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SB249,48,2321 441.09 (5m) Nurse anesthetists. The provisions of s. 448.04 (1) (g) do not apply
22to a an advanced practice registered nurse licensed under this section who possesses
23a certified registered
nurse anesthetist specialty designation under sub. (1) (c) 1. a.
SB249,97 24Section 97. 441.11 (3) of the statutes is repealed.
SB249,98 25Section 98. 441.15 of the statutes is repealed.
SB249,99
1Section 99. 441.16 of the statutes is repealed.
SB249,100 2Section 100 . 441.18 (2) (a) (intro.) of the statutes is amended to read:
SB249,49,53 441.18 (2) (a) (intro.) An advanced practice registered nurse certified who holds
4a permit
to issue prescription orders under s. 441.16 441.09 (2) may do any of the
5following:
SB249,101 6Section 101 . 441.18 (2) (b) of the statutes is amended to read:
SB249,49,137 441.18 (2) (b) An advanced practice registered nurse who prescribes or delivers
8an opioid antagonist under par. (a) 1. shall ensure that the person to whom the opioid
9antagonist is prescribed has or has the capacity to provide the knowledge and
10training necessary to safely administer the opioid antagonist to an individual
11undergoing an opioid-related overdose and that the person demonstrates the
12capacity to ensure that any individual to whom the person further delivers the opioid
13antagonist has or receives that knowledge and training.
SB249,102 14Section 102 . 441.18 (3) of the statutes is amended to read:
SB249,49,2015 441.18 (3) An advanced practice registered nurse who, acting in good faith,
16prescribes or delivers an opioid antagonist in accordance with sub. (2), or who, acting
17in good faith, otherwise lawfully prescribes or dispenses an opioid antagonist, shall
18be immune from criminal or civil liability and may not be subject to professional
19discipline under s. 441.07 for any outcomes resulting from prescribing, delivering,
20or dispensing the opioid antagonist.
SB249,103 21Section 103 . 441.19 of the statutes is repealed.
SB249,104 22Section 104 . Subchapter II (title) of chapter 441 [precedes 441.51] of the
23statutes is amended to read:
SB249,49,2424 Chapter 441
SB249,49,2525 SUBCHAPTER II
SB249,50,1
1ENHANCED NURSE LICENSURE COMPACT
SB249,105 2Section 105 . 441.51 (title) of the statutes is amended to read:
SB249,50,3 3441.51 (title) Enhanced nurse Nurse licensure compact.
SB249,106 4Section 106 . 448.03 (2) (a) of the statutes is amended to read:
SB249,50,115 448.03 (2) (a) Any person lawfully practicing within the scope of a license,
6permit, registration, certificate or certification granted to practice midwifery under
7subch. XIII of ch. 440, to practice professional or , practical, or advanced practice
8registered
nursing or nurse-midwifery under ch. 441, to practice chiropractic under
9ch. 446, to practice dentistry or dental hygiene under ch. 447, to practice optometry
10under ch. 449, to practice acupuncture under ch. 451 or under any other statutory
11provision, or as otherwise provided by statute.
SB249,107 12Section 107. 448.035 (1) (a) of the statutes is repealed.
SB249,108 13Section 108 . 448.035 (2), (3) and (4) of the statutes are amended to read:
SB249,51,314 448.035 (2) Notwithstanding the requirements of s. 448.30, a physician, a
15physician assistant, or certified an advanced practice registered nurse prescriber
16who holds a permit to issue prescription orders under s. 441.09 (2) may provide
17expedited partner therapy if the patient is diagnosed as infected with a chlamydial
18infection, gonorrhea, or trichomoniasis and the patient has had sexual contact with
19a sexual partner during which the chlamydial infection, gonorrhea, or
20trichomoniasis may have been transmitted to or from the sexual partner. The
21physician, physician assistant, or certified advanced practice registered nurse
22prescriber shall attempt to obtain the name of the patient's sexual partner. A
23prescription order for an antimicrobial drug prepared under this subsection shall
24include the name and address of the patient's sexual partner, if known. If the
25physician, physician assistant, or certified advanced practice registered nurse

1prescriber is unable to obtain the name of the patient's sexual partner, the
2prescription order shall include, in ordinary bold-faced capital letters, the words,
3“expedited partner therapy" or the letters “EPT."
