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SB184,9,2317 I,...., being of sound mind, voluntarily state my desire that my dying not be
18prolonged under the circumstances specified in this document. Under those
19circumstances, I direct that I be permitted to die naturally. If I am unable to give
20directions regarding the use of life-sustaining procedures or feeding tubes, I intend
21that my family and physician, physician assistant, or advanced practice registered
22nurse honor this document as the final expression of my legal right to refuse medical
23or surgical treatment.
SB184,9,2524 1. If I have a TERMINAL CONDITION, as determined by a physician,
25physician assistant, or advanced practice registered nurse who has personally

1examined me, and if a physician who has also personally examined me agrees with
2that determination, I do not want my dying to be artificially prolonged and I do not
3want life-sustaining procedures to be used. In addition, the following are my
4directions regarding the use of feeding tubes:
SB184,10,55 .... YES, I want feeding tubes used if I have a terminal condition.
SB184,10,66 .... NO, I do not want feeding tubes used if I have a terminal condition.
SB184,10,77 If you have not checked either box, feeding tubes will be used.
SB184,10,128 2. If I am in a PERSISTENT VEGETATIVE STATE, as determined by a
9physician, physician assistant, or advanced practice registered nurse who has
10personally examined me, and if a physician who has also personally examined me
11agrees with that determination, the following are my directions regarding the use
12of life-sustaining procedures:
SB184,10,1413 .... YES, I want life-sustaining procedures used if I am in a persistent
14vegetative state.
SB184,10,1615 .... NO, I do not want life-sustaining procedures used if I am in a persistent
16vegetative state.
SB184,10,1717 If you have not checked either box, life-sustaining procedures will be used.
SB184,10,2218 3. If I am in a PERSISTENT VEGETATIVE STATE, as determined by a
19physician, physician assistant, or advanced practice registered nurse who has
20personally examined me, and if a physician who has also personally examined me
21agrees with that determination, the following are my directions regarding the use
22of feeding tubes:
SB184,10,2323 .... YES, I want feeding tubes used if I am in a persistent vegetative state.
SB184,10,2424 .... NO, I do not want feeding tubes used if I am in a persistent vegetative state.
SB184,10,2525 If you have not checked either box, feeding tubes will be used.
SB184,11,3
1If you are interested in more information about the significant terms used in
2this document, see section 154.01 of the Wisconsin Statutes or the information
3accompanying this document.
SB184,11,54 ATTENTION: You and the 2 witnesses must sign the document at the same
5time.
SB184,11,66 Signed ....   Date ....
SB184,11,77 Address ....   Date of birth ....
SB184,11,118 I believe that the person signing this document is of sound mind. I am an adult
9and am not related to the person signing this document by blood, marriage or
10adoption. I am not entitled to and do not have a claim on any portion of the person's
11estate and am not otherwise restricted by law from being a witness.
SB184,11,1212 Witness signature ....   Date signed ....
SB184,11,1313 Print name ....
SB184,11,1414 Witness signature ....   Date signed ....
SB184,11,1515 Print name ....
SB184,11,1616 DIRECTIVES TO ATTENDING PHYSICIAN,
SB184,11,1717 PHYSICIAN ASSISTANT, OR ADVANCED
SB184,11,1818 PRACTICE REGISTERED NURSE
SB184,11,2319 1. This document authorizes the withholding or withdrawal of life-sustaining
20procedures or of feeding tubes when a physician and another physician, physician
21assistant, or advanced practice registered nurse, one of whom is the attending health
22care professional, have personally examined and certified in writing that the patient
23has a terminal condition or is in a persistent vegetative state.
SB184,12,424 2. The choices in this document were made by a competent adult. Under the
25law, the patient's stated desires must be followed unless you believe that withholding

1or withdrawing life-sustaining procedures or feeding tubes would cause the patient
2pain or reduced comfort and that the pain or discomfort cannot be alleviated through
3pain relief measures. If the patient's stated desires are that life-sustaining
4procedures or feeding tubes be used, this directive must be followed.
SB184,12,85 3. If you feel that you cannot comply with this document, you must make a good
6faith attempt to transfer the patient to another physician, physician assistant, or
7advanced practice registered nurse who will comply. Refusal or failure to make a
8good faith attempt to do so constitutes unprofessional conduct.
SB184,12,109 4. If you know that the patient is pregnant, this document has no effect during
10her pregnancy.
SB184,12,1111 * * * * *
SB184,12,1412 The person making this living will may use the following space to record the
13names of those individuals and health care providers to whom he or she has given
14copies of this document:
SB184,12,1515 .................................................................
SB184,12,1616 .................................................................
SB184,12,1717 .................................................................
SB184,26 18Section 26 . 154.07 (1) (a) (intro.) of the statutes is amended to read:
SB184,12,2319 154.07 (1) (a) (intro.) No health care professional, inpatient health care facility
20or person licensed, certified, or registered under ch. 441, 448, or 455, or a person who
21holds a compact privilege under subch. IX X of ch. 448 acting under the direction of
22a health care professional may be held criminally or civilly liable, or charged with
23unprofessional conduct, for any of the following:
SB184,27 24Section 27 . 165.77 (1) (a) of the statutes is amended to read:
SB184,13,3
1165.77 (1) (a) “Health care professional" means a person licensed, certified, or
2registered under ch. 441, 448, or 455 or a person who holds a compact privilege under
3subch. IX X of ch. 448.
SB184,28 4Section 28 . 252.01 (5) of the statutes is repealed.
SB184,29 5Section 29 . 255.07 (1) (d) of the statutes is amended to read:
SB184,13,86 255.07 (1) (d) “Health care practitioner" means a physician, a physician
7assistant licensed under s. 448.04 (1) (f), or an advanced practice nurse who is
8certified to issue prescription orders under s. 441.16.
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
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