reglab/statecodes huggingface dataset:
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-18 - QUALIFIED ALABAMA CONTROLLED SUBSTANCES CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED NURSE PRACTITIONERS (CRNP) AND CERTIFIED NURSE MIDWIVES (CNM) › Appendix B - Qualified Controlled Substances Registration Certificate For Certified Registered Nurse Practitioners And Certified Nurse Midwives Renewal (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										20-2-50,
				  20-2-259.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-18 - QUALIFIED ALABAMA CONTROLLED SUBSTANCES CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED NURSE PRACTITIONERS (CRNP) AND CERTIFIED NURSE MIDWIVES (CNM) › Appendix C - Application For Qualified Controlled Substances Registration Certificate For Certified Registered Nurse Practitioners And Certified Nurse Midwives (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, 20-2-259.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-19 - PAIN MANAGEMENT SERVICES › Section 540-X-19-.01 - Preamble

Current through Register Vol. 42, No. 9, June 28, 2024
The Board finds that the diversion, abuse, and misuse of
				controlled substances constitute a serious threat to the health, safety and
				welfare of the citizens of the state of Alabama. To assist in preventing
				diversion, abuse and misuse of controlled substances, the Board is authorized
				by law to regulate physicians who provide pain management services, including
				requiring registration with the Board, suspending registrations for pain
				management services when there is an immediate danger to the public health, and
				sanctioning, disciplining or placing conditions upon physicians providing pain
				management services in a manner other than that prescribed in these rules.
				These rules do not apply to the treatment of acute pain, and physicians are
				encouraged to be involved in the appropriate care of acute
				pain.
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-53; Act 2013-257.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-19 - PAIN MANAGEMENT SERVICES › Section 540-X-19-.03 - Pain Management Registration Required

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Beginning January 1, 2014, and continuing
			 every year thereafter, all physicians who provide pain management services must
			 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.
(3) To obtain a
			 pain management registration, a physician applicant shall submit the following
			 to the Board:
(a) A completed application on
			 a form prescribed by the Board.
(b)
			 Proof of a current Drug Enforcement Administration (DEA)
			 registration.
(c) Proof of an
			 Alabama Controlled Substance Certificate (ACSC).
(d) Proof of a current registration with the
			 Alabama Prescription Drug Monitoring Program (PDMP).
(e) A list of all registrants who own,
			 co-own, operate or provide pain management services in the physician
			 applicant's practice location.
(f)
			 The disclosure of any controlled substances certificate or registration denial,
			 restriction or discipline imposed on the registrant, or any disciplinary act
			 against any medical license of the registrant.
(g) Payment of the initial registration fee
			 as set forth below in these rules under paragraph (6).
(h) A certification listing the current name
			 of the physician who serves as the medical director.
(i) Any other information requested by the
			 Board related to the qualifications for providing pain management
			 services.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-19 - PAIN MANAGEMENT SERVICES › Section 540-X-19-.04 - Ownership And Operation

Current through Register Vol. 42, No. 9, June 28, 2024
(1) All
			 registrants must provide pain management services at a location owned and
			 operated by one of the following:
(a) One or
			 more physicians licensed to practice medicine in Alabama.
(b) A business entity registered with the
			 Alabama Secretary of State's Office.
(c) A governmental entity or body, or
			 political subdivision, or any combination thereof, including state universities
			 and schools.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-19 - PAIN MANAGEMENT SERVICES › Section 540-X-19-.05 - Medical Director

