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SB515,31 17Section 31. 252.15 (1) (am) of the statutes is amended to read:
SB515,9,2018 252.15 (1) (am) “Health care professional" means a physician or physician
19assistant who is
licensed under ch. 448 or, a registered nurse or licensed practical
20nurse who is licensed under ch. 441, or a physician assistant licensed under ch. 461.
SB515,32 21Section 32. 252.15 (1) (ar) 1. of the statutes is amended to read:
SB515,9,2322 252.15 (1) (ar) 1. A person or entity that is specified in s. 146.81 (1) (a) to (hm),
23(hr),
and (i) to (p).
SB515,33 24Section 33. 255.07 (1) (d) of the statutes is amended to read:
SB515,10,3
1255.07 (1) (d) “Health care practitioner" means a physician, a physician
2assistant licensed under s. 448.04 (1) (f), or an advanced practice nurse who is
3certified to issue prescription orders under s. 441.16.
SB515,34 4Section 34. 255.07 (7) of the statutes is amended to read:
SB515,10,85 255.07 (7) Health care providers. Nothing in this section prohibits a health
6care provider, as defined in s. 146.81 (1) (a) to (hp) (hr) and (q) to (s), from acting
7within the scope of practice of the health care provider's license, certificate, permit,
8or registration.
SB515,35 9Section 35. 257.01 (5) (a) of the statutes is amended to read:
SB515,10,1510 257.01 (5) (a) An individual who is licensed as a physician, a physician
11assistant,
or a podiatrist under ch. 448, licensed as a registered nurse, licensed
12practical nurse, or nurse-midwife under ch. 441, licensed as a dentist under ch. 447,
13licensed as a pharmacist under ch. 450, licensed as a physician assistant under ch.
14461,
licensed as a veterinarian or certified as a veterinary technician under ch. 89,
15or certified as a respiratory care practitioner under ch. 448.
SB515,36 16Section 36. 257.01 (5) (b) of the statutes is amended to read:
SB515,10,2517 257.01 (5) (b) An individual who was at any time within the previous 10 years,
18but is not currently, licensed as a physician, a physician assistant, or a podiatrist
19under ch. 448, licensed as a registered nurse, licensed practical nurse or
20nurse-midwife, under ch. 441, licensed as a dentist under ch. 447, licensed as a
21pharmacist under ch. 450, licensed as a physician assistant under ch. 461 or as a
22physician assistant under ch. 448, 2017 stats.,
licensed as a veterinarian or certified
23as a veterinary technician under ch. 89, or certified as a respiratory care practitioner
24under ch. 448, if the individual's license or certification was never revoked, limited,
25suspended, or denied renewal.
SB515,37
1Section 37. 343.16 (5) (a) of the statutes is amended to read:
SB515,11,242 343.16 (5) (a) The secretary may require any applicant for a license or any
3licensed operator to submit to a special examination by such persons or agencies as
4the secretary may direct to determine incompetency, physical or mental disability,
5disease, or any other condition that might prevent such applicant or licensed person
6from exercising reasonable and ordinary control over a motor vehicle. If the
7department requires the applicant to submit to an examination, the applicant shall
8pay for the examination. If the department receives an application for a renewal or
9duplicate license after voluntary surrender under s. 343.265 or receives a report from
10a physician, physician assistant, as defined in s. 448.01 (6), advanced practice nurse
11prescriber certified under s. 441.16 (2), or optometrist under s. 146.82 (3), or if the
12department has a report of 2 or more arrests within a one-year period for any
13combination of violations of s. 346.63 (1) or (5) or a local ordinance in conformity with
14s. 346.63 (1) or (5) or a law of a federally recognized American Indian tribe or band
15in this state in conformity with s. 346.63 (1) or (5), or s. 346.63 (1m), 1985 stats., or
16s. 346.63 (2) or (6) or 940.25, or s. 940.09 where the offense involved the use of a
17vehicle, the department shall determine, by interview or otherwise, whether the
18operator should submit to an examination under this section. The examination may
19consist of an assessment. If the examination indicates that education or treatment
20for a disability, disease or condition concerning the use of alcohol, a controlled
21substance or a controlled substance analog is appropriate, the department may order
22a driver safety plan in accordance with s. 343.30 (1q). If there is noncompliance with
23assessment or the driver safety plan, the department shall revoke the person's
24operating privilege in the manner specified in s. 343.30 (1q) (d).
