AB154,29 17Section 29 . 102.42 (2) (a) of the statutes is amended to read:
AB154,18,518 102.42 (2) (a) When the employer has notice of an injury and its relationship
19to the employment, the employer shall offer to the injured employee his or her choice
20of any physician, chiropractor, psychologist, dentist, physician assistant, advanced
21practice registered nurse prescriber, or podiatrist licensed to practice and practicing
22in this state for treatment of the injury. By mutual agreement, the employee may
23have the choice of any qualified practitioner not licensed in this state. In case of
24emergency, the employer may arrange for treatment without tendering a choice.
25After the emergency has passed the employee shall be given his or her choice of

1attending practitioner at the earliest opportunity. The employee has the right to a
22nd choice of attending practitioner on notice to the employer or its insurance carrier.
3Any further choice shall be by mutual agreement. Partners and clinics are
4considered to be one practitioner. Treatment by a practitioner on referral from
5another practitioner is considered to be treatment by one practitioner.
AB154,30 6Section 30 . 106.30 (1) of the statutes is amended to read:
AB154,18,117 106.30 (1) Definition. In this section, “nurse" means a registered nurse
8licensed under s. 441.06 or permitted under s. 441.08, a licensed practical nurse
9licensed or permitted under s. 441.10, or an advanced practice registered nurse
10prescriber certified under s. 441.16 (2), or a nurse-midwife licensed under s. 441.15
11441.09.
AB154,31 12Section 31 . 118.15 (3) (a) of the statutes is amended to read:
AB154,18,2413 118.15 (3) (a) Any child who is excused by the school board because the child
14is temporarily not in proper physical or mental condition to attend a school program
15but who can be expected to return to a school program upon termination or
16abatement of the illness or condition. The school attendance officer may request the
17parent or guardian of the child to obtain a written statement from a licensed
18physician, naturopathic doctor, dentist, chiropractor, optometrist, psychologist,
19physician assistant, or nurse practitioner, as defined in s. 255.06 (1) (d), or certified
20advanced practice registered nurse prescriber, or registered nurse described under
21s. 255.06 (1) (f) 1.
or Christian Science practitioner living and residing in this state,
22who is listed in the Christian Science Journal, as sufficient proof of the physical or
23mental condition of the child. An excuse under this paragraph shall be in writing and
24shall state the time period for which it is valid, not to exceed 30 days.
AB154,32 25Section 32 . 118.25 (1) (a) of the statutes is amended to read:
AB154,19,5
1118.25 (1) (a) “Practitioner" means a person licensed as a physician,
2naturopathic doctor, or physician assistant in any state or licensed as an advanced
3practice registered nurse
or certified as an advanced practice registered nurse
4prescriber in any state. In this paragraph, “physician” has the meaning given in s.
5448.01 (5).
AB154,33 6Section 33 . 118.29 (1) (e) of the statutes is amended to read:
AB154,19,97 118.29 (1) (e) “Practitioner" means any physician, naturopathic doctor, dentist,
8optometrist, physician assistant, advanced practice registered nurse prescriber with
9prescribing authority
, or podiatrist licensed in any state.
AB154,34 10Section 34 . 118.2925 (1) (b) of the statutes is repealed.
AB154,35 11Section 35 . 118.2925 (3) of the statutes is amended to read:
AB154,19,1612 118.2925 (3) Prescriptions for schools. A physician, an advanced practice
13registered nurse prescriber who may issue prescription orders under s. 441.09 (2),
14or a physician assistant may prescribe epinephrine auto-injectors or prefilled
15syringes in the name of a school that has adopted a plan under sub. (2) (a), to be
16maintained by the school for use under sub. (4).
