SB354, s. 13 6Section 13. 252.07 (9) (c) of the statutes is amended to read:
SB354,7,137 252.07 (9) (c) If the court orders confinement of an individual under this
8subsection, the individual shall remain confined until the department or local health
9officer, with the concurrence of a treating physician, advanced practice nurse
10prescriber, or physician assistant
, determines that treatment is complete or that the
11individual is no longer a substantial threat to himself or herself or to the public
12health. If the individual is to be confined for more than 6 months, the court shall
13review the confinement every 6 months.
SB354, s. 14 14Section 14. 252.11 (2) of the statutes is amended to read:
SB354,7,2515 252.11 (2) An officer of the department or a local health officer having
16knowledge of any reported or reasonably suspected case or contact of a sexually
17transmitted disease for which no appropriate treatment is being administered, or of
18an actual contact of a reported case or potential contact of a reasonably suspected
19case, shall investigate or cause the case or contact to be investigated as necessary.
20If, following a request of an officer of the department or a local health officer, a person
21reasonably suspected of being infected with a sexually transmitted disease refuses
22or neglects examination by a physician, advanced practice nurse prescriber, or
23physician assistant
or treatment, an officer of the department or a local health officer
24may proceed to have the person committed under sub. (5) to an institution or system
25of care for examination, treatment or observation.
SB354, s. 15
1Section 15. 252.11 (4) of the statutes is amended to read:
SB354,8,82 252.11 (4) If a person infected with a sexually transmitted disease ceases or
3refuses treatment before reaching what in the a physician's, advanced practice nurse
4prescriber's, or physician assistant's
opinion is the noncommunicable stage, the
5physician, advanced practice nurse prescriber, or physician assistant shall notify the
6department. The department shall without delay take the necessary steps to have
7the person committed for treatment or observation under sub. (5), or shall notify the
8local health officer to take these steps.
SB354, s. 16 9Section 16. 252.11 (5) of the statutes is amended to read:
SB354,9,210 252.11 (5) Any court of record may commit a person infected with a sexually
11transmitted disease to any institution or may require the person to undergo a system
12of care for examination, treatment, or observation if the person ceases or refuses
13examination, treatment, or observation under the supervision of a physician,
14advanced practice nurse prescriber, or physician assistant
. The court shall summon
15the person to appear on a date at least 48 hours, but not more than 96 hours, after
16service if an officer of the department or a local health officer petitions the court and
17states the facts authorizing commitment. If the person fails to appear or fails to
18accept commitment without reasonable cause, the court may cite the person for
19contempt. The court may issue a warrant and may direct the sheriff, any constable,
20or any police officer of the county immediately to arrest the person and bring the
21person to court if the court finds that a summons will be ineffectual. The court shall
22hear the matter of commitment summarily. Commitment under this subsection
23continues until the disease is no longer communicable or until other provisions are
24made for treatment that satisfy the department. The certificate of the petitioning

1officer is prima facie evidence that the disease is no longer communicable or that
2satisfactory provisions for treatment have been made.
SB354, s. 17 3Section 17. 252.11 (7) of the statutes is amended to read:
SB354,9,134 252.11 (7) Reports, examinations and inspections and all records concerning
5sexually transmitted diseases are confidential and not open to public inspection, and
6shall may not be divulged except as may be necessary for the preservation of the
7public health, in the course of commitment proceedings under sub. (5), or as provided
8under s. 938.296 (4) or (5) or 968.38 (4) or (5). If a physician, advanced practice nurse
9prescriber, or physician assistant
has reported a case of sexually transmitted disease
10to the department under sub. (4), information regarding the presence of the disease
11and treatment is not privileged when the patient or, physician, advanced practice
12nurse prescriber, or physician assistant
is called upon to testify to the facts before any
13court of record.
SB354, s. 18 14Section 18. 252.11 (10) of the statutes is amended to read:
SB354,9,2215 252.11 (10) The state laboratory of hygiene shall examine specimens for the
16diagnosis of sexually transmitted diseases for any physician, advanced practice
17nurse prescriber, physician assistant,
or local health officer in the state, and shall
18report the positive results of the examinations to the local health officer and to the
19department. All laboratories performing tests for sexually transmitted diseases
20shall report all positive results to the local health officer and to the department, with
21the name of the physician, advanced practice nurse prescriber, or physician assistant
22to whom reported.
SB354, s. 19 23Section 19. 252.14 (1) (ar) 14. of the statutes is amended to read:
SB354,9,2424 252.14 (1) (ar) 14. A physician assistant licensed under ch. 448.
