Code of Alabama

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20-2-260
Section 20-2-260 Permit authorized. (a) The Board of Medical Examiners may at any future date
it chooses create a Limited Purpose Schedule II Permit (LPSP), and assess fees associated
with the permit, that, along with any other necessary registration, may permit assistants
to physicians, certified registered nurse practitioners, or certified nurse midwives to lawfully
prescribe, administer, authorize for administration, or dispense only those controlled substances
listed in Schedule II substances of Article 2 of Chapter 2 of this title in accordance, as
specified and limited by the permit, with rules adopted by the board and any protocols, formularies,
and medical regimens established by the board for regulation of a LPSP. Any protocols, formularies,
and medical regimens shall not be considered administrative rules under the Alabama Administrative
Procedure Act. (b) An assistant to physician, certified registered nurse practitioner, or
certified nurse midwife shall not utilize his or...
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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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34-24-61
Section 34-24-61 Controlled substance registration certificate; continuing medical education;
dismissal of revocation, etc. (a) The State Board of Medical Examiners, when acting in the
capacity of a certifying board under the Alabama Uniform Controlled Substances Act, Section
20-2-1, et seq., may, within its discretion and for cause, order, and direct that a physician
or osteopath holding a registration certificate successfully complete a course or courses
of continuing medical education on subjects related to the prescribing, dispensing, administering,
or furnishing of controlled substances. The course or courses of continuing medical education
ordered by the board under this section may not exceed 50 credit hours of instruction within
the calendar year in which the order is entered. Failure or refusal to comply with an order
or directive of the board entered pursuant to this section shall constitute grounds, after
notice and hearing, for the suspension of the controlled substance...
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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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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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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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20-2-254
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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34-24-302
Section 34-24-302 Denial, suspension, revocation, etc., of license; investigation; mental,
physical, or laboratory examination; authorization for release of information. (a) The board
may, within its discretion, deny the issuance of a license to any person or, after notice
and hearing in accordance with board regulations, shall, within its discretion, suspend, revoke,
restrict, or otherwise discipline the license of a person who shall be found guilty on the
basis of substantial evidence of any of the following acts or offenses: (1) Conviction of
a felony. (2) Conviction of any crime or other offense, felony, or misdemeanor, reflecting
on the ability of the individual to render patient care in a safe manner. (3) Conviction of
any violation of state or federal laws relating to controlled substances. (4) Termination,
restriction, suspension, revocation, or curtailment of licensure, registration, or certification
as an assistant to physician by another state or other licensing jurisdiction...
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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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34-24-602
Section 34-24-602 Authority and intent. (a) Authority. The Alabama Board of Medical Examiners
shall have the jurisdiction and authority necessary to carry out the provisions and intent
of this article. (b) Intent. The article is intended to require physicians to register under
the provisions of this article, and to provide the Alabama Board of Medical Examiners the
following powers and duties with respect to all registrants of the Board of Medical Examiners,
in addition to its existing authority as a certifying board pursuant to the Alabama Uniform
Controlled Substances Act: (1) To adopt, amend, and repeal such rules and regulations in accordance
with the Alabama Pain Management Act for the proper administration and enforcement of this
article. (2) To establish rules regarding the registration of all physicians providing pain
management services. (3) To set reasonable registration and renewal fees. (4) To renew registrations
and set renewal and expiration dates and other deadlines. (5)...
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