AB154,36 17Section 36 . 118.2925 (4) (c) of the statutes is amended to read:
AB154,20,618 118.2925 (4) (c) Administer an epinephrine auto-injector or prefilled syringe
19to a pupil or other person who the school nurse or designated school personnel in good
20faith believes is experiencing anaphylaxis in accordance with a standing protocol
21from a physician, an advanced practice registered nurse prescriber who may issue
22prescription orders under s. 441.09 (2)
, or a physician assistant, regardless of
23whether the pupil or other person has a prescription for an epinephrine auto-injector
24or prefilled syringe. If the pupil or other person does not have a prescription for an
25epinephrine auto-injector or prefilled syringe, or the person who administers the

1epinephrine auto-injector or prefilled syringe does not know whether the pupil or
2other person has a prescription for an epinephrine auto-injector or prefilled syringe,
3the person who administers the epinephrine auto-injector or prefilled syringe shall,
4as soon as practicable, report the administration by dialing the telephone number
5“911" or, in an area in which the telephone number “911" is not available, the
6telephone number for an emergency medical service provider.
AB154,37 7Section 37 . 118.2925 (5) of the statutes is amended to read:
AB154,20,198 118.2925 (5) Immunity from civil liability; exemption from practice of
9medicine.
A school and its designated school personnel, and a physician, an advanced
10practice registered nurse prescriber who may issue prescription orders under s.
11441.09 (2)
, or a physician assistant who provides a prescription or standing protocol
12for school epinephrine auto-injectors or prefilled syringes, are not liable for any
13injury that results from the administration or self-administration of an epinephrine
14auto-injector or prefilled syringe under this section, regardless of whether
15authorization was given by the pupil's parent or guardian or by the pupil's physician,
16physician assistant, or advanced practice registered nurse prescriber, unless the
17injury is the result of an act or omission that constitutes gross negligence or willful
18or wanton misconduct. The immunity from liability provided under this subsection
19is in addition to and not in lieu of that provided under s. 895.48.
AB154,38 20Section 38. 146.615 (1) (a) of the statutes is amended to read:
AB154,20,2421 146.615 (1) (a) “Advanced practice clinician" means a physician assistant or an
22advanced practice registered nurse, including a nurse practitioner, certified
23nurse-midwife, clinical nurse specialist, or certified registered nurse anesthetist

24licensed under s. 441.09.
AB154,39 25Section 39 . 146.82 (3) (a) of the statutes is amended to read:
AB154,21,9
1146.82 (3) (a) Notwithstanding sub. (1), a physician, a naturopathic doctor, a
2limited-scope naturopathic doctor, a physician assistant, or an advanced practice
3registered nurse prescriber certified under s. 441.16 (2) licensed under s. 441.09 who
4treats a patient whose physical or mental condition in the physician's, naturopathic
5doctor's, limited-scope naturopathic doctor's, physician assistant's, or advanced
6practice nurse prescriber's registered nurse's judgment affects the patient's ability
7to exercise reasonable and ordinary control over a motor vehicle may report the
8patient's name and other information relevant to the condition to the department of
9transportation without the informed consent of the patient.
AB154,40 10Section 40 . 146.89 (1) (r) 1. of the statutes is amended to read:
AB154,21,1611 146.89 (1) (r) 1. Licensed as a physician under ch. 448, naturopathic doctor
12under ch. 466, a dentist or dental hygienist under ch. 447, a registered nurse,
13practical nurse, or nurse-midwife advanced practice registered nurse under ch. 441,
14an optometrist under ch. 449, a physician assistant under subch. IX of ch. 448, a
15pharmacist under ch. 450, a chiropractor under ch. 446, a podiatrist under subch. IV
16of ch. 448, or a physical therapist under subch. III of ch. 448.
AB154,41 17Section 41 . 146.89 (1) (r) 3. of the statutes is renumbered 146.89 (1) (r) 5e. and
18amended to read:
AB154,21,2319 146.89 (1) (r) 5e. A registered nurse practitioner, as defined in s. 255.06 (1) (d)
20who holds a multistate license, as defined in s. 441.51 (2) (h), issued by a party state,
21as defined in s. 441.51 (2) (k), and whose practice of professional nursing under s.
22441.001 (4) includes performance of delegated medical services under the
23supervision of a physician, dentist, podiatrist, or advanced practice registered nurse
.
AB154,42 24Section 42 . 146.89 (1) (r) 8. of the statutes is repealed.
AB154,43 25Section 43 . 146.89 (6) of the statutes is amended to read:
AB154,22,4
1146.89 (6) (a) While serving as a volunteer health care provider under this
2section, an advanced practice registered nurse who has a certificate to issue
3prescription orders under s. 441.16 (2)
is considered to meet the requirements of s.
4655.23, if required to comply with s. 655.23.
AB154,22,75 (b) While serving as a volunteer health care provider under this section, an
6advanced practice registered nurse who has a certificate to issue prescription orders
7under s. 441.16 (2)
is not required to maintain in effect malpractice insurance.
AB154,44 8Section 44 . 154.01 (1g) of the statutes is amended to read:
AB154,22,129 154.01 (1g) “Advanced practice registered nurse” means a nurse an individual
10licensed under ch. 441 who is currently certified by a national certifying body
11approved by the board of nursing as a nurse practitioner, certified nurse-midwife,
12certified registered nurse anesthetist, or clinical nurse specialist
s. 441.09.
AB154,45 13Section 45 . 155.01 (1g) (b) of the statutes is repealed and recreated to read:
AB154,22,1514 155.01 (1g) (b) An individual who is licensed as an advanced practice registered
15nurse and possesses a nurse practitioner specialty designation under s. 441.09.
AB154,46 16Section 46. 251.01 (1c) of the statutes is repealed and recreated to read:
AB154,22,1817 251.01 (1c) “Advanced practice registered nurse” means an individual licensed
18under s. 441.09.
AB154,47 19Section 47 . 252.01 (1c) of the statutes is repealed.
AB154,48 20Section 48 . 252.07 (8) (a) 2. of the statutes is amended to read:
AB154,22,2421 252.07 (8) (a) 2. The department or local health officer provides to the court a
22written statement from a physician, physician assistant, or advanced practice
23registered nurse prescriber that the individual has infectious tuberculosis or suspect
24tuberculosis.
AB154,49 25Section 49 . 252.07 (9) (c) of the statutes is amended to read:
AB154,23,7
1252.07 (9) (c) If the court orders confinement of an individual under this
2subsection, the individual shall remain confined until the department or local health
3officer, with the concurrence of a treating physician, physician assistant, or advanced
4practice registered nurse prescriber, determines that treatment is complete or that
5the individual is no longer a substantial threat to himself or herself or to the public
6health. If the individual is to be confined for more than 6 months, the court shall
7review the confinement every 6 months.
AB154,50 8Section 50 . 252.10 (7) of the statutes is amended to read:
AB154,23,139 252.10 (7) Drugs necessary for the treatment of mycobacterium tuberculosis
10shall be purchased by the department from the appropriation account under s.
1120.435 (1) (e) and dispensed to patients through the public health dispensaries, local
12health departments, physicians, or advanced practice nurse prescribers registered
13nurses who may issue prescription orders under s. 441.09 (2)
.
AB154,51 14Section 51 . 252.11 (2), (4), (5) and (7) of the statutes are amended to read:
AB154,23,2515 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, physician assistant, or advanced practice
23registered nurse prescriber or treatment, an officer of the department or a local
24health officer may proceed to have the person committed under sub. (5) to an
25institution or system of care for examination, treatment, or observation.
AB154,24,7
1(4) If a person infected with a sexually transmitted disease ceases or refuses
2treatment before reaching what in a physician's, physician assistant's, or advanced
3practice nurse prescriber's registered nurse's opinion is the noncommunicable stage,
4the physician, physician assistant, or advanced practice registered nurse prescriber
5shall notify the department. The department shall without delay take the necessary
6steps to have the person committed for treatment or observation under sub. (5), or
7shall notify the local health officer to take these steps.
AB154,24,24 8(5) Any court of record may commit a person infected with a sexually
9transmitted disease to any institution or may require the person to undergo a system
10of care for examination, treatment, or observation if the person ceases or refuses
11examination, treatment, or observation under the supervision of a physician,
12physician assistant, or advanced practice registered nurse prescriber. The court
13shall summon the person to appear on a date at least 48 hours, but not more than
1496 hours, after service if an officer of the department or a local health officer petitions
15the court and states the facts authorizing commitment. If the person fails to appear
16or fails to accept commitment without reasonable cause, the court may cite the
17person for contempt. The court may issue a warrant and may direct the sheriff, any
18constable, or any police officer of the county immediately to arrest the person and
19bring the person to court if the court finds that a summons will be ineffectual. The
20court shall hear the matter of commitment summarily. Commitment under this
21subsection continues until the disease is no longer communicable or until other
22provisions are made for treatment that satisfy the department. The certificate of the
23petitioning officer is prima facie evidence that the disease is no longer communicable
24or that satisfactory provisions for treatment have been made.