SB354, s. 20 25Section 20. 252.15 (2) (a) 7. ak. of the statutes is amended to read:
SB354,10,15
1252.15 (2) (a) 7. ak. A physician, advanced practice nurse prescriber, or
2physician assistant
, based on information provided to the physician , advanced
3practice nurse prescriber, or physician assistant
, determines and certifies in writing
4that the affected person has been significantly exposed. The certification shall
5accompany the request for testing and disclosure. If the affected person who is
6significantly exposed is a physician, advanced practice nurse prescriber, or physician
7assistant
, he or she may not make this determination or certification. The
8information that is provided to a physician, advanced practice nurse prescriber, or
9physician assistant
to document the occurrence of a significant exposure and the
10physician's, advanced practice nurse prescriber's, or physician assistant's
11certification that an affected person has been significantly exposed, under this subd.
127. ak., shall be provided on a report form that is developed by the department of
13commerce under s. 101.02 (19) (a) or on a report form that the department of
14commerce determines, under s. 101.02 (19) (b), is substantially equivalent to the
15report form that is developed under s. 101.02 (19) (a).
SB354, s. 21 16Section 21. 252.15 (5) (a) 11. of the statutes is amended to read:
SB354,10,2417 252.15 (5) (a) 11. To a person, including a person exempted from civil liability
18under the conditions specified under s. 895.48, who renders to the victim of an
19emergency or accident emergency care during the course of which the emergency
20caregiver is significantly exposed to the emergency or accident victim, if a physician,
21advanced practice nurse prescriber, or physician assistant
, based on information
22provided to the physician, advanced practice nurse prescriber, or physician
23assistant
, determines and certifies in writing that the emergency caregiver has been
24significantly exposed and if the certification accompanies the request for disclosure.
SB354, s. 22 25Section 22. 252.15 (5) (a) 12. b. of the statutes is amended to read:
SB354,11,8
1252.15 (5) (a) 12. b. The coroner, medical examiner, or appointed assistant is
2significantly exposed to a person whose death is under direct investigation by the
3coroner, medical examiner, or appointed assistant, if a physician, advanced practice
4nurse prescriber, or physician assistant
, based on information provided to the
5physician, advanced practice nurse prescriber, or physician assistant, determines
6and certifies in writing that the coroner, medical examiner, or appointed assistant
7has been significantly exposed and if the certification accompanies the request for
8disclosure.
SB354, s. 23 9Section 23. 252.15 (5) (a) 14. of the statutes is amended to read:
SB354,11,1510 252.15 (5) (a) 14. If the test results of a test administered to an individual are
11positive and the individual is deceased, by the individual's attending physician,
12advanced practice nurse prescriber, or physician assistant
, to persons, if known to
13the physician, advanced practice nurse prescriber, or physician assistant, with
14whom the individual has had sexual contact or has shared intravenous drug use
15paraphernalia.
SB354, s. 24 16Section 24. 252.15 (5m) (a) of the statutes is amended to read:
SB354,12,417 252.15 (5m) (a) If a person, including a person exempted from civil liability
18under the conditions specified under s. 895.48, who renders to the victim of an
19emergency or accident emergency care during the course of which the emergency
20caregiver is significantly exposed to the emergency or accident victim and the
21emergency or accident victim subsequently dies prior to testing for the presence of
22HIV, antigen or nonantigenic products of HIV, or an antibody to HIV, and; if a
23physician, advanced practice nurse prescriber, or physician assistant, based on
24information provided to the physician, advanced practice nurse prescriber, or
25physician assistant
, determines and certifies in writing that the emergency

1caregiver has been significantly exposed; and if the certification accompanies the
2request for testing and disclosure. Testing of a corpse under this paragraph shall be
3ordered by the coroner, medical examiner, or physician who certifies the victim's
4cause of death under s. 69.18 (2) (b), (c) or (d).
SB354, s. 25 5Section 25. 252.15 (5m) (b) of the statutes is amended to read:
SB354,12,176 252.15 (5m) (b) If a funeral director, coroner, medical examiner, or appointed
7assistant to a coroner or medical examiner who prepares the corpse of a decedent for
8burial or other disposition or a person who performs an autopsy or assists in
9performing an autopsy is significantly exposed to the corpse, and; if a physician,
10advanced practice nurse prescriber, or physician assistant
, based on information
11provided to the physician, advanced practice nurse prescriber, or physician
12assistant
, determines and certifies in writing that the funeral director, coroner,
13medical examiner, or appointed assistant has been significantly exposed; and if the
14certification accompanies the request for testing and disclosure. Testing of a corpse
15under this paragraph shall be ordered by the attending physician, advanced practice
16nurse prescriber, or physician assistant
of the funeral director, coroner, medical
17examiner, or appointed assistant who is so exposed.
