Code of Alabama
Division 3 - Certificates of Qualification.
Section 34-24-166 - Refusal, Revocation, or Suspension - Grounds; Rules; Disciplinary Action.

(a) The State Board of Chiropractic Examiners may refuse to grant a license or permit to any applicant who is not of good moral character and reputation or has a history of narcotic addiction or has previously been convicted of a felony or any crime of moral turpitude or has previously been diagnosed as having a psychopathic disorder.
(b) The State Board of Chiropractic Examiners may invoke disciplinary action as outlined in subsection (c) whenever the licensee or permit holder shall be found guilty of any of the following:
(1) Fraud in procuring a license or permit, or any fraud in obtaining money or other thing of value.
(2) Immoral conduct.
(3) Unprofessional conduct.
(4) Habitual intoxication or addiction to the use of drugs.
(5) Conviction of a felony or any crime of moral turpitude.
(6) Conviction for violation of any narcotic or controlled substance statute.
(7) Unlawful invasion of the field of practice of any other health practitioner when the licensee is not licensed to practice such profession.
(8) Division of fees or agreeing to split or divide fees received for professional services with any person for bringing or referring a patient.
(9) Continuing to practice after suspension or revocation of license.
(10) A violation of any order issued by the board.
(11) Engaging in the incompetent practice of chiropractic.
(12) Aiding the unauthorized practice of chiropractic.
(13) Advertising in any manner which violates the rules and regulations established by the board.
(14) A violation of any of the provisions of this article or any rule or regulation adopted by the board.
(15) Patient abandonment.
(16) The suspension, revocation, or probation by another state of a license to practice chiropractic or permit to operate or own a chiropractic office or practice. A certified copy of the record of suspension, revocation, or probation shall be conclusive evidence of the suspension, revocation, or probation.
(17) The inability to practice chiropractic with reasonable skill and safety to patients by reason of illness, inebriation, excessive use of drugs, narcotics, alcohol, chemicals, or any other substance, or as a result of any mental or physical condition.
(c)(1) The Board of Chiropractic Examiners shall establish rules and regulations which shall govern the practice of chiropractic and shall detail prohibited acts stated in this article. The board shall have the power and it shall be its duty as a consumer protection agency to impose any of the sanctions set forth in subdivision (2) against any licensee or permit holder upon a determination of guilt of any of the above enumerated grounds.
(2) When the board finds any licensee or permit holder guilty of any of the grounds set forth in subsection (b), the board may enter an order imposing one or more of the following penalties:
a. Revoke the license to practice chiropractic or permit.
b. Suspend the license to practice chiropractic or permit.
c. Enter a censure on the license or permit.
d. Issue an order fixing a period and terms of probation best adapted to protect the public health and safety and to rehabilitate the licensee or permit holder.
e. Impose an administrative fine not to exceed eight thousand dollars ($8,000) for each count or separate offense.
f. Impose restrictions on the scope of practice.
g. Impose peer review or professional education requirements.
h. Assess the costs of the disciplinary proceedings.
i. Issue a reprimand.
j. Assess the costs for the monitoring of any licensee or permit holder as ordered by the board.
(3) Failure to comply with any final order of the board, including, but not limited to, an order of censure or probation, is cause for suspension or revocation of the license or permit.
(d) The board may in an emergency situation, when danger to the public health, safety, and welfare requires, suspend any license or permit without a hearing or with an abbreviated hearing in accordance with the following sections of this article.
(e) Any person who engages in the unlawful practice of chiropractic, or who violates any provision of this chapter, shall be guilty of a Class C misdemeanor.
(f)(1) When the issue is whether or not a licensee is physically or mentally capable of practicing chiropractic with reasonable skill and safety to patients, then, upon a showing of probable cause to the board that the licensee is not capable of practicing chiropractic with reasonable skill and safety to patients, the board may order and direct the licensee in question to submit to a physical, mental, or laboratory examination, or any combination thereof, to be performed by a physician designated or approved by the board. The expense of the examination shall be borne by the licensee who is examined. The board may collect and expend funds available to the board as necessary to adequately provide for the operational expenses of the wellness program.
(2) Every person issued a license to practice chiropractic in this state or issued a permit in this state upon a showing of probable cause as provided in subdivision (1), shall be deemed to have given consent to submit to a mental, physical, or laboratory examination, or to any combination thereof, and to waive all objections to the admissibility of the testimony or examination reports of the examining physician on the ground that the reports constitute privileged doctor-patient communications.
(g) It shall be the duty and obligation of the board to promote the early identification, intervention, treatment, and rehabilitation of chiropractors licensed to practice in the state who may be impaired by reason of illness, inebriation, excessive use of drugs, narcotics, alcohol, chemicals, or other substances or as a result of any physical or mental condition. The board may enter into an agreement for any of the following:
(1) Contracting with providers for treatment programs.
(2) Receiving and evaluating reports of suspected impairment from any source.
(3) Intervening in cases of verified impairment.
(4) Referring impaired chiropractors to treatment programs.
(5) Monitoring the treatment and rehabilitation of impaired chiropractors.
(6) Providing post-treatment monitoring and support of rehabilitated impaired chiropractors.
(h) All information, interviews, reports, statements, memoranda, or other documents furnished to the board are confidential and shall be used by the board only in the exercise of the proper function of the board and shall not be public records nor available for court subpoena or for discovery proceedings.