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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