AB43,1401,1714 256.15 (4) (g) No emergency medical responder may replace an emergency
15medical technician as a member of an ambulance crew unless the emergency medical
16responder has passed the National Registry of Emergency Medical Technicians
17examination for emergency medical responders.
AB43,2628 18Section 2628. 256.15 (8) (b) (intro.) of the statutes is amended to read:
AB43,1401,2119 256.15 (8) (b) (intro.) To be eligible for initial certification as an emergency
20medical responder, except as provided in pars. (bg) and (br) and ss. 256.17 and
21256.18, an individual shall meet all of the following requirements:
AB43,2629 22Section 2629. 256.15 (8) (bg) of the statutes is created to read:
AB43,1402,823 256.15 (8) (bg) The department shall grant an initial certification as an
24emergency medical responder to any individual who meets the requirements under
25par. (b) 1. and 2. and successfully completes a certified training program for

1emergency medical responders identified by the department under s. 256.08 (4) (L).
2Any relevant education, training, instruction, or other experience that an applicant
3for initial certification as an emergency medical responder obtained in connection
4with any military service, as defined in s. 111.32 (12g), satisfies the completion of a
5certified training program for emergency medical responders if the applicant
6demonstrates to the satisfaction of the department that the education, training,
7instruction, or other experience obtained by the applicant is substantially equivalent
8to the certified training program for emergency medical responders.
AB43,2630 9Section 2630. 256.15 (8) (br) of the statutes is created to read:
AB43,1402,1310 256.15 (8) (br) The department shall grant an initial certification as an
11emergency medical responder to any individual who meets the requirements under
12par. (b) 1. and 2. and passes the National Registry of Emergency Medical Technicians
13examination for emergency medical responder certification.
AB43,2631 14Section 2631 . 256.158 of the statutes is created to read:
AB43,1402,15 15256.158 Epinephrine for ambulances. (1) In this section:
AB43,1402,1716 (a) “Ambulance service provider” means an ambulance service provider that is
17a public agency, volunteer fire department, or nonprofit corporation.
AB43,1402,1918 (b) “Draw-up epinephrine” means epinephrine that is administered
19intramuscularly using a needle and syringe and drawn up from a vial or ampule.
AB43,1402,2120 (c) “Draw-up epinephrine kit” means a single-use vial or ampule of draw-up
21epinephrine and a syringe for administration to a patient.
AB43,1402,2322 (d) “Epinephrine auto-injector" means a device for the automatic injection of
23epinephrine into the human body.
AB43,1403,9 24(2) From the appropriation under s. 20.435 (1) (b), the department shall
25reimburse ambulance service providers for a set of 2 epinephrine auto-injectors or

1a set of 2 draw-up epinephrine kits for each ambulance operating in the state. On
2an ongoing basis, the department shall, upon request from an ambulance service
3provider, reimburse the ambulance service provider for a replacement set of 2
4epinephrine auto-injectors or a set of 2 draw-up epinephrine kits. The department
5shall allow the ambulance service provider to choose between epinephrine
6auto-injectors and draw-up epinephrine kits. The department may not reimburse
7an ambulance service provider for epinephrine unless each ambulance for which the
8ambulance service provider is reimbursed is staffed with an emergency medical
9services practitioner who is qualified to administer the provided epinephrine.
AB43,2632 10Section 2632. 256.23 (5) of the statutes is amended to read:
AB43,1403,1611 256.23 (5) In accordance with s. 20.940, the The department shall submit to
12the federal department of health and human services a request for any state plan
13amendment, waiver or other approval that is required to implement this section and
14s. 49.45 (3) (em). If federal approval is required, the department may not implement
15the collection of the fee under sub. (2) until it receives approval from the federal
16government to obtain federal matching funds.
AB43,2633 17Section 2633. 256.23 (6) of the statutes is created to read:
AB43,1403,2218 256.23 (6) In each fiscal year, the secretary of administration shall transfer
19from the ambulance service provider trust fund under s. 25.776 to the appropriation
20under s. 20.435 (4) (jw) an amount equal to the annual costs of administering the
21ambulance assessment as specified under this section and making supplemental
22reimbursements to ambulance service providers under s. 49.45 (3) (em).