Current through Register Vol. 42, No. 9, June 28, 2024
(1) A
			 Medical Director shall be a physician who must meet all of the requirements
			 stated in this rule.
(2) A Medical
			 Director shall possess an active, unrestricted license to practice medicine or
			 osteopathy in Alabama.
(3) A
			 Medical Director shall possess an active, unrestricted Alabama Controlled
			 Substances Certificate (ACSC).
(4)
			 A Medical Director shall possess an active, unrestricted Drug Enforcement
			 Administration (DEA) registration.
(5) Each physician serving as a Medical
			 Director at a practice location shall meet at least one of the following
			 requirements.
(a) Successful completion of a
			 residency program in physical medicine and rehabilitation, anesthesiology,
			 addiction medicine, neurology, neurosurgery, family practice, preventive
			 medicine, internal medicine, surgery, orthopedics, or psychiatry approved by
			 the Accreditation Council for Graduate Medical Education (ACGME) or the
			 American Osteopathic Association Bureau of Osteopathic Specialists
			 (AOABOS).
(b) Board certification
			 in physical medicine and rehabilitation, anesthesiology, addiction medicine,
			 neurology, neurosurgery, family practice, preventive medicine, internal
			 medicine, surgery, orthopedics, or psychiatry approved by the American Board of
			 Medical Specialties (ABMS) or the American Osteopathic Association Bureau of
			 Osteopathic Specialties (AOABOS).
(c) Specialty certification in pain
			 management, pain medicine, hospice and palliative medicine, geriatric medicine,
			 rheumatology, hematology, medical oncology, gynecologic oncology, infectious
			 disease, pediatric hematology-oncology, or pediatric rheumatology recognized by
			 the American Board of Medical Specialties (ABMS) or the American Osteopathic
			 Association Bureau of Osteopathic Specialists.
(d) Board certification by the American Board
			 of Pain Medicine.
(e) Board
			 certification by the American Board of Interventional Pain
			 Physicians.
(f) At least one of the
			 following:
1. Completion of 40 in-person, live
			 participatory AMA PRA Category 1 Credit or AOA Category 1-A credits in the area
			 of pain management completed within three years of implementation of these
			 rules or prior to serving as a medical director for the practice location,
			 whichever is more recent.
2.
			 Completion of a Board approved course of medical education in the area of
			 prescribing controlled substances completed within three years of
			 implementation of these rules or prior to serving as medical director for the
			 practice location, whichever is more recent, and completion of 40 in-person,
			 live participatory AMA PRA Category 1 Credit or AOA Category 1-A credits in the
			 area of pain management within three years of commencement of service as
			 medical director.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-19 - PAIN MANAGEMENT SERVICES › Section 540-X-19-.06 - Inspections

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The medical
			 records and documents of every physician registered under these rules shall be
			 open to inspection to the extent authorized by
Code of Ala.
			 1975
, §
								34-24-608 and the Administrative
			 Rules of the Board as set out below.
(2) All inspections of physician records
			 undertaken by the Board may be conducted without prior notice to physician,
			 clinic or its staff.
(3) Physicians
			 registered under these rules shall make all records, notes, and files of the
			 registrant open to inspection. In carrying out the intent of these rules, the
			 Board shall have all of the power and authority it currently possesses in its
			 current capacity under §§
								34-24-363 to
			 34-24-365,
Code of
			 Ala. 1975
, as amended, inclusive, and all of the power and
			 authority therein may be applied under these rules for purposes of pain
			 management services registration and enforcement.
(4) If the Board finds that danger to the
			 public health, safety, or welfare requires emergency suspension of a
			 registration and states in writing its reason for that finding, it may proceed
			 without hearing or upon any abbreviated hearing that it finds practicable to
			 suspend the registration under these rules. The suspension shall become
			 effective immediately, unless otherwise stated therein. The suspension may be
			 effective for a period of not longer than 120 days and shall not be renewable.
			 The Board shall not suspend the same registration for the same or substantially
			 similar emergency within one calendar year from its first suspension unless the
			 Board clearly establishes that it could not reasonably be foreseen during the
			 initial 120-day period that such emergency would continue or would likely
			 reoccur during the next nine months. When such summary suspension is ordered, a
			 formal suspension or revocation proceeding under §
								34-24-361, Code of Alabama 1975,
			 as amended, or §
								20-2-53, Code of Alabama 1975, as
			 amended, shall also be promptly instituted and acted upon.
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority
:
Code of Ala.
				  1975
, §§
										34-24-53; Act 2013-257.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-19 - PAIN MANAGEMENT SERVICES › Section 540-X-19-.07 - Investigations

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The Board or
			 its agents, on the Board's own motion or in response to a written complaint,
			 may investigate known or suspected violations of §§
								34-24-600, et seq.,
Code of Ala. 1975
, as amended, and may issue
			 subpoenas.
(2) In addition to the
			 powers granted under §§
								34-24-600, et seq.,
Code of Ala. 1975
, as amended, the Board or its agents
			 are further authorized to conduct any investigation pursuant to its authority
			 in §
								34-24-361,
Code of
			 Ala. 1975
, as amended, including but not limited to, the
			 conducting of formal interviews with a physician, the filing of a written
			 administrative complaint and the request for the temporary emergency suspension
			 of the license of a physician by the Medical Licensure Commission of
			 Alabama.
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority
:
Code of Ala.
				  1975
, §§
										34-24-53; Act 2013-257.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-19 - PAIN MANAGEMENT SERVICES › Section 540-X-19-.08 - Disciplinary Action And Sanctions

