The bill amends Sections 34-21-81 and 34-21-82 of the Code of Alabama 1975, focusing on the composition and operational structure of the Joint Committee of the State Board of Medical Examiners and the Board of Nursing for Advanced Practice Nurses. Key changes include the replacement of one registered nurse and one certified registered nurse practitioner with two certified registered nurse practitioners and one certified nurse midwife, all of whom must be actively collaborating with a physician in the state. The bill also updates the language throughout the relevant sections, substituting "the State of Alabama" with "this state." Additionally, it clarifies the definitions of advanced practice nursing roles, ensuring that certified registered nurse anesthetists and clinical nurse specialists are not required to enter into collaborative practice agreements with physicians.

Further modifications include the establishment of specific appointment processes for committee members, with one seat filled from a list provided by the Nurse Practitioner Alliance of Alabama and another from the Alabama State Nurses Association, with terms beginning on October 1, 2025. A certified nurse midwife will be appointed from a list provided by the Alabama affiliate of the American College of Nurse-Midwives, starting on October 1, 2026. The bill also introduces term limits, stating that no member may serve more than two full terms, and changes the title of "chairperson" to "chair." Members will receive per diem compensation and expense reimbursement, with the State Board of Medical Examiners covering expenses for physician members and the Board of Nursing for nurse members. The act is set to take effect on October 1, 2025.