SB383, s. 14 19Section 14. 448.05 (5w) of the statutes is created to read:
SB383,5,2220 448.05 (5w) Anesthesiologist assistant license. An applicant for a license
21to practice as an anesthesiologist assistant shall submit evidence satisfactory to
22board that the applicant has done all of the following:
SB383,5,2323 (a) Obtained a bachelor's degree.
SB383,6,3
1(b) Satisfactorily completed an anesthesiologist assistant program that is
2accredited by the Commission on Accreditation of Allied Health Education
3Programs, or by a predecessor or successor entity.
SB383,6,64 (c) Passed the certifying examination administered by, and obtained active
5certification from, the National Commission on Certification of Anesthesiologist
6Assistants or a successor entity.
SB383, s. 15 7Section 15. 448.05 (6) (a) of the statutes is amended to read:
SB383,6,168 448.05 (6) (a) Except as provided in par. pars. (am) and (ar), the board shall
9examine each applicant it finds eligible under this section in such subject matters as
10the board deems applicable to the class of license or certificate which the applicant
11seeks to have granted. Examinations may be both written and oral. In lieu of its own
12examinations, in whole or in part, the board may make such use as it deems
13appropriate of examinations prepared, administered, and scored by national
14examining agencies, or by other licensing jurisdictions of the United States or
15Canada. The board shall specify passing grades for any and all examinations
16required.
SB383, s. 16 17Section 16. 448.05 (6) (ar) of the statutes is created to read:
SB383,6,2518 448.05 (6) (ar) When examining an applicant for a license to practice as an
19anesthesiologist assistant under par. (a), the board shall use the certification
20examination administered by the National Commission on Certification of
21Anesthesiologist Assistants or a successor entity. The board may license without
22additional examination any qualified applicant who is licensed in any state or
23territory of the United States or the District of Columbia and whose license
24authorizes the applicant to practice in the same manner and to the same extent as
25an anesthesiologist assistant is authorized to practice under s. 448.22 (2).
SB383, s. 17
1Section 17. 448.13 (3) of the statutes is created to read:
SB383,7,62 448.13 (3) Each person licensed as an anesthesiologist assistant shall, in each
32nd year at the time of application for a certificate of registration under s. 448.07,
4submit proof of meeting the criteria for recertification by the National Commission
5on Certification of Anesthesiologist Assistants or by a successor entity, including any
6continuing education requirements.
SB383, s. 18 7Section 18. 448.22 of the statutes is created to read:
SB383,7,11 8448.22 Anesthesiologist assistants. (1) In this section, "supervision" means
9the use of the powers of direction and decision to coordinate, direct, and inspect the
10accomplishments of another, and to oversee the implementation of the
11anesthesiologist's intentions.
SB383,7,18 12(2) An anesthesiologist assistant may assist an anesthesiologist in the
13delivery of medical care only under the supervision of an anesthesiologist and only
14as described in a supervision agreement between the anesthesiologist assistant and
15an anesthesiologist who represents the anesthesiologist assistant's employer. The
16supervising anesthesiologist shall be immediately available in the same physical
17location or facility in which the anesthesiologist assistant assists in the delivery of
18medical care such that the supervising anesthesiologist is able to intervene if needed.
SB383,7,19 19(3) A supervision agreement under sub. (2) shall do all of the following:
SB383,7,2020 (a) Describe the supervising anesthesiologist.
SB383,7,2221 (b) Define the practice of the anesthesiologist assistant consistent with subs.
22(2), (4), and (5).
SB383,8,2 23(4) An anesthesiologist assistant's practice may not exceed his or her education
24and training, the scope of practice of the supervising anesthesiologist, and the
25practice outlined in the anesthesiologist assistant supervision agreement. A medical

1care task assigned by the supervising anesthesiologist to the anesthesiologist
2assistant may not be delegated by the anesthesiologist assistant to another person.
