2017 - 2018 LEGISLATURE
October 27, 2017 - Introduced by Senators LeMahieu, Vukmir, Harsdorf, Nass,
Moulton, Marklein, Olsen and Ringhand, cosponsored by Representatives
Rohrkaste, Jagler, Kooyenga, Kitchens, Petersen, Tranel, Spiros, Tusler,
Hutton, Horlacher, Neylon, Tittl, Berceau, Genrich, Anderson, Subeck,
Sinicki, Kuglitsch, Hintz and Wichgers. Referred to Committee on Health
and Human Services.
SB497,2,13 1An Act to repeal 50.01 (1b), 77.54 (14) (f) 3., 118.2925 (1) (b), 146.89 (1) (r) 3.,
2252.01 (1c), 440.03 (13) (b) 3., 440.03 (13) (b) 42., 440.08 (2) (a) 4m., 440.08 (2)
3(a) 50., 441.11 (title), 441.11 (1), 441.11 (3), 441.15, 441.16, 448.035 (1) (a) and
4450.01 (1m); to renumber and amend 253.13 (1), 255.06 (1) (d), 441.06 (7) and
5441.11 (2); to amend 29.193 (1m) (a) 2. (intro.), 29.193 (2) (b) 2., 29.193 (2) (c)
63., 29.193 (2) (cd) 2. b., 29.193 (2) (cd) 2. c., 29.193 (2) (e), 29.193 (3) (a), 45.40
7(1g) (a), 46.03 (44), 50.08 (2), 50.09 (1) (a) (intro.), 50.09 (1) (f) 1., 50.09 (1) (h),
850.09 (1) (k), 50.49 (1) (b) (intro.), 51.41 (1d) (b) 4., 70.47 (8) (intro.), 77.54 (14)
9(f) 4., 97.59, 102.13 (1) (a), 102.13 (1) (b) (intro.), 1., 3. and 4., 102.13 (1) (d) 1.,
102., 3. and 4., 102.13 (2) (a), 102.13 (2) (b), 102.17 (1) (d) 1. and 2., 102.29 (3),
11102.42 (2) (a), 106.30 (1), 118.15 (3) (a), 118.29 (1) (e), 118.2925 (3), 118.2925 (4)
12(c), 118.2925 (5), 146.343 (1) (c), 146.82 (3) (a), 146.89 (1) (r) 1., 146.89 (1) (r) 8.,
13146.89 (6), 252.07 (8) (a) 2., 252.07 (9) (c), 252.10 (7), 252.11 (2), (4), (5), (7) and
14(10), 252.15 (3m) (d) 11. b. and 13., (5g) (c), (5m) (d) 2. and (e) 2. and 3. and (7m)

1(intro.) and (b), 252.16 (3) (c) (intro.), 252.17 (3) (c) (intro.), 253.07 (4) (d),
2253.115 (4), 253.115 (7) (a) (intro.), 253.15 (2), 255.06 (2) (d), 255.07 (1) (d),
3257.01 (5) (a) and (b), 341.14 (1a), (1e) (a), (1m) and (1q), 343.16 (5) (a), 343.51
4(1), 343.62 (4) (a) 4., 440.981 (1), 440.982 (1), 440.987 (2), 441.01 (7) (a) (intro.)
5and 1., 441.01 (7) (b), 441.06 (3), 441.07 (1g) (intro.), (a), (c) and (e), 441.18 (2)
6(a) (intro.), 441.18 (2) (b), 441.18 (3), 448.03 (2) (a), 448.035 (2), (3) and (4),
7448.56 (1) and (1m) (b), 448.67 (2), 448.956 (1m), 450.01 (16) (h) 2., 450.01 (16)
8(hr) 2., 450.03 (1) (e), 450.11 (1i) (a) 1., 450.11 (1i) (b) 2. b., 450.11 (7) (b), 450.11
9(8) (e), 450.13 (5) (b), 462.04, 655.001 (7t), 655.001 (9), 655.005 (2) (a), 961.01
10(19) (a) and 961.395; and to create 253.115 (1) (f), 253.13 (1) (a), 253.15 (1) (em),
11255.06 (1) (f) 2., 440.03 (13) (b) 39m., 440.08 (2) (a) 47. and 441.09 of the statutes;
12relating to: advanced practice registered nurses and granting rule-making
13authority.