SB354, s. 26 18Section 26. 252.15 (5m) (c) of the statutes is amended to read:
SB354,13,419 252.15 (5m) (c) If a health care provider or an agent or employee of a health
20care provider is significantly exposed to the corpse or to a patient who dies
21subsequent to the exposure and prior to testing for the presence of HIV, antigen or
22nonantigenic products of HIV, or an antibody to HIV , and; if a physician, advanced
23practice nurse prescriber, or physician assistant
who is not the health care provider,
24based on information provided to the physician, advanced practice nurse prescriber,
25or physician assistant
, determines and certifies in writing that the health care

1provider, agent or employee has been significantly exposed ; and if the certification
2accompanies the request for testing and disclosure. Testing of a corpse under this
3paragraph shall be ordered by the physician, advanced practice nurse prescriber, or
4physician assistant
who certifies that the significant exposure has occurred.
SB354, s. 27 5Section 27. 252.15 (7m) (intro.) of the statutes is amended to read:
SB354,13,136 252.15 (7m) Reporting of persons significantly exposed. (intro.) If a positive,
7validated test result is obtained from a test subject, the test subject's physician,
8advanced practice nurse prescriber, or physician assistant
who maintains a record
9of the test result under sub. (4) (c) may report to the state epidemiologist the name
10of any person known to the physician, advanced practice nurse prescriber, or
11physician assistant
to have been significantly exposed to the test subject, only after
12the physician, advanced practice nurse prescriber, or physician assistant has done
13all of the following:
SB354, s. 28 14Section 28. 252.15 (7m) (b) of the statutes is amended to read:
SB354,13,1815 252.15 (7m) (b) Notified the test subject that the name of any person known
16to the physician, advanced practice nurse prescriber, or physician assistant to have
17been significantly exposed to the test subject will be reported to the state
18epidemiologist.
SB354, s. 29 19Section 29. 252.16 (3) (c) (intro.) of the statutes is amended to read:
SB354,13,2220 252.16 (3) (c) (intro.) Has submitted to the department a certification from a
21physician, as defined in s. 448.01 (5), advanced practice nurse prescriber, or
22physician assistant
of all of the following:
SB354, s. 30 23Section 30. 252.17 (3) (c) (intro.) of the statutes is amended to read:
SB354,14,3
1252.17 (3) (c) (intro.) Has submitted to the department a certification from a
2physician, as defined in s. 448.01 (5), advanced practice nurse prescriber, or
3physician assistant
of all of the following:
SB354, s. 31 4Section 31. 252.18 of the statutes is amended to read:
SB354,14,17 5252.18 Handling foods. No person in charge of any public eating place or
6other establishment where food products to be consumed by others are handled may
7knowingly employ any person handling food products who has a disease in a form
8that is communicable by food handling. If required by the local health officer or any
9officer of the department for the purposes of an investigation, any person who is
10employed in the handling of foods or is suspected of having a disease in a form that
11is communicable by food handling shall submit to an examination by the officer or
12by a physician, advanced practice nurse prescriber, or physician assistant
13designated by the officer. The expense of the examination, if any, shall be paid by the
14person examined. Any person knowingly infected with a disease in a form that is
15communicable by food handling who handles food products to be consumed by others
16and any persons knowingly employing or permitting such a person to handle food
17products to be consumed by others shall be punished as provided by s. 252.25.
