AB43,2617 9Section 2617 . 254.92 (2m) (intro.) of the statutes is amended to read:
AB43,1396,1210 254.92 (2m) (intro.) No person may purchase cigarettes, tobacco products, or
11nicotine products, or vapor products on behalf of, or to provide to, any person who is
12under 18 21 years of age. Any person who violates this subsection may be:
AB43,2618 13Section 2618 . 254.92 (3) of the statutes is amended to read:
AB43,1396,1614 254.92 (3) A law enforcement officer shall seize any cigarette, nicotine product,
15or tobacco product, or vapor product that has been sold to and is in the possession of
16a person under 18 21 years of age.
AB43,2619 17Section 2619 . 255.06 (1) (d) of the statutes is renumbered 255.06 (1) (f) (intro.)
18and amended to read:
AB43,1396,2019 255.06 (1) (f) (intro.) “Nurse practitioner" “Women's health nurse clinician”
20means a any of the following:
AB43,1396,25 211. A registered nurse who is licensed under ch. 441 or who holds a multistate
22license, as defined in s. 441.51 (2) (h), issued in a party state, as defined in s. 441.51
23(2) (k), and whose practice of professional nursing under s. 441.001 (4) includes
24performance of delegated medical services under the supervision of a physician,
25naturopathic doctor, dentist, or podiatrist, or advanced practice registered nurse.
AB43,2620
1Section 2620. 255.06 (1) (f) 2. of the statutes is created to read:
AB43,1397,22 255.06 (1) (f) 2. An advanced practice registered nurse.
AB43,2621 3Section 2621 . 255.06 (2) (d) of the statutes is amended to read:
AB43,1397,84 255.06 (2) (d) Specialized training for rural colposcopic examinations and
5activities.
Provide not more than $25,000 in each fiscal year as reimbursement for
6the provision of specialized training of nurse practitioners women's health nurse
7clinicians
to perform, in rural areas, colposcopic examinations and follow-up
8activities for the treatment of cervical cancer.
AB43,2622 9Section 2622 . 255.07 (1) (d) of the statutes is amended to read:
AB43,1397,1210 255.07 (1) (d) “Health care practitioner" means a physician, a physician
11assistant, or an advanced practice registered nurse who is certified to may issue
12prescription orders under s. 441.16 441.09 (2).
AB43,2623 13Section 2623. 255.20 (4) of the statutes is created to read:
AB43,1397,1814 255.20 (4) (a) Implement a suicide prevention program that creates public
15awareness for issues relating to suicide prevention, builds community networks, and
16conducts training programs on suicide prevention for law enforcement personnel,
17health care providers, school employees, and other persons who have contact with
18persons at risk of suicide.
AB43,1397,2019 (b) As part of the suicide prevention program under this subsection, the
20department shall do all of the following:
AB43,1397,2121 1. Coordinate suicide prevention activities with other state agencies.
AB43,1397,2322 2. Provide educational activities to the general public relating to suicide
23prevention.
AB43,1398,3
13. Provide training to persons who routinely interact with persons at risk of
2suicide, including training on recognizing persons at risk of suicide and referring
3those persons for appropriate treatment or support services.
AB43,1398,54 4. Develop and carry out public awareness and media campaigns in each county
5targeting groups of persons who are at risk of suicide.
AB43,1398,66 5. Enhance crisis services relating to suicide prevention.
AB43,1398,97 6. Link persons trained in the assessment of and intervention in suicide with
8schools, public community centers, nursing homes, and other facilities serving
9persons most at risk of suicide.
AB43,1398,1110 7. Coordinate the establishment of local advisory groups in each county to
11support the efforts of the suicide prevention program under this subsection.
AB43,1398,1612 8. Work with groups advocating suicide prevention, community coalitions,
13managers of existing crisis hotlines that are nationally accredited or certified, and
14staff members of mental health agencies in this state to identify and address the
15barriers that interfere with providing services to groups of persons who are at risk
16of suicide.
AB43,1398,2017 9. Develop and maintain a website with links to appropriate resource
18documents, suicide hotlines that are nationally accredited or certified, credentialed
19professional personnel, state and local mental health agencies, and appropriate
20national organizations.
AB43,1398,2321 10. Review current research on data collection for factors related to suicide and
22develop recommendations for improved systems of surveillance for suicide and
23uniform collection of data related to suicide.
AB43,1398,2524 11. Develop and submit proposals for funding from federal government
25agencies and nongovernmental organizations.
AB43,1399,1
112. Administer grant programs involving suicide prevention.
AB43,1399,42 (c) 1. The department shall award grants to organizations or coalitions of
3organizations, which may include a city, village, town, county, or federally recognized
4American Indian tribe or band in this state for any of the following purposes:
AB43,1399,65 a. To train staff at a firearm retailer or firearm range on how to recognize a
6person that may be considering suicide.
AB43,1399,87 b. To provide suicide prevention materials for distribution at a firearm retailer
8or firearm range.
AB43,1399,99 c. To provide voluntary, temporary firearm storage.
AB43,1399,1210 2. The department may not award a grant under subd. 1. unless the recipient
11contributes matching funds or in-kind services having a value equal to at least 20
12percent of the grant.
AB43,1399,2013 3. The department may not award a grant to a recipient under subd. 1. for an
14amount that exceeds $5,000. The department may not award a grant under subd.
151. having a duration of more than one year and may not automatically renew a grant
16awarded under subd. 1. This subdivision shall not be construed to prevent an
17organization or coalition of organizations from reapplying for a grant in consecutive
18years. In awarding grants under subd. 1., the department shall give preference to
19organizations or coalitions of organizations that have not previously received a grant
20under this paragraph.
AB43,1399,2321 (d) From the appropriation under s. 20.435 (1) (b), the department may
22distribute up to $500,000 in grants each fiscal year for grants under this subsection,
23up to $75,000 of which may be distributed each fiscal year for grants under par. (c).
AB43,2624 24Section 2624 . 255.45 of the statutes is created to read:
AB43,1400,2
1255.45 Spinal cord injury research grants and symposia. (1)
2Definitions.
In this section:
AB43,1400,33 (a) “Council” means the spinal cord injury council.
AB43,1400,44 (b) “Grant program” means the program established under sub. (2).
AB43,1400,12 5(2) Grant program. The department shall establish a program to award
6grants, from the appropriation under s. 20.435 (1) (b), to persons in this state for
7research into spinal cord injuries. The purpose of the grants is to support research
8into new and innovative treatments and rehabilitative efforts for the functional
9improvement of people with spinal cord injuries, and research topics may include
10pharmaceutical, medical device, brain stimulus, and rehabilitative approaches and
11techniques. Grant recipients shall agree to present their research findings at
12symposia held by the department under sub. (3).
AB43,1400,15 13(3) Symposia. The department may hold symposia every 2 years for recipients
14of grants under the grant program to present findings of research supported by the
15grants.
AB43,1400,19 16(4) Grant reports. By January 15 of each year, the department shall submit
17an annual report to the appropriate standing committees of the legislature under s.
1813.172 (3) that identifies the recipients of grants under the grant program and the
19purposes for which the grants were used.
AB43,1400,20 20(5) Council. (a) The council shall do all of the following:
AB43,1400,2221 1. Develop criteria for the department to evaluate and award grants under the
22grant program.
AB43,1400,2423 2. Review and make recommendations to the department on applications
24submitted under the grant program.
AB43,1400,2525 3. Perform other duties specified by the department.
AB43,1401,4
1(b) Each member of the council shall disclose in a written statement any
2financial interest in any organization that the council recommends to receive a grant
3under the grant program. The council shall include the written statements with its
4recommendations to the department on grant applications.
AB43,2625 5Section 2625. 256.08 (4) (L) of the statutes is created to read:
AB43,1401,76 256.08 (4) (L) Identify certified training programs for emergency medical
7responders.
AB43,2626 8Section 2626. 256.08 (5) of the statutes is created to read:
AB43,1401,129 256.08 (5) Educational standards. The department, in consultation with the
10board, may promulgate rules to establish educational standards for training
11programs for emergency medical responders and minimum examination standards
12for training programs for emergency medical responders.
AB43,2627 13Section 2627. 256.15 (4) (g) of the statutes is created to read:
AB43,1401,1714 256.15 (4) (g) No emergency medical responder may replace an emergency
15medical technician as a member of an ambulance crew unless the emergency medical
16responder has passed the National Registry of Emergency Medical Technicians
17examination for emergency medical responders.
AB43,2628 18Section 2628. 256.15 (8) (b) (intro.) of the statutes is amended to read:
AB43,1401,2119 256.15 (8) (b) (intro.) To be eligible for initial certification as an emergency
20medical responder, except as provided in pars. (bg) and (br) and ss. 256.17 and
21256.18, an individual shall meet all of the following requirements:
AB43,2629 22Section 2629. 256.15 (8) (bg) of the statutes is created to read:
AB43,1402,823 256.15 (8) (bg) The department shall grant an initial certification as an
24emergency medical responder to any individual who meets the requirements under
25par. (b) 1. and 2. and successfully completes a certified training program for

1emergency medical responders identified by the department under s. 256.08 (4) (L).
2Any relevant education, training, instruction, or other experience that an applicant
3for initial certification as an emergency medical responder obtained in connection
4with any military service, as defined in s. 111.32 (12g), satisfies the completion of a
5certified training program for emergency medical responders if the applicant
6demonstrates to the satisfaction of the department that the education, training,
7instruction, or other experience obtained by the applicant is substantially equivalent
8to the certified training program for emergency medical responders.
AB43,2630 9Section 2630. 256.15 (8) (br) of the statutes is created to read:
AB43,1402,1310 256.15 (8) (br) The department shall grant an initial certification as an
11emergency medical responder to any individual who meets the requirements under
12par. (b) 1. and 2. and passes the National Registry of Emergency Medical Technicians
13examination for emergency medical responder certification.
AB43,2631 14Section 2631 . 256.158 of the statutes is created to read:
AB43,1402,15 15256.158 Epinephrine for ambulances. (1) In this section:
AB43,1402,1716 (a) “Ambulance service provider” means an ambulance service provider that is
17a public agency, volunteer fire department, or nonprofit corporation.
AB43,1402,1918 (b) “Draw-up epinephrine” means epinephrine that is administered
19intramuscularly using a needle and syringe and drawn up from a vial or ampule.
AB43,1402,2120 (c) “Draw-up epinephrine kit” means a single-use vial or ampule of draw-up
21epinephrine and a syringe for administration to a patient.
AB43,1402,2322 (d) “Epinephrine auto-injector" means a device for the automatic injection of
23epinephrine into the human body.
AB43,1403,9 24(2) From the appropriation under s. 20.435 (1) (b), the department shall
25reimburse ambulance service providers for a set of 2 epinephrine auto-injectors or

1a set of 2 draw-up epinephrine kits for each ambulance operating in the state. On
2an ongoing basis, the department shall, upon request from an ambulance service
3provider, reimburse the ambulance service provider for a replacement set of 2
4epinephrine auto-injectors or a set of 2 draw-up epinephrine kits. The department
5shall allow the ambulance service provider to choose between epinephrine
6auto-injectors and draw-up epinephrine kits. The department may not reimburse
7an ambulance service provider for epinephrine unless each ambulance for which the
8ambulance service provider is reimbursed is staffed with an emergency medical
9services practitioner who is qualified to administer the provided epinephrine.
AB43,2632 10Section 2632. 256.23 (5) of the statutes is amended to read:
AB43,1403,1611 256.23 (5) In accordance with s. 20.940, the The department shall submit to
12the federal department of health and human services a request for any state plan
13amendment, waiver or other approval that is required to implement this section and
14s. 49.45 (3) (em). If federal approval is required, the department may not implement
15the collection of the fee under sub. (2) until it receives approval from the federal
16government to obtain federal matching funds.
AB43,2633 17Section 2633. 256.23 (6) of the statutes is created to read:
AB43,1403,2218 256.23 (6) In each fiscal year, the secretary of administration shall transfer
19from the ambulance service provider trust fund under s. 25.776 to the appropriation
20under s. 20.435 (4) (jw) an amount equal to the annual costs of administering the
21ambulance assessment as specified under this section and making supplemental
22reimbursements to ambulance service providers under s. 49.45 (3) (em).
AB43,2634 23Section 2634. 256.35 (3s) (a) 2m. of the statutes is created to read:
AB43,1404,3
1256.35 (3s) (a) 2m. “Emergency services IP network provider” means an entity
2under contract with the department under par. (b) to create, operate, and maintain
3an emergency services IP network.
AB43,2635 4Section 2635. 256.35 (3s) (a) 3m. of the statutes is created to read:
AB43,1404,85 256.35 (3s) (a) 3m. “Next Generation 911 costs” means the costs incurred in the
6operation of a Next Generation 911 emergency number system by an originating
7service provider and, if applicable, the 3rd-party provider it uses to connect to an
8emergency services IP network.
