House Bill 276 Alabama 2026 Session

Summary

Primary Sponsor

Ed OliverRepresentative

Republican

Session

2026 Regular Session

Title

K-12 school athletics physicals; endorsements by certified registered nurse practitioners, nurse midwives, and assistants to physicians deemed endorsement by physician, athletic associations, clubs, or leagues prohibited from refusing to accept

Summary

HB276 would let nurse practitioners, nurse midwives, and physician assistants endorse K-12 athletic physicals as if a physician did, and require athletic groups to accept those forms.

What This Bill Does

If passed, endorsements by CRNPs or CNMs on K-12 athletic physicals would count as physician endorsements. Athletic associations, clubs, and leagues would not be allowed to refuse forms endorsed under this act. By July 1, 2026, the Board of Nursing would add these physicals to CRNP/CNM practice protocols, and licensed assistants to physicians could sign K-12 athletic physicals under supervision, with forms updated accordingly. The act takes effect June 1, 2026 and clarifies it does not expand practice scope beyond current collaboration rules.

Who It Affects

• K-12 student-athletes and their families, who would use endorsements from CRNPs/CNMs or physician assistants for athletic physicals required to participate in school sports.
• Public K-12 schools, athletic associations/clubs/leagues, and the healthcare professionals who issue endorsements (CRNPs, CNMs, and assistants to physicians), who would need to process and accept these forms and follow updated protocols.

Key Provisions

• Amends 34-21-93.1 to treat CRNP and CNM endorsements on K-12 athletic physicals as physician endorsements, with collaboration agreements governing practice.
• Prohibits athletic associations, clubs, or leagues from refusing to accept K-12 athletic physical forms endorsed by CRNPs, CNMs, or assistants to physicians under this act.
• Adds K-12 athletic physicals to the list of forms the Board of Nursing must incorporate into model practice protocols for CRNPs/CNMs by July 1, 2026.
• Authorizes licensed assistants to physicians to sign K-12 athletic physicals without a physician signature under a supervised job description, with forms updated by July 1, 2026, and ensures supervision by a physician.
• Amends 34-24-292 to allow such assistants; requires form updates; effective date June 1, 2026.

AI-generated summary using openai/gpt-5-nano on Feb 11, 2026. May contain errors — refer to the official bill text for accuracy.

Subjects

Health