SB70,1491,1715
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:
SB70,1491,2018
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.
SB70,1491,2221
b. On January 1, 2023, the person did not hold a certificate under s. 441.16 (2),
222021 stats.
SB70,1492,1123
(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.
SB70,1492,15
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.
SB70,1492,1916
(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.
SB70,1492,23
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.
SB70,1493,3
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.
SB70,1493,84
(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.
SB70,1493,99
2. Except as provided in s. 257.03, no person may do any of the following:
SB70,1493,1210
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.
SB70,1493,1613
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.
SB70,1493,1917
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.
SB70,1493,2220
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.
SB70,1494,2
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.
SB70,1494,43
2. Subdivision 1. does not apply to an advanced practice registered nurse with
4a certified nurse-midwife specialty designation.
SB70,1494,105
(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:
SB70,1494,1711
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.
SB70,1494,2018
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.
SB70,1495,421
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.
SB70,1495,75
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.
SB70,1495,118
(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].
SB70,1495,1712
(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).
SB70,1495,2118
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).
SB70,1496,222
(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.
SB70,1496,63
(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.
SB70,1496,127
(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:
SB70,1496,1313
1. A physician licensed under ch. 448.
SB70,1496,1614
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.
SB70,1496,2317
(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.
SB70,1497,824
(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.
SB70,1497,13
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.
SB70,1497,20
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.
SB70,1497,22
21(6) Rules. (a) The board shall promulgate rules necessary to administer this
22section, including rules for all of the following:
SB70,1498,223
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).
SB70,1498,43
2. Determining acceptable national certification for purposes of sub. (1) (a) 2.
4a.
SB70,1498,85
3. Establishing the appropriate education, training, or experience
6requirements that a registered nurse must satisfy in order to be an advanced practice
7registered nurse and to obtain each specialty designation corresponding to the
8recognized roles.
SB70,1498,109
4. Specifying the classes of drugs, individual drugs, or devices that may not be
10prescribed by an advanced practice registered nurse under sub. (2).
SB70,1498,1111
5. Specifying the conditions to be met for registered nurses to do the following:
SB70,1498,1212
a. Administer a drug prescribed by an advanced practice registered nurse.
SB70,1498,1313
b. Administer a drug at the direction of an advanced practice registered nurse.
SB70,1498,1514
7. Establishing standards of professional conduct for advanced practice
15registered nurses generally and for practicing in each recognized role.
SB70,1498,1716
(am) Notwithstanding par. (a), the board may promulgate rules to implement
17sub. (3m) (b).
SB70,1498,2018
(b) The board may not promulgate rules that expand the scope of practice of an
19advanced practice registered nurse beyond the practices within advanced practice
20registered nursing.
SB70,2865
21Section 2865
. 441.092 of the statutes is created to read:
SB70,1498,22
22441.092 Expedited partner therapy.
(1) In this section:
SB70,1498,2323
(b) “Antimicrobial drug" has the meaning given in s. 448.035 (1) (b).
SB70,1498,2424
(c) “Expedited partner therapy" has the meaning given in s. 448.035 (1) (c).
SB70,1499,12
1(2) Notwithstanding the requirements of s. 448.9785, an advanced practice
2registered nurse who may issue prescription orders under s. 441.09 (2) may provide
3expedited partner therapy if a patient is diagnosed as infected with a chlamydial
4infection, gonorrhea, or trichomoniasis and the patient has had sexual contact with
5a sexual partner during which the chlamydial infection, gonorrhea, or
6trichomoniasis may have been transmitted to or from the sexual partner. The
7advanced practice registered nurse shall attempt to obtain the name of the patient's
8sexual partner. A prescription order for an antimicrobial drug prepared under this
9subsection shall include the name and address of the patient's sexual partner, if
10known. If the advanced practice registered nurse is unable to obtain the name of the
11patient's sexual partner, the prescription order shall include, in ordinary, bold-faced
12capital letters, the words, “expedited partner therapy" or the letters “EPT."
SB70,1499,16
13(3) The advanced practice registered nurse shall provide the patient with a
14copy of the information sheet prepared by the department of health services under
15s. 46.03 (44) and shall request that the patient give the information sheet to the
16person with whom the patient had sexual contact.
SB70,1499,21
17(4) (a) Except as provided in par. (b), an advanced practice registered nurse is
18immune from civil liability for injury to or the death of a person who takes any
19antimicrobial drug if the antimicrobial drug is prescribed, dispensed, or furnished
20under this section and if expedited partner therapy is provided as specified under
21this section.