AB43,2636 9Section 2636. 256.35 (3s) (b) of the statutes is amended to read:
AB43,1404,2010 256.35 (3s) (b) Emergency services IP network contracts. The department shall
11invite bids to be submitted under s. 16.75 and, from the appropriation under s. 20.465
12(3) (qm), contract for the creation, operation, and maintenance of an emergency
13services IP network that to the greatest extent feasible relies on industry standards
14and existing infrastructure to provide all public safety answering points with the
15network necessary to implement Next Generation 911. Any contract under this
16paragraph shall include a requirement that the emergency services IP network
17provider reimburse any originating service provider or, if applicable, the 3rd-party
18providers it uses to connect to an emergency services IP network for all Next
19Generation 911 costs incurred by the originating service provider or, if applicable, the
203rd-party provider.
AB43,2637 21Section 2637. 256.35 (3s) (bf) of the statutes is created to read:
AB43,1405,222 256.35 (3s) (bf) Next Generation 911 cost recovery. An emergency services IP
23network provider shall reimburse any originating service provider or, if applicable,
24the 3rd-party provider it uses to connect to an emergency services IP network for all

1Next Generation 911 costs incurred by the originating service provider or, if
2applicable, the 3rd-party provider.
AB43,2638 3Section 2638. 256.42 of the statutes is created to read:
AB43,1405,8 4256.42 Emergency medical services grants. From the appropriation under
5s. 20.435 (1) (bc), the department may award grants to providers of emergency
6medical services for reasonable operating expenses related to emergency medical
7services, including expenses related to supplies, equipment, training, staffing, and
8vehicles.
AB43,2639 9Section 2639 . 257.01 (5) (a) of the statutes is amended to read:
AB43,1405,1510 257.01 (5) (a) An individual who is licensed as a physician, a physician
11assistant, or a podiatrist under ch. 448, licensed as a naturopathic doctor under ch.
12466, licensed as a registered nurse, licensed practical nurse, or nurse-midwife under
13ch. 441, licensed as a dentist or dental therapist under ch. 447, licensed as a
14pharmacist under ch. 450, licensed as a veterinarian or certified as a veterinary
15technician under ch. 89, or certified as a respiratory care practitioner under ch. 448.
AB43,2640 16Section 2640 . 257.01 (5) (a) of the statutes, as affected by 2023 Wisconsin Act
17.... (this act), is amended to read:
AB43,1405,2418 257.01 (5) (a) An individual who is licensed as a physician, a physician
19assistant, or a podiatrist under ch. 448, licensed as a naturopathic doctor under ch.
20466, licensed as a registered nurse, licensed practical nurse, or nurse-midwife
21advanced practice registered nurse under ch. 441, licensed as a dentist or dental
22therapist under ch. 447, licensed as a pharmacist under ch. 450, licensed as a
23veterinarian or certified as a veterinary technician under ch. 89, or certified as a
24respiratory care practitioner under ch. 448.
AB43,2641 25Section 2641 . 257.01 (5) (b) of the statutes is amended to read:
AB43,1406,8
1257.01 (5) (b) An individual who was at any time within the previous 10 years,
2but is not currently, licensed as a physician, a physician assistant, or a podiatrist
3under ch. 448, licensed as a naturopathic doctor under ch. 466, licensed as a
4registered nurse, licensed practical nurse or nurse-midwife, under ch. 441, licensed
5as a dentist or dental therapist under ch. 447, licensed as a pharmacist under ch. 450,
6licensed as a veterinarian or certified as a veterinary technician under ch. 89, or
7certified as a respiratory care practitioner under ch. 448, if the individual's license
8or certification was never revoked, limited, suspended, or denied renewal.
AB43,2642 9Section 2642 . 257.01 (5) (b) of the statutes, as affected by 2023 Wisconsin Act
10.... (this act), is amended to read:
AB43,1406,2011 257.01 (5) (b) An individual who was at any time within the previous 10 years,
12but is not currently, licensed as a physician, a physician assistant, or a podiatrist
13under ch. 448, licensed as a naturopathic doctor under ch. 466, licensed as a
14registered nurse, licensed practical nurse, or nurse-midwife, advanced practice
15registered nurse
under ch. 441, licensed as a nurse-midwife under ch. 441, 2021
16stats.,
licensed as a dentist or dental therapist under ch. 447, licensed as a
17pharmacist under ch. 450, licensed as a veterinarian or certified as a veterinary
18technician under ch. 89, or certified as a respiratory care practitioner under ch. 448,
19if the individual's license or certification was never revoked, limited, suspended, or
20denied renewal.
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