AB154,52,178 (f) An advanced practice registered nurse with a certified nurse-midwife
9specialty designation may not offer to deliver babies outside of a hospital setting
10unless the advanced practice registered nurse files with the board, and the board
11approves, a proactive plan for ensuring appropriate care or care transitions
12conforming with professional standards for patients with higher acuity or emergency
13care needs that exceed the advanced practice registered nurse's scope of practice. An
14advanced practice registered nurse who offers to deliver babies outside of a hospital
15setting shall file a plan under this paragraph when applying for an initial license
16under this section or a renewal of a license under this section, shall keep the plan
17current with the board, and shall follow the plan.
AB154,52,22 18(4) Continuing education. Every advanced practice registered nurse shall
19submit to the board evidence of having completed at least 16 contact hours per
20biennium in clinical pharmacology or therapeutics relevant to the advanced practice
21registered nurse's area of practice. The board may promulgate rules regarding the
22continuing education requirements under this subsection.
AB154,53,6 23(5) Malpractice liability insurance. Except for a person whose employer has
24in effect malpractice liability insurance that provides coverage for the person in the
25amounts specified under s. 655.23 (4), no person may practice advanced practice

1registered nursing unless he or she at all times has in effect malpractice liability
2insurance coverage in the minimum amounts required by the rules of the board. An
3advanced practice registered nurse shall submit evidence of that coverage to the
4board when applying for an initial license under this section or a renewal of a license
5under this section. An advanced practice registered nurse shall also submit such
6evidence to the board upon request of the board.
AB154,53,8 7(6) Rules. (a) The board shall promulgate rules necessary to administer this
8section, including rules for all of the following:
AB154,53,139 1. Further defining the scope of practice of an advanced practice registered
10nurse, practice of a certified nurse-midwife, practice of a certified registered nurse
11anesthetist, practice of a nurse practitioner, and practice of a clinical nurse specialist
12and defining the scope of practice within which an advanced practice registered
13nurse may issue prescription orders under sub. (2).
AB154,53,1514 2. Determining acceptable national certification for purposes of sub. (1) (a) 2.
15a.
AB154,53,1916 3. Establishing the appropriate education, training, or experience
17requirements that a registered nurse must satisfy in order to be an advanced practice
18registered nurse and to obtain each specialty designation corresponding to the
19recognized roles.
AB154,53,2120 4. Specifying the classes of drugs, individual drugs, or devices that may not be
21prescribed by an advanced practice registered nurse under sub. (2).
AB154,53,2222 5. Specifying the conditions to be met for registered nurses to do the following:
AB154,53,2323 a. Administer a drug prescribed by an advanced practice registered nurse.
AB154,53,2424 b. Administer a drug at the direction of an advanced practice registered nurse.
AB154,54,4
16. Establishing the minimum amount of malpractice liability insurance
2coverage that an advanced practice registered nurse must at all times have in effect
3for purposes of sub. (5). The board shall promulgate rules under this subdivision in
4consultation with the commissioner of insurance.
AB154,54,65 7. Establishing standards of professional conduct for advanced practice
6registered nurses generally and for practicing in each recognized role.
AB154,54,77 (am) The board may promulgate rules to implement sub. (3m) (b).
AB154,54,108 (b) The board may not promulgate rules that expand the scope of practice of an
9advanced practice registered nurse beyond the practices within advanced practice
10registered nursing.
AB154,104 11Section 104 . 441.092 of the statutes is created to read:
AB154,54,12 12441.092 Expedited partner therapy. (1) In this section:
AB154,54,1313 (b) “Antimicrobial drug" has the meaning given in s. 448.035 (1) (b).
AB154,54,1414 (c) “Expedited partner therapy" has the meaning given in s. 448.035 (1) (c).
AB154,55,2 15(2) Notwithstanding the requirements of s. 448.9785, an advanced practice
16registered nurse who may issue prescription orders under s. 441.09 (2) may provide
17expedited partner therapy if a patient is diagnosed as infected with a chlamydial
18infection, gonorrhea, or trichomoniasis and the patient has had sexual contact with
19a sexual partner during which the chlamydial infection, gonorrhea, or
20trichomoniasis may have been transmitted to or from the sexual partner. The
21advanced practice registered nurse shall attempt to obtain the name of the patient's
22sexual partner. A prescription order for an antimicrobial drug prepared under this
23subsection shall include the name and address of the patient's sexual partner, if
24known. If the advanced practice registered nurse is unable to obtain the name of the

1patient's sexual partner, the prescription order shall include, in ordinary, bold-faced
2capital letters, the words, “expedited partner therapy" or the letters “EPT."
