HB 276 Alabama House · 2026 Regular Session

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

HB 276 allows certified registered nurse practitioners (CRNPs) and certified nurse midwives (CNMs) to endorse physical examination forms for K-12 student athletes, treating these endorsements as equivalent to physician signatures. It requires public schools to only join athletic associations that accept such CRNP/CNM endorsements, prohibiting membership in associations that refuse to accept them. The law applies specifically to physicals verifying student eligibility for school athletic participation and takes effect October 1, 2026. This change directly affects K-12 schools, athletic associations, and healthcare providers who conduct these physicals.
Bill status passed 3 of 5 stages cleared
Introduction
Jan 2026
Committee Review
Feb 2026
House Passage
Feb 2026
Senate Passage
Governor
Introduced Jan 15, 2026 Last action Feb 10, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Engrossed · 4 edits · Feb 10, 2026
MODERATE
The bill was updated to clarify that endorsements by certified registered nurse practitioners, nurse midwives, and physician assistants are now valid for a wider range of medical documents, including athletic physicals. The text was reorganized to consolidate these provisions into the main statute rather than relying on a separate section, and the list of acceptable documents was expanded to include new categories like donor breast milk forms and driver's license renewals for diabetics.
Scope change
The bill's scope was expanded to explicitly include physician assistants as authorized providers alongside nurse practitioners and midwives, and the list of specific forms these providers can sign was significantly broadened.
ELIGIBILITY

Added 'licensed assistant to a physician' to the list of providers whose endorsements are legally recognized.

REQUIREMENT

Expanded the list of acceptable documents to include donor breast milk forms, driver's license renewals for diabetics, and various medical referrals.

Added a requirement for the Board of Nursing to update practice protocols by July 1, 2026, to include athletic physicals as an allowable standard skill.

TECHNICAL

Reorganized the bill structure to move the athletic association prohibition from a separate section into the main statute, and updated the effective date to October 1, 2026.

Floor votes

How they voted

This bill passed the House by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
12
Key actions
5
Committee
3
Amendments
2
Feb 10, 2026
Upper · Passed
Pending Committee Action in Second House (Healthcare)
upper
Feb 10, 2026
Lower · Passed
Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 361
lower
Feb 10, 2026
Lower · Passed
Motion to Adopt - Adopted Roll Call 360
lower
Feb 10, 2026
Introduced
Health 1st Substitute Offered (Health)
lower
Feb 4, 2026
Lower · Passed
Reported Out of Committee House of Origin
lower
Jan 15, 2026
Lower · Passed
Pending Committee Action in House of Origin (Health)
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Ed Oliver
Ed Oliver
RRepublican
AL
81