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 A violation of §§
								34-24-600, et seq.,
Code of Ala. 1975
, as amended, as set out below in
			 paragraphs (2) and (3) of this rule is grounds for disciplinary action and
			 sanctions against a registrant as provided in this rule.
(2) Any violation of §§
								34-24-600, et seq.,
Code of Ala. 1975
, as amended, or a rule adopted under
			 those sections, shall be prosecuted against and in the name of the registrant
			 or registrants participating in the alleged violation.
(3) In addition to the requirements,
			 sanctions and punishment of an ACSC provided by §§
								20-2-50 through
			 20-2-58,
Code of Ala.
			 1975
, as amended, the Board may impose the following sanctions:
(a) The failure of a physician who provides
			 pain management services as defined in these rules, to obtain a pain management
			 registration from the Board, shall be punishable by a fine up to Ten Thousand
			 Dollars ($10,000) per violation, or the revocation of the registration, or
			 both, whenever the physician shall be found guilty on the basis of substantial
			 evidence.
(b) A violation of any
			 other requirements under §§
									34-24-600, et seq., including a
			 medical director, shall be punishable by a fine up to One Thousand Dollars
			 ($1,000) per violation, or the revocation of the registration, or both,
			 whenever the physician charged shall be found guilty on the basis of
			 substantial evidence. Specific violations under this paragraph include:
1. Making a fraudulent or untrue statement in
			 applying for a pain management registration.
2. Aiding and abetting the providing of pain
			 management services by a physician who has not obtained a pain management
			 registration from the Board.
3.
			 Failure to register with the Alabama Prescription Drug Monitoring Program in
			 obtaining a pain management registration from the Board
(c) If a practice location has two or more
			 physicians who commit a violation under §§
									34-24-600, et seq.,
Code of Ala. 1975
, as amended, within one year, the
			 Board shall report the violations to the appropriate licensing agency or
			 agencies that regulate the practice location.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-19 - PAIN MANAGEMENT SERVICES › Section 540-X-19-.09 - Requirements For The Use Of Controlled Substances For The Treatment Of Pain (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-53; Act 2013-257.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-19 - PAIN MANAGEMENT SERVICES › Section 540-X-19-.10 - Conduct Of Hearings

Current through Register Vol. 42, No. 9, June 28, 2024
Except when §§
								20-2-50 through
				20-2-58,
Code of Ala.
				1975
, as amended, and Board Rules
				540-X-4-.01 through
				540-X-4-.07 are in conflict and
				shall take precedence, hearings related to Pain Management Services and
				Registrants as set out in this Chapter, are to be governed and conducted in
				accordance with Board Rules
				540-X-6-.03 (Hearing Officer);
				540-X-6-.04 (Conduct of Hearings
				in Contested Cases); and
				540-X-6-.05 (Miscellaneous
				Provisions).
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority
:
Code of Ala.
				  1975
, §§
										34-24-53; Act 2013-257.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-19 - PAIN MANAGEMENT SERVICES › Appendix A - APPLICATION FOR PAIN MANAGEMENT REGISTRATION

Current through Register Vol. 42, No. 9, June 28, 2024
Click to view
				image
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Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										20-2-250, et. seq.; Act
				  2013-223.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-19 - PAIN MANAGEMENT SERVICES › Appendix B - ALABAMA PAIN MANAGEMENT REGISTRATION RENEWAL

Current through Register Vol. 42, No. 9, June 28, 2024
20XX Application for Renewal of Alabama Pain Management
				Registration
Deadline: December 31, 20XX
Under Alabama law, this document is a public record and if
				requested it will be provided in its entirety.
Licensee's Name
Primary License Number
Location Name
Location Address
1. Do you provide pain management services at a hospital? Yes
				No In the past year, have either you or the owner(s) of each location where you
				provide pain management services been convicted of or pled nolo contendere to a
				felony or an offense that constitutes a misdemeanor, the facts of which relate
				to the distribution or illegal prescribing of any controlled substance?* Yes No
				(If yes, please include a detailed explanation)
*Any applicant who has been convicted of a crime
				described in this paragraph may request an interview before the Board, after
				which the Board, in its discretion, may approve or deny the
				registration.
2. Does the location listed above at which the above licensee
				provides pain management services have a medical director as required by Board
				Rule 540-X-19-.04 ? Yes No
I understand and agree that by typing my name, I am providing
				an electronic signature that has the same legal effect as a written signature
				pursuant to Ala. Code §§
								8-1A-2 and
				8-1A-7. I attest that the foregoing
				information has been provided by me and is true and correct to the best of my
				knowledge, information and belief.
Knowingly providing false information to the Alabama Board of
				Medical Examiners could result in disciplinary action.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-53.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-20 - LIMITED PURPOSE SCHEDULE II PERMIT (LPSP) › Section 540-X-20-.01 - General Requirements

