-540-X-8-.24 Functions And Activities Of Certified Nurse Midwives
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(1) The certified nurse midwife is responsible and accountable for the continuous and comprehensive management of women's health care focusing on pregnancy, childbirth, the postpartum period, care of the newborn, family planning and gynecological needs for which the certified nur…
540-X-8-540-X-8-.25 Prescriptions And Medication Orders By A Certified Nurse Midwife
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(1) Certified nurse midwives engaged in collaborative practice with physicians may be granted prescriptive authority upon submission of evidence of completion of an academic course in pharmacology or evidence of integration of pharmacology theory and clinical application in the c…
540-X-8-540-X-8-.26 Limitations Upon Utilization Of Certified Nurse Midwives
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(1) A physician may enter into a collaborative agreement with certified nurse midwives not exceeding a cumulative three hundred and sixty (360) hours (nine FTEs) per week. The physician shall not collaborate with or supervise any combination of certified registered nurse practiti…
540-X-8-540-X-8-.27 Grounds For Denial/Withdrawal Of Approval Of The Certified Nurse Midwife And Collaborating Physician
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(1) The commission by a certified nurse midwife of any act, offense, or condition set forth in Code of Ala. 1975, § 34-21-25 and Board of Nursing Administrative Code Rule (old: 610-X-8) and/or the commission by the collaborating physician of any act, offense or condition set fort…
540-X-8-540-X-8-.28 Denial, Suspension And Revocation Of License
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(1) The Board of Nursing may deny, suspend or revoke the license of a certified nurse midwife by any cause set forth in Code of Ala. 1975, § 34-21-25, and any rules promulgated pursuant to law. (2) The Board of Medical Examiners may seek the denial, suspension or revocation of th…
540-X-8-540-X-8-.29 Grounds For Termination Of Approval Of A Collaborating Practice
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(1) The following acts may constitute grounds for the termination of the approval of the State Board of Medical Examiners of the collaborating practice of a physician: (a) Prescribing by a physician or certified nurse midwife in violation of §§ 20-2-54, 20-2-254, 20-2-260, and 34…
540-X-8-540-X-8-.30 Termination Of Approval Of A Collaborative Practice - Physicians And Registered Nurse Midwives
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(1) Before terminating the approval of the State Board of Medical Examiners of a collaborating practice of a physician and a certified nurse midwife on any of the grounds specified in this Chapter, the State Board of Medical Examiners shall conduct a hearing under the provisions …
540-X-9-540-X-9-.01 Professional Corporations Formed By Physicians Or Osteopaths
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(1) This rule is promulgated pursuant to the revised Alabama Professional Corporation Act, Code of Ala. 1975, §§ 10-4-380, et seq. This rule is applicable to professional corporations formed after the effective date of this rule by physicians and osteopaths licensed to practice m…
540-X-9-540-X-9-.02 Therapeutic Research Program
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(1) The Board creates and establishes a Therapeutic Research Review Committee consisting of physicians practicing in the categories as specified by state law. (2) The members of the Therapeutic Research Review Committee shall select a chairman among their number who shall serve a…
540-X-9-540-X-9-.03 Repeal Of Existing Regulations
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On the date that the foregoing rules and regulations shall become effective, all previous rules and regulations of the Board of Medical Examiners are hereby repealed. Author: Notes Ala. Admin. Code r. 540-X-9-.03 Filed November 9, 1982 as Rule No. 540-X-4-.03. Readopted: Filed Fe…
540-X-9-540-X-9-.04 Gender Reference
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All references to the male gender in the Rules and Regulations of the Board of Medical Examiners are intended to apply equally to the female gender and all references to the female gender are intended to apply equally to the male gender. Author: Notes Ala. Admin. Code r. 540-X-9-…
540-X-9-540-X-9-.05 Special Purpose Examination (SPEX)
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(1) Persons applying to take the Special Purpose Examination (SPEX) shall submit to the Alabama State Board of Medical Examiners an application fee in the amount of $175.00. (2) In addition to the application fee stated above, persons applying to take the Special Purpose Examinat…
540-X-9-540-X-9-.06 Limited Liability Companies Formed By Physicians Or Osteopaths
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(1) This rule is promulgated pursuant to the Alabama Limited Liability Company Law of 2014, § 10A-5A-1.01, et. seq., Code of Ala. 1975, as amended. This rule is applicable to limited liability companies formed for the purposes of rendering medical professional services by physici…
540-X-9-540-X-9-.07 Position Statement Of The Alabama Board Of Medical Examiners Concerning The Physician-Patient Relationship
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(1) The Alabama Board of Medical Examiners recognizes the movement toward the restructure of the delivery of health care and the significant needs that motivate that movement. The resulting changes are providing a wider range and variety of health care delivery options to the pub…
540-X-9-540-X-9-.08 Sexual Misconduct In The Practice Of Medicine: A Joint Statement Of Policy And Guidelines By The State Board Of Medical Examiners And The Medical Licensure Commission
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(1) The prohibition against sexual contact between a physician and a patient is well established and is embodied in the oath taken by physicians, the Hippocratic Oath. The prohibition is also clearly stated in the Code of Medical Ethics of the American Medical Association. The re…