SB515,38 25Section 38. 440.035 (2m) (b) of the statutes is amended to read:
SB515,12,5
1440.035 (2m) (b) The medical examining board, the physician assistant
2examining board,
the podiatry affiliated credentialing board, the board of nursing,
3the dentistry examining board, or the optometry examining board may issue
4guidelines regarding best practices in prescribing controlled substances for persons
5credentialed by that board who are authorized to prescribe controlled substances.
SB515,39 6Section 39 . 440.035 (2m) (c) 1. (intro.) of the statutes is amended to read:
SB515,12,117 440.035 (2m) (c) 1. (intro.) The medical examining board, the physician
8assistant examining board,
the podiatry affiliated credentialing board, the board of
9nursing, the dentistry examining board, and the optometry examining board shall,
10by November 1, 2018, and annually thereafter of each year, submit a report to the
11persons specified in subd. 2. that does all of the following:
SB515,40 12Section 40. 448.01 (6) of the statutes is repealed.
SB515,41 13Section 41. 448.015 (4) (am) 2. of the statutes is amended to read:
SB515,12,1514 448.015 (4) (am) 2. Any act by a physician or physician assistant in violation
15of ch. 450 or 961.
SB515,42 16Section 42. 448.02 (1) of the statutes is amended to read:
SB515,12,2017 448.02 (1) License. The board may grant licenses, including various classes
18of temporary licenses, to practice medicine and surgery, to practice as an
19administrative physician, to practice perfusion, and to practice as an
20anesthesiologist assistant, and to practice as a physician assistant.
SB515,43 21Section 43. 448.03 (1) (b) of the statutes is repealed.
SB515,44 22Section 44. 448.03 (2) (a) of the statutes is amended to read:
SB515,13,423 448.03 (2) (a) Any person lawfully practicing within the scope of a license,
24permit, registration, certificate or certification granted to practice midwifery under
25subch. XIII of ch. 440, to practice professional or practical nursing or

1nurse-midwifery under ch. 441, to practice chiropractic under ch. 446, to practice
2dentistry or dental hygiene under ch. 447, to practice optometry under ch. 449, to
3practice acupuncture under ch. 451 or under any other statutory provision, to
4practice as a physician assistant under ch. 461,
or as otherwise provided by statute.
SB515,45 5Section 45. 448.03 (2) (e) of the statutes is amended to read:
SB515,13,96 448.03 (2) (e) Any person other than a physician assistant or an
7anesthesiologist assistant who is providing patient services as directed, supervised
8and inspected by a physician who has the power to direct, decide and oversee the
9implementation of the patient services rendered.
SB515,46 10Section 46. 448.03 (2) (k) of the statutes is amended to read:
SB515,13,1211 448.03 (2) (k) Any persons, other than physician assistants, anesthesiologist
12assistants, or perfusionists, who assist physicians.
SB515,47 13Section 47. 448.03 (3) (e) of the statutes is repealed.
SB515,48 14Section 48 . 448.03 (5) (b) of the statutes is amended to read:
SB515,13,1615 448.03 (5) (b) No physician or physician assistant shall be liable for any civil
16damages for either of the following:
SB515,13,2017 1. Reporting in good faith to the department of transportation under s. 146.82
18(3) a patient's name and other information relevant to a physical or mental condition
19of the patient which in the physician's or physician assistant's judgment impairs the
20patient's ability to exercise reasonable and ordinary control over a motor vehicle.
SB515,13,2521 2. In good faith, not reporting to the department of transportation under s.
