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SB394,52,221 (d) An advanced practice registered nurse licensed under this section may
22delegate a task or order to another clinically trained health care worker if the task
23or order is within the scope of the advanced practice registered nurse's practice, the
24advanced practice registered nurse is competent to perform the task or issue the
25order, and the advanced practice registered nurse has reasonable evidence that the

1health care worker is minimally competent to perform the task or issue the order
2under the circumstances.
SB394,52,83 (e) If an advanced practice registered nurse with a certified nurse-midwife
4specialty designation under sub. (1) (b) 1. practices outside of a hospital setting, the
5advanced practice registered nurse shall file and keep current with the department
6a proactive plan for involving a hospital or a physician who has admitting privileges
7at a hospital in the treatment of patients with higher acuity or emergency care needs
8that exceed the advanced practice registered nurse's scope of practice.
SB394,52,129 (f) Nothing in this section prohibits an employer, hospital, or other entity with
10a relationship with an advanced practice registered nurse from establishing
11employment practice requirements on the advanced practice registered nurse as a
12condition of employment.
SB394,52,17 13(4) Continuing education. Every advanced practice registered nurse shall
14submit to the board evidence of having completed at least 16 contact hours per
15biennium in clinical pharmacology or therapeutics relevant to the advanced practice
16registered nurse's area of practice. The board may promulgate rules regarding the
17continuing education requirements under this subsection.
SB394,53,2 18(5) Malpractice liability insurance. Except for a person whose employer has
19in effect malpractice liability insurance that provides coverage for the person in the
20amounts specified under s. 655.23 (4), no person may practice advanced practice
21registered nursing unless he or she at all times has in effect malpractice liability
22insurance coverage in the minimum amounts required by the rules of the board. An
23advanced practice registered nurse shall submit evidence of that coverage to the
24board when applying for an initial license under this section or a renewal of a license

1under this section. An advanced practice registered nurse shall also submit such
2evidence to the board upon request of the board.
SB394,53,8 3(5m) Nurse anesthetists. (b) Opt-out of federal certified registered nurse
4anesthetist supervision requirement.
1. The legislature finds that allowing certified
5registered nurse anesthetists to administer anesthesia without supervision or
6direction from an operating practitioner, physician, or anesthesiologist increases
7access to quality anesthesia services throughout the state and is in the best interests
8of the citizens of the state.
SB394,53,119 2. The state, including the governor, the board, and the medical examining
10board, shall act to maintain an opt-out of the federal requirement for physician
11supervision of certified registered nurse anesthetists pursuant to 42 CFR 482.52 (c).
SB394,53,13 12(6) Rules. The board shall promulgate rules necessary to administer this
13section, including rules for all of the following:
SB394,53,1814 (a) Further defining the scope of practice of an advanced practice registered
15nurse, practice of a certified nurse-midwife, practice of a certified registered nurse
16anesthetist, practice of a nurse practitioner, and practice of a clinical nurse specialist
17and defining the scope of practice within which an advanced practice registered
18nurse may issue prescription orders under sub. (2).
SB394,53,2019 (b) Determining acceptable national certification for purposes of sub. (1) (a) 2.
20a.
SB394,53,2321 (c) Establishing the appropriate education, training, or experience
22requirements that a registered nurse must satisfy in order to be an advanced practice
23registered nurse.
SB394,53,2524 (d) Specifying the classes of drugs, individual drugs, or devices that may not
25be prescribed by an advanced practice registered nurse under sub. (2).
SB394,54,1
1(e) Specifying the conditions to be met for registered nurses to do the following:
SB394,54,22 1. Administer a drug prescribed by an advanced practice registered nurse.
SB394,54,33 2. Administer a drug at the direction of an advanced practice registered nurse.
SB394,54,74 (f) Establishing the minimum amount of malpractice liability insurance
5coverage that an advanced practice registered nurse must at all times have in effect
6for purposes of sub. (5). The board shall promulgate rules under this paragraph in
7consultation with the commissioner of insurance.
SB394,109 8Section 109. 441.092 of the statutes is created to read:
SB394,54,9 9441.092 Expedited partner therapy. (1) In this section:
SB394,54,1010 (b) “Antimicrobial drug" has the meaning given in s. 448.035 (1) (b).
