AB43: Bill Text

AB43,,7888 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.

AB43,,7889 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.

AB43,,7890 (c) 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].

AB43,,7891 (d) 1. An advanced practice registered nurse may provide pain management services only while working in a collaborative relationship with a physician who, through education, training, and experience, specializes in pain management. Except as provided in subd. 2., this subdivision applies regardless of whether the advanced practice registered nurse has qualified for independent practice under par. (b).

AB43,,7892 2. Except as provided in par. (f), subd. 1. does not apply to an advanced practice registered nurse who is providing pain management services in a hospital, as defined in s. 50.33 (2), or a clinic associated with a hospital, and who has qualified for independent practice under par. (b).

AB43,,7893 (e) For purposes of pars. (a) 1. and (d) 1., a collaborative relationship is a process in which an advanced practice registered nurse is working with a physician or dentist, in each other’s presence when necessary, to deliver health care services within the scope of the advanced practice registered nurse’s training, education, and experience. The advanced practice registered nurse shall document such a collaborative relationship.

AB43,,7894 (f) Nothing in this section prohibits an entity employing or with a relationship with an advanced practice registered nurse from establishing additional requirements for an advanced practice registered nurse as a condition of employment or relationship.

AB43,,7895 (g) An advanced practice registered nurse shall adhere to professional standards when managing situations that are beyond the advanced practice registered nurse’s expertise. If a particular patient’s needs are beyond the advanced practice registered nurse’s expertise, the advanced practice registered nurse shall, as warranted by the patient’s needs, consult or collaborate with or refer the patient to at least one of the following:

AB43,,7896 1. A physician licensed under ch. 448.

AB43,,7897 2. Another health care provider for whom the advanced practice registered nurse has reasonable evidence of having a scope of practice that includes the authorization to address the patient’s needs.

AB43,,7898 (h) An advanced practice registered nurse licensed under this section may delegate a task or order to another clinically trained health care worker if the task or order is within the scope of the advanced practice registered nurse’s practice, the advanced practice registered nurse is competent to perform the task or issue the order, and the advanced practice registered nurse has reasonable evidence that the health care worker is minimally competent to perform the task or issue the order under the circumstances.

AB43,,7899 (i) An advanced practice registered nurse with a certified nurse-midwife specialty designation may not offer to deliver babies outside of a hospital setting unless the advanced practice registered nurse files with the board, and the board approves, a proactive plan for ensuring appropriate care or care transitions conforming with professional standards for patients with higher acuity or emergency care needs that exceed the advanced practice registered nurse’s scope of practice. An advanced practice registered nurse who offers to deliver babies outside of a hospital setting shall file a plan under this paragraph when applying for an initial license under this section or a renewal of a license under this section, shall keep the plan current with the board, and shall follow the plan.

AB43,,7900 (4) Continuing education. Every advanced practice registered nurse shall submit to the board evidence of having completed at least 16 contact hours per biennium in clinical pharmacology or therapeutics relevant to the advanced practice registered nurse’s area of practice. The board may promulgate rules regarding the continuing education requirements under this subsection.

AB43,,7901 (5) Malpractice liability insurance. No person may practice advanced practice registered nursing unless he or she at all times has in effect malpractice liability insurance coverage in the minimum amounts specified under s. 655.23 (4). An advanced practice registered nurse shall submit evidence of that coverage to the board when applying for an initial license under this section or a renewal of a license under this section. An advanced practice registered nurse shall also submit such evidence to the board upon request of the board.

AB43,,7902 (6) Rules. (a) The board shall promulgate rules necessary to administer this section, including rules for all of the following:

AB43,,7903 1. Further defining the scope of practice of an advanced practice registered nurse, practice of a certified nurse-midwife, practice of a certified registered nurse anesthetist, practice of a nurse practitioner, and practice of a clinical nurse specialist and defining the scope of practice within which an advanced practice registered nurse may issue prescription orders under sub. (2).

AB43,,7904 2. Determining acceptable national certification for purposes of sub. (1) (a) 2. a.

AB43,,7905 3. Establishing the appropriate education, training, or experience requirements that a registered nurse must satisfy in order to be an advanced practice registered nurse and to obtain each specialty designation corresponding to the recognized roles.

AB43,,7906 4. Specifying the classes of drugs, individual drugs, or devices that may not be prescribed by an advanced practice registered nurse under sub. (2).

AB43,,7907 5. Specifying the conditions to be met for registered nurses to do the following:

AB43,,7908 a. Administer a drug prescribed by an advanced practice registered nurse.

AB43,,7909 b. Administer a drug at the direction of an advanced practice registered nurse.

AB43,,7910 7. Establishing standards of professional conduct for advanced practice registered nurses generally and for practicing in each recognized role.