Analysis by the Legislative Reference Bureau
Nursing practice and licensure
This bill makes various changes to practice, licensure, and certification
requirements for nurses, which are administered by the Board of Nursing.
Licensure of advanced practice registered nurses
Under current law, a person who wishes to practice professional nursing must
be licensed by the Board of Nursing as a registered nurse (RN). This bill creates an
additional system of licensure for advanced practice registered nurses (APRNs), to
be administered by the board. Under the bill, in order to apply for an APRN license,
a person must 1) hold, or concurrently apply for, an RN license, 2) have completed
an accredited graduate-level or postgraduate-level education program preparing
the person to practice as an APRN in one of four recognized roles, and 3) pay a fee
set by the Department of Safety and Professional Services. The bill also allows a
person who has not completed an accredited education program described above to
receive an APRN license if the person 1) on January 1, 2017, was both licensed as an
RN in Wisconsin and practicing in one of the four recognized roles and 2) satisfies
additional practice or education criteria established by the board. The four
recognized roles, as defined in the bill, are 1) certified nurse-midwife, 2) certified
registered nurse anesthetist, 3) clinical nurse specialist, and 4) nurse practitioner.

The bill also requires the board, upon granting a person an APRN license, to also
grant the person one or more endorsements corresponding to the recognized role or
roles for which the person qualifies. The holder of an APRN license may append the
title “A.P.R.N." to his or her name, as well as a title corresponding to whichever
endorsements that the person possesses.
The bill prohibits any person from using the title “A.P.R.N.," and from otherwise
indicating that he or she is an APRN, unless the person is licensed by the board as
an APRN. The bill also prohibits the use of titles and abbreviations corresponding
to a recognized role unless the person has an endorsement for that role. Under the
bill, when an APRN renews his or her APRN license, the board must grant the person
the renewal of both the person's RN license and the person's APRN license. The bill
requires an APRN to complete continuing education requirements in clinical
pharmacology or therapeutics relevant to the APRN's area of practice, including a
minimum number of hours regarding best practices in prescribing controlled
substances. The bill also requires an APRN, when applying for a license or license
renewal or upon request of the board, to submit to the board evidence that he or she
has in effect malpractice liability insurance coverage in the minimum amounts
required by the rules of the board.
Practice of nurse-midwifery
This bill repeals licensure and practice requirements specific to
nurse-midwives and the practice of nurse-midwifery, including specific
requirements to practice with an obstetrician and maintain malpractice insurance.
Under the bill, “certified nurse-midwife" is one of the four recognized roles for
APRNs, and a person who practices nurse-midwifery under current law who
satisfies the APRN licensure requirements may apply for and receive an APRN
license and a certified nurse-midwife endorsement, except that the bill also requires
that a person applying for a certified nurse-midwife endorsement be certified by the
American Midwifery Certification Board. In addition, the bill prohibits the practice
of nurse-midwifery, as defined under current law, without a certified nurse-midwife
endorsement.
Advanced practice registered nurse prescribers
Under current law, a person licensed as an RN may apply to the board for a
certificate to issue prescription orders if the person meets certain requirements
established by the board. A person holding the certificate is subject to various
practice requirements established by the board and must possess malpractice
liability insurance in an amount determined by the board.
The bill eliminates certificates to issue prescription orders and instead provides
that the board may grant an APRN who applies for licensure and who meets the
education, training, and examination requirements established by the board the
authority to issue prescription orders. The bill requires the board to maintain a
register of all APRNs who are authorized to issue prescription orders.
Other changes
The bill makes numerous other changes throughout the statutes relating to
APRNs and APRN prescribers, including changing references to “advanced practice
nurse" and “advanced practice nurse prescriber" in favor of the terms “advanced

practice registered nurse" and “advanced practice registered nurse who has
prescribing authority."
