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SENATE AMENDMENT 1,
TO SENATE BILL 145
October 17, 2023 - Offered by Senators Hesselbein, Agard, L. Johnson, Larson,
Smith and Taylor.
SB145-SA1,1,11 At the locations indicated, amend the bill as follows:
SB145-SA1,1,2 21. Page 49, line 20: delete “(b) 1." and substitute “(b)".
SB145-SA1,1,3 32. Page 49, line 24: delete “has" and substitute “satisfies all of the following:".
SB145-SA1,1,5 43. Page 49, line 25: delete the material beginning with that line and ending
5with page 50, line 21, and substitute:
SB145-SA1,1,12 6“1. The advanced practice registered nurse has, except as provided in subd. 3.,
7completed 3,840 hours of professional nursing in a clinical setting. Clinical hours
8completed as a requirement of a nursing program offered by a qualifying school of
9nursing described under s. 441.06 (1) (c) may be used to satisfy the requirement
10under this subdivision. Hours completed to satisfy a requirement of an education
11program described in sub. (1) (a) 2. a. may not be used to satisfy the requirement
12under this subdivision.
SB145-SA1,2,3
12. At least 24 months have elapsed since the advanced practice registered nurse
2first began completing the clinical hours required by a nursing program described
3under subd. 1.
SB145-SA1,2,124 3. The advanced practice registered nurse has completed 3,840 clinical hours
5of advanced practice registered nursing practice in that recognized role while
6working with a physician or dentist who was immediately available for consultation
7and accepted responsibility for the actions of the advanced practice registered nurse
8during those 3,840 hours of practice. The advanced practice registered nurse may
9substitute additional hours of advanced practice registered nursing working with a
10physician or dentist described in this subdivision to count toward the requirement
11under subd. 1. Each such additional hour shall count toward one hour of the
12requirement under subd. 1.
SB145-SA1,2,1513 4. At least 24 months have elapsed since the advanced practice registered nurse
14first began practicing advanced practice registered nursing in that recognized role
15as described in subd. 3.
SB145-SA1,2,1916 (bd) For purposes of par. (b) 3., hours of advanced practice registered nursing
17practice may include the lawful practice of advanced practice registered nursing
18outside this state or the lawful practice of advanced practice registered nursing in
19this state prior to the effective date of this paragraph .... [LRB inserts date].”.
SB145-SA1,2,21 204. Page 50, line 22: delete “An advanced" and substitute “Except as otherwise
21provided in this paragraph, an advanced".
SB145-SA1,2,22 225. Page 50, line 22: before “pain management" insert “chronic".
SB145-SA1,2,24 236. Page 50, line 23: after “physician" insert “who, through education, training,
24and experience, specializes in pain management".
SB145-SA1,3,2
17. Page 50, line 23: delete the material beginning with “Except" and ending
2with “this subdivision" on line 24 and substitute “This subdivision”.
SB145-SA1,3,3 38. Page 51, line 2: before “pain management" insert “chronic".
SB145-SA1,3,4 49. Page 51, line 4: after that line insert:
SB145-SA1,3,8 5“3. Except as provided in par. (c), subd. 1. does not apply to an advanced practice
6registered nurse who has qualified for independent practice under par. (b) and has
7privileges in a hospital, as defined in s. 50.33 (2), to provide chronic pain
8management services without a collaborative relationship with a physician.” .
SB145-SA1,3,9 910. Page 51, line 5: after “(bg) 1." insert “and 3.".
SB145-SA1,3,10 1011. Page 51, line 10: after that line insert:
SB145-SA1,3,16 11“(br) Any advanced practice registered nurse who may provide chronic pain
12management services without a collaborative relationship with a physician as
13provided in par. (bg) 3. shall inform the hospital in which the advanced practice
14registered nurse has privileges as described under par. (bg) 3. that the advanced
15practice registered nurse may provide chronic pain management services without a
16collaborative relationship with a physician.”.
SB145-SA1,3,19 1712. Page 53, line 2: delete “in the minimum amounts required by the rules of
18the board" and substitute “that provides coverage of not less than the amounts
19established under s. 655.23 (4)".
SB145-SA1,3,20 2013. Page 56, line 15: after that line insert:
SB145-SA1,3,21 21 Section 109m. 441.14 of the statutes is created to read:
SB145-SA1,4,10 22441.14 Use of terms representing physicians. No person licensed under
23this chapter, unless the person is also licensed as a physician under subch. II of ch.
24448, may use or assume the following words, letters, or terms in the person's title,

1advertising, or description of services: “physician,” “ surgeon,” “osteopathic
2physician,” “osteopathic surgeon," “medical doctor," “anesthesiologist,”
3“cardiologist,” “dermatologist,” “endocrinologist,” “gastroenterologist,”
4“gynecologist,” “hematologist,” “laryngologist,” “ nephrologist,” “neurologist,”
5“obstetrician,” “oncologist,” “ophthalmologist,” “ orthopedic surgeon,” “orthopedist,”
6“osteopath,” “otologist,” “otolaryngologist,” “ otorhinolaryngologist,” “pathologist,”
7“pediatrician,” “primary care physician,” “proctologist,” “psychiatrist,” “radiologist,”
8“rheumatologist,” “rhinologist,” “urologist,” or any other words, letters, or
9abbreviations, alone or in combination with other titles or words, that represent that
10the person is a physician.”.
SB145-SA1,4,12 1114. Page 64, line 11: delete the material beginning with ““Advanced practice
12registered nurse”" and ending with “under s. 441.001 (3c)." on line 13.
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