SB184,7 3Section 7 . 48.981 (2m) (b) 1. of the statutes is amended to read:
SB184,5,64 48.981 (2m) (b) 1. “Health care provider" means a physician, as defined under
5s. 448.01 (5), a physician assistant, as defined under s. 448.01 (6) 448.971 (2), or a
6nurse holding a license under s. 441.06 (1) or a license under s. 441.10.
SB184,8 7Section 8 . 49.45 (9r) (a) 7. a. of the statutes is amended to read:
SB184,5,98 49.45 (9r) (a) 7. a. A physician or physician assistant licensed under subch. II
9of ch. 448.
SB184,9 10Section 9 . 49.45 (9r) (a) 7. e. of the statutes is created to read:
SB184,5,1111 49.45 (9r) (a) 7. e. A physician assistant licensed under subch. VIII of ch. 448.
SB184,10 12Section 10 . 50.01 (4p) of the statutes is repealed.
SB184,11 13Section 11 . 50.08 (2) of the statutes is amended to read:
SB184,5,1814 50.08 (2) A physician, an advanced practice nurse prescriber certified under
15s. 441.16 (2), or a physician assistant licensed under ch. 448, who prescribes a
16psychotropic medication to a nursing home resident who has degenerative brain
17disorder shall notify the nursing home if the prescribed medication has a boxed
18warning under 21 CFR 201.57.
SB184,12 19Section 12 . 50.39 (3) of the statutes is amended to read:
SB184,6,320 50.39 (3) Facilities governed by ss. 45.50, 48.62, 49.70, 49.72, 50.02, 51.09, and
21252.10, juvenile correctional facilities as defined in s. 938.02 (10p), correctional
22institutions governed by the department of corrections under s. 301.02, and the
23offices and clinics of persons licensed to treat the sick under chs. 446, 447, and 448
24are exempt from ss. 50.32 to 50.39. Sections 50.32 to 50.39 do not abridge the rights
25of the medical examining board, physician assistant affiliated credentialing board,

1physical therapy examining board, podiatry affiliated credentialing board, dentistry
2examining board, pharmacy examining board, chiropractic examining board, and
3board of nursing in carrying out their statutory duties and responsibilities.
SB184,13 4Section 13 . 55.14 (8) (b) of the statutes is amended to read:
SB184,6,155 55.14 (8) (b) Order the individual to comply with the treatment plan under par.
6(a). The order shall provide that if the individual fails to comply with provisions of
7the treatment plan that require the individual to take psychotropic medications, the
8medications may be administered involuntarily with consent of the guardian. The
9order shall specify the methods of involuntary administration of psychotropic
10medication to which the guardian may consent. An order authorizing the forcible
11restraint of an individual shall specify that a person licensed under s. 441.06, 441.10,
12or 448.05 (2) or (5), or 448.974 shall be present at all times that psychotropic
13medication is administered in this manner and shall require the person or facility
14using forcible restraint to maintain records stating the date of each administration,
15the medication administered, and the method of forcible restraint utilized.
SB184,14 16Section 14 . 69.01 (6g) of the statutes is amended to read:
SB184,6,1917 69.01 (6g) “Date of death" means the date that a person is pronounced dead by
18a physician, coroner, deputy coroner, medical examiner, deputy medical examiner,
19physician assistant, or hospice nurse.
SB184,15 20Section 15 . 69.18 (1) (ck) of the statutes is created to read:
SB184,6,2421 69.18 (1) (ck) For purposes of preparation of the certificate of death and in
22accordance with accepted medical standards, a physician assistant who is directly
23involved with the care of a patient who dies may pronounce the date, time, and place
24of the patient's death.
SB184,16 25Section 16 . 70.47 (8) (intro.) of the statutes is amended to read:
SB184,7,13
170.47 (8) Hearing. (intro.) The board shall hear upon oath all persons who
2appear before it in relation to the assessment. Instead of appearing in person at the
3hearing, the board may allow the property owner, or the property owner's
4representative, at the request of either person, to appear before the board, under
5oath, by telephone or to submit written statements, under oath, to the board. The
6board shall hear upon oath, by telephone, all ill or disabled persons who present to
7the board a letter from a physician, osteopath, physician assistant, as defined in s.
