Code of Alabama

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20-2-62
Section 20-2-62 Qualifications for certificate. The board may grant a Qualified Alabama
Controlled Substances Registration Certificate to an assistant to physician who: (1) Is practicing
with appropriate physician supervision as defined herein and in accordance with this article;
Title 34, Chapter 24, Article 7, and all rules and regulations pertaining to physician supervision
between qualified physicians and qualified assistants to physicians. (2) Submits proof of
successful completion of a course or courses approved by the board which includes advanced
pharmacology and prescribing trends relating to controlled substances. (3) Provides accurate
and complete documentation of a minimum of 12 months of active, clinical employment with physician
supervision following National Commission on Certification of Physician Assistants (NCCPA)
certification. (Act 2009-489, p. 891, ยง1.)...
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20-2-214
Section 20-2-214 Limited access to database permitted for certain persons or entities.
(a) The following persons or entities shall be permitted access to the information in the
controlled substances database, subject to the limitations indicated below: (1) Authorized
representatives of the certifying boards; provided, however, that access shall be limited
to information concerning the licensees of the certifying board, however, authorized representatives
from the Board of Medical Examiners may access the database to inquire about certified registered
nurse practitioners (CRNPs), or certified nurse midwives (CNMs) that hold a Qualified Alabama
Controlled Substances Registration Certificate (QACSC). (2) A licensed practitioner approved
by the department who has authority to prescribe, dispense, or administer controlled substances.
The licensed practitioner's access shall be limited to information concerning himself or herself,
registrants who possess a Qualified Alabama Controlled...
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20-2-64
Section 20-2-64 Denial of application. The board may deny an application of an assistant
to physician requesting a Qualified Alabama Controlled Substances Registration Certificate,
deny a request for a renewal of a QACSC, or initiate disciplinary action against an assistant
to physician possessing a Qualified Alabama Controlled Substances Registration Certificate
based on the following grounds: (1) Fraud or deceit in applying for, procuring, or attempting
to procure a Qualified Alabama Controlled Substances Registration Certificate 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 assistant
to physician to practice with due regard for the health or safety of his or her patients.
(4) Prescribing a drug or utilizing a Qualified Alabama Controlled Substances Registration
Certificate in such a manner as to endanger the health of any person or patient...
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20-2-65
Section 20-2-65 Disciplinary action - Hearing; restriction, suspension, or revocation
of certificate. (a) Any hearing for disciplinary action against an assistant to physician
holding a valid Qualified Alabama Controlled Substances Registration Certificate for violations
of this article shall be before the board. (b) The board shall have the authority to restrict,
suspend, or revoke a Qualified Alabama Controlled Substances Registration Certificate, or
to assess an administrative fine against a Qualified Alabama Controlled Substances Registration
Certificate whenever an assistant to physician shall be found guilty on the basis of substantial
evidence of any of the acts or offenses enumerated in Section 20-2-64. The board shall
also have the authority to reinstate or to deny reinstatement of a Qualified Alabama Controlled
Substances Registration Certificate. (c) The board may limit revocation or suspension of a
Qualified Alabama Controlled Substances Registration Certificate to the...
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20-2-61
Section 20-2-61 Certification; access to records; establishment of protocols, formularies,
or medical regimens. (a) The board is designated as the certifying board for the registration
and approval of an assistant to physician in obtaining or renewing a Qualified Alabama Controlled
Substances Registration Certificate. The board is authorized to adopt regulations concerning
the application procedures, fees, fines, punishments, and conduct of any disciplinary hearings
for such applicants. The board shall establish a unique Qualified Alabama Controlled Substances
Registration Certificate number that identifies the particular applicant as an assistant to
physician with a valid Qualified Alabama Controlled Substances Registration Certificate. (b)
The board, and its agents, attorneys, or investigators shall be permitted access to the records
of any assistant to physician, including patient records, which would relate to a request
for a QACSC, a renewal of a QACSC or the possible violations...
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20-2-63
Section 20-2-63 Prescriptive authority of a certified assistant to physician. (a) Upon
receipt of a Qualified Alabama Controlled Substances Registration Certificate and a valid
registration number issued by the United States Drug Enforcement Administration, an assistant
to physician may prescribe, administer, authorize for administration, or dispense only those
controlled substances listed in Schedules III, IV, and V of Article 2 of Chapter 2 of this
title in accordance with rules adopted by the board and any protocols, formularies, and medical
regimens established by the board for regulation of a QACSC. (b) An assistant to physician
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) An assistant
to physician authorized to prescribe, administer, or dispense controlled substances in accordance
with this article shall not prescribe, administer, or dispense any controlled...
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20-2-67
Section 20-2-67 Fees; costs; administrative fines. (a) The board is authorized to charge
and collect fees to defray expenses incurred in the registration and issuance of Qualified
Alabama Controlled Substances Registration Certificates and the administration of the provisions
of this article. 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. (b) The board may require an assistant to physician who has been found to be
in violation of Section 20-2-64 or whose application for a Qualified Alabama Controlled
Substances Registration Certificate or its renewal or reinstatement has been denied, to pay
the administrative costs, fees, and expenses of the board incurred in connection with any
proceedings before the board referred to in Section 20-2-65 or in connection with any
investigation of the board to determine eligibility of an applicant for a Qualified Alabama...

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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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20-2-66
Section 20-2-66 Disciplinary action - Judicial review. (a) An assistant to physician
adversely affected by an order of the board denying an application for a Qualified Alabama
Controlled Substances Registration Certificate or the renewal of a Qualified Alabama Controlled
Substances Registration Certificate may obtain judicial review thereof by filing a written
petition for review with the Circuit Court of Montgomery County in accordance with Section
41-22-20. (b) An assistant to physician adversely affected by an order of the board suspending,
revoking, or restricting a Qualified Alabama Controlled Substances Registration Certificate,
whether or not such suspension, revocation, or restriction is limited; assessing an administrative
fine; or denying reinstatement of a Qualified Alabama Controlled Substances Registration Certificate,
may obtain judicial review thereof by filing a written petition for review with the Circuit
Court of Montgomery County in accordance with Section 41-22-20....
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20-2-252
Section 20-2-252 Certificate requirements. The Board of Medical Examiners may grant
a Qualified Alabama Controlled Substances Registration Certificate (QACSC) to a certified
registered nurse practitioner (CRNP) or certified nurse midwife (CNM) who: (1) Is practicing
in accordance with this article, Title 34, Chapter 21, Article 5, and all rules and regulations
pertaining to collaboration between a qualified physician and a qualified CRNP or a CNM. (2)
Submits proof of successful completion of a course or courses approved by the board which
includes advanced pharmacology and prescribing trends relating to controlled substances and
which is consistent with the same requirements for other mid-level providers. (3) Provides
accurate and complete documentation of 12 or more months of active, clinical practice with
one or more collaborative practices agreement which is governed by Title 34, Chapter 21, Article
5 and which has received final approval from the Board of Medical Examiners and the...
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