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The
			 Alabama Board of Medical Examiners is the certifying board which may issue,
			 renew, deny, limit, restrict, suspend or revoke a Limited Purpose Schedule II
			 Permit (LPSP) for qualified Physician Assistants (PAs), qualified Certified
			 Registered Nurse Practitioners (CRNPs), and qualified Certified Nurse Midwives
			 (CNMs).
(2) The Board of Medical
			 Examiners may decline to consider an application when the PA, CRNP, CNM, or
			 collaborating or supervising physician is under investigation by the Board for
			 a potential violation of the
Code of Ala. 1975
,
			 Sections 20-2-54 or
			 34-24-360, or any rule of the
			 Alabama Board of Medical Examiners or Medical Licensure Commission of
			 Alabama.
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										20-2-50, et. seq.; 20-2-260;
				  34-24-53.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-20 - LIMITED PURPOSE SCHEDULE II PERMIT (LPSP) › Section 540-X-20-.02 - Requirements For Issuance Of Limited Purpose Schedule II Permit (LPSP)

Current through Register Vol. 42, No. 9, June 28, 2024
To qualify for an LPSP, an individual must meet requirements
				which are the following:
(1) A PA
			 shall have a current, active and unrestricted Alabama license to practice as a
			 physician assistant, shall be registered to practice with a supervising
			 physician, and shall have a current, active and unrestricted Qualified Alabama
			 Controlled Substances Certificate (QACSC) for Schedules III, IV and
			 V.
(2) A CRNP or a CNM shall have a
			 current collaborative practice agreement with a collaborating physician and
			 shall have a current, active and unrestricted QACSC for Schedules III, IV and
			 V.
(3) The applicant shall submit
			 an application on forms provided by the Board.
(4) The applicant shall pay the application
			 fee required by the Board.
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala. 1975,
				  §§
										20-2-50, et. seq.; 20-2-260;
				  34-24-53.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-20 - LIMITED PURPOSE SCHEDULE II PERMIT (LPSP) › Section 540-X-20-.03 - Issuance Of A Limited Purpose Schedule II Permit (LPSP)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Effective January 1, 2015, the Board may
			 issue an LPSP to a PA, a CRNP, or a CNM when all of the requirements for
			 issuance have been met.
(2) Every
			 LPSP issued shall have a unique LPSP number which identifies the particular
			 applicant as a PA, a CRNP, or a CNM with a valid LPSP.
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala. 1975,
				  §§
										20-2-50, et. seq.; 20-2-260;
				  34-24-53.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-20 - LIMITED PURPOSE SCHEDULE II PERMIT (LPSP) › Section 540-X-20-.04 - Renewal Of A Limited Purpose Schedule II Permit (LPSP)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Renewal of an LPSP shall be annually on
			 or before Jan. 1 of each year.
(2)
			 An application for annual renewal of an LPSP shall be received by the Board on
			 or before December 31 and shall be accompanied by the required LPSP renewal
			 fee.
(3) Before renewing an LPSP,
			 the applicant shall have a current QACSC for Schedules III, IV and V, a current
			 United States Drug Enforcement Administration (DEA) registration for Schedules
			 II through V, and a current registration to access the Controlled Substances
			 Prescription Database established and maintained by the Alabama Department of
			 Public Health.
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala. 1975,
				  §§
										20-2-50, et. seq.; 20-2-260;
				  34-24-53.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-20 - LIMITED PURPOSE SCHEDULE II PERMIT (LPSP) › Section 540-X-20-.05 - Fees

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The application
			 fee for an initial LPSP is Twenty-Five Dollars ($25.00), which shall be
			 submitted to the Board.
(2) An
			 applicant for annual renewal of an LPSP submitted on or before the renewal
			 deadline of December 31 shall submit to the Board an LPSP renewal fee in the
			 amount of Ten Dollars ($10.00).
(3)
			 An applicant for annual renewal of an LPSP submitted after the renewal deadline
			 of December 31 and prior to January 31 shall submit to the Board an LPSP
			 renewal fee in the amount of Ten Dollars ($10.00) and a late fee in the amount
			 of Fifty Dollars ($50.00).
(4) An
			 applicant for annual renewal of an LPSP submitted after January 31 shall submit
			 to the Board an LPSP renewal fee in the amount of Ten Dollars ($10.00) and a
			 penalty fee in the amount of Ninety-Five Dollars ($95.00).
(5) An applicant for annual renewal of an
			 LPSP submitted after January 31 who has also prescribed Schedule II controlled
			 substances between January 1 and the date of application shall submit to the
			 Board an LPSP renewal fee in the amount of Ten Dollars ($10.00) and a penalty
			 fee in the amount of One Hundred Twenty-Five Dollars ($125.00).
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										20-2-50, et. seq.; 20-2-260;
				  34-24-53.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-20 - LIMITED PURPOSE SCHEDULE II PERMIT (LPSP) › Section 540-X-20-.06 - Prescription Guidelines

