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Alabama Administrative Monthly · October 31, 2026 · Primary source

540-X-3-.04 Examination Requirements

Score 35PRIMARYregulatoryState registerAL

Summary

The Alabama Board of Medical Examiners amended its physician licensure examination requirements rule, Alabama Administrative Code 540-X-3-.04, effective December 14, 2026, without changes from the proposed version. The amendment updates the standards governing acceptable medical licensing examinations for applicants seeking a certificate of qualification, including USMLE and COMLEX attempt limits, time-period requirements, and special provisions for dual degree candidates. No public comments were received during the comment period.

What this may mean

Physicians applying for Alabama medical licensure on or after December 14, 2026, are subject to the updated examination requirement standards, including attempt and time-period limitations for USMLE and COMLEX completion. The rule does not affect currently licensed physicians or alter billing, coding, or reimbursement obligations. Limited direct operational impact for healthcare organizations beyond credentialing and privileging processes for newly licensed physicians.

Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.

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