SB394,54,1111 (c) “Expedited partner therapy" has the meaning given in s. 448.035 (1) (c).
SB394,54,23 12(2) Notwithstanding the requirements of s. 448.9785, an advanced practice
13registered nurse who may issue prescription orders under s. 441.09 (2) may provide
14expedited partner therapy if a patient is diagnosed as infected with a chlamydial
15infection, gonorrhea, or trichomoniasis and the patient has had sexual contact with
16a sexual partner during which the chlamydial infection, gonorrhea, or
17trichomoniasis may have been transmitted to or from the sexual partner. The
18advanced practice registered nurse shall attempt to obtain the name of the patient's
19sexual partner. A prescription order for an antimicrobial drug prepared under this
20subsection shall include the name and address of the patient's sexual partner, if
21known. If the advanced practice registered nurse is unable to obtain the name of the
22patient's sexual partner, the prescription order shall include, in ordinary, bold-faced
23capital letters, the words, “expedited partner therapy" or the letters “EPT."
SB394,55,2 24(3) The advanced practice registered nurse shall provide the patient with a
25copy of the information sheet prepared by the department of health services under

1s. 46.03 (44) and shall request that the patient give the information sheet to the
2person with whom the patient had sexual contact.
SB394,55,7 3(4) (a) Except as provided in par. (b), an advanced practice registered nurse is
4immune from civil liability for injury to or the death of a person who takes any
5antimicrobial drug if the antimicrobial drug is prescribed, dispensed, or furnished
6under this section and if expedited partner therapy is provided as specified under
7this section.
SB394,55,118 (b) The immunity under par. (a) does not extend to the donation, distribution,
9furnishing, or dispensing of an antimicrobial drug by an advanced practice
10registered nurse whose act or omission involves reckless, wanton, or intentional
11misconduct.
SB394,110 12Section 110 . 441.10 (7) of the statutes is amended to read:
SB394,55,2513 441.10 (7) No license is required for practical nursing, but, except as provided
14in s. 257.03, no person without a license may hold himself or herself out as a licensed
15practical nurse or licensed attendant, use the title or letters “Trained Practical
16Nurse" or “T.P.N.", “Licensed Practical Nurse" or “L.P.N.", “ Licensed Attendant" or
17“L.A.", “Trained Attendant" or “T.A.", or otherwise seek to indicate that he or she is
18a licensed practical nurse or licensed attendant. No licensed practical nurse or
19licensed attendant may use the title, or otherwise seek to act as a registered, licensed,
20graduate or professional nurse. Anyone violating this subsection shall be subject to
21the penalties prescribed by s. 441.13. The board shall grant without examination a
22license as a licensed practical nurse to any person who was on July 1, 1949, a licensed
23attendant.
This subsection does not apply to any licensed practical nurse who holds
24a multistate license, as defined in s. 441.51 (2) (h), issued by a jurisdiction, other than
25this state, that has adopted the enhanced nurse licensure compact under s. 441.51.
SB394,111
1Section 111. 441.11 (title) of the statutes is repealed.
SB394,112 2Section 112 . 441.11 (1) of the statutes is repealed.
SB394,113 3Section 113. 441.11 (2) of the statutes is renumbered 441.09 (5m) (a) and
4amended to read:
SB394,56,105 441.09 (5m) (a) Licensure exemption. The provisions of s. 448.04 (1) (g) 448.03
6(1) (d)
do not apply to a an advanced practice registered nurse licensed under this
7section who possesses a certified registered
nurse anesthetist specialty designation
8under sub. (1) (b) 1.
or to a person who engages in the practice of a nurse anesthetist
9while performing official duties for the armed services or federal health services of
10the United States.
SB394,114 11Section 114. 441.11 (3) of the statutes is repealed.
SB394,115 12Section 115. 441.15 of the statutes is repealed.
SB394,116 13Section 116 . 441.16 of the statutes is repealed.
