ALBME

Administrative Rules

Administrative Rules are published by the Legislative Reference Service

Click here for Board of Medical Examiners Administrative Rules

Click here for Medical Licensure Commission Administrative Rules


NOTICE from the Alabama Board of Medical Examiners: Pursuant to Governor Ivey's Executive Order No. 735, an Inventory of Existing Rules that identifies which rules impose regulatory restrictions that are the result of discretionary choices by the agency has been drafted and is being made available for stakeholder input.  If you wish to comment on the draft inventory, you may do so by emailing the BME Public Information Officer.


NOTICE from the Medical Licensure Commission:   Pursuant to Governor Ivey's Executive Order No. 735, an Inventory of Existing Rules that identifies which rules impose regulatory restrictions that are the result of discretionary choices by the agency has been drafted and is being made available for stakeholder input.  If you wish to comment on the draft inventory, you may do so by emailing the MLC Public Information Officer.

Proposed Rules

January 2024

Proposed Amended Rules

540-X-25-.01 Preamble

540-X-25-.02 Definitions

540-X-25-.04 Requirements For Initial Application For Alabama Medical Cannabis Certification Permit

540-X-25-.05 Physician Eligibility For An Alabama Medical Cannabis Certification Permit

540-X-25-.09 Limitations Upon Registered Certifying Physicians

540-X-25-.10 Requirements For Physician Recommendation Or Certification For The Use Of Medical Cannabis

Proposed New Rule

540-X-25 Appendix A Alabama Medical Cannabis Informed Consent

December 2023

None.

November 2023

540-X-7-.29, Continuing Medical Education - Physician Assistant; 540-X-7-.62, Continuing Medical Education - Anesthesiologist Assistant, and 540-X-7, Appendix E, Physician Assistant/Anesthesiologist Assistant License Renewal - proposal is to modify the continuing medical education requirement for assistants to physicians from 25 credits every year to 50 credits every two years.

540-X-7-.50, Qualifications of the Supervising Anesthesiologist - Anesthesiologist Assistants - proposal is to add a requirement for a supervising anesthesiologist to have obtained continuing medical education not more than 48 months prior to or within 12 months of registration to an anesthesiologist assistant.

October 2023

540-X-1-.16, Fees Associated with Collaborative Practices - proposal is to add a question to the collaborative practice commencement form about physician's board certification and postgraduate training.

540-X-7-.15, Registration - Physician Assistant (P.A.) - proposal is to add a question on the Physician Assistant registration application whether the practice will be pursuant to a limited protocol, and if so, requiring the limited protocol form to be completed and submitted.

540-X-7, Appendix A, Application for Registration of Physician Assistant - proposal is to add questions about the supervising physician's postgraduate training and whether the P.A. will practice under a limited protocol, and, if so, to submit the completed applicable form.

540-X-18-.03.01, Application for a Qualified Alabama Controlled Substances Certificate (QACSC) - proposal is to add a question regarding disciplinary action taken by or pending with a licensing authority of any state, territory, or country. 

540-X-18-.05.01, Renewal of a Qualified Alabama Controlled Substances Certificate (QACSC) - Required Disclosures - proposal is to add a question regarding disciplinary action taken by or pending with a licensing authority of any state, territory, or country. 


Certified Final Rules

January 2024

Certified Amended Rules

Public Notice appeared in Volume XLII, Issue No. 2 AAM, dated November 30, 2023.

540-X-7-.29 Continuing Medical Education - Physician AssistantRelated Documents

540-X-7-.50 Qualifications Of The Supervising Anesthesiologist – Anesthesiologist Assistants (A.A.)Related Documents

540-X-7-.62 Continuing Medical Education - Anesthesiologist Assistant (A.A.)Related Documents

540-X-7-Appendix-E Physician Assistant/Anesthesiologist Assistant License RenewalRelated Documents

December 2023

540-X-1-.16 Fees Associated With Collaborative PracticesRelated Documents - added a question to the collaborative practice commencement form about physician's board certification and postgraduate training.

540-X-7-.15 Registration - Physician Assistant (P.A.)Related Documents - added a question on the Physician Assistant registration application whether the practice will be pursuant to a limited protocol, and if so, requiring the limited protocol form to be completed and submitted

540-X-7-Appendix-A Application For Registration Of Physician AssistantRelated Documents - added questions about the supervising physician's postgraduate training and whether the P.A. will practice under a limited protocol, and, if so, to submit the completed applicable form.

540-X-18-.03.01 Application For A Qualified Alabama Controlled Substances Registration Certificate (QACSC)Related Documents - added a question regarding disciplinary action taken by or pending with a licensing authority of any state, territory, or country. 

540-X-18-.05.01 Renewal Of A Qualified Alabama Controlled Substances Registration Certificate (QACSC) – Required DisclosuresRelated Documents - added a question regarding disciplinary action taken by or pending with a licensing authority of any state, territory, or country. 

November 2023

540-X-4-.07, Emergency Prescription Refill - authorizes emergency dispensing of smallest package size if 72-hour supply not available; clarify that Sch. I or II substances are not authorized for emergency dispensing; allow emergency dispensing of Sch. III substances; remove the list of categories of allowable drugs; require that the pharmacist have a record of a prescription within the last 90 days; disallow emergency dispensing of the same drug to the same patient more than one time in a 12-month period; provide that the pharmacist inform the patient that practitioner authorization is required for any future refill; require the statement "Emergency Fill" on the written prescription order; decrease the time to notify the prescriber from 72 to 24 hours.

540-X-26-.01, Definitions; 540-X-26-.04, Collaborative Drug Therapy Management Agreement: Required Terms; 540-X-26-.05, Limitations; 540-X-26-.06, Standards for Physicians; 540-X-26-.07, Standards for Pharmacists - clarifications regarding when and under what conditions collaborating pharmacists may test and treat for acute, uncomplicated illnesses and injuries.

October 2023

540-X-2-.03, Definitions Generally Applicable - adds definitions for Expedited License and Legend Drug pursuant to the Physician Workforce Act of 2023.

540-X-3-.03, Post-Graduate Education Requirements; 540-X-3-.05, Criminal History Background Check; 540-X-3-.07, Additional Requirements for Examination of Certain Applicants - amendments in compliance with the Physician Workforce Act of 2023 concerning "bridge-year physicians," the "ten-year rule," and reduced PGY requirement for non-accredited medical school graduates.

540-X-12-.02, General Requirements (QACSC-PA) - added a provision that a P.A. who applies for a QACSC must provide their Alabama-specific DEA registration number and a copy of their DEA registration certificate; removed references to P.A. dispensing.

540-X-12-.03, Requirements for the Issuance of a Qualified Alabama Controlled Substances Registration Certificate (QACSC) - provides an alternative to the requirement of completing 12 months of active clinical practice to qualify for a QACSC as follows: at least three years of active clinical practice under the supervision of a physician as a licensed P.A. in any U.S. state or territory; one year of holding a DEA registration in any state; no prior discipline in any jurisdiction; not currently under investigation in any jurisdiction.

540-X-18-.02, General Requirements (QACSC-NP/NM) - clarifies the authority of the Board to renew, restrict, limit, suspend, or revoke a QACSC; add missing words "any controlled substance"; clarifies that the Board may decline to consider an application when the applicant or the collaborating physician is under investigation by the Board.