SB70,1499,2522
(b) The immunity under par. (a) does not extend to the donation, distribution,
23furnishing, or dispensing of an antimicrobial drug by an advanced practice
24registered nurse whose act or omission involves reckless, wanton, or intentional
25misconduct.
SB70,2866
1Section
2866. 441.10 (6) of the statutes is amended to read:
SB70,1500,102
441.10
(6) On or before the applicable renewal date
specified determined by the
3department under s. 440.08 (2)
(a), a licensed practical nurse practicing for
4compensation shall submit to the board, on forms furnished by the department, an
5application for license renewal, together with a statement giving name, residence,
6nature and extent of practice as a licensed practical nurse during the prior year and
7prior unreported years
, the nursing workforce survey and fee required under s.
8441.01 (7), and other facts bearing upon current competency that the board requires,
9accompanied by the applicable license renewal fee determined by the department
10under s. 440.03 (9) (a).
SB70,2867
11Section 2867
. 441.10 (7) of the statutes is amended to read:
SB70,1500,2412
441.10
(7) No license is required for practical nursing, but, except as provided
13in s. 257.03, no person without a license may hold himself or herself out as a licensed
14practical nurse or licensed attendant, use the title or letters “Trained Practical
15Nurse" or “T.P.N.", “Licensed Practical Nurse" or “L.P.N.", “
Licensed Attendant" or
16“L.A.", “Trained Attendant" or “T.A.", or otherwise seek to indicate that he or she is
17a licensed practical nurse or licensed attendant. No licensed practical nurse or
18licensed attendant may use the title, or otherwise seek to act as a registered, licensed,
19graduate or professional nurse. Anyone violating this subsection shall be subject to
20the penalties prescribed by s. 441.13.
The board shall grant without examination a
21license as a licensed practical nurse to any person who was on July 1, 1949, a licensed
22attendant. This subsection does not apply to any licensed practical nurse who holds
23a multistate license, as defined in s. 441.51 (2) (h), issued by a jurisdiction, other than
24this state, that has adopted the nurse licensure compact
under s. 441.51.
SB70,2868
25Section 2868
. 441.11 (title) of the statutes is repealed.
SB70,2869
1Section
2869. 441.11 (1) of the statutes is repealed.
SB70,2870
2Section 2870
. 441.11 (2) of the statutes is renumbered 441.09 (5m) and
3amended to read:
SB70,1501,94
441.09
(5m) Licensure exemption. The provisions of s.
448.04 (1) (g) 448.03
5(1) (d) do not apply to
a an advanced practice registered nurse licensed under this
6section who possesses a certified registered nurse anesthetist
specialty designation
7under sub. (1) (b) 1. or
to a person who engages in the practice of a nurse anesthetist
8while performing official duties for the armed services or federal health services of
9the United States.
SB70,2871
10Section 2871
. 441.11 (3) of the statutes is repealed.
SB70,2872
11Section 2872
. 441.15 of the statutes, as affected by 2023 Wisconsin Act .... (this
12act), is repealed.
SB70,2873
13Section
2873
. 441.15 (3) (b) of the statutes is amended to read:
SB70,1502,214
441.15
(3) (b) On or before the applicable renewal date
specified determined
15by the department under s. 440.08 (2)
(a), a person issued a license under par. (a) and
16practicing nurse-midwifery shall submit to the board on furnished forms a
17statement giving his or her name, residence, and other information that the board
18requires by rule, with the applicable renewal fee determined by the department
19under s. 440.03 (9) (a). If applicable, the person shall also submit evidence
20satisfactory to the board that he or she has in effect the malpractice liability
21insurance required under the rules promulgated under sub. (5) (bm). The board shall
22grant to a person who pays the fee determined by the department under s. 440.03 (9)
23(a) for renewal of a license to practice nurse-midwifery and who satisfies the
24requirements of this paragraph the renewal of his or her license to practice
1nurse-midwifery and the renewal of his or her license to practice as a registered
2nurse.
SB70,2874
3Section 2874
. 441.16 of the statutes is repealed.
SB70,2875
4Section 2875
. 441.18 (2) (a) (intro.) of the statutes is amended to read:
SB70,1502,65
441.18
(2) (a) (intro.) An advanced practice
registered nurse
certified to who
6may issue prescription orders under s.
