AB43,2847 23Section 2847 . 441.001 (3g) of the statutes is created to read:
AB43,1484,524 441.001 (3g) Practice of a certified registered nurse anesthetist. “Practice
25of a certified registered nurse anesthetist” means providing anesthesia care, pain

1management care, and care related to anesthesia and pain management for persons
2across their lifespan, whose health status may range from healthy through all levels
3of acuity, including persons with immediate, severe, or life-threatening illness or
4injury, in diverse settings, including hospitals, ambulatory surgery centers,
5outpatient clinics, medical offices, and home health care settings.
AB43,2848 6Section 2848 . 441.001 (3n) of the statutes is created to read:
AB43,1484,107 441.001 (3n) Practice of a clinical nurse specialist. “Practice of a clinical
8nurse specialist” means providing advanced nursing care, primarily in health care
9facilities, including the diagnosis and treatment of illness for identified specific
10populations based on a specialty.
AB43,2849 11Section 2849 . 441.001 (3r) of the statutes is created to read:
AB43,1484,1612 441.001 (3r) Practice of a nurse practitioner. “Practice of a nurse
13practitioner” means practice in ambulatory, acute, long-term, or other health care
14settings as a primary or specialty care provider who provides health services,
15including assessing, diagnosing, treating, or managing acute, episodic, and chronic
16illnesses.
AB43,2850 17Section 2850 . 441.001 (3w) of the statutes is created to read:
AB43,1484,1918 441.001 (3w) Prescription order. “Prescription order” has the meaning given
19in s. 450.01 (21).
AB43,2851 20Section 2851 . 441.001 (5) of the statutes is created to read:
AB43,1484,2221 441.001 (5) Recognized role. “Recognized role” means one of the following
22roles:
AB43,1484,2323 (a) Certified nurse-midwife.
AB43,1484,2424 (b) Certified registered nurse anesthetist.
AB43,1484,2525 (c) Clinical nurse specialist.
AB43,1485,1
1(d) Nurse practitioner.
AB43,2852 2Section 2852 . 441.01 (3) of the statutes is amended to read:
AB43,1485,93 441.01 (3) The board may promulgate rules to establish minimum standards
4for schools for professional nurses and, schools for licensed practical nurses, and
5schools for advanced practice registered nurses,
including all related clinical units
6and facilities, and make and provide periodic surveys and consultations to such
7schools. It The board may also establish promulgate rules to prevent unauthorized
8persons from practicing professional nursing. It shall approve all rules for the
9administration of this chapter in accordance with ch. 227.
AB43,2853 10Section 2853 . 441.01 (4) of the statutes is amended to read:
AB43,1485,1611 441.01 (4) The board shall direct that those schools that qualify be placed on
12a list of schools the board has approved for professional nurses or, of schools the board
13has approved for licensed practical nurses, or of schools the board has approved for
14advanced practice registered nurses
on application and proof of qualifications;, and
15the board shall make a study of nursing education and initiate promulgate rules and
16policies to improve it.
AB43,2854 17Section 2854 . 441.01 (7) (a) (intro.) and 1. of the statutes are amended to read:
AB43,1485,2118 441.01 (7) (a) (intro.) The board shall require each applicant for the renewal
19Biennially, each holder of a registered nurse or licensed practical nurse license issued
20under this chapter to shall do all of the following as a condition for renewing the
21license
:
AB43,1485,2422 1. Complete and submit to the department with the application for renewal of
23the license
a nursing workforce survey developed by the department of workforce
24development under s. 106.30 (2).
AB43,2855
1Section 2855 . 441.01 (7) (a) (intro.) of the statutes, as affected by 2023
2Wisconsin Act .... (this act), is amended to read:
AB43,1486,53 441.01 (7) (a) (intro.) Biennially, each holder of a registered nurse or, licensed
4practical nurse, or licensed advanced practice registered nurse license issued under
5this chapter shall do all of the following:
AB43,2856 6Section 2856 . 441.01 (7) (b) of the statutes is amended to read:
AB43,1486,137 441.01 (7) (b) The board may not renew a registered nurse or licensed practical
8nurse license under this chapter unless the renewal applicant has completed the
9nursing workforce survey to the satisfaction of the board.
The board shall establish
10standards to determine whether the nursing workforce survey has been completed.
11The board shall, by no later than June 30 of each odd-numbered year, submit all
12completed nursing workforce survey forms to the department of workforce
13development.
AB43,2857 14Section 2857 . 441.01 (7) (c) of the statutes is created to read:
AB43,1486,1715 441.01 (7) (c) An applicant who is renewing both a registered nurse and
16advanced practice registered nurse license under s. 441.09 (1) (c) is only required to
17pay a single fee under par. (a) 2.
AB43,2858 18Section 2858 . 441.06 (title) of the statutes is repealed and recreated to read:
AB43,1486,19 19441.06 (title) Registered nurses; civil liability exemption.
AB43,2859 20Section 2859 . 441.06 (3) of the statutes is amended to read:
AB43,1487,221 441.06 (3) A registered nurse practicing for compensation shall, on or before
22the applicable renewal date specified determined by the department under s. 440.08
23(2) (a), submit to the board on furnished forms a statement giving name, residence,
24and other facts that the board requires, with the nursing workforce survey and fee