For further information see the state fiscal estimate, which will be printed as
an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
SB497,1 1Section 1. 29.193 (1m) (a) 2. (intro.) of the statutes is amended to read:
SB497,4,62 29.193 (1m) (a) 2. (intro.) Has a permanent substantial loss of function in one
3or both arms or one or both hands and fails to meet the minimum standards of any
4one of the following standard tests, administered under the direction of a licensed
5physician, a licensed physician assistant, a licensed chiropractor, or a certified
6licensed advanced practice registered nurse prescriber:
SB497,2 7Section 2. 29.193 (2) (b) 2. of the statutes is amended to read:
SB497,4,138 29.193 (2) (b) 2. An applicant shall submit an application on a form prepared
9and furnished by the department, which shall include a written statement or report
10prepared and signed by a licensed physician, a licensed physician assistant, a
11licensed chiropractor, a licensed podiatrist, or a certified licensed advanced practice
12registered nurse prescriber prepared no more than 6 months preceding the
13application and verifying that the applicant is physically disabled.
SB497,3 14Section 3. 29.193 (2) (c) 3. of the statutes is amended to read:
SB497,5,715 29.193 (2) (c) 3. The department may issue a Class B permit to an applicant
16who is ineligible for a permit under subd. 1., 2. or 2m. or who is denied a permit under
17subd. 1., 2. or 2m. if, upon review and after considering the physical condition of the
18applicant and the recommendation of a licensed physician, a licensed physician
19assistant, a licensed chiropractor, a licensed podiatrist, or a certified licensed

1advanced practice registered nurse prescriber selected by the applicant from a list
2of licensed physicians, licensed physician assistants, licensed chiropractors, licensed
3podiatrists, and certified licensed advanced practice nurse prescribers registered
4nurses
compiled by the department, the department finds that issuance of a permit
5complies with the intent of this subsection. The use of this review procedure is
6discretionary with the department and all costs of the review procedure shall be paid
7by the applicant.
SB497,4 8Section 4. 29.193 (2) (cd) 2. b. of the statutes is amended to read:
SB497,5,149 29.193 (2) (cd) 2. b. The person has a permanent substantial loss of function
10in one or both arms and fails to meet the minimum standards of the standard upper
11extremity pinch test, the standard grip test, or the standard nine-hole peg test,
12administered under the direction of a licensed physician, a licensed physician
13assistant, a licensed chiropractor, or a certified licensed advanced practice registered
14nurse prescriber.
SB497,5 15Section 5. 29.193 (2) (cd) 2. c. of the statutes is amended to read:
SB497,5,2016 29.193 (2) (cd) 2. c. The person has a permanent substantial loss of function in
17one or both shoulders and fails to meet the minimum standards of the standard
18shoulder strength test, administered under the direction of a licensed physician, a
19licensed physician assistant, a licensed chiropractor, or a certified licensed advanced
20practice registered nurse prescriber.
SB497,6 21Section 6. 29.193 (2) (e) of the statutes is amended to read:
SB497,6,622 29.193 (2) (e) Review of decisions. An applicant denied a permit under this
23subsection, except a permit under par. (c) 3., may obtain a review of that decision by
24a licensed physician, a licensed physician assistant, a licensed chiropractor, a
25licensed podiatrist, or a certified licensed advanced practice registered nurse

1prescriber designated by the department and with an office located in the
2department district in which the applicant resides. The department shall pay for the
3cost of a review under this paragraph unless the denied application on its face fails
4to meet the standards set forth in par. (c) 1. or 2. A review under this paragraph is
5the only method of review of a decision to deny a permit under this subsection and
6is not subject to further review under ch. 227.
SB497,7 7Section 7. 29.193 (3) (a) of the statutes is amended to read:
SB497,6,118 29.193 (3) (a) Produces a certificate from a licensed physician, a licensed
9physician assistant, a licensed optometrist, or a certified licensed advanced practice
10registered nurse prescriber stating that his or her sight is impaired to the degree that
11he or she cannot read ordinary newspaper print with or without corrective glasses.
