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Alabama HB 299 Revises Respiratory Therapy Board Composition, Licensure Requirements, and Penalties

Original title: Board of Respiratory Therapy; composition, powers, authorities revised; requirements for licensure revised; criminal penalties for certain actions provided

Last action · March 11, 2026: Read for the Second Time and placed on the CalendarSponsor: Ed Oliver

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Alabama HB 299 revises the composition and powers of the Alabama State Board of Respiratory Therapy, updates licensure and temporary permit requirements, and establishes criminal penalties for unlicensed practice or fraudulent licensing actions, effective October 1, 2026.

Why it matters

Respiratory therapists, medical facilities, and students in Alabama face updated licensing criteria, expanded board oversight, and new criminal penalties for practicing without a valid credential starting October 1, 2026.

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

Respiratory therapists

Must comply with revised licensing standards, biennial renewal requirements, background checks, and professional conduct rules overseen by the updated board.

Directly affected

Respiratory therapy students

Must operate under direct supervision and be designated by title as students or trainees while receiving clinical training.

Directly affected

Healthcare facilities

Must ensure personnel providing respiratory care are properly licensed or meet explicit statutory exemptions.

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

What happens if someone practices respiratory therapy without a valid license under this bill?
An individual who practices respiratory therapy or uses titles implying they are a licensed respiratory therapist without an active license is guilty of a .
Who is exempt from needing a respiratory therapist license under this legislation?
Exemptions include federal government employees providing care under agency direction, students in accredited programs under direct supervision, licensed emergency medical technicians at accident scenes or during transport, family members providing care, and certain other medical and diagnostic personnel operating under physician direction.
How many members serve on the Alabama State Board of Respiratory Therapy under the revised composition?
The board is composed of seven members appointed by the Governor: four respiratory therapists, one hospital chief executive officer, one physician, and one consumer.

What else do you want to know?

News Coverage

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

Where This Stands

Currently on floor. The next step in the legislative lifecycle is Passed.

Procedural history

4 actions
  1. Mar 11, 2026House
    Read for the Second Time and placed on the Calendar
  2. Mar 11, 2026HouseCommittee
    Reported Out of Committee House of Origin
  3. Jan 21, 2026HouseCommittee
    Pending Committee Action in House of Origin
  4. Jan 21, 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

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift95% confidence

Expanded Board and Criminal Enforcement

The bill shifts oversight by expanding board membership from six to seven and elevates unauthorized practice from administrative discipline to a Class B misdemeanor.

Connected Entities

Federal Bureau of Investigation, Council on Allied Health Education Programs, Alabama Society for Respiratory Care and 7 more
OrganizationFederal Bureau of Investigation“Performs national criminal history background checks.”Map →
OrganizationCouncil on Allied Health Education Programs“Accredits educational programs in collaboration with CoARC.”Map →
OrganizationAlabama Society for Respiratory Care“Submits nominations for respiratory therapist board members.”Map →
OrganizationAlabama State Law Enforcement Agency“Exchanges fingerprints for criminal history background checks.”Map →
OrganizationNational Board for Respiratory Care“Grants registered respiratory therapist and certified respiratory therapist cred”Map →
OrganizationAmerican Association for Respiratory Care“Maintains code of ethics referenced for professional conduct.”Map →
OrganizationCommittee on Accreditation for Respiratory Care“Collaborates on educational program accreditation.”Map →
OrganizationAlabama State Board of Respiratory Therapy“The state board responsible for licensing and regulating respiratory therapists.”Map →
OrganizationMedical Association of the State of Alabama“Submits nominations for the physician member of the board.”Map →
OrganizationAlabama Hospital Association“Submits nominations for the hospital member of the board.”Map →

Sources

Open source document

alison.legislature.state.al.us

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy20
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz15
    Current news / social attention level

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