441.16
441.09 (2) may do any of the following:
SB70,2876
7Section 2876
. 441.18 (2) (b) of the statutes is amended to read:
SB70,1502,148
441.18
(2) (b) An advanced practice
registered nurse who prescribes or delivers
9an opioid antagonist under par. (a) 1. shall ensure that the person to whom the opioid
10antagonist is prescribed has or has the capacity to provide the knowledge and
11training necessary to safely administer the opioid antagonist to an individual
12undergoing an opioid-related overdose and that the person demonstrates the
13capacity to ensure that any individual to whom the person further delivers the opioid
14antagonist has or receives that knowledge and training.
SB70,2877
15Section 2877
. 441.18 (3) of the statutes is amended to read:
SB70,1502,2116
441.18
(3) An advanced practice
registered nurse who, acting in good faith,
17prescribes or delivers an opioid antagonist in accordance with sub. (2), or who, acting
18in good faith, otherwise lawfully prescribes or dispenses an opioid antagonist, shall
19be immune from criminal or civil liability and may not be subject to professional
20discipline under s. 441.07 for any outcomes resulting from prescribing, delivering,
21or dispensing the opioid antagonist.
SB70,2878
22Section 2878
. 441.19 of the statutes is repealed.
SB70,2879
23Section
2879. 442.083 (1) of the statutes is amended to read:
SB70,1503,524
442.083
(1) The renewal dates for licenses issued under this chapter
are
25specified shall be as determined by the department under s. 440.08 (2)
(a), and the
1renewal fees for such licenses are determined by the department under s. 440.03 (9)
2(a). The department may not renew a license issued to a firm unless, at the time of
3renewal, the firm satisfies the requirements under s. 442.08 (2) and demonstrates,
4to the satisfaction of the department, that the firm has complied with the
5requirements under s. 442.087.
SB70,2880
6Section
2880. 442.083 (2) (a) of the statutes is amended to read:
SB70,1503,127
442.083
(2) (a) The examining board shall promulgate rules establishing
8continuing education requirements for
renewal of licenses granted to individuals
9licensed under this chapter. The rules promulgated under this paragraph may not
10require an individual to complete more than 80 continuing education credits
during
11the per 2-year period
immediately preceding the renewal date specified under s.
12440.08 (2) (a).
SB70,2881
13Section
2881. 443.015 (1e) of the statutes is amended to read:
SB70,1503,1914
443.015
(1e) The rules promulgated under sub. (1) by the registered interior
15designer section of the examining board shall require a Wisconsin registered interior
16designer to complete at least 15 hours of continuing education
during the per 2-year
17period
immediately preceding the renewal date specified under s. 440.08 (2) (a). At
18least 10 of the 15 hours shall be in subjects related to the practice of interior design
19that safeguard the public's health, safety, and welfare.
SB70,2882
20Section 2882
. 443.07 (6) of the statutes is amended to read:
SB70,1503,2321
443.07
(6) The renewal date for permits under this section
is specified shall be
22as determined by the department under s. 440.08 (2)
(a), and the fee for renewal of
23such permits is determined by the department under s. 440.03 (9) (a).
SB70,2883
24Section 2883
. 443.08 (3) (b) of the statutes is amended to read:
SB70,1504,4
1443.08
(3) (b) The renewal date for certificates of authorization under this
2section
is specified shall be as determined by the department under s. 440.08 (2)
(a),
3and the fee for renewal of such certificates is determined by the department under
4s. 440.03 (9) (a).
SB70,2884
5Section
2884. 443.10 (2) (e) of the statutes is amended to read:
SB70,1504,106
443.10
(2) (e) The renewal
date
dates for certificates of registration for
7architects, landscape architects, professional engineers, and Wisconsin registered
8interior designers
is specified shall be as determined by the department under s.
9440.08 (2)
(a), and the fee for renewal of such certificates is determined by the
10department under s. 440.03 (9) (a).
SB70,2885
11Section 2885
. 443.10 (5) of the statutes is amended to read:
SB70,1504,1612
443.10
(5) Fees; renewals. The professional land surveyor section shall grant
13a license to engage in the practice of professional land surveying to any applicant who
14has met the applicable requirements of this chapter. The renewal date for the license
15is specified shall be as determined by the department under s. 440.08 (2)
(a), and the
16renewal fee for the license is determined by the department under s. 440.03 (9) (a).
SB70,2886
17Section
2886. 445.06 (1) of the statutes is amended to read: