HB429 Alabama 2018 Session

Summary

Primary Sponsor

April WeaverSenator

Republican

Session

Regular Session 2018

Title

Nurse practitioners and nurse midwives authorized to sign certain forms which may be signed by a physician, procedure to add other forms

Summary

HB 429 lets certified registered nurse practitioners and certified nurse midwives sign certain medical forms that normally require a physician, under collaboration and within their scope of practice.

What This Bill Does

It authorizes CRNPs and CNMs to sign health care forms and documents when a physician’s signature would otherwise be required. The authority covers a wide range of forms, including disability parking certifications, various employment and school physicals, jury illness exemptions, absenteeism and FMLA-related forms, durable medical equipment, diabetic supplies, home health orders, Medicaid referrals and orders, death certificates, mental health housing certifications, ambulance forms, donor breast milk, and diabetes-related driver license documentation. Additional forms can be added later by rule after consulting professional groups. The change does not expand the overall scope of practice or physician responsibilities, and it becomes effective immediately after governor approval.

Who It Affects

• Certified registered nurse practitioners and certified nurse midwives: gain signature authority for the listed forms, subject to an active collaboration agreement.
• People who need the listed forms (e.g., bus drivers, students, TSA/government employees, adoptive parents, potential jurors, employees using FMLA, Medicaid recipients, patients needing death certificates or caregiver-related documents): may have these forms signed by CRNPs or CNMs instead of physicians.

Key Provisions

• Authorizes CRNPs and CNMs to sign health care forms and documents within their scope of practice when a physician signature is required, contingent on an active collaboration agreement.
• Lists specific forms and contexts covered, including disability parking, physicals for various populations (bus drivers, students, workers), jury illness exemptions, absenteeism/FMLA documents, durable medical equipment, diabetic supplies/shoes, home health recertifications, Medicaid order/referral forms, death certificates, mental health housing certifications, ambulance transport forms, donor breast milk, and diabetes-related driver license documentation.
• Allows additional forms to be added by rule after consultation with appropriate medical and nursing professional societies and boards.
• States the act does not broaden the overall scope of practice or the physician's responsibilities and becomes effective immediately upon governor approval.

AI-generated summary using openai/gpt-5-nano on Feb 24, 2026. May contain errors — refer to the official bill text for accuracy.

Subjects

Health