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SB184,30 9Section 30 . 343.16 (5) (a) of the statutes is amended to read:
SB184,14,710 343.16 (5) (a) The secretary may require any applicant for a license or any
11licensed operator to submit to a special examination by such persons or agencies as
12the secretary may direct to determine incompetency, physical or mental disability,
13disease, or any other condition that might prevent such applicant or licensed person
14from exercising reasonable and ordinary control over a motor vehicle. If the
15department requires the applicant to submit to an examination, the applicant shall
16pay for the examination. If the department receives an application for a renewal or
17duplicate license after voluntary surrender under s. 343.265 or receives a report from
18a physician, physician assistant, as defined in s. 448.01 (6), advanced practice nurse
19prescriber certified under s. 441.16 (2), or optometrist under s. 146.82 (3), or if the
20department has a report of 2 or more arrests within a one-year period for any
21combination of violations of s. 346.63 (1) or (5) or a local ordinance in conformity with
22s. 346.63 (1) or (5) or a law of a federally recognized American Indian tribe or band
23in this state in conformity with s. 346.63 (1) or (5), or s. 346.63 (1m), 1985 stats., or
24s. 346.63 (2) or (6) or 940.25, or s. 940.09 where the offense involved the use of a
25vehicle, the department shall determine, by interview or otherwise, whether the

1operator should submit to an examination under this section. The examination may
2consist of an assessment. If the examination indicates that education or treatment
3for a disability, disease or condition concerning the use of alcohol, a controlled
4substance or a controlled substance analog is appropriate, the department may order
5a driver safety plan in accordance with s. 343.30 (1q). If there is noncompliance with
6assessment or the driver safety plan, the department shall revoke the person's
7operating privilege in the manner specified in s. 343.30 (1q) (d).
SB184,31 8Section 31 . 440.035 (2m) (b) of the statutes is amended to read:
SB184,14,149 440.035 (2m) (b) The medical examining board, the physician assistant
10affiliated credentialing board,
the podiatry affiliated credentialing board, the board
11of nursing, the dentistry examining board, or the optometry examining board may
12issue guidelines regarding best practices in prescribing controlled substances for
13persons credentialed by that board who are authorized to prescribe controlled
14substances.
SB184,32 15Section 32 . 440.035 (2m) (c) 1. (intro.) of the statutes is amended to read:
SB184,14,2016 440.035 (2m) (c) 1. (intro.) The medical examining board, the physician
17assistant affiliated credentialing board,
the podiatry affiliated credentialing board,
18the board of nursing, the dentistry examining board, and the optometry examining
19board shall, by November 1, 2018, and annually thereafter of each year, submit a
20report to the persons specified in subd. 2. that does all of the following:
SB184,33 21Section 33 . 448.01 (6) of the statutes is repealed.
SB184,34 22Section 34 . 448.015 (4) (am) 2. of the statutes is amended to read:
SB184,14,2423 448.015 (4) (am) 2. Any act by a physician or physician assistant in violation
24of ch. 450 or 961.
SB184,35 25Section 35 . 448.02 (1) of the statutes is amended to read:
SB184,15,4
1448.02 (1) License. The board may grant licenses, including various classes
2of temporary licenses, to practice medicine and surgery, to practice as an
3administrative physician, to practice perfusion, and to practice as an
4anesthesiologist assistant, and to practice as a physician assistant.
SB184,36 5Section 36 . 448.03 (1) (b) of the statutes is repealed.
SB184,37 6Section 37 . 448.03 (2) (a) of the statutes is amended to read:
SB184,15,137 448.03 (2) (a) Any person lawfully practicing within the scope of a license,
8permit, registration, certificate or certification granted to practice midwifery under
9subch. XIII of ch. 440, to practice professional or practical nursing or
10nurse-midwifery under ch. 441, to practice chiropractic under ch. 446, to practice
11dentistry or dental hygiene under ch. 447, to practice optometry under ch. 449, to
12practice as a physician assistant under subch. VIII,
to practice acupuncture under
13ch. 451 or under any other statutory provision, or as otherwise provided by statute.
SB184,38 14Section 38 . 448.03 (2) (e) of the statutes is amended to read:
SB184,15,1815 448.03 (2) (e) Any person other than a physician assistant or an
16anesthesiologist assistant who is providing patient services as directed, supervised
17and inspected by a physician who has the power to direct, decide and oversee the
18implementation of the patient services rendered.
