SB497,35,219 343.62 (4) (a) 4. The applicant submits with the application a statement
20completed within the immediately preceding 24 months, except as provided by rule,
21by a physician licensed to practice medicine in any state, from an advanced practice
22registered nurse licensed to practice nursing in any state, from a physician assistant
23licensed or certified to practice in any state, from a podiatrist licensed to practice in
24any state, from a chiropractor licensed to practice chiropractic in any state, or from
25a Christian Science practitioner residing in this state, and listed in the Christian

1Science journal certifying that, in the medical care provider's judgment, the
2applicant is physically fit to teach driving.
SB497,68 3Section 68. 440.03 (13) (b) 3. of the statutes is repealed.
SB497,69 4Section 69. 440.03 (13) (b) 39m. of the statutes is created to read:
SB497,35,55 440.03 (13) (b) 39m. Nurse, advanced practice registered.
SB497,70 6Section 70. 440.03 (13) (b) 42. of the statutes is repealed.
SB497,71 7Section 71. 440.08 (2) (a) 4m. of the statutes is repealed.
SB497,72 8Section 72. 440.08 (2) (a) 47. of the statutes is created to read:
SB497,35,109 440.08 (2) (a) 47. Nurse, advanced practice registered: March 1 of each
10even-numbered year.
SB497,73 11Section 73. 440.08 (2) (a) 50. of the statutes is repealed.
SB497,74 12Section 74. 440.981 (1) of the statutes is amended to read:
SB497,35,1713 440.981 (1) No person may use the title “licensed midwife," describe or imply
14that he or she is a licensed midwife, or represent himself or herself as a licensed
15midwife unless the person is granted a license under this subchapter or is licensed
16as a nurse-midwife under s. 441.15 an advanced practice registered nurse and
17possesses a certified nurse-midwife endorsement under s. 441.09
.
SB497,75 18Section 75. 440.982 (1) of the statutes is amended to read:
SB497,35,2319 440.982 (1) No person may engage in the practice of midwifery unless the
20person is granted a license under this subchapter, is granted a temporary permit
21pursuant to a rule promulgated under s. 440.984 (2m), or is licensed as a
22nurse-midwife under s. 441.15
an advanced practice registered nurse and possesses
23a certified nurse-midwife endorsement under s. 441.09
.
SB497,76 24Section 76. 440.987 (2) of the statutes is amended to read:
SB497,36,3
1440.987 (2) One member who is licensed as a nurse-midwife under s. 441.15
2an advanced practice registered nurse and possesses a certified nurse-midwife
3endorsement under s. 441.09
and who practices in an out-of-hospital setting.
SB497,77 4Section 77. 441.01 (7) (a) (intro.) and 1. of the statutes are amended to read:
SB497,36,75 441.01 (7) (a) (intro.) The board shall require each applicant for the renewal
6of a license, certificate, or permit issued under this chapter to do all of the following
7as a condition for renewing the license, certificate, or permit:
SB497,36,108 1. Complete and submit to the department with the application for renewal of
9the license, certificate, or permit a nursing workforce survey developed by the
10department of workforce development under s. 106.30 (2).
SB497,78 11Section 78. 441.01 (7) (b) of the statutes is amended to read:
SB497,36,1712 441.01 (7) (b) The board may not renew a license , certificate, or permit under
13this chapter unless the renewal applicant has completed the nursing workforce
14survey to the satisfaction of the board. The board shall establish standards to
15determine whether the survey has been completed. The board shall, by no later than
16June 30 of each odd-numbered year, submit all completed nursing workforce survey
17forms to the department of workforce development.
SB497,79 18Section 79. 441.06 (3) of the statutes is amended to read:
SB497,36,2319 441.06 (3) A Except as provided in s. 441.09 (3), a registered nurse practicing
20for compensation shall, on or before the applicable renewal date specified under s.
21440.08 (2) (a), submit to the board on furnished forms a statement giving name,
22residence, and other facts that the board requires, with the applicable renewal fee
23determined by the department under s. 440.03 (9) (a).
SB497,80 24Section 80. 441.06 (7) of the statutes is renumbered 441.09 (5) and amended
25to read:
SB497,37,3
1441.09 (5) Civil liability. No person certified licensed as an advanced practice
2registered nurse prescriber under s. 441.16 (2) this section is liable for civil damages
3for any of the following:
SB497,37,84 (a) Reporting in good faith to the department of transportation under s. 146.82
5(3) a patient's name and other information relevant to a physical or mental condition
6of the patient that in the advanced practice nurse prescriber's registered nurse's
7judgment impairs the patient's ability to exercise reasonable and ordinary control
8over a motor vehicle.