SB249,51,8 4(3) The physician, physician assistant, or certified advanced practice
5registered nurse prescriber shall provide the patient with a copy of the information
6sheet prepared by the department of health services under s. 46.03 (44) and shall
7request that the patient give the information sheet to the person with whom the
8patient had sexual contact.
SB249,51,13 9(4) (a) Except as provided in par. (b), a physician, physician assistant, or
10certified advanced practice registered nurse prescriber is immune from civil liability
11for injury to or the death of a person who takes any antimicrobial drug if the
12antimicrobial drug is prescribed, dispensed, or furnished under this section and if
13expedited partner therapy is provided as specified under this section.
SB249,51,1714 (b) The immunity under par. (a) does not extend to the donation, distribution,
15furnishing, or dispensing of an antimicrobial drug by a physician, physician
16assistant, or certified advanced practice registered nurse prescriber whose act or
17omission involves reckless, wanton, or intentional misconduct.
SB249,109 18Section 109 . 448.56 (1) and (1m) (b) of the statutes are amended to read:
SB249,52,819 448.56 (1) Written referral. Except as provided in this subsection and s.
20448.52, a person may practice physical therapy only upon the written referral of a
21physician, physician assistant, chiropractor, dentist, podiatrist, or advanced practice
22registered nurse prescriber certified under s. 441.16 (2). Written referral is not
23required if a physical therapist provides services in schools to children with
24disabilities, as defined in s. 115.76 (5), pursuant to rules promulgated by the
25department of public instruction; provides services as part of a home health care

1agency; provides services to a patient in a nursing home pursuant to the patient's
2plan of care; provides services related to athletic activities, conditioning, or injury
3prevention; or provides services to an individual for a previously diagnosed medical
4condition after informing the individual's physician, physician assistant,
5chiropractor, dentist, podiatrist, or advanced practice registered nurse prescriber
6certified under s. 441.16 (2)
who made the diagnosis. The examining board may
7promulgate rules establishing additional services that are excepted from the written
8referral requirements of this subsection.
SB249,52,14 9(1m) (b) The examining board shall promulgate rules establishing the
10requirements that a physical therapist must satisfy if a physician, physician
11assistant, chiropractor, dentist, podiatrist, or advanced practice registered nurse
12prescriber makes a written referral under sub. (1). The purpose of the rules shall be
13to ensure continuity of care between the physical therapist and the health care
14practitioner.
SB249,110 15Section 110 . 448.62 (2m) of the statutes is amended to read:
SB249,52,1916 448.62 (2m) An advanced practice registered nurse who is certified to issue
17prescription orders under s. 441.16 and
who is providing nonsurgical patient services
18as directed, supervised, and inspected by a podiatrist who has the power to direct,
19decide, and oversee the implementation of the patient services rendered.
SB249,111 20Section 111 . 448.67 (2) of the statutes is amended to read:
SB249,53,521 448.67 (2) Separate billing required. Except as provided in sub. (4), a licensee
22who renders any podiatric service or assistance, or gives any podiatric advice or any
23similar advice or assistance, to any patient, podiatrist, physician, physician
24assistant, advanced practice registered nurse prescriber certified under s. 441.16 (2),
25partnership, or corporation, or to any other institution or organization, including a

1hospital, for which a charge is made to a patient, shall, except as authorized by
2Title 18 or Title 19 of the federal Social Security Act, render an individual statement
3or account of the charge directly to the patient, distinct and separate from any
4statement or account by any other podiatrist, physician, physician assistant,
5advanced practice registered nurse prescriber, or other person.
SB249,112 6Section 112 . 448.956 (1m) of the statutes is amended to read:
SB249,53,127 448.956 (1m) Subject to sub. (1) (a), a licensee may provide athletic training
8to an individual without a referral, except that a licensee may not provide athletic
9training as described under s. 448.95 (5) (d) or (e) in an outpatient rehabilitation
10setting unless the licensee has obtained a written referral for the individual from a
11practitioner licensed or certified under subch. II, III, IV, V, or VII of this chapter;
12under ch. 446; or under s. 441.16 (2) 441.09.