SB184,39 19Section 39 . 448.03 (2) (k) of the statutes is amended to read:
SB184,15,2120 448.03 (2) (k) Any persons, other than physician assistants, anesthesiologist
21assistants, or perfusionists, who assist physicians.
SB184,40 22Section 40 . 448.03 (3) (e) of the statutes is repealed.
SB184,41 23Section 41 . 448.03 (5) (b) of the statutes is amended to read:
SB184,15,2524 448.03 (5) (b) No physician or physician assistant shall be liable for any civil
25damages for either of the following:
SB184,16,4
11. Reporting in good faith to the department of transportation under s. 146.82
2(3) a patient's name and other information relevant to a physical or mental condition
3of the patient which in the physician's or physician assistant's judgment impairs the
4patient's ability to exercise reasonable and ordinary control over a motor vehicle.
SB184,16,95 2. In good faith, not reporting to the department of transportation under s.
6146.82 (3) a patient's name and other information relevant to a physical or mental
7condition of the patient which in the physician's or physician assistant's judgment
8does not impair the patient's ability to exercise reasonable and ordinary control over
9a motor vehicle.
SB184,42 10Section 42 . 448.035 (2) to (4) of the statutes are amended to read:
SB184,16,2411 448.035 (2) Notwithstanding the requirements of s. 448.30, a physician,
12physician assistant,
or certified advanced practice nurse prescriber may provide
13expedited partner therapy if the patient is diagnosed as infected with a chlamydial
14infection, gonorrhea, or trichomoniasis and the patient has had sexual contact with
15a sexual partner during which the chlamydial infection, gonorrhea, or
16trichomoniasis may have been transmitted to or from the sexual partner. The
17physician, physician assistant, or certified advanced practice nurse prescriber shall
18attempt to obtain the name of the patient's sexual partner. A prescription order for
19an antimicrobial drug prepared under this subsection shall include the name and
20address of the patient's sexual partner, if known. If the physician , physician
21assistant,
or certified advanced practice nurse prescriber is unable to obtain the
22name of the patient's sexual partner, the prescription order shall include, in ordinary
23bold-faced capital letters, the words, “expedited partner therapy" or the letters
24“EPT."
SB184,17,5
1(3) The physician, physician assistant, or certified advanced practice nurse
2prescriber shall provide the patient with a copy of the information sheet prepared by
3the department of health services under s. 46.03 (44) and shall request that the
4patient give the information sheet to the person with whom the patient had sexual
5contact.
SB184,17,10 6(4) (a) Except as provided in par. (b), a physician , physician assistant, or
7certified advanced practice nurse prescriber is immune from civil liability for injury
8to or the death of a person who takes any antimicrobial drug if the antimicrobial drug
9is prescribed, dispensed, or furnished under this section and if expedited partner
10therapy is provided as specified under this section.
SB184,17,1411 (b) The immunity under par. (a) does not extend to the donation, distribution,
12furnishing, or dispensing of an antimicrobial drug by a physician , physician
13assistant,
or certified advanced practice nurse prescriber whose act or omission
14involves reckless, wanton, or intentional misconduct.
SB184,43 15Section 43 . 448.037 (2) (a) (intro.) and (b) and (3) of the statutes are amended
16to read:
SB184,17,1817 448.037 (2) (a) (intro.) A physician or physician assistant may do any of the
18following:
SB184,17,2519 (b) A physician or physician assistant who prescribes or delivers an opioid
20antagonist under par. (a) 1. shall ensure that the person to whom the opioid
21antagonist is prescribed has or has the capacity to provide the knowledge and
22training necessary to safely administer the opioid antagonist to an individual
23undergoing an opioid-related overdose and that the person demonstrates the
24capacity to ensure that any individual to whom the person further delivers the opioid
25antagonist has or receives that knowledge and training.
SB184,18,6
1(3) A physician or physician assistant who, acting in good faith, prescribes or
2delivers an opioid antagonist in accordance with sub. (2), or who, acting in good faith,
3otherwise lawfully prescribes or dispenses an opioid antagonist, shall be immune
4from criminal or civil liability and may not be subject to professional discipline under
5s. 448.02 for any outcomes resulting from prescribing, delivering, or dispensing the
6opioid antagonist.
SB184,44 7Section 44 . 448.04 (1) (f) of the statutes is repealed.
SB184,45 8Section 45 . 448.05 (5) of the statutes is repealed.
SB184,46 9Section 46 . 448.20 of the statutes is repealed.
