reglab/statecodes huggingface dataset:
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-6 - CONDUCT OF HEARINGS IN CONTESTED CASES › Section 540-X-6-.02 - Categories Of Hearings

Current through Register Vol. 42, No. 9, June 28, 2024
(1) There
			 are hereby established two categories of hearings held before the Board in its
			 capacity as a certifying board under the Alabama Uniform Controlled Substances
			 Act:
(a) Revocation Hearing. Any proceeding
			 or hearing for the revocation, suspension or restriction of a registrant's
			 controlled substance registration certificate based on the violation of one or
			 more of the offenses and conditions set forth in
Code of Ala.
			 1975
, §
									20-2-54(a), as
			 amended by Act No. 83-890 (3rd Ex. Sess., 1983). Included within this category
			 is any hearing or proceeding whereby a decision by the Board concerning a
			 previously restricted registration certificate may result in the further
			 restriction, suspension or revocation of the registrant's
			 certificate.
(b) Reinstatement
			 Hearing. Any hearing or proceeding conducted by the Board to consider:
1. The reinstatement of a previously revoked
			 registration.
2. The termination,
			 modification or amendment or any restriction or suspension previously imposed
			 by the Board on a registrant's certificate.
3. The review or reconsideration of any
			 action taken by the Board with respect to a registration.
4. The consideration of any annual renewal
			 application for an unrestricted registration certificate by an applicant whose
			 registration certificate had been previously restricted.
(c) Applications for reinstatement of a
			 controlled substance registration certificate or for removal, termination or
			 modification of restrictions to a controlled substance registration certificate
			 filed with the board less than 24 months following the effective date of the
			 revocation, suspension, restriction or surrender of a controlled substance
			 registration certificate may, within the discretion of the board, be dismissed
			 by the board without a hearing as prematurely filed. Applications filed more
			 than 24 months following the effective date of the revocation, suspension,
			 restriction or surrender shall either be granted by the board or set for a
			 hearing before the board which shall be conducted as a contested case under the
			 Alabama Administrative Procedure Act.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-6 - CONDUCT OF HEARINGS IN CONTESTED CASES › Section 540-X-6-.03 - Hearing Officer

Current through Register Vol. 42, No. 9, June 28, 2024
(1) A hearing
			 officer is an individual appointed by the Board to act in such capacities and
			 with such authority as is specified herein. A hearing officer may be an
			 attorney licensed to practice law in the State of Alabama, or may be any person
			 with the experience and qualifications necessary to carry out the duties of the
			 hearing officer. The hearing officer shall be compensated at a rate to be
			 prescribed by the Board for services actually performed pursuant to a
			 contractual agreement entered into between the Board and the hearing officer.
			 Subject to the restrictions concerning participation in prosecution and
			 conflict of interest, a hearing officer may be an employee of the
			 Board.
(2) The general duties of
			 the hearing officer shall be to guide and direct the course of contested cases
			 before the Board, to advise the Board on matters of law and evidence pertaining
			 to those contested cases and to assist the Board in the preparation of orders
			 and decrees resulting from hearings on contested cases. Specifically, the
			 hearing officer shall be empowered to:
(a)
			 Rule upon any motions contesting or challenging the legal sufficiency of a
			 complaint, order to show cause, or other document which is the basis of a
			 contested case, subject to the limitation set forth in paragraph (e)
			 below.
(b) Rule on all prehearing
			 motions by all parties to a contested case except that the hearing officer may
			 not grant a continuance or postponement of a hearing in a contested case
			 without the consent of the chairman of the Board.
(c) Order the attendance of parties and/or
			 attorneys at hearings and conferences on matters related to the contested
			 case.
(d) Establish on behalf of
			 the Board submission dates, deadlines and time tables which shall be binding on
			 the parties in all matters related to the orderly conduct of the contested
			 case.
(e) Enter orders on behalf of
			 the Board when the Board is not in session on legal matters related to a
			 pending contested case, except that the hearing officer is not authorized to
			 dismiss a complaint. The hearing officer may order the complainant to file a
			 more definite statement or to amend his complaint to provide additional
			 information. Dismissal of a complaint will only be upon the order of the
			 Board.
