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SB515-SSA1,20,1310 (b) 1. Subject to subd. 2. and any rules promulgated by the board and consistent
11with his or her experience, education, and training, a physician assistant may order,
12prescribe, procure, dispense, and administer prescription drugs, medical devices,
13services, and supplies.
SB515-SSA1,20,1814 2. A physician assistant practicing under the supervision and direction of a
15podiatrist under sub. (2) (a) 2m. may issue a prescription order for a drug or device
16in accordance with guidelines established by the supervising podiatrist and the
17physician assistant and with rules promulgated by the board. If any conflict exists
18between the guidelines and the rules, the rules shall control.
SB515-SSA1,20,2219 (c) A physician assistant may practice in ambulatory care, acute care,
20long-term care, home care, or other settings as a primary, specialty, or surgical care
21provider who may serve as a patient's primary care provider or specialty care
22provider.
SB515-SSA1,20,25 23(2) (a) 1. Except as provided in subds. 2m. and 3. and sub. (5) (a) 1. a. or b., a
24physician assistant who provides care to patients shall maintain and provide to the
25board upon request one of the following:
SB515-SSA1,21,7
1a. Evidence that, pursuant to the physician assistant's employment, there is
2a physician who is primarily responsible for the overall direction and management
3of the physician assistant's professional activities and for assuring that the services
4provided by the physician assistant are medically appropriate. In this subd. 1. a.,
5“employment” includes an arrangement between the physician assistant and a 3rd
6party in which the 3rd party receives payment for services provided by the physician
7assistant.
SB515-SSA1,21,128 b. A written collaborative agreement with a physician that, subject to subd.
91m., describes the physician assistant's individual scope of practice, that includes a
10protocol for identifying an alternative collaborating physician for situations in which
11the collaborating physician or the physician's designee is not available for
12consultation, and that includes other information as required by the board.
SB515-SSA1,21,1413 1m. All of the following apply to a written collaborative agreement between a
14physician and physician assistant under subd. 1. b.:
SB515-SSA1,21,1715 a. The agreement may be terminated by either party by providing written
16notice at least 30 days prior to the date of termination, or as otherwise agreed to by
17the physician and physician assistant.
SB515-SSA1,21,2218 b. The agreement shall specify that the collaborating physician shall remain
19reasonably available to the physician assistant through the use of
20telecommunications or other electronic means within a medically appropriate time
21frame and that the collaborating physician may designate an alternate collaborator
22during periods of unavailability.
SB515-SSA1,21,2523 c. The agreement shall specify an arrangement for physician consultation with
24the patient within a medically appropriate time frame for consultation, if requested
25by the patient or the physician assistant.
SB515-SSA1,22,2
1d. The agreement shall be signed by the physician assistant and the
2collaborating physician.
SB515-SSA1,22,43 2. Subdivision 1. does not require the physical presence of a physician at the
4time and place a physician assistant renders a service.
SB515-SSA1,22,95 2m. A physician assistant may practice under the supervision and direction of
6a podiatrist. A physician assistant who is practicing under the supervision and
7direction of a podiatrist shall be limited to providing nonsurgical patient services.
8Subdivision 1. does not apply to a physician assistant who is practicing under the
9supervision and direction of a podiatrist.
SB515-SSA1,22,1210 3. Subdivision 1. does not apply with respect to a physician assistant who is
11employed by the federal government as a civilian or member of the uniformed
12services while performing duties incident to that employment or service.
SB515-SSA1,22,1413 (b) A physician assistant shall limit his or her practice to the scope of his or her
14experience, education, and training.
SB515-SSA1,22,1615 (c) No physician assistant may provide medical care, except routine screening
16and emergency care, in any of the following:
SB515-SSA1,22,1717 1. The practice of dentistry or dental hygiene within the meaning of ch. 447.
SB515-SSA1,22,1818 2. The practice of optometry within the meaning of ch. 449.
SB515-SSA1,22,1919 3. The practice of chiropractic within the meaning of ch. 446.