AB154,55,6 3(3) The advanced practice registered nurse shall provide the patient with a
4copy of the information sheet prepared by the department of health services under
5s. 46.03 (44) and shall request that the patient give the information sheet to the
6person with whom the patient had sexual contact.
AB154,55,11 7(4) (a) Except as provided in par. (b), an advanced practice registered nurse is
8immune from civil liability for injury to or the death of a person who takes any
9antimicrobial drug if the antimicrobial drug is prescribed, dispensed, or furnished
10under this section and if expedited partner therapy is provided as specified under
11this section.
AB154,55,1512 (b) The immunity under par. (a) does not extend to the donation, distribution,
13furnishing, or dispensing of an antimicrobial drug by an advanced practice
14registered nurse whose act or omission involves reckless, wanton, or intentional
15misconduct.
AB154,105 16Section 105 . 441.10 (7) of the statutes is amended to read:
AB154,56,417 441.10 (7) No license is required for practical nursing, but, except as provided
18in s. 257.03, no person without a license may hold himself or herself out as a licensed
19practical nurse or licensed attendant, use the title or letters “Trained Practical
20Nurse" or “T.P.N.", “Licensed Practical Nurse" or “L.P.N.", “ Licensed Attendant" or
21“L.A.", “Trained Attendant" or “T.A.", or otherwise seek to indicate that he or she is
22a licensed practical nurse or licensed attendant. No licensed practical nurse or
23licensed attendant may use the title, or otherwise seek to act as a registered, licensed,
24graduate or professional nurse. Anyone violating this subsection shall be subject to
25the penalties prescribed by s. 441.13. The board shall grant without examination a

1license as a licensed practical nurse to any person who was on July 1, 1949, a licensed
2attendant.
This subsection does not apply to any licensed practical nurse who holds
3a multistate license, as defined in s. 441.51 (2) (h), issued by a jurisdiction, other than
4this state, that has adopted the nurse licensure compact under s. 441.51.
AB154,106 5Section 106 . 441.11 (title) of the statutes is repealed.
AB154,107 6Section 107 . 441.11 (1) of the statutes is repealed.
AB154,108 7Section 108 . 441.11 (2) of the statutes is renumbered 441.09 (5m) and
8amended to read:
AB154,56,149 441.09 (5m) Licensure exemption. The provisions of s. 448.04 (1) (g) 448.03
10(1) (d)
do not apply to a an advanced practice registered nurse licensed under this
11section who possesses a certified registered
nurse anesthetist specialty designation
12under sub. (1) (b) 1.
or to a person who engages in the practice of a nurse anesthetist
13while performing official duties for the armed services or federal health services of
14the United States.
AB154,109 15Section 109 . 441.11 (3) of the statutes is repealed.
AB154,110 16Section 110 . 441.15 of the statutes is repealed.
AB154,111 17Section 111 . 441.16 of the statutes is repealed.
AB154,112 18Section 112 . 441.18 (2) (a) (intro.) of the statutes is amended to read:
AB154,56,2019 441.18 (2) (a) (intro.) An advanced practice registered nurse certified to who
20may
issue prescription orders under s. 441.16 441.09 (2) may do any of the following:
AB154,113 21Section 113 . 441.18 (2) (b) of the statutes is amended to read:
AB154,57,322 441.18 (2) (b) An advanced practice registered nurse who prescribes or delivers
23an opioid antagonist under par. (a) 1. shall ensure that the person to whom the opioid
24antagonist is prescribed has or has the capacity to provide the knowledge and
25training necessary to safely administer the opioid antagonist to an individual

1undergoing an opioid-related overdose and that the person demonstrates the
2capacity to ensure that any individual to whom the person further delivers the opioid
3antagonist has or receives that knowledge and training.
AB154,114 4Section 114 . 441.18 (3) of the statutes is amended to read:
AB154,57,105 441.18 (3) An advanced practice registered nurse who, acting in good faith,
6prescribes or delivers an opioid antagonist in accordance with sub. (2), or who, acting
7in good faith, otherwise lawfully prescribes or dispenses an opioid antagonist, shall
8be immune from criminal or civil liability and may not be subject to professional
9discipline under s. 441.07 for any outcomes resulting from prescribing, delivering,
10or dispensing the opioid antagonist.
AB154,115 11Section 115 . 441.19 of the statutes is repealed.
