AB568,93
3Section
93. 448.035 (1) (a) of the statutes is repealed.
AB568,94
4Section 94
. 448.035 (2), (3) and (4) of the statutes are amended to read:
AB568,45,195
448.035
(2) Notwithstanding the requirements of s. 448.30, a physician,
6physician assistant, or
certified advanced practice
registered nurse
prescriber who
7has prescribing authority under s. 441.09 (2) (c) may provide expedited partner
8therapy if the patient is diagnosed as infected with a chlamydial infection,
9gonorrhea, or trichomoniasis and the patient has had sexual contact with a sexual
10partner during which the chlamydial infection, gonorrhea, or trichomoniasis may
11have been transmitted to or from the sexual partner. The physician, physician
12assistant, or
certified advanced practice
registered nurse
prescriber shall attempt to
13obtain the name of the patient's sexual partner. A prescription order for an
14antimicrobial drug prepared under this subsection shall include the name and
15address of the patient's sexual partner, if known. If the physician, physician
16assistant, or
certified advanced practice
registered nurse
prescriber is unable to
17obtain the name of the patient's sexual partner, the prescription order shall include,
18in ordinary bold-faced capital letters, the words, “expedited partner therapy" or the
19letters “EPT."
AB568,45,24
20(3) The physician, physician assistant, or
certified advanced practice
21registered nurse
prescriber shall provide the patient with a copy of the information
22sheet prepared by the department of health services under s. 46.03 (44) and shall
23request that the patient give the information sheet to the person with whom the
24patient had sexual contact.
AB568,46,5
1(4) (a) Except as provided in par. (b), a physician, physician assistant, or
2certified advanced practice
registered nurse
prescriber is immune from civil liability
3for injury to or the death of a person who takes any antimicrobial drug if the
4antimicrobial drug is prescribed, dispensed, or furnished under this section and if
5expedited partner therapy is provided as specified under this section.
AB568,46,96
(b) The immunity under par. (a) does not extend to the donation, distribution,
7furnishing, or dispensing of an antimicrobial drug by a physician, physician
8assistant, or
certified advanced practice
registered nurse
prescriber whose act or
9omission involves reckless, wanton, or intentional misconduct.
AB568,95
10Section 95
. 448.56 (1) and (1m) (b) of the statutes are amended to read:
AB568,46,2511
448.56
(1) Written referral. Except as provided in this subsection and s.
12448.52, a person may practice physical therapy only upon the written referral of a
13physician, physician assistant, chiropractor, dentist, podiatrist, or advanced practice
14registered nurse
prescriber certified under s. 441.16 (2). Written referral is not
15required if a physical therapist provides services in schools to children with
16disabilities, as defined in s. 115.76 (5), pursuant to rules promulgated by the
17department of public instruction; provides services as part of a home health care
18agency; provides services to a patient in a nursing home pursuant to the patient's
19plan of care; provides services related to athletic activities, conditioning, or injury
20prevention; or provides services to an individual for a previously diagnosed medical
21condition after informing the individual's physician, physician assistant,
22chiropractor, dentist, podiatrist, or advanced practice
registered nurse
prescriber
23certified under s. 441.16 (2) who made the diagnosis. The examining board may
24promulgate rules establishing additional services that are excepted from the written
25referral requirements of this subsection.
AB568,47,6
1(1m) (b) The examining board shall promulgate rules establishing the
2requirements that a physical therapist must satisfy if a physician, physician
3assistant, chiropractor, dentist, podiatrist, or advanced practice
registered nurse
4prescriber makes a written referral under sub. (1). The purpose of the rules shall be
5to ensure continuity of care between the physical therapist and the health care
6practitioner.
