HB 429

Sponsor
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
Description

This bill would authorize a certified registered nurse practitioner and a certified nurse midwife to have signature authority for medical forms within the scope of practice of the health care professional

To authorize certified registered nurse practitioners and certified nurse midwives to have signature authority to sign health care forms and documents within the scope of practice of the health care professional.

Subjects
Health
View Original PDF: HB 429 - Introduced - PDF

This bill would authorize a certified registered nurse practitioner and a certified nurse midwife to have signature authority for medical forms within the scope of practice of the health care professional

To authorize certified registered nurse practitioners and certified nurse midwives to have signature authority to sign health care forms and documents within the scope of practice of the health care professional.

Section 1

(a) When a provision of any law or rule requires a signature, certification, stamp, verification, affidavit, or endorsement by a physician the document shall be deemed to authorize a signature, certification, stamp, verification, affidavit, or endorsement by a certified registered nurse practitioner or certified nurse midwife for the items listed in this section. The authority in this section for a certified registered nurse practitioner and a certified nurse midwife shall be subject to an active collaboration agreement. This section applies to all of the following: (1) Certification of disability for patients to receive disabled parking tags or placards. (2) A signature required for any of the following: a. The following documents that require a complete history and physical examination consistent with the examining provider's scope of practice and certification: 1. Physicals for bus drivers in this state using State of Alabama forms. 2. Physicals to verify eligibility for students to participate in the Special Olympics. 3. Employment and pre-employment physicals for Transportation Security Agency (TSA) employees at an airport or for governmental employees such as firefighters and law enforcement officers. 4. Adoptive parent applications. 5. College or trade school physicals. 6. Boy Scout or Girl Scout physicals or physical required by similar organizations. b. Forms excusing a potential jury member due to an illness. c. Forms relating to absenteeism for employment or school purposes, including, but not limited to, documents associated with the federal Family and Medical Leave Act. d. Authorizations for durable medical equipment. e. Authorizations for diabetic testing supplies. f. Authorization for diabetic shoes. g. Home health recertification orders after initial certification. h. Within the state Medicaid system, any and all forms for the ordering of medications, nutritional supplements, or infant formulas, or referrals to providers of medical specialties, home health services, and physical or occupation therapy. i. Death certificates. j. Forms, including physical examination forms, needed for certifications in residential or inpatient dwellings within the Department of Mental Health. k. Forms for ambulance transport. l. Forms for donor breast milk. m. Required documentation allowing a diabetic to renew or obtain a driver's license. (b) Additional forms may be approved by rule under the Alabama Administrative Procedure Act by the State Board of Medical Examiners, after consulting with the state professional society of nurse practitioners, or the state professional society of nurse midwives, or the state professional society of physicians, or the Joint Committee of the State Board of Medical Examiners and the Board of Nursing for Advanced Practice Nurses as established by Section 34-21-81, Code of Alabama 1975, whichever is appropriate. (c) This section shall not be construed to expand the scope of practice for any certified registered nurse practitioner or certified nurse midwife. (d) This section does not expand the scope of a collaborative physician's responsibility with regard to nurse practitioners or nurse midwives under the laws of this state.

Section 2

All laws or parts of laws which conflict with this act are repealed.

Section 3

This act shall become effective immediately following its passage and approval by the Governor, or its otherwise becoming law.

No articles found.
Action Date Chamber Action
March 22, 2018HForwarded to Governor on March 22, 2018 at 2:22 p.m. on March 22, 2018.
March 22, 2018HAssigned Act No. 2018-474.
March 22, 2018HClerk of the House Certification
March 22, 2018HEnrolled
March 22, 2018SSignature Requested
March 22, 2018HPassed Second House
March 22, 2018SMotion to Read a Third Time and Pass adopted Roll Call 1054
March 22, 2018SThird Reading Passed
March 15, 2018SActed on by Health and Human Services as Favorable
March 6, 2018SRead for the first time and referred to the Senate committee on Health and Human Services
March 1, 2018HMotion to Read a Third Time and Pass adopted Roll Call 548
March 1, 2018HThird Reading Passed
February 22, 2018HRead for the second time and placed on the calendar
February 15, 2018HRead for the first time and referred to the House of Representatives committee on Health
2018-03-22
Chamber: Senate
Result: Passed
2018-03-01
Chamber: House
Result: Passed