SB515-SSA1,22,2020 4. The practice of acupuncture within the meaning of ch. 451.
SB515-SSA1,22,2321 5. The practice of podiatry, except when the physician assistant is acting under
22the supervision and direction of a podiatrist, subject to par. (a) 2m. and the rules
23promulgated under s. 448.695 (4).
SB515-SSA1,22,25 24(3) (a) It shall be the obligation of a physician assistant to ensure all of the
25following:
SB515-SSA1,23,2
11. That the scope of the practice of a physician assistant is identified and is
2appropriate with respect to his or her experience, education, and training.
SB515-SSA1,23,43 2. For purposes of sub. (2) (a) 1. b., that the relationship with and access to a
4collaborating physician by the physician assistant is defined.
SB515-SSA1,23,65 3. That the requirements and standards of licensure under this subchapter are
6complied with.
SB515-SSA1,23,117 4. That consultation with or referral to other licensed health care providers
8with a scope of practice appropriate for a patient's care needs occurs when the
9patient's care needs exceed the physician assistant's experience, education, or
10training. A physician assistant shall ensure that he or she has awareness of options
11for the management of situations that are beyond the physician assistant's expertise.
SB515-SSA1,23,1312 (b) A physician assistant is individually and independently responsible for the
13quality of the care he or she renders.
SB515-SSA1,23,18 14(4) A physician assistant may delegate a care task or order to another clinically
15trained health care worker if the physician assistant is competent to perform the
16delegated task or order and has reasonable evidence that the clinically trained
17health care worker is minimally competent to perform the task or issue the order
18under the circumstances.
SB515-SSA1,23,20 19(5) (a) 1. The board shall, subject to subd. 2. and s. 448.695 (4), promulgate any
20rules necessary to implement this section, including rules to do any of the following:
SB515-SSA1,23,2321 a. Allow for temporary practice, specifically defined and actively monitored by
22the board, in the event of an interruption of a collaborative relationship under sub.
23(2) (a) 1. b.
SB515-SSA1,24,224 b. Allow a physician assistant, in the absence of an employment or collaborative
25relationship under sub. (2) (a) 1., to provide medical care at the scene of an

1emergency, during a declared state of emergency or other disaster, or when
2volunteering at sporting events or at camps.
SB515-SSA1,24,123 2. Rules promulgated by the board may not permit a broader scope of practice
4than that which may be exercised in accordance with subs. (1) and (2).
5Notwithstanding s. 15.085 (5) (b) 2., if the Medical Examining Board reasonably
6determines that a rule submitted to it by the Physician Assistant Affiliated
7Credentialing Board under s. 15.085 (5) (b) 1. permits a broader scope of practice
8than that which may be exercised in accordance with subs. (1) and (2), then the
9Physician Assistant Examining Board shall, prior to submitting the proposed rule
10to the legislative council staff under s. 227.15 (1), revise the proposed rule so that it
11does not exceed or permit a broader scope of practice than that which may be
12exercised in accordance with subs. (1) and (2).
SB515-SSA1,24,1513 (b) The board shall develop and recommend to the podiatry affiliated
14credentialing board practice standards for physician assistants practicing under
15podiatrists under sub. (2) (a) 2m.
SB515-SSA1,24,21 16(6) The practice permissions provided in this section are permissions granted
17by the state authorizing the licensed practice of physician assistants. Nothing in this
18section prohibits an employer, hospital, health plan, or other similar entity
19employing or with a relationship with a licensed physician assistant from
20establishing additional requirements for a licensed physician assistant as a
21condition of employment or relationship.
SB515-SSA1,24,23 22448.976 Civil liability. No physician assistant shall be liable for any civil
23damages for either of the following:
SB515-SSA1,25,2 24(1) Reporting in good faith to the department of transportation under s. 146.82
25(3) a patient's name and other information relevant to a physical or mental condition

1of the patient that in the physician assistant's judgment impairs the patient's ability
2to exercise reasonable and ordinary control over a motor vehicle.