AB154,116 12Section 116 . 448.03 (2) (a) of the statutes is amended to read:
AB154,57,2113 448.03 (2) (a) Any person lawfully practicing within the scope of a license,
14permit, registration, certificate, or certification granted to practice midwifery under
15subch. XIII of ch. 440, to practice professional or , practical, or advanced practice
16registered
nursing or nurse-midwifery under ch. 441, to practice chiropractic under
17ch. 446, to practice dentistry or dental hygiene or as an expanded function dental
18auxiliary under ch. 447, to practice optometry under ch. 449, to practice as a
19physician assistant under subch. IX, to practice acupuncture under ch. 451 or under
20any other statutory provision, to practice naturopathic medicine under ch. 466, or as
21otherwise provided by statute.
AB154,117 22Section 117 . 448.035 (1) (a) of the statutes is repealed.
AB154,118 23Section 118 . 448.035 (2) to (4) of the statutes are amended to read:
AB154,58,1124 448.035 (2) Notwithstanding the requirements of s. 448.30, a physician or
25certified advanced practice nurse prescriber
may provide expedited partner therapy

1if the patient is diagnosed as infected with a chlamydial infection, gonorrhea, or
2trichomoniasis and the patient has had sexual contact with a sexual partner during
3which the chlamydial infection, gonorrhea, or trichomoniasis may have been
4transmitted to or from the sexual partner. The physician or certified advanced
5practice nurse prescriber
shall attempt to obtain the name of the patient's sexual
6partner. A prescription order for an antimicrobial drug prepared under this
7subsection shall include the name and address of the patient's sexual partner, if
8known. If the physician or certified advanced practice nurse prescriber is unable to
9obtain the name of the patient's sexual partner, the prescription order shall include,
10in ordinary bold-faced capital letters, the words, “expedited partner therapy" or the
11letters “EPT."
AB154,58,15 12(3) The physician or certified advanced practice nurse prescriber shall provide
13the patient with a copy of the information sheet prepared by the department of health
14services under s. 46.03 (44) and shall request that the patient give the information
15sheet to the person with whom the patient had sexual contact.
AB154,58,20 16(4) (a) Except as provided in par. (b), a physician or certified advanced practice
17nurse prescriber
is immune from civil liability for injury to or the death of a person
18who takes any antimicrobial drug if the antimicrobial drug is prescribed, dispensed,
19or furnished under this section and if expedited partner therapy is provided as
20specified under this section.
AB154,58,2421 (b) The immunity under par. (a) does not extend to the donation, distribution,
22furnishing, or dispensing of an antimicrobial drug by a physician or certified
23advanced practice nurse prescriber
whose act or omission involves reckless, wanton,
24or intentional misconduct.
AB154,119 25Section 119 . 448.56 (1) and (1m) (b) of the statutes are amended to read:
AB154,59,15
1448.56 (1) Written referral. Except as provided in this subsection and s.
2448.52, a person may practice physical therapy only upon the written referral of a
3physician, naturopathic doctor, physician assistant, chiropractor, dentist, podiatrist,
4or advanced practice registered nurse prescriber certified under s. 441.16 (2).
5Written referral is not required if a physical therapist provides services in schools to
6children with disabilities, as defined in s. 115.76 (5), pursuant to rules promulgated
7by the department of public instruction; provides services as part of a home health
8care agency; provides services to a patient in a nursing home pursuant to the
9patient's plan of care; provides services related to athletic activities, conditioning, or
10injury prevention; or provides services to an individual for a previously diagnosed
11medical condition after informing the individual's physician, naturopathic doctor,
12physician assistant, chiropractor, dentist, podiatrist, or advanced practice registered
13nurse prescriber certified under s. 441.16 (2) who made the diagnosis. The
14examining board may promulgate rules establishing additional services that are
15excepted from the written referral requirements of this subsection.
AB154,59,21 16(1m) (b) The examining board shall promulgate rules establishing the
17requirements that a physical therapist must satisfy if a physician, naturopathic
18doctor, physician assistant, chiropractor, dentist, podiatrist, or advanced practice
19registered nurse prescriber makes a written referral under sub. (1). The purpose of
20the rules shall be to ensure continuity of care between the physical therapist and the
21health care practitioner.
AB154,120 22Section 120 . 448.62 (2m) of the statutes is amended to read:
AB154,60,223 448.62 (2m) An advanced practice registered nurse who is certified to issue
24prescription orders under s. 441.16 and
who is providing nonsurgical patient services

1as directed, supervised, and inspected by a podiatrist who has the power to direct,
2decide, and oversee the implementation of the patient services rendered.
