This is the preview version of the Wisconsin State Legislature site.
Please see http://docs.legis.wisconsin.gov for the production version.
SB394,19,324 106.30 (1) Definition. In this section, “nurse" means a registered nurse
25licensed under s. 441.06 or permitted under s. 441.08, a licensed practical nurse

1licensed or permitted under s. 441.10, or an advanced practice registered nurse
2prescriber certified under s. 441.16 (2), or a nurse-midwife licensed under s. 441.15
3441.09.
SB394,35 4Section 35 . 118.15 (3) (a) of the statutes is amended to read:
SB394,19,155 118.15 (3) (a) Any child who is excused by the school board because the child
6is temporarily not in proper physical or mental condition to attend a school program
7but who can be expected to return to a school program upon termination or
8abatement of the illness or condition. The school attendance officer may request the
9parent or guardian of the child to obtain a written statement from a licensed
10physician, dentist, chiropractor, optometrist, psychologist, physician assistant, or
11nurse practitioner, as defined in s. 255.06 (1) (d), or certified advanced practice
12registered nurse prescriber or Christian Science practitioner living and residing in
13this state, who is listed in the Christian Science Journal, as sufficient proof of the
14physical or mental condition of the child. An excuse under this paragraph shall be
15in writing and shall state the time period for which it is valid, not to exceed 30 days.
SB394,36 16Section 36 . 118.25 (1) (a) of the statutes is amended to read:
SB394,19,2017 118.25 (1) (a) “Practitioner" means a person licensed as a physician or as a
18physician assistant in any state or licensed as an advanced practice registered nurse
19or certified as an advanced practice registered nurse prescriber in any state. In this
20paragraph, “physician” has the meaning given in s. 448.01 (5).
SB394,37 21Section 37 . 118.29 (1) (e) of the statutes is amended to read:
SB394,19,2422 118.29 (1) (e) “Practitioner" means any physician, dentist, optometrist,
23physician assistant, advanced practice registered nurse prescriber with prescribing
24authority
, or podiatrist licensed in any state.
SB394,38 25Section 38. 118.2925 (1) (b) of the statutes is repealed.
SB394,39
1Section 39. 118.2925 (3) of the statutes is amended to read:
SB394,20,62 118.2925 (3) Prescriptions for schools. A physician, an advanced practice
3registered nurse prescriber who may issue prescription orders under s. 441.09 (2),
4or a physician assistant may prescribe epinephrine auto-injectors in the name of a
5school that has adopted a plan under sub. (2) (a), to be maintained by the school for
6use under sub. (4).
SB394,40 7Section 40 . 118.2925 (4) (c) of the statutes is amended to read:
SB394,20,208 118.2925 (4) (c) Administer an epinephrine auto-injector to a pupil or other
9person who the school nurse or designated school personnel in good faith believes is
10experiencing anaphylaxis in accordance with a standing protocol from a physician,
11an advanced practice registered nurse prescriber who may issue prescription orders
12under s. 441.09 (2)
, or a physician assistant, regardless of whether the pupil or other
13person has a prescription for an epinephrine auto-injector. If the pupil or other
14person does not have a prescription for an epinephrine auto-injector, or the person
15who administers the epinephrine auto-injector does not know whether the pupil or
16other person has a prescription for an epinephrine auto-injector, the person who
17administers the epinephrine auto-injector shall, as soon as practicable, report the
18administration by dialing the telephone number “911" or, in an area in which the
19telephone number “911" is not available, the telephone number for an emergency
20medical service provider.
SB394,41 21Section 41 . 118.2925 (5) of the statutes is amended to read:
SB394,21,822 118.2925 (5) Immunity from civil liability; exemption from practice of
23medicine.
A school and its designated school personnel, and a physician, an advanced
24practice registered nurse prescriber who may issue prescription orders under s.
25441.09 (2)
, or a physician assistant who provides a prescription or standing protocol

1for school epinephrine auto-injectors, are not liable for any injury that results from
2the administration or self-administration of an epinephrine auto-injector under
3this section, regardless of whether authorization was given by the pupil's parent or
4guardian or by the pupil's physician, physician assistant, or advanced practice
5registered nurse prescriber, unless the injury is the result of an act or omission that
6constitutes gross negligence or willful or wanton misconduct. The immunity from
7liability provided under this subsection is in addition to and not in lieu of that
8provided under s. 895.48.