(f) Administer oaths and to
			 certify the authenticity of documents when required in the discharge of his
			 duties as hearing officer in a contested case.
(g) Direct that evidence relevant to the
			 general character and reputation of the registrant be submitted in writing by
			 affidavit or to place reasonable limitations upon the number of witnesses
			 permitted to testify as to the character and reputation of the
			 registrant.
(h) Render advice to
			 the chairman of the Board on the conduct of all aspects of hearings on
			 contested cases.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.02 - Categories Of Assistants To Physicians

Current through Register Vol. 42, No. 9, June 28, 2024
The two categories of assistants to physicians which are
				recognized for licensure and registration by the Board are the
				following:
(1) Physician assistant
			 (P.A.) (Rules
			 540-X-7-.03 through
			 540-X-7-.33 apply);
(2) Anesthesiologist Assistant (A. A.) (Code
			 of Ala. 1975, Rules
			 540-X-7-.34 through
			 540-X-7-.62).
Author:
Patricia E. Shiner, Attorney for the Board
				of Medical Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290, et. seq.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.03 - Requirements To Practice As A Physician Assistant (P.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) To practice or offer to practice as a
			 physician assistant, each person shall be licensed by and registered by the
			 Board in accordance with Chapter 7 of these rules.
(2) Effective January 1, 2024, physician
			 assistants shall obtain continuing education prescribed by the Board of Medical
			 Examiners regarding the rules and statutes governing supervised practice in
			 Alabama, not more than forty-eight (48) months prior to or within twelve (12)
			 months of registration to a physician.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290,
et
.
seq
.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.04 - Requirements For The Issuance Of A License To Practice As A Physician Assistant (P.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) To qualify
			 for a license to practice as a physician assistant an individual must meet the
			 following requirements:
(a) Provide evidence,
			 satisfactory to the Board, of successful completion of a training program
			 accredited by the Committee on Allied Health Education and Accreditation
			 (CAHEA), the Accreditation Review Commission on Education for the Physician
			 Assistant (ARC-PA), or their successor agencies;
(b) Provide evidence, satisfactory to the
			 Board, of successful completion of the Physician Assistant National
			 Certification Examination (PANCE) as administered by the National Commission on
			 Certification of Physician Assistants (NCCPA);
(c) Submit an application on forms approved
			 by the Board; and
(d) Pay the
			 required license application fee as determined by the Board.
(e) Beginning October 1, 2008, submit to a
			 criminal history background check which includes the following:
1. Provide fingerprints and execute a
			 criminal history information release using forms provided by the Board;
			 and
2. Pay a criminal history
			 background check fee in an amount established in Rule
			 540-X-3-.09(2).
Fingerprints provided by an applicant shall be submitted to the
				Alabama State Bureau of Investigation (SBI), which is responsible for
				forwarding the fingerprints to the Federal Bureau of Investigation (FBI) for a
				national criminal history record check. Information received by the Board
				pursuant to a criminal history background check shall be confidential and shall
				not be a public record, except that such information received and relied upon
				in denying the issuance of a license to practice as a physician assistant in
				this state may be disclosed as may be necessary to support the denial.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.05 - Issuance Of License To Practice As A Physician Assistant (P.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The Board shall
			 issue a license to practice as a physician assistant when all requirements for
			 licensure have been met.
(2) Every
			 license issued shall be dated, shall be numbered in the order of issuance, and
			 shall be signed by the chair of the Board or the chair's designee.
(3) The size and design of the license shall
			 be determined by the Board.
Author:
Patricia E. Shaner, Attorney for the Board
				of Medical Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290, et. seq.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.06 - License Fee - Physician Assistant (P.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) All applicants for a license to practice
			 as a physician assistant shall submit to the Board an application fee in the
			 amount of $200.00.
(2) The initial
			 license fee in paragraph (1) shall be waived for any person who was certified
			 as a physician assistant or surgeon assistant on the effective date of these
			 rules.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290,
et
.
seq
.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.07 - License Renewal-Physician Assistant (P.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) A license to practice as a physician
			 assistant shall be renewed annually on or before January 1st of each year.
			 Application for annual renewal shall be received by the Board on or before
			 December 31st and shall be accompanied by a renewal fee in the amount of
			 $100.00.
