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HB194 Alabama 2025 Session

Updated Feb 22, 2026
Notable

Summary

Session
2025 Regular Session
Title
Medical Examiners Board and Nursing Board collaborative practice; joint committee, membership and procedures revised
Summary

HB194 changes the Joint Committee that oversees collaborative practice between doctors and advanced practice nurses by adding more CRNP and CNM representation, increasing member per diems, and outlining how board rejections of committee recommendations would work.

What This Bill Does

It changes the Joint Committee’s membership to include two certified registered nurse practitioners and one certified nurse midwife who are in active collaborative practice. It increases the per diem for committee members to $100 per day plus eligible travel/subsistence expenses. It establishes procedures for how either the State Board of Medical Examiners or the State Board of Nursing can reject a recommendation from the Joint Committee. The act becomes effective October 1, 2025.

Who It Affects
  • Certified registered nurse practitioners and certified nurse midwives in Alabama who are in active collaborative practice; they gain additional representation on the Joint Committee.
  • Members of the State Board of Medical Examiners and the Board of Nursing (physician and nurse members) who receive a higher per diem and are subject to new procedures governing rejection of Joint Committee recommendations.
Key Provisions
  • Revises the Joint Committee membership to include two CRNPs and one CNM in active collaborative practice.
  • Increases per diem for Joint Committee members to $100 per day, plus allowable subsistence and travel reimbursement.
  • Defines procedures for how either the Board of Medical Examiners or the Board of Nursing may reject a Joint Committee recommendation.
  • Effective date: October 1, 2025.
AI-generated summary using openai/gpt-5-nano on Feb 22, 2026. May contain errors — refer to the official bill text for accuracy.
Subjects
Occupational Licensing Boards

Bill Actions

H

Enacted

H

Enacted

H

Delivered to Governor

S

Signature Requested

H

Enrolled

H

Ready to Enroll

S

Motion to Read a Third Time and Pass - Adopted Roll Call 986

S

Read for the Second Time and placed on the Calendar

S

Reported Out of Committee Second House

S

Pending Senate Healthcare

S

Read for the first time and referred to the Senate Committee on Healthcare

H

Engrossed

H

Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 327

H

Motion to Adopt - Adopted Roll Call 326 U9973DG-1

H

Boards, Agencies and Commissions Engrossed Substitute Offered U9973DG-1

H

Third Reading in House of Origin

H

Read for the Second Time and placed on the Calendar

H

Reported Out of Committee House of Origin from House Boards, Agencies and Commissions U9973DG-1

H

Boards, Agencies and Commissions 1st Amendment PSBVIRG-1

H

Pending House Boards, Agencies and Commissions

H

Read for the first time and referred to the House Committee on Boards, Agencies and Commissions

Calendar

Hearing

Senate Healthcare Hearing

Room 304 at 12:00:00

Hearing

House Boards, Agencies and Commissions Hearing

Room 123 at 10:30:00

Hearing

House Boards, Agencies and Commissions Hearing

Room 123 UPDATED AGENDA at 11:30:00

Bill Text

Votes

Motion to Read a Third Time and Pass as Amended - Roll Call 327

March 4, 2025 House Passed
Yes 97
Absent 7

Documents

Source: Alabama Legislature