SB354, s. 32 18Section 32. 343.16 (5) (a) of the statutes is amended to read:
SB354,15,1719 343.16 (5) (a) The secretary may require any applicant for a license or any
20licensed operator to submit to a special examination by such persons or agencies as
21the secretary may direct to determine incompetency, physical or mental disability,
22disease, or any other condition which that might prevent such applicant or licensed
23person from exercising reasonable and ordinary control over a motor vehicle. When
24If the department requires the applicant to submit to an examination, the applicant
25shall pay for the cost thereof examination. If the department receives an application

1for a renewal or duplicate license after voluntary surrender under s. 343.265 or
2receives a report from a physician, advanced practice nurse prescriber certified
3under s. 441.16 (2), physician assistant, as defined in s. 448.01 (6),
or optometrist
4under s. 146.82 (3), or if the department has a report of 2 or more arrests within a
5one-year period for any combination of violations of s. 346.63 (1) or (5) or a local
6ordinance in conformity therewith with s. 346.63 (1) or (5) or a law of a federally
7recognized American Indian tribe or band in this state in conformity with s. 346.63
8(1) or (5), or s. 346.63 (1m), 1985 stats., or s. 346.63 (2) or (6) or 940.25, or s. 940.09
9where the offense involved the use of a vehicle, the department shall determine, by
10interview or otherwise, whether the operator should submit to an examination under
11this section. The examination may consist of an assessment. If the examination
12indicates that education or treatment for a disability, disease or condition concerning
13the use of alcohol, a controlled substance or a controlled substance analog is
14appropriate, the department may order a driver safety plan in accordance with s.
15343.30 (1q). If there is noncompliance with assessment or the driver safety plan, the
16department shall revoke the person's operating privilege in the manner specified in
17s. 343.30 (1q) (d).
SB354, s. 33 18Section 33. 441.06 (title) of the statutes is amended to read:
SB354,15,19 19441.06 (title) Licensure; civil liability exemption exemptions.
SB354, s. 34 20Section 34. 441.06 (7) of the statutes is created to read:
SB354,15,2221 441.06 (7) No person certified as an advanced practice nurse prescriber under
22s. 441.16 (2) is liable for civil damages for any of the following:
SB354,16,223 (a) Reporting in good faith to the department of transportation under s. 146.82
24(3) a patient's name and other information relevant to a physical or mental condition

1of the patient that in the advanced practice nurse prescriber's judgment impairs the
2patient's ability to exercise reasonable and ordinary control over a motor vehicle.
SB354,16,73 (b) In good faith, not reporting to the department of transportation under s.
4146.82 (3) a patient's name and other information relevant to a physical or mental
5condition of the patient that in the advanced practice nurse prescriber's judgment
6does not impair the patient's ability to exercise reasonable and ordinary control over
7a motor vehicle.
SB354, s. 35 8Section 35. 448.03 (5) (b) of the statutes is amended to read:
SB354,16,109 448.03 (5) (b) No physician or physician assistant shall be liable for any civil
10damages for either of the following:
SB354,16,1411 1. Reporting in good faith to the department of transportation under s. 146.82
12(3) a patient's name and other information relevant to a physical or mental condition
13of the patient which in the physician's or physician assistant's judgment impairs the
14patient's ability to exercise reasonable and ordinary control over a motor vehicle.
SB354,16,1915 2. In good faith, not reporting to the department of transportation under s.
16146.82 (3) a patient's name and other information relevant to a physical or mental
17condition of the patient which in the physician's or physician assistant's judgment
18does not impair the patient's ability to exercise reasonable and ordinary control over
19a motor vehicle.
SB354, s. 36 20Section 36. 448.56 (1) of the statutes is amended to read:
SB354,17,1021 448.56 (1) Written referral. Except as provided in this subsection and s.
22448.52, a person may practice physical therapy only upon the written referral of a
23physician, physician assistant, chiropractor, dentist or, podiatrist, or advanced
24practice nurse prescriber certified under s. 441.16 (2)
. Written referral is not
25required if a physical therapist provides services in schools to children with

1disabilities, as defined in s. 115.76 (5), pursuant to rules promulgated by the
2department of public instruction; provides services as part of a home health care
3agency; provides services to a patient in a nursing home pursuant to the patient's
4plan of care; provides services related to athletic activities, conditioning, or injury
5prevention; or provides services to an individual for a previously diagnosed medical
6condition after informing the individual's physician, physician assistant,
7chiropractor, dentist or, podiatrist , or advanced practice nurse prescriber certified
8under s. 441.16 (2)
who made the diagnosis. The affiliated credentialing board may
9promulgate rules establishing additional services that are excepted from the written
10referral requirements of this subsection.
SB354, s. 37 11Section 37. 448.56 (1m) (b) of the statutes is amended to read:
SB354,17,1712 448.56 (1m) (b) The affiliated credentialing board shall promulgate rules
13establishing the requirements that a physical therapist must satisfy if a physician,
14physician assistant, chiropractor, dentist, or podiatrist, or advanced practice nurse
15prescriber
makes a written referral under sub. (1). The purpose of the rules shall be
16to ensure continuity of care between the physical therapist and the health care
17practitioner.