AB568,96
7Section 96
. 448.67 (2) of the statutes is amended to read:
AB568,47,178
448.67
(2) Separate billing required. Except as provided in sub. (4), a licensee
9who renders any podiatric service or assistance, or gives any podiatric advice or any
10similar advice or assistance, to any patient, podiatrist, physician, physician
11assistant, advanced practice
registered nurse
prescriber certified under s. 441.16 (2),
12partnership, or corporation, or to any other institution or organization, including a
13hospital, for which a charge is made to a patient, shall, except as authorized by
14Title 18 or Title 19 of the federal Social Security Act, render an individual statement
15or account of the charge directly to the patient, distinct and separate from any
16statement or account by any other podiatrist, physician, physician assistant,
17advanced practice
registered nurse
prescriber, or other person.
AB568,97
18Section 97
. 448.956 (1m) of the statutes is amended to read:
AB568,47,2419
448.956
(1m) Subject to sub. (1) (a), a licensee may provide athletic training
20to an individual without a referral, except that a licensee may not provide athletic
21training as described under s. 448.95 (5) (d) or (e) in an outpatient rehabilitation
22setting unless the licensee has obtained a written referral for the individual from a
23practitioner licensed or certified under subch. II, III, IV, V, or VII of this chapter;
24under ch. 446; or under s.
441.16 (2) 441.09.
AB568,98
25Section
98. 450.01 (1m) of the statutes is repealed.
AB568,99
1Section
99. 450.01 (16) (h) 2. of the statutes is amended to read:
AB568,48,52
450.01
(16) (h) 2. The patient's advanced practice
registered nurse
prescriber,
3if the advanced practice
registered nurse
prescriber has entered into a written
4agreement to collaborate with a physician has prescribing authority under s. 441.09
5(2) (c).
AB568,100
6Section 100
. 450.01 (16) (hr) 2. of the statutes is amended to read:
AB568,48,87
450.01
(16) (hr) 2. An advanced practice
registered nurse
prescriber who has
8prescribing authority under s. 441.09 (2) (c).
AB568,101
9Section 101
. 450.03 (1) (e) of the statutes is amended to read:
AB568,48,1610
450.03
(1) (e) Any person lawfully practicing within the scope of a license,
11permit, registration, certificate, or certification granted to provide home medical
12oxygen under s. 450.076, to practice professional
or
, practical
, or advanced practice
13registered nursing
or nurse-midwifery under ch. 441, to practice dentistry or dental
14hygiene under ch. 447, to practice medicine and surgery under ch. 448, to practice
15optometry under ch. 449 or to practice veterinary medicine under ch. 89, or as
16otherwise provided by statute.
AB568,102
17Section 102
. 450.11 (1i) (a) 1. of the statutes is amended to read:
AB568,49,318
450.11
(1i) (a) 1. A pharmacist may, upon and in accordance with the
19prescription order of an advanced practice
registered nurse
prescriber under s.
20441.18 (2) (a) 1., or of a physician or physician assistant under s. 448.037 (2) (a) 1.,
21that complies with the requirements of sub. (1), deliver an opioid antagonist to a
22person specified in the prescription order and may, upon and in accordance with the
23standing order of an advanced practice
registered nurse
prescriber under s. 441.18
24(2) (a) 2., or of a physician or physician assistant under s. 448.037 (2) (a) 2., that
25complies with the requirements of sub. (1), deliver an opioid antagonist to an
1individual in accordance with the order. The pharmacist shall provide a consultation
2in accordance with rules promulgated by the board for the delivery of a prescription
3to the person to whom the opioid antagonist is delivered.
AB568,103
4Section 103
. 450.11 (1i) (b) 2. b. of the statutes is amended to read:
AB568,49,75
450.11
(1i) (b) 2. b. An advanced practice
registered nurse
prescriber may only
6deliver or dispense an opioid antagonist in accordance with s. 441.18 (2) or in
7accordance with his or her other legal authority to dispense prescription drugs.
AB568,104
8Section 104
. 450.11 (7) (b) of the statutes is amended to read:
AB568,49,129
450.11
(7) (b) Information communicated to a physician, physician assistant,
10or advanced practice
registered nurse
prescriber in an effort to procure unlawfully
11a prescription drug or the administration of a prescription drug is not a privileged
12communication.
AB568,105
13Section 105
. 450.11 (8) (e) of the statutes is amended to read:
AB568,49,1514
450.11
(8) (e) The board of nursing, insofar as this section applies to advanced
15practice
nurse prescribers registered nurses.