SB497,8 12Section 8. 45.40 (1g) (a) of the statutes is amended to read:
SB497,6,1713 45.40 (1g) (a) “Health care provider" means an advanced practice registered
14nurse prescriber certified under s. 441.16 (2) licensed under ch. 441, an audiologist
15licensed under ch. 459, a dentist licensed under ch. 447, an optometrist licensed
16under ch. 449, a physician licensed under s. 448.02, or a podiatrist licensed under s.
17448.63.
SB497,9 18Section 9. 46.03 (44) of the statutes is amended to read:
SB497,7,219 46.03 (44) Sexually transmitted disease treatment information. Prepare and
20keep current an information sheet to be distributed to a patient by a physician,
21physician assistant, or certified advanced practice registered nurse prescriber who
22has prescribing authority under s. 441.09 (2) (c)
providing expedited partner therapy
23to that patient under s. 448.035. The information sheet shall include information
24about sexually transmitted diseases and their treatment and about the risk of drug
25allergies. The information sheet shall also include a statement advising a person

1with questions about the information to contact his or her physician, pharmacist, or
2local health department, as defined in s. 250.01 (4).
SB497,10 3Section 10. 50.01 (1b) of the statutes is repealed.
SB497,11 4Section 11. 50.08 (2) of the statutes is amended to read:
SB497,7,105 50.08 (2) A physician, an advanced practice registered nurse prescriber
6certified under s. 441.16 (2) who has prescribing authority under s. 441.09 (2) (c), or
7a physician assistant licensed under ch. 448, who prescribes a psychotropic
8medication to a nursing home resident who has degenerative brain disorder shall
9notify the nursing home if the prescribed medication has a boxed warning under 21
10CFR 201.57
.
SB497,12 11Section 12. 50.09 (1) (a) (intro.) of the statutes is amended to read:
SB497,7,1912 50.09 (1) (a) (intro.) Private and unrestricted communications with the
13resident's family, physician, physician assistant, advanced practice registered nurse
14prescriber, attorney, and any other person, unless medically contraindicated as
15documented by the resident's physician, physician assistant, or advanced practice
16registered nurse prescriber in the resident's medical record, except that
17communications with public officials or with the resident's attorney shall not be
18restricted in any event. The right to private and unrestricted communications shall
19include, but is not limited to, the right to:
SB497,13 20Section 13. 50.09 (1) (f) 1. of the statutes is amended to read:
SB497,7,2521 50.09 (1) (f) 1. Privacy for visits by spouse or domestic partner. If both spouses
22or both domestic partners under ch.770 are residents of the same facility, the spouses
23or domestic partners shall be permitted to share a room unless medically
24contraindicated as documented by the resident's physician, physician assistant, or
25advanced practice registered nurse prescriber in the resident's medical record.
SB497,14
1Section 14. 50.09 (1) (h) of the statutes is amended to read:
SB497,8,52 50.09 (1) (h) Meet with, and participate in activities of social, religious, and
3community groups at the resident's discretion, unless medically contraindicated as
4documented by the resident's physician, physician assistant, or advanced practice
5registered nurse prescriber in the resident's medical record.
SB497,15 6Section 15. 50.09 (1) (k) of the statutes is amended to read:
SB497,8,187 50.09 (1) (k) Be free from mental and physical abuse, and be free from chemical
8and physical restraints except as authorized in writing by a physician, physician
9assistant, or advanced practice registered nurse prescriber for a specified and
10limited period of time and documented in the resident's medical record. Physical
11restraints may be used in an emergency when necessary to protect the resident from
12injury to himself or herself or others or to property. However, authorization for
13continuing use of the physical restraints shall be secured from a physician, physician
14assistant, or advanced practice registered nurse prescriber within 12 hours. Any use
15of physical restraints shall be noted in the resident's medical records. “ Physical
16restraints" includes, but is not limited to, any article, device, or garment that
17interferes with the free movement of the resident and that the resident is unable to
18remove easily, and confinement in a locked room.
