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Alabama HB 276 allows nurse practitioners, nurse midwives, and physician assistants to sign K-12 school athletic physicals

Original title: K-12 school athletics physicals; endorsements by certified registered nurse practitioners, nurse midwives, and assistants to physicians deemed endorsement by physician, athletic associations, clubs, or leagues prohibited from refusing to accept

Last action · February 10, 2026: Pending Committee Action in Second HouseSponsor: Ed Oliver

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Beginning June 1, 2026, s, certified nurse midwives, and qualified physician assistants in Alabama may independently endorse physical examination forms for K-12 school athletics, and athletic associations, clubs, or leagues are prohibited from refusing to accept these forms.

Why it matters

Students participating in school sports and their families gain expanded access to qualified medical professionals who can legally clear them for play without needing an additional supervising physician's signature on the physical form.

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Certified registered nurse practitioners

Certified registered nurse practitioners gain explicit statutory authority to endorse K-12 school athletic physical examination forms.

Directly affected

Certified nurse midwives

Certified nurse midwives gain explicit statutory authority to endorse K-12 school athletic physical examination forms.

Directly affected

Assistants to physicians

Qualified assistants to physicians gain the authority to sign K-12 school athletic physical forms without an additional physician signature.

Directly affected

Athletic associations, clubs, and leagues

Athletic associations, clubs, and leagues are prohibited from refusing to accept physical forms endorsed by the newly authorized non-physician providers.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Can a school athletic league reject a physical signed by a physician assistant?
No. The bill prohibits athletic associations, clubs, and leagues from refusing to accept physical examination forms endorsed by a qualified .

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently passed chamber. The next step in the legislative lifecycle is Law.

Procedural history

12 actions
  1. Feb 10, 2026SenateCommittee
    Pending Committee Action in Second House
  2. Feb 10, 2026SenateIntroduced
    Read for the first time and referred to the Senate Committee on Healthcare
  3. Feb 10, 2026House
    Engrossed
  4. Feb 10, 2026HouseFloor
    Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 361
  5. Feb 10, 2026House
    Motion to Adopt - Adopted Roll Call 360
  6. Feb 10, 2026House
    Health 1st Substitute Offered
Show 6 earlier actions
  1. Feb 10, 2026House
    Third Reading in House of Origin
  2. Feb 5, 2026House
    Read for the Second Time and placed on the Calendar
  3. Feb 4, 2026HouseCommittee
    Reported Out of Committee House of Origin
  4. Feb 4, 2026House
    Health 1st Substitute
  5. Jan 15, 2026HouseCommittee
    Pending Committee Action in House of Origin
  6. Jan 15, 2026HouseIntroduced
    Read for the first time and referred to the House Committee on Health

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Connected Entities

State Board of Medical Examiners, Lipscomb, Department of Mental Health and 10 more
OrganizationState Board of Medical Examiners“Required to update its forms to include K-12 athletic physicals as an option by ”Map →
PersonLipscomb“Co-sponsor of House Bill 276.”Map →
OrganizationDepartment of Mental Health“Mentioned regarding residential or inpatient dwelling certifications.”Map →
PersonShirey“Co-sponsor of House Bill 276.”Map →
PersonBrinyark“Co-sponsor of House Bill 276.”Map →
PersonEd Oliver“Lead sponsor of House Bill 276 in the House of Representatives.”Map →
PersonMooney“Co-sponsor of House Bill 276.”Map →
PersonParamore“Co-sponsor of House Bill 276.”Map →
OrganizationBoard of Nursing“Required to add K-12 athletic physicals as an option to model practice protocols”Map →
PersonLee“Co-sponsor of House Bill 276.”Map →
PersonLamb“Co-sponsor of House Bill 276.”Map →
PersonSorrells“Co-sponsor of House Bill 276.”Map →
PersonJohn Treadwell“Clerk of the House of Representatives.”Map →

Sources

Open source document

alison.legislature.state.al.us

Analysis Score

0–100
  • Significance45
    How much this matters to a regular citizen
  • Controversy10
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz15
    Current news / social attention level

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