Administrative Rules

The Board and Commission are vested with the authority to promulgate administrative rules to carry into effect the duties and powers accrued to them by state law.

Administrative Rules are adopted pursuant to the Alabama Administrative Procedure Act, being published in the Alabama Administrative Monthly for public comment. Public hearings are held to receive comments about proposed rule changes with great import to licensees' practices.   

**As links and proposed rules change from time to time, you may need to Refresh (F5) your screen to access the most recent rules and information.**

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Board of Medical Examiners Administrative Rules

The Board of Medical Examiners Administrative Rules are published by the
Legislative Reference Service.

Medical Licensure Commission Administrative Rules

The Medical Licensure Commission Administrative Rules are published by the
Legislative Reference Service

(Emergency rules will not appear at the Legislative Reference links above)

Emergency Rules

From time to time, the Board or Commission will adopt rules on an emergency basis. These rules are also published for public comment, and they are effective on the day they are filed until the final rule is adopted. The Legislative Reference Service does not post emergency rules at its web site; therefore, emergency rules will be posted here:

None at this time

Proposed Rules

All interested persons may submit data, views, or arguments concerning the proposed new rule(s) and regulation(s) in writing to: Carla H. Kruger, Office of the General Counsel, Alabama State Board of Medical Examiners, Post Office Box 946, Montgomery, Alabama 36101-0946, by mail or in person between the hours of 8:30 a.m. and 4:30 p.m., Monday through Friday, until and including the commend period end date.

October 2019 - 540-X-.06/.20, Authorization for Practice as a Certified Registered Nurse Practitioner/Certified Nurse Midwife (amend rule pursuant to Dept. of Defense's implementation of a policy which designates "restricted licenses" as insufficient to meet licensure requirements)

September 2019 - 540-X-4, Appendix C, Dispensing Physician's Registration Form (add language regarding when separate DEA registrations required and add electronic signature language)

August 2019 - no proposed rules

July 2019 - no proposed rules

June 2019 Proposed Rules (comment period ended 8/2/2019)

April 2019 Proposed Rules (comment period ended 6/4/2019):

  • 540-X-4-.09, Risk and Abuse Strategies by Prescribing Physicians (amend to clarify application to all controlled substances; add standard for Lorazepam Milligram Equivalency (LME) and require PDMP check for prescribing over certain LMEs).
    540-X-12-.18, 540-X-18-.15, 540-X-20-.09 (new rules to provide for risk and abuse mitigation strategies for Physician Assistants and Certified Registered Nurse Practitioners/Certified Nurse Midwives holding QACSCs and LPSPs)
  • 540-X-6-.04, Conduct of Hearings in Contested Cases (amend to change number of members that constitute a quorum from five to six)
  • 540-X-8-.08, .11, .22, and .25, Requirements for Collaborative Practice and Prescriptions and Medication Orders (amend to clarify documentation required; align required prescription formats to electronic prescription software in common use)
  • 540-X-19-.02, Definitions; 540-X-19-.04, Ownership and Operation; 540-X-19-.05, Training Requirements (amend to provide that medical director shall possess active, unrestricted license, ACSC, and DEA registration)
  • 540-X-24, Physician Assistant Reentry into Practice (new rules providing requirements for reentry into practice of physician assistants who have been absent from clinical practice for more than two years)

Certified Final Rules

September 2019 Certified Rules (effective date 10/8/2019) (amendments to provide for multistate registered nurse licenses):

540-X-8-.03, Qualifications for Approval to Practice as a Certified Registered Nurse Practitioner

540-X-8-.05.1, Reinstatement of Lapsed Approval for Practice as a Certified Registered Nurse Practitioner

540-X-8-.06, Authorization for Practice as a Certified Registered Nurse Practitioner

540-X-8-.12, Limitations upon Utilization of Certified Registered Nurse Practitioners

540-X-8-17, Qualifications for Approval as a Certified Nurse Midwife

540-X-8-19.1, Reinstatement of Lapsed Approval for Practice as a Certified Nurse Midwife

540-X-8-20, Authorization for Practice as a Certified Nurse Midwife

August 2019:  No certified Rules

July 2019:  No Certified Rules

June 2019 Certified Rules (effective date 8/5/2019)

June 2019 Certified Rules (effective date 8/8/2019)

540-X-2-.01, Definitions Applicable to Applications for Certificate of Qualification - amended.  Corrected references to other rules, zip code, name of National Board of Osteopathic Medical Examiners (effective date 7/2/2019)

April 2019 Certified Rules (effective date 5/31/2019):

  • 540-X-1-.03, Meetings of the Board (changed quorum from 5 to 6 members)
  • 540-X-1-.15, Fee for Application Packets (repealed rule requiring a $20 fee for application packets)
  • 540-X-3-.16, Certificate of Qualification Issued Without Examination (Limited License) (removed requirement for non-ECFMG applicants who did not receive training from a primarily English speaking medical school to meet with the Credentials Committee)
  • 540-X-3, Appendix A, Application for Certificate of Qualification to Practice Medicine in Alabama (amended questions regarding convictions)
  • 540-X-19-.03, Pain Management Registration Required (added grounds for denial of pain management registration)
  • 540-X-23, Physician Re-entry Into Practice (allows the implementation or recommendation of a reentry plan when a physician has not been in active practice for two years or more)

540-X-3, Appendices B and E, Application and Renewal Application for Limited Certificate of Qualification - amended.  Added additional demographic and institution questions.   (effective date 4/8/2019)

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