SB515-SSA1,25,6 3(2) In good faith, not reporting to the department of transportation under s.
4146.82 (3) a patient's name and other information relevant to a physical or mental
5condition of the patient that in the physician assistant's judgment does not impair
6the patient's ability to exercise reasonable and ordinary control over a motor vehicle.
SB515-SSA1,25,10 7448.977 Malpractice liability insurance. (1) Except as provided in subs.
8(2) and (3), no physician assistant may practice as authorized under s. 448.975 unless
9he or she has in effect malpractice liability insurance coverage evidenced by one of
10the following:
SB515-SSA1,25,1211 (a) Personal liability coverage in the amounts specified for health care
12providers under s. 655.23 (4).
SB515-SSA1,25,1413 (b) Coverage under a group liability policy providing individual coverage for the
14physician assistant in the amounts under s. 655.23 (4).
SB515-SSA1,25,20 15(2) The board may promulgate rules requiring a practicing physician assistant
16to have in effect malpractice liability insurance coverage in amounts greater than
17those specified in sub. (1) (a) or (b) or (4). If the board promulgates rules under this
18subsection, no physician assistant may practice as authorized under s. 448.975
19unless he or she has in effect malpractice liability insurance coverage as required
20under those rules, except as provided in sub. (3).
SB515-SSA1,25,24 21(3) A physician assistant who is a state, county, or municipal employee, or
22federal employee or contractor covered under the federal tort claims act, as amended,
23and who is acting within the scope of his or her employment or contractual duties is
24not required to maintain in effect malpractice insurance coverage.
SB515-SSA1,26,4
1(4) Except as provided in subs. (2) and (3), a physician assistant may comply
2with sub. (1) if the physician assistant's employer has in effect malpractice liability
3insurance that is at least the minimum amount specified under s. 655.23 (4) and that
4provides coverage for claims against the physician assistant.
SB515-SSA1,26,8 5448.978 Professional discipline. (1) Subject to the rules promulgated under
6s. 440.03 (1), the board may conduct investigations and hearings to determine
7whether a person has violated this subchapter or a rule promulgated under this
8subchapter.
SB515-SSA1,26,11 9(2) Subject to the rules promulgated under s. 440.03 (1), if a person who applies
10for or holds a license issued under s. 448.974 does any of the following, the board may
11reprimand the person or deny, limit, suspend, or revoke the person's license:
SB515-SSA1,26,1312 (a) Makes a material misstatement in an application for a license or an
13application for renewal of a license under s. 448.974.
SB515-SSA1,26,1614 (b) Violates any law of this state or federal law that substantially relates to the
15practice of a physician assistant, violates this subchapter, or violates a rule
16promulgated under this subchapter.
SB515-SSA1,26,1717 (c) Advertises, practices, or attempts to practice under another person's name.
SB515-SSA1,26,1918 (d) Engages in unprofessional conduct. In this paragraph, “unprofessional
19conduct" does not include any of the following:
SB515-SSA1,26,2020 1. Providing expedited partner therapy as described in s. 448.9725.
SB515-SSA1,26,2221 2. Prescribing or delivering an opioid antagonist in accordance with s. 448.9727
22(2).
SB515-SSA1,26,2423 (e) Subject to ss. 111.321, 111.322, and 111.335, is arrested for or convicted of
24a felony.
SB515-SSA1,27,2
1(f) Subject to ss. 111.321, 111.322, and 111.34, practices as a physician assistant
2while his or her ability is impaired by alcohol or other drugs.
SB515-SSA1,27,33 (g) Engages in fraud or deceit in obtaining or using his or her license.
SB515-SSA1,27,44 (h) Is adjudicated mentally incompetent by a court.
SB515-SSA1,27,55 (i) Demonstrates gross negligence, incompetence, or misconduct in practice.
SB515-SSA1,27,86 (j) Knowingly, recklessly, or negligently divulges a privileged communication
7or other confidential patient health care information except as required or permitted
8by state or federal law.