SB383,8,5 3(5) An anesthesiologist assistant may assist only the supervising
4anesthesiologist in the delivery of medical care and may perform only the following
5medical care tasks as assigned by the supervising anesthesiologist:
SB383,8,66 (a) Developing and implementing an anesthesia care plan for a patient.
SB383,8,87 (b) Obtaining a comprehensive patient history and performing relevant
8elements of a physical exam.
SB383,8,109 (c) Pretesting and calibrating anesthesia delivery systems and obtaining and
10interpreting information from the systems and from monitors.
SB383,8,1111 (d) Implementing medically accepted monitoring techniques.
SB383,8,1312 (e) Establishing basic and advanced airway interventions, including
13intubation of the trachea and performing ventilatory support.
SB383,8,1514 (f) Administering intermittent vasoactive drugs and starting and adjusting
15vasoactive infusions.
SB383,8,1616 (g) Administering anesthetic drugs, adjuvant drugs, and accessory drugs.
SB383,8,1717 (h) Implementing spinal, epidural, and regional anesthetic procedures.
SB383,8,1818 (i) Administering blood, blood products, and supportive fluids.
SB383,8,2019 (j) Assisting a cardiopulmonary resuscitation team in response to a life
20threatening situation.
SB383,8,2221 (k) Participating in administrative, research, and clinical teaching activities
22specified in the supervision agreement.
SB383,8,2323 (L) Supervising student anesthesiologist assistants.
SB383,9,4 24(6) An anesthesiologist who represents an anesthesiologist assistant's
25employer shall review a supervision agreement with the anesthesiologist assistant

1at least annually. The supervision agreement shall be available for inspection at the
2location where the anesthesiologist assistant practices. The supervision agreement
3may limit the practice of an anesthesiologist assistant to less than the full scope of
4practice authorized under sub. (5).
SB383,9,10 5(7) An anesthesiologist assistant shall be employed by a health care provider,
6as defined in s. 655.001 (8), that is operated in this state for the primary purpose of
7providing the medical services of physicians or that is an entity described in s.
8655.002 (1) (g), (h), or (i). If an anesthesiologist assistant's employer is not an
9anesthesiologist, the employer shall provide for, and not interfere with, an
10anesthesiologist's supervision of the anesthesiologist assistant.
SB383,9,19 11(8) A student in an anesthesiologist assistant training program may assist only
12an anesthesiologist in the delivery of medical care and may perform only medical
13care tasks assigned by the anesthesiologist. An anesthesiologist may delegate the
14supervision of a student in an anesthesiologist assistant training program to a
15qualified anesthesia provider. This section shall not be interpreted to limit the
16number of other qualified anesthesia providers an anesthesiologist may supervise.
17A student in an anesthesiologist assistant training program shall be identified as a
18student anesthesiologist assistant or an anesthesiologist assistant student and may
19not be identified as an "intern," "resident," or "fellow."
SB383, s. 19 20Section 19. 448.23 of the statutes is created to read:
SB383,9,24 21448.23 Council on anesthesiologist assistants. The council on
22anesthesiologist assistants shall guide, advise, and make recommendations to the
23board regarding the scope of anesthesiologist assistant practice and the promotion
24of the role of anesthesiologist assistants in the delivery of health care services.
SB383, s. 20 25Section 20. Nonstatutory provisions.
SB383,10,6
1(1) Notwithstanding section 15.407 (7) (b) of the statutes, as created by this act,
2the initial member of the council on anesthesiologist assistants appointed under
3section 15.407 (7) (b) of the statutes, as created by this act, is not required to be a
4licensed anesthesiologist assistant under section 448.04 (1) (g) of the statutes, as
5created by this act, but shall be an individual who meets the criteria specified under
6section 448.05 (5w) of the statutes, as created by this act.
SB383,10,107 (2) Notwithstanding section 15.407 (7) of the statutes, as created by this act,
8one of the initial members of the council on anesthesiologist assistants appointed
9under section 15.407 (7) (c) of the statutes, as created by this act, shall be appointed
10for a 2-year term.
SB383,10,1111 (End)
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