AB43,,7911 (am) Notwithstanding par. (a), the board may promulgate rules to implement sub. (3m) (b).

AB43,,7912 (b) The board may not promulgate rules that expand the scope of practice of an advanced practice registered nurse beyond the practices within advanced practice registered nursing.

AB43,2865 Section 2865. 441.092 of the statutes is created to read:

AB43,,7914 441.092 Expedited partner therapy. (1) In this section:

AB43,,7915 (b) “Antimicrobial drug” has the meaning given in s. 448.035 (1) (b).

AB43,,7916 (c) “Expedited partner therapy” has the meaning given in s. 448.035 (1) (c).

AB43,,7917 (2) Notwithstanding the requirements of s. 448.9785, an advanced practice registered nurse who may issue prescription orders under s. 441.09 (2) may provide expedited partner therapy if a patient is diagnosed as infected with a chlamydial infection, gonorrhea, or trichomoniasis and the patient has had sexual contact with a sexual partner during which the chlamydial infection, gonorrhea, or trichomoniasis may have been transmitted to or from the sexual partner. The advanced practice registered nurse shall attempt to obtain the name of the patient’s sexual partner. A prescription order for an antimicrobial drug prepared under this subsection shall include the name and address of the patient’s sexual partner, if known. If the advanced practice registered nurse is unable to obtain the name of the patient’s sexual partner, the prescription order shall include, in ordinary, bold-faced capital letters, the words, “expedited partner therapy” or the letters “EPT.”

AB43,,7918 (3) The advanced practice registered nurse shall provide the patient with a copy of the information sheet prepared by the department of health services under s. 46.03 (44) and shall request that the patient give the information sheet to the person with whom the patient had sexual contact.

AB43,,7919 (4) (a) Except as provided in par. (b), an advanced practice registered nurse is immune from civil liability for injury to or the death of a person who takes any antimicrobial drug if the antimicrobial drug is prescribed, dispensed, or furnished under this section and if expedited partner therapy is provided as specified under this section.

AB43,,7920 (b) The immunity under par. (a) does not extend to the donation, distribution, furnishing, or dispensing of an antimicrobial drug by an advanced practice registered nurse whose act or omission involves reckless, wanton, or intentional misconduct.

AB43,2866 Section 2866. 441.10 (6) of the statutes is amended to read:

AB43,,7922 441.10 (6) On or before the applicable renewal date specified determined by the department under s. 440.08 (2) (a), a licensed practical nurse practicing for compensation shall submit to the board, on forms furnished by the department, an application for license renewal, together with a statement giving name, residence, nature and extent of practice as a licensed practical nurse during the prior year and prior unreported years, the nursing workforce survey and fee required under s. 441.01 (7), and other facts bearing upon current competency that the board requires, accompanied by the applicable license renewal fee determined by the department under s. 440.03 (9) (a).

AB43,2867 Section 2867. 441.10 (7) of the statutes is amended to read:

AB43,,7924 441.10 (7) No license is required for practical nursing, but, except as provided in s. 257.03, no person without a license may hold himself or herself out as a licensed practical nurse or licensed attendant, use the title or letters “Trained Practical Nurse” or “T.P.N.”, “Licensed Practical Nurse” or “L.P.N.”, “Licensed Attendant” or “L.A.”, “Trained Attendant” or “T.A.”, or otherwise seek to indicate that he or she is a licensed practical nurse or licensed attendant. No licensed practical nurse or licensed attendant may use the title, or otherwise seek to act as a registered, licensed, graduate or professional nurse. Anyone violating this subsection shall be subject to the penalties prescribed by s. 441.13. The board shall grant without examination a license as a licensed practical nurse to any person who was on July 1, 1949, a licensed attendant. This subsection does not apply to any licensed practical nurse who holds a multistate license, as defined in s. 441.51 (2) (h), issued by a jurisdiction, other than this state, that has adopted the nurse licensure compact under s. 441.51.

AB43,2868 Section 2868. 441.11 (title) of the statutes is repealed.

AB43,2869 Section 2869. 441.11 (1) of the statutes is repealed.

AB43,2870 Section 2870. 441.11 (2) of the statutes is renumbered 441.09 (5m) and amended to read:

AB43,,7928 441.09 (5m) Licensure exemption. The provisions of s. 448.04 (1) (g) 448.03 (1) (d) do not apply to a an advanced practice registered nurse licensed under this section who possesses a certified registered nurse anesthetist specialty designation under sub. (1) (b) 1. or to a person who engages in the practice of a nurse anesthetist while performing official duties for the armed services or federal health services of the United States.

AB43,2871 Section 2871. 441.11 (3) of the statutes is repealed.

AB43,2872 Section 2872. 441.15 of the statutes, as affected by 2023 Wisconsin Act .... (this act), is repealed.