SB394,117 14Section 117 . 441.18 (2) (a) (intro.) of the statutes is amended to read:
SB394,56,1615 441.18 (2) (a) (intro.) An advanced practice registered nurse certified to who
16may
issue prescription orders under s. 441.16 441.09 (2) may do any of the following:
SB394,118 17Section 118 . 441.18 (2) (b) of the statutes is amended to read:
SB394,56,2418 441.18 (2) (b) An advanced practice registered nurse who prescribes or delivers
19an opioid antagonist under par. (a) 1. shall ensure that the person to whom the opioid
20antagonist is prescribed has or has the capacity to provide the knowledge and
21training necessary to safely administer the opioid antagonist to an individual
22undergoing an opioid-related overdose and that the person demonstrates the
23capacity to ensure that any individual to whom the person further delivers the opioid
24antagonist has or receives that knowledge and training.
SB394,119 25Section 119 . 441.18 (3) of the statutes is amended to read:
SB394,57,6
1441.18 (3) An advanced practice registered nurse who, acting in good faith,
2prescribes or delivers an opioid antagonist in accordance with sub. (2), or who, acting
3in good faith, otherwise lawfully prescribes or dispenses an opioid antagonist, shall
4be immune from criminal or civil liability and may not be subject to professional
5discipline under s. 441.07 for any outcomes resulting from prescribing, delivering,
6or dispensing the opioid antagonist.
SB394,120 7Section 120 . 441.19 of the statutes is repealed.
SB394,121 8Section 121 . Subchapter II (title) of chapter 441 [precedes 441.51] of the
9statutes is amended to read:
SB394,57,1010 Chapter 441
SB394,57,1111 SUBCHAPTER II
SB394,57,12 12ENHANCED NURSE LICENSURE COMPACT
SB394,122 13Section 122 . 441.51 (title) of the statutes is amended to read:
SB394,57,14 14441.51 (title) Enhanced nurse Nurse licensure compact.
SB394,123 15Section 123 . 448.03 (2) (a) of the statutes is amended to read:
SB394,57,2216 448.03 (2) (a) Any person lawfully practicing within the scope of a license,
17permit, registration, certificate or certification granted to practice midwifery under
18subch. XIII of ch. 440, to practice professional or , practical, or advanced practice
19registered
nursing or nurse-midwifery under ch. 441, to practice chiropractic under
20ch. 446, to practice dentistry or dental hygiene under ch. 447, to practice optometry
21under ch. 449, to practice acupuncture under ch. 451 or under any other statutory
22provision, or as otherwise provided by statute.
SB394,124 23Section 124 . 448.03 (2) (a) of the statutes, as affected by 2021 Wisconsin Acts
2423
and .... (this act), is repealed and recreated to read:
SB394,58,7
1448.03 (2) (a) Any person lawfully practicing within the scope of a license,
2permit, registration, certificate or certification granted to practice midwifery under
3subch. XIII of ch. 440, to practice professional, practical, or advanced practice
4registered nursing under ch. 441, to practice chiropractic under ch. 446, to practice
5dentistry or dental hygiene under ch. 447, to practice optometry under ch. 449, to
6practice as a physician assistant under subch. VIII, to practice acupuncture under
7ch. 451 or under any other statutory provision, or as otherwise provided by statute.
SB394,125 8Section 125. 448.035 (1) (a) of the statutes is repealed.
SB394,126 9Section 126 . 448.035 (2), (3) and (4) of the statutes are amended to read:
SB394,58,2310 448.035 (2) Notwithstanding the requirements of s. 448.30, a physician, or a
11physician assistant, or certified advanced practice nurse prescriber may provide
12expedited partner therapy if the patient is diagnosed as infected with a chlamydial
13infection, gonorrhea, or trichomoniasis and the patient has had sexual contact with
14a sexual partner during which the chlamydial infection, gonorrhea, or
15trichomoniasis may have been transmitted to or from the sexual partner. The
16physician, or physician assistant , or certified advanced practice nurse prescriber
17shall attempt to obtain the name of the patient's sexual partner. A prescription order
18for an antimicrobial drug prepared under this subsection shall include the name and
19address of the patient's sexual partner, if known. If the physician , or physician
20assistant, or certified advanced practice nurse prescriber is unable to obtain the
21name of the patient's sexual partner, the prescription order shall include, in ordinary
22bold-faced capital letters, the words, “expedited partner therapy" or the letters
23“EPT."
