§ 34-21-25 — Disciplinary Actions; Administrative Fines; Voluntary Disciplinary Alternative Program

(a) For disciplinary purposes, the board may adopt, levy, and collect administrative fines not to exceed one thousand dollars ($1,000) per violation and may institute any legal proceedings necessary to effect compliance with this chapter against the holder of any license, permit, certificate, or approval issued by the board or the holder of a multistate privilege to practice nursing in this state.
(b)(1) The board may also deny, revoke, place on probation with conditions for continued practice, suspend, require the evaluation of, impose continuing education requirements upon, or otherwise discipline any applicant for or holder of any license, permit, certificate, or approval issued by the board or holder of a multistate privilege to practice in this state, upon proof of any of the following regarding the applicant for or holder of any license, permit, certificate, approval, or multistate privilege to practice in this state:
a. Is guilty of fraud or deceit in procuring or attempting to procure a license.
b. Has been convicted of a felony.
c. Is guilty of a crime involving moral turpitude or of gross immorality that would tend to bring reproach upon the nursing profession.
d. Is unfit or incompetent due to the use of alcohol, or is addicted to the use of habit-forming drugs to an extent as to render him or her unsafe or unreliable as a licensee.
e. Is unable to practice nursing with reasonable skill and safety to patients by reason of illness, inebriation, excessive use of drugs, narcotics, alcohol, chemicals, or any other substance, or as a result of any mental or physical condition.
f. Has been convicted of any violation of a federal or state law relating to controlled substances.
g. Is guilty of unprofessional conduct of a character likely to deceive, defraud, or injure the public in matters pertaining to health.
h. Has willfully or repeatedly violated this article, as defined by board rules.
i. Has been sentenced to a period of continuous incarceration serving a penal sentence for the commission of a misdemeanor or felony. The disciplinary action shall remain in effect until the board acts upon the application of the licensee for reinstatement of the license.
(2) The board may refrain from or delay taking disciplinary action under this subsection if a licensee may be voluntarily treated or rehabilitated pursuant to subsection (j).
(c) Whenever a written complaint is made to the board that an individual has committed any of the acts or has come within any of the provisions enumerated in subsection (b), the board shall investigate the complaint and may bring an action in its own name to hear and determine the complaint. The hearing shall be held in Montgomery County. The individual whose qualification is under consideration shall have not less than 20 days’ written notice of the time and place of the initial hearing, and the notice shall be accompanied by a copy of the complaint. The notice may be served upon the accused individual by any sheriff of this state. If the accused individual is out of the state, evades service, or cannot be served in person, then service may be made by mailing, by registered or certified mail, the notice and a copy of the complaint to the accused individual at his or her last known mailing address in this state, and the return shall show that service has been made in this manner.
(d) At the hearing, the complainant, the individual whose qualification is under consideration, and any other individual permitted by the board, may introduce all oral or written testimony, or both, as the board deems relevant to the issues involved, and may be heard in person or by counsel, or both. The board may permit the complaint to be amended, but no amendment shall be permitted which is not germane to the charge or charges sought to be amended or which materially alters the nature of any offense charged. The board may determine all questions as to the sufficiency of the complaint, procedure, and admissibility and weight of evidence. If the individual whose qualification is under consideration is absent, the hearing may proceed in his or her absence.
(e) Any accused individual, complainant, or other party and the board may subpoena witnesses or pertinent records for the hearing, and those subpoenas may be served by any sheriff of this state. Witnesses may be sworn by the president of the board or by the individual discharging the duties of the president. Witnesses testifying at a hearing shall upon discharge as a witness be paid by the party requesting the subpoena an amount not to exceed the per diem expense allowed to state employees for in-state travel and the actual cost of transportation to and from the place of the hearing, not to exceed the mileage rate allowed to state employees for in-state travel.
(f) Evidence may also be taken by deposition, and the law and practice as to depositions in circuit courts shall be followed in all reasonable respects.
(g) If the accused individual is found guilty of the charges, the board may refuse to issue a license, may revoke or suspend a license, or may otherwise discipline a licensee. A revoked license may be considered for reinstatement after one year in accordance with board rules.
