2021 - 2022 LEGISLATURE
ASSEMBLY AMENDMENT 1,
TO SENATE BILL 394
February 17, 2022 - Offered by Representatives Petersen, Cabral-Guevara and
At the locations indicated, amend the bill
, as shown by senate substitute 2
amendment 1, as follows:
“(3m) Practice requirements and limitations.
(a) 1. An advanced practice 11
registered nurse licensed under this section may, except as provided in subd. 2. and
par. (b), practice advanced practice registered nursing only in collaboration with a 2
physician or dentist.
2. Subdivision 1. does not apply to an advanced practice registered nurse with 4
a certified nurse-midwife specialty designation.
(b) 1. An advanced practice registered nurse to whom par. (a) 1. applies may, 6
except as provided in pars. (bg) 1. and (c), practice advanced practice registered 7
nursing in a recognized role without being supervised by or collaborating with, and 8
independent of, a physician or dentist if the board verifies, upon application of the 9
advanced practice registered nurse, that the advanced practice registered nurse has 10
completed 3,840 clinical hours of advanced practice registered nursing practice in 11
that recognized role while working with a physician or dentist during those 3,840 12
hours of practice. For purposes of this subdivision, during the completion of these 13
hours, the advanced practice registered nurse must have continuously satisfied all 14
of the following requirements:
a. Maintained a mutual, professional relationship with at least one physician 16
b. Maintained, and provided to the board upon request, documentation 18
indicating the relationships the advanced practice registered nurse had with one or 19
more physicians or dentists to deal with issues outside of his or her licensed scope 20
c. Maintained evidence that he or she was subject to a quality assurance 22
program, peer review process, or other similar program or process that was 23
implemented for and designed to ensure the provision of competent and quality 24
patient care and that also included participation by a physician or dentist. Such a 25
program or process may include a program or process administered through the
advanced practice registered nurse's employer, hospital, ambulatory surgery center, 2
clinic, or other outpatient facility.
2. For purposes of subd. 1., hours of advanced practice registered nursing 4
practice may include the lawful practice of advanced practice registered nursing 5
outside this state or the lawful practice of advanced practice registered nursing in 6
this state prior to the effective date of this subdivision .... [LRB inserts date].
(bg) 1. An advanced practice registered nurse may provide pain management 8
services only while working in a collaborative relationship with a physician. Except 9
as provided in subd. 2., this subdivision applies regardless of whether the advanced 10
practice registered nurse has qualified for independent practice under par. (b).
2. Except as provided in par. (c), subd. 1. does not apply to an advanced practice 12
registered nurse who is providing pain management services in a hospital, as defined 13
in s. 50.33 (2), or a clinic associated with a hospital, and who has qualified for 14
independent practice under par. (b).
(bm) For purposes of pars. (a) 1. and (bg) 1., a collaborative relationship is a 16
process in which an advanced practice registered nurse is working with a physician 17
or dentist, in each other's presence when necessary, to deliver health care services 18
within the scope of the advanced practice registered nurse's training, education, and 19
experience. The advanced practice registered nurse shall document such a 20
“(am) The board may promulgate rules to implement sub. (3m) (b).”.