SB394,59,3 24(3) The physician, or physician assistant, or certified advanced practice nurse
25prescriber
shall provide the patient with a copy of the information sheet prepared by

1the department of health services under s. 46.03 (44) and shall request that the
2patient give the information sheet to the person with whom the patient had sexual
3contact.
SB394,59,8 4(4) (a) Except as provided in par. (b), a physician , or physician assistant, or
5certified advanced practice nurse prescriber
is immune from civil liability for injury
6to or the death of a person who takes any antimicrobial drug if the antimicrobial drug
7is prescribed, dispensed, or furnished under this section and if expedited partner
8therapy is provided as specified under this section.
SB394,59,129 (b) The immunity under par. (a) does not extend to the donation, distribution,
10furnishing, or dispensing of an antimicrobial drug by a physician , or physician
11assistant, or certified advanced practice nurse prescriber whose act or omission
12involves reckless, wanton, or intentional misconduct.
SB394,127 13Section 127 . 448.035 (2), (3) and (4) of the statutes, as affected by 2021
14Wisconsin Acts 23
and .... (this act), are repealed and recreated to read:
SB394,59,2515 448.035 (2) Notwithstanding the requirements of s. 448.30, a physician may
16provide expedited partner therapy if the patient is diagnosed as infected with a
17chlamydial infection, gonorrhea, or trichomoniasis and the patient has had sexual
18contact with a sexual partner during which the chlamydial infection, gonorrhea, or
19trichomoniasis may have been transmitted to or from the sexual partner. The
20physician shall attempt to obtain the name of the patient's sexual partner. A
21prescription order for an antimicrobial drug prepared under this subsection shall
22include the name and address of the patient's sexual partner, if known. If the
23physician is unable to obtain the name of the patient's sexual partner, the
24prescription order shall include, in ordinary bold-faced capital letters, the words,
25“expedited partner therapy" or the letters “EPT."
SB394,60,4
1(3) The physician shall provide the patient with a copy of the information sheet
2prepared by the department of health services under s. 46.03 (44) and shall request
3that the patient give the information sheet to the person with whom the patient had
4sexual contact.
SB394,60,8 5(4) (a) Except as provided in par. (b), a physician is immune from civil liability
6for injury to or the death of a person who takes any antimicrobial drug if the
7antimicrobial drug is prescribed, dispensed, or furnished under this section and if
8expedited partner therapy is provided as specified under this section.
SB394,60,119 (b) The immunity under par. (a) does not extend to the donation, distribution,
10furnishing, or dispensing of an antimicrobial drug by a physician whose act or
11omission involves reckless, wanton, or intentional misconduct.
SB394,128 12Section 128 . 448.56 (1) and (1m) (b) of the statutes are amended to read:
SB394,61,213 448.56 (1) Written referral. Except as provided in this subsection and s.
14448.52, a person may practice physical therapy only upon the written referral of a
15physician, physician assistant, chiropractor, dentist, podiatrist, or advanced practice
16registered nurse prescriber certified under s. 441.16 (2). Written referral is not
17required if a physical therapist provides services in schools to children with
18disabilities, as defined in s. 115.76 (5), pursuant to rules promulgated by the
19department of public instruction; provides services as part of a home health care
20agency; provides services to a patient in a nursing home pursuant to the patient's
21plan of care; provides services related to athletic activities, conditioning, or injury
22prevention; or provides services to an individual for a previously diagnosed medical
23condition after informing the individual's physician, physician assistant,
24chiropractor, dentist, podiatrist, or advanced practice registered nurse prescriber
25certified under s. 441.16 (2)
who made the diagnosis. The examining board may

1promulgate rules establishing additional services that are excepted from the written
2referral requirements of this subsection.
SB394,61,8 3(1m) (b) The examining board shall promulgate rules establishing the
4requirements that a physical therapist must satisfy if a physician, physician
5assistant, chiropractor, dentist, podiatrist, or advanced practice registered nurse
6prescriber makes a written referral under sub. (1). The purpose of the rules shall be
7to ensure continuity of care between the physical therapist and the health care
8practitioner.