Current through Register Vol. 42, No. 9, June 28, 2024
(1) When
			 prescribing controlled substances, a PA, CRNP, or CNM shall use a prescription
			 form which includes all of the following:
(a)
			 The name, medical practice site address and telephone number of the
			 supervising/collaborating physician.
(b) The full name of the PA, CRNP, or
			 CNM;
(c) The medical practice site
			 address and telephone number of the PA, CRNP, or CNM, if different from that of
			 the supervising/collaborating physician;
(d) The license number of the PA, CRNP, or
			 CNM.
(e) The words "Product
			 Selection Permitted" printed on one side of the prescription form directly
			 beneath a signature line;
(f) The
			 words "Dispense as written" printed on one side of the prescription form
			 directly beneath a signature line.
(g) The date that the prescription is issued
			 to the patient.
(h) The patient's
			 full name and address.
(i) The
			 QACSC and LPSP registration numbers of the PA, CRNP, or CNM.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-20 - LIMITED PURPOSE SCHEDULE II PERMIT (LPSP) › Section 540-X-20-.07 - Grounds for Denial, Restriction, Limitation, Suspension or Revocation - Limited Purpose Schedule II (LPSP)

Current through Register Vol. 42, No. 9, June 28, 2024
The Board may deny, restrict, limit, suspend or revoke an LPSP
				based on the following grounds:
(1)
			 Fraud or deceit in applying for, procuring or attempting to procure an
			 LPSP.
(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 PA, CRNP or CNM to practice with due regard for the
			 health or safety of his or her patients.
(4) Prescribing a drug or utilizing an LPSP
			 in such a manner as to endanger the health of any patient of the PA, CRNP or
			 CNM or any patient of the supervising, collaborating, or covering
			 physician.
(5) Suspension or
			 revocation of a DEA registration issued to the PA, CRNP or CNM.
(6) Unfitness or incompetence due to the use
			 of or dependence on alcohol, chemicals or any mood-altering drug to such an
			 extent as to render the PA, CRNP or CNM unsafe to prescribe or administer
			 drugs.
(7) Any violation of the
			 requirements of
Code of Ala. 1975
, §
								20-2-260 or this Chapter
			 540-X-20.
(9) Prescribing any
			 Schedule II controlled substance without a current LPSP.
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										20-2-50, et. seq.; 20-2-260;
				  34-24-53.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-20 - LIMITED PURPOSE SCHEDULE II PERMIT (LPSP) › Section 540-X-20-.08 - Due Process Proceedings - Limited Purpose Schedule II Permit (LPSP)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Any hearings
			 concerning the LPSP shall be before the Board.
(2) Any hearing before the Board shall be
			 considered a contested case under the Alabama Administrative Procedure Act,
			 Code of Ala. 1975, §
								41-22-1, et. seq., and shall be
			 conducted in accordance with the requirements of that Act.
(3) Hearings related to the LPSP are to be
			 governed by and conducted in accordance with the applicable provisions of Board
			 Rules, Chapter 540-X-6.
(4) Appeals
			 from an adverse ruling by the Board following a due process hearing are to be
			 conducted in accordance with the provisions of the Alabama Administrative
			 Procedure Act, Code of Ala. 1975, §
								41-22-1, et. seq.
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala. 1975,
				  §§
										20-2-50, et. seq.; 20-2-260;
				  34-24-53.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-20 - LIMITED PURPOSE SCHEDULE II PERMIT (LPSP) › Section 540-X-20-.09 - Risk And Abuse Mitigation Strategies

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The Board recognizes that all controlled
			 substances, including but not limited to, opiates, benzodiazepines, stimulants,
			 anticonvulsants, and sedative hypnotics, have a risk of addiction, misuse, and
			 diversion. It is the opinion of the Board that the best practice when
			 prescribing controlled substances shall include medically appropriate risk and
			 abuse mitigation strategies, which will vary from patient to patient.
			 Additional care should be used by practitioners when prescribing medication to
			 a patient from multiple controlled substance drug classes.
(2) Every practitioner shall provide his or
			 her patient with risk education prior to initiating controlled substances
			 therapy and prior to continuing the controlled substances therapy initiated by
			 another practitioner.
(3) Every
			 practitioner shall utilize medically appropriate risk and abuse mitigation
			 strategies when prescribing controlled substances. Examples of risk and abuse
			 mitigation strategies include, but are not limited to:
(a) Pill counts;
(b) Urine drug screening;
(c) PDMP checks;
(d) Consideration of abuse-deterrent
			 medications;
(e) Monitoring the
			 patient for aberrant behavior;
(f)
			 Using validated risk-assessment tools, examples of which shall be maintained by
			 the Board; and
(g) Co-prescribing
			 naloxone to patients receiving opioid prescriptions when determined to be
			 appropriate in the clinical judgment of the treating practitioner.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-20 - LIMITED PURPOSE SCHEDULE II PERMIT (LPSP) › Appendix A - Application For Limited Purpose Schedule II Permit (LPSP) (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										20-2-259.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-20 - LIMITED PURPOSE SCHEDULE II PERMIT (LPSP) › Appendix B - Limited Purpose Schedule Ii Permit (LPSP) Renewal Application (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, 20-2-50, et. seq.; 20-2-260; 34-24-53.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-21 - POLICY ON DATA 2000: GUIDELINES FOR THE TREATMENT OF OPIOID ADDICTION IN THE MEDICAL OFFICE[1] › Section 540-X-21-.01 - Introduction

