Code of Alabama

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34-24-290
Section 34-24-290 Definitions. For the purposes of this article, the following words
and phrases shall have the following meanings: (1) APPROVED PROGRAM. A program for the education
and training of assistants to physicians which has been formally approved in writing by the
board. (2) ASSISTANT TO PHYSICIAN. A 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 the assistant. (3) BOARD. The Board of Medical
Examiners of the State of Alabama. (4) LEGEND DRUG. Any drug, medicine, chemical, or poison,
bearing on the label the words, "Caution, Federal Law prohibits dispensing without prescription"
or similar words indicating that the drug, medicine, chemical, or poison may be sold or dispensed
only upon the prescription of a licensed medical practitioner, except that the term legend
drug shall not include any drug, substance, or compound...
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20-2-254
Section 20-2-254 Grounds for denial of application or request for renewal, etc. The
Board of Medical Examiners may deny an application of a certified registered nurse practitioner
(CRNP) or a certified nurse midwife (CNM) requesting a Qualified Alabama Controlled Substances
Registration Certificate (QACSC), deny a request for a renewal of a QACSC, or initiate action
against the QACSC of a CRNP or a CNM possessing a QACSC based on the following grounds: (1)
Fraud or deceit in applying for, procuring, or attempting to procure a QACSC in the State
of Alabama. (2) Conviction of a crime under any state or federal law relating to any controlled
substance. (3) Conviction of a crime or offense which affects the ability of the CRNP or CNM
to practice with due regard for the health or safety of his or her patients. (4) Prescribing
a drug or utilizing a QACSC in such a manner as to endanger the health of any person or patient
of the CRNP, CNM, or collaborating physician. (5) Suspension or...
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34-24-604
Section 34-24-604 Annual registration. (a) Beginning January 1, 2014, and continuing
each year thereafter: (1) All physicians providing pain management services shall obtain a
pain management registration from the board. (2) All physicians who otherwise meet the criteria
established by the board shall obtain a pain management registration from the board. (b) To
register, a physician applicant shall submit the following to the board: (1) A completed application
on a form prescribed by the board. (2) Proof of a current drug enforcement administration
registration. (3) Proof of an Alabama controlled substances certificate. (4) Proof of a current
registration with the Alabama Prescription Drug Monitoring Program. (5) A list of all registrants
who own, co-own, operate, or provide pain management services in the practice location. (6)
The disclosure of any controlled substances certificate or registration denial, restriction,
or discipline imposed on the registrant, or any disciplinary act...
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20-2-250
Section 20-2-250 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 collaborating physician or, in his or her presence, his or her authorized
agent. b. A certified registered nurse practitioner or certified nurse midwife. c. The patient
at the direction and in the presence of the collaborating physician, certified registered
nurse practitioner, or certified nurse midwife. (2) BOARD. The Board of Medical Examiners
of the State of Alabama. (3) CERTIFIED NURSE MIDWIFE or CNM. An advanced practice nurse who
is subject to a collaborative practice agreement with a collaborating physician pursuant to
Title 34, Chapter 21, Article 5, and who has advanced knowledge and skills relative to the
management of women's health care focusing on pregnancy, childbirth, the...
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34-24-293
Section 34-24-293 Powers and duties of board. (a) The Board of Medical Examiners shall
have and exercise all powers and duties previously granted to it. The board may make specific
rules and regulations pertaining to the licensure approval, registration, and regulation of
assistants to physicians. The board may also make specific rules and regulations pertaining
to approvals, disapprovals, and withdrawing approvals from physicians to utilize assistants
to physicians. (b) The board may recognize, approve, and disapprove new categories and specialties
of assistants to physicians as they develop in the delivery of health care. (c) The board
shall issue certificates of approval for programs for the education and training of assistants
to physicians which meet board standards. (d) In developing criteria for program approval,
the board shall give consideration to and encourage the utilization of equivalency and proficiency
testing and other mechanisms whereby full credit is given to trainees...