SB394,129 9Section 129 . 448.62 (2m) of the statutes is amended to read:
SB394,61,1310 448.62 (2m) An advanced practice registered nurse who is certified to issue
11prescription orders under s. 441.16 and
who is providing nonsurgical patient services
12as directed, supervised, and inspected by a podiatrist who has the power to direct,
13decide, and oversee the implementation of the patient services rendered.
SB394,130 14Section 130 . 448.67 (2) of the statutes is amended to read:
SB394,61,2415 448.67 (2) Separate billing required. Except as provided in sub. (4), a licensee
16who renders any podiatric service or assistance, or gives any podiatric advice or any
17similar advice or assistance, to any patient, podiatrist, physician, physician
18assistant, advanced practice registered nurse prescriber certified under s. 441.16 (2),
19partnership, or corporation, or to any other institution or organization, including a
20hospital, for which a charge is made to a patient, shall, except as authorized by
21Title 18 or Title 19 of the federal Social Security Act, render an individual statement
22or account of the charge directly to the patient, distinct and separate from any
23statement or account by any other podiatrist, physician, physician assistant,
24advanced practice registered nurse prescriber, or other person.
SB394,131 25Section 131 . 448.956 (1m) of the statutes is amended to read:
SB394,62,7
1448.956 (1m) Subject to sub. (1) (a), a licensee may provide athletic training
2to an individual without a referral, except that a licensee may not provide athletic
3training as described under s. 448.95 (5) (d) or (e) in an outpatient rehabilitation
4setting unless the licensee has obtained a written referral for the individual from a
5practitioner licensed or certified under subch. II, III, IV, V, or VII of this chapter;
6under ch. 446; or under s. 441.16 (2) 441.09 or from a practitioner who holds a
7compact privilege under subch. IX of ch. 448.
SB394,132 8Section 132 . 448.956 (1m) of the statutes, as affected by 2021 Wisconsin Acts
923
and .... (this act), is repealed and recreated to read:
SB394,62,1610 448.956 (1m) Subject to sub. (1) (a), a licensee may provide athletic training
11to an individual without a referral, except that a licensee may not provide athletic
12training as described under s. 448.95 (5) (d) or (e) in an outpatient rehabilitation
13setting unless the licensee has obtained a written referral for the individual from a
14practitioner licensed or certified under subch. II, III, IV, V, or VII of this chapter;
15under ch. 446; or under s. 441.09 or from a practitioner who holds a compact privilege
16under subch. X of ch. 448.
SB394,133 17Section 133. 450.01 (1m) of the statutes is repealed.
SB394,134 18Section 134 . 450.01 (16) (h) 2. of the statutes is amended to read:
SB394,62,2219 450.01 (16) (h) 2. The patient's advanced practice registered nurse prescriber,
20if the advanced practice registered nurse prescriber has entered into a written
21agreement to collaborate with a physician
may issue prescription orders under s.
22441.09 (2)
.
SB394,135 23Section 135 . 450.01 (16) (hr) 2. of the statutes is amended to read:
SB394,62,2524 450.01 (16) (hr) 2. An advanced practice registered nurse prescriber who may
25issue prescription orders under s. 441.09 (2)
.
SB394,136
1Section 136. 450.03 (1) (e) of the statutes is amended to read:
SB394,63,82 450.03 (1) (e) Any person lawfully practicing within the scope of a license,
3permit, registration, certificate, or certification granted to provide home medical
4oxygen under s. 450.076, to practice professional or , practical, or advanced practice
5registered
nursing or nurse-midwifery under ch. 441, to practice dentistry or dental
6hygiene under ch. 447, to practice medicine and surgery under ch. 448, to practice
7optometry under ch. 449 or to practice veterinary medicine under ch. 89, or as
8otherwise provided by statute.