SB249,113 13Section 113. 450.01 (1m) of the statutes is repealed.
SB249,114 14Section 114 . 450.01 (16) (h) 2. of the statutes is amended to read:
SB249,53,1815 450.01 (16) (h) 2. The patient's advanced practice registered nurse prescriber,
16if the advanced practice registered nurse prescriber has entered into a written
17agreement to collaborate with a physician
holds a permit to issue prescription orders
18under s. 441.09 (2)
.
SB249,115 19Section 115 . 450.01 (16) (hr) 2. of the statutes is amended to read:
SB249,53,2120 450.01 (16) (hr) 2. An advanced practice registered nurse prescriber who holds
21a permit to issue prescription orders under s. 441.09 (2)
.
SB249,116 22Section 116 . 450.03 (1) (e) of the statutes is amended to read:
SB249,54,423 450.03 (1) (e) Any person lawfully practicing within the scope of a license,
24permit, registration, certificate, or certification granted to provide home medical
25oxygen under s. 450.076, to practice professional or , practical, or advanced practice

1registered
nursing or nurse-midwifery under ch. 441, to practice dentistry or dental
2hygiene under ch. 447, to practice medicine and surgery under ch. 448, to practice
3optometry under ch. 449 or to practice veterinary medicine under ch. 89, or as
4otherwise provided by statute.
SB249,117 5Section 117 . 450.11 (1i) (a) 1. of the statutes is amended to read:
SB249,54,166 450.11 (1i) (a) 1. A pharmacist may, upon and in accordance with the
7prescription order of an advanced practice registered nurse prescriber under s.
8441.18 (2) (a) 1., or of a physician or physician assistant under s. 448.037 (2) (a) 1.,
9that complies with the requirements of sub. (1), deliver an opioid antagonist to a
10person specified in the prescription order and may, upon and in accordance with the
11standing order of an advanced practice registered nurse prescriber under s. 441.18
12(2) (a) 2., or of a physician or physician assistant under s. 448.037 (2) (a) 2., that
13complies with the requirements of sub. (1), deliver an opioid antagonist to an
14individual in accordance with the order. The pharmacist shall provide a consultation
15in accordance with rules promulgated by the board for the delivery of a prescription
16to the person to whom the opioid antagonist is delivered.
SB249,118 17Section 118 . 450.11 (1i) (b) 2. b. of the statutes is amended to read:
SB249,54,2018 450.11 (1i) (b) 2. b. An advanced practice registered nurse prescriber may only
19deliver or dispense an opioid antagonist in accordance with s. 441.18 (2) or in
20accordance with his or her other legal authority to dispense prescription drugs.
SB249,119 21Section 119 . 450.11 (7) (b) of the statutes is amended to read:
SB249,54,2522 450.11 (7) (b) Information communicated to a physician, physician assistant,
23or advanced practice registered nurse prescriber in an effort to procure unlawfully
24a prescription drug or the administration of a prescription drug is not a privileged
25communication.
SB249,120
1Section 120. 450.11 (8) (e) of the statutes is amended to read:
SB249,55,32 450.11 (8) (e) The board of nursing, insofar as this section applies to advanced
3practice nurse prescribers registered nurses.
SB249,121 4Section 121 . 450.13 (5) (b) of the statutes is amended to read:
SB249,55,85 450.13 (5) (b) The patient's advanced practice registered nurse prescriber, if the
6advanced practice registered nurse prescriber has entered into a written agreement
7to collaborate with a physician
holds a permit to issue prescription orders under s.
8441.09 (2)
.
SB249,122 9Section 122 . 450.135 (7) (b) of the statutes is amended to read:
SB249,55,1310 450.135 (7) (b) The patient's advanced practice registered nurse prescriber, if
11the advanced practice registered nurse prescriber has entered into a written
12agreement to collaborate with a physician
holds a permit to issue prescription orders
13under s. 441.09 (2)
.