AB154,25,10
1(7) Reports, examinations and inspections , and all records concerning sexually
2transmitted diseases are confidential and not open to public inspection, and may not
3be divulged except as may be necessary for the preservation of the public health, in
4the course of commitment proceedings under sub. (5), or as provided under s. 938.296
5(4) or 968.38 (4). If a physician, physician assistant, or advanced practice registered
6nurse prescriber has reported a case of sexually transmitted disease to the
7department under sub. (4), information regarding the presence of the disease and
8treatment is not privileged when the patient, physician, physician assistant, or
9advanced practice registered nurse prescriber is called upon to testify to the facts
10before any court of record.
AB154,52 11Section 52. 252.11 (10) of the statutes is amended to read:
AB154,25,2012 252.11 (10) The state laboratory of hygiene shall examine specimens for the
13diagnosis of sexually transmitted diseases for any physician, naturopathic doctor,
14physician assistant, advanced practice registered nurse prescriber, or local health
15officer in the state, and shall report the positive results of the examinations to the
16local health officer and to the department. All laboratories performing tests for
17sexually transmitted diseases shall report all positive results to the local health
18officer and to the department, with the name of the physician, naturopathic doctor,
19physician assistant, or advanced practice registered nurse prescriber to whom
20reported.
AB154,53 21Section 53 . 252.15 (3m) (d) 11. b. and 13., (5g) (c), (5m) (d) 2. and (e) 2. and 3.
22and (7m) (intro.) and (b) of the statutes are amended to read:
AB154,26,523 252.15 (3m) (d) 11. b. The coroner, medical examiner, or appointed assistant
24is investigating the cause of death of the subject of the HIV test and has contact with
25the body fluid of the subject of the HIV test that constitutes a significant exposure,

1if a physician, physician assistant, or advanced practice registered nurse prescriber,
2based on information provided to the physician, physician assistant, or advanced
3practice registered nurse prescriber, determines and certifies in writing that the
4coroner, medical examiner, or appointed assistant has had a contact that constitutes
5a significant exposure and if the certification accompanies the request for disclosure.
AB154,26,106 13. If the subject of the HIV test has a positive HIV test result and is deceased,
7by the subject's attending physician, physician assistant, or advanced practice
8registered nurse prescriber, to persons, if known to the physician, physician
9assistant, or advanced practice registered nurse prescriber, with whom the subject
10had sexual contact or shared intravenous drug use paraphernalia.
AB154,27,2 11(5g) (c) A physician, physician assistant, or advanced practice registered nurse
12prescriber, based on information provided to the physician, physician assistant, or
13advanced practice registered nurse prescriber, determines and certifies in writing
14that the person has had contact that constitutes a significant exposure. The
15certification shall accompany the request for HIV testing and disclosure. If the
16person is a physician, physician assistant, or advanced practice registered nurse
17prescriber, he or she may not make this determination or certification. The
18information that is provided to a physician, physician assistant, or advanced practice
19registered nurse prescriber to document the occurrence of the contact that
20constitutes a significant exposure and the physician's, physician assistant's, or
21advanced practice nurse prescriber's registered nurse's certification that the person
22has had contact that constitutes a significant exposure, shall be provided on a report
23form that is developed by the department of safety and professional services under
24s. 101.02 (19) (a) or on a report form that the department of safety and professional

1services determines, under s. 101.02 (19) (b), is substantially equivalent to the report
2form that is developed under s. 101.02 (19) (a).
AB154,27,8 3(5m) (d) 2. A physician, physician assistant, or advanced practice registered
4nurse prescriber, based on information provided to the physician, physician
5assistant, or advanced practice registered nurse prescriber, determines and certifies
6in writing that the contact under subd. 1. constitutes a significant exposure. A health
7care provider who has a contact under subd. 1. c. may not make the certification
8under this subdivision for himself or herself.
