SB497,46,96 (b) The immunity under par. (a) does not extend to the donation, distribution,
7furnishing, or dispensing of an antimicrobial drug by a physician, physician
8assistant, or certified advanced practice registered nurse prescriber whose act or
9omission involves reckless, wanton, or intentional misconduct.
SB497,95 10Section 95. 448.56 (1) and (1m) (b) of the statutes are amended to read:
SB497,46,2511 448.56 (1) Written referral. Except as provided in this subsection and s.
12448.52, a person may practice physical therapy only upon the written referral of a
13physician, physician assistant, chiropractor, dentist, podiatrist, or advanced practice
14registered nurse prescriber certified under s. 441.16 (2). Written referral is not
15required if a physical therapist provides services in schools to children with
16disabilities, as defined in s. 115.76 (5), pursuant to rules promulgated by the
17department of public instruction; provides services as part of a home health care
18agency; provides services to a patient in a nursing home pursuant to the patient's
19plan of care; provides services related to athletic activities, conditioning, or injury
20prevention; or provides services to an individual for a previously diagnosed medical
21condition after informing the individual's physician, physician assistant,
22chiropractor, dentist, podiatrist, or advanced practice registered nurse prescriber
23certified under s. 441.16 (2)
who made the diagnosis. The examining board may
24promulgate rules establishing additional services that are excepted from the written
25referral requirements of this subsection.
SB497,47,6
1(1m) (b) The examining board shall promulgate rules establishing the
2requirements that a physical therapist must satisfy if a physician, physician
3assistant, chiropractor, dentist, podiatrist, or advanced practice registered nurse
4prescriber makes a written referral under sub. (1). The purpose of the rules shall be
5to ensure continuity of care between the physical therapist and the health care
6practitioner.
SB497,96 7Section 96. 448.67 (2) of the statutes is amended to read:
SB497,47,178 448.67 (2) Separate billing required. Except as provided in sub. (4), a licensee
9who renders any podiatric service or assistance, or gives any podiatric advice or any
10similar advice or assistance, to any patient, podiatrist, physician, physician
11assistant, advanced practice registered nurse prescriber certified under s. 441.16 (2),
12partnership, or corporation, or to any other institution or organization, including a
13hospital, for which a charge is made to a patient, shall, except as authorized by
14Title 18 or Title 19 of the federal Social Security Act, render an individual statement
15or account of the charge directly to the patient, distinct and separate from any
16statement or account by any other podiatrist, physician, physician assistant,
17advanced practice registered nurse prescriber, or other person.
SB497,97 18Section 97. 448.956 (1m) of the statutes is amended to read:
SB497,47,2419 448.956 (1m) Subject to sub. (1) (a), a licensee may provide athletic training
20to an individual without a referral, except that a licensee may not provide athletic
21training as described under s. 448.95 (5) (d) or (e) in an outpatient rehabilitation
22setting unless the licensee has obtained a written referral for the individual from a
23practitioner licensed or certified under subch. II, III, IV, V, or VII of this chapter;
24under ch. 446; or under s. 441.16 (2) 441.09.
SB497,98 25Section 98. 450.01 (1m) of the statutes is repealed.
SB497,99
1Section 99. 450.01 (16) (h) 2. of the statutes is amended to read:
SB497,48,52 450.01 (16) (h) 2. The patient's advanced practice registered nurse prescriber,
3if the advanced practice registered nurse prescriber has entered into a written
4agreement to collaborate with a physician
has prescribing authority under s. 441.09
5(2) (c)
.
SB497,100 6Section 100. 450.01 (16) (hr) 2. of the statutes is amended to read:
SB497,48,87 450.01 (16) (hr) 2. An advanced practice registered nurse prescriber who has
8prescribing authority under s. 441.09 (2) (c)
.
SB497,101 9Section 101. 450.03 (1) (e) of the statutes is amended to read:
SB497,48,1610 450.03 (1) (e) Any person lawfully practicing within the scope of a license,
11permit, registration, certificate, or certification granted to provide home medical
12oxygen under s. 450.076, to practice professional or , practical, or advanced practice
13registered
nursing or nurse-midwifery under ch. 441, to practice dentistry or dental
14hygiene under ch. 447, to practice medicine and surgery under ch. 448, to practice
15optometry under ch. 449 or to practice veterinary medicine under ch. 89, or as
16otherwise provided by statute.
SB497,102 17Section 102. 450.11 (1i) (a) 1. of the statutes is amended to read:
SB497,49,318 450.11 (1i) (a) 1. A pharmacist may, upon and in accordance with the
19prescription order of an advanced practice registered nurse prescriber under s.
20441.18 (2) (a) 1., or of a physician or physician assistant under s. 448.037 (2) (a) 1.,
21that complies with the requirements of sub. (1), deliver an opioid antagonist to a
22person specified in the prescription order and may, upon and in accordance with the
23standing order of an advanced practice registered nurse prescriber under s. 441.18
24(2) (a) 2., or of a physician or physician assistant under s. 448.037 (2) (a) 2., that
25complies with the requirements of sub. (1), deliver an opioid antagonist to an

