Alabama Board of Nursing · CRNA

24 hours. Every two years. Tied to your license anniversary.

Below is exactly what Alabama Board of Nursing requires: mandatory topics, exemptions, accepted credit types, and documentation rules.

Updated April 2026Sourced from ABN~6 min read

Reviewed by Doug Doehrman, MD · Last reviewed May 3, 2026

Mandatory topics

For CRNAs, 24 hours is the total CME requirement. Alabama also requires a set of one-time topics that count toward the 24-hour total.

Pharmacology[1]
6 hrs
Biennial
Six contact hours of pharmacology content specific to nurse anesthesia practice required at each biennial renewal, counted within the 24 contact-hour CRNA total. Graduate pharmacology academic credit earned during the nurse anesthetist educational program prior to initial CRNA approval does not qualify.
View sourceVerbatim from source
“Alabama-licensed certified registered nurse anesthetists shall earn, as part of the required twenty-four (24) Board-approved or Board-recognized continuing education contact hours for license renewal, six contact hours of pharmacology.”
Ala. Admin. Code r. 610-X-9-.03(6)See source [1] in Primary Sources
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Conditional requirements

These rules apply only when the trigger described under each card is met (for example, holding a state-issued controlled substance registration or treating a specific patient population). Each cites the underlying statute or rule directly.

ConditionalLegal / risk[2]
4 hrs

Newly licensed Alabama nurses must complete 4 contact hours of Board-provided CE on the Alabama Nurse Practice Act, board functions, regulations, professional conduct, and accountability at first biennial renewal.

View detailsEditorial summary
One-time requirement counted within the 24-hour biennial total. Applies to CRNAs as they hold an underlying Alabama RN license.
Alabama Nurse Practice Act / ABN CE Proration ChartSee source [2] in Primary Sources
Accepted credit

Credit must come from an organization accredited by the ACCME, AMA, Alabama Medical Association, or AAFP. ACGME residency or fellowship time accrues toward the requirement. Teaching or presenting accredited CME can satisfy a portion of required hours.

Credit systemNotes
NBCRNA Class A
NBCRNA Class A / MAC Ed credits earned through AANA-, ANCC-, or ACCME-accredited providers are accepted toward the underlying RN biennial CE.
ANCC Contact Hour
ANCC contact hours from ABN-recognized providers are the standard CE currency for the RN portion of CRNA renewal.
AANA_APPROVED
AANA-approved continuing education accepted as it satisfies NBCRNA recertification and is accepted by the ABN as nationally accredited nursing CE.
Documentation & audit

Physicians are responsible for retaining CME documentation and producing it on request. Requirements include course title, dates, hours, sponsoring organization, and accrediting body.

Waivers & exemptions

No formal waivers or exemptions are published for Alabama.

FAQ
How many state-level CE hours do Alabama CRNAs need?
Alabama CRNAs must earn 24 Board-approved or Board-recognized contact hours per biennial renewal cycle, of which six contact hours must be pharmacology content specific to nurse anesthesia practice (Ala. Admin. Code r. 610-X-9-.03(6)). Newly licensed nurses must complete a 4-hour Board-provided course on the Nurse Practice Act and board functions during their first renewal, counted within the 24-hour total.
Does Alabama require NBCRNA certification for CRNA licensure?
Yes. NBCRNA initial certification is required to obtain advanced practice approval as a CRNA in Alabama, and active NBCRNA certification must be maintained on the four-year MAC cycle (60 MAC Ed + 40 MAC Dev credits) for advanced practice approval to remain in effect. Per Rule 610-X-9-.03(3), advanced practice approval expires on whichever date comes first — the RN license expiration or the NBCRNA certification expiration. Letting NBCRNA certification lapse jeopardizes the right to practice nurse anesthesia in Alabama.
Is Alabama part of the APRN Compact?
No. Alabama has not enacted the APRN Compact as of 2026. Alabama is a member of the Nurse Licensure Compact (NLC) for the underlying RN portion of the credential, but advanced practice approval as a CRNA is single-state and is not portable across state lines through any operational compact today.
Where can I check my Alabama CRNA license renewal date?
License status, renewal dates, and verification are available through the Alabama Board of Nursing website at abn.alabama.gov. CRNAs should also monitor their NBCRNA portal for the four-year MAC recertification timeline, which runs on a separate clock from the Alabama RN biennial renewal.

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Sources & Citations

Every mandatory topic and conditional requirement above cites the underlying statute or rule. Numbered references below correspond to the bracketed citations next to each requirement.

  1. Ala. Admin. Code r. 610-X-9-.03 — Authorization for Practice as a Certified Registered Nurse Anesthetist
    Primary sourceAccessed 2026-05-03
    Show verbatim text
    “Alabama-licensed certified registered nurse anesthetists shall earn, as part of the required twenty-four (24) Board-approved or Board-recognized continuing education contact hours for license renewal, six contact hours of pharmacology.”Ala. Admin. Code r. 610-X-9-.03(6) · Effective 2021-08-14
  2. https://www.abn.alabama.gov/licensing/ce-proration-chart/
    Source

This page is provided for general educational purposes and reflects the best available information as of the last reviewed date above. CME requirements change. Atlas CME is not affiliated with the Alabama Board of Nursing, or any other state medical board, licensing authority, or professional organization. Physicians are solely responsible for verifying their own current CME requirements directly with their state medical board before relying on any information presented here.

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