Amendment AA1-SB322

SB322-AA1,22,24 4. A referral for abortion, as defined in s. 48.375.

SB322-AA1,22,25 5. A contraceptive article, as defined in s. 450.155 (1) (a).

SB322-AA1,23,1 6. A pregnancy test.

SB322-AA1,23,4 (d) Any health care services provided under par. (b) shall be provided without charge at the school and shall be available to all students from 4-year-old kindergarten to grade 6 regardless of income.

SB322-AA1, s. 61 Section 61. 441.07 (1) (d) of the statutes is amended to read:

SB322-AA1,23,8 441.07 (1) (d) Misconduct or unprofessional conduct. In this paragraph, "misconduct" and "unprofessional conduct" do not include the prescribing of an antibiotic drug as described in s. 448.035.

SB322-AA1, s. 62 Section 62. 441.16 (3m) of the statutes is created to read:

SB322-AA1,23,11 441.16 (3m) An advanced practice nurse who is certified under sub. (2) may prescribe an antibiotic drug as described in s. 448.035.

SB322-AA1, s. 63 Section 63. 448.015 (4) of the statutes is amended to read:

SB322-AA1,23,17 448.015 (4) "Unprofessional conduct" means those acts or attempted acts of commission or omission defined as unprofessional conduct by the board under the authority delegated to the board by s. 15.08 (5) (b) and any act by a physician or physician assistant in violation of ch. 450 or 961. "Unprofessional conduct" does not include the prescribing of an antibiotic drug as described in s. 448.035.

SB322-AA1, s. 64 Section 64. 448.035 of the statutes is created to read:

SB322-AA1,23,19 448.035 Prescribing certain antibiotic drugs. (1) In this section:

SB322-AA1,23,21 (a) "Advanced practice nurse prescriber" means a nurse who is certified under s. 441.16 (2).

SB322-AA1,23,24 (b) "Antibiotic drug" means an antibiotic drug recommended for treatment of chlamydia, gonorrhea, or trichomonas in the most current guidelines for the treatment of sexually transmitted diseases of the federal centers for disease control.

SB322-AA1,24,20 (2) Notwithstanding the requirements of s. 448.30, a physician, physician assistant, or advanced practice nurse prescriber may prescribe an antibiotic drug as a course of therapy for treatment of chlamydia, gonorrhea, or trichomonas to a patient for use by a person with whom the patient has had sexual intercourse if the patient states to the physician, physician assistant, or advanced practice nurse prescriber that the person is not allergic to the drug. The prescription order is required to include the name and address of the patient, a statement that indicates that the patient should ask the person with whom the patient has had sexual intercourse whether that person is allergic to the drug, and a statement that indicates that the drug should not be taken by a person who is allergic to the drug. The prescription order is not required to include the name and address of the person with whom the patient has had sexual intercourse. The prescription order shall state that the patient is responsible for paying for the antibiotic drug that is prescribed for the person with whom the patient has had sexual intercourse. This subsection does not apply to the prescribing of a substance listed in the schedules in ss. 961.14, 961.16, 961.18, 961.20, and 961.22 or substances added by the controlled substances board acting under s. 961.11 (1). A physician, physician assistant, or advanced practice nurse prescriber may not issue prescriptions under this subsection for more than 2 persons in one year with whom a particular patient has had sexual intercourse.

SB322-AA1,24,25 (3) At the time of issuing the prescription under sub. (2), the physician, physician assistant, or advanced practice nurse prescriber may provide the patient, in writing, with information specified by the department of health and family services under s. 46.03 (44) and request that the patient give the information to the person with whom the patient has had sexual intercourse.

SB322-AA1, s. 65 Section 65. 448.04 (1) (a) of the statutes is amended to read:

SB322-AA1,25,4 448.04 (1) (a) License to practice medicine and surgery. A person holding a license to practice medicine and surgery may practice as defined in s. 448.01 (9) and as provided in s. 448.035.

