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:
SB145,69,11
1655.275 (2) Appointment. The board of governors shall appoint the members
2of the council. Section 15.09, except s. 15.09 (4) and (8), does not apply to the council.
3The board of governors shall designate the chairperson, who shall be a physician, the
4vice chairperson, and the secretary of the council and the terms to be served by
5council members. The council shall consist of 5 or 7 persons, not more than 3 of whom
6are physicians who are licensed and in good standing to practice medicine in this
7state and one of whom is a nurse anesthetist an advanced practice registered nurse
8who is licensed and in good standing to practice nursing in this state. The
9chairperson or another peer review council member designated by the chairperson
10shall serve as an ex officio nonvoting member of the medical examining board and
11may attend meetings of the medical examining board, as appropriate.
SB145,155 12Section 155. 655.275 (5) (b) 2. of the statutes is amended to read:
SB145,69,1513 655.275 (5) (b) 2. If a claim was paid for damages arising out of the rendering
14of care by a nurse anesthetist an advanced practice registered nurse, with at least
15one nurse anesthetist advanced practice registered nurse.
SB145,156 16Section 156 . 961.01 (19) (a) of the statutes is amended to read:
SB145,69,2217 961.01 (19) (a) A physician, advanced practice registered nurse, dentist,
18veterinarian, podiatrist, optometrist, scientific investigator or, subject to s. 448.975
19(1) (b), a physician assistant, or other person licensed, registered, certified or
20otherwise permitted to distribute, dispense, conduct research with respect to,
21administer or use in teaching or chemical analysis a controlled substance in the
22course of professional practice or research in this state.
SB145,157 23Section 157 . 961.395 of the statutes is amended to read:
SB145,70,2 24961.395 Limitation on advanced practice registered nurses. (1) An
25advanced practice registered nurse who is certified may issue prescription orders

1under s. 441.16 441.09 (2) may prescribe controlled substances only as permitted by
2the rules promulgated under s. 441.16 (3) 441.09 (6) (a) 4.
SB145,70,6 3(2) An advanced practice registered nurse certified under s. 441.16 who may
4issue prescription orders under s. 441.09 (2)
shall include with each prescription
5order the advanced practice nurse prescriber certification license number issued to
6him or her by the board of nursing.
SB145,70,10 7(3) An advanced practice registered nurse certified under s. 441.16 who may
8issue prescription orders under s. 441.09 (2)
may dispense a controlled substance
9only by prescribing or administering the controlled substance or as otherwise
10permitted by the rules promulgated under s. 441.16 (3) 441.09 (6) (a) 4.
SB145,158 11Section 158 . Nonstatutory provisions.
SB145,70,2312 (1) Using the procedure under s. 227.24, the board of nursing may promulgate
13rules under ch. 441 that are necessary to implement the changes in this act.
14Notwithstanding s. 227.24 (1) (a) and (3), the board is not required to provide
15evidence that promulgating a rule under this subsection as an emergency rule is
16necessary for the preservation of the public peace, health, safety, or welfare and is
17not required to provide a finding of emergency for a rule promulgated under this
18subsection. A rule under this subsection may take effect no later than the date
19specified in Section 159 (intro.) of this act. Notwithstanding s. 227.24 (1) (c) and (2),
20a rule promulgated under this subsection is effective for 2 years after its
21promulgation, or until permanent rules take effect, whichever is sooner, and the
22effective period of a rule promulgated under this subsection may not be further
23extended under s. 227.24 (2).
SB145,70,2424 (2) (a) In this subsection, the definitions under s. 441.001 apply.
SB145,71,8
1(b) Notwithstanding s. 441.09 (3), an individual who, on January 1, 2024, is
2licensed as a registered nurse in this state and is practicing in a recognized role may
3continue to practice advanced practice registered nursing and the corresponding
4recognized role in which he or she is practicing and may continue to use the titles
5corresponding to the recognized roles in which he or she is practicing during the
6period before which the board takes final action on the person's application under s.
7441.09. This paragraph does not apply after the first day of the 13th month
8beginning after the effective date of this paragraph.
SB145,159 9Section 159 . Effective dates. This act takes effect on the first day of the 13th
10month beginning after publication, except as follows:
SB145,71,1111 (1) Section 158 (1 ) of this act takes effect on the day after publication.
SB145,71,1212 (End)
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