SB497,37,139 (b) In good faith, not reporting to the department of transportation under s.
10146.82 (3) a patient's name and other information relevant to a physical or mental
11condition of the patient that in the advanced practice nurse prescriber's registered
12nurse's
judgment does not impair the patient's ability to exercise reasonable and
13ordinary control over a motor vehicle.
SB497,81 14Section 81. 441.07 (1g) (intro.), (a), (c) and (e) of the statutes are amended to
15read:
SB497,37,2316 441.07 (1g) (intro.) Subject to the rules promulgated under s. 440.03 (1), the
17board may deny an initial license or revoke, limit, suspend, or deny the renewal of
18a license of a registered nurse, nurse-midwife advanced practice registered nurse,
19or licensed practical nurse; deny an initial certificate or revoke, limit, suspend, or
20deny the renewal of a certificate to prescribe drugs or devices granted under s.
21441.16;
or reprimand a registered nurse, nurse-midwife advanced practice
22registered nurse
, or licensed practical nurse, if the board finds that the applicant or
23licensee committed any of the following:
SB497,37,2424 (a) Fraud in the procuring or renewal of the certificate or license.
SB497,38,3
1(c) Acts which show the registered nurse, nurse-midwife advanced practice
2registered nurse,
or licensed practical nurse to be unfit or incompetent by reason of
3negligence, abuse of alcohol or other drugs, or mental incompetency.
SB497,38,64 (e) A violation of any state or federal law that regulates prescribing or
5dispensing drugs or devices, if the person has a certificate to prescribe drugs or
6devices under s. 441.16
is authorized to issue prescription orders under s. 441.09.
SB497,82 7Section 82. 441.09 of the statutes is created to read:
SB497,38,9 8441.09 Advanced practice registered nurses. (1) Definitions. In this
9section:
SB497,38,1410 (a) “Advanced practice registered nursing” means practicing in one of the 4
11recognized roles based on advanced clinical knowledge and skills focusing on direct
12care of individuals, greater responsibility, autonomy, and accountability for the
13provision of care, health promotion and maintenance, management of patient
14conditions, and the use and prescription of pharmacological interventions.
SB497,38,2115 (b) “Clinical pharmacology or therapeutics” means the identification of
16individual and classes of drugs, their indications and contraindications, their
17efficacy, their side effects and their interactions, as well as, clinical judgment skills
18and decision-making based on thorough interviewing, history-taking, physical
19assessment, test selection and interpretation, pathophysiology, epidemiology,
20diagnostic reasoning, differentiation of conditions, treatment decisions, case
21evaluation, and nonpharmacological interventions.
SB497,39,222 (c) “Practice of nurse-midwifery" means the management of women's health
23care, pregnancy, childbirth, postpartum care for newborns, family planning, and
24gynecological services consistent with the standards of practice of the American

1College of Nurse-Midwives and the education, training, and experience of the
2nurse-midwife.
SB497,39,33 (d) “Recognized role” means one of the following roles:
SB497,39,44 1. Certified nurse-midwife.
SB497,39,55 2. Certified registered nurse anesthetist.
SB497,39,66 3. Clinical nurse specialist.
SB497,39,77 4. Nurse practitioner.
SB497,39,10 8(2) Initial license. (a) Any person who satisfies all of the following
9requirements may apply to the department for initial licensure by the board as an
10advanced practice registered nurse:
SB497,39,1311 1. The person holds a valid license to practice as a registered nurse issued under
12s. 441.06 (1) or (1m) or applies concurrently for a license under s. 441.06 (1) or (1m)
13with the application for a license under this paragraph.
SB497,39,1514 2. The person provides evidence satisfactory to the board that he or she satisfies
15one of the following criteria:
SB497,39,1816 a. The person has completed an accredited graduate-level or
17postgraduate-level education program that prepares the person for the practice of
18advanced practice registered nursing.
SB497,39,2219 b. On January 1, 2017, the person was licensed as a registered nurse in this
20state and was practicing in a recognized role, and the person satisfies additional
21criteria established by the board by rule under this subd. 2. b. relating to practice or
22education.
SB497,39,2323 3. The person pays the fee specified under s. 440.05 (1).
SB497,39,2524 4. The person provides evidence of malpractice liability insurance coverage as
25provided in sub. (7).