SB515-SSA1,27,109 (k) Fails to cooperate with the board, or fails to timely respond to a request for
10information by the board, in connection with an investigation under this section.
SB515-SSA1,27,1211 (L) Prescribes, sells, administers, distributes, orders, or provides a controlled
12substance for a purpose other than a medical purpose.
SB515-SSA1,27,1413 (m) Demonstrates a lack of physical or mental ability to safely practice as a
14physician assistant.
SB515-SSA1,27,1615 (n) Engages in any practice that is outside the scope of his or her experience,
16education, or training.
SB515-SSA1,27,1817 (o) Is disciplined or has been disciplined by another state or jurisdiction based
18upon acts or conduct similar to acts or conduct prohibited under pars. (a) to (n).
SB515-SSA1,28,2 19448.9785 Informed consent. Any physician assistant who treats a patient
20shall inform the patient about the availability of reasonable alternate medical modes
21of treatment and about the benefits and risks of these treatments. The reasonable
22physician assistant standard is the standard for informing a patient under this
23section. The reasonable physician assistant standard requires disclosure only of
24information that a reasonable physician assistant in the same or a similar medical
25specialty would know and disclose under the circumstances. The physician

1assistant's duty to inform the patient under this section does not require disclosure
2of any of the following:
SB515-SSA1,28,4 3(1) Detailed technical information that in all probability a patient would not
4understand.
SB515-SSA1,28,5 5(2) Risks apparent or known to the patient.
SB515-SSA1,28,7 6(3) Extremely remote possibilities that might falsely or detrimentally alarm
7the patient.
SB515-SSA1,28,9 8(4) Information in emergencies where failure to provide treatment would be
9more harmful to the patient than treatment.
SB515-SSA1,28,10 10(5) Information in cases where the patient is incapable of consenting.
SB515-SSA1,28,13 11(6) Information about alternate medical modes of treatment for any condition
12the physician assistant has not included in his or her diagnosis at the time the
13physician informs the patient.
SB515-SSA1,28,15 14448.979 Penalties. Any person who violates this subchapter is subject to a
15fine not to exceed $10,000 or imprisonment not to exceed 9 months, or both.
SB515-SSA1,28,21 16448.9793 Injunction. If it appears upon complaint to the board by any person
17or if it is known to the board that any person is violating this subchapter, or rules
18adopted by the board under this subchapter, the board or the attorney general may
19investigate and may, in addition to any other remedies, bring action in the name and
20on behalf of the state against any such person to enjoin such person from such
21violation. The attorney general shall represent the board in all proceedings.
SB515-SSA1,28,25 22448.9795 Duty to report. (1)  A physician assistant who has reason to believe
23any of the following about another physician assistant shall promptly submit a
24written report to the board that includes facts relating to the conduct of the other
25physician assistant:
SB515-SSA1,29,2
1(a) The other physician assistant is engaging or has engaged in acts that
2constitute a pattern of unprofessional conduct.
SB515-SSA1,29,43 (b) The other physician assistant is engaging or has engaged in an act that
4creates an immediate or continuing danger to one or more patients or to the public.
SB515-SSA1,29,55 (c) The other physician assistant is or may be medically incompetent.
SB515-SSA1,29,76 (d) The other physician assistant is or may be mentally or physically unable
7safely to engage in the practice of a physician assistant.
SB515-SSA1,29,10 8(2) No physician assistant who reports to the board under sub. (1) may be held
9civilly or criminally liable or be found guilty of unprofessional conduct for reporting
10in good faith.
SB515-SSA1,49 11Section 49 . Subchapter VIII of chapter 448 [precedes 448.980] of the statutes
12is renumbered subchapter IX of chapter 448 [precedes 448.980].
SB515-SSA1,50 13Section 50 . Subchapter IX of chapter 448 [precedes 448.985] of the statutes,
14as created by 2019 Wisconsin Act 100, is renumbered subchapter X of chapter 448
15[precedes 448.985].
SB515-SSA1,51 16Section 51. 450.01 (15r) of the statutes is repealed.