1required under s. 441.01 (7) and
the applicable renewal fee determined by the
2department under s. 440.03 (9) (a).
AB43,2860 3Section 2860 . 441.06 (3) of the statutes, as affected by 2023 Wisconsin Act ....
4(this act), is amended to read:
AB43,1487,105 441.06 (3) A Except as provided in s. 441.09 (1) (c), a registered nurse
6practicing for compensation shall, on or before the applicable renewal date
7determined by the department under s. 440.08 (2), submit to the board on furnished
8forms a statement giving name, residence, and other facts that the board requires,
9with the applicable renewal fee determined by the department under s. 440.03 (9)
10(a).
AB43,2861 11Section 2861 . 441.06 (4) of the statutes is amended to read:
AB43,1487,2012 441.06 (4) Except as provided in ss. 257.03 and 440.077, no person may practice
13or attempt to practice professional nursing, nor use the title, letters, or anything else
14to indicate that he or she is a registered or professional nurse unless he or she is
15licensed under this section. Except as provided in ss. 257.03 and 440.077, no person
16not so licensed may use in connection with his or her nursing employment or vocation
17any title or anything else to indicate that he or she is a trained, certified or graduate
18nurse. This subsection does not apply to any registered nurse who holds a multistate
19license, as defined in s. 441.51 (2) (h), issued by a jurisdiction, other than this state,
20that has adopted the nurse licensure compact under s. 441.51.
AB43,2862 21Section 2862 . 441.06 (7) of the statutes is renumbered 441.09 (7) and amended
22to read:
AB43,1487,2523 441.09 (7) Civil liability. No person certified licensed as an advanced practice
24registered nurse prescriber under s. 441.16 (2) this section is liable for civil damages
25for any of the following:
AB43,1488,5
1(a) Reporting in good faith to the department of transportation under s. 146.82
2(3) a patient's name and other information relevant to a physical or mental condition
3of the patient that in the advanced practice nurse prescriber's registered nurse's
4judgment impairs the patient's ability to exercise reasonable and ordinary control
5over a motor vehicle.
AB43,1488,106 (b) In good faith, not reporting to the department of transportation under s.
7146.82 (3) a patient's name and other information relevant to a physical or mental
8condition of the patient that in the advanced practice nurse prescriber's registered
9nurse's
judgment does not impair the patient's ability to exercise reasonable and
10ordinary control over a motor vehicle.
AB43,2863 11Section 2863 . 441.07 (1g) (intro.), (a), (c) and (e) of the statutes are amended
12to read:
AB43,1488,2013 441.07 (1g) (intro.) Subject to the rules promulgated under s. 440.03 (1), the
14board may deny an initial license or revoke, limit, suspend, or deny the renewal of
15a license of a registered nurse, nurse-midwife advanced practice registered nurse,
16or licensed practical nurse; deny an initial certificate or revoke, limit, suspend, or
17deny the renewal of a certificate to
prescribe drugs or devices granted under s.
18441.16;
or reprimand a registered nurse, nurse-midwife advanced practice
19registered nurse
, or licensed practical nurse, if the board finds that the applicant or
20licensee committed any of the following:
AB43,1488,2121 (a) Fraud in the procuring or renewal of the certificate or license.
AB43,1488,2422 (c) Acts which that show the registered nurse, nurse-midwife advanced
23practice registered nurse,
or licensed practical nurse to be unfit or incompetent by
24reason of negligence, abuse of alcohol or other drugs, or mental incompetency.
AB43,1489,3
1(e) A violation of any state or federal law that regulates prescribing or
2dispensing drugs or devices, if the person has a certificate to prescribe drugs or
3devices under s. 441.16
may issue prescription orders under s. 441.09 (2).
AB43,2864 4Section 2864 . 441.09 of the statutes is created to read:
AB43,1489,8 5441.09 Advanced practice registered nurses; civil liability exemption.
6(1)
License. (a) An applicant who satisfies all of the following requirements may
7apply to the board for initial licensure by the board as an advanced practice
8registered nurse:
AB43,1489,99 1. The applicant satisfies one of the following criteria:
AB43,1489,1110 a. The applicant holds a valid license to practice as a registered nurse issued
11under s. 441.06 (1), (1c), or (1m).
AB43,1489,1312 b. The applicant applies concurrently for a license under s. 441.06 (1), (1c), or
13(1m) with the application for a license under this paragraph.
AB43,1489,1614 c. The applicant is a registered nurse who holds a multistate license, as defined
15in s. 441.51 (2) (h), issued by a jurisdiction, other than this state, that has adopted
16the nurse licensure compact.
AB43,1489,1817 2. The applicant provides evidence satisfactory to the board that he or she
18satisfies one of the following criteria:
AB43,1489,2319 a. The applicant has completed a graduate-level or postgraduate-level
20education program that is approved by the board and that prepares the applicant for
21the practice of advanced practice registered nursing in one of the 4 recognized roles,
22and the applicant holds a current certification by a national certifying body approved
23by the board.
AB43,1490,224 b. On January 1, 2023, the applicant was licensed as a registered nurse in this
25state and was practicing in a recognized role, and the applicant satisfies additional

