Can CAAs practice in Alabama?
Yes — CAAs are licensed in Alabama.
Alabama licenses AAs through the Board of Medical Examiners under its assistants-to-physicians statute, with AA-specific rules in Admin. Code chapter 540-X-7. You need both an ALBME license and a Board-approved registration agreement with a supervising anesthesiologist before practicing.
- Legal authority
- Ala. Code § 34-24-290 et seq.; Ala. Admin. Code ch. 540-X-7
- Effective
- 1998
- Supervision
- Every licensed AA must also be registered by the Board to a supervising anesthesiologist, who formulates the anesthetic plan and maintains continual supervision; one anesthesiologist may have no more than four AAs registered to them (Rule 540-X-7-.59).
- Last verified
- 2026-08-12
Notes
No standalone AA statute: authority is the 1971 assistants-to-physicians article (§ 34-24-290 et seq.); AA-specific Board rules were first adopted 1998 (rule history at 540-X-7-.34), so 1998 is used as the effective year. License numbers use an AA#### format. Rules effective Jan 1, 2025 added a professional-boundaries course and 50 hrs biennial CME. Aggregate cap: an anesthesiologist's combined collaboration/supervision of CRNPs, CNMs, and PAs/AAs may not exceed 360 hours/week. No 2025-2026 CAA legislation found.