SB322-AA1, s. 66 Section 66. 450.10 (1) (a) (intro.) of the statutes is amended to read:

SB322-AA1,25,8 450.10 (1) (a) (intro.) In this subsection, "unprofessional conduct" includes any of the following, but is not limited to does not include the dispensing of an antibiotic drug as described in s. 450.11 (1g):

SB322-AA1, s. 67 Section 67. 450.11 (1) of the statutes is amended to read:

SB322-AA1,25,18 450.11 (1) Dispensing. No person may dispense any prescribed drug or device except upon the prescription order of a practitioner. All prescription orders shall specify the date of issue, the name and address of the patient, the name and address of the practitioner, the name and quantity of the drug product or device prescribed, directions for the use of the drug product or device and, if the order is written by the practitioner, the signature of the practitioner. Except as provided in s. 448.035 (2), all prescription orders shall also specify the name and address of the patient. Any oral prescription order shall be immediately reduced to writing by the pharmacist and filed according to sub. (2).

SB322-AA1, s. 68 Section 68. 450.11 (1g) of the statutes is created to read:

SB322-AA1,25,21 450.11 (1g) Dispensing certain antibiotic drugs. (a) In this subsection, "antibiotic drug" has the meaning given in s. 448.035 (1) (b).

SB322-AA1,26,3 (b) A pharmacist may, upon the prescription order of a practitioner, as specified in s. 448.035, and under all other requirements of sub. (1), dispense an antibiotic drug as a course of therapy for treatment of chlamydia, gonorrhea, or trichomonas to a patient for use by a person with whom the patient has had sexual intercourse. A pharmacist may dispense an antibiotic drug under this paragraph without providing a consultation to the person with whom the patient has had sexual intercourse.

SB322-AA1,26,7 (c) A patient specified in par. (b) is responsible for paying for an antibiotic drug that is dispensed under par. (b). Any insurance claim submitted by a pharmacist for an antibiotic drug dispensed under this subsection shall specify that the antibiotic drug was dispensed for use by a person other than the patient.

SB322-AA1, s. 69 Section 69. 456.02 (intro.) of the statutes is amended to read:

SB322-AA1,26,9 456.02 Duties. (intro.) The examining board shall do all of the following:

SB322-AA1, s. 70 Section 70. 456.02 (1) of the statutes is amended to read:

SB322-AA1,26,17 456.02 (1) Develop, impose and enforce standards which must be met by individuals that an individual is required to meet in order to receive a license as a nursing home administrator, which. The standards shall be designed to insure ensure that a nursing home administrators will be individuals who are administrator is of good character and are, is otherwise suitable, and who, by training or experience in the field of institutional administration, are is qualified to serve as a nursing home administrators; administrator.

SB322-AA1, s. 71 Section 71. 456.02 (2) of the statutes is amended to read:

SB322-AA1,26,21 456.02 (2) Develop and apply appropriate techniques, including examinations and investigations, for determining whether an individual meets such the standards; under sub. (1).

SB322-AA1, s. 72 Section 72. 456.02 (3) of the statutes is amended to read:

SB322-AA1,27,3 456.02 (3) Issue licenses to individuals a license to an individual determined, after the application of such the techniques under sub. (2), to meet such the standards under sub. (1), and revoke or suspend licenses a license previously granted by the examining board in any case where if the individual holding any such the license is determined substantially to have failed to conform to the requirements of such the standards; .

SB322-AA1, s. 73 Section 73. 456.02 (4) of the statutes is amended to read:

SB322-AA1,27,8 456.02 (4) Establish and carry out procedures designed to insure ensure that individuals licensed as nursing home administrators will, during any period that they serve as such, comply with the requirements of such the standards; under sub. (1).

SB322-AA1, s. 74 Section 74. 456.02 (5) of the statutes is amended to read:

SB322-AA1,27,14 456.02 (5) Subject to the rules promulgated under s. 440.03 (1), receive, investigate, and take appropriate action with respect to, any charge or complaint filed with the examining board to the effect that any individual licensed as a nursing home administrator has failed to comply with the requirements of such the standards; under sub. (1).

SB322-AA1, s. 75 Section 75. 456.02 (6) of the statutes is amended to read:

SB322-AA1,27,21 456.02 (6) In cooperation with other agencies and appropriate organizations, conduct a continuing study of the practice of nursing home administration within the state with a view to the improvement of the standards imposed for the licensing of such nursing home administrators and of procedures and methods for the enforcement of such the standards under sub. (1) with respect to nursing home administrators of nursing homes who have been licensed as such; under this chapter.

