republic-os/legislation/us/states/al/2022rs/hb-268.md

---
type: "Bill"
title: "Nurse Anesthetists, Certified Registered, scope of practice is in coordination with licensed physician or podiatrist, Sec. 34-21-81 am'd."
description: "Nurse Anesthetists, Certified Registered, scope of practice is in coordination with licensed physician or podiatrist, Sec. 34-21-81 am'd."
jurisdiction: "us/states/al"
legislature: "Alabama Legislature"
session: "2022rs"
identifier: "HB 268"
citation: "Alabama HB 268 (2022rs)"
classification: ["bill"]
subjects: ["Nursing", "Board of"]
status: "enacted"
primary_sponsors: ["Kitchens"]
version_count: 6
action_count: 29
vote_count: 8
first_action: "2022-02-03T05:00:00+00:00"
last_action: "2022-04-05T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/abfc21f5-4a72-4c89-8d1d-c4aceff043a8"
source_url: "http://alisondb.legislature.state.al.us/Alison/SESSBillStatusResult.aspx?BILL=HB268"
source_hash: "087bc81eeedd9254bcfa1c7547c994919a37aaf230dfbd152db558c7a94245bd"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-al"]
---

# Alabama HB 268 (2022rs) — Nurse Anesthetists, Certified Registered, scope of practice is in coordination with licensed physician or podiatrist, Sec. 34-21-81 am'd.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](http://alisondb.legislature.state.al.us/ALISON/SearchableInstruments/2022rs/PrintFiles/HB268-int.pdf)
2. **Amd/Sub 217937-3** (committee substitute) — [source](http://alisondb.legislature.state.al.us/ALISON/SearchableInstruments/2022rs/PrintFiles/217937-3.pdf)
3. **Amd/Sub 219031-1** (committee substitute) — [source](http://alisondb.legislature.state.al.us/ALISON/SearchableInstruments/2022rs/PrintFiles/219031-1.pdf)
4. **Amd/Sub 219330-3** (committee substitute) — [source](http://alisondb.legislature.state.al.us/ALISON/SearchableInstruments/2022rs/PrintFiles/219330-3.pdf)
5. **Engrossed** (committee substitute) — [source](http://alisondb.legislature.state.al.us/ALISON/SearchableInstruments/2022rs/PrintFiles/HB268-eng.pdf)
6. **Enrolled** (enrolled) — [source](http://alisondb.legislature.state.al.us/ALISON/SearchableInstruments/2022rs/PrintFiles/HB268-enr.pdf)

## Votes

- Motion to Adopt adopted Roll Call 370 — **101–0** (pass) · lower
- McClendon motion to Accede adopted Roll Call 760 P&PO appoints McClendon, Scofield and Hatcher — **33–0** (pass) · upper
- Melson motion to Adopt adopted Roll Call 667 — **25–0** (pass) · upper
- Kitchens motion to Concur In and Adopt adopted Roll Call 817 — **99–0** (pass) · lower
- Motion to Read a Third Time and Pass adopted Roll Call 371 — **102–0** (pass) · lower
- Motion to Read a Third Time and Pass adopted Roll Call 668 — **25–0** (pass) · upper
- McClendon motion to Concur In and Adopt adopted Roll Call 938 — **30–0** (pass) · upper
- Kitchens motion to Non Concur and Appoint Conference Committee adopted Roll Call 725 House appoints Kitchens, Jones (M) and Scott — **99–0** (pass) · lower

## Sponsors

- Kitchens — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2022-02-03T05:00:00+00:00** Read for the first time and referred to the House of Representatives committee on Boards, Agencies and Commissions `reading-1, referral-committee`
- **2022-02-23T05:00:00+00:00** Read for the second time and placed on the calendar with 1 substitute and `reading-2`
- **2022-03-01T05:00:00+00:00** Third Reading Passed `passage`
- **2022-03-01T05:00:00+00:00** Boards, Agencies and Commissions first Substitute Offered `amendment-introduction`
- **2022-03-01T05:00:00+00:00** Motion to Adopt adopted Roll Call 370 `amendment-passage`
- **2022-03-01T05:00:00+00:00** Motion to Read a Third Time and Pass adopted Roll Call 371 `passage`
- **2022-03-01T05:00:00+00:00** Engrossed
- **2022-03-01T05:00:00+00:00** Read for the first time and referred to the Senate committee on Governmental Affairs `reading-1, referral-committee`
- **2022-03-08T05:00:00+00:00** Read for the second time and placed on the calendar `reading-2`
- **2022-03-17T04:00:00+00:00** Third Reading Passed `passage`
- **2022-03-17T04:00:00+00:00** Melson Amendment Offered `amendment-introduction`
- **2022-03-17T04:00:00+00:00** Melson motion to Adopt adopted Roll Call 667 `amendment-passage`
- **2022-03-17T04:00:00+00:00** Motion to Read a Third Time and Pass adopted Roll Call 668 `passage`
- **2022-03-29T04:00:00+00:00** Concurrence Requested
- **2022-03-29T04:00:00+00:00** Kitchens motion to Non Concur and Appoint Conference Committee adopted Roll Call 725 House appoints Kitchens, Jones (M) and Scott
- **2022-03-29T04:00:00+00:00** Conference Committee Requested
- **2022-03-29T04:00:00+00:00** McClendon motion to Accede adopted Roll Call 760 P&PO appoints McClendon, Scofield and Hatcher
- **2022-03-30T04:00:00+00:00** Conference Committee Appointed
- **2022-03-31T04:00:00+00:00** Conference Report
- **2022-03-31T04:00:00+00:00** Kitchens motion to Concur In and Adopt adopted Roll Call 817 `passage`
- **2022-04-05T04:00:00+00:00** Conference Report Concurrence Requested
- **2022-04-05T04:00:00+00:00** McClendon motion to Concur In and Adopt adopted Roll Call 938 `passage`
- **2022-04-05T04:00:00+00:00** Concurred in Conference Report
- **2022-04-05T04:00:00+00:00** Clerk of the House Certification
- **2022-04-05T04:00:00+00:00** Enrolled
- **2022-04-05T04:00:00+00:00** Signature Requested
- **2022-04-05T04:00:00+00:00** Assigned Act No. 2022-379. `executive-signature`
- **2022-04-05T04:00:00+00:00** Conference Committee on HB268 2022RS first Substitute Offered `amendment-introduction`
- **2022-04-05T04:00:00+00:00** Forwarded to Executive Department

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/abfc21f5-4a72-4c89-8d1d-c4aceff043a8`. Confidence: reported (aggregated from official Alabama legislature records).