al-al-6a6a1cfe4204a6cd331e7f25: 610-X-9-.22 — Application For Approval To Practice As A Certified Nurse Midwife

APA-1 TRANSMITTAL SHEET FOR NOTICE OF INTENDED ACTION Control: 610 Department or Agency: Alabama Board of Nursing Rule No.: 610-X-9-.22 Rule Title: Application For Approval To Practice As A Certified Nurse Midwife Intended Action Amend Would the absence of the proposed rule significantly harm or endanger the public health, welfare, or safety? Yes Is there a reasonable relationship between the state’s police Yes power and the protection of the public health, safety, or welfare? Is there another, less restrictive method of regulation available that could adequately protect the public? No increasing the costs of any goods or services involved?ndirectly No To what degree?: N/A that might result from the absence of the proposed rule?the harm NA Are all facets of the rule-making process designed solely for the protection of the public?ave, as their primary effect, the Yes Does the proposed action relate to or affect in any manner any litigation which the agency is a party to concerning the subject No matter of the proposed rule? Does the proposed rule have an economic impact? No accompanied by a fiscal note prepared in accordance with subsection (f) of Section 41-22-23, Code of Alabama 1975. Certification of Authorized Official I certify that the attached proposed rule has been proposed in full compliance conforms to all applicable filing requirements of the Administrative Procedureit Division of the Legislative Services Agency. Signature of certifying officer Hon L. Ingels IL E D Honor L Ingels R E C ’D & F Date Wednesday, July 29, 2026 L 29, 2026 JU IV E S V C A G E N C Y L EG IS LA T APA-2 ALABAMA BOARD OF NURSING NOTICE OF INTENDED ACTION AGENCY NAME: Alabama Board of Nursing RULE NO. & TITLE: 610-X-9-.22 Application For Approval To Practice As A Certified Nurse Midwife INTENDED ACTION: Amend SUBSTANCE OF PROPOSED ACTION: The Board proposes amending the subject rule to require 2,000 hours of clinical nursing experience prior to approval to practice as a CNM. TIME, PLACE AND MANNER OF PRESENTING VIEWS: Written or verbal comments will be accepted through 4:30 p.m. on Monday, October 5, 2026, and may be directed to Honor Ingels, PO Box 303900, Montgomery, AL 36130, honor.ingels@abn.alabama.gov, or (334) 293-5236. FINAL DATE FOR COMMENT AND COMPLETION OF NOTICE: Monday, October 5, 2026 CONTACT PERSON AT AGENCY: Honor L. Ingels Hon L. Ingels Honor L Ingels (Signature of officer authorized to promulgate and adopt rules or his or her deputy) 610-X-9-.22 Application For Approval To Practice As A Certified Nurse Midwife. (1) The applicant for approval to practice as a certified nurse midwife shall submit to the Board: (a) The required fee(s) and a completed application including the standard protocol to be followed by the certified nurse midwife and each collaborating physician, unless application is made for an exemption from a collaborative practice agreement as provided in Rule 610-X-5-.18. (b) An official transcript of education for advanced practice nursing as a nurse midwife that indicates the date of completion of the program and the date the degree or certificate was conferred if the dates are not the same. (c) Effective June 1, 2027, documented evidence of at least 2,000 hours of clinical experience in a clinical setting as either a registered nurse or an advanced practice nurse. (d) Official evidence of current certification as a certified nurse midwife by the American College of Nurse Midwives Certification Council. (2) The Board of Nursing may decline to consider an applicant who is under investigation for a potential violation of the Code Ala. 1975, Section 34-21-25 and the Alabama Board of Nursing Administrative Code, Chapter 610-X-8. Author: Alabama Board of Nursing Statutory Authority: Code of Ala. 1975, §§34-21-85, 34-21-90. History: New Rule: Published November 26, 2025; effective January 10, 2026. Amended: Published May 29, 2026; effective July 13, 2026. Amended: Published ______; effective ______. 9-.22-1