(f) “Registered nurse" means a
nurse who has a certificate
10of registration license
under s. 441.06 or a temporary permit under s. 441.08 or who 11is licensed as a registered nurse holds a multistate license, as defined in s. 441.51 (2)
in a party state, as defined in s. 441.50 441.51
(2) (j) (k)
250.01 (7) of the statutes is amended to read:
“Registered nurse" means a registered nurse who is licensed under 15
s. 441.06 or in a party state, as defined in s. 441.50 (2) (j),
or permitted under s. 441.08 16or who holds a multistate license, as defined in s. 441.51 (2) (h), issued in a party
17state, as defined in s. 441.51 (2) (k)
255.06 (1) (d) of the statutes is amended to read:
(d) “Nurse practitioner" means a registered nurse who is
under ch. 441 or who holds a multistate license, as defined in s. 441.51 (2) (h), issued 21
in a party state, as defined in s. 441.50 441.51
(2) (j), (k), and
whose practice of 22
professional nursing under s. 441.001 (4) includes performance of delegated medical 23
services under the supervision of a physician, dentist, or podiatrist.
440.03 (11m) (c) 1. of the statutes is amended to read:
(c) 1. The coordinated licensure information system under s. 2441.50 (7) 441.51 (6)
440.03 (13) (b) (intro.) of the statutes is amended to read:
(b) (intro.) The department may investigate whether an applicant 5
for or holder of any of the following credentials has been charged with or convicted 6
of a crime only pursuant to rules promulgated by the department under this 7
paragraph, including rules that establish the criteria that the department will use 8
to determine whether an investigation under this paragraph is necessary, except as 9
provided in par. (c) and s. ss. 441.51 (5) (a) 5. and
448.980 (5) (b) 3.:
440.03 (13) (b) (intro.) of the statutes, as affected by 2015
11Wisconsin Act 116
, section 5m
, and 2017 Wisconsin Act .... (this act), is repealed and 12
recreated to read:
(b) (intro.) The department may investigate whether an applicant 14
for or holder of any of the following credentials has been charged with or convicted 15
of a crime only pursuant to rules promulgated by the department under this 16
paragraph, including rules that establish the criteria that the department will use 17
to determine whether an investigation under this paragraph is necessary, except as 18
provided in par. (c) and s. 441.51 (5) (a) 5.:
440.14 (5) (b) of the statutes is amended to read:
(b) Paragraph (a) does not apply to a list that the department or a 21
credentialing board furnishes to another state agency, a law enforcement agency or 22
a federal governmental agency. In addition, par. (a) does not apply to a list that the 23
department or the board of nursing furnishes to the coordinated licensure 24
information system under s. 441.50 (7) 441.51 (6)
. A state agency that receives a list 25
from the department or a credentialing board containing a personal identifier of any
individual who has made a declaration under sub. (2), (3) or (4) may not disclose the 2
personal identifier to any person other than a state agency, a law enforcement agency 3
or a federal governmental agency.
440.15 of the statutes is amended to read:
5440.15 No fingerprinting.
Except as provided under ss. 440.03 (13) (c),
6441.51 (5) (a) 5.,
and 448.980 (5) (b) 3., the department or a credentialing board may 7
not require that an applicant for a credential or a credential holder be fingerprinted 8
or submit fingerprints in connection with the department's or the credentialing 9
440.15 of the statutes, as affected by 2015 Wisconsin Act 116
, and 2017 Wisconsin Act .... (this act), is repealed and recreated to read:
