SB145,110 16Section 110 . 441.15 of the statutes is repealed.
SB145,111 17Section 111 . 441.16 of the statutes is repealed.
SB145,112 18Section 112 . 441.18 (2) (a) (intro.) of the statutes is amended to read:
SB145,56,2019 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:
SB145,113 21Section 113 . 441.18 (2) (b) of the statutes is amended to read:
SB145,57,322 441.18 (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.
SB145,114 4Section 114 . 441.18 (3) of the statutes is amended to read:
SB145,57,105 441.18 (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.
SB145,115 11Section 115 . 441.19 of the statutes is repealed.
SB145,116 12Section 116 . 448.03 (2) (a) of the statutes is amended to read:
SB145,57,2113 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.
SB145,117 22Section 117 . 448.035 (1) (a) of the statutes is repealed.
SB145,118 23Section 118 . 448.035 (2) to (4) of the statutes are amended to read:
SB145,58,1124 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."
SB145,58,15 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.
SB145,58,20 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.
SB145,58,2421 (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.
SB145,119 25Section 119 . 448.56 (1) and (1m) (b) of the statutes are amended to read:
SB145,59,15
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.
SB145,59,21 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.
SB145,120 22Section 120 . 448.62 (2m) of the statutes is amended to read:
SB145,60,223 448.62 (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.
SB145,121 3Section 121 . 448.67 (2) of the statutes is amended to read:
SB145,60,134 448.67 (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.
SB145,122 14Section 122 . 448.956 (1m) of the statutes, as affected by 2021 Wisconsin Act
15251
, is amended to read:
SB145,60,2216 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.
SB145,123 23Section 123 . 450.01 (1m) of the statutes is repealed.
SB145,124 24Section 124 . 450.01 (16) (h) 2. of the statutes is amended to read:
SB145,61,4
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)
.
SB145,125 5Section 125 . 450.01 (16) (hr) 2. of the statutes is amended to read:
SB145,61,76 450.01 (16) (hr) 2. An advanced practice registered nurse prescriber who may
7issue prescription orders under s. 441.09 (2)
.
SB145,126 8Section 126 . 450.03 (1) (e) of the statutes is amended to read:
SB145,61,179 450.03 (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.
SB145,127 18Section 127 . 450.11 (1g) (b) of the statutes is amended to read:
SB145,62,719 450.11 (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.
SB145,128 8Section 128 . 450.11 (1i) (a) 1. of the statutes is amended to read:
SB145,62,209 450.11 (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.
SB145,129 21Section 129 . 450.11 (1i) (b) 2. b. of the statutes is amended to read:
SB145,62,2422 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.
SB145,130 25Section 130 . 450.11 (7) (b) of the statutes is amended to read:
SB145,63,4
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.
SB145,131 5Section 131 . 450.11 (8) (e) of the statutes is amended to read:
SB145,63,76 450.11 (8) (e) The board of nursing, insofar as this section applies to advanced
7practice nurse prescribers registered nurses.
SB145,132 8Section 132 . 450.13 (5) (b) of the statutes is amended to read:
SB145,63,119 450.13 (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).
SB145,133 12Section 133 . 450.135 (7) (b) of the statutes is amended to read:
SB145,63,1613 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)
.
SB145,134 17Section 134 . 462.04 of the statutes, as affected by 2021 Wisconsin Act 251, is
18amended to read:
SB145,64,3 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.
SB145,135 4Section 135. 655.001 (1) of the statutes is renumbered 655.001 (1r).
SB145,136 5Section 136. 655.001 (1g) of the statutes is created to read:
SB145,64,136 655.001 (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).
SB145,137 14Section 137 . 655.001 (7t) of the statutes is amended to read:
SB145,64,2015 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
.
SB145,138 21Section 138. 655.001 (9) of the statutes is repealed.
SB145,139 22Section 139. 655.002 (1) (a) of the statutes is amended to read:
SB145,64,2523 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.
SB145,140
1Section 140. 655.002 (1) (b) of the statutes is amended to read:
SB145,65,42 655.002 (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:
SB145,65,65 1. The physician or nurse anesthetist advanced practice registered nurse is a
6resident of this state.
SB145,65,97 2. The physician or nurse anesthetist advanced practice registered nurse
8practices his or her profession in this state or in Michigan or a combination of both
9more than 240 hours in a fiscal year.
SB145,65,1410 3. The physician or nurse anesthetist advanced practice registered nurse
11performs more procedures in a Michigan hospital than in any other hospital. In this
12subdivision, “Michigan hospital" means a hospital located in Michigan that is an
13affiliate of a corporation organized under the laws of this state that maintains its
14principal office and a hospital in this state.
SB145,141 15Section 141. 655.002 (1) (c) of the statutes is amended to read:
SB145,65,2316 655.002 (1) (c) A physician or nurse anesthetist an advanced practice
17registered nurse
who is exempt under s. 655.003 (1) or (3), but who practices his or
18her profession outside the scope of the exemption and who fulfills the requirements
19under par. (a) in relation to that practice outside the scope of the exemption. For a
20physician or a nurse anesthetist an advanced practice registered nurse who is
21subject to this chapter under this paragraph, this chapter applies only to claims
22arising out of practice that is outside the scope of the exemption under s. 655.003 (1)
23or (3).