SB497,16 19Section 16. 50.49 (1) (b) (intro.) of the statutes is amended to read:
SB497,9,320 50.49 (1) (b) (intro.) “Home health services" means the following items and
21services that are furnished to an individual, who is under the care of a physician,
22physician assistant, or advanced practice registered nurse prescriber, by a home
23health agency, or by others under arrangements made by the home health agency,
24that are under a plan for furnishing those items and services to the individual that
25is established and periodically reviewed by a physician, physician assistant, or

1advanced practice registered nurse prescriber and that are, except as provided in
2subd. 6., provided on a visiting basis in a place of residence used as the individual's
3home:
SB497,17 4Section 17. 51.41 (1d) (b) 4. of the statutes is amended to read:
SB497,9,145 51.41 (1d) (b) 4. A psychiatric mental health advanced practice registered
6nurse who is suggested by the Milwaukee County board of supervisors. The
7Milwaukee County board of supervisors shall solicit suggestions from organizations
8including the Wisconsin Nurses Association for individuals who specialize in a full
9continuum of behavioral health and medical services including emergency
10detention, inpatient, residential, transitional, partial hospitalization, intensive
11outpatient, and wraparound community-based services. The Milwaukee County
12board of supervisors shall suggest to the Milwaukee County executive 4 psychiatric
13mental health advanced practice registered nurses for this board membership
14position.
SB497,18 15Section 18. 70.47 (8) (intro.) of the statutes is amended to read:
SB497,9,2516 70.47 (8) Hearing. (intro.) The board shall hear upon oath all persons who
17appear before it in relation to the assessment. Instead of appearing in person at the
18hearing, the board may allow the property owner, or the property owner's
19representative, at the request of either person, to appear before the board, under
20oath, by telephone or to submit written statements, under oath, to the board. The
21board shall hear upon oath, by telephone, all ill or disabled persons who present to
22the board a letter from a physician, osteopath, physician assistant, as defined in s.
23448.01 (6), or advanced practice registered nurse prescriber certified under s. 441.16
24(2)
licensed under ch. 441 that confirms their illness or disability. At the request of
25the property owner or the property owner's representative, the board may postpone

1and reschedule a hearing under this subsection, but may not postpone and
2reschedule a hearing more than once during the same session for the same property.
3The board at such hearing shall proceed as follows:
SB497,19 4Section 19. 77.54 (14) (f) 3. of the statutes is repealed.
SB497,20 5Section 20. 77.54 (14) (f) 4. of the statutes is amended to read:
SB497,10,76 77.54 (14) (f) 4. An advanced practice registered nurse who has prescribing
7authority under s. 441.09 (2) (c)
.
SB497,21 8Section 21. 97.59 of the statutes is amended to read:
SB497,10,21 997.59 Handling foods. No person in charge of any public eating place or other
10establishment where food products to be consumed by others are handled may
11knowingly employ any person handling food products who has a disease in a form
12that is communicable by food handling. If required by the local health officer or any
13officer of the department for the purposes of an investigation, any person who is
14employed in the handling of foods or is suspected of having a disease in a form that
15is communicable by food handling shall submit to an examination by the officer or
16by a physician, physician assistant, or advanced practice registered nurse prescriber
17designated by the officer. The expense of the examination, if any, shall be paid by the
18person examined. Any person knowingly infected with a disease in a form that is
19communicable by food handling who handles food products to be consumed by others
20and any persons knowingly employing or permitting such a person to handle food
21products to be consumed by others shall be punished as provided by s. 97.72.
SB497,22 22Section 22. 102.13 (1) (a) of the statutes is amended to read:
SB497,11,923 102.13 (1) (a) Except as provided in sub. (4), whenever compensation is claimed
24by an employee, the employee shall, upon the written request of the employee's
25employer or worker's compensation insurer, submit to reasonable examinations by

1physicians, chiropractors, psychologists, dentists, physician assistants, advanced
2practice nurse prescribers registered nurses, or podiatrists provided and paid for by
3the employer or insurer. No employee who submits to an examination under this
4paragraph is a patient of the examining physician, chiropractor, psychologist,
5dentist, physician assistant, advanced practice registered nurse prescriber, or
6podiatrist for any purpose other than for the purpose of bringing an action under ch.