22146.82 (3) a patient's name and other information relevant to a physical or mental
23condition of the patient which in the physician's or physician assistant's judgment
24does not impair the patient's ability to exercise reasonable and ordinary control over
25a motor vehicle.
SB515,49
1Section 49. 448.035 (2) to (4) of the statutes are amended to read:
SB515,14,152 448.035 (2) Notwithstanding the requirements of s. 448.30, a physician,
3physician assistant,
or certified advanced practice nurse prescriber may provide
4expedited partner therapy if the patient is diagnosed as infected with a chlamydial
5infection, gonorrhea, or trichomoniasis and the patient has had sexual contact with
6a sexual partner during which the chlamydial infection, gonorrhea, or
7trichomoniasis may have been transmitted to or from the sexual partner. The
8physician, physician assistant, or certified advanced practice nurse prescriber shall
9attempt to obtain the name of the patient's sexual partner. A prescription order for
10an antimicrobial drug prepared under this subsection shall include the name and
11address of the patient's sexual partner, if known. If the physician , physician
12assistant,
or certified advanced practice nurse prescriber is unable to obtain the
13name of the patient's sexual partner, the prescription order shall include, in ordinary
14bold-faced capital letters, the words, “expedited partner therapy" or the letters
15“EPT."
SB515,14,20 16(3) The physician, physician assistant, or certified advanced practice nurse
17prescriber shall provide the patient with a copy of the information sheet prepared by
18the department of health services under s. 46.03 (44) and shall request that the
19patient give the information sheet to the person with whom the patient had sexual
20contact.
SB515,14,25 21(4) (a) Except as provided in par. (b), a physician , physician assistant, or
22certified advanced practice nurse prescriber is immune from civil liability for injury
23to or the death of a person who takes any antimicrobial drug if the antimicrobial drug
24is prescribed, dispensed, or furnished under this section and if expedited partner
25therapy is provided as specified under this section.
SB515,15,4
1(b) The immunity under par. (a) does not extend to the donation, distribution,
2furnishing, or dispensing of an antimicrobial drug by a physician , physician
3assistant,
or certified advanced practice nurse prescriber whose act or omission
4involves reckless, wanton, or intentional misconduct.
SB515,50 5Section 50 . 448.037 (2) (a) (intro.) and (b) and (3) of the statutes are amended
6to read:
SB515,15,87 448.037 (2) (a) (intro.) A physician or physician assistant may do any of the
8following:
SB515,15,159 (b) A physician or physician assistant who prescribes or delivers an opioid
10antagonist under par. (a) 1. shall ensure that the person to whom the opioid
11antagonist is prescribed has or has the capacity to provide the knowledge and
12training necessary to safely administer the opioid antagonist to an individual
13undergoing an opioid-related overdose and that the person demonstrates the
14capacity to ensure that any individual to whom the person further delivers the opioid
15antagonist has or receives that knowledge and training.
SB515,15,21 16(3) A physician or physician assistant who, acting in good faith, prescribes or
17delivers an opioid antagonist in accordance with sub. (2), or who, acting in good faith,
18otherwise lawfully prescribes or dispenses an opioid antagonist, shall be immune
19from criminal or civil liability and may not be subject to professional discipline under
20s. 448.02 for any outcomes resulting from prescribing, delivering, or dispensing the
21opioid antagonist.
SB515,51 22Section 51 . 448.038 of the statutes is renumbered 461.038.
SB515,52 23Section 52. 448.04 (1) (f) of the statutes is repealed.
SB515,53 24Section 53. 448.05 (5) of the statutes is repealed.
SB515,54 25Section 54. 448.20 of the statutes is repealed.
SB515,55
1Section 55. 448.21 of the statutes is repealed.
SB515,56 2Section 56. 448.40 (2) (f) of the statutes is repealed.