AB43,2634 23Section 2634. 256.35 (3s) (a) 2m. of the statutes is created to read:
AB43,1404,3
1256.35 (3s) (a) 2m. “Emergency services IP network provider” means an entity
2under contract with the department under par. (b) to create, operate, and maintain
3an emergency services IP network.
AB43,2635 4Section 2635. 256.35 (3s) (a) 3m. of the statutes is created to read:
AB43,1404,85 256.35 (3s) (a) 3m. “Next Generation 911 costs” means the costs incurred in the
6operation of a Next Generation 911 emergency number system by an originating
7service provider and, if applicable, the 3rd-party provider it uses to connect to an
8emergency services IP network.
AB43,2636 9Section 2636. 256.35 (3s) (b) of the statutes is amended to read:
AB43,1404,2010 256.35 (3s) (b) Emergency services IP network contracts. The department shall
11invite bids to be submitted under s. 16.75 and, from the appropriation under s. 20.465
12(3) (qm), contract for the creation, operation, and maintenance of an emergency
13services IP network that to the greatest extent feasible relies on industry standards
14and existing infrastructure to provide all public safety answering points with the
15network necessary to implement Next Generation 911. Any contract under this
16paragraph shall include a requirement that the emergency services IP network
17provider reimburse any originating service provider or, if applicable, the 3rd-party
18providers it uses to connect to an emergency services IP network for all Next
19Generation 911 costs incurred by the originating service provider or, if applicable, the
203rd-party provider.
AB43,2637 21Section 2637. 256.35 (3s) (bf) of the statutes is created to read:
AB43,1405,222 256.35 (3s) (bf) Next Generation 911 cost recovery. An emergency services IP
23network provider shall reimburse any originating service provider or, if applicable,
24the 3rd-party provider it uses to connect to an emergency services IP network for all

1Next Generation 911 costs incurred by the originating service provider or, if
2applicable, the 3rd-party provider.
AB43,2638 3Section 2638. 256.42 of the statutes is created to read:
AB43,1405,8 4256.42 Emergency medical services grants. From the appropriation under
5s. 20.435 (1) (bc), the department may award grants to providers of emergency
6medical services for reasonable operating expenses related to emergency medical
7services, including expenses related to supplies, equipment, training, staffing, and
8vehicles.
AB43,2639 9Section 2639 . 257.01 (5) (a) of the statutes is amended to read:
AB43,1405,1510 257.01 (5) (a) An individual who is licensed as a physician, a physician
11assistant, or a podiatrist under ch. 448, licensed as a naturopathic doctor under ch.
12466, licensed as a registered nurse, licensed practical nurse, or nurse-midwife under
13ch. 441, licensed as a dentist or dental therapist under ch. 447, licensed as a
14pharmacist under ch. 450, licensed as a veterinarian or certified as a veterinary
15technician under ch. 89, or certified as a respiratory care practitioner under ch. 448.
AB43,2640 16Section 2640 . 257.01 (5) (a) of the statutes, as affected by 2023 Wisconsin Act
17.... (this act), is amended to read:
AB43,1405,2418 257.01 (5) (a) An individual who is licensed as a physician, a physician
19assistant, or a podiatrist under ch. 448, licensed as a naturopathic doctor under ch.
20466, licensed as a registered nurse, licensed practical nurse, or nurse-midwife
21advanced practice registered nurse under ch. 441, licensed as a dentist or dental
22therapist under ch. 447, licensed as a pharmacist under ch. 450, licensed as a
23veterinarian or certified as a veterinary technician under ch. 89, or certified as a
24respiratory care practitioner under ch. 448.