SB515-SSA1,52 17Section 52 . 450.01 (16) (hm) 3. of the statutes is amended to read:
SB515-SSA1,29,1918 450.01 (16) (hm) 3. The patient's physician assistant , if the physician assistant
19is under the supervision of the patient's personal attending physician
.
SB515-SSA1,53 20Section 53 . 450.11 (1) of the statutes is amended to read:
SB515-SSA1,30,1121 450.11 (1) Dispensing. Except as provided in sub. (1i) (b) 2., no person may
22dispense any prescribed drug or device except upon the prescription order of a
23practitioner. All prescription orders shall, except as provided in sub. (1a), specify the
24date of issue, the name and address of the practitioner, the name and quantity of the
25drug product or device prescribed, directions for the use of the drug product or device,

1the symptom or purpose for which the drug is being prescribed if required under sub.
2(4) (a) 8., and, if the order is written by the practitioner, the signature of the
3practitioner. Except as provided in ss. 118.2925 (3), 255.07 (2), 441.18 (2) (a) 1.,
4448.035 (2), and 448.037 (2) (a) 1., 448.9725 (2), and 448.9727 (2) (a) 1. and except
5for standing orders issued under s. 441.18 (2) (a) 2. or , 448.037 (2) (a) 2., or 448.9727
6(2) (a) 2.
, all prescription orders shall also specify the name and address of the
7patient. A prescription order issued under s. 118.2925 (3) shall specify the name and
8address of the school. A prescription order issued under s. 255.07 (2) shall specify
9the name and address of the authorized entity or authorized individual. Any oral
10prescription order shall be immediately reduced to writing by the pharmacist and
11filed according to sub. (2).
SB515-SSA1,54 12Section 54 . 450.11 (1g) (b) of the statutes is amended to read:
SB515-SSA1,31,213 450.11 (1g) (b) A pharmacist may, upon the prescription order of a practitioner
14providing expedited partner therapy, as specified in s. 448.035 or 448.9725, that
15complies with the requirements of sub. (1), dispense an antimicrobial drug as a
16course of therapy for treatment of chlamydial infections, gonorrhea, or
17trichomoniasis to the practitioner's patient or a person with whom the patient has
18had sexual contact for use by the person with whom the patient has had sexual
19contact. The pharmacist shall provide a consultation in accordance with rules
20promulgated by the board for the dispensing of a prescription to the person to whom
21the antimicrobial drug is dispensed. A pharmacist providing a consultation under
22this paragraph shall ask whether the person for whom the antimicrobial drug has
23been prescribed is allergic to the antimicrobial drug and advise that the person for
24whom the antimicrobial drug has been prescribed must discontinue use of the

1antimicrobial drug if the person is allergic to or develops signs of an allergic reaction
2to the antimicrobial drug.
SB515-SSA1,55 3Section 55 . 450.11 (1i) (a) 1. of the statutes is amended to read:
SB515-SSA1,31,154 450.11 (1i) (a) 1. A pharmacist may, upon and in accordance with the
5prescription order of an advanced practice nurse prescriber under s. 441.18 (2) (a) 1.,
6or of a physician or physician assistant under s. 448.037 (2) (a) 1., or of a physician
7assistant under s. 448.9727 (2) (a) 1.
that complies with the requirements of sub. (1),
8deliver an opioid antagonist to a person specified in the prescription order and may,
9upon and in accordance with the standing order of an advanced practice nurse
10prescriber under s. 441.18 (2) (a) 2., or of a physician or physician assistant under
11s. 448.037 (2) (a) 2., or of a physician assistant under s. 448.9727 (2) (a) 2. that
12complies with the requirements of sub. (1), deliver an opioid antagonist to an
13individual in accordance with the order. The pharmacist shall provide a consultation
14in accordance with rules promulgated by the board for the delivery of a prescription
15to the person to whom the opioid antagonist is delivered.
SB515-SSA1,56 16Section 56 . 450.11 (1i) (b) 2. c. of the statutes is amended to read:
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