1criteria established by the board by rule under sub. (6) (a) 3. relating to practice,
2education, or certification.
AB43,1490,33 3. The applicant pays the fee specified under s. 440.05 (1).
AB43,1490,54 4. The applicant provides to the board evidence of any malpractice liability
5insurance coverage required under sub. (5).
AB43,1490,76 5. If the applicant is applying to receive a certified nurse-midwife specialty
7designation under par. (b) 1., the applicant does all of the following:
AB43,1490,98 a. Provides evidence satisfactory to the board that the applicant is currently
9certified by the American Midwifery Certification Board or its successor.
AB43,1490,1010 b. Files with the board any plan required under sub. (3m) (i).
AB43,1490,1211 6. The applicant does not have an arrest or conviction record, subject to ss.
12111.321, 111.322, and 111.335.
AB43,1490,1513 7. The applicant meets any other criteria established by the board by rule under
14sub. (6) (a) 3. relating to the education, training, or experience required for each
15recognized role.
AB43,1490,2116 (b) 1. a. Subject to s. 441.07 (1g), the board shall grant an advanced practice
17registered nurse license to an applicant the board determines meets the
18requirements under par. (a). The board shall also grant a person who is granted a
19license under this subd. 1. a. one or more specialty designations corresponding to the
20recognized roles for which the board determines that the person qualifies based on
21the person's qualifications under par. (a).
AB43,1491,222 b. The board shall grant an advanced practice registered nurse license to each
23individual who, on the day before the effective date of this subd. 1. b. .... [LRB inserts
24date], was certified to issue prescription orders under s. 441.16, 2021 stats. The
25board shall also grant a person who is granted a license under this subd. 1. b. one or

1more specialty designations corresponding to the recognized roles for which the
2board determines that the person qualifies based on the person's qualifications.
AB43,1491,73 c. The board shall grant an advanced practice registered nurse license to each
4individual who, on the day before the effective date of this subd. 1. c. .... [LRB inserts
5date], was licensed as a nurse-midwife under s. 441.15, 2021 stats. The board shall
6also grant a person who is granted a license under this subd. 1. c. a nurse-midwife
7specialty designation.
AB43,1491,98 2. Each specialty designation granted under subd. 1. shall appear on the
9person's advanced practice registered nurse license.
AB43,1491,1210 3. The board may not grant an advanced practice registered nurse license to
11a person applying concurrently for a license under s. 441.06 (1), (1c), or (1m), unless
12the board also grants the person the license under s. 441.06 (1), (1c), or (1m).
AB43,1491,1413 4. The board may place specific limitations on a person licensed as an advanced
14practice registered nurse as a condition of licensure.
AB43,1491,1715 5. If all of the following apply to a person, a notation indicating that the person
16may not issue prescription orders shall appear on the person's advanced practice
17registered nurse license:
AB43,1491,2018 a. The person is granted an advanced practice registered nurse license under
19subd. 1. a. and satisfies only par. (a) 2. b. but not par. (a) 2. a., or the person is granted
20an advanced practice registered nurse license under subd. 1. c.
AB43,1491,2221 b. On January 1, 2023, the person did not hold a certificate under s. 441.16 (2),
222021 stats.
AB43,1492,1123 (c) On or before the applicable renewal date determined by the department
24under s. 440.08 (2), an advanced practice registered nurse shall submit to the board
25on a form furnished by the board a statement giving his or her name and residence,