12440.15 No fingerprinting.
Except as provided under ss. 440.03 (13) (c) and 13
441.51 (5) (a) 5., the department or a credentialing board may not require that an 14
applicant for a credential or a credential holder be fingerprinted or submit 15
fingerprints in connection with the department's or the credentialing board's 16
441.06 (1c) of the statutes is created to read:
The board shall grant a multistate license, as defined in s. 441.51 19
(2) (h), to an applicant for a multistate registered nurse license under s. 441.51. 20
Subject to s. 441.07 (1g), the requirements under sub. (1) shall apply to such an 21
applicant, except that the requirements under s. 441.51 (3) (c) for granting a 22
multistate license shall supersede the requirements under sub. (1) to the extent of 23
441.06 (4) of the statutes is amended to read:
Except as provided in s. 257.03, no person may practice or attempt 2
to practice professional nursing, nor use the title, letters, or anything else to indicate 3
that he or she is a registered or professional nurse unless he or she is licensed under 4
this section. Except as provided in s. 257.03, no person not so licensed may use in 5
connection with his or her nursing employment or vocation any title or anything else 6
to indicate that he or she is a trained, certified or graduate nurse. This subsection 7
does not apply to any person registered nurse
who is licensed to practice nursing 8holds a multistate license, as defined in s. 441.51 (2) (h), issued
by a jurisdiction, 9
other than this state, that has adopted the enhanced
nurse licensure compact under 10
s. 441.50 441.51
441.10 (1c) of the statutes is created to read:
The board shall grant a multistate license, as defined in s. 441.51 13
(2) (h), to an applicant for a multistate licensed practical nurse license under s. 14
441.51. Subject to s. 441.07 (1g), the requirements under sub. (1) shall apply to such 15
an applicant, except that the requirements under s. 441.51 (3) (c) for granting a 16
multistate license shall supersede the requirements under sub. (1) to the extent of 17
441.10 (7) of the statutes is amended to read:
No license is required for practical nursing, but, except as provided 20
in s. 257.03, no person without a license may hold himself or herself out as a licensed 21
practical nurse or licensed attendant, use the title or letters “Trained Practical 22
Nurse" or “T.P.N.", “Licensed Practical Nurse" or “L.P.N.", “
Licensed Attendant" or 23
“L.A.", “Trained Attendant" or “T.A.", or otherwise seek to indicate that he or she is 24
a licensed practical nurse or licensed attendant. No licensed practical nurse or 25
licensed attendant may use the title, or otherwise seek to act as a registered, licensed,
graduate or professional nurse. Anyone violating this subsection shall be subject to 2
the penalties prescribed by s. 441.13. The board shall grant without examination a 3
license as a licensed practical nurse to any person who was on July 1, 1949, a licensed 4
attendant. This subsection does not apply to any person licensed practical nurse
who 5is licensed to practice practical nursing holds a multistate license, as defined in s.
6441.51 (2) (h), issued
by a jurisdiction, other than this state, that has adopted the 7enhanced
nurse licensure compact under s. 441.50 441.51
441.115 (2) (a) of the statutes is amended to read:
(a) In this subsection, “nursing credential" means a license, permit 10
or certificate of registration or certification that is granted to a person by another 11
state or territory or by a foreign country or province and that authorizes or qualifies 12
the person holding the credential to perform acts that are substantially the same as 13
those performed by a person licensed as a registered nurse or licensed practical nurse 14
under this subchapter. In this paragraph, “state or territory" excludes any state or
15territory that has adopted the nurse licensure compact under, except that “nursing
16credential” does not include a multistate license, as defined in s. 441.51 (2) (h), issued
17by a party state, as defined in
441.51 (2) (k)
441.15 (3) (a) (intro.) of the statutes is amended to read:
(a) (intro.) Subject to s. 441.07 (1g), the board shall grant a license 20
to engage in the practice of nurse-midwifery to any person registered nurse who is 21
licensed as a registered nurse
under this subchapter or who holds a multistate
22license, as defined in s. 441.51 (2) (h), issued
in a party state, as defined in s. 441.50 23441.51
(2) (j) (k)
, who does all of the following:
Subchapter II (title) of chapter 441 [precedes 441.50] of the 25
statutes is amended to read:
NURSE LICENSURE COMPACT
441.50 of the statutes is repealed.
441.51 of the statutes is created to read:
6441.51 Enhanced nurse licensure compact. (1) Article I — Findings and
7declaration of purpose.
(a) The party states find all of the following:
1. That the health and safety of the public are affected by the degree of 9
compliance with and the effectiveness of enforcement activities related to state nurse 10
2. That violations of nurse licensure and other laws regulating the practice of 12
nursing may result in injury or harm to the public.