(2) The Board shall not
			 renew the license to practice of any physician assistant against whom an
			 administrative fine has been assessed by the Board until such fine is paid in
			 full. In the event that the fine is subsequently reduced or set aside on
			 judicial review as provided in the Alabama Administrative Procedure Act, the
			 physician assistant shall be entitled to a prompt refund of the amount of the
			 fine, but shall not be entitled to interest thereon.
(3) If a physician assistant fails to renew
			 his license before January 1, he may subsequently renew his license as follows:
(a) Between January 1 and January 31, submit
			 a completed renewal application, pay the renewal fee of $100, and certify
			 completion of the continuing medical education hours required by this
			 Chapter.
(b) February 1 and
			 thereafter, submit a completed renewal application, pay the renewal fee of
			 $100, and submit proof of completion of the continuing medical education hours
			 required by this Chapter.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.08 - Grandfather Clause - Physician Assistant (P.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Any person who was certified by the board
			 as a physician assistant or surgeon assistant to a licensed physician on
			 December 21, 1994, shall be eligible for the issuance of a license and a
			 registration to practice as a physician assistant.
(2) To qualify for a license under this
			 section, an applicant must submit an application for licensure and the required
			 fee on or before May 7, 1999. After May 7, 1999, an applicant must meet all of
			 the requirements of Rule
			 540-X-7-.04 concerning
			 licensure.
(3) A person who holds a
			 degree of doctor of medicine but who is not licensed to practice medicine in
			 the State of Alabama shall not be eligible for a license and a registration as
			 a physician assistant except as provided in paragraph (1) of this
			 Rule.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290,
et
.
seq
.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.09 - Temporary License - Physician Assistant (P.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The Board may, in its discretion, grant a
			 temporary license to an applicant who meets the qualifications for licensure as
			 a physician assistant, except that the applicant has not taken the Physician
			 Assistant National Certification Examination (PANCE) for the first time or the
			 applicant has taken the PANCE for the first time and is awaiting the
			 results.
(2) A temporary license is
			 valid:
(a) For one year from the date issued,
			 or
(b) Until the results of an
			 applicant's examination are available, or
(c) Until the Board makes a final decision on
			 the applicant's request for licensure as a physician assistant, whichever comes
			 first.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.10 - Grounds For Denial Of License - Physician Assistant (P. A.)

Current through Register Vol. 42, No. 9, June 28, 2024
The commission by a physician assistant of any act, offense or
				condition set forth in Rule
				540-X-7-.12 shall be grounds,
				within the discretion of the board, to deny an application for a license to
				practice as a physician assistant.
Author:
Patricia E. Shiner, Attorney for the Board
				of Medical Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290, et. seq.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.11 - Denial Of Application For License To Practice As A Physician Assistant (P.A.) - Hearing

Current through Register Vol. 42, No. 9, June 28, 2024
(1) If, after
			 examination of the application for a license to practice as a physician
			 assistant and after consideration of any information developed by the Board
			 pursuant to an investigation into the qualifications of the physician assistant
			 for licensure, the Board determines that there is probable cause to believe
			 there exist grounds upon which the application for licensure may be denied, the
			 Board shall take the following actions:
(a)
			 Defer final decision on the application for licensure; and
(b) Notify the physician assistant of the
			 grounds for possible denial of the application for licensure and the procedure
			 for obtaining a hearing before the Board.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.12 - Discipline Of License - Physician Assistant (P.A.) - Grounds

Current through Register Vol. 42, No. 9, June 28, 2024
After notice and hearing, the Board, within its discretion,
				shall suspend revoke, place on probation or otherwise discipline the license of
				a physician assistant who is found guilty on the basis of substantial evidence
				of any of the following acts or offenses:
(1) Conviction of a felony;
(2) Conviction of any crime or other offense,
			 felony or misdemeanor, reflecting on the ability of the individual to render
			 patient care in a safe manner;
(3)
			 Conviction of any violation of state or federal laws relating to controlled
			 substances;
(4) Termination,
			 restriction, suspension, revocation, or curtailment of licensure, registration
			 or certification by another state or other licensing jurisdiction on grounds
			 similar to those stated in these rules;
(5) The denial of a registration, a
			 certification, or a license to practice by another state or other licensing
			 jurisdiction;
(6) Being unable to
			 render patient care with reasonable safety by reason of addiction to alcohol or
			 drugs or by reason of a mental or physical condition or disability;
(7) Revocation, termination, suspension or
			 restriction of hospital privileges;