****Note: This is reconciled s. 441.15. This Section has been affected by drafts with the following LRB numbers: -1294/P3 and -1910/P2.

AB43,2873 Section 2873. 441.15 (3) (b) of the statutes is amended to read:

AB43,,7932 441.15 (3) (b) On or before the applicable renewal date specified determined by the department under s. 440.08 (2) (a), a person issued a license under par. (a) and practicing nurse-midwifery shall submit to the board on furnished forms a statement giving his or her name, residence, and other information that the board requires by rule, with the applicable renewal fee determined by the department under s. 440.03 (9) (a). If applicable, the person shall also submit evidence satisfactory to the board that he or she has in effect the malpractice liability insurance required under the rules promulgated under sub. (5) (bm). The board shall grant to a person who pays the fee determined by the department under s. 440.03 (9) (a) for renewal of a license to practice nurse-midwifery and who satisfies the requirements of this paragraph the renewal of his or her license to practice nurse-midwifery and the renewal of his or her license to practice as a registered nurse.

AB43,2874 Section 2874. 441.16 of the statutes is repealed.

AB43,2875 Section 2875. 441.18 (2) (a) (intro.) of the statutes is amended to read:

AB43,,7935 441.18 (2) (a) (intro.) An advanced practice registered nurse certified to who may issue prescription orders under s. 441.16 441.09 (2) may do any of the following:

AB43,2876 Section 2876. 441.18 (2) (b) of the statutes is amended to read:

AB43,,7937 441.18 (2) (b) An advanced practice registered nurse who prescribes or delivers an opioid antagonist under par. (a) 1. shall ensure that the person to whom the opioid antagonist is prescribed has or has the capacity to provide the knowledge and training necessary to safely administer the opioid antagonist to an individual undergoing an opioid-related overdose and that the person demonstrates the capacity to ensure that any individual to whom the person further delivers the opioid antagonist has or receives that knowledge and training.

AB43,2877 Section 2877. 441.18 (3) of the statutes is amended to read:

AB43,,7939 441.18 (3) An advanced practice registered nurse who, acting in good faith, prescribes or delivers an opioid antagonist in accordance with sub. (2), or who, acting in good faith, otherwise lawfully prescribes or dispenses an opioid antagonist, shall be immune from criminal or civil liability and may not be subject to professional discipline under s. 441.07 for any outcomes resulting from prescribing, delivering, or dispensing the opioid antagonist.

AB43,2878 Section 2878. 441.19 of the statutes is repealed.

AB43,2879 Section 2879. 442.083 (1) of the statutes is amended to read:

AB43,,7942 442.083 (1) The renewal dates for licenses issued under this chapter are specified shall be as determined by the department under s. 440.08 (2) (a), and the renewal fees for such licenses are determined by the department under s. 440.03 (9) (a). The department may not renew a license issued to a firm unless, at the time of renewal, the firm satisfies the requirements under s. 442.08 (2) and demonstrates, to the satisfaction of the department, that the firm has complied with the requirements under s. 442.087.

AB43,2880 Section 2880. 442.083 (2) (a) of the statutes is amended to read:

AB43,,7944 442.083 (2) (a) The examining board shall promulgate rules establishing continuing education requirements for renewal of licenses granted to individuals licensed under this chapter. The rules promulgated under this paragraph may not require an individual to complete more than 80 continuing education credits during the per 2-year period immediately preceding the renewal date specified under s. 440.08 (2) (a).

AB43,2881 Section 2881. 443.015 (1e) of the statutes is amended to read:

AB43,,7946 443.015 (1e) The rules promulgated under sub. (1) by the registered interior designer section of the examining board shall require a Wisconsin registered interior designer to complete at least 15 hours of continuing education during the per 2-year period immediately preceding the renewal date specified under s. 440.08 (2) (a). At least 10 of the 15 hours shall be in subjects related to the practice of interior design that safeguard the public’s health, safety, and welfare.

AB43,2882 Section 2882. 443.07 (6) of the statutes is amended to read:

AB43,,7948 443.07 (6) The renewal date for permits under this section is specified shall be as determined by the department under s. 440.08 (2) (a), and the fee for renewal of such permits is determined by the department under s. 440.03 (9) (a).

AB43,2883 Section 2883. 443.08 (3) (b) of the statutes is amended to read:

AB43,,7950 443.08 (3) (b) The renewal date for certificates of authorization under this section is specified shall be as determined by the department under s. 440.08 (2) (a), and the fee for renewal of such certificates is determined by the department under s. 440.03 (9) (a).