SB515,57 3Section 57 . 448.62 (7) of the statutes is amended to read:
SB515,16,74 448.62 (7) A physician assistant who is acting under the supervision and
5direction of
in collaboration with a podiatrist , subject to s. 448.21 (4) as described in
6s. 461.10 (2) (a) 1. c. or an individual to whom the physician assistant delegates a task
7or order under s. 461.10 (4)
.
SB515,58 8Section 58 . 448.695 (4) of the statutes is repealed.
SB515,59 9Section 59. 450.01 (15r) of the statutes is repealed.
SB515,60 10Section 60 . 450.01 (16) (hm) 3. of the statutes is amended to read:
SB515,16,1211 450.01 (16) (hm) 3. The patient's physician assistant , if the physician assistant
12is under the supervision of the patient's personal attending physician
.
SB515,61 13Section 61 . 450.10 (3) (a) 5. of the statutes is amended to read:
SB515,16,1614 450.10 (3) (a) 5. A physician, physician assistant, podiatrist, physical
15therapist, physical therapist assistant, occupational therapist, or occupational
16therapy assistant licensed under ch. 448.
SB515,62 17Section 62. 450.10 (3) (a) 12. of the statutes is created to read:
SB515,16,1818 450.10 (3) (a) 12. A physician assistant licensed under ch. 461.
SB515,63 19Section 63 . 450.11 (1) of the statutes is amended to read:
SB515,17,1020 450.11 (1) Dispensing. Except as provided in sub. (1i) (b) 2., no person may
21dispense any prescribed drug or device except upon the prescription order of a
22practitioner. All prescription orders shall, except as provided in sub. (1a), specify the
23date of issue, the name and address of the practitioner, the name and quantity of the
24drug product or device prescribed, directions for the use of the drug product or device,
25the symptom or purpose for which the drug is being prescribed if required under sub.

1(4) (a) 8., and, if the order is written by the practitioner, the signature of the
2practitioner. Except as provided in ss. 118.2925 (3), 255.07 (2), 441.18 (2) (a) 1.,
3448.035 (2), and 448.037 (2) (a) 1., 461.035 (2), and 461.037 (2) (a) 1. and except for
4standing orders issued under s. 441.18 (2) (a) 2. or , 448.037 (2) (a) 2., or 461.037 (2)
5(a) 2.
, all prescription orders shall also specify the name and address of the patient.
6A prescription order issued under s. 118.2925 (3) shall specify the name and address
7of the school. A prescription order issued under s. 255.07 (2) shall specify the name
8and address of the authorized entity or authorized individual. Any oral prescription
9order shall be immediately reduced to writing by the pharmacist and filed according
10to sub. (2).
SB515,64 11Section 64 . 450.11 (1g) (b) of the statutes is amended to read:
SB515,17,2512 450.11 (1g) (b) A pharmacist may, upon the prescription order of a practitioner
13providing expedited partner therapy, as specified in s. 448.035 or 461.035, that
14complies with the requirements of sub. (1), dispense an antimicrobial drug as a
15course of therapy for treatment of chlamydial infections, gonorrhea, or
16trichomoniasis to the practitioner's patient or a person with whom the patient has
17had sexual contact for use by the person with whom the patient has had sexual
18contact. The pharmacist shall provide a consultation in accordance with rules
19promulgated by the board for the dispensing of a prescription to the person to whom
20the antimicrobial drug is dispensed. A pharmacist providing a consultation under
21this paragraph shall ask whether the person for whom the antimicrobial drug has
22been prescribed is allergic to the antimicrobial drug and advise that the person for
23whom the antimicrobial drug has been prescribed must discontinue use of the
24antimicrobial drug if the person is allergic to or develops signs of an allergic reaction
25to the antimicrobial drug.