AB154,27,119 (e) 2. If the contact occurs as provided under par. (d) 1. b., the attending
10physician, physician assistant, or advanced practice registered nurse prescriber of
11the funeral director, coroner, medical examiner, or appointed assistant.
AB154,27,1412 3. If the contact occurs as provided under par. (d) 1. c., the physician, physician
13assistant, or advanced practice registered nurse prescriber who makes the
14certification under par. (d) 2.
AB154,27,23 15(7m) Reporting of persons significantly exposed. (intro.) If a positive,
16validated HIV test result is obtained from a test subject, the test subject's physician,
17physician assistant, or advanced practice registered nurse prescriber who maintains
18a record of the HIV test result under sub. (4) (c) may report to the state epidemiologist
19the name of any person known to the physician, physician assistant, or advanced
20practice registered nurse prescriber to have had contact with body fluid of the test
21subject that constitutes a significant exposure, only after the physician, physician
22assistant, or advanced practice registered nurse prescriber has done all of the
23following:
AB154,28,224 (b) Notified the HIV test subject that the name of any person known to the
25physician, physician assistant, or advanced practice registered nurse prescriber to

1have had contact with body fluid of the test subject that constitutes a significant
2exposure will be reported to the state epidemiologist.
AB154,54 3Section 54 . 252.16 (3) (c) (intro.) of the statutes is amended to read:
AB154,28,64 252.16 (3) (c) (intro.) Has submitted to the department a certification from a
5physician, as defined in s. 448.01 (5), physician assistant, or advanced practice
6registered nurse prescriber of all of the following:
AB154,55 7Section 55 . 252.17 (3) (c) (intro.) of the statutes is amended to read:
AB154,28,108 252.17 (3) (c) (intro.) Has submitted to the department a certification from a
9physician, as defined in s. 448.01 (5), physician assistant, or advanced practice
10registered nurse prescriber of all of the following:
AB154,56 11Section 56 . 253.07 (4) (d) of the statutes is amended to read:
AB154,28,1512 253.07 (4) (d) In each fiscal year, $31,500 as grants for employment in
13communities of licensed registered nurses, licensed practical nurses, certified
14nurse-midwives
licensed advanced practice registered nurses, or licensed physician
15assistants who are members of a racial minority.
AB154,57 16Section 57 . 253.115 (1) (f) of the statutes is created to read:
AB154,28,1917 253.115 (1) (f) “Nurse-midwife" means an individual who is licensed as an
18advanced practice registered nurse and possesses a certified nurse-midwife
19specialty designation under s. 441.09.
AB154,58 20Section 58 . 253.115 (4) of the statutes is amended to read:
AB154,28,2521 253.115 (4) Screening required. Except as provided in sub. (6), the physician,
22nurse-midwife licensed under s. 441.15, or certified professional midwife licensed
23under s. 440.982 who attended the birth shall ensure that the infant is screened for
24hearing loss before being discharged from a hospital, or within 30 days of birth if the
25infant was not born in a hospital.
AB154,59
1Section 59. 253.115 (7) (a) (intro.) of the statutes is amended to read:
AB154,29,42 253.115 (7) (a) (intro.) The physician, nurse-midwife licensed under s. 441.15,
3or certified professional midwife licensed under s. 440.982 who is required to ensure
4that the infant is screened for hearing loss under sub. (4) shall do all of the following:
AB154,60 5Section 60 . 253.13 (1) of the statutes is renumbered 253.13 (1) (b) and
6amended to read:
AB154,29,137 253.13 (1) (b) The attending physician or nurse licensed under s. 441.15
8nurse-midwife shall cause every infant born in each hospital or maternity home,
9prior to its discharge therefrom, to be subjected to tests for congenital and metabolic
10disorders, as specified in rules promulgated by the department. If the infant is born
11elsewhere than in a hospital or maternity home, the attending physician, nurse
12licensed under s. 441.15
nurse-midwife, or birth attendant who attended the birth
13shall cause the infant, within one week of birth, to be subjected to these tests.
AB154,61 14Section 61 . 253.13 (1) (a) of the statutes is created to read:
AB154,29,1715 253.13 (1) (a) In this subsection, “nurse-midwife" means an individual who is
16licensed as an advanced practice registered nurse and possesses a certified
17nurse-midwife specialty designation under s. 441.09.