SB184,47 10Section 47 . 448.21 of the statutes is repealed.
SB184,48 11Section 48 . 448.40 (2) (f) of the statutes is repealed.
SB184,49 12Section 49 . 448.62 (7) of the statutes is amended to read:
SB184,18,1513 448.62 (7) A physician assistant who is acting under the supervision and
14direction of a podiatrist, subject to s. 448.21 (4) 448.975 (2) (a) 2m., or an individual
15to whom the physician assistant delegates a task or order under s. 448.975 (4)
.
SB184,50 16Section 50 . 448.695 (4) (a) and (b) of the statutes are amended to read:
SB184,18,1817 448.695 (4) (a) Practice standards for a physician assistant practicing podiatry
18as provided in s. 448.21 (4) 448.975 (2) (a) 2m.
SB184,18,2019 (b) Requirements for a podiatrist who is supervising a physician assistant as
20provided in s. 448.21 (4) 448.975 (2) (a) 2m.
SB184,51 21Section 51 . 448.970 of the statutes is renumbered 448.9695.
SB184,52 22Section 52 . Subchapter VIII of chapter 448 [precedes 448.971] of the statutes
23is created to read:
SB184,18,2424 chapter 448
SB184,18,2525 subchapter viii
SB184,19,1
1physician assistant affiliated
SB184,19,22 credentialing board
SB184,19,4 3448.971 Definitions. In this subchapter, unless the context requires
4otherwise:
SB184,19,5 5(1) “Board" means the physician assistant affiliated credentialing board.
SB184,19,6 6(2) “Physician assistant” means a person licensed under this subchapter.
SB184,19,7 7(3) “Podiatrist” has the meaning given in s. 448.60 (3).
SB184,19,8 8(4) “Podiatry” has the meaning given in s. 448.60 (4).
SB184,19,14 9448.972 License required; exceptions. (1) Except as provided in subs. (2)
10and (3), no person may represent himself or herself as a “PA” or “physician assistant,"
11use or assume the title “PA” or “physician assistant," or append to the person's name
12the words or letters “physician assistant," “PA," “PA-C,” or any other titles, letters,
13or designation that represents or may tend to represent the person as a physician
14assistant, unless he or she is licensed by the board under this subchapter.
SB184,19,15 15(2) Subsection (1) does not apply with respect to any of the following:
SB184,19,1916 (a) An individual employed and duly credentialed as a physician assistant or
17physician associate by the federal government while performing duties incident to
18that employment, unless a license under this subchapter is required by the federal
19government.
SB184,19,2320 (b) A person who satisfies the requirement under s. 448.974 (1) (a) 3. but who
21is not licensed under this subchapter. This paragraph does not allow such a person
22to practice medicine and surgery in violation of s. 448.03 (1) (a) or to practice podiatry
23in violation of s. 448.61.
SB184,19,25 24(3) A student who is enrolled in an accredited physician assistant educational
25program may use the title “physician assistant student,” “PA student,” or “PA-S.”
SB184,20,1
1448.9725 Expedited partner therapy. (1) In this section:
SB184,20,22 (b) “Antimicrobial drug" has the meaning given in s. 448.035 (1) (b).
SB184,20,33 (c) “Expedited partner therapy" has the meaning given in s. 448.035 (1) (c).
SB184,20,14 4(2) Notwithstanding the requirements of s. 448.9785, a physician assistant
5may provide expedited partner therapy if a patient is diagnosed as infected with a
6chlamydial infection, gonorrhea, or trichomoniasis and the patient has had sexual
7contact with a sexual partner during which the chlamydial infection, gonorrhea, or
8trichomoniasis may have been transmitted to or from the sexual partner. The
9physician assistant shall attempt to obtain the name of the patient's sexual partner.
10A prescription order for an antimicrobial drug prepared under this subsection shall
11include the name and address of the patient's sexual partner, if known. If the
12physician assistant is unable to obtain the name of the patient's sexual partner, the
13prescription order shall include, in ordinary, bold-faced capital letters, the words,
14“expedited partner therapy" or the letters “EPT."
SB184,20,18 15(3) The physician assistant shall provide the patient with a copy of the
16information sheet prepared by the department of health services under s. 46.03 (44)
17and shall request that the patient give the information sheet to the person with
18whom the patient had sexual contact.