(h) Any individual whose license is ordered suspended or revoked may appeal to the circuit court or a court of like jurisdiction of Montgomery County, from any order of the board under this section, within 30 days from the date of the decision of the board. The trial of appeals shall be conducted in like manner, as nearly as may be, as provided for in the Alabama Administrative Procedure Act.
(i) Any organization, registered nurse, licensed practical nurse, or other individual who in good faith reports information to the board alleging that any individual licensed or applying for a license to practice nursing may be guilty of the acts, offenses, or conditions set out in Section 34-21-7 or subsection (b), shall not be liable to any individual for any statement or opinion made in that report.
(j) The board shall establish a voluntary Disciplinary Alternative Program to promote early identification, intervention, treatment, and rehabilitation of any licensed nurse whose competence is found to be impaired or compromised because of the use or abuse of drugs, alcohol, controlled substances, chemicals, or other substances or as a result of a physical or mental condition rendering the licensee unable to meet the standards of the nursing profession. The intent of the program is to provide a voluntary alternative to traditional disciplinary actions.
(1) When a registered nurse or licensed practical nurse voluntarily seeks treatment for use or abuse of drugs, controlled substances, alcohol, chemicals, or other substances, or has a physical or mental condition that would render the individual unable to meet the standards of the nursing profession, the board may refrain from taking disciplinary action under subsection (b) if the board determines that the licensee may be treated or rehabilitated effectively and that there is no danger to the public. Upon voluntarily seeking treatment, the licensee is subject to the requirements of the Disciplinary Alternative Program established by the board.
(2) The board may establish, develop, adopt, and revise rules, and may adjust the license renewal fee as necessary to implement this subsection.
(3) The board may appoint an Advisory Council for the Disciplinary Alternative Program pursuant to Section 34-21-3.
(4) The board may contract with specially qualified individuals or corporations, or both, to assist the board in administering the Disciplinary Alternative Program.
(5) The board shall establish by rule criteria for eligibility to participate in the Disciplinary Alternative Program and requirements for successful participation in and completion of the program.
(6) Subject to Section 34-21-125, all records of a licensee who successfully completes the Disciplinary Alternative Program shall be confidential, not subject to public disclosure, and not available for court subpoena or for discovery proceedings. The records of a licensee who fails to comply with the program agreement or who leaves the state prior to the successful completion of the program are not confidential. Information regarding the participation of a licensee in the Disciplinary Alternative Program reported to the coordinated licensure information system pursuant to Section 34-21-125 shall be made available solely to other state boards of nursing and shall not be disclosed to the public by the coordinated licensure information system. Upon successful completion of the Disciplinary Alternative Program, all information regarding participation of the licensee in the Disciplinary Alternative Program shall be expunged from the coordinated licensure information system.
(7) Nonpublic or confidential data submitted to the coordinated licensure information system by the board may not be distributed to any nonparty state, organization, individual, or entity, or any foreign government or an agent, entity, or representative of a foreign government, without the express written approval of the board.
(8) On request and payment of a certified verification fee, the board shall provide a registered nurse or licensed practical nurse licensed by this state with a copy of any information regarding the nurse maintained by the coordinated licensure information system under Article 7.
(9) The board is not obligated to provide information that is not otherwise available to the board or information that is not available to the licensee under the laws of the state contributing the information to the coordinated licensure information system or that has been designated as available only to other boards of nursing by the state contributing the information to the coordinated licensure information system.
(10) Nothing in this subsection shall limit the authority of the board to discipline an impaired licensee subject to its jurisdiction.
(k) The board may adopt rules imposing a nondisciplinary administrative penalty for designated violations of this chapter.

Legislative History

(Acts 1965, No. 867, p. 1615, §11; Acts 1983, No. 83-642, p. 989, §8; Acts 1989, No. 89-243, p. 349, §3; Acts 1993, No. 93-183, p. 272, §3; Act 2009-15, p. 29, §3; Act 2019-102, §1; Act 2024-249, §1.)