7655, unless the employee specifically requests treatment from that physician,
8chiropractor, psychologist, dentist, physician assistant, advanced practice registered
9nurse prescriber, or podiatrist.
SB497,23 10Section 23. 102.13 (1) (b) (intro.), 1., 3. and 4. of the statutes are amended to
11read:
SB497,11,2512 102.13 (1) (b) (intro.) An employer or insurer who requests that an employee
13submit to reasonable examination under par. (a) or (am) shall tender to the employee,
14before the examination, all necessary expenses including transportation expenses.
15The employee is entitled to have a physician, chiropractor, psychologist, dentist,
16physician assistant, advanced practice registered nurse prescriber, or podiatrist
17provided by himself or herself present at the examination and to receive a copy of all
18reports of the examination that are prepared by the examining physician,
19chiropractor, psychologist, podiatrist, dentist, physician assistant, advanced
20practice registered nurse prescriber, or vocational expert immediately upon receipt
21of those reports by the employer or worker's compensation insurer. The employee is
22also entitled to have a translator provided by himself or herself present at the
23examination if the employee has difficulty speaking or understanding the English
24language. The employer's or insurer's written request for examination shall notify
25the employee of all of the following:
SB497,12,4
11. The proposed date, time, and place of the examination and the identity and
2area of specialization of the examining physician, chiropractor, psychologist, dentist,
3podiatrist, physician assistant, advanced practice registered nurse prescriber, or
4vocational expert.
SB497,12,75 3. The employee's right to have his or her physician, chiropractor, psychologist,
6dentist, physician assistant, advanced practice registered nurse prescriber, or
7podiatrist present at the examination.
SB497,12,128 4. The employee's right to receive a copy of all reports of the examination that
9are prepared by the examining physician, chiropractor, psychologist, dentist,
10podiatrist, physician assistant, advanced practice registered nurse prescriber, or
11vocational expert immediately upon receipt of these reports by the employer or
12worker's compensation insurer.
SB497,24 13Section 24. 102.13 (1) (d) 1., 2., 3. and 4. of the statutes are amended to read:
SB497,12,1714 102.13 (1) (d) 1. Any physician, chiropractor, psychologist, dentist, podiatrist,
15physician assistant, advanced practice registered nurse prescriber, or vocational
16expert who is present at any examination under par. (a) or (am) may be required to
17testify as to the results of the examination.
SB497,12,2218 2. Any physician, chiropractor, psychologist, dentist, physician assistant,
19advanced practice registered nurse prescriber, or podiatrist who attended a worker's
20compensation claimant for any condition or complaint reasonably related to the
21condition for which the claimant claims compensation may be required to testify
22before the division when the division so directs.
SB497,13,423 3. Notwithstanding any statutory provisions except par. (e), any physician,
24chiropractor, psychologist, dentist, physician assistant, advanced practice registered
25nurse prescriber, or podiatrist attending a worker's compensation claimant for any

1condition or complaint reasonably related to the condition for which the claimant
2claims compensation may furnish to the employee, employer, worker's compensation
3insurer, department, or division information and reports relative to a compensation
4claim.
SB497,13,95 4. The testimony of any physician, chiropractor, psychologist, dentist,
6physician assistant, advanced practice registered nurse prescriber, or podiatrist who
7is licensed to practice where he or she resides or practices in any state and the
8testimony of any vocational expert may be received in evidence in compensation
9proceedings.