SB515,65
1Section 65. 450.11 (1i) (a) 1. of the statutes is amended to read:
SB515,18,132 450.11 (1i) (a) 1. A pharmacist may, upon and in accordance with the
3prescription order of an advanced practice nurse prescriber under s. 441.18 (2) (a) 1.,
4or of a physician or physician assistant under s. 448.037 (2) (a) 1., or of a physician
5assistant under s. 461.037 (2) (a) 1.
that complies with the requirements of sub. (1),
6deliver an opioid antagonist to a person specified in the prescription order and may,
7upon and in accordance with the standing order of an advanced practice nurse
8prescriber under s. 441.18 (2) (a) 2., or of a physician or physician assistant under
9s. 448.037 (2) (a) 2., or of a physician assistant under s. 461.037 (2) (a) 2. that complies
10with the requirements of sub. (1), deliver an opioid antagonist to an individual in
11accordance with the order. The pharmacist shall provide a consultation in
12accordance with rules promulgated by the board for the delivery of a prescription to
13the person to whom the opioid antagonist is delivered.
SB515,66 14Section 66 . 450.11 (1i) (b) 2. c. of the statutes is amended to read:
SB515,18,1715 450.11 (1i) (b) 2. c. A physician or physician assistant may only deliver or
16dispense an opioid antagonist in accordance with s. 448.037 (2) or in accordance with
17his or her other legal authority to dispense prescription drugs.
SB515,67 18Section 67 . 450.11 (1i) (b) 2. cm. of the statutes is created to read:
SB515,18,2119 450.11 (1i) (b) 2. cm. A physician assistant may only deliver or dispense an
20opioid antagonist in accordance with s. 461.037 (2) or in accordance with his or her
21other legal authority to dispense prescription drugs.
SB515,68 22Section 68 . 450.11 (1i) (c) 2. of the statutes is amended to read:
SB515,19,223 450.11 (1i) (c) 2. Subject to par. (a) 2. and ss. 441.18 (3) and, 448.037 (3), and
24461.037 (3),
any person who, acting in good faith, delivers or dispenses an opioid

1antagonist to another person shall be immune from civil or criminal liability for any
2outcomes resulting from delivering or dispensing the opioid antagonist.
SB515,69 3Section 69. 450.11 (8) (b) of the statutes is amended to read:
SB515,19,54 450.11 (8) (b) The medical examining board, insofar as this section applies to
5physicians and physician assistants.
SB515,70 6Section 70. 450.11 (8) (f) of the statutes is created to read:
SB515,19,87 450.11 (8) (f) The physician assistant examining board, insofar as this section
8applies to physician assistants.
SB515,71 9Section 71 . Chapter 461 of the statutes is created to read:
SB515,19,1010 CHAPTER 461
SB515,19,1111 Physician assistants
SB515,19,12 12461.01 Definitions. In this chapter, unless the context requires otherwise:
SB515,19,13 13(1) “Board" means the physician assistant examining board.
SB515,19,16 14(2) “Disease” means any pain, injury, deformity, or physical or mental illness
15or departure from complete health or the proper condition of the human body or any
16of its parts.
SB515,19,17 17(3) “Physician assistant” means a person licensed under this chapter.
SB515,19,18 18(4) “Podiatrist” has the meaning given in s. 448.60 (3).
SB515,19,19 19(5) “Podiatry” has the meaning given in s. 448.60 (4).
SB515,19,20 20(6) “Practice of medicine and surgery” has the meaning given in s. 448.01 (9).
SB515,20,3 21461.03 License required; exceptions. (1) Except as provided in subs. (2)
22and (3), no person may represent himself or herself as a “PA,” “ physician assistant,"
23“physician associate,” or “associate physician,” use or assume the title “PA,”
24“physician assistant," “physician associate,” or “associate physician,” or append to
25the person's name the words or letters “physician assistant," “physician associate,”

1“associate physician,” “PA," “PA-C,” or any other titles, letters, or designation that
2represents or may tend to represent the person as a physician assistant, unless he
3or she is licensed by the board under this chapter.
SB515,20,4 4(2) Subsection (1) does not apply with respect to any of the following:
SB515,20,85 (a) An individual employed and duly credentialed as a physician assistant or
6physician associate by the federal government while performing duties incident to
7that employment, unless a license under this chapter is required by the federal
8government.
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