AB43,2884 Section 2884. 443.10 (2) (e) of the statutes is amended to read:

AB43,,7952 443.10 (2) (e) The renewal date dates for certificates of registration for architects, landscape architects, professional engineers, and Wisconsin registered interior designers is specified shall be as determined by the department under s. 440.08 (2) (a), and the fee for renewal of such certificates is determined by the department under s. 440.03 (9) (a).

AB43,2885 Section 2885. 443.10 (5) of the statutes is amended to read:

AB43,,7954 443.10 (5) Fees; renewals. The professional land surveyor section shall grant a license to engage in the practice of professional land surveying to any applicant who has met the applicable requirements of this chapter. The renewal date for the license is specified shall be as determined by the department under s. 440.08 (2) (a), and the renewal fee for the license is determined by the department under s. 440.03 (9) (a).

AB43,2886 Section 2886. 445.06 (1) of the statutes is amended to read:

AB43,,7956 445.06 (1) The renewal date for a funeral director’s license is specified shall be as determined by the department under s. 440.08 (2) (a), and the renewal fee for such license is determined by the department under s. 440.03 (9) (a).

AB43,2887 Section 2887. 445.07 (1) of the statutes is repealed.

AB43,2888 Section 2888. 445.07 (2) of the statutes is amended to read:

AB43,,7959 445.07 (2) (a) The examining board may waive the requirement under sub. (1) (a) (3) (b) in cases where the examining board is satisfied that an applicant would be unable to satisfy the requirement prior to the renewal date by which the requirement must be satisfied.

AB43,,7960 (b) Subsection (1) (a) (3) (b) does not apply to an applicant who was granted a reciprocal license under s. 445.08.

AB43,2889 Section 2889. 445.07 (3) of the statutes is renumbered 445.07 (3) (a) and amended to read:

AB43,,7962 445.07 (3) (a) The examining board shall promulgate rules to implement this section establish continuing education requirements for an applicant licensed under this chapter. The rules shall, except as required in par. (b) and sub. (2), require completion of 15 hours of continuing education per 2-year period.

AB43,2890 Section 2890. 445.07 (3) (b) of the statutes is created to read:

AB43,,7964 445.07 (3) (b) The examining board shall establish separate continuing education requirements for new licensees. The examining board shall specify permitted or required subjects for the continuing education under this paragraph, which shall be subjects that the examining board determines prepare a new licensee for practice as a funeral director.

AB43,2891 Section 2891. 445.095 (1) (c) of the statutes is amended to read:

AB43,,7966 445.095 (1) (c) A certificate of apprenticeship issued under this section shall be renewable annually upon the payment on January 1 of each year of the renewal fee specified in s. 440.08 (2) (2m) (b).

AB43,2892 Section 2892. 445.105 (3) of the statutes is amended to read:

AB43,,7968 445.105 (3) Applications for funeral establishment permits shall be made on forms provided by the department and filed with the department and shall be accompanied by the initial credential fee determined by the department under s. 440.03 (9) (a). The renewal date for a funeral establishment permit is specified shall be as determined by the department under s. 440.08 (2) (a), and the renewal fee for such permit is determined by the department under s. 440.03 (9) (a).

AB43,2893 Section 2893. 446.02 (1) (b) of the statutes is amended to read:

AB43,,7970 446.02 (1) (b) Submits evidence satisfactory to the examining board that the person meets the requirements of continuing education for license renewal as the examining board may require, which requirements shall include current proficiency in the use of an automated external defibrillator achieved through instruction provided by an individual, organization, or institution of higher education approved under s. 46.03 (38) to provide such instruction. The person shall include the approval number assigned under sub. (5) (b) to each educational program completed by the person to satisfy the requirements of this paragraph. During the time between initial licensure and commencement of a full 2-year licensure period The examining board shall, for up to a 2-year period, exempt new licensees shall not be required to meet continuing education requirements from the requirements under this paragraph. Any person who has not engaged in the practice of chiropractic for 2 years or more, while holding a valid license under this chapter, and desiring to engage in such practice, shall be required by the examining board to complete a continuing education course at a school of chiropractic approved by the examining board or pass a practical examination administered by the examining board or both.

AB43,2894 Section 2894. 446.02 (4) of the statutes is amended to read:

AB43,,7972 446.02 (4) The renewal date for all licenses granted by the examining board is specified shall be as determined by the department under s. 440.08 (2) (a), and the renewal fee for such licenses is determined by the department under s. 440.03 (9) (a).

AB43,2895 Section 2895. 446.025 (3) (a) of the statutes is renumbered 446.025 (3) (a) 1. and amended to read:

AB43,,7974 446.025 (3) (a) 1. The renewal date and fees for a certificate issued under this section are specified in shall be as determined by the department under s. 440.08 (2) (a).

AB43,2896 Section 2896. 446.025 (3) (a) 2. of the statutes is created to read: