Code of Alabama

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34-21-88
Section 34-21-88 Acts which constitute grounds for termination. The following acts shall constitute
grounds for the termination by the Board of Nursing of a certified registered nurse practitioner's
or a certified nurse midwife's certificate of qualification to engage in these areas of advanced
practice nursing and for the termination of the approval of the State Board of Medical Examiners
of the collaborating practice of a physician and certified registered nurse practitioner or
a certified nurse midwife, or both: (1) Prescribing in violation of this article or the rules
and regulations of the State Board of Medical Examiners or the Board of Nursing. (2) For a
certified registered nurse practitioner or a certified nurse midwife to engage in any act
or render any services not authorized in his or her protocol or for a physician to require
or to knowingly permit or condone such an act. (3) Failure on the part of a certified registered
nurse practitioner or a certified nurse midwife to...
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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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34-24-360
Section 34-24-360 Restrictions, etc., on license; grounds. The Medical Licensure Commission
shall have the power and duty to suspend, revoke, or restrict any license to practice medicine
or osteopathy in the State of Alabama or place on probation or fine any licensee whenever
the licensee shall be found guilty on the basis of substantial evidence of any of the following
acts or offenses: (1) Fraud in applying for or procuring a certificate of qualification to
practice medicine or osteopathy or a license to practice medicine or osteopathy in the State
of Alabama. (2) Unprofessional conduct as defined herein or in the rules and regulations promulgated
by the commission. (3) Practicing medicine or osteopathy in such a manner as to endanger the
health of the patients of the practitioner. (4) Conviction of a felony; a copy of the record
of conviction, certified to by the clerk of the court entering the conviction, shall be conclusive
evidence. (5) Conviction of any crime or offense which...
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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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20-2-251
Section 20-2-251 Certifying board; advisory committee; access to records; protocols, formularies,
medical regimens. (a) The Board of Medical Examiners is hereby designated as the certifying
board for the registration and approval of a certified registered nurse practitioner (CRNP)
or a certified nurse midwife (CNM) in obtaining or renewing a Qualified Alabama Controlled
Substances Registration Certificate (QACSC). The board may adopt regulations concerning the
application procedures, fees, and grounds for the restriction, limitation, suspension, or
revocation of a QACSC, excluding the charge of expenses for conducting an investigation or
expenses of a hearing, and to provide for hearings in connection with the same. The board
shall establish a unique QACSC number that identifies the particular applicant as a certified
registered nurse practitioner or certified nurse midwife with a valid QACSC. However, nothing
in this article shall permit the board to encroach on the powers, duties,...
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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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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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34-21-86
Section 34-21-86 Prescribing legend drugs; initiating call-in prescriptions; administering
legend drugs. (a) Certified registered nurse practitioners and certified nurse midwives, engaged
in collaborative practice with physicians practicing under protocols approved in the manner
prescribed by this article may prescribe legend drugs to their patients, subject to both of
the following conditions: (1) The drug type, dosage, quantity prescribed, and number of refills
shall be authorized in an approved protocol signed by the collaborating physician; and (2)
The drug shall be on the formulary recommended by the joint committee and adopted by the State
Board of Medical Examiners and the Board of Nursing. (b) A certified registered nurse practitioner
or a certified nurse midwife may not initiate a call-in prescription in the name of a collaborating
physician for any drug, whether legend or controlled substance, which the nurse practitioner
or certified nurse midwife is not authorized to...
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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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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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