The bill amends Sections 34-21-81 and 34-21-82 of the Code of Alabama 1975, focusing on the Joint Committee of the State Board of Medical Examiners and the Board of Nursing for Advanced Practice Nurses. Key changes include a revised membership structure, which now consists of two physicians licensed to practice in Alabama, one physician engaged in collaborative practice with a certified registered nurse practitioner or certified nurse midwife, two certified registered nurse practitioners in active collaborative practice with a physician, and one certified nurse midwife also engaged in active collaborative practice. The bill removes the requirement for certain members to be specifically licensed in Alabama, replacing it with a broader reference to "this state." It also clarifies the definitions of advanced practice nursing roles, ensuring that certified registered nurse anesthetists and clinical nurse specialists are not subject to the same collaborative practice agreements as certified registered nurse practitioners and certified nurse midwives.

Furthermore, the bill introduces specific appointment procedures for committee members, replacing the term "registered nurse" with "certified registered nurse practitioner." The Board of Nursing will appoint members from lists provided by relevant nursing organizations, with initial terms beginning on October 1, 2025, and varying end dates for different members. All members will serve three-year terms after their initial appointments, with a limit of two full terms. The bill also outlines the process for filling vacancies, selecting a chair, and the compensation structure, specifying that members will receive a per diem and reimbursement for travel expenses, with the respective boards responsible for their members' expenses. The act is set to take effect on October 1, 2025.