SB394,42 9Section 42 . 146.343 (1) (c) of the statutes is amended to read:
SB394,21,1310 146.343 (1) (c) “Nurse-midwife" means an individual who is licensed to engage
11in the practice of nurse-midwifery under s. 441.15 (3) (a)
as an advanced practice
12registered nurse and possesses a certified nurse-midwife specialty designation
13under s. 441.09
.
SB394,43 14Section 43 . 146.82 (3) (a) of the statutes is amended to read:
SB394,21,2215 146.82 (3) (a) Notwithstanding sub. (1), a physician, physician assistant, as
16defined in s. 448.01 (6), or advanced practice registered nurse prescriber certified
17under s. 441.16 (2) licensed under s. 441.09 who treats a patient whose physical or
18mental condition in the physician's, physician assistant's, or advanced practice nurse
19prescriber's
registered nurse's judgment affects the patient's ability to exercise
20reasonable and ordinary control over a motor vehicle may report the patient's name
21and other information relevant to the condition to the department of transportation
22without the informed consent of the patient.
SB394,44 23Section 44 . 146.82 (3) (a) of the statutes, as affected by 2021 Wisconsin Acts
2423
and .... (this act), is repealed and recreated to read:
SB394,22,7
1146.82 (3) (a) Notwithstanding sub. (1), a physician, a physician assistant, or
2an advanced practice registered nurse licensed under s. 441.09 who treats a patient
3whose physical or mental condition in the physician's, physician assistant's, or
4advanced practice registered nurse's judgment affects the patient's ability to exercise
5reasonable and ordinary control over a motor vehicle may report the patient's name
6and other information relevant to the condition to the department of transportation
7without the informed consent of the patient.
SB394,45 8Section 45 . 146.89 (1) (r) 1. of the statutes is amended to read:
SB394,22,149 146.89 (1) (r) 1. Licensed as a physician under ch. 448, a dentist or dental
10hygienist under ch. 447, a registered nurse, practical nurse, or nurse-midwife
11advanced practice registered nurse under ch. 441, an optometrist under ch. 449, a
12physician assistant under ch. 448, a pharmacist under ch. 450, a chiropractor under
13ch. 446, a podiatrist under subch. IV of ch. 448, or a physical therapist under subch.
14III of ch. 448.
SB394,46 15Section 46 . 146.89 (1) (r) 1. of the statutes, as affected by 2021 Wisconsin Acts
1623
and .... (this act), is repealed and recreated to read:
SB394,22,2217 146.89 (1) (r) 1. Licensed as a physician under ch. 448, a dentist or dental
18hygienist under ch. 447, a registered nurse, practical nurse, or advanced practice
19registered nurse under ch. 441, an optometrist under ch. 449, a physician assistant
20under ch. subch. VIII of 448, a pharmacist under ch. 450, a chiropractor under ch.
21446, a podiatrist under subch. IV of ch. 448, or a physical therapist under subch. III
22of ch. 448.
SB394,47 23Section 47 . 146.89 (1) (r) 3. of the statutes is repealed.
SB394,48 24Section 48 . 146.89 (1) (r) 8. of the statutes is amended to read:
SB394,23,2
1146.89 (1) (r) 8. An advanced practice registered nurse who has a certificate to
2may issue prescription orders under s. 441.16 441.09 (2).
SB394,49 3Section 49 . 146.89 (6) of the statutes is amended to read:
SB394,23,74 146.89 (6) (a) While serving as a volunteer health care provider under this
5section, an advanced practice registered nurse who has a certificate to may issue
6prescription orders under s. 441.16 441.09 (2) is considered to meet the requirements
7of s. 655.23, if required to comply with s. 655.23.
SB394,23,118 (b) While serving as a volunteer health care provider under this section, an
9advanced practice registered nurse who has a certificate to may issue prescription
10orders under s. 441.16 441.09 (2) is not required to maintain in effect malpractice
11insurance.