SB322-AA1, s. 76 Section 76. 456.02 (7) of the statutes is amended to read:

SB322-AA1,28,6 456.02 (7) Develop and enforce standards for the Promulgate rules establishing supervised practical experience to be required requirements that, except as provided in s. 456.04 (2m), an individual shall satisfy before being allowed to take an examination for licensure; and as a nursing home administrator. Except as provided in s. 456.04 (2m), the rules shall require the individual to complete at least 2,000 hours in any consecutive 3-year period within the 5-year period immediately preceding the date of application for examination in an internship, administrator-in-training program, or any other structured program approved by the examining board.

SB322-AA1, s. 77 Section 77. 456.04 (intro.) (except 456.04 (title)) of the statutes is renumbered 456.04 (1m) (intro.) and amended to read:

SB322-AA1,28,11 456.04 (1m) (intro.) The Except as provided in sub. (2m), the examining board shall allow any person to take the examination for licensure as a nursing home administrator who satisfies all of the following requirements:

SB322-AA1, s. 78 Section 78. 456.04 (1) of the statutes is renumbered 456.04 (1m) (a).

SB322-AA1, s. 79 Section 79. 456.04 (1m) (d) of the statutes is created to read:

SB322-AA1,28,14 456.04 (1m) (d) Has one of the following:

SB322-AA1,28,16 1. A bachelor's, master's, or doctoral degree with a major in health care administration or long-term care from an accredited college or university.

SB322-AA1,28,19 2. A bachelor's degree in any field from an accredited college or university and completion of a specialized course that the examining board determines is adequate preparation for nursing home administration.

SB322-AA1, s. 80 Section 80. 456.04 (1m) (e) of the statutes is created to read:

SB322-AA1,28,22 456.04 (1m) (e) Satisfies the supervised practical experience requirements specified in the rules promulgated under s. 456.02 (7).

SB322-AA1, s. 81 Section 81. 456.04 (2) of the statutes is renumbered 456.04 (1m) (b).

SB322-AA1, s. 82 Section 82. 456.04 (2m) of the statutes is created to read:

SB322-AA1,29,3 456.04 (2m) The examining board shall allow a person to take the examination for licensure as a nursing home administrator if he or she satisfies the requirements specified in sub. (1m) (a), (b), and (c) and all of the following are satisfied:

SB322-AA1,29,8 (a) The person was enrolled, at any time within the 2-year period before the effective date of this paragraph .... [revisor inserts date], in a regular course of study or equivalent specialized courses or a program of study that the examining board considered adequate academic preparation for nursing home administration under s. 456.04 (4), 2001 stats.

SB322-AA1,29,11 (b) No later than 2 years after the effective date of this paragraph .... [revisor inserts date], the person completes the regular course of study, specialized courses, or program of study specified in par. (a).

SB322-AA1,29,17 (c) If the person was enrolled, at any time within the 2-year period before the effective date of this paragraph .... [revisor inserts date], in specialized courses or a program of study specified in par. (a), the person completes, no later than 2 years after the effective date of this paragraph .... [revisor inserts date], one year of supervised practical experience as specified in rules promulgated by the examining board.

SB322-AA1,29,22 (d) If the person was enrolled, at any time within the 2-year period before the effective date of this paragraph .... [revisor inserts date], in a regular course of study specified in par. (a), the person completes, no later than 2 years after the effective date of this paragraph .... [revisor inserts date], a supervised clinical practicum as specified in rules promulgated by the examining board.

SB322-AA1, s. 83 Section 83. 456.04 (3) of the statutes is renumbered 456.04 (1m) (c).

SB322-AA1, s. 84 Section 84. 456.04 (4) of the statutes is repealed.

SB322-AA1, s. 85 Section 85. 456.08 of the statutes is renumbered 456.08 (intro.) and amended to read:

SB322-AA1,30,8 456.08 Reciprocity. (intro.) The examining board may grant a nursing home administrator license under this chapter to a person an applicant who holds a current nursing home administrator license issued by the proper authorities of any other state or licensing jurisdiction, upon payment of the fee specified in s. 440.05 (2) and upon submission of satisfactory evidence of the person's qualifications. evidence satisfactory to the examining board that the applicant satisfies each of the following:

SB322-AA1, s. 86 Section 86. 456.08 (1), (2), (3) and (4) of the statutes are created to read:

SB322-AA1,30,12 456.08 (1) The applicant has a bachelor's degree in any field or holds a current certification as a nursing home administrator granted by the American College of Health Care Administrators.