SB249,123 14Section 123 . 462.04 of the statutes is amended to read:
SB249,55,22 15462.04 Prescription or order required. A person who holds a license or
16limited X-ray machine operator permit under this chapter may not use diagnostic
17X-ray equipment on humans for diagnostic purposes unless authorized to do so by
18prescription or order of a physician licensed under s. 448.04 (1) (a), a dentist licensed
19under s. 447.04 (1), a podiatrist licensed under s. 448.63, a chiropractor licensed
20under s. 446.02, an advanced practice registered nurse certified licensed under s.
21441.16 (2) 441.09, a physician assistant licensed under s. 448.04 (1) (f), or, subject to
22s. 448.56 (7) (a), a physical therapist licensed under s. 448.53.
SB249,124 23Section 124. 655.001 (7t) of the statutes is amended to read:
SB249,56,324 655.001 (7t) “Health care practitioner" means a health care professional, as
25defined in s. 180.1901 (1m), who is an employee of a health care provider described

1in s. 655.002 (1) (d), (e), (em), or (f) and who has the authority to provide health care
2services that are not in collaboration with a physician under s. 441.15 (2) (b) or under
3the direction and supervision of a physician or nurse anesthetist.
SB249,125 4Section 125 . 655.001 (9) of the statutes is amended to read:
SB249,56,105 655.001 (9) “Nurse anesthetist" means a nurse an individual who is licensed
6under ch. 441 or who holds a multistate license, as defined in s. 441.51 (2) (h), issued
7in a party state, as defined in s. 441.51 (2) (k), and who is certified as a nurse
8anesthetist by the American association of nurse anesthetists
as an advanced
9practice registered nurse and possesses a certified registered nurse anesthetist
10specialty designation under s. 441.09
.
SB249,126 11Section 126 . 655.005 (2) (a) of the statutes is amended to read:
SB249,56,1512 655.005 (2) (a) An employee of a health care provider if the employee is a
13physician or a nurse anesthetist or is a health care practitioner who is providing
14health care services that are not in collaboration with a physician under s. 441.15 (2)
15(b) or
under the direction and supervision of a physician or nurse anesthetist.
SB249,127 16Section 127 . 961.01 (19) (a) of the statutes is amended to read:
SB249,56,2217 961.01 (19) (a) A physician, advanced practice registered nurse, dentist,
18veterinarian, podiatrist, optometrist, scientific investigator or, subject to s. 448.21
19(3), a physician assistant, or other person licensed, registered, certified or otherwise
20permitted to distribute, dispense, conduct research with respect to, administer or use
21in teaching or chemical analysis a controlled substance in the course of professional
22practice or research in this state.
SB249,128 23Section 128 . 961.395 of the statutes is amended to read:
SB249,57,2 24961.395 Limitation on advanced practice registered nurses. (1) An
25advanced practice registered nurse who is certified holds a permit to issue

1prescription orders
under s. 441.16 441.09 (2) may prescribe controlled substances
2only as permitted by the rules promulgated under s. 441.16 (3) 441.09 (6) (d).
SB249,57,6 3(2) An advanced practice registered nurse certified under s. 441.16 who holds
4a permit to issue prescription orders under s. 441.09 (2)
shall include with each
5prescription order the advanced practice nurse prescriber certification permit
6number issued to him or her by the board of nursing.
SB249,57,10 7(3) An advanced practice registered nurse certified under s. 441.16 who holds
8a permit to issue prescription orders under s. 441.09 (2)
may dispense a controlled
9substance only by prescribing or administering the controlled substance or as
10otherwise permitted by the rules promulgated under s. 441.16 (3) 441.09 (6) (d).
SB249,129 11Section 129 . Nonstatutory provisions.
SB249,57,2112 (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. Notwithstanding s. 227.24 (1) (c) and (2), the effective period of a rule
19promulgated under this subsection is for 2 years after its promulgation, or until
20permanent rules take effect, whichever is sooner, and the effective period may not
21be further extended under s. 227.24 (2).
SB249,130 22Section 130 . Effective dates. This act takes effect on March 1, 2022, except
23as follows:
SB249,57,2424 (1) Section 129 (1 ) of this act takes effect on the day after publication.
SB249,57,2525 (End)
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