SB497,40,3
15. If the person is applying to receive a certified nurse-midwife endorsement
2under par. (b), the person provides evidence satisfactory to the board that the person
3is certified by the American Midwifery Certification Board.
SB497,40,124 (b) The board shall grant an advanced practice registered nurse license to a
5person the board determines meets the requirements under par. (a). The board shall
6also grant a person who receives a license under this paragraph one or more
7endorsements corresponding to the recognized roles for which the board determines
8that the person qualifies based on the person's education and experience under par.
9(a) 2. a. or b. and, if applicable, the person's certification under par. (a) 5. The board
10may not grant a license under this paragraph to a person applying concurrently for
11a license under s. 441.06 (1) or (1m), unless the board also grants the person a license
12to practice as a registered nurse.
SB497,40,2013 (c) The board, upon application, shall also grant authority to issue prescription
14orders to a person who is granted a license under this subsection and who meets the
15education, training, and examination requirements established by the board for
16authority to issue prescription orders. The board shall maintain a register of all
17advanced practice registered nurses authorized to issue prescription orders under
18this paragraph. An advanced practice registered nurse with the authority to issue
19prescription orders under this paragraph may provide expedited partner therapy in
20the manner described in s. 448.035.
SB497,41,6 21(3) License renewal. On or before the applicable renewal date specified under
22s. 440.08 (2) (a), a person issued a license under sub. (2) shall submit to the board on
23a form furnished by the board a statement giving his or her name and residence, the
24nursing workforce survey and fee required under s. 441.01 (7), evidence of having
25satisfied the continuing education requirements under sub. (6), evidence of

1malpractice liability insurance coverage as provided in sub. (7), and other
2information that the board requires by rule, with the applicable renewal fee
3determined by the department under s. 440.03 (9) (a). The board shall grant to a
4person who satisfies the requirements under this subsection the renewal of his or her
5advanced practice registered nurse license and endorsements granted under sub. (2)
6(b) and shall grant the renewal of his or her license to practice as a registered nurse.
SB497,41,9 7(4) Practice; titles. (a) 1. The holder of a license issued under this section is
8an “advanced practice registered nurse" and may append to his or her name the title
9“A.P.R.N." and is authorized to practice advanced practice registered nursing.
SB497,41,1210 2. The holder of an endorsement for a recognized role granted under sub. (2)
11(b) may append to his or her name the title and an abbreviation corresponding to that
12recognized role.
SB497,41,1513 3. The holder of a certified nurse-midwife endorsement granted under sub. (2)
14(b) is a certified nurse-midwife and is authorized to engage in the practice of
15nurse-midwifery.
SB497,41,1916 (b) 1. Except as provided in s. 257.03, no person may practice or attempt to
17practice advanced practice registered nursing, nor use the title “advanced practice
18registered nurse," the title “A.P.R.N.," or anything else to indicate that he or she is
19an advanced practice registered nurse unless he or she is licensed under this section.
SB497,41,2020 2. Except as provided in s. 257.03, no person may do any of the following:
SB497,41,2321 a. Use the title “certified nurse-midwife,” the title “C.N.M.,” or anything else
22to indicate that he or she is a certified nurse-midwife unless he or she has been
23granted a certified nurse-midwife endorsement under sub. (2) (b).
SB497,41,2524 b. Engage in the practice of nurse-midwifery unless he or she has been granted
25a certified nurse-midwife endorsement under sub. (2) (b).
SB497,42,4
1c. Use the title “certified registered nurse anesthetist,” the title “C.R.N.A.,” or
2anything else to indicate that he or she is a certified registered nurse anesthetist
3unless he or she has been granted a certified registered nurse anesthetist
4endorsement under sub. (2) (b).
SB497,42,75 d. Use the title “clinical nurse specialist,” the title “C.N.S.,” or anything else to
6indicate that he or she is a clinical nurse specialist unless he or she has been granted
7a clinical nurse specialist endorsement under sub. (2) (b).
SB497,42,108 e. Use the title “nurse practitioner,” the title “N.P.,” or anything else to indicate
9that he or she is a nurse practitioner unless he or she has been granted a nurse
10practitioner endorsement under sub. (2) (b).
SB497,42,16 11(6) Continuing education. Every advanced practice registered nurse shall
12submit to the board evidence of having completed at least 16 contact hours per
13biennium in clinical pharmacology or therapeutics relevant to the advanced practice
14registered nurse's area of practice. The hours required under this subsection must
15include at least 2 contact hours regarding best practices in prescribing controlled
16substances.