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Role of Federal
			 Legislation.
(a) The use of buprenorphine for
			 the treatment of opioid addiction is governed by the federal Drug Addiction
			 Treatment Act of 2000, commonly referred to as "DATA 2000" (Public Law
			 106-310, Title XXXV, Sections 3501 and 3502). This
			 legislation allows physicians to treat opioid addiction with FDA-approved
			 controlled drugs in office-based settings. Specifically, DATA 2000 allows
			 physicians to use buprenorphine and other controlled substances in the federal
			 Controlled Substances Act (21
			 U.S.C. §§801, et. seq.) (CSA)
			 Schedules III, IV, and V, which have been approved by the FDA for the treatment
			 of opioid dependence, to treat patients in office-based settings, provided
			 certain conditions are met.
(b)
			 DATA 2000 lifted the requirement that patients who need opioid agonist
			 treatment can receive such treatment only in specially licensed opioid
			 treatment programs (OTPs), often referred to as "methadone clinics."
(c) For the implementation of DATA 2000, the
			 Secretary of the Department of Health and Human Services (HHS) delegated
			 authority in this area to the Center for Substance Abuse Treatment (CSAT) of
			 the Substance Abuse and Mental Health Services Administration (SAMHSA).
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-21 - POLICY ON DATA 2000: GUIDELINES FOR THE TREATMENT OF OPIOID ADDICTION IN THE MEDICAL OFFICE[1] › Section 540-X-21-.02 - Preamble

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The Alabama
			 Board of Medical Examiners (Board) Requirements.
(a) The Board is obligated under the laws of
			 the state of Alabama to protect the public health and safety. The Board
			 recognizes that the principles of high-quality medical practice dictate that
			 the people of Alabama have access to appropriate, safe and effective medical
			 care, including the treatment of addiction. The application of up-to-date
			 knowledge and evidence-based treatment modalities can help to restore function
			 and thus improve the quality of life of patients who suffer from
			 addiction.
(b) In this context, the
			 Board recognizes the body of evidence for the effectiveness of buprenorphine in
			 the office-based treatment of opioid addiction, when such treatment is
			 delivered in accordance with current standards of care and the requirements of
			 DATA 2000 and the Board.
(c) The
			 Board will determine the appropriateness of a particular physician's
			 prescribing practices on the basis of the physician's overall treatment of
			 patients and the available documentation of treatment plans and outcomes. The
			 goal is to provide appropriate treatment of the patient's opioid addiction
			 (either directly or through referral), while adequately addressing other
			 aspects of the patient's functioning, including co-occurring medical and
			 psychiatric conditions and pressing psychosocial issues.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-21 - POLICY ON DATA 2000: GUIDELINES FOR THE TREATMENT OF OPIOID ADDICTION IN THE MEDICAL OFFICE[1] › Section 540-X-21-.03 - Guidelines

Current through Register Vol. 42, No. 9, June 28, 2024
(1) General.
(a) Multiple studies have shown that opioid
			 addiction treatment with buprenorphine can be successfully integrated into
			 office practice by physicians who are not addiction specialists. In such
			 studies, patient outcomes are comparable to or better than outcomes of patients
			 treated in specialized clinics. However, as in the treatment of any medical
			 disorder, physicians who choose to offer addiction treatment need to understand
			 the nature of the underlying disorder, the specific actions of each of the
			 available medications (as well as any associated contraindications or
			 cautions), and the importance of careful patient selection and
			 monitoring.
(b) The Board has
			 adopted the following guidelines for the treatment of opioid addiction in
			 office-based settings.
The guidelines are not intended to define complete
			 or best practice, but rather to communicate what the Board considers to be
			 within the boundaries of accepted professional practice.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-22 - Joint Rules of the Alabama Board of Medical Examiners and Medical Licensure Commission of Alabama Concerning the Interstate Medical Licensure Compact › Section 540-X-22-.01 - Member State

Current through Register Vol. 42, No. 9, June 28, 2024
The State of Alabama has passed legislation to become a member
				state of the Interstate Medical Licensure Compact. The Alabama Board of Medical
				Examiners and the Medical Licensure Commission of Alabama are member boards of
				the Interstate Medical Licensure Compact Commission.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-530 through
				  543.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-22 - Joint Rules of the Alabama Board of Medical Examiners and Medical Licensure Commission of Alabama Concerning the Interstate Medical Licensure Compact › Section 540-X-22-.03 - Interstate Compact Expedited License