AB43,2641 25Section 2641 . 257.01 (5) (b) of the statutes is amended to read:
AB43,1406,8
1257.01 (5) (b) An individual who was at any time within the previous 10 years,
2but is not currently, licensed as a physician, a physician assistant, or a podiatrist
3under ch. 448, licensed as a naturopathic doctor under ch. 466, licensed as a
4registered nurse, licensed practical nurse or nurse-midwife, under ch. 441, licensed
5as a dentist or dental therapist under ch. 447, licensed as a pharmacist under ch. 450,
6licensed as a veterinarian or certified as a veterinary technician under ch. 89, or
7certified as a respiratory care practitioner under ch. 448, if the individual's license
8or certification was never revoked, limited, suspended, or denied renewal.
AB43,2642 9Section 2642 . 257.01 (5) (b) of the statutes, as affected by 2023 Wisconsin Act
10.... (this act), is amended to read:
AB43,1406,2011 257.01 (5) (b) An individual who was at any time within the previous 10 years,
12but is not currently, licensed as a physician, a physician assistant, or a podiatrist
13under ch. 448, licensed as a naturopathic doctor under ch. 466, licensed as a
14registered nurse, licensed practical nurse, or nurse-midwife, advanced practice
15registered nurse
under ch. 441, licensed as a nurse-midwife under ch. 441, 2021
16stats.,
licensed as a dentist or dental therapist under ch. 447, licensed as a
17pharmacist under ch. 450, licensed as a veterinarian or certified as a veterinary
18technician under ch. 89, or certified as a respiratory care practitioner under ch. 448,
19if the individual's license or certification was never revoked, limited, suspended, or
20denied renewal.
AB43,2643 21Section 2643. 281.17 (8) (c) of the statutes is created to read:
AB43,1407,322 281.17 (8) (c) If the department of health services recommends an enforcement
23standard for a perfluoroalkyl or polyfluoroalkyl substance or a group or class of such
24substances under s. 160.07, the department shall apply the standard as an interim
25maximum contaminant level for public water systems, water suppliers, and

1laboratories certified to analyze drinking water, in accordance with rules
2promulgated by the department, unless emergency or permanent rules that
3establish maximum contaminant levels for that substance are in effect.
AB43,2644 4Section 2644. 281.34 (3) (a) of the statutes is amended to read:
AB43,1407,75 281.34 (3) (a) An owner shall notify the department of the location of a well that
6is not a high capacity well before construction of the well begins. An owner notifying
7the department under this subsection shall pay a fee of $50 $70.
AB43,2645 8Section 2645. 281.34 (5e) of the statutes is created to read:
AB43,1407,119 281.34 (5e) Well construction variances. The department shall collect a fee
10of $100 from an owner requesting a variance from the requirements of well
11construction rules promulgated by the department.
AB43,2646 12Section 2646. 281.57 (7) (c) 1. of the statutes, as affected by 2017 Wisconsin
13Act 59
, is amended to read:
AB43,1407,2014 281.57 (7) (c) 1. Metropolitan sewerage districts that serve 1st class cities are
15limited in each fiscal year to receiving total grant awards not to exceed 33 percent
16of the sum of the amounts in the schedule for that fiscal year for the appropriation
17under s. 20.165 (2) (kf) and
the amount authorized under sub. (10) for that fiscal year
18plus the unencumbered balance at the end of the preceding fiscal year for the amount
19authorized under sub. (10). This subdivision is not applicable to grant awards
20provided during fiscal years 1985-86, 1986-87, 1988-89 and 1989-90.
AB43,2647 21Section 2647. 281.59 (4) (f) of the statutes is amended to read:
AB43,1408,722 281.59 (4) (f) Revenue obligations may be contracted by the building
23commission when it reasonably appears to the building commission that all
24obligations incurred under this subsection, and all payments under an agreement or
25ancillary arrangement entered into under s. 18.55 (6) with respect to revenue

1obligations issued under this subsection, can be fully paid on a timely basis from
2moneys received or anticipated to be received. Revenue obligations issued under this
3subsection for the clean water fund program and safe drinking water loan program
4shall not exceed $2,526,700,000 $2,923,400,000 in principal amount, excluding
5obligations issued to refund outstanding revenue obligation notes. The building
6commission may contract additional revenue obligations in an amount up to
7$24,700,000.