SB497,42,23 17(7) Malpractice liability insurance. Every advanced practice registered
18nurse shall at all times have in effect malpractice liability insurance coverage in the
19minimum amounts required by the rules of the board. An advanced practice
20registered nurse shall submit evidence of that coverage to the board when applying
21for an initial license under this section or a renewal of a license under this section.
22An advanced practice registered nurse shall also submit such evidence to the board
23upon request of the board.
SB497,43,2 24(8) Delegation. An advanced practice registered nurse who has authority to
25issue prescription orders may not delegate the act of issuing a prescription order to

1any nurse who is not authorized to issue prescription orders. Nothing in this section
2prohibits a nurse from issuing a prescription order as an act delegated by a physician.
SB497,43,4 3(9) Rules. The board shall promulgate rules necessary to administer this
4section, including rules for all of the following:
SB497,43,85 (a) Establishing the appropriate education, training, or experience
6requirements that a registered nurse must satisfy to be an advanced practice
7registered nurse and to qualify to be granted the authority to issue prescription
8orders under sub. (2) (c).
SB497,43,119 (b) Specifying the classes of drugs, individual drugs, or devices that may not
10be prescribed by an advanced practice registered nurse authorized to issue
11prescription orders under sub. (2) (c).
SB497,43,1212 (c) Specifying the conditions to be met for registered nurses to do the following:
SB497,43,1313 1. Administer a drug prescribed by an advanced practice registered nurse.
SB497,43,1414 2. Administer a drug at the direction of an advanced practice registered nurse.
SB497,83 15Section 83. 441.11 (title) of the statutes is repealed.
SB497,84 16Section 84. 441.11 (1) of the statutes is repealed.
SB497,85 17Section 85. 441.11 (2) of the statutes is renumbered 441.09 (8m) and amended
18to read:
SB497,43,2119 441.09 (8m) Nurse anesthetists. The provisions of s. 448.04 (1) (g) do not apply
20to a licensed advanced practice registered nurse who possesses a certified registered
21nurse anesthetist endorsement under this section.
SB497,86 22Section 86. 441.11 (3) of the statutes is repealed.
SB497,87 23Section 87. 441.15 of the statutes is repealed.
SB497,88 24Section 88. 441.16 of the statutes is repealed.
SB497,89 25Section 89. 441.18 (2) (a) (intro.) of the statutes is amended to read:
SB497,44,3
1441.18 (2) (a) (intro.) An advanced practice registered nurse certified to issue
2prescription orders under s. 441.16
who has prescribing authority under s. 441.09 (2)
3(c)
may do any of the following:
SB497,90 4Section 90. 441.18 (2) (b) of the statutes is amended to read:
SB497,44,115 441.18 (2) (b) An advanced practice registered nurse who prescribes or delivers
6an opioid antagonist under par. (a) 1. shall ensure that the person to whom the opioid
7antagonist is prescribed has or has the capacity to provide the knowledge and
8training necessary to safely administer the opioid antagonist to an individual
9undergoing an opioid-related overdose and that the person demonstrates the
10capacity to ensure that any individual to whom the person further delivers the opioid
11antagonist has or receives that knowledge and training.
SB497,91 12Section 91. 441.18 (3) of the statutes is amended to read:
SB497,44,1813 441.18 (3) An advanced practice registered nurse who, acting in good faith,
14prescribes or delivers an opioid antagonist in accordance with sub. (2), or who, acting
15in good faith, otherwise lawfully prescribes or dispenses an opioid antagonist, shall
16be immune from criminal or civil liability and may not be subject to professional
17discipline under s. 441.07 for any outcomes resulting from prescribing, delivering,
18or dispensing the opioid antagonist.
SB497,92 19Section 92. 448.03 (2) (a) of the statutes is amended to read:
SB497,45,220 448.03 (2) (a) Any person lawfully practicing within the scope of a license,
21permit, registration, certificate or certification granted to practice midwifery under
22subch. XIII of ch. 440, to practice professional or , practical, or advanced practice
23registered
nursing or nurse-midwifery under ch. 441, to practice chiropractic under
24ch. 446, to practice dentistry or dental hygiene under ch. 447, to practice optometry

1under ch. 449, to practice acupuncture under ch. 451 or under any other statutory
2provision, or as otherwise provided by statute.
SB497,93 3Section 93. 448.035 (1) (a) of the statutes is repealed.
SB497,94 4Section 94. 448.035 (2), (3) and (4) of the statutes are amended to read:
SB497,45,195 448.035 (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."
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