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LRB-3932/1
MED:emw
2017 Special Session
2017 - 2018 LEGISLATURE
Enhanced nurse licensure compact
Preliminary Draft - Not Ready For Introduction
September 20, 2017 - Introduced by Representatives VanderMeer, Tranel, Ripp,
Allen, Anderson, Ballweg, Berceau, Bernier, Billings, Born, E. Brooks, R.
Brooks
, Crowley, Doyle, Duchow, Edming, Felzkowski, Gannon, Genrich,
Hutton, Jacque, Jagler, Katsma, Kerkman, Kitchens, Kleefisch,
Kooyenga, Kremer, Krug, Kuglitsch, Kulp, Loudenbeck, Macco, Mason,
Meyers, Milroy, Murphy, Mursau, Nerison, Neylon, Novak, Nygren, Ott,
Petersen, Petryk, Pronschinske, Quinn, Riemer, Rodriguez, Rohrkaste,
Sargent, Skowronski, Snyder, Spiros, Spreitzer, Stafsholt, Steffen,
Steineke, Stuck, Summerfield, Swearingen, Tauchen, Thiesfeldt, Tittl,
Tusler, Vorpagel, Wachs, Wichgers, Zimmerman, Shankland, Kolste and
Brostoff, cosponsored by Senators Marklein, Cowles, Olsen, Bewley,
Carpenter, Darling, Erpenbach, Feyen, Hansen, Harsdorf, Johnson,
LeMahieu, Moulton, Nass, Petrowski, Ringhand, Roth, Shilling, Testin,
Tiffany, Vinehout, Wanggaard and Wirch. Referred to Committee on Health.
AB500,1,10 1An Act to repeal 441.50; to amend 49.498 (1) (L), 50.01 (1w), 50.01 (5r), 115.001
2(11), 118.29 (4), 146.40 (1) (c), 146.40 (1) (f), 250.01 (7), 255.06 (1) (d), 440.03
3(11m) (c) 1., 440.03 (13) (b) (intro.), 440.14 (5) (b), 440.15, 441.06 (4), 441.10 (7),
4441.115 (2) (a), 441.15 (3) (a) (intro.), subchapter II (title) of chapter 441
5[precedes 441.50], 655.001 (9), 905.04 (1) (f), 990.01 (19g), 990.01 (23q) and
6990.01 (36m); to repeal and recreate 440.03 (13) (b) (intro.) and 440.15; and
7to create 14.87, 111.335 (1) (e), 441.06 (1c), 441.10 (1c) and 441.51 of the
8statutes; relating to: ratification of the Enhanced Nurse Licensure Compact,
9extending the time limit for emergency rule procedures, and providing an
10exemption from emergency rule procedures.
Analysis by the Legislative Reference Bureau
This bill ratifies and enters Wisconsin into the Enhanced Nurse Licensure
Compact (enhanced compact). The enhanced compact replaces the original Nurse

Licensure Compact (original compact), which was ratified in Wisconsin in 1999.
Under both versions of the compact, a nurse, whether a registered nurse or a licensed
practical nurse, who is licensed in a state that has adopted the compact (party state)
may practice in any other party state without needing to separately obtain a license
in that other party state. Significant provisions of the enhanced compact, as
compared to the original compact, include all of the following:
1. Under the enhanced compact, party states grant multistate nursing licenses,
with the compact setting out minimum qualifications that an applicant must satisfy
in order to be granted a multistate license, including that an applicant submit to a
background investigation. Under the enhanced compact, a multistate license is
recognized by each party state as authorizing a nurse to practice, under a multistate
licensure privilege, in that party state. The enhanced compact also provides that
party states may grant single-state licenses, which authorize practice only within
the issuing state. The enhanced compact does not affect the requirements
established by a party state for the issuance of a single-state license.
Under the original compact, a license issued by a home state to a resident in
that state is simply recognized by each other party state as authorizing a multistate
licensure privilege to practice in that party state, with the qualifications for
obtaining a license to be determined under each party state's laws.
2. The enhanced compact establishes an Interstate Commission of Nurse
Licensure Compact Administrators (commission), which consists of the heads of each
party state's board that licenses nurses, or their designees. The commission has
various powers and duties granted in the compact, including overseeing the
administration of the compact, enforcing the compact, adopting bylaws,
promulgating binding rules for the compact, and employing an executive director
and employees. Under the original compact, the compact is administered by compact
administrators, with the administrator for this state designated as the secretary of
safety and professional services or his or her designee.