SB394,50 12Section 50 . 154.01 (1g) of the statutes is amended to read:
SB394,23,1613 154.01 (1g) “Advanced practice registered nurse” means a nurse an individual
14licensed under ch. 441 who is currently certified by a national certifying body
15approved by the board of nursing as a nurse practitioner, certified nurse-midwife,
16certified registered nurse anesthetist, or clinical nurse specialist
s. 441.09.
SB394,51 17Section 51 . 155.01 (1g) (b) of the statutes is repealed and recreated to read:
SB394,23,1918 155.01 (1g) (b) An individual who is licensed as an advanced practice registered
19nurse and possesses a nurse practitioner specialty designation under s. 441.09.
SB394,52 20Section 52. 252.01 (1c) of the statutes is repealed.
SB394,53 21Section 53 . 252.07 (8) (a) 2. of the statutes is amended to read:
SB394,23,2522 252.07 (8) (a) 2. The department or local health officer provides to the court a
23written statement from a physician, physician assistant, or advanced practice
24registered nurse prescriber that the individual has infectious tuberculosis or suspect
25tuberculosis.
SB394,54
1Section 54. 252.07 (9) (c) of the statutes is amended to read:
SB394,24,82 252.07 (9) (c) If the court orders confinement of an individual under this
3subsection, the individual shall remain confined until the department or local health
4officer, with the concurrence of a treating physician, physician assistant, or advanced
5practice registered nurse prescriber, determines that treatment is complete or that
6the individual is no longer a substantial threat to himself or herself or to the public
7health. If the individual is to be confined for more than 6 months, the court shall
8review the confinement every 6 months.
SB394,55 9Section 55 . 252.10 (7) of the statutes is amended to read:
SB394,24,1410 252.10 (7) Drugs necessary for the treatment of mycobacterium tuberculosis
11shall be purchased by the department from the appropriation account under s.
1220.435 (1) (e) and dispensed to patients through the public health dispensaries, local
13health departments, physicians, or advanced practice nurse prescribers registered
14nurses who may issue prescription orders under s. 441.09 (2)
.
SB394,56 15Section 56 . 252.11 (2), (4), (5), (7) and (10) of the statutes are amended to read:
SB394,25,216 252.11 (2) An officer of the department or a local health officer having
17knowledge of any reported or reasonably suspected case or contact of a sexually
18transmitted disease for which no appropriate treatment is being administered, or of
19an actual contact of a reported case or potential contact of a reasonably suspected
20case, shall investigate or cause the case or contact to be investigated as necessary.
21If, following a request of an officer of the department or a local health officer, a person
22reasonably suspected of being infected with a sexually transmitted disease refuses
23or neglects examination by a physician, physician assistant, or advanced practice
24registered nurse prescriber or treatment, an officer of the department or a local

1health officer may proceed to have the person committed under sub. (5) to an
2institution or system of care for examination, treatment, or observation.
SB394,25,9 3(4) If a person infected with a sexually transmitted disease ceases or refuses
4treatment before reaching what in a physician's, physician assistant's, or advanced
5practice nurse prescriber's registered nurse's opinion is the noncommunicable stage,
6the physician, physician assistant, or advanced practice registered nurse prescriber
7shall notify the department. The department shall without delay take the necessary
8steps to have the person committed for treatment or observation under sub. (5), or
9shall notify the local health officer to take these steps.
SB394,26,2 10(5) Any court of record may commit a person infected with a sexually
11transmitted disease to any institution or may require the person to undergo a system
12of care for examination, treatment, or observation if the person ceases or refuses
13examination, treatment, or observation under the supervision of a physician,
14physician assistant, or advanced practice registered nurse prescriber. The court
15shall summon the person to appear on a date at least 48 hours, but not more than
1696 hours, after service if an officer of the department or a local health officer petitions
17the court and states the facts authorizing commitment. If the person fails to appear
18or fails to accept commitment without reasonable cause, the court may cite the
19person for contempt. The court may issue a warrant and may direct the sheriff, any
20constable, or any police officer of the county immediately to arrest the person and
21bring the person to court if the court finds that a summons will be ineffectual. The
22court shall hear the matter of commitment summarily. Commitment under this
23subsection continues until the disease is no longer communicable or until other
24provisions are made for treatment that satisfy the department. The certificate of the

1petitioning officer is prima facie evidence that the disease is no longer communicable
2or that satisfactory provisions for treatment have been made.