(8) Knowingly submitting or causing to be
			 submitted any false, fraudulent, deceptive or misleading information to the
			 Board of Medical Examiners in connection with an application for licensure or
			 registration;
(9) That the
			 physician assistant has represented himself or herself or permitted another to
			 represent him or her as a physician;
(10) That the physician assistant has
			 performed otherwise than at the direction and under the supervision of a
			 physician approved by the Board;
(11) That the physician assistant has been
			 delegated and/or has performed or attempted to perform tasks and functions
			 beyond his or her competence;
(12)
			 That the physician assistant has performed or attempted to perform tasks beyond
			 those authorized in the approved job description;
(13) Practicing or permitting another to
			 practice as a physician assistant without the required license and registration
			 from the Board of Medical Examiners;
(14) Prescribing in violation of statutory
			 authority and/or Board rules and/or Board guidelines;
(15) Intentional falsification of a
			 certification of compliance with the continuing medical education requirement
			 for physician assistants established in these rules; and
(16) Unprofessional conduct for failing to
			 maintain or provide to the Board records documenting compliance with the
			 minimum continuing medical education requirement.
Author:
Patricia E. Shiner, Attorney for the Board
				of Medical Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290, et. seq.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.13 - Administrative Fines - Physician Assistant (P.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
In addition to any other penalty authorized by Ala. Code §
								34-24-302, the Board may in its
				discretion assess administrative fines not to exceed ten thousand dollars
				($10,000.00) for each violation of the provisions of §
								34-24-302, Board Rule
				540-X-7-.12 or any of the Board
				rules concerning physician assistants.
Author:
Patricia E. Shiner, Attorney for the Board
				of Medical Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290, et. seq.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.14 - Discipline Of License - Physician Assistant (P.A.) - Hearings

Current through Register Vol. 42, No. 9, June 28, 2024
Before revoking, suspending, placing on probation, assessing
				administrative fines against, or otherwise disciplining the license of a
				physician assistant on any of the grounds specified in Rule
				540-X-7-.12, the Board shall
				conduct a hearing pursuant to the provisions of the Alabama Administrative
				Procedure Act, §§
								41-22-1
et
seq
.
Code of
				Ala. 1975
, and Chapter 6 of the Rules of the Board.
Author:
Patricia E. Shiner, Attorney for the Board
				of Medical Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290, et. seq.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.15 - Registration - Physician Assistant (P.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Registration of a physician assistant by
			 the Board to perform medical services under the supervision of a physician
			 approved by the Board to supervise the assistant shall be accomplished in the
			 following manner:
(a) A completed application
			 for registration in the form specified in Appendix A to Chapter 7 shall be
			 submitted to the Board and shall include a list of each practice site,
			 including the address and phone number where the registration and core duties
			 shall be utilized, and shall list the name and designated working hours of the
			 physician assistant at each practice site;
(b) A non-refundable, non-transferable
			 registration fee in the amount of $100.00 shall accompany the application;
			 and
(c) A detailed job description
			 signed by the physician and physician assistant shall accompany the
			 application. The job description shall set forth those functions and procedures
			 for which the physician assistant qualified by formal education, clinical
			 training, area of certification, and experience, and which sets forth the
			 anticipated functions and activities of the physician assistant. The job
			 description shall include the formulary for prescribing non-controlled drugs
			 that are authorized by the supervising physician to be prescribed by the
			 physician assistant and shall include the authorized dosages, quantities, and
			 number of refills for each drug type to be prescribed.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.16 - Qualifications For Registration - Physician Assistant (P.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
To qualify for registration as a physician assistant an
				individual must meet the following requirements:
(1) Be employed by:
(2) A physician qualified under these rules
			 or by a partnership, medical professional corporation, medical professional
			 association or physician practice foundation that also employs a supervising
			 physician qualified under these rules; or
(a)
			 An entity approved by the Board under Rule
			 540-X-7-.22;
(b) Be of good moral character;
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.17 - Qualifications Of The Supervising Physician - Physician Assistants (P.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
The physician to whom a physician assistant is registered
				shall:
(1) Possess a current,
			 unrestricted license to practice medicine in the State of Alabama;
(2) On the date of the application:
(a) Have satisfied one of the following
			 experience requirements:
1. Practiced medicine
			 for at least three years; or
2.