8448.01 (6),
or advanced practice nurse prescriber certified under s. 441.16 (2) that
9confirms their illness or disability. At the request of the property owner or the
10property owner's representative, the board may postpone and reschedule a hearing
11under this subsection, but may not postpone and reschedule a hearing more than
12once during the same session for the same property. The board at such hearing shall
13proceed as follows:
SB184,17 14Section 17 . 97.67 (5m) (a) 3. of the statutes is amended to read:
SB184,7,1515 97.67 (5m) (a) 3. A physician assistant licensed under subch. II VIII of ch. 448.
SB184,18 16Section 18 . 118.2925 (1) (f) of the statutes is amended to read:
SB184,7,1817 118.2925 (1) (f) “Physician assistant" means a person licensed under s. 448.04
18(1) (f)
448.974.
SB184,19 19Section 19 . 146.81 (1) (d) of the statutes is amended to read:
SB184,7,2120 146.81 (1) (d) A physician, physician assistant, perfusionist, or respiratory care
21practitioner licensed or certified under subch. II of ch. 448.
SB184,20 22Section 20 . 146.81 (1) (eu) of the statutes is created to read:
SB184,7,2323 146.81 (1) (eu) A physician assistant licensed under subch. VIII of ch. 448.
SB184,21 24Section 21 . 146.82 (3) (a) of the statutes is amended to read:
SB184,8,7
1146.82 (3) (a) Notwithstanding sub. (1), a physician, a physician assistant, as
2defined in s. 448.01 (6),
or an advanced practice nurse prescriber certified under s.
3441.16 (2) who treats a patient whose physical or mental condition in the physician's,
4physician assistant's, or advanced practice nurse prescriber's judgment affects the
5patient's ability to exercise reasonable and ordinary control over a motor vehicle may
6report the patient's name and other information relevant to the condition to the
7department of transportation without the informed consent of the patient.
SB184,22 8Section 22 . 146.89 (1) (r) 1. of the statutes is amended to read:
SB184,8,139 146.89 (1) (r) 1. Licensed as a physician under ch. 448, a dentist or dental
10hygienist under ch. 447, a registered nurse, practical nurse, or nurse-midwife under
11ch. 441, an optometrist under ch. 449, a physician assistant under subch. VIII of ch.
12448, a pharmacist under ch. 450, a chiropractor under ch. 446, a podiatrist under
13subch. IV of ch. 448, or a physical therapist under subch. III of ch. 448.
SB184,23 14Section 23 . 146.997 (1) (d) 5. of the statutes is amended to read:
SB184,8,1715 146.997 (1) (d) 5. An occupational therapist, occupational therapy assistant,
16physician assistant or respiratory care practitioner licensed or certified under ch.
17448.
SB184,24 18Section 24 . 154.01 (3) (intro.) of the statutes is amended to read:
SB184,8,2019 154.01 (3) (intro.) “Health care professional" means who is, or who holds a
20compact privilege under subch. IX of ch. 448
any of the following:
SB184,25 21Section 25 . 154.03 (2) of the statutes is amended to read:
SB184,9,1422 154.03 (2) The department shall prepare and provide copies of the declaration
23and accompanying information for distribution in quantities to persons licensed,
24certified, or registered under ch. 441, 448, or 455, persons who hold a compact
25privilege under subch. IX X of ch. 448, hospitals, nursing homes, county clerks and

1local bar associations and individually to private persons. The department shall
2include, in information accompanying the declaration, at least the statutory
3definitions of terms used in the declaration, statutory restrictions on who may be
4witnesses to a valid declaration, a statement explaining that valid witnesses acting
5in good faith are statutorily immune from civil or criminal liability, an instruction
6to potential declarants to read and understand the information before completing the
7declaration and a statement explaining that an instrument may, but need not be,
8filed with the register in probate of the declarant's county of residence. The
9department may charge a reasonable fee for the cost of preparation and distribution.
10The declaration distributed by the department of health services shall be easy to
11read, the type size may be no smaller than 10 point, and the declaration shall be in
12the following form, setting forth on the first page the wording before the
13ATTENTION statement and setting forth on the 2nd page the ATTENTION
14statement and remaining wording:
SB184,9,15 15Declaration to health care professionals
SB184,9,1616 (WISCONSIN LIVING WILL)
SB184,9,2317 I,...., being of sound mind, voluntarily state my desire that my dying not be
18prolonged under the circumstances specified in this document. Under those
19circumstances, I direct that I be permitted to die naturally. If I am unable to give
20directions regarding the use of life-sustaining procedures or feeding tubes, I intend
21that my family and physician, physician assistant, or advanced practice registered
22nurse honor this document as the final expression of my legal right to refuse medical
23or surgical treatment.