Current through Register Vol. 42, No. 9, June 28, 2024
A physician who applies for an expedited license through the
				Interstate Medical Licensure Compact Commission and who meets the eligibility
				requirements as defined in Rule
				540-X-22-.02(11)
				shall be granted an expedited license to practice medicine or osteopathy in the
				state of Alabama under the provisions of the Interstate Medical Licensure
				Compact set out in
Code of Ala. 1975
, §§
								34-24-520, et.
				seq.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-530 through
				  543.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-22 - Joint Rules of the Alabama Board of Medical Examiners and Medical Licensure Commission of Alabama Concerning the Interstate Medical Licensure Compact › Section 540-X-22-.04 - Letter Of Qualification, Alabama Principal State Of License

Current through Register Vol. 42, No. 9, June 28, 2024
Upon receipt of an application for an expedited license
				submitted through the Interstate Medical Licensure Compact by a physician who
				has selected Alabama as the state of principal license, the Alabama Board of
				Medical Examiners shall cause to be conducted a primary source verification of
				the qualifications set out in Rule 540-X-.02(11) above, including a criminal
				background check in accordance with
Code of Ala. 1975
,
				§
								34-24-524(b)(2),
				as well as any other qualifications which may be required by the Interstate
				Medical Licensure Compact Commission from time to time. Upon the completion of
				the verification process, the Alabama Board of Medical Examiners shall issue a
				letter of qualification verifying or denying the physician's eligibility to the
				interstate commission.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-530 through
				  543.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-22 - Joint Rules of the Alabama Board of Medical Examiners and Medical Licensure Commission of Alabama Concerning the Interstate Medical Licensure Compact › Section 540-X-22-.05 - Appeal Of Letter Of Qualification Denying Eligibility

Current through Register Vol. 42, No. 9, June 28, 2024
A physician who receives a Letter of Qualification from the
				Alabama Board of Medical Examiners denying eligibility to obtain licensure
				through the Interstate Medical Licensure Compact shall have the right to appeal
				such decision in accordance with the procedures for a denial of a Certificate
				of Qualification set out in Board of Medical Examiners Rule
				540-X-5-.08 and Medical Licensure
				Commission Rule
				545-X-4-.01.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-530 through
				  543.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-22 - Joint Rules of the Alabama Board of Medical Examiners and Medical Licensure Commission of Alabama Concerning the Interstate Medical Licensure Compact › Section 540-X-22-.06 - Issuance Of Expedited License

Current through Register Vol. 42, No. 9, June 28, 2024
Upon the receipt of all applicable fees and a Letter of
				Qualification stating that the applicant meets qualifications set out in Rule
				540-X-22-.02(11)
				above, including a criminal background check in accordance with
Code of Ala. 1975
, §
								34-24-524(b)(2),
				as well as any other qualifications which may be required by the Interstate
				Medical Licensure Compact Commission from time to time, the Medical Licensure
				Commission of Alabama shall issue an expedited license to the applying
				physician. The expedited license shall be valid for not more than one year and
				shall be renewed annually in accordance with
Code of Ala.
				1975
, §
								34-24-526.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-530 through 543.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-22 - Joint Rules of the Alabama Board of Medical Examiners and Medical Licensure Commission of Alabama Concerning the Interstate Medical Licensure Compact › Section 540-X-22-.07 - Renewal

Current through Register Vol. 42, No. 9, June 28, 2024
Upon the receipt of the applicable renewal fees and
				correspondence from the Interstate Medical Licensure Compact Commission
				indicating that the applicant (1)continues to maintain a full and unrestricted
				license in a state of principal license; (2) has not been convicted, received
				adjudication, deferred adjudication, community supervision, or deferred
				disposition for any offense by a court of appropriate jurisdiction; (3) has not
				had a license authorizing the practice of medicine subject to discipline by a
				licensing agency in any state, federal or foreign jurisdiction, excluding any
				action related to nonpayment of fees related to a license; and (4) has not had
				a controlled substance license or permit suspended or revoked by a state or the
				United States Drug Enforcement Agency, the Medical Licensure Commission of
				Alabama shall renew the physician's license.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-530 through
				  543.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-22 - Joint Rules of the Alabama Board of Medical Examiners and Medical Licensure Commission of Alabama Concerning the Interstate Medical Licensure Compact › Section 540-X-22-.08 - Fees