SB394,26,12 3(7) Reports, examinations and inspections, and all records concerning sexually
4transmitted diseases are confidential and not open to public inspection, and may not
5be divulged except as may be necessary for the preservation of the public health, in
6the course of commitment proceedings under sub. (5), or as provided under s. 938.296
7(4) or 968.38 (4). If a physician, physician assistant, or advanced practice registered
8nurse prescriber has reported a case of sexually transmitted disease to the
9department under sub. (4), information regarding the presence of the disease and
10treatment is not privileged when the patient, physician, physician assistant, or
11advanced practice registered nurse prescriber is called upon to testify to the facts
12before any court of record.
SB394,26,20 13(10) The state laboratory of hygiene shall examine specimens for the diagnosis
14of sexually transmitted diseases for any physician, physician assistant, advanced
15practice registered nurse prescriber, or local health officer in the state, and shall
16report the positive results of the examinations to the local health officer and to the
17department. All laboratories performing tests for sexually transmitted diseases
18shall report all positive results to the local health officer and to the department, with
19the name of the physician, physician assistant, or advanced practice registered nurse
20prescriber to whom reported.
SB394,57 21Section 57 . 252.15 (3m) (d) 11. b. and 13., (5g) (c), (5m) (d) 2. and (e) 2. and 3.
22and (7m) (intro.) and (b) of the statutes are amended to read:
SB394,27,523 252.15 (3m) (d) 11. b. The coroner, medical examiner, or appointed assistant
24is investigating the cause of death of the subject of the HIV test and has contact with
25the body fluid of the subject of the HIV test that constitutes a significant exposure,

1if a physician, physician assistant, or advanced practice registered nurse prescriber,
2based on information provided to the physician, physician assistant, or advanced
3practice registered nurse prescriber, determines and certifies in writing that the
4coroner, medical examiner, or appointed assistant has had a contact that constitutes
5a significant exposure and if the certification accompanies the request for disclosure.
SB394,27,106 13. If the subject of the HIV test has a positive HIV test result and is deceased,
7by the subject's attending physician, physician assistant, or advanced practice
8registered nurse prescriber, to persons, if known to the physician, physician
9assistant, or advanced practice registered nurse prescriber, with whom the subject
10had sexual contact or shared intravenous drug use paraphernalia.
SB394,28,2 11(5g) (c) A physician, physician assistant, or advanced practice registered nurse
12prescriber, based on information provided to the physician, physician assistant, or
13advanced practice registered nurse prescriber, determines and certifies in writing
14that the person has had contact that constitutes a significant exposure. The
15certification shall accompany the request for HIV testing and disclosure. If the
16person is a physician, physician assistant, or advanced practice registered nurse
17prescriber, he or she may not make this determination or certification. The
18information that is provided to a physician, physician assistant, or advanced practice
19registered nurse prescriber to document the occurrence of the contact that
20constitutes a significant exposure and the physician's, physician assistant's, or
21advanced practice nurse prescriber's registered nurse's certification that the person
22has had contact that constitutes a significant exposure, shall be provided on a report
23form that is developed by the department of safety and professional services under
24s. 101.02 (19) (a) or on a report form that the department of safety and professional

1services determines, under s. 101.02 (19) (b), is substantially equivalent to the report
2form that is developed under s. 101.02 (19) (a).
SB394,28,8 3(5m) (d) 2. A physician, physician assistant, or advanced practice registered
4nurse prescriber, based on information provided to the physician, physician
5assistant, or advanced practice registered nurse prescriber, determines and certifies
6in writing that the contact under subd. 1. constitutes a significant exposure. A health
7care provider who has a contact under subd. 1. c. may not make the certification
8under this subdivision for himself or herself.
SB394,28,119 (e) 2. If the contact occurs as provided under par. (d) 1. b., the attending
10physician, physician assistant, or advanced practice registered nurse prescriber of
11the funeral director, coroner, medical examiner, or appointed assistant.
SB394,28,1412 3. If the contact occurs as provided under par. (d) 1. c., the physician, physician
13assistant, or advanced practice registered nurse prescriber who makes the
14certification under par. (d) 2.
SB394,28,23 15(7m) Reporting of persons significantly exposed. (intro.) If a positive,
16validated HIV test result is obtained from a test subject, the test subject's physician,
17physician assistant, or advanced practice registered nurse prescriber who maintains
18a record of the HIV test result under sub. (4) (c) may report to the state epidemiologist
19the name of any person known to the physician, physician assistant, or advanced
20practice registered nurse prescriber to have had contact with body fluid of the test
21subject that constitutes a significant exposure, only after the physician, physician
22assistant, or advanced practice registered nurse prescriber has done all of the
23following:
SB394,29,224 (b) Notified the HIV test subject that the name of any person known to the
25physician, physician assistant, or advanced practice registered nurse prescriber to

1have had contact with body fluid of the test subject that constitutes a significant
2exposure will be reported to the state epidemiologist.
SB394,58 3Section 58 . 252.16 (3) (c) (intro.) of the statutes is amended to read:
SB394,29,64 252.16 (3) (c) (intro.) Has submitted to the department a certification from a
5physician, as defined in s. 448.01 (5), physician assistant, or advanced practice
6registered nurse prescriber of all of the following:
SB394,59 7Section 59 . 252.17 (3) (c) (intro.) of the statutes is amended to read:
SB394,29,108 252.17 (3) (c) (intro.) Has submitted to the department a certification from a
9physician, as defined in s. 448.01 (5), physician assistant, or advanced practice
10registered nurse prescriber of all of the following:
SB394,60 11Section 60 . 253.07 (4) (d) of the statutes is amended to read:
SB394,29,1512 253.07 (4) (d) In each fiscal year, $31,500 as grants for employment in
13communities of licensed registered nurses, licensed practical nurses, certified
14nurse-midwives
licensed advanced practice registered nurses, or licensed physician
15assistants who are members of a racial minority.
SB394,61 16Section 61 . 253.115 (1) (f) of the statutes is created to read:
SB394,29,1917 253.115 (1) (f) “Nurse-midwife" means an individual who is licensed as an
18advanced practice registered nurse and possesses a certified nurse-midwife
19specialty designation under s. 441.09.
SB394,62 20Section 62 . 253.115 (4) of the statutes is amended to read:
SB394,29,2521 253.115 (4) Screening required. Except as provided in sub. (6), the physician,
22nurse-midwife licensed under s. 441.15, or certified professional midwife licensed
23under s. 440.982 who attended the birth shall ensure that the infant is screened for
24hearing loss before being discharged from a hospital, or within 30 days of birth if the
25infant was not born in a hospital.
SB394,63
1Section 63. 253.115 (7) (a) (intro.) of the statutes is amended to read:
SB394,30,42 253.115 (7) (a) (intro.) The physician, nurse-midwife licensed under s. 441.15,
3or certified professional midwife licensed under s. 440.982 who is required to ensure
4that the infant is screened for hearing loss under sub. (4) shall do all of the following:
SB394,64 5Section 64 . 253.13 (1) of the statutes is renumbered 253.13 (1) (b) and
6amended to read:
SB394,30,137 253.13 (1) (b) The attending physician or nurse licensed under s. 441.15
8nurse-midwife shall cause every infant born in each hospital or maternity home,
9prior to its discharge therefrom, to be subjected to tests for congenital and metabolic
10disorders, as specified in rules promulgated by the department. If the infant is born
11elsewhere than in a hospital or maternity home, the attending physician, nurse
12licensed under s. 441.15
nurse-midwife, or birth attendant who attended the birth
13shall cause the infant, within one week of birth, to be subjected to these tests.
SB394,65 14Section 65 . 253.13 (1) (a) of the statutes is created to read:
SB394,30,1715 253.13 (1) (a) In this subsection, “nurse-midwife" means an individual who is
16licensed as an advanced practice registered nurse and possesses a certified
17nurse-midwife specialty designation under s. 441.09.
SB394,66 18Section 66 . 253.15 (1) (em) of the statutes is created to read:
SB394,30,2119 253.15 (1) (em) “Nurse-midwife" means an individual who is licensed as an
20advanced practice registered nurse and possesses a certified nurse-midwife
21specialty designation under s. 441.09.