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34-21-81
Section 34-21-81 Definitions. As used in this article, the following terms shall have
the following meanings: (1) BOARD OF MEDICAL EXAMINERS. The State Board of Medical Examiners
established pursuant to Section 34-24-53. (2) BOARD OF NURSING. The Board of Nursing
established under Section 34-21-2. (3) ADVANCED PRACTICE NURSE. A registered nurse
that has gained additional knowledge and skills through successful completion of an organized
program of nursing education that prepares nurses for advanced practice roles and has been
certified by the Board of Nursing to engage in the practice of advanced practice nursing.
There shall be four categories of advanced practice nurses: Certified registered nurse practitioners
(CRNP), certified nurse midwives (CNM), certified registered nurse anesthetists (CRNA), and
clinical nurse specialists (CNS). Certified registered nurse practitioners and certified nurse
midwives are subject to collaborative practice agreements with an Alabama physician....
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20-2-217
Section 20-2-217 Surcharge on controlled substance registration certificate. There is
hereby assessed a surcharge in the amount of ten dollars ($10) per year on the controlled
substance registration certificate of each licensed medical, dental, podiatric, optometric,
and veterinary medicine practitioner authorized to prescribe or dispense controlled substances
and on the Qualified Alabama Controlled Substances Registration Certificate (QACSC) of each
licensed assistant to physician, certified registered nurse practitioner, or certified nurse
midwife. This surcharge shall be effective for every practitioner certificate and every Qualified
Alabama Controlled Substances Registration Certificate (QACSC) issued or renewed, shall be
in addition to any other fees collected by the certifying boards, and shall be collected by
each of the certifying boards and remitted to the department at such times and in such manner
as designated in the regulations of the department. The proceeds of the...
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20-2-257
Section 20-2-257 Fees. The Board of Medical Examiners may charge and collect fees to
defray expenses incurred in the registration and issuance of a Qualified Alabama Controlled
Substances Registration Certificate (QACSC) and the administration of this article shall be
the same as other mid-level providers. The types and amounts of fees shall be established
in rules adopted by the board. The fees shall be retained by the board and may be expended
for the general operation of the board. (Act 2013-223, p. 531, ยง1.)...
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20-2-253
Section 20-2-253 Prescription, administration, dispensing of controlled substances.
(a) Upon receipt of a Qualified Alabama Controlled Substances Registration Certificate (QACSC)
and a valid registration number issued by the United States Drug Enforcement Administration,
a certified registered nurse practitioner (CRNP) or certified nurse midwife (CNM) may prescribe,
administer, authorize for administration, or dispense only those controlled substances listed
in Schedules III, IV, and V of Article 2, Chapter 2, of this title in accordance with rules
adopted by the Board of Medical Examiners and any protocols, formularies, and medical regimens
established by the board for regulation of a QACSC. (b) A CRNP or a CNM shall not utilize
his or her QACSC for the purchasing, obtaining, maintaining, or ordering of any stock supply
or inventory of any controlled substance in any form. (c) A CRNP or a CNM authorized to prescribe,
administer, or dispense controlled substances in accordance with...
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20-2-255
Section 20-2-255 Hearings; restriction, suspension, revocation of certificate. (a) Any
hearing regarding the issuance, restriction, limitation, suspension, or revocation of a Qualified
Alabama Controlled Substances Registration Certificate (QACSC) held by a certified registered
nurse practitioner or a certified nurse midwife for any violations of this article shall be
before the Board of Medical Examiners. (b) The board shall have the authority to restrict,
suspend, or revoke a QACSC, whenever a CRNP or a CNM is found guilty on the basis of substantial
evidence of any of the acts or offenses enumerated in Section 20-2-254. The board shall
also have the authority to reinstate or to deny reinstatement of a QACSC. (c) The board may
limit revocation or suspension of a QACSC to the particular controlled substance with respect
to which grounds for revocation or suspension exist. (d) The board shall promptly notify the
Drug Enforcement Administration of the United States Department of Justice...
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