Code of Alabama

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34-21-89
Section 34-21-89 Boards permitted to initiate disciplinary actions for violations of section;
requirements before action taken. The Board of Nursing may initiate disciplinary actions against
a certified registered nurse practitioner or a certified nurse midwife for violations of Section
34-21-86. The State Board of Medical Examiners may initiate disciplinary actions against a
physician for violation of Section 34-21-86. Before either board takes such disciplinary action,
it shall give the licensee against whom the action is contemplated a notice of the proposed
action and an opportunity for a hearing before the respective board. All hearings shall be
governed by the Alabama Administrative Procedure Act. (Acts 1995, No. 95-263, p. 464, §10.)...

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34-21-85
Section 34-21-85 Joint committee designated to recommend rules and regulations; requirements
to engage in advanced practice nursing. The joint committee shall be the state authority designated
to recommend rules and regulations to the State Board of Medical Examiners and the Board of
Nursing for the purpose of regulating the collaborative practice of physicians and certified
registered nurse practitioners and certified nurse midwives. No person may practice as a certified
registered nurse practitioner or a certified nurse midwife in this state unless that person
possesses a certificate of qualification issued by the Board of Nursing and practices under
written protocols approved by the State Board of Medical Examiners and the Board of Nursing
and signed by a qualified collaborating physician or physicians and certified registered nurse
practitioner or certified nurse midwife or is exempt from the requirement of a written protocol
according to rules promulgated by the State Board of...
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34-21-90
Section 34-21-90 Requirements for engaging in practice. No person shall engage in practice
as a certified registered nurse practitioner or certified nurse midwife or in any of the acts
or functions described in this article and the regulations adopted under this article in this
state unless that person is certified by the Board of Nursing as an advanced practice nurse
in a category of certified registered nurse practitioner or certified nurse midwife and is
practicing in collaboration with a physician following protocols which have been approved
in accordance with this article or has been exempted from the requirement of practicing in
collaboration with a physician following protocols as provided in Section 34-21-85. (Acts
1995, No. 95-263, p. 464, §11.)...
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34-9-60.1
Section 34-9-60.1 Administration of infiltration anesthesia by dental hygienists; permit requirements.
(a) The board may permit licensed dental hygienists to administer infiltration anesthesia
under the direct supervision of a licensed dentist. The board may promulgate rules further
limiting the administration of infiltration anesthesia by dental hygienists. In order to administer
infiltration anesthesia, a dental hygienist shall possess a dental hygiene infiltration anesthesia
permit issued by the board. To receive a dental hygiene infiltration anesthesia permit from
the board, a dental hygienist shall apply on an application form approved by the board, submit
the appropriate application fee, and have been engaged in the active practice of dental hygiene
for the 12 months immediately preceding initial application. A dental hygienist applying for
a dental hygiene infiltration anesthesia permit shall submit proof to the board that he or
she has fulfilled at least one of the following...
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34-21-91
Section 34-21-91 Injunctive proceedings by boards against persons violating article. Both the
State Board of Medical Examiners and the Board of Nursing in addition to the powers and duties
otherwise expressed in this article, may commence and maintain in their own names in any circuit
court having jurisdiction of any person within this state who is unlawfully engaging in advanced
practice nursing as a certified registered nurse practitioner or a certified nurse midwife
action in the nature of quo warranto as provided for in Section 6-6-590, et seq., to order
the person to cease and desist from continuing to engage in these areas of advanced practice
nursing within the State of Alabama, and jurisdiction is conferred upon the circuit courts
of this state to hear and determine all such cases. The boards may commence and maintain such
actions without the filing of bond or security and without the order or direction of a circuit
judge. An injunction shall be issued upon proof that the...