SB354, s. 38 18Section 38. 448.67 (2) of the statutes is amended to read:
SB354,18,319 448.67 (2) Separate billing required. Except as provided in sub. (4), a licensee
20who renders any podiatric service or assistance whatever, or gives any podiatric
21advice or any similar advice or assistance whatever, to any patient, podiatrist,
22physician, physician assistant, advanced practice nurse prescriber certified under s.
23441.16 (2),
partnership, or corporation, or to any other institution or organization of
24any kind
, including a hospital, for which a charge is made to a patient, shall, except
25as authorized by Title 18 or Title 19 of the federal Social Security Act, render an

1individual statement or account of the charge directly to the patient, distinct and
2separate from any statement or account by any other podiatrist, physician, physician
3assistant, advanced practice nurse prescriber,
or other person.
SB354, s. 39 4Section 39. 450.01 (1m) of the statutes is created to read:
SB354,18,65 450.01 (1m) "Advanced practice nurse prescriber" means an advanced practice
6nurse who is certified under s. 441.16 (2).
SB354, s. 40 7Section 40. 450.01 (15m) of the statutes is created to read:
SB354,18,88 450.01 (15m) "Physician assistant" has the meaning given in s. 448.01 (6).
SB354, s. 41 9Section 41. 450.01 (16) (h) of the statutes is renumbered 450.01 (16) (h) (intro.)
10and amended to read:
SB354,18,1611 450.01 (16) (h) (intro.) Making therapeutic alternate drug selections, if made
12in accordance with written guidelines or procedures previously established by a
13pharmacy and therapeutics committee of a hospital and approved by the hospital's
14medical staff and by an individual use of the therapeutic alternate drug selection has
15been approved for a patient during the period of the patient's stay within the hospital
16by any of the following:
SB354,18,18 171. The patient's physician for his or her patients for the period of each patient's
18stay within the hospital
.
SB354, s. 42 19Section 42. 450.01 (16) (h) 2. of the statutes is created to read:
SB354,18,2220 450.01 (16) (h) 2. The patient's advanced practice nurse prescriber, if the
21advanced practice nurse prescriber has entered into a written agreement to
22collaborate with a physician.
SB354, s. 43 23Section 43. 450.01 (16) (h) 3. of the statutes is created to read:
SB354,18,2424 450.01 (16) (h) 3. The patient's physician assistant.
SB354, s. 44 25Section 44. 450.11 (7) (b) of the statutes is amended to read:
SB354,19,4
1450.11 (7) (b) Information communicated to a physician, advanced practice
2nurse prescriber, or physician assistant
in an effort to procure unlawfully a
3prescription drug or the administration of a prescription drug is not a privileged
4communication.
SB354, s. 45 5Section 45. 450.11 (8) (b) of the statutes is amended to read:
SB354,19,76 450.11 (8) (b) The medical examining board, insofar as this section applies to
7physicians and physician assistants.
SB354, s. 46 8Section 46. 450.11 (8) (e) of the statutes is created to read:
SB354,19,109 450.11 (8) (e) The board of nursing, insofar as this section applies to advanced
10practice nurse prescribers.
SB354, s. 47 11Section 47. 450.13 (5) of the statutes is renumbered 450.13 (5) (intro.)
12amended to read:
SB354,19,2013 450.13 (5) Use of drug product equivalent in hospitals. (intro.) Subsections
14(1) to (4) do not apply to a pharmacist who dispenses a drug product equivalent that
15is prescribed for a patient in a hospital if the pharmacist dispenses the drug product
16equivalent in accordance with written guidelines or procedures previously
17established by a pharmacy and therapeutics committee of the hospital and approved
18by the hospital's medical staff and use of the drug product equivalent has been
19approved for a patient during the period of the patient's stay within the hospital
by
20the any of the following:
SB354,19,22 21(a) The patient's individual physician for the period of the patient's stay within
22the hospital
.
SB354, s. 48 23Section 48. 450.13 (5) (b) of the statutes is created to read:
SB354,20,3
1450.13 (5) (b) The patient's advanced practice nurse prescriber, if the advanced
2practice nurse prescriber has entered into a written agreement to collaborate with
3a physician.
SB354, s. 49 4Section 49. 450.13 (5) (c) of the statutes is created to read:
SB354,20,55 450.13 (5) (c) The patient's physician assistant.
SB354, s. 50 6Section 50. Effective dates. This act takes effect on the day after publication,
7except as follows:
SB354,20,98 (1) The treatment of section 448.56 (1) of the statutes takes effect on April 1,
92006.
SB354,20,1010 (End)
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