HB 194 Alabama House · 2025 Regular Session

Medical Examiners Board and Nursing Board collaborative practice; joint committee, membership and procedures revised

HB 194 proposes to revise the membership of the Joint Committee of the State Board of Medical Examiners and the Board of Nursing for Advanced Practice Nurses. This committee is responsible for overseeing the practice of advanced practice nurses in Alabama. The bill specifically increases the number of certified registered nurse practitioners (CRNPs) on the committee from one to two. It also removes the requirement for a general registered nurse to serve as a member of this joint committee.
Bill status signed all 5 stages cleared
Introduction
Feb 2025
Committee Review
Mar 2025
House Passage
Mar 2025
Senate Passage
May 2025
Signed into Law
May 2025
Introduced Feb 5, 2025 Signed May 14, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Enrolled · 4 edits · May 14, 2025
MODERATE
The bill was finalized for signing (Enrolled) and includes substantive updates to the definitions of Advanced Practice Nurses. Most notably, it clarifies that Clinical Nurse Specialists (CNS) cannot prescribe drugs or perform delegated medical acts, distinguishing them from other advanced practice roles. It also adds a new definition for 'Coordination With' to describe the relationship between anesthesiologists and nurse anesthetists.
Scope change
The bill's scope was refined to explicitly limit the authority of Clinical Nurse Specialists compared to other advanced practice nurses.
DEFINITION

Updated the definition of 'Advanced Practice Nurse' to list four specific categories (CRNP, CNM, CRNA, and CNS) and clarify that CRNPs and CNMs must work under collaborative agreements with physicians, while CRNAs and CNSs do not.

Added a new definition for 'Coordination With' to define the working relationship between anesthesiologists and certified registered nurse anesthetists when the physician is not physically present.

Expanded the definition of 'Practice as a certified nurse midwife' to include a detailed list of specific health care areas they manage, such as pregnancy, childbirth, and gynecological needs.

REQUIREMENT

Added specific restrictions for Clinical Nurse Specialists (CNS), stating they may not prescribe drugs or perform delegated medical acts or collaborative practice.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
20
Key actions
7
Committee
4
Amendments
2
May 6, 2025
Upper · Passed
Motion to Read a Third Time and Pass - Adopted Roll Call 986
upper
Mar 19, 2025
Upper · Passed
Reported Out of Committee Second House
upper
Mar 5, 2025
Upper · Passed
Pending Committee Action in Second House (Healthcare)
upper
Mar 4, 2025
Lower · Passed
Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 327
lower
Mar 4, 2025
Lower · Passed
Motion to Adopt - Adopted Roll Call 326
lower
Mar 4, 2025
Introduced
Boards, Agencies and Commissions Engrossed Substitute Offered (Boards, Agencies and Commissions)
lower
Feb 26, 2025
Lower · Passed
Reported Out of Committee House of Origin (Boards, Agencies and Commissions)
lower
Feb 26, 2025
Introduced
Boards, Agencies and Commissions 1st Amendment (Boards, Agencies and Commissions)
lower
Feb 5, 2025
Lower · Passed
Pending Committee Action in House of Origin (Boards, Agencies and Commissions)
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Paul Lee
Paul Lee
RRepublican
AL
86