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Alabama Practice Law & Requirements

Are advanced degrees currently required?

“The applicant for approval to practice as a certified registered nurse anesthetist shall have . . . [e]arned at least a master’s degree, or post-master’s certificate in advanced practice nursing from an accredited graduate program in nurse anesthesia recognized by the Board [of Nursing]…. The applicant for approval as a certified registered nurse anesthetist who graduated from an accredited school of nurse anesthesia prior to December 31, 2003, is exempt from the master’s degree requirement.” [Alabama Board of Nursing rules, sec. 610-X-9- .01(1)(c) and (2)]

Out-of-State Applicants: No explicit reference; the above provision, however, appears to implicitly apply to out-of-state applicants who meet the stated
requirements.

Is there an explicit new graduate provision?

A nurse anesthetist “may request Provisional Approval for practice as a graduate nurse anesthetist by submitting:

(a) Official evidence of authorization to test from the National Board on Certification & Recertification for Nurse Anesthetists,
or other certifying body approved by the Board of Nursing for the initial certification examination.

(b) The name and address of the employer who will ensure the supervision of the provisional nurse anesthetist by a certified registered nurse anesthetist or a licensed physician.”

“The nurse anesthetist with provisional approval may use the designation ‘Graduate Registered Nurse Anesthetist.’ Provisional approval to practice is limited to a maximum of one year and shall expire immediately upon:

(a) Notification of passing the certification examination.
(b) Notification of failing the certification examination.”
[Alabama Board of Nursing Admin. Code, sec. 610-X-9-.05]

Do dentists require a permit/training to use a CRNA?

State Dental Board Permit Status for CRNA Practice in Dental Offices Map

Do CRNAs have prescriptive authority?

 

CRNA Prescriptive Authority Map

New DEA MATE Act Requirements

Congress has passed the MATE Act requiring all CRNAs who need to renew or are applying for a DEA license to complete a one-time training (totaling 8 hours) on managing patients with substance use disorders. View our FAQs below to learn more about this requirement and for information about our new DEA Bundle to help you meet this requirement.

FAQs

  • Who is required to complete these requirements?
    CRNAs renewing their DEA license or applying for an initial DEA license.
  • Can AANA help me fulfill these requirements?
    Yes, AANA has developed a collection of CE offerings to satisfy these requirements which includes 8 Class A CE (designated as 8 pharmacology credits). This bundle will be available to stream starting June 7 but can be preordered through CKN.
  • When do I need to complete these requirements?
    Starting on June 27, 2023, all CRNAs who are applying for a new DEA license or are renewing their DEA license.
  • The AANA is not listed as an approved provider. Will CE offered by the AANA meet this requirement?
    Yes, through our accreditation with the American Nurses Credentialing Center (ANCC), AANA meets the requirements to offer these CE credits.
  • How do I report the completion of this requirement?
    CRNAs will self-report completion during their DEA licensing process. CRNAs who complete DEA Bundle through the AANA will receive individual certificates documenting the completion of the training. This should be retained as proof of training.

Do Anesthesiologist Assistants (AAs) have authority to practice?

Anesthesiologist Assistants Map - July 2025

Has Alabama opted out of the federal supervision requirement?

Opt-Out Map

 

 

Are physician office settings regulated in my state?

CRNA Physician Office Setting Map

State Licensure

CRNAs are a type of “advanced practice nurse.” Advanced practice nurses are “certified by the Board of Nursing to engage in the practice of advanced practice nursing.” [Alabama Nurse Practice Act, sec. 34-21-81(3)]

“The nurse anesthetist . . . is licensed by the Board of Nursing….” [Alabama Nurse Practice Act, sec. 34-21-81(4)(c)]

“The Board of Nursing may grant approval for advanced practice nursing as certified registered nurse anesthetists to applicants who meet the requirements of [Board of Nursing rules].” [Alabama Board of Nursing Administrative Code, sec. 610-X-9-.03(1)]