			 Practiced medicine for at least one year and certified by one or more of the
			 specialty boards recognized by the American Board of Medical Specialties or the
			 American Osteopathic Association; or
3. Practiced medicine for at least one year
			 and the registration's practice site is limited solely to a general acute care
			 hospital, a critical access hospital, or a specialized hospital licensed as
			 such by the Alabama Department of Public Health.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.18 - Grounds For Denial Of Registration - Physician Assistant (P.A.) And Supervising Physician

Current through Register Vol. 42, No. 9, June 28, 2024
Grounds, within the discretion of the Board, to deny an
				application for registration as a physician assistant shall be the
				following:
(1) The commission by a
			 physician assistant of any act, offense or condition stated in Rule
			 540-X-7-.12
(2) The physician to whom the physician
			 assistant is registered has permitted or required the physician assistant to
			 perform or to attempt to perform tasks which are beyond the assistant's
			 competence or which are not authorized in the job description approved by the
			 Board.
(3) The supervising
			 physician's license to practice medicine has been revoked, suspended,
			 restricted or disciplined in any manner.
(4) Refusal by the physician assistant or
			 supervising physician to appear before the Board after having been formally
			 requested to do so in writing by the Executive Director of the Board.
(5) Failure by the physician assistant or
			 physician to notify the Board in writing of termination of previous employment
			 as required by Rule
			 540-X-7-.20.
(6) The signing by a physician assistant of
			 any form which is to be authenticated by the supervising physician's signature
			 if the supervising physician has not authorized signing by the assistant or if
			 signing by the assistant is prohibited by Federal or state statutes or
			 regulations or if signing by the assistant is prohibited by the agency
			 governing the form.
(7) Prescribing
			 by a physician or physician assistant in violation of
Code of Ala.
			 1975
, §
								20-2-60, et. seq., or the rules of
			 the Alabama Board of Medical Examiners.
(8) Failure of a physician to maintain
			 current or unrestricted licensure with the Medical Licensure Commission of
			 Alabama.
(9) Failure of a
			 supervising physician to comply with any statute or rule governing supervised
			 practice.
(10) The commission or
			 any act by a physician which would constitute a violation of
Code
			 of Ala. 1975
, §
								34-24-360 or any rule of the
			 Alabama Board of Medical Examiners or Medical Licensure Commission of
			 Alabama.
(11) Failure of a
			 supervising physician to maintain or produce for inspection upon request by the
			 Alabama Board of Medical Examiners any documentation required to be maintained
			 by the supervising physician.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290,
et
.
seq
.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.19 - Denial Of Registration - Physician Assistant (P.A.) - Hearing

Current through Register Vol. 42, No. 9, June 28, 2024
(1) If after
			 examination of the application for registration and after consideration of any
			 information developed by the Board pursuant to an investigation into the
			 qualifications of the physician or of the physician assistant for registration,
			 the Board determines that there is probable cause to believe there exist
			 grounds upon which the application for registration may be denied, the Board
			 shall take the following actions:
(a) Defer
			 final decision on the application for registration; and
(b) Notify the physician and the physician
			 assistant of the grounds for possible denial of the application for
			 registration and the procedure for obtaining a hearing before the
			 Board.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.20 - Termination Of Registration - Voluntary - Physician Assistants (P.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
When for any reason a physician assistant shall discontinue his
				or her employment with the employer designated in the application for
				registration, then registration of such physician assistant to the supervising
				physician designated in the application is automatically terminated. The
				physician assistant or the physician shall inform the Board in writing of the
				effective date of the termination of employment and the reasons for such
				termination. Failure to notify the Board of termination may be considered by
				the Board as a violation of these rules and regulations for the purpose of
				approval of future applications for registration. Author: Alabama Board of
				Medical Examiners.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290,
et
.
seq
.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.21 - Interim Approval-Physician Assistant (P.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) A physician assistant may obtain interim
			 approval of a supervised practice with an interim supervising physician after
			 confirmed receipt by the Board of Medical Examiners of a registration
			 application and may continue in interim practice until such time as the pending
			 application for registration is approved or denied, provided the interim
			 supervising physician meets the qualifications established in these rules. A
			 physician assistant who has been granted a temporary license may not obtain
			 interim approval.
