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LRBa1056/1
MED:klm&amn
2021 - 2022 LEGISLATURE
ASSEMBLY AMENDMENT 2,
TO ASSEMBLY SUBSTITUTE AMENDMENT 1,
TO ASSEMBLY BILL 396
January 12, 2022 - Offered by Representative Cabral-Guevara.
AB396-ASA1-AA2,1,11 At the locations indicated, amend the substitute amendment as follows:
AB396-ASA1-AA2,1,3 21. Page 45, line 8: on lines 8 and 14, delete “individual" and substitute
3“person".
AB396-ASA1-AA2,1,4 42. Page 48, line 14: after that line insert:
AB396-ASA1-AA2,1,7 5“(cm) 1. In this paragraph, “nurse anesthetist” means an advanced practice
6registered nurse with a certified registered nurse anesthetist specialty designation
7under sub. (1) (b) 1.
AB396-ASA1-AA2,1,108 2. Except as provided in subd. 3., an advanced practice registered nurse may
9practice advanced practice registered nursing outside the context of an employment
10relationship with an employer.
AB396-ASA1-AA2,2,311 3. If an advanced practice registered nurse has not engaged in the practice of
12advanced practice registered nursing for at least 2 years' worth of full-time practice,

1the advanced practice registered nurse may not practice advanced practice
2registered nursing outside the context of an employment relationship with an
3employer, except as follows:
AB396-ASA1-AA2,2,114 a. The nurse anesthetist may practice outside the context of an employment
5relationship with an employer if the nurse anesthetist is working in a collaborative
6relationship with a physician, a dentist, or another nurse anesthetist to whom this
7subdivision does not apply. The collaborative relationship is a process in which the
8nurse anesthetist is working with a physician, dentist, or another nurse anesthetist
9to whom this subdivision does not apply, in each other's presence when necessary, to
10deliver health care services within the scope of the nurse anesthetist's training,
11education, and experience. The nurse anesthetist shall document this relationship.
AB396-ASA1-AA2,2,1612 b. The advanced practice registered nurse may apply to the board for a written
13exemption from this subdivision. The board shall approve an application under this
14subd. 3. b. if the board determines that the advanced practice registered nurse
15satisfies education, training, or experience requirements established by the board by
16rule.
AB396-ASA1-AA2,2,2017 4. For purposes of subd. 3., practice of advanced practice registered nursing
18may include the lawful practice of advanced practice registered nursing outside this
19state or the lawful practice of advanced practice registered nursing in this state prior
20to the effective date of this subdivision .... [LRB inserts date].”.
AB396-ASA1-AA2,2,21 213. Page 51, line 6: after that line insert:
AB396-ASA1-AA2,2,22 22“8. Rules implementing sub. (3) (cm) 3.”.
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