SB394,67 22Section 67 . 253.15 (2) of the statutes is amended to read:
SB394,31,2023 253.15 (2) Informational materials. The board shall purchase or prepare or
24arrange with a nonprofit organization to prepare printed and audiovisual materials
25relating to shaken baby syndrome and impacted babies. The materials shall include

1information regarding the identification and prevention of shaken baby syndrome
2and impacted babies, the grave effects of shaking or throwing on an infant or young
3child, appropriate ways to manage crying, fussing, or other causes that can lead a
4person to shake or throw an infant or young child, and a discussion of ways to reduce
5the risks that can lead a person to shake or throw an infant or young child. The
6materials shall be prepared in English, Spanish, and other languages spoken by a
7significant number of state residents, as determined by the board. The board shall
8make those written and audiovisual materials available to all hospitals, maternity
9homes, and nurse-midwives licensed under s. 441.15 that are required to provide or
10make available materials to parents under sub. (3) (a) 1., to the department and to
11all county departments and nonprofit organizations that are required to provide the
12materials to child care providers under sub. (4) (d), and to all school boards and
13nonprofit organizations that are permitted to provide the materials to pupils in one
14of grades 5 to 8 and in one of grades 10 to 12 under sub. (5). The board shall also make
15those written materials available to all county departments and Indian tribes that
16are providing home visitation services under s. 48.983 (4) (b) 1. and to all providers
17of prenatal, postpartum, and young child care coordination services under s. 49.45
18(44). The board may make available the materials required under this subsection
19to be made available by making those materials available at no charge on the board's
20Internet site.
SB394,68 21Section 68 . 255.06 (1) (d) of the statutes is renumbered 255.06 (1) (f) (intro.)
22and amended to read:
SB394,31,2423 255.06 (1) (f) (intro.) “Nurse practitioner" “Women's health nurse clinician"
24means a any of the following:
SB394,32,5
11. A registered nurse who is licensed under ch. 441 or who holds a multistate
2license, as defined in s. 441.51 (2) (h), issued in a party state, as defined in s. 441.51
3(2) (k), and whose practice of professional nursing under s. 441.001 (4) includes
4performance of delegated medical services under the supervision of a physician,
5dentist, or podiatrist, or advanced practice registered nurse.
SB394,69 6Section 69 . 255.06 (1) (f) 2. of the statutes is created to read:
SB394,32,77 255.06 (1) (f) 2. An advanced practice registered nurse.
SB394,70 8Section 70 . 255.06 (2) (d) of the statutes is amended to read:
SB394,32,139 255.06 (2) (d) Specialized training for rural colposcopic examinations and
10activities.
Provide not more than $25,000 in each fiscal year as reimbursement for
11the provision of specialized training of nurse practitioners women's health nurse
12clinicians
to perform, in rural areas, colposcopic examinations and follow-up
13activities for the treatment of cervical cancer.
SB394,71 14Section 71 . 255.07 (1) (d) of the statutes is amended to read:
SB394,32,1715 255.07 (1) (d) “Health care practitioner" means a physician, a physician
16assistant licensed under s. 448.04 (1) (f), or an advanced practice registered nurse
17who is certified to may issue prescription orders under s. 441.16 441.09 (2).
SB394,72 18Section 72 . 255.07 (1) (d) of the statutes, as affected by 2021 Wisconsin Acts
1923
and .... (this act), is repealed and recreated to read:
SB394,32,2220 255.07 (1) (d) “Health care practitioner" means a physician, a physician
21assistant, or an advanced practice registered nurse who may issue prescription
22orders under s. 441.09 (2).
SB394,73 23Section 73 . 257.01 (5) (a) and (b) of the statutes are amended to read:
SB394,33,424 257.01 (5) (a) An individual who is licensed as a physician, a physician
25assistant, or a podiatrist under ch. 448, licensed as a registered nurse, licensed

1practical nurse, or nurse-midwife advanced practice registered nurse under ch. 441,
2licensed as a dentist under ch. 447, licensed as a pharmacist under ch. 450, licensed
3as a veterinarian or certified as a veterinary technician under ch. 89, or certified as
4a respiratory care practitioner under ch. 448.
Loading...
Loading...