(2) An applicant
			 for approval to practice as a physician assistant may obtain interim approval
			 when either the supervising physician or the physician assistant is under
			 investigation by a state or federal authority. The interim approval shall
			 remain in force until the application for registration has been approved,
			 denied, or withdrawn. However, the Board of Medical Examiners may decline to
			 approve the application until the investigation has been concluded. The Board
			 of Medical Examiners may withdraw interim approval in accordance with this
			 Chapter.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290,
et
.
seq
.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.22 - Physician Assistants (P.A.) Not Employed By Supervising Physician/Physician Not In Full-Time Practice

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 Under the circumstances where a physician assistant is seeking registration to
			 a physician not regularly engaged in the full-time practice of medicine and/or
			 in the circumstance where the physician and the physician assistant seeking
			 registration are each employees of a legal entity other than a professional
			 partnership, medical professional corporation, medical professional association
			 or physician practice foundation, the applicant shall have the burden of
			 satisfying the Board that there exists the supervisory relationship between the
			 physician and the physician assistant contemplated by these rules.
(2) Factors to be used by the Board in
			 determining the nature of the relationship shall include but are not limited to
			 the following:
(a) The physician's authority
			 to terminate the employment of the physician assistant;
(b) The physician's authority to determine or
			 recommend levels of compensation for the physician assistant;
(c) The physician's authority to enforce
			 compliance with orders and directives and to initiate suitable disciplinary
			 action for violation of such orders and directives;
(d) The extent to which the physician
			 assistant may be subject to the direction and control in matters relating to
			 patient care of a person other than the physician to whom the assistant is
			 registered;
(e) The extent to which
			 the physician assistant is subject to the supervisory authority of a
			 non-physician.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.24 - Covering Physicians For Physician Assistants (P.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) When the primary supervising physician is
			 not readily available to respond to patients' medical needs, the physician
			 assistant is not authorized to perform any act or render any treatments unless
			 another qualified physician in the same medical practice, practice group, or
			 multidisciplinary medical team, or of the same or similar specialty as the
			 supervising physician is immediately available to supervise the physician
			 assistant who has previously filed with the Board a letter stating that he or
			 she assumes all responsibility for the actions of the physician assistant
			 during the temporary absence of the primary supervising physician.
(2) The covering physician providing the
			 supervision shall also affirm in the letter that he or she is familiar with the
			 current rules regarding physician assistants and the job description filed by
			 the supervising physician and the physician assistant, that he or she is
			 accountable for adequately supervising the medical care rendered pursuant to
			 the job description, and that he or she approves the drug type, dosage,
			 quantity and number of refills of legend drugs which the physician assistant is
			 authorized to prescribe in the job description. The covering physician must
			 meet the same qualifications as the supervising physician as established Rule
			 540-X-7-.17.
(3) The supervising physician shall certify
			 to the Board of Medical Examiners at least annually that any approved covering
			 physician continues to agree to serve in that capacity and shall inform the
			 Board of Medical Examiners of the termination of a covering physician within
			 ten (10) days of the termination.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290,
et
.
seq
.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.25 - Functions And Activities Of A Physician Assistant (P.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) There shall be
			 at all times a direct continuing and close supervisory relationship between the
			 physician assistant and the physician to whom that assistant is registered. The
			 supervising physician shall at all times be responsible for the activities of
			 the physician assistant.