1individual in accordance with the order. The pharmacist shall provide a consultation
2in accordance with rules promulgated by the board for the delivery of a prescription
3to the person to whom the opioid antagonist is delivered.
SB497,103 4Section 103. 450.11 (1i) (b) 2. b. of the statutes is amended to read:
SB497,49,75 450.11 (1i) (b) 2. b. An advanced practice registered nurse prescriber may only
6deliver or dispense an opioid antagonist in accordance with s. 441.18 (2) or in
7accordance with his or her other legal authority to dispense prescription drugs.
SB497,104 8Section 104. 450.11 (7) (b) of the statutes is amended to read:
SB497,49,129 450.11 (7) (b) Information communicated to a physician, physician assistant,
10or advanced practice registered nurse prescriber in an effort to procure unlawfully
11a prescription drug or the administration of a prescription drug is not a privileged
12communication.
SB497,105 13Section 105. 450.11 (8) (e) of the statutes is amended to read:
SB497,49,1514 450.11 (8) (e) The board of nursing, insofar as this section applies to advanced
15practice nurse prescribers registered nurses.
SB497,106 16Section 106. 450.13 (5) (b) of the statutes is amended to read:
SB497,49,1917 450.13 (5) (b) The patient's advanced practice registered nurse prescriber, if the
18advanced practice registered nurse prescriber has entered into a written agreement
19to collaborate with a physician
has prescribing authority under s. 441.09 (2) (c).
SB497,107 20Section 107. 462.04 of the statutes is amended to read:
SB497,50,3 21462.04 Prescription or order required. A person who holds a license or
22limited X-ray machine operator permit under this chapter may not use diagnostic
23X-ray equipment on humans for diagnostic purposes unless authorized to do so by
24prescription or order of a physician licensed under s. 448.04 (1) (a), a dentist licensed
25under s. 447.04 (1), a podiatrist licensed under s. 448.63, a chiropractor licensed

1under s. 446.02, an advanced practice registered nurse certified licensed under s.
2441.16 (2) 441.09, a physician assistant licensed under s. 448.04 (1) (f), or, subject to
3s. 448.56 (7) (a), a physical therapist licensed under s. 448.53.
SB497,108 4Section 108. 655.001 (7t) of the statutes is amended to read:
SB497,50,95 655.001 (7t) “Health care practitioner" means a health care professional, as
6defined in s. 180.1901 (1m), who is an employee of a health care provider described
7in s. 655.002 (1) (d), (e), (em), or (f) and who has the authority to provide health care
8services that are not in collaboration with a physician under s. 441.15 (2) (b) or under
9the direction and supervision of a physician or nurse anesthetist.
SB497,109 10Section 109. 655.001 (9) of the statutes is amended to read:
SB497,50,1511 655.001 (9) “Nurse anesthetist" means a nurse an individual who is licensed
12under ch. 441 or in a party state, as defined in s. 441.50 (2) (j), who is certified as a
13nurse anesthetist by the American association of nurse anesthetists
as an advanced
14practice registered nurse and possesses a certified registered nurse anesthetist
15endorsement under s. 441.09
.
SB497,110 16Section 110. 655.005 (2) (a) of the statutes is amended to read:
SB497,50,2017 655.005 (2) (a) An employee of a health care provider if the employee is a
18physician or a nurse anesthetist or is a health care practitioner who is providing
19health care services that are not in collaboration with a physician under s. 441.15 (2)
20(b) or
under the direction and supervision of a physician or nurse anesthetist.
SB497,111 21Section 111. 961.01 (19) (a) of the statutes is amended to read:
SB497,51,222 961.01 (19) (a) A physician, advanced practice registered nurse, dentist,
23veterinarian, podiatrist, optometrist, scientific investigator or, subject to s. 448.21
24(3), a physician assistant, or other person licensed, registered, certified or otherwise
25permitted to distribute, dispense, conduct research with respect to, administer or use

1in teaching or chemical analysis a controlled substance in the course of professional
2practice or research in this state.
SB497,112 3Section 112. 961.395 of the statutes is amended to read:
SB497,51,7 4961.395 Limitation on advanced practice registered nurses. (1) An
5advanced practice registered nurse who is certified under s. 441.16 who has
6prescribing authority under s. 441.09 (2) (c)
may prescribe controlled substances only
7as permitted by the rules promulgated under s. 441.16 (3) 441.09 (9).
SB497,51,11 8(2) An advanced practice registered nurse certified under s. 441.16 shall
9include with each prescription order the advanced practice registered nurse
10prescriber certification number identifier issued to him or her by the board of
11nursing.
SB497,51,15 12(3) An advanced practice registered nurse certified under s. 441.16 who has
13prescribing authority under s. 441.09 (2) (c)
may dispense a controlled substance only
14by prescribing or administering the controlled substance or as otherwise permitted
15by the rules promulgated under s. 441.16 (3) 441.09 (9).
SB497,113 16Section 113. Effective date.
SB497,51,1717 (1) This act takes effect on March 1, 2020.
SB497,51,1818 (End)
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