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34-21-92
Section 34-21-92 Waiver of requirements until adoption of rules and regulations. Until the
State Board of Medical Examiners and the Board of Nursing adopt the rules and regulations
necessary to effectuate the provisions of this article, the State Board of Medical Examiners
and the Board of Nursing shall waive the requirements of Sections 34-21-84 and 34-21-85 and
shall grant the appropriate certification to any nurse practitioner or nurse midwife who is
currently certified or is eligible for certification to be a certified registered nurse practitioner
or certified nurse midwife and will continue to engage in practice under the existing rules
and regulations. Until the State Board of Medical Examiners and the Board of Nursing adopt
the rules and regulations necessary to effectuate the provisions of this article, the State
Board of Medical Examiners and the Board of Nursing shall waive the requirements of Sections
34-21-84 and 34-21-85 and shall grant the appropriate approval to a...
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34-21-93.1
Section 34-21-93.1 Signature authority for health care forms, etc. (a) When any law or rule
requires a signature, certification, stamp, verification, affidavit, or endorsement by a physician,
the document shall be deemed to authorize a signature, certification, stamp, verification,
affidavit, or endorsement by a certified registered nurse practitioner or certified nurse
midwife for the items listed in this section. The authority in this section for a certified
registered nurse practitioner and a certified nurse midwife shall be subject to an active
collaboration agreement. This section applies to all of the following: (1) Certification of
disability for patients to receive special access parking or disability access parking tags
or placards. (2) A signature required for any of the following: a. The following documents
that require a complete history and physical examination consistent with the examining provider's
scope of practice and certification: 1. Physicals for bus drivers in...
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34-24-340
Section 34-24-340 Collection of fees. (a) Fees for the issuance of licenses to practice medicine
or osteopathy and registration fees shall be collected and kept by the State Board of Medical
Examiners which shall furnish all employees and facilities utilized by the commission. The
State Board of Medical Examiners shall continue to collect fees for examination, certificates
of qualification, and such other fees as are authorized by law or this article. (b) Fees for
physicians participating in a collaborative practice with a certified registered nurse practitioner
or a certified nurse midwife shall be collected and kept by the State Board of Medical Examiners.
The fee for a physician participating in a collaborative practice shall be set by the State
Board of Medical Examiners, in an amount not to exceed two hundred dollars ($200). (Acts 1981,
No. 81-218, p. 273, §15; Act 2007-402, p. 807, §1.)...
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34-21-87
Section 34-21-87 Joint committee to recommend model practice protocols, formulary of legend
drugs, and certain rules and regulations. Notwithstanding any other provisions of this article,
the joint committee shall recommend model practice protocols to be used by certified registered
nurse practitioners and certified nurse midwives and a formulary of legend drugs that may
be prescribed by these advanced practice nurses, subject to approval by both the State Board
of Medical Examiners and the Board of Nursing. The joint committee shall also recommend rules
and regulations to establish the ratio of physicians to certified registered nurse practitioners
and certified nurse midwives; provided, however, that the rules and regulations shall not
limit the ratio to less than two nurse practitioners or midwives to one physician or one certified
registered nurse practitioner and one certified nurse midwife to one physician and shall provide
for exceptions. The joint committee shall also recommend...
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20-2-60
Section 20-2-60 Definitions. As used in this article the following words shall have the following
meanings: (1) ADMINISTER. The direct application of a controlled substance, whether by injection,
inhalation, ingestion, or any other means, to the body of a patient by any of the following:
a. A supervising physician, or, in his or her presence, his or her authorized agent. b. An
assistant to physician. c. The patient at the direction and in the presence of the supervising
physician or assistant to physician. (2) ASSISTANT TO PHYSICIAN. Any person who is a graduate
of an approved program, is licensed by the board, and is registered by the board to perform
medical services under the supervision of a physician approved by the board to supervise an
assistant to physician. (3) BOARD. The Board of Medical Examiners of the State of Alabama.
(4) PHYSICIAN SUPERVISION. A formal relationship between a licensed assistant to physician
and a supervising physician under whom the assistant to physician...
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