(2) The
			 physician assistant shall provide medical services within the education,
			 training, and experience of the physician assistant that are delegated by the
			 supervising physician. These services include, but are not limited to:
(a) Obtaining patient histories and
			 performing physical examinations ;
(b) Ordering and/or performing diagnostic and
			 therapeutic procedures;
(c)
			 Formulating a working diagnosis;
(d) Developing and implementing a treatment
			 plan;
(e) Monitoring the
			 effectiveness of therapeutic interventions;
(f) Assisting at surgery;
(g) Offering counseling and education to meet
			 patient needs; and
(h) Making
			 appropriate referrals.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.27 - Prohibited Activities And Functions - Physician Assistants (P.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Notwithstanding
			 any other provision of law, a physician assistant may perform medical service
			 when such services are rendered under the supervision of a licensed physician
			 or physicians approved by the Board; except, that no medical services may be
			 performed except under the supervision of an ophthalmologist in the office in
			 which such physician normally actually practices his profession and nowhere
			 else in any of the following areas:
(a) The
			 measurement of the powers or range of human vision or the determination of the
			 accommodation and refractive state of the human eye or the scope of its
			 functions in general or the fitting or adaptation of lenses or frames for the
			 aid thereof.
(b) The prescribing or
			 directing the use of or using any optical device in connection with ocular
			 exercises, visual training or orthoptics.
(c) The prescribing of contact lenses for or
			 the fitting or adaptation of contact lenses to the human eye. Nothing in this
			 section shall preclude the performance of routine visual screening.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.28 - Prescriptions And Medication Orders - Physician Assistants (P.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) A physician
			 assistant may prescribe a legend drug to a patient subject to both of the
			 following conditions being met:
(a) The drug
			 type, dosage, quantity prescribed, and number of refills are authorized in the
			 job description which is signed by the supervising physician to whom the
			 physician assistant is currently registered and which is approved by the Board;
			 and
(b) The drug is included in the
			 formulary approved by the Board for governing the prescription practices of
			 physician assistants.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.29 - Continuing Medical Education - Physician

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
(a)
			 Effective January 1, 2025, every two calendar years, each physician assistant
			 licensed by the Board must earn not less than fifty (50) hours of AMA PRA
			 Category 1 CreditsT or the equivalent as defined in this rule of continuing
			 medical education as a condition precedent to receiving his or her annual
			 renewal of license, unless he or she is exempt from the minimum continuing
			 medical education requirement.
(b)
			 For the purpose of compliance with the continuing medical education (CME) basic
			 requirement stated in paragraph (a) for only the 2010 calendar year, credits
			 earned in the 2009 calendar year which are not used to meet the 2009 calendar
			 year CME requirement may be carried forward and used to meet the 2010 calendar
			 year requirement. Carrying forward credits shall not be allowed
			 thereafter.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.30 - Physician Assistants' Advisory Committee

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The Physician Assistants' Advisory
			 Committee is established for the purpose of enabling a mechanism for the
			 exchange of information between the Alabama Board of Medical Examiners and the
			 physician assistants through their representative organization on issues
			 related to physician assistant practice.
(2) The Physician Assistants' Advisory
			 Committee shall consist of the following:
(a)
			 Four physicians licensed to practice medicine in the state of Alabama, two of
			 whom shall be current members of the Alabama Board of Medical Examiners. All
			 physician members shall be appointed by the Chairman of the Board;
			 and
(b) Four physician assistants
			 appointed by the Alabama Society of Physician Assistants.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.31 - Forms Requiring A Physician' s Signature - Physician Assistant (P.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
Unless prohibited by Federal or state statutes or regulations
				or by the agency governing a specific form, a physician assistant may sign any
				form which can be authenticated by the supervising physician's signature, if
				signing by the physician assistant is authorized by the supervising
				physician.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290, et.
seq
.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.32 - Grounds For Termination Of Registration -Involuntary - Physician Assistant (P.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
The commission by a physician assistant or physician of any
				act, offense or condition set forth in Rule
				540-X-7-.12 or Rule
				540-X-7-.18 shall be grounds,
				within the discretion of the Board, to terminate the registration of a
				physician assistant to perform medical services under the supervision of a
				physician.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290, et.
seq
.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.33 - Termination Of Registration - Involuntary - Physician Assistant (P.A.) - Hearings

Current through Register Vol. 42, No. 9, June 28, 2024
Before terminating the registration of a physician assistant on
				any of the grounds specified in Rule
				540-X-7-.32, the Board shall
				conduct a hearing under the provisions of the Alabama Administrative Procedure
				Act, §§
								34-22-1, et. Seq.,
Code of Ala. 1975
, and Chapter 6 of the Rules of the
				Board.