3. The enhanced compact includes various provisions regarding resolutions of
disputes between the commission and party states and between party and nonparty
states. The enhanced compact requires the commission to attempt to resolve
disputes related to the compact that arise among party states and between party and
nonparty states, after which such disputes would be handed through arbitration.
Under the original compact, disputes are simply to be handled through arbitration.
4. The enhanced compact includes a process for termination of a party state
from the compact that has defaulted in the performance of its obligations under the
compact. No such provisions are included in the original compact.
Pursuant to the terms of the enhanced compact, the enhanced compact became
effective in party states that have already enacted it on July 20, 2017, which was the
date the enhanced compact was signed into law by a 26th state. The enhanced
compact may be further amended upon enactment of an amendment by all member
states.
The enhanced compact provides that all party states to the enhanced compact
that also were parties to the original compact are deemed to have withdrawn from

the original compact within six months after the effective date of the enhanced
compact.
For further information see the state fiscal estimate, which will be printed as
an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB500,1 1Section 1 . 14.87 of the statutes is created to read:
AB500,3,6 214.87 Enhanced nurse licensure compact. There is created an interstate
3commission of nurse licensure compact administrators as specified in s. 441.51. The
4administrator of the commission representing this state shall be the chairperson of
5the board of nursing or his or her designee as provided in s. 441.51 (7) (b) 1. The
6commission has the powers and duties granted and imposed under s. 441.51.
AB500,2 7Section 2. 49.498 (1) (L) of the statutes is amended to read:
AB500,3,108 49.498 (1) (L) “Registered professional nurse" means a registered nurse who
9is licensed under ch. 441 or who holds a multistate license, as defined in s. 441.51 (2)
10(h), issued
in a party state, as defined in s. 441.50 441.51 (2) (j) (k).
AB500,3 11Section 3. 50.01 (1w) of the statutes is amended to read:
AB500,3,1512 50.01 (1w) “Licensed practical nurse" means a licensed practical nurse who is
13licensed or has a temporary permit under s. 441.10 or who is licensed as a licensed
14practical/vocational nurse
holds a multistate license, as defined in s. 441.51 (2) (h),
15issued
in a party state, as defined in s. 441.50 441.51 (2) (j) (k).
AB500,4 16Section 4. 50.01 (5r) of the statutes is amended to read:
AB500,3,2017 50.01 (5r) “Registered nurse" means a registered nurse who is licensed under
18s. 441.06 or permitted under s. 441.08 or who is licensed as a registered nurse holds
19a multistate license, as defined in s. 441.51 (2) (h), issued
in a party state, as defined
20in s. 441.50 441.51 (2) (j) (k).
AB500,5
1Section 5. 111.335 (1) (e) of the statutes is created to read:
AB500,4,42 111.335 (1) (e) Notwithstanding s. 111.322, it is not employment discrimination
3because of conviction record for the board of nursing to refuse to license an individual
4in accordance with s. 441.51 (3) (c) 7. and 8.
AB500,6 5Section 6. 115.001 (11) of the statutes is amended to read:
AB500,4,116 115.001 (11) School nurse. “School nurse" means a registered nurse who is
7licensed under ch. 441 or who holds a multistate license, as defined in s. 441.51 (2)
8(h), issued
in a party state, as defined in s. 441.50 441.51 (2) (j) (k), who submits
9evidence satisfactory to the department that he or she has successfully completed a
10course, determined to be satisfactory to the department, in public health or
11community health.
AB500,7 12Section 7. 118.29 (4) of the statutes is amended to read:
AB500,5,313 118.29 (4) Written policies. Any school board, county children with
14disabilities education board, cooperative educational service agency or governing
15body of a private school whose employees or volunteers may be authorized to
16administer nonprescription drug products or prescription drugs to pupils under this
17section shall adopt a written policy governing the administration of nonprescription
18drug products and prescription drugs to pupils. In developing the policy, the school
19board, board, agency or governing body shall seek the assistance of one or more
20school nurses who are employees of the school board, board, agency or governing body
21or are providing services or consultation under s. 121.02 (1) (g). The policy shall
22include procedures for obtaining and filing in the school or other appropriate facility
23the written instructions and consent required under sub. (2) (a), for the periodic
24review of such written instructions by a registered nurse who is licensed under s.