AB43,2648 8Section 2648 . 281.61 (8) (b) of the statutes is created to read:
AB43,1408,119 281.61 (8) (b) The department of administration shall allocate the amount
10appropriated under s. 20.320 (2) (a) to projects involving forgivable loans to private
11users of public water systems to replace lead service lines.
AB43,2649 12Section 2649. 281.75 (1) (b) (intro.), 1., 2. and 3. of the statutes are amended
13to read:
AB43,1408,1514 281.75 (1) (b) (intro.) “Contaminated well" or “contaminated private water
15supply" means a well or private water supply which that does any of the following:
AB43,1408,1816 1. Produces water containing one or more substances of public health concern
17in excess of a primary maximum contaminant level promulgated in the national
18drinking water standards in 40 CFR 141 and 143;.
AB43,1408,2019 2. Produces water containing one or more substances of public health concern
20in excess of an enforcement standard under ch. 160; or.
AB43,1408,2421 3. Is subject to a written advisory opinion, issued by the department or the
22department of health services
, containing a specific descriptive reference to the well
23or private water supply and recommending that the well or private water supply not
24be used because of potential human health risks.
AB43,2650 25Section 2650. 281.75 (1) (b) 4. of the statutes is created to read:
AB43,1409,2
1281.75 (1) (b) 4. Produces water containing at least 10 parts per billion of
2arsenic or at least 10 parts per million of nitrate nitrogen.
AB43,2651 3Section 2651. 281.75 (1) (b) 5. of the statutes is created to read:
AB43,1409,84 281.75 (1) (b) 5. Produces water containing levels of a perfluoroalkyl or
5polyfluoroalkyl substance in excess of the maximum level set out in any applicable
6federal or state health advisory for that substance, if no primary maximum
7contaminant level under 40 CFR 141 and 143 or enforcement standard under ch. 160
8for that substance has been promulgated.
AB43,2652 9Section 2652. 281.75 (1) (f) of the statutes is amended to read:
AB43,1409,1110 281.75 (1) (f) “Private water supply" means a residential water supply or, a
11livestock water supply, or a transient noncommunity water supply.
AB43,2653 12Section 2653. 281.75 (1) (gm) of the statutes is created to read:
AB43,1409,1813 281.75 (1) (gm) “Transient noncommunity water supply” means a water system
14that serves at least 25 persons at least 60 days of the year but does not regularly serve
15at least 25 of the same persons over 6 months per year. “Transient noncommunity
16water supply” does not include a public water system that serves at least 15 service
17connections used by year-round residents or regularly serves at least 25 year-round
18residents.
AB43,2654 19Section 2654. 281.75 (4m) (a) of the statutes is amended to read:
AB43,1409,2320 281.75 (4m) (a) In order to be eligible for an award under this section, the
21annual family income of the landowner or lessee of property on which is located a
22contaminated water supply or a well subject to abandonment may not exceed $65,000
23$100,000.
AB43,2655 24Section 2655 . 281.75 (5) (f) of the statutes is amended to read:
AB43,1410,6
1281.75 (5) (f) The Except as provided in par. (g), the department shall allocate
2money for the payment of claims according to the order in which completed claims
3are received. The department may conditionally approve a completed claim even if
4the appropriation under s. 20.370 (6) (cr) is insufficient to pay the claim. The
5department shall allocate money for the payment of a claim which is conditionally
6approved as soon as funds become available.
AB43,2656 7Section 2656 . 281.75 (5) (g) of the statutes is created to read:
AB43,1410,108 281.75 (5) (g) If the appropriations under s. 20.370 (6) (cf) or (cr) are insufficient
9to pay claims, the department may, for claims based on nitrate levels, allocate money
10for the payment of those claims in the following order of priority:
AB43,1410,1211 1. Claims based on water containing more than 40 parts per million of nitrate
12nitrogen.
AB43,1410,1413 2. Claims based on water containing more than 30 but not more than 40 parts
14per million of nitrate nitrogen.