AB154,121 3Section 121 . 448.67 (2) of the statutes is amended to read:
AB154,60,134 448.67 (2) Separate billing required. Except as provided in sub. (4), a licensee
5who renders any podiatric service or assistance, or gives any podiatric advice or any
6similar advice or assistance, to any patient, podiatrist, physician, physician
7assistant, advanced practice registered nurse prescriber certified under s. 441.16 (2),
8partnership, or corporation, or to any other institution or organization, including a
9hospital, for which a charge is made to a patient, shall, except as authorized by
10Title 18 or Title 19 of the federal Social Security Act, render an individual statement
11or account of the charge directly to the patient, distinct and separate from any
12statement or account by any other podiatrist, physician, physician assistant,
13advanced practice registered nurse prescriber, or other person.
AB154,122 14Section 122 . 448.956 (1m) of the statutes, as affected by 2021 Wisconsin Act
15251
, is amended to read:
AB154,60,2216 448.956 (1m) Subject to sub. (1) (a), a licensee may provide athletic training
17to an individual without a referral, except that a licensee may not provide athletic
18training as described under s. 448.95 (5) (d) or (e) in an outpatient rehabilitation
19setting unless the licensee has obtained a written referral for the individual from a
20practitioner licensed or certified under subch. II, III, IV, V, or VII of this chapter;
21under ch. 446; or under s. 441.16 (2) 441.09 or from a practitioner who holds a
22compact privilege under subch. XI or XII of ch. 448.
AB154,123 23Section 123 . 450.01 (1m) of the statutes is repealed.
AB154,124 24Section 124 . 450.01 (16) (h) 2. of the statutes is amended to read:
AB154,61,4
1450.01 (16) (h) 2. The patient's advanced practice registered nurse prescriber,
2if the advanced practice registered nurse prescriber has entered into a written
3agreement to collaborate with a physician
may issue prescription orders under s.
4441.09 (2)
.
AB154,125 5Section 125 . 450.01 (16) (hr) 2. of the statutes is amended to read:
AB154,61,76 450.01 (16) (hr) 2. An advanced practice registered nurse prescriber who may
7issue prescription orders under s. 441.09 (2)
.
AB154,126 8Section 126 . 450.03 (1) (e) of the statutes is amended to read:
AB154,61,179 450.03 (1) (e) Any person lawfully practicing within the scope of a license,
10permit, registration, certificate, or certification granted to practice as a pharmacy
11technician under s. 450.068, to provide home medical oxygen under s. 450.076, to
12practice professional or, practical , or advanced practice registered nursing or
13nurse-midwifery
under ch. 441, to practice dentistry or dental hygiene or as an
14expanded function dental auxiliary under ch. 447, to practice medicine and surgery
15under ch. 448, to practice optometry under ch. 449, to practice naturopathic medicine
16under ch. 466, or to practice veterinary medicine under ch. 89, or as otherwise
17provided by statute.
AB154,127 18Section 127 . 450.11 (1g) (b) of the statutes is amended to read:
AB154,62,719 450.11 (1g) (b) A pharmacist may, upon the prescription order of a practitioner
20providing expedited partner therapy, as specified in s. 441.092, 448.035, or 448.9725,
21that complies with the requirements of sub. (1), dispense an antimicrobial drug as
22a course of therapy for treatment of chlamydial infections, gonorrhea, or
23trichomoniasis to the practitioner's patient or a person with whom the patient has
24had sexual contact for use by the person with whom the patient has had sexual
25contact. The pharmacist shall provide a consultation in accordance with rules

1promulgated by the board for the dispensing of a prescription to the person to whom
2the antimicrobial drug is dispensed. A pharmacist providing a consultation under
3this paragraph shall ask whether the person for whom the antimicrobial drug has
4been prescribed is allergic to the antimicrobial drug and advise that the person for
5whom the antimicrobial drug has been prescribed must discontinue use of the
6antimicrobial drug if the person is allergic to or develops signs of an allergic reaction
7to the antimicrobial drug.
AB154,128 8Section 128 . 450.11 (1i) (a) 1. of the statutes is amended to read:
AB154,62,209 450.11 (1i) (a) 1. A pharmacist may, upon and in accordance with the
10prescription order of an advanced practice registered nurse prescriber under s.
11441.18 (2) (a) 1., of a physician under s. 448.037 (2) (a) 1., or of a physician assistant
12under s. 448.9727 (2) (a) 1. that complies with the requirements of sub. (1), deliver
13an opioid antagonist to a person specified in the prescription order and may, upon
14and in accordance with the standing order of an advanced practice registered nurse
15prescriber under s. 441.18 (2) (a) 2., of a physician under s. 448.037 (2) (a) 2., or of
16a physician assistant under s. 448.9727 (2) (a) 2. that complies with the requirements
17of sub. (1), deliver an opioid antagonist to an individual in accordance with the order.