Author:
Patricia E. Shiner, Attorney for the Board
				of Medical Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290, et. seq.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.34 - Requirements To Practice As An Anesthesiologist Assistant (A.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
To practice or offer to practice as an anesthesiologist
				assistant, each person shall be licensed by and registered by the Board in
				accordance with Chapter 7 of these rules.
Author:
Patricia E. Shiner, Attorney for the Board
				of Medical Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290, et. seq.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.35 - Requirements For The Issuance Of A License To Practice As An Anesthesiologist Assistant (A.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
To qualify for a license to practice as an anesthesiologist
				assistant an individual shall meet the following requirements:
(1) Provide evidence, satisfactory to the
			 Board, of successful completion of a training program accredited by the
			 Committee on Allied Health Education and Accreditation (CAHEA), or the
			 Commission on Accreditation of Allied Health Education Programs (CAAHEP), or
			 their successor agencies;
(2)
			 Provide evidence, satisfactory to the Board, of successful completion of the
			 Certifying Examination for Anesthesiologist Assistants (CEAA) as administered
			 by the National Commission for Certification of Anesthesiologist Assistants
			 (NCCAA);
(3) Submit an application
			 on forms approved by the Board; and
(4) Pay the required license application fee
			 as determined by the Board.
Author:
Patricia E. Shiner, Attorney for the Board
				of Medical Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290, et. seq.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.36 - Issuance Of License To Practice As An Anesthesiologist Assistant (A.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The Board shall
			 issue a license to practice as an anesthesiologist assistant when all
			 requirements for licensure have been met.
(2) Every license issued shall be dated,
			 shall be numbered in the order of issuance, and shall be signed by the chair of
			 the Board or the chair's designee.
(3) The size and design of the license shall
			 be determined by the Board.
Author:
Patricia E. Shiner, Attorney for the Board
				of Medical Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290, et. seq.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.37 - Requirements To Practice As An Anesthesiologist Assistant (A.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) To practice or
			 offer to practice as an anesthesiologist assistant, each person shall be
			 licensed by and registered by the Board in accordance with Chapter 7 of these
			 rules.
(2) Effective January 1,
			 2024, anesthesiologist assistants shall obtain continuing education prescribed
			 by the Board of Medical Examiners regarding the rules and statutes governing
			 supervised practice in Alabama not more than forty-eight (48) months prior to
			 or within twelve (12) months of registration to a physician.
Previous Rule
				  540-X-7-.34 was renumbered to .37
				  as per certification filed September 11, 2008; effective October 16,
				  2008.
Author:
Patricia E. Shiner, Attorney for the
				  Board of Medical Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290,
et
.
seq
.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.38 - Requirements For The Issuance Of A License To Practice As An Anesthesiologist Assistant (A.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
To qualify for a license to practice as an anesthesiologist
				assistant an individual shall meet the following requirements:
(1) Provide evidence, satisfactory to the
			 Board, of successful completion of a training program accredited by the
			 Committee on Allied Health Education and Accreditation (CAHEA), the Commission
			 on Accreditation of Allied Health Education Programs (CAAHEP), or the
			 Accrediation Review Committee for the Anesthesiologist Assistants (ARC-AA), or
			 their successor agencies;
(2)
			 Provide evidence, satisfactory to the Board, of successful completion of the
			 National Certifying Examination for Anesthesiologist Assistants (NCEAA) as
			 administered by the National Commission for Certification of Anesthesiologist
			 Assistants (NCCAA);
(3) Submit an
			 application on forms approved by the Board;
(4) Pay the required license application fee
			 as determined by the Board.
(5)
			 Beginning October 1, 2008, submit to a criminal history background check which
			 includes the following:
(a) Provide
			 fingerprints and execute a criminal history information release using forms
			 provided by the Board; and
(b) Pay
			 a criminal history background check fee in an amount established in Rule
			 540-X-3-.09(2).
Fingerprints provided by an applicant shall be submitted to the
				Alabama State Bureau of Investigation (ASBI), which is responsible for
				forwarding the fingerprints to the Federal Bureau of Investigation (FBI) for a
				national criminal history record check. Information received by the Board
				pursuant to a criminal history background check shall be confidential and shall
				not be a public record, except that such information received and relied upon
				in denying the issuance of a license to practice as an anesthesiologist
				assistant in this state may be disclosed as may be necessary to support the
				denial.