AB43,1410,1615 3. Claims based on water containing more than 25 but not more than 30 parts
16per million of nitrate nitrogen.
AB43,1410,1817 4. Claims based on water containing more than 20 but not more than 25 parts
18per million of nitrate nitrogen.
AB43,1410,2019 5. Claims based on water containing more than 10 but not more than 20 parts
20per million of nitrate nitrogen.
AB43,2657 21Section 2657. 281.75 (6) (a) of the statutes is amended to read:
AB43,1410,2522 281.75 (6) (a) Contamination of a private water supply, as defined under sub.
23(1) (b) 1. or, 2., 4., or 5. is required to be established by analysis of at least 2 samples
24of water, taken at least 2 weeks apart, in a manner which assures the validity of the
25test results. The samples shall be tested by a laboratory certified under s. 299.11.
AB43,2658
1Section 2658. 281.75 (7) (a) of the statutes is amended to read:
AB43,1411,72 281.75 (7) (a) If the department finds that the claimant meets all the
3requirements of this section and rules promulgated under this section and that the
4private water supply is contaminated or that the well is a well subject to
5abandonment, the department shall issue an award. The Except as provided under
6par. (am), the
award may not pay more than 75 percent of the eligible costs. The
7award may not pay any portion of eligible costs in excess of $16,000.
AB43,2659 8Section 2659. 281.75 (7) (am) of the statutes is created to read:
AB43,1411,119 281.75 (7) (am) An award under this subsection may pay up to 100 percent of
10the eligible costs if the annual family income of the claimant is below the median
11family income for the state, as determined by U.S. bureau of the census.
AB43,2660 12Section 2660. 281.75 (7) (b) of the statutes is repealed.
AB43,2661 13Section 2661. 281.75 (9) of the statutes is repealed.
AB43,2662 14Section 2662. 283.31 (8) of the statutes is amended to read:
AB43,1411,2215 283.31 (8) The holder of a permit under this section for a concentrated animal
16feeding operation shall annually pay to the department a fee of $345 $545, which
17shall be credited to the appropriation account under s. 20.370 (9) (ag). The
18department shall annually submit a report to the joint committee on finance and,
19under s. 13.172 (3), to the standing committees of the legislature with jurisdiction
20over agricultural and environmental matters describing the use of the moneys
21credited to the appropriation account under s. 20.370 (9) (ag) under this subsection
22and the use of the moneys appropriated under s. 20.370 (9) (ap).
AB43,2663 23Section 2663. 283.35 (1m) of the statutes is repealed.
AB43,2664 24Section 2664 . 283.90 of the statutes is created to read:
AB43,1412,15
1283.90 Notification of violations. Whenever, on the basis of any information
2available to it, the department finds that a permit holder has violated any limitation
3in a permit that is based on a groundwater protection standard under ch. 160, the
4department shall notify the county health department and county land and
5conservation department in the county in which the permit holder is located and the
6county health department and county land and conservation department in any
7adjacent county that the department determines may be negatively affected as a
8result of the violation. The department shall provide this notice within 7 business
9days after confirming that a violation has occurred. The department shall create and
10maintain a notification system for notifying county health departments, county land
11and conservation departments, and interested parties of the violations described in
12this section. The department may establish, by rule, procedures for providing notice
13under this section. The notification system under this section shall ensure that
14county health departments and county land and conservation departments are
15notified at least 24 hours prior to notifying any other interested parties.
AB43,2665 16Section 2665. 285.27 (2) (bm) of the statutes is created to read:
AB43,1412,2317 285.27 (2) (bm) Standards for PFAS. Emission standards for known
18perfluoroalkyl or polyfluoroalkyl substances are needed to provide adequate
19protection for public health and welfare under par. (b). The department shall
20promulgate emission standards for any known perfluoroalkyl or polyfluoroalkyl
21substances to provide adequate protection for public health and welfare, taking into
22account energy, economic, and environmental impacts and other costs related to the
23emission source.
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