SB145,142 24Section 142. 655.002 (1) (d) of the statutes is amended to read:
SB145,66,4
1655.002 (1) (d) A partnership comprised of physicians or nurse anesthetists
2advanced practice registered nurses and organized and operated in this state for the
3primary purpose of providing the medical services of physicians or nurse
4anesthetists
advanced practice registered nurses.
SB145,143 5Section 143. 655.002 (1) (e) of the statutes is amended to read:
SB145,66,86 655.002 (1) (e) A corporation organized and operated in this state for the
7primary purpose of providing the medical services of physicians or nurse
8anesthetists
advanced practice registered nurses.
SB145,144 9Section 144. 655.002 (1) (em) of the statutes is amended to read:
SB145,66,1310 655.002 (1) (em) Any organization or enterprise not specified under par. (d) or
11(e) that is organized and operated in this state for the primary purpose of providing
12the medical services of physicians or nurse anesthetists advanced practice registered
13nurses
.
SB145,145 14Section 145. 655.002 (2) (a) of the statutes is amended to read:
SB145,66,1815 655.002 (2) (a) A physician or nurse anesthetist advanced practice registered
16nurse
for whom this state is a principal place of practice but who practices his or her
17profession fewer than 241 hours in a fiscal year, for a fiscal year, or a portion of a fiscal
18year, during which he or she practices his or her profession.
SB145,146 19Section 146. 655.002 (2) (b) of the statutes is amended to read:
SB145,67,220 655.002 (2) (b) Except as provided in sub. (1) (b), a physician or nurse
21anesthetist
advanced practice registered nurse for whom this state is not a principal
22place of practice, for a fiscal year, or a portion of a fiscal year, during which he or she
23practices his or her profession in this state. For a health care provider who elects to
24be subject to this chapter under this paragraph, this chapter applies only to claims

1arising out of practice that is in this state and that is outside the scope of an
2exemption under s. 655.003 (1) or (3).
SB145,147 3Section 147. 655.003 (1) of the statutes is amended to read:
SB145,67,74 655.003 (1) A physician or a nurse anesthetist an advanced practice registered
5nurse
who is a state, county or municipal employee, or federal employee or contractor
6covered under the federal tort claims act, as amended, and who is acting within the
7scope of his or her employment or contractual duties.
SB145,148 8Section 148. 655.003 (3) of the statutes is amended to read:
SB145,67,159 655.003 (3) Except for a physician or nurse anesthetist advanced practice
10registered nurse
who meets the criteria under s. 146.89 (5) (a), a physician or a nurse
11anesthetist
an advanced practice registered nurse who provides professional
12services under the conditions described in s. 146.89, with respect to those
13professional services provided by the physician or nurse anesthetist advanced
14practice registered nurse
for which he or she is covered by s. 165.25 and considered
15an agent of the department, as provided in s. 165.25 (6) (b).
SB145,149 16Section 149 . 655.005 (2) (a) of the statutes is amended to read:
SB145,67,2117 655.005 (2) (a) An employee of a health care provider if the employee is a
18physician or a nurse anesthetist an advanced practice registered nurse or is a health
19care practitioner who is providing health care services that are not in collaboration
20with a physician under s. 441.15 (2) (b) or
under the direction and supervision of a
21physician or nurse anesthetist advanced practice registered nurse.
SB145,150 22Section 150. 655.005 (2) (b) of the statutes is amended to read:
SB145,68,623 655.005 (2) (b) A service corporation organized under s. 180.1903 by health care
24professionals, as defined under s. 180.1901 (1m), if the board of governors determines
25that it is not the primary purpose of the service corporation to provide the medical

1services of physicians or nurse anesthetists advanced practice registered nurses.
2The board of governors may not determine under this paragraph that it is not the
3primary purpose of a service corporation to provide the medical services of physicians
4or nurse anesthetists advanced practice registered nurses unless more than 50
5percent of the shareholders of the service corporation are neither physicians nor
6nurse anesthetists advanced practice registered nurses.
SB145,151 7Section 151. 655.23 (5m) of the statutes is amended to read:
SB145,68,118 655.23 (5m) The limits set forth in sub. (4) shall apply to any joint liability of
9a physician or nurse anesthetist advanced practice registered nurse and his or her
10corporation, partnership, or other organization or enterprise under s. 655.002 (1) (d),
11(e), or (em).
SB145,152 12Section 152. 655.27 (3) (a) 4. of the statutes is amended to read:
SB145,68,1613 655.27 (3) (a) 4. For a health care provider described in s. 655.002 (1) (d), (e),
14(em), or (f), risk factors and past and prospective loss and expense experience
15attributable to employees of that health care provider other than employees licensed
16as a physician or nurse anesthetist advanced practice registered nurse.
SB145,153 17Section 153. 655.27 (3) (b) 2m. of the statutes is amended to read:
SB145,68,2318 655.27 (3) (b) 2m. In addition to the fees and payment classifications described
19under subds. 1. and 2., the commissioner, after approval by the board of governors,
20may establish a separate payment classification for physicians satisfying s. 655.002
21(1) (b) and a separate fee for nurse anesthetists advanced practice registered nurses
22satisfying s. 655.002 (1) (b) which take into account the loss experience of health care
23providers for whom Michigan is a principal place of practice.
SB145,154 24Section 154. 655.275 (2) of the statutes is amended to read:
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