On Apr. 12, 2022, Governor Kay Ivey signed Act No. 2022-302 relating to the practice of medicine and osteopathy across state lines and repealing Ala. Code §§ 34-24-500 through 508 relating to the license to practice medicine and osteopathy across state lines ("Special Purpose" license).
Telemedicine is the provision of medical services by a physician to a patient via asynchronous or synchronous communications or other devices that adequately facilitate and support the appropriate delivery of care. The term does not include incidental communications between a patient and a physician.
- A physician must hold an active Alabama medical license to provide medical services to Alabama patients via telemedicine.
- Irrespective of the mode by which services are provided, physicians are expected to adhere to standards of care regarding the establishment of a physician-patient relationship, the prescribing of controlled substances, general prescribing guidelines, and prescribing without having had a physical exam.
- Other state and federal regulations (such as HIPAA, DEA regulations, third-party payors) touching on telehealth should be discussed with your attorney before undertaking a telemedicine practice.
- Physicians: Alabama full traditional license, a license via the Interstate Medical Licensure Compact, or a special purpose license to practice medicine across state lines.
- Physician Assistants: Alabama license to practice as a physician assistant and approved registration to a supervising physician. Be aware that there may be certain in-person and other quality assurance requirements. See Board Rules, Chapter 540-X-7.
- The Board has no rules to prohibit the prescribing of controlled substances via telemedicine; however, the provider must comply with all requirements concerning prescription guidelines, treating chronic pain, and utilizing risk and abuse mitigation strategies. See Rules 540-X-8-.06, .08, and .09 and Chapter 540-X-19.
- Regulations of other federal and state regulatory authorities and third-party payors regarding telemedicine should be discussed with your practice attorney before prescribing controlled substances via telemedicine.