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The Interstate
			 Medical Licensure Compact Commission shall collect and the Alabama Board of
			 Medical Examiners shall be distributed a fee in an amount as set out in
			 Interstate Medial Licensure Compact Commission Rule 3.4 (1)(b), when designated
			 as a state of principal licensure, in connection with the issuance of a letter
			 of qualification.
(2) The
			 Interstate Medical Licensure Compact Commission shall collect a fee in an
			 amount as set out in Rule
			 545-X-2-.01(1)
			 and such fee shall be distributed as set out in
Code of Ala.
			 1975
, §
								34-24-340 when an expedited
			 license to practice medicine in the State of Alabama is issued through the
			 Interstate Medical Licensure Compact.
(3) The Interstate Medical Licensure Compact
			 Commission shall collect a fee in an amount as set out in Rule
			 545-X-2-.03(2)
			 and such fee shall be distributed as set out in
Code of Ala.
			 1975
, §
								34-24-340 when renewing an
			 expedited license to practice medicine in the State of Alabama is issued
			 through the Interstate Medical Licensure Compact.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-530 through 543.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-22 - Joint Rules of the Alabama Board of Medical Examiners and Medical Licensure Commission of Alabama Concerning the Interstate Medical Licensure Compact › Section 540-X-22-.09 - Discipline And Reinstatement

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 If a license granted to a physician by the member board in the state of
			 principal license is revoked, surrendered, or relinquished in lieu of
			 discipline, or suspended, then all such licenses issued to the physician by
			 member boards shall automatically be placed, without further action necessary
			 by any member board, on the same status.
(2) If the member board in the state of
			 principal license subsequently reinstates the physician's license, a license
			 issued to the physician by any other member board shall remain encumbered until
			 that respective member board takes action to reinstate the license in a manner
			 consistent with the medical practice act of that state. Where the State of
			 Alabama is the state of principal license, the procedure set out in Medical
			 Licensure Commission Rule
			 545-X-3-.15 shall apply when a
			 physician seeks reinstatement of his medical license.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-530 through 543.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-22 - Joint Rules of the Alabama Board of Medical Examiners and Medical Licensure Commission of Alabama Concerning the Interstate Medical Licensure Compact › Section 540-X-22-.10 - Interstate Medical Licensure Compact Commission Rules

Current through Register Vol. 42, No. 9, June 28, 2024
The Interstate Medical Licensure Compact Commission rules are
				hereby incorporated by reference and shall be followed with regard to the
				Interstate Medical Licensure Compact in the State of Alabama and the processes
				concerning obtaining an expedited license through the Interstate Medical
				Licensure Compact.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-530 through
				  543.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-23 - PHYSICIAN REENTRY INTO PRACTICE › Section 540-X-23-.01 - Definitions

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Active
			 Practice: A physician may be said to be in active clinical practice when any
			 amount of direct patient care has been provided during the preceding two
			 years.
(2) Direct Patient Care:
			 Direct patient care has been provided when a physician treats, or professes to
			 diagnose, treat, perform surgery on, or prescribe medication to a patient for
			 any physical ailment or injury in a clinical or professional setting.
(3) Burden of Proof: The reentry candidate
			 shall have the burden of providing appropriate proof of direct patient care.
			 Ideally, such proof will include a patient chart but may include other
			 documentation as deemed appropriate by the Board.
(4) Two-Year Period: The beginning of the
			 two-year period will begin from the date the physician last provided direct
			 patient care and will be tolled by the filing of an initial or reinstatement
			 application for a certificate of qualification to practice medicine or a
			 medical license reinstatement application.
(5) Board: Alabama Board of Medical
			 Examiners
(6) Commission: Medical
			 Licensure Commission of Alabama
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-53,
				  34-24-53.1,
				  34-24-70,
				  34-24-337,
				  34-24-360,
				  34-24-360.1,
				  34-24-361.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-23 - PHYSICIAN REENTRY INTO PRACTICE › Section 540-X-23-.02 - Application

Current through Register Vol. 42, No. 9, June 28, 2024
(1) This rule shall
			 apply in the following instances:
(a)
			 Physician applicants seeking a certificate of qualification, who otherwise
			 qualify for a certificate of qualification, but who have been absent from
			 clinical practice for two years or more may obtain a certificate of
			 qualification by entering into a reentry agreement with the Board.
(b) Licensees seeking reinstatement of a
			 certificate of qualification may be ordered to complete a reentry plan as a
			 condition of reinstatement. Licensees whose reinstatement is contested and
			 whose certificate of qualification is reinstated shall be required to complete
			 a reentry plan as part of the reinstatement order.
(c) When a licensee who has been absent from
			 clinical practice for two years or more is seeking reinstatement of a medical
			 license by the Commission pursuant to
Code of Ala.
			 1975
, §
									34-24-337, the Board shall file a
			 notice to contest such reinstatement. In such cases, the Board shall recommend
			 that the Commission order the licensee to complete a reentry plan as a
			 condition of reinstatement.
(d) The
			 Board shall recommend implementation of a reentry plan to the Commission as a
			 condition of probation, as a restriction, or as a condition of reinstatement in
			 any case where a licensee has violated
Code of Ala.
			 1975
, §
									34-24-360(20).