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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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