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.
AB43,1495,75 4. At least 24 months have elapsed since the advanced practice registered nurse
6first began practicing advanced practice registered nursing in that recognized role
7as described in subd. 3.
AB43,1495,118 (c) For purposes of par. (b) 3., hours of advanced practice registered nursing
9practice may include the lawful practice of advanced practice registered nursing
10outside this state or the lawful practice of advanced practice registered nursing in
11this state prior to the effective date of this paragraph .... [LRB inserts date].
AB43,1495,1712 (d) 1. An advanced practice registered nurse may provide pain management
13services only while working in a collaborative relationship with a physician who,
14through education, training, and experience, specializes in pain management.
15Except as provided in subd. 2., this subdivision applies regardless of whether the
16advanced practice registered nurse has qualified for independent practice under par.
17(b).
AB43,1495,2118 2. Except as provided in par. (f), subd. 1. does not apply to an advanced practice
19registered nurse who is providing pain management services in a hospital, as defined
20in s. 50.33 (2), or a clinic associated with a hospital, and who has qualified for
21independent practice under par. (b).
AB43,1496,222 (e) For purposes of pars. (a) 1. and (d) 1., a collaborative relationship is a process
23in which an advanced practice registered nurse is working with a physician or
24dentist, in each other's presence when necessary, to deliver health care services
25within the scope of the advanced practice registered nurse's training, education, and

1experience. The advanced practice registered nurse shall document such a
2collaborative relationship.
AB43,1496,63 (f) Nothing in this section prohibits an entity employing or with a relationship
4with an advanced practice registered nurse from establishing additional
5requirements for an advanced practice registered nurse as a condition of
6employment or relationship.
AB43,1496,127 (g) An advanced practice registered nurse shall adhere to professional
8standards when managing situations that are beyond the advanced practice
9registered nurse's expertise. If a particular patient's needs are beyond the advanced
10practice registered nurse's expertise, the advanced practice registered nurse shall,
11as warranted by the patient's needs, consult or collaborate with or refer the patient
12to at least one of the following:
AB43,1496,1313 1. A physician licensed under ch. 448.
AB43,1496,1614 2. Another health care provider for whom the advanced practice registered
15nurse has reasonable evidence of having a scope of practice that includes the
16authorization to address the patient's needs.
AB43,1496,2317 (h) An advanced practice registered nurse licensed under this section may
18delegate a task or order to another clinically trained health care worker if the task
19or order is within the scope of the advanced practice registered nurse's practice, the
20advanced practice registered nurse is competent to perform the task or issue the
21order, and the advanced practice registered nurse has reasonable evidence that the
22health care worker is minimally competent to perform the task or issue the order
23under the circumstances.
AB43,1497,824 (i) An advanced practice registered nurse with a certified nurse-midwife
25specialty designation may not offer to deliver babies outside of a hospital setting

1unless the advanced practice registered nurse files with the board, and the board
2approves, a proactive plan for ensuring appropriate care or care transitions
3conforming with professional standards for patients with higher acuity or emergency
4care needs that exceed the advanced practice registered nurse's scope of practice. An
5advanced practice registered nurse who offers to deliver babies outside of a hospital
6setting shall file a plan under this paragraph when applying for an initial license
7under this section or a renewal of a license under this section, shall keep the plan
8current with the board, and shall follow the plan.
AB43,1497,13 9(4) Continuing education. Every advanced practice registered nurse shall
10submit to the board evidence of having completed at least 16 contact hours per
11biennium in clinical pharmacology or therapeutics relevant to the advanced practice
12registered nurse's area of practice. The board may promulgate rules regarding the
13continuing education requirements under this subsection.
AB43,1497,20 14(5) Malpractice liability insurance. No person may practice advanced
15practice registered nursing unless he or she at all times has in effect malpractice
16liability insurance coverage in the minimum amounts specified under s. 655.23 (4).
17An advanced practice registered nurse shall submit evidence of that coverage to the
18board when applying for an initial license under this section or a renewal of a license
19under this section. An advanced practice registered nurse shall also submit such
20evidence to the board upon request of the board.
AB43,1497,22 21(6) Rules. (a) The board shall promulgate rules necessary to administer this
22section, including rules for all of the following:
AB43,1498,223 1. Further defining the scope of practice of an advanced practice registered
24nurse, practice of a certified nurse-midwife, practice of a certified registered nurse
25anesthetist, practice of a nurse practitioner, and practice of a clinical nurse specialist

1and defining the scope of practice within which an advanced practice registered
2nurse may issue prescription orders under sub. (2).
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