25441.06 or who holds a multistate license, as defined in s. 441.51 (2) (h), issued in a

1party state, as defined in s. 441.50 441.51 (2) (j) (k), for the storing of nonprescription
2drug products and prescription drugs, and for record keeping, including
3documenting the administration of each dose, including errors.
AB500,8 4Section 8. 146.40 (1) (c) of the statutes is amended to read:
AB500,5,85 146.40 (1) (c) “Licensed practical nurse" means a licensed practical nurse who
6is licensed or has a temporary permit under s. 441.10 or is licensed as a licensed
7practical/vocational nurse
who holds a multistate license, as defined in s. 441.51 (2)
8(h), issued
in a party state, as defined in s. 441.50 441.51 (2) (j) (k).
AB500,9 9Section 9. 146.40 (1) (f) of the statutes is amended to read:
AB500,5,1310 146.40 (1) (f) “Registered nurse" means a registered nurse who has a certificate
11of registration
license under s. 441.06 or a temporary permit under s. 441.08 or who
12is licensed as a registered nurse holds a multistate license, as defined in s. 441.51 (2)
13(h), issued
in a party state, as defined in s. 441.50 441.51 (2) (j) (k).
AB500,10 14Section 10. 250.01 (7) of the statutes is amended to read:
AB500,5,1815 250.01 (7) “Registered nurse" means a registered nurse who is licensed under
16s. 441.06 or in a party state, as defined in s. 441.50 (2) (j), or permitted under s. 441.08
17or who holds a multistate license, as defined in s. 441.51 (2) (h), issued in a party
18state, as defined in s. 441.51 (2) (k)
.
AB500,11 19Section 11. 255.06 (1) (d) of the statutes is amended to read:
AB500,5,2420 255.06 (1) (d) “Nurse practitioner" means a registered nurse who is licensed
21under ch. 441 or who holds a multistate license, as defined in s. 441.51 (2) (h), issued
22in a party state, as defined in s. 441.50 441.51 (2) (j), (k), and whose practice of
23professional nursing under s. 441.001 (4) includes performance of delegated medical
24services under the supervision of a physician, dentist, or podiatrist.
AB500,12 25Section 12. 440.03 (11m) (c) 1. of the statutes is amended to read:
AB500,6,2
1440.03 (11m) (c) 1. The coordinated licensure information system under s.
2441.50 (7) 441.51 (6).
AB500,13 3Section 13. 440.03 (13) (b) (intro.) of the statutes is amended to read:
AB500,6,94 440.03 (13) (b) (intro.) The department may investigate whether an applicant
5for or holder of any of the following credentials has been charged with or convicted
6of a crime only pursuant to rules promulgated by the department under this
7paragraph, including rules that establish the criteria that the department will use
8to determine whether an investigation under this paragraph is necessary, except as
9provided in par. (c) and s. ss. 441.51 (5) (a) 5. and 448.980 (5) (b) 3.:
AB500,14 10Section 14 . 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
12recreated to read:
AB500,6,1813 440.03 (13) (b) (intro.) The department may investigate whether an applicant
14for or holder of any of the following credentials has been charged with or convicted
15of a crime only pursuant to rules promulgated by the department under this
16paragraph, including rules that establish the criteria that the department will use
17to determine whether an investigation under this paragraph is necessary, except as
18provided in par. (c) and s. 441.51 (5) (a) 5.:
AB500,15 19Section 15. 440.14 (5) (b) of the statutes is amended to read:
AB500,7,320 440.14 (5) (b) Paragraph (a) does not apply to a list that the department or a
21credentialing board furnishes to another state agency, a law enforcement agency or
22a federal governmental agency. In addition, par. (a) does not apply to a list that the
23department or the board of nursing furnishes to the coordinated licensure
24information system under s. 441.50 (7) 441.51 (6). A state agency that receives a list
25from the department or a credentialing board containing a personal identifier of any

1individual who has made a declaration under sub. (2), (3) or (4) may not disclose the
2personal identifier to any person other than a state agency, a law enforcement agency
3or a federal governmental agency.
AB500,16 4Section 16. 440.15 of the statutes is amended to read:
AB500,7,9 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
7not require that an applicant for a credential or a credential holder be fingerprinted
8or submit fingerprints in connection with the department's or the credentialing
9board's credentialing.
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