Alabama § 22-21B-4 - Participation in a Health Care Service That Violates the Conscience of Health Care Provider; Written Objection; Liability.

Full text of Alabama Code of Alabama § 22-21B-4 — Participation in a Health Care Service That Violates the Conscience of Health Care Provider; Written Objection; Liability., with citation guidance and answers to common questions.

§ 22-21B-4. Participation in a Health Care Service That Violates the Conscience of Health Care Provider; Written Objection; Liability.

(a) A health care provider has the right not to participate, and no health care provider shall be required to participate, in a health care service that violates his or her conscience when the health care provider has objected in writing prior to being asked to provide such health care services.

(b) When objecting in writing in accordance with this chapter, no health care provider shall be civilly, criminally, or administratively liable for declining to participate in a health care service that violates his or her conscience except when failure to do so would immediately endanger the life of a patient.

(c) It shall be unlawful for any person, health care provider, health care institution, public or private institution, public official, or any board which certifies competency in medical or health care specialties to discriminate against any health care provider in any manner based on his or her declining to participate in a health care service that violates his or her conscience, where the health care provider has made his or her objections known in writing. Provided further, students may be evaluated based on their understanding of course materials, but no student shall be required to perform a health care service or be penalized because he or she subscribes to a particular position on health care services.

(d) Notwithstanding any other provision in this chapter, in a life-threatening situation where no other health care provider is available or capable of providing or participating in a health care or medical service, a health care provider shall provide and participate in diagnosis, medical treatment, medical care, and medical procedures until an alternate health care provider capable of providing or participating in the emergency medical treatment, medical care, or medical procedures is found or otherwise becomes available.

(e) Except as otherwise provided in this section, a hospital, as defined in Section 22-21-20, or other health care entity, and any employee, physician, member, or person associated with the hospital or other health care entity is immune from criminal and civil liability for any damage caused by the refusal of a health care provider to participate in a health care service as defined in this chapter at a facility owned, operated, or controlled by the hospital or other health care entity.

Source: official Alabama text · Last verified 2026-08-27

Frequently Asked Questions About Alabama § 22-21B-4

What does Code of Alabama § 22-21B-4 cover?

Section 22-21B-4 ("Participation in a Health Care Service That Violates the Conscience of Health Care Provider; Written Objection; Liability.") is part of the Code of Alabama, the codified statutory law of Alabama. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.

How do I cite Alabama § 22-21B-4?

A common citation format is "Code of Alabama § 22-21B-4" (Alabama). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.

Is this the official text of Alabama law?

No. This page is for research and education and may not include the most recent amendments. For official current law, check the Alabama official source linked on this page or consult a licensed Alabama attorney.

How does Alabama § 22-21B-4 apply to my situation?

Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Alabama can advise on how this section applies to you. Contact your state or local bar association for a referral.

Sources & Verification

Not legal advice. Verify against the official source and consult a licensed attorney in Alabama.