18The pharmacist shall provide a consultation in accordance with rules promulgated
19by the board for the delivery of a prescription to the person to whom the opioid
20antagonist is delivered.
AB154,129 21Section 129 . 450.11 (1i) (b) 2. b. of the statutes is amended to read:
AB154,62,2422 450.11 (1i) (b) 2. b. An advanced practice registered nurse prescriber may only
23deliver or dispense an opioid antagonist in accordance with s. 441.18 (2) or in
24accordance with his or her other legal authority to dispense prescription drugs.
AB154,130 25Section 130 . 450.11 (7) (b) of the statutes is amended to read:
AB154,63,4
1450.11 (7) (b) Information communicated to a physician, physician assistant,
2or advanced practice registered nurse prescriber in an effort to procure unlawfully
3a prescription drug or the administration of a prescription drug is not a privileged
4communication.
AB154,131 5Section 131 . 450.11 (8) (e) of the statutes is amended to read:
AB154,63,76 450.11 (8) (e) The board of nursing, insofar as this section applies to advanced
7practice nurse prescribers registered nurses.
AB154,132 8Section 132 . 450.13 (5) (b) of the statutes is amended to read:
AB154,63,119 450.13 (5) (b) The patient's advanced practice registered nurse prescriber, if the
10advanced practice registered nurse prescriber has entered into a written agreement
11to collaborate with a physician
may issue prescription orders under s. 441.09 (2).
AB154,133 12Section 133 . 450.135 (7) (b) of the statutes is amended to read:
AB154,63,1613 450.135 (7) (b) The patient's advanced practice registered nurse prescriber, if
14the advanced practice registered nurse prescriber has entered into a written
15agreement to collaborate with a physician
may issue prescription orders under s.
16441.09 (2)
.
AB154,134 17Section 134 . 462.04 of the statutes, as affected by 2021 Wisconsin Act 251, is
18amended to read:
AB154,64,3 19462.04 Prescription or order required. A person who holds a license or
20limited X-ray machine operator permit under this chapter may not use diagnostic
21X-ray equipment on humans for diagnostic purposes unless authorized to do so by
22prescription or order of a physician licensed under s. 448.04 (1) (a), a naturopathic
23doctor licensed under s. 466.04 (1), a dentist licensed under s. 447.04 (1), a podiatrist
24licensed under s. 448.63, a chiropractor licensed under s. 446.02, an advanced
25practice registered nurse certified licensed under s. 441.16 (2) 441.09, a physician

1assistant licensed under s. 448.974, or, subject to s. 448.56 (7) (a), a physical therapist
2who is licensed under s. 448.53 or who holds a compact privilege under subch. XI of
3ch. 448.
AB154,135 4Section 135. 655.001 (1) of the statutes is renumbered 655.001 (1r).
AB154,136 5Section 136. 655.001 (1g) of the statutes is created to read:
AB154,64,136 655.001 (1g) “Advanced practice registered nurse” means an individual who
7is licensed under s. 441.09, who has qualified to practice independently in his or her
8recognized role under s. 441.09 (3m) (b), and who practices advanced practice
9registered nursing, as defined under s. 441.001 (1c), outside of a collaborative
10relationship with a physician or dentist, as described under s. 441.09 (3m) (a) 1., or
11other employment relationship. “Advanced practice registered nurse” does not
12include an individual who only engages in the practice of a certified nurse-midwife,
13as defined under s. 441.001 (3c).
AB154,137 14Section 137 . 655.001 (7t) of the statutes is amended to read:
AB154,64,2015 655.001 (7t) “Health care practitioner" means a health care professional, as
16defined in s. 180.1901 (1m), who is an employee of a health care provider described
17in s. 655.002 (1) (d), (e), (em), or (f) and who has the authority to provide health care
18services that are not in collaboration with a physician under s. 441.15 (2) (b) or under
19the direction and supervision of a physician or nurse anesthetist advanced practice
20registered nurse
.
AB154,138 21Section 138. 655.001 (9) of the statutes is repealed.
AB154,139 22Section 139. 655.002 (1) (a) of the statutes is amended to read:
AB154,64,2523 655.002 (1) (a) A physician or a nurse anesthetist an advanced practice
24registered nurse
for whom this state is a principal place of practice and who practices
25his or her profession in this state more than 240 hours in a fiscal year.
AB154,140
1Section 140. 655.002 (1) (b) of the statutes is amended to read:
AB154,65,42 655.002 (1) (b) A physician or a nurse anesthetist an advanced practice
3registered nurse
for whom Michigan is a principal place of practice, if all of the
4following apply:
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