1the nursing workforce survey and fee required under s. 441.01 (7), evidence of having
2satisfied the continuing education requirements under sub. (4), evidence of any
3malpractice liability insurance coverage required under sub. (5), any plan required
4under sub. (3m) (i), current evidence that the person satisfies each of the
5requirements under par. (a) 1., 2., 5. a., and 7. that apply with respect to the person,
6and any other information that the board requires by rule, with the applicable
7renewal fee determined by the department under s. 440.03 (9) (a). The board shall
8grant to a person who satisfies the requirements under this paragraph the renewal
9of his or her advanced practice registered nurse license and specialty designations
10granted under par. (b) 1. and shall, if the person holds a license under s. 441.06 (1),
11(1c), or (1m), also grant the renewal of that license.
AB43,1492,15 12(2) Prescribing authority. (a) Except as provided in par. (b), an advanced
13practice registered nurse may issue prescription orders, subject to the rules
14promulgated under sub. (6) (a) 1. and 4., and may provide expedited partner therapy
15in the manner described in s. 441.092.
AB43,1492,1916 (b) An advanced practice registered nurse may not issue prescription orders if
17a notation under sub. (1) (b) 4. indicating that the advanced practice registered nurse
18may not issue prescription orders appears on the advanced practice registered
19nurse's license.
AB43,1492,23 20(3) License required; use of titles. (a) 1. The holder of a license issued under
21this section is an “advanced practice registered nurse," may append to his or her
22name the title “A.P.R.N.," and is authorized to practice advanced practice registered
23nursing.
AB43,1493,3
12. Notwithstanding s. 448.03 (3m), the holder of a specialty designation for a
2recognized role granted under sub. (1) (b) 1. may append to his or her name the title
3and an abbreviation described under par. (b) 2. corresponding to that recognized role.
AB43,1493,84 (b) 1. Except as provided in sub. (3m) (h) and s. 257.03, no person may practice
5or attempt to practice advanced practice registered nursing, nor use the title
6“advanced practice registered nurse," the title “A.P.R.N.," or anything else to indicate
7that he or she is an advanced practice registered nurse unless he or she is licensed
8under this section.
AB43,1493,99 2. Except as provided in s. 257.03, no person may do any of the following:
AB43,1493,1210 a. Use the title “certified nurse-midwife,” the title “C.N.M.,” or anything else
11to indicate that he or she is a certified nurse-midwife unless he or she has been
12granted a certified nurse-midwife specialty designation under sub. (1) (b) 1.
AB43,1493,1613 b. Use the title “certified registered nurse anesthetist,” the title “C.R.N.A.,” or
14anything else to indicate that he or she is a certified registered nurse anesthetist
15unless he or she has been granted a certified registered nurse anesthetist specialty
16designation under sub. (1) (b) 1.
AB43,1493,1917 c. Use the title “clinical nurse specialist,” the title “C.N.S.,” or anything else to
18indicate that he or she is a clinical nurse specialist unless he or she has been granted
19a clinical nurse specialist specialty designation under sub. (1) (b) 1.
AB43,1493,2220 d. Use the title “nurse practitioner,” the title “N.P.,” or anything else to indicate
21that he or she is a nurse practitioner unless he or she has been granted a nurse
22practitioner specialty designation under sub. (1) (b) 1.
AB43,1494,2 23(3m) Practice requirements and limitations. (a) 1. An advanced practice
24registered nurse licensed under this section may, except as provided in subd. 2. and

1par. (b), practice advanced practice registered nursing only in collaboration with a
2physician or dentist.
AB43,1494,43 2. Subdivision 1. does not apply to an advanced practice registered nurse with
4a certified nurse-midwife specialty designation.
AB43,1494,105 (b) An advanced practice registered nurse to whom par. (a) 1. applies may,
6except as provided in pars. (d) 1. and (f), practice advanced practice registered
7nursing in a recognized role without being supervised by or collaborating with, and
8independent of, a physician or dentist if the board verifies, upon application of the
9advanced practice registered nurse, that the advanced practice registered nurse
10satisfies all of the following:
AB43,1494,1711 1. The advanced practice registered nurse has, except as provided in subd. 3.,
12completed 3,840 hours of professional nursing in a clinical setting. Clinical hours
13completed as a requirement of a nursing program offered by a qualifying school of
14nursing described under s. 441.06 (1) (c) may be used to satisfy the requirement
15under this subdivision. Hours completed to satisfy a requirement of an education
16program described in sub. (1) (a) 2. a. may not be used to satisfy the requirement
17under this subdivision.
AB43,1494,2018 2. At least 24 months have elapsed since the advanced practice registered nurse
19first began completing the clinical hours required by a nursing program described
20under subd. 1.
AB43,1495,421 3. The advanced practice registered nurse has completed 3,840 clinical hours
22of advanced practice registered nursing practice in that recognized role while
23working with a physician or dentist who was immediately available for consultation
24and accepted responsibility for the actions of the advanced practice registered nurse
25during those 3,840 hours of practice. The advanced practice registered nurse may

1substitute additional hours of advanced practice registered nursing working with a
2physician or dentist described in this subdivision to count toward the requirement
3under subd. 1. Each such additional hour shall count toward one hour of the
4requirement under subd. 1.
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