AB154,62 18Section 62 . 253.15 (1) (em) of the statutes is created to read:
AB154,29,2119 253.15 (1) (em) “Nurse-midwife" means an individual who is licensed as an
20advanced practice registered nurse and possesses a certified nurse-midwife
21specialty designation under s. 441.09.
AB154,63 22Section 63 . 253.15 (2) of the statutes is amended to read:
AB154,30,2023 253.15 (2) Informational materials. The board shall purchase or prepare or
24arrange with a nonprofit organization to prepare printed and audiovisual materials
25relating to shaken baby syndrome and impacted babies. The materials shall include

1information regarding the identification and prevention of shaken baby syndrome
2and impacted babies, the grave effects of shaking or throwing on an infant or young
3child, appropriate ways to manage crying, fussing, or other causes that can lead a
4person to shake or throw an infant or young child, and a discussion of ways to reduce
5the risks that can lead a person to shake or throw an infant or young child. The
6materials shall be prepared in English, Spanish, and other languages spoken by a
7significant number of state residents, as determined by the board. The board shall
8make those written and audiovisual materials available to all hospitals, maternity
9homes, and nurse-midwives licensed under s. 441.15 that are required to provide or
10make available materials to parents under sub. (3) (a) 1., to the department and to
11all county departments and nonprofit organizations that are required to provide the
12materials to child care providers under sub. (4) (d), and to all school boards and
13nonprofit organizations that are permitted to provide the materials to pupils in one
14of grades 5 to 8 and in one of grades 10 to 12 under sub. (5). The board shall also make
15those written materials available to all county departments and Indian tribes that
16are providing home visitation services under s. 48.983 (4) (b) 1. and to all providers
17of prenatal, postpartum, and young child care coordination services under s. 49.45
18(44). The board may make available the materials required under this subsection
19to be made available by making those materials available at no charge on the board's
20Internet site.
AB154,64 21Section 64 . 255.06 (1) (d) of the statutes is renumbered 255.06 (1) (f) (intro.)
22and amended to read:
AB154,30,2423 255.06 (1) (f) (intro.) “Nurse practitioner" “Women's health nurse clinician"
24means a any of the following:
AB154,31,5
11. A registered nurse who is licensed under ch. 441 or who holds a multistate
2license, as defined in s. 441.51 (2) (h), issued in a party state, as defined in s. 441.51
3(2) (k), and whose practice of professional nursing under s. 441.001 (4) includes
4performance of delegated medical services under the supervision of a physician,
5naturopathic doctor, dentist, or podiatrist, or advanced practice registered nurse.
AB154,65 6Section 65 . 255.06 (1) (f) 2. of the statutes is created to read:
AB154,31,77 255.06 (1) (f) 2. An advanced practice registered nurse.
AB154,66 8Section 66 . 255.06 (2) (d) of the statutes is amended to read:
AB154,31,139 255.06 (2) (d) Specialized training for rural colposcopic examinations and
10activities.
Provide not more than $25,000 in each fiscal year as reimbursement for
11the provision of specialized training of nurse practitioners women's health nurse
12clinicians
to perform, in rural areas, colposcopic examinations and follow-up
13activities for the treatment of cervical cancer.
AB154,67 14Section 67 . 255.07 (1) (d) of the statutes is amended to read:
AB154,31,1715 255.07 (1) (d) “Health care practitioner" means a physician, a physician
16assistant, or an advanced practice registered nurse who is certified to may issue
17prescription orders under s. 441.16 441.09 (2).
AB154,68 18Section 68 . 257.01 (5) (a) and (b) of the statutes are amended to read:
AB154,31,2519 257.01 (5) (a) An individual who is licensed as a physician, a physician
20assistant, or a podiatrist under ch. 448, licensed as a naturopathic doctor under ch.
21466, licensed as a registered nurse, licensed practical nurse, or nurse-midwife
22advanced practice registered nurse under ch. 441, licensed as a dentist under ch. 447,
23licensed as a pharmacist under ch. 450, licensed as a veterinarian or certified as a
24veterinary technician under ch. 89, or certified as a respiratory care practitioner
25under ch. 448.
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