SB184,9,2524 1. If I have a TERMINAL CONDITION, as determined by a physician,
25physician assistant, or advanced practice registered nurse who has personally

1examined me, and if a physician who has also personally examined me agrees with
2that determination, I do not want my dying to be artificially prolonged and I do not
3want life-sustaining procedures to be used. In addition, the following are my
4directions regarding the use of feeding tubes:
SB184,10,55 .... YES, I want feeding tubes used if I have a terminal condition.
SB184,10,66 .... NO, I do not want feeding tubes used if I have a terminal condition.
SB184,10,77 If you have not checked either box, feeding tubes will be used.
SB184,10,128 2. If I am in a PERSISTENT VEGETATIVE STATE, as determined by a
9physician, physician assistant, or advanced practice registered nurse who has
10personally examined me, and if a physician who has also personally examined me
11agrees with that determination, the following are my directions regarding the use
12of life-sustaining procedures:
SB184,10,1413 .... YES, I want life-sustaining procedures used if I am in a persistent
14vegetative state.
SB184,10,1615 .... NO, I do not want life-sustaining procedures used if I am in a persistent
16vegetative state.
SB184,10,1717 If you have not checked either box, life-sustaining procedures will be used.
SB184,10,2218 3. If I am in a PERSISTENT VEGETATIVE STATE, as determined by a
19physician, physician assistant, or advanced practice registered nurse who has
20personally examined me, and if a physician who has also personally examined me
21agrees with that determination, the following are my directions regarding the use
22of feeding tubes:
SB184,10,2323 .... YES, I want feeding tubes used if I am in a persistent vegetative state.
SB184,10,2424 .... NO, I do not want feeding tubes used if I am in a persistent vegetative state.
SB184,10,2525 If you have not checked either box, feeding tubes will be used.
SB184,11,3
1If you are interested in more information about the significant terms used in
2this document, see section 154.01 of the Wisconsin Statutes or the information
3accompanying this document.
SB184,11,54 ATTENTION: You and the 2 witnesses must sign the document at the same
5time.
SB184,11,66 Signed ....   Date ....
SB184,11,77 Address ....   Date of birth ....
SB184,11,118 I believe that the person signing this document is of sound mind. I am an adult
9and am not related to the person signing this document by blood, marriage or
10adoption. I am not entitled to and do not have a claim on any portion of the person's
11estate and am not otherwise restricted by law from being a witness.
SB184,11,1212 Witness signature ....   Date signed ....
SB184,11,1313 Print name ....
SB184,11,1414 Witness signature ....   Date signed ....
SB184,11,1515 Print name ....
SB184,11,1616 DIRECTIVES TO ATTENDING PHYSICIAN,
SB184,11,1717 PHYSICIAN ASSISTANT, OR ADVANCED
SB184,11,1818 PRACTICE REGISTERED NURSE
SB184,11,2319 1. This document authorizes the withholding or withdrawal of life-sustaining
20procedures or of feeding tubes when a physician and another physician, physician
21assistant, or advanced practice registered nurse, one of whom is the attending health
22care professional, have personally examined and certified in writing that the patient
23has a terminal condition or is in a persistent vegetative state.
SB184,12,424 2. The choices in this document were made by a competent adult. Under the
25law, the patient's stated desires must be followed unless you believe that withholding

1or withdrawing life-sustaining procedures or feeding tubes would cause the patient
2pain or reduced comfort and that the pain or discomfort cannot be alleviated through
3pain relief measures. If the patient's stated desires are that life-sustaining
4procedures or feeding tubes be used, this directive must be followed.
SB184,12,85 3. If you feel that you cannot comply with this document, you must make a good
6faith attempt to transfer the patient to another physician, physician assistant, or
7advanced practice registered nurse who will comply. Refusal or failure to make a
8good faith attempt to do so constitutes unprofessional conduct.
SB184,12,109 4. If you know that the patient is pregnant, this document has no effect during
10her pregnancy.
SB184,12,1111 * * * * *
SB184,12,1412 The person making this living will may use the following space to record the
13names of those individuals and health care providers to whom he or she has given
14copies of this document:
SB184,12,1515 .................................................................
