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 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 in active collaborative practice. The bill updates language by replacing "the State of Alabama" with "this state" and changing "advanced practice" to "active collaborative practice." It also clarifies the definitions and roles of advanced practice nurses, specifying that certified registered nurse anesthetists and clinical nurse specialists are not subject to collaborative practice agreements with physicians.

Furthermore, the bill modifies the appointment process for committee members, replacing "registered nurse" with "certified registered nurse practitioner" and establishing that the Board of Nursing will appoint members from lists provided by relevant nursing organizations. Initial terms for members will begin on October 1, 2025, with varying end dates, and all members will serve three-year terms, limited to two full terms. The bill also outlines procedures for filling vacancies, selecting a chair, and compensating committee members, who will receive a per diem and travel expense reimbursement. The act is set to take effect on October 1, 2025.