SB497,25 10Section 25. 102.13 (2) (a) of the statutes is amended to read:
SB497,13,2111 102.13 (2) (a) An employee who reports an injury alleged to be work-related
12or files an application for hearing waives any physician-patient,
13psychologist-patient, or chiropractor-patient privilege with respect to any condition
14or complaint reasonably related to the condition for which the employee claims
15compensation. Notwithstanding ss. 51.30 and 146.82 and any other law, any
16physician, chiropractor, psychologist, dentist, podiatrist, physician assistant,
17advanced practice registered nurse prescriber, hospital, or health care provider
18shall, within a reasonable time after written request by the employee, employer,
19worker's compensation insurer, department, or division, or its representative,
20provide that person with any information or written material reasonably related to
21any injury for which the employee claims compensation.
SB497,26 22Section 26. 102.13 (2) (b) of the statutes is amended to read:
SB497,14,823 102.13 (2) (b) A physician, chiropractor, podiatrist, psychologist, dentist,
24physician assistant, advanced practice registered nurse prescriber, hospital, or
25health service provider shall furnish a legible, certified duplicate of the written

1material requested under par. (a) in paper format upon payment of the actual costs
2of preparing the certified duplicate, not to exceed the greater of 45 cents per page or
3$7.50 per request, plus the actual costs of postage, or shall furnish a legible, certified
4duplicate of that material in electronic format upon payment of $26 per request. Any
5person who refuses to provide certified duplicates of written material in the person's
6custody that is requested under par. (a) shall be liable for reasonable and necessary
7costs and, notwithstanding s. 814.04 (1), reasonable attorney fees incurred in
8enforcing the requester's right to the duplicates under par. (a).
SB497,27 9Section 27. 102.17 (1) (d) 1. and 2. of the statutes are amended to read:
SB497,15,510 102.17 (1) (d) 1. The contents of certified medical and surgical reports by
11physicians, podiatrists, surgeons, dentists, psychologists, physician assistants,
12advanced practice nurse prescribers registered nurses, and chiropractors licensed in
13and practicing in this state, and of certified reports by experts concerning loss of
14earning capacity under s. 102.44 (2) and (3), presented by a party for compensation
15constitute prima facie evidence as to the matter contained in those reports, subject
16to any rules and limitations the division prescribes. Certified reports of physicians,
17podiatrists, surgeons, dentists, psychologists, physician assistants, advanced
18practice nurse prescribers registered nurses, and chiropractors, wherever licensed
19and practicing, who have examined or treated the claimant, and of experts, if the
20practitioner or expert consents to being subjected to cross-examination, also
21constitute prima facie evidence as to the matter contained in those reports. Certified
22reports of physicians, podiatrists, surgeons, psychologists, and chiropractors are
23admissible as evidence of the diagnosis, necessity of the treatment, and cause and
24extent of the disability. Certified reports by doctors of dentistry, physician
25assistants, and advanced practice nurse prescribers registered nurses are

1admissible as evidence of the diagnosis and necessity of treatment but not of the
2cause and extent of disability. Any physician, podiatrist, surgeon, dentist,
3psychologist, chiropractor, physician assistant, advanced practice registered nurse
4prescriber, or expert who knowingly makes a false statement of fact or opinion in a
5certified report may be fined or imprisoned, or both, under s. 943.395.
SB497,15,136 2. The record of a hospital or sanatorium in this state that is satisfactory to the
7division, established by certificate, affidavit, or testimony of the supervising officer
8of the hospital or sanitorium sanatorium, any other person having charge of the
9record, or a physician, podiatrist, surgeon, dentist, psychologist, physician assistant,
10advanced practice registered nurse prescriber, or chiropractor to be the record of the
11patient in question, and made in the regular course of examination or treatment of
12the patient, constitutes prima facie evidence as to the matter contained in the record,
13to the extent that the record is otherwise competent and relevant.
SB497,28 14Section 28. 102.29 (3) of the statutes is amended to read:
SB497,15,1915 102.29 (3) Nothing in this chapter shall prevent an employee from taking the
16compensation that the employee may be entitled to under this chapter and also
17maintaining a civil action against any physician, chiropractor, psychologist, dentist,
18physician assistant, advanced practice registered nurse prescriber, or podiatrist for
19malpractice.
SB497,29 20Section 29. 102.42 (2) (a) of the statutes is amended to read:
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