SB184,20,22 19(4) (a) Except as provided in par. (b), a physician assistant is immune from civil
20liability for injury to or the death of a person who takes any antimicrobial drug if the
21antimicrobial drug is prescribed, dispensed, or furnished under this section and if
22expedited partner therapy is provided as specified under this section.
SB184,20,2523 (b) The immunity under par. (a) does not extend to the donation, distribution,
24furnishing, or dispensing of an antimicrobial drug by a physician assistant whose act
25or omission involves reckless, wanton, or intentional misconduct.
SB184,21,2
1448.9727 Prescriptions for and delivery of opioid antagonists. (1) In
2this section:
SB184,21,33 (a) “Administer" has the meaning given in s. 450.01 (1).
SB184,21,44 (b) “Deliver" has the meaning given in s. 450.01 (5).
SB184,21,55 (c) “Dispense" has the meaning given in s. 450.01 (7).
SB184,21,66 (d) “Opioid antagonist" has the meaning given in s. 450.01 (13v).
SB184,21,77 (e) “Opioid-related drug overdose" has the meaning given in s. 256.40 (1) (d).
SB184,21,88 (f) “Standing order" has the meaning given in s. 450.01 (21p).
SB184,21,9 9(2) (a) A physician assistant may do any of the following:
SB184,21,1510 1. Prescribe an opioid antagonist to a person in a position to assist an individual
11at risk of undergoing an opioid-related drug overdose and may deliver the opioid
12antagonist to that person. A prescription order under this subdivision need not
13specify the name and address of the individual to whom the opioid antagonist will
14be administered, but shall instead specify the name of the person to whom the opioid
15antagonist is prescribed.
SB184,21,1716 2. Issue a standing order to one or more persons authorizing the dispensing of
17an opioid antagonist.
SB184,21,2418 (b) A physician assistant who prescribes or delivers an opioid antagonist under
19par. (a) 1. shall ensure that the person to whom the opioid antagonist is prescribed
20has or has the capacity to provide the knowledge and training necessary to safely
21administer the opioid antagonist to an individual undergoing an opioid-related
22overdose and that the person demonstrates the capacity to ensure that any
23individual to whom the person further delivers the opioid antagonist has or receives
24that knowledge and training.
SB184,22,6
1(3) A physician assistant who, acting in good faith, prescribes or delivers an
2opioid antagonist in accordance with sub. (2) or who, acting in good faith, otherwise
3lawfully prescribes or dispenses an opioid antagonist shall be immune from criminal
4or civil liability and may not be subject to professional discipline under s. 448.978 for
5any outcomes resulting from prescribing, delivering, or dispensing the opioid
6antagonist.
SB184,22,8 7448.973 Powers and duties of board. (1) (a) The board shall promulgate
8rules implementing s. 448.9785.
SB184,22,109 (b) The board shall promulgate rules establishing continuing education
10requirements for physician assistants.
SB184,22,1211 (c) The board may promulgate other rules to carry out the purposes of this
12subchapter, including any of the following:
SB184,22,1413 1. Rules defining what constitutes unprofessional conduct for physician
14assistants for purposes of s. 448.978 (2) (d).
SB184,22,1515 2. Rules under s. 448.977 (2).
SB184,22,19 16(2) The board shall include in the register the board maintains under s. 440.035
17(1m) (d) the names of all persons whose licenses issued under this subchapter were
18suspended or revoked within the past 2 years. The register shall be available for
19purchase at cost.
SB184,22,23 20448.974 License; renewal. (1) (a) Except as provided in par. (b), the board
21shall grant an initial license to practice as a physician assistant to any applicant who
22is found qualified by three-fourths of the members of the board and satisfies all of
23the following requirements, as determined by the board:
SB184,23,3
11. The applicant submits an application on a form provided by the department
2and pays the initial credential fee determined by the department under s. 440.03 (9)
3(a).
SB184,23,44 2. The applicant is at least 18 years of age.
SB184,23,55 3. The applicant provides evidence of one of the following:
SB184,23,106 a. That the applicant has successfully completed an educational program for
7physician assistants or physician associates that is accredited by the Accreditation
8Review Commission on Education for the Physician Assistant or its successor or,
9prior to 2001, by the Committee on Allied Health Education and Accreditation or the
10Commission on Accreditation of Allied Health Education Programs.
SB184,23,1411 b. If the applicant does not satisfy subd. 3. a., that the applicant, prior to
12January 1, 1986, successfully passed the Physician Assistant National Certifying
13Examination administered by the National Commission on Certification of
14Physician Assistants.
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