SB394,137 9Section 137. 450.11 (1g) (b) of the statutes is amended to read:
SB394,63,2310 450.11 (1g) (b) A pharmacist may, upon the prescription order of a practitioner
11providing expedited partner therapy, as specified in s. 441.092 or 448.035, that
12complies with the requirements of sub. (1), dispense an antimicrobial drug as a
13course of therapy for treatment of chlamydial infections, gonorrhea, or
14trichomoniasis to the practitioner's patient or a person with whom the patient has
15had sexual contact for use by the person with whom the patient has had sexual
16contact. The pharmacist shall provide a consultation in accordance with rules
17promulgated by the board for the dispensing of a prescription to the person to whom
18the antimicrobial drug is dispensed. A pharmacist providing a consultation under
19this paragraph shall ask whether the person for whom the antimicrobial drug has
20been prescribed is allergic to the antimicrobial drug and advise that the person for
21whom the antimicrobial drug has been prescribed must discontinue use of the
22antimicrobial drug if the person is allergic to or develops signs of an allergic reaction
23to the antimicrobial drug.
SB394,138 24Section 138 . 450.11 (1g) (b) of the statutes, as affected by 2021 Wisconsin Acts
2523
and .... (this act), is repealed and recreated to read:
SB394,64,14
1450.11 (1g) (b) A pharmacist may, upon the prescription order of a practitioner
2providing expedited partner therapy, as specified in s. 441.092, 448.035, or 448.9725,
3that complies with the requirements of sub. (1), dispense an antimicrobial drug as
4a course of therapy for treatment of chlamydial infections, gonorrhea, or
5trichomoniasis to the practitioner's patient or a person with whom the patient has
6had sexual contact for use by the person with whom the patient has had sexual
7contact. The pharmacist shall provide a consultation in accordance with rules
8promulgated by the board for the dispensing of a prescription to the person to whom
9the antimicrobial drug is dispensed. A pharmacist providing a consultation under
10this paragraph shall ask whether the person for whom the antimicrobial drug has
11been prescribed is allergic to the antimicrobial drug and advise that the person for
12whom the antimicrobial drug has been prescribed must discontinue use of the
13antimicrobial drug if the person is allergic to or develops signs of an allergic reaction
14to the antimicrobial drug.
SB394,139 15Section 139 . 450.11 (1i) (a) 1. of the statutes is amended to read:
SB394,65,216 450.11 (1i) (a) 1. A pharmacist may, upon and in accordance with the
17prescription order of an advanced practice registered nurse prescriber under s.
18441.18 (2) (a) 1., or of a physician or physician assistant under s. 448.037 (2) (a) 1.,
19that complies with the requirements of sub. (1), deliver an opioid antagonist to a
20person specified in the prescription order and may, upon and in accordance with the
21standing order of an advanced practice registered nurse prescriber under s. 441.18
22(2) (a) 2., or of a physician or physician assistant under s. 448.037 (2) (a) 2., that
23complies with the requirements of sub. (1), deliver an opioid antagonist to an
24individual in accordance with the order. The pharmacist shall provide a consultation

1in accordance with rules promulgated by the board for the delivery of a prescription
2to the person to whom the opioid antagonist is delivered.
SB394,140 3Section 140 . 450.11 (1i) (a) 1. of the statutes, as affected by 2021 Wisconsin
4Acts 23
and .... (this act), is repealed and recreated to read:
SB394,65,155 450.11 (1i) (a) 1. A pharmacist may, upon and in accordance with the
6prescription order of an advanced practice registered nurse under s. 441.18 (2) (a) 1.,
7of a physician under s. 448.037 (2) (a) 1., or of a physician assistant under s. 448.9727
8(2) (a) 1. that complies with the requirements of sub. (1), deliver an opioid antagonist
9to a person specified in the prescription order and may, upon and in accordance with
10the standing order of an advanced practice registered nurse under s. 441.18 (2) (a)
112., of a physician under s. 448.037 (2) (a) 2., or of a physician assistant under s.
12448.9727 (2) (a) 2. that complies with the requirements of sub. (1), deliver an opioid
13antagonist to an individual in accordance with the order. The pharmacist shall
14provide a consultation in accordance with rules promulgated by the board for the
15delivery of a prescription to the person to whom the opioid antagonist is delivered.
SB394,141 16Section 141 . 450.11 (1i) (b) 2. b. of the statutes is amended to read:
SB394,65,1917 450.11 (1i) (b) 2. b. An advanced practice registered nurse prescriber may only
18deliver or dispense an opioid antagonist in accordance with s. 441.18 (2) or in
19accordance with his or her other legal authority to dispense prescription drugs.
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