3. That the expanded mobility of nurses and the use of advanced 14
communication technologies as part of our nation's health care delivery system 15
require greater coordination and cooperation among states in the areas of nurse 16
licensure and regulation.
4. That new practice modalities and technology make compliance with 18
individual state nurse licensure laws difficult and complex.
5. That the current system of duplicative licensure for nurses practicing in 20
multiple states is cumbersome and redundant for both nurses and states.
6. That uniformity of nurse licensure requirements throughout the states 22
promotes public safety and public health benefits.
(b) The general purposes of this compact are as follows:
1. To facilitate the states' responsibility to protect the public's health and safety.
2. To ensure and encourage the cooperation of party states in the areas of nurse 2
licensure and regulation.
3. To facilitate the exchange of information between party states in the areas 4
of nurse regulation, investigation, and adverse actions.
4. To promote compliance with the laws governing the practice of nursing in 6
5. To invest all party states with the authority to hold a nurse accountable for 8
meeting all state practice laws in the state in which the patient is located at the time 9
care is rendered through the mutual recognition of party state licenses.
6. To decrease redundancies in the consideration and issuance of nurse 11
7. To provide opportunities for interstate practice by nurses who meet uniform 13
14(2) Article II — Definitions.
As used in this compact:
(a) “Adverse action” means any administrative, civil, equitable, or criminal 16
action permitted by a state's laws which is imposed by a licensing board or other 17
authority against a nurse, including actions against an individual's license or 18
multistate licensure privilege such as revocation, suspension, probation, monitoring 19
of the licensee, limitation on the licensee's practice, or any other encumbrance on 20
licensure affecting a nurse's authorization to practice, including issuance of a cease 21
and desist action.
(b) “Alternative program” means a nondisciplinary monitoring program 23
approved by a licensing board.
(c) “Coordinated licensure information system” means an integrated process 25
for collecting, storing, and sharing information on nurse licensure and enforcement
activities related to nurse licensure laws that is administered by a nonprofit 2
organization composed of and controlled by licensing boards.
(d) “Current significant investigative information” means any of the following:
1. Investigative information that a licensing board, after a preliminary inquiry 5
that includes notification and an opportunity for the nurse to respond, if required by 6
state law, has reason to believe is not groundless and, if proved true, would indicate 7
more than a minor infraction.
2. Investigative information that indicates that the nurse represents an 9
immediate threat to public health and safety regardless of whether the nurse has 10
been notified and had an opportunity to respond.
(e) “Encumbrance” means a revocation or suspension of, or any limitation on, 12
the full and unrestricted practice of nursing imposed by a licensing board.
(f) “Home state” means the party state which is the nurse's primary state of 14
(g) “Licensing board” means a party state's regulatory body responsible for 16
issuing nurse licenses.
(h) “Multistate license” means a license to practice as a registered or a licensed 18
practical/vocational nurse issued by a home state licensing board that authorizes the 19
licensed nurse to practice in all party states under a multistate licensure privilege.
(i) “Multistate licensure privilege” means a legal authorization associated with 21
a multistate license permitting the practice of nursing as either a registered nurse 22
or licensed practical/vocational nurse in a remote state.
(j) “Nurse” means registered nurse or licensed practical/vocational nurse, as 24
those terms are defined by each party state's practice laws.
(k) “Party state” means any state that has adopted this compact.
(L) “Remote state” means a party state, other than the home state.
(m) “Single-state license” means a nurse license issued by a party state that 3
authorizes practice only within the issuing state and does not include a multistate 4
licensure privilege to practice in any other party state.
(n) “State” means a state, territory, or possession of the United States and the 6
District of Columbia.
(o) “State practice laws” means a party state's laws, rules, and regulations that 8
govern the practice of nursing, define the scope of nursing practice, and create the 9
methods and grounds for imposing discipline. “State practice laws” does not include 10
requirements necessary to obtain and retain a license, except for qualifications or 11
requirements of the home state.
12(3) Article III — General provisions and jurisdiction.
(a) A multistate license 13
to practice registered or licensed practical/vocational nursing issued by a home state 14
to a resident in that state will be recognized by each party state as authorizing a 15
nurse to practice as a registered nurse or as a licensed practical/vocational nurse, 16
under a multistate licensure privilege, in each party state.
