Amendment SA1-SB145

SENATE AMENDMENT 1, TO SENATE BILL 145

October 17, 2023 - Offered by Senators Hesselbein, Agard, L. Johnson, Larson, Smith and Taylor.

SB145-SA1,1,1 At the locations indicated, amend the bill as follows:

SB145-SA1,1,2 1. Page 49, line 20: delete “(b) 1." and substitute “(b)".

SB145-SA1,1,3 2. Page 49, line 24: delete “has" and substitute “satisfies all of the following:".

SB145-SA1,1,5 3. Page 49, line 25: delete the material beginning with that line and ending with page 50, line 21, and substitute:

SB145-SA1,1,12 “1. The advanced practice registered nurse has, except as provided in subd. 3., completed 3,840 hours of professional nursing in a clinical setting. Clinical hours completed as a requirement of a nursing program offered by a qualifying school of nursing described under s. 441.06 (1) (c) may be used to satisfy the requirement under this subdivision. Hours completed to satisfy a requirement of an education program described in sub. (1) (a) 2. a. may not be used to satisfy the requirement under this subdivision.

SB145-SA1,2,3 2. At least 24 months have elapsed since the advanced practice registered nurse first began completing the clinical hours required by a nursing program described under subd. 1.

SB145-SA1,2,12 3. The advanced practice registered nurse has completed 3,840 clinical hours of advanced practice registered nursing practice in that recognized role while working with a physician or dentist who was immediately available for consultation and accepted responsibility for the actions of the advanced practice registered nurse during those 3,840 hours of practice. The advanced practice registered nurse may substitute additional hours of advanced practice registered nursing working with a physician or dentist described in this subdivision to count toward the requirement under subd. 1. Each such additional hour shall count toward one hour of the requirement under subd. 1.

SB145-SA1,2,15 4. At least 24 months have elapsed since the advanced practice registered nurse first began practicing advanced practice registered nursing in that recognized role as described in subd. 3.

SB145-SA1,2,19 (bd) For purposes of par. (b) 3., hours of advanced practice registered nursing practice may include the lawful practice of advanced practice registered nursing outside this state or the lawful practice of advanced practice registered nursing in this state prior to the effective date of this paragraph .... [LRB inserts date].”.

SB145-SA1,2,21 4. Page 50, line 22: delete “An advanced" and substitute “Except as otherwise provided in this paragraph, an advanced".

SB145-SA1,2,22 5. Page 50, line 22: before “pain management" insert “chronic".

SB145-SA1,2,24 6. Page 50, line 23: after “physician" insert “who, through education, training, and experience, specializes in pain management".

SB145-SA1,3,2 7. Page 50, line 23: delete the material beginning with “Except" and ending with “this subdivision" on line 24 and substitute “This subdivision”.

SB145-SA1,3,3 8. Page 51, line 2: before “pain management" insert “chronic".

SB145-SA1,3,4 9. Page 51, line 4: after that line insert:

SB145-SA1,3,8 “3. Except as provided in par. (c), subd. 1. does not apply to an advanced practice registered nurse who has qualified for independent practice under par. (b) and has privileges in a hospital, as defined in s. 50.33 (2), to provide chronic pain management services without a collaborative relationship with a physician.” .

SB145-SA1,3,9 10. Page 51, line 5: after “(bg) 1." insert “and 3.".

SB145-SA1,3,10 11. Page 51, line 10: after that line insert:

SB145-SA1,3,16 “(br) Any advanced practice registered nurse who may provide chronic pain management services without a collaborative relationship with a physician as provided in par. (bg) 3. shall inform the hospital in which the advanced practice registered nurse has privileges as described under par. (bg) 3. that the advanced practice registered nurse may provide chronic pain management services without a collaborative relationship with a physician.”.

SB145-SA1,3,19 12. Page 53, line 2: delete “in the minimum amounts required by the rules of the board" and substitute “that provides coverage of not less than the amounts established under s. 655.23 (4)".

SB145-SA1,3,20 13. Page 56, line 15: after that line insert:

SB145-SA1,3,21 “ Section 109m. 441.14 of the statutes is created to read:

SB145-SA1,4,10 441.14 Use of terms representing physicians. No person licensed under this chapter, unless the person is also licensed as a physician under subch. II of ch. 448, may use or assume the following words, letters, or terms in the person's title, advertising, or description of services: “physician,” “ surgeon,” “osteopathic physician,” “osteopathic surgeon," “medical doctor," “anesthesiologist,” “cardiologist,” “dermatologist,” “endocrinologist,” “gastroenterologist,” “gynecologist,” “hematologist,” “laryngologist,” “ nephrologist,” “neurologist,” “obstetrician,” “oncologist,” “ophthalmologist,” “ orthopedic surgeon,” “orthopedist,” “osteopath,” “otologist,” “otolaryngologist,” “ otorhinolaryngologist,” “pathologist,” “pediatrician,” “primary care physician,” “proctologist,” “psychiatrist,” “radiologist,” “rheumatologist,” “rhinologist,” “urologist,” or any other words, letters, or abbreviations, alone or in combination with other titles or words, that represent that the person is a physician.”.

SB145-SA1,4,12 14. Page 64, line 11: delete the material beginning with ““Advanced practice registered nurse”" and ending with “under s. 441.001 (3c)." on line 13.

SB145-SA1,4,13 (End)