SB184,12,1616 .................................................................
SB184,12,1717 .................................................................
SB184,26 18Section 26 . 154.07 (1) (a) (intro.) of the statutes is amended to read:
SB184,12,2319 154.07 (1) (a) (intro.) No health care professional, inpatient health care facility
20or person licensed, certified, or registered under ch. 441, 448, or 455, or a person who
21holds a compact privilege under subch. IX X of ch. 448 acting under the direction of
22a health care professional may be held criminally or civilly liable, or charged with
23unprofessional conduct, for any of the following:
SB184,27 24Section 27 . 165.77 (1) (a) of the statutes is amended to read:
SB184,13,3
1165.77 (1) (a) “Health care professional" means a person licensed, certified, or
2registered under ch. 441, 448, or 455 or a person who holds a compact privilege under
3subch. IX X of ch. 448.
SB184,28 4Section 28 . 252.01 (5) of the statutes is repealed.
SB184,29 5Section 29 . 255.07 (1) (d) of the statutes is amended to read:
SB184,13,86 255.07 (1) (d) “Health care practitioner" means a physician, a physician
7assistant licensed under s. 448.04 (1) (f), or an advanced practice nurse who is
8certified to issue prescription orders under s. 441.16.
SB184,30 9Section 30 . 343.16 (5) (a) of the statutes is amended to read:
SB184,14,710 343.16 (5) (a) The secretary may require any applicant for a license or any
11licensed operator to submit to a special examination by such persons or agencies as
12the secretary may direct to determine incompetency, physical or mental disability,
13disease, or any other condition that might prevent such applicant or licensed person
14from exercising reasonable and ordinary control over a motor vehicle. If the
15department requires the applicant to submit to an examination, the applicant shall
16pay for the examination. If the department receives an application for a renewal or
17duplicate license after voluntary surrender under s. 343.265 or receives a report from
18a physician, physician assistant, as defined in s. 448.01 (6), advanced practice nurse
19prescriber certified under s. 441.16 (2), or optometrist under s. 146.82 (3), or if the
20department has a report of 2 or more arrests within a one-year period for any
21combination of violations of s. 346.63 (1) or (5) or a local ordinance in conformity with
22s. 346.63 (1) or (5) or a law of a federally recognized American Indian tribe or band
23in this state in conformity with s. 346.63 (1) or (5), or s. 346.63 (1m), 1985 stats., or
24s. 346.63 (2) or (6) or 940.25, or s. 940.09 where the offense involved the use of a
25vehicle, the department shall determine, by interview or otherwise, whether the

1operator should submit to an examination under this section. The examination may
2consist of an assessment. If the examination indicates that education or treatment
3for a disability, disease or condition concerning the use of alcohol, a controlled
4substance or a controlled substance analog is appropriate, the department may order
5a driver safety plan in accordance with s. 343.30 (1q). If there is noncompliance with
6assessment or the driver safety plan, the department shall revoke the person's
7operating privilege in the manner specified in s. 343.30 (1q) (d).
SB184,31 8Section 31 . 440.035 (2m) (b) of the statutes is amended to read:
SB184,14,149 440.035 (2m) (b) The medical examining board, the physician assistant
10affiliated credentialing board,
the podiatry affiliated credentialing board, the board
11of nursing, the dentistry examining board, or the optometry examining board may
12issue guidelines regarding best practices in prescribing controlled substances for
13persons credentialed by that board who are authorized to prescribe controlled
14substances.
SB184,32 15Section 32 . 440.035 (2m) (c) 1. (intro.) of the statutes is amended to read:
SB184,14,2016 440.035 (2m) (c) 1. (intro.) The medical examining board, the physician
17assistant affiliated credentialing board,
the podiatry affiliated credentialing board,
18the board of nursing, the dentistry examining board, and the optometry examining
19board shall, by November 1, 2018, and annually thereafter of each year, submit a
20report to the persons specified in subd. 2. that does all of the following:
SB184,33 21Section 33 . 448.01 (6) of the statutes is repealed.
SB184,34 22Section 34 . 448.015 (4) (am) 2. of the statutes is amended to read:
SB184,14,2423 448.015 (4) (am) 2. Any act by a physician or physician assistant in violation
24of ch. 450 or 961.
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