(b) A state must implement procedures for considering the criminal history 18
records of applicants for initial multistate license or licensure by endorsement. Such 19
procedures shall include the submission of fingerprints or other biometric-based 20
information by applicants for the purpose of obtaining an applicant's criminal 21
history record information from the federal bureau of investigation and the agency 22
responsible for retaining that state's criminal records.
(c) Each party state shall require all of the following for an applicant to obtain 24
or retain a multistate license in the home state:
1. Meets the home state's qualifications for licensure or renewal of licensure, 2
as well as, all other applicable state laws.
2. Satisfies one of the following:
a. Has graduated or is eligible to graduate from a licensing board-approved 5
registered nurse or licensed practical/vocational nurse prelicensure education 6
b. Has graduated from a foreign registered nurse or licensed 8
practical/vocational nurse prelicensure education program that has been approved 9
by the authorized accrediting body in the applicable country and has been verified 10
by an independent credentials review agency to be comparable to a licensing 11
board-approved prelicensure education program.
3. Has, if a graduate of a foreign prelicensure education program not taught 13
in English or if English is not the individual's native language, successfully passed 14
an English proficiency examination that includes the components of reading, 15
speaking, writing, and listening.
4. Has successfully passed an NCLEX-RN or NCLEX-PN Examination or 17
recognized predecessor, as applicable.
5. Is eligible for or holds an active, unencumbered license.
6. Has submitted, in connection with an application for initial licensure or 20
licensure by endorsement, fingerprints or other biometric data for the purpose of 21
obtaining criminal history record information from the federal bureau of 22
investigation and the agency responsible for retaining that state's criminal records.
7. Has not been convicted or found guilty, or has entered into an agreed 24
disposition, of a felony offense under applicable state or federal criminal law.
8. Has not been convicted or found guilty, or has entered into an agreed 2
disposition, of a misdemeanor offense related to the practice of nursing as 3
determined on a case-by-case basis.
9. Is not currently enrolled in an alternative program.
10. Is subject to self-disclosure requirements regarding current participation 6
in an alternative program.
11. Has a valid United States social security number.
(d) All party states shall be authorized, in accordance with existing state due 9
process law, to take adverse action against a nurse's multistate licensure privilege 10
such as revocation, suspension, probation or any other action that affects a nurse's 11
authorization to practice under a multistate licensure privilege, including cease and 12
desist actions. If a party state takes such action, it shall promptly notify the 13
administrator of the coordinated licensure information system. The administrator 14
of the coordinated licensure information system shall promptly notify the home state 15
of any such actions by remote states.
(e) A nurse practicing in a party state must comply with the state practice laws 17
of the state in which the client is located at the time service is provided. The practice 18
of nursing is not limited to patient care, but shall include all nursing practice as 19
defined by the state practice laws of the party state in which the client is located. 20
The practice of nursing in a party state under a multistate licensure privilege will 21
subject a nurse to the jurisdiction of the licensing board, the courts, and the laws of 22
the party state in which the client is located at the time service is provided.
(f) Individuals not residing in a party state shall continue to be able to apply 24
for a party state's single-state license as provided under the laws of each party state. 25
However, the single-state license granted to these individuals will not be recognized
as granting the privilege to practice nursing in any other party state. Nothing in this 2
compact shall affect the requirements established by a party state for the issuance 3
of a single-state license.
(g) Any nurse holding a home state multistate license, on the effective date of 5
this compact, may retain and renew the multistate license issued by the nurse's 6
then-current home state, provided that:
1. A nurse, who changes primary state of residence after this compact's effective 8
date, must meet all applicable requirements under par. (c) to obtain a multistate 9
license from a new home state.
2. A nurse who fails to satisfy the multistate licensure requirements in par. (c) 11
due to a disqualifying event occurring after this compact's effective date shall be 12
ineligible to retain or renew a multistate license, and the nurse's multistate license 13
shall be revoked or deactivated in accordance with applicable rules adopted by the 14
interstate commission of nurse licensure compact administrators (“commission”).