SB322-AA1,30,15 (2) The applicant has practiced as a nursing home administrator in good standing for at least 2,000 hours in any consecutive 3-year period within the 5-year period immediately preceding the date of application.

SB322-AA1,30,17 (3) Subject to ss. 111.321, 111.322, and 111.335, the applicant does not have an arrest or conviction record.

SB322-AA1,30,20 (4) The applicant has passed an examination approved by the examining board relating to state and federal laws governing the practice of nursing home administration.

SB322-AA1, s. 87 Section 87. 456.09 (1) (c) of the statutes is amended to read:

SB322-AA1,30,25 456.09 (1) (c) Practice Except as provided in s. 456.12, practice as a nursing home administrator or use in connection with his or her name any title or designation tending to imply that the person is a nursing home administrator unless duly licensed and registered to so practice under this chapter; or

SB322-AA1, s. 88 Section 88. 456.12 of the statutes is created to read:

SB322-AA1,31,7 456.12 Exemption. This chapter does not apply to a person who acts in the capacity of an administrator of a nursing home operated by adherents of a church or religious denomination which subscribes to the act of healing by prayer and the principles of which do not include medical treatment, if the person does not use in connection with his or her name any title or designation tending to imply that the person is a nursing home administrator.

SB322-AA1, s. 89 Section 89. 609.22 (2) of the statutes is amended to read:

SB322-AA1,31,12 609.22 (2) Adequate choice. A defined network plan that is not a preferred provider plan shall ensure that, with respect to covered benefits, each enrollee has adequate choice among participating providers and that the providers are, to the extent consistent with s. 628.36 (2) (b) 3. and (2m), accessible and qualified.

SB322-AA1, s. 90 Section 90. 609.32 (2) (a) of the statutes is amended to read:

SB322-AA1,31,22 609.32 (2) (a) A defined network plan shall develop , consistent with s. 628.36 (2) (b) 3. and (2m), a process for selecting participating providers, including written policies and procedures that the plan uses for review and approval of providers. After consulting with appropriately qualified providers, the plan shall establish, to the extent consistent with s. 628.36 (2) (b) 3. and (2m), minimum professional requirements for its participating providers. The process for selection shall include verification of a provider's license or certificate, including the history of any suspensions or revocations, and the history of any liability claims made against the provider.

SB322-AA1, s. 91 Section 91. 628.36 (1) of the statutes is renumbered 628.36 (1m) and amended to read:

SB322-AA1,32,4 628.36 (1m) Payment methods. Any corporation operating a voluntary health care plan may pay health care professionals on a salary, per patient , or fee-for-service basis to provide health care to policyholders or beneficiaries of the corporation.

SB322-AA1, s. 92 Section 92. 628.36 (1c) (intro.) of the statutes is created to read:

SB322-AA1,32,6 628.36 (1c) Definitions. (intro.) In this section:

SB322-AA1, s. 93 Section 93. 628.36 (2) (a) (intro.) of the statutes is amended to read:

SB322-AA1,32,8 628.36 (2) (a) (intro.) In this section subsection:

SB322-AA1, s. 94 Section 94. 628.36 (2) (b) 3. of the statutes is amended to read:

SB322-AA1,32,13 628.36 (2) (b) 3. Except as provided in subd. subds. 4. and 4m., and subject to sub. (2m) (e), no provider may be denied the opportunity to participate in a health care plan, other than a health maintenance organization, a limited service health organization or a preferred provider plan, under the terms of the plan.

SB322-AA1, s. 95 Section 95. 628.36 (2) (b) 4. of the statutes is amended to read:

SB322-AA1,32,18 628.36 (2) (b) 4. Any health care plan may exclude a provider from participation in the health care plan for cause related to the practice of his or her profession. A health care plan that excludes a provider from participation shall advise the provider in writing of the reason for the exclusion.

SB322-AA1, s. 96 Section 96. 628.36 (2) (b) 4m. of the statutes is created to read:

SB322-AA1,32,23 628.36 (2) (b) 4m. Subdivision 3. applies to a health maintenance organization, limited service health organization, or preferred provider plan only with respect to a provider located in the geographic service area of the health maintenance organization, limited service health organization, or preferred provider plan.

SB322-AA1, s. 97 Section 97. 628.36 (2m) (title) of the statutes is repealed and recreated to read:

SB322-AA1,32,25 628.36 (2m) (title) Annual participation election period.