AB568,106
16Section 106
. 450.13 (5) (b) of the statutes is amended to read:
AB568,49,1917
450.13
(5) (b) The patient's advanced practice
registered nurse
prescriber, if the
18advanced practice
registered nurse
prescriber has entered into a written agreement
19to collaborate with a physician has prescribing authority under s. 441.09 (2) (c).
AB568,107
20Section 107
. 462.04 of the statutes is amended to read:
AB568,50,3
21462.04 Prescription or order required. A person who holds a license or
22limited X-ray machine operator permit under this chapter may not use diagnostic
23X-ray equipment on humans for diagnostic purposes unless authorized to do so by
24prescription or order of a physician licensed under s. 448.04 (1) (a), a dentist licensed
25under s. 447.04 (1), a podiatrist licensed under s. 448.63, a chiropractor licensed
1under s. 446.02, an advanced practice
registered nurse
certified licensed under s.
2441.16 (2) 441.09, a physician assistant licensed under s. 448.04 (1) (f), or, subject to
3s. 448.56 (7) (a), a physical therapist licensed under s. 448.53.
AB568,108
4Section
108. 655.001 (7t) of the statutes is amended to read:
AB568,50,95
655.001
(7t) “Health care practitioner" means a health care professional, as
6defined in s. 180.1901 (1m), who is an employee of a health care provider described
7in s. 655.002 (1) (d), (e), (em), or (f) and who has the authority to provide health care
8services that are not
in collaboration with a physician under s. 441.15 (2) (b) or under
9the direction and supervision of a physician or nurse anesthetist.
AB568,109
10Section 109
. 655.001 (9) of the statutes is amended to read:
AB568,50,1511
655.001
(9) “Nurse anesthetist" means
a nurse an individual who is licensed
12under ch. 441 or in a party state, as defined in s. 441.50 (2) (j), who is certified as a
13nurse anesthetist by the American association of nurse anesthetists
as an advanced
14practice registered nurse and possesses a certified registered nurse anesthetist
15endorsement under s. 441.09.
AB568,110
16Section 110
. 655.005 (2) (a) of the statutes is amended to read:
AB568,50,2017
655.005
(2) (a) An employee of a health care provider if the employee is a
18physician or a nurse anesthetist or is a health care practitioner who is providing
19health care services that are not
in collaboration with a physician under s. 441.15 (2)
20(b) or under the direction and supervision of a physician or nurse anesthetist.
AB568,111
21Section 111
. 961.01 (19) (a) of the statutes is amended to read:
AB568,51,222
961.01
(19) (a) A physician, advanced practice
registered nurse, dentist,
23veterinarian, podiatrist, optometrist, scientific investigator or, subject to s. 448.21
24(3), a physician assistant, or other person licensed, registered, certified or otherwise
25permitted to distribute, dispense, conduct research with respect to, administer or use
1in teaching or chemical analysis a controlled substance in the course of professional
2practice or research in this state.
AB568,112
3Section 112
. 961.395 of the statutes is amended to read:
AB568,51,7
4961.395 Limitation on advanced practice
registered nurses. (1) An
5advanced practice
registered nurse
who is certified under s. 441.16 who has
6prescribing authority under s. 441.09 (2) (c) may prescribe controlled substances only
7as permitted by the rules promulgated under s.
441.16 (3) 441.09 (9).
AB568,51,11
8(2) An advanced practice
registered nurse
certified under s. 441.16 shall
9include with each prescription order the advanced practice
registered nurse
10prescriber certification number identifier issued to him or her by the board of
11nursing.
AB568,51,15
12(3) An advanced practice
registered nurse
certified under s. 441.16 who has
13prescribing authority under s. 441.09 (2) (c) may dispense a controlled substance only
14by prescribing or administering the controlled substance or as otherwise permitted
15by the rules promulgated under s.
441.16 (3)
441.09 (9).
AB568,51,1717
(1) This act takes effect on March 1, 2020.