SB45,1128,10 146.89 (1) (r) 5e. A registered nurse practitioner, as defined in s. 255.06 (1) (d) who holds a multistate license, as defined in s. 441.51 (2) (h), issued by a party state, as defined in s. 441.51 (2) (k), and whose practice of professional nursing under s. 441.001 (4) includes performance of delegated medical services under the supervision of a physician, dentist, podiatrist, or advanced practice registered nurse.

SB45,2201 Section 2201. 146.89 (1) (r) 8. of the statutes is repealed.

SB45,2202 Section 2202. 146.89 (6) of the statutes is amended to read:

SB45,1128,16 146.89 (6) (a) While serving as a volunteer health care provider under this section, an advanced practice registered nurse who has a certificate to issue prescription orders under s. 441.16 (2) is considered to meet the requirements of s. 655.23, if required to comply with s. 655.23.

SB45,1128,20 (b) While serving as a volunteer health care provider under this section, an advanced practice registered nurse who has a certificate to issue prescription orders under s. 441.16 (2) is not required to maintain in effect malpractice insurance.

SB45,2203 Section 2203. 150.31 (1) (intro.) of the statutes is amended to read:

SB45,1129,4 150.31 (1) (intro.) In order to enable the state to budget accurately for medical assistance and to allocate fiscal resources most appropriately, the maximum number of licensed nursing home beds statewide is 51,795 25,415 and the maximum number of beds statewide in facilities primarily serving the developmentally disabled is 3,704. The department may adjust these limits on licensed beds as provided in subs. (2) to (6). The department shall also biennially recommend changes to this limit based on the following criteria:

SB45,2204 Section 2204. 150.31 (8) of the statutes is amended to read:

SB45,1129,8 150.31 (8) The Subject to sub. (9), the department may allocate or distribute nursing home beds in a manner, developed by rule, that is consistent with the criteria specified in sub. (1) (a) to (f) and s. 150.39.

SB45,2205 Section 2205. 150.31 (9) of the statutes is created to read:

SB45,1129,11 150.31 (9) The department shall allocate 125 nursing home beds to persons that apply for the beds and agree to do all of the following:

SB45,1129,12 (a) Prioritize admissions of patients with complex needs.

SB45,1129,14 (b) Prioritize admissions of patients who have been unable to find appropriate placement at another facility.

SB45,2206 Section 2206. Subchapter IX of chapter 150 [precedes 150.99] of the statutes is created to read:

SB45,1129,17 CHAPTER 150

SB45,1129,19 SUBCHAPTER IX HEALTH CARE ENTITY OVERSIGHT AND TRANSPARENCY

SB45,2207 Section 2207. 150.99 of the statutes is created to read:

SB45,1129,21 150.99 Definitions. In this subchapter:

SB45,1130,3 (1) “Acquisition” means the direct or indirect purchase, including lease, transfer, exchange, option, receipt of a conveyance, or creation of a joint venture, or any other manner of purchase, such as by a health care system, private equity group, hedge fund, publicly traded company, real estate investment trust, management services organization, insurance carrier, or any subsidiaries thereof, of a material amount of the assets or operations of a health care entity.

SB45,1130,4 (2) “Affiliate” means any of the following:

SB45,1130,7 (a) A person, entity, or organization that directly, indirectly, or through one or more intermediaries controls, is controlled by, or is under common control or ownership of another person, entity, or organization.

SB45,1130,11 (b) A person whose business is operated under a lease, management, or operating agreement by another entity, or a person substantially all of whose property is operated under a management or operating agreement with that other entity.

SB45,1130,13 (c) An entity that operates the business or substantially all the property of another entity under a lease, management, or operating agreement.

SB45,1130,16 (d) Any out-of-state operations and corporate affiliates of an affiliate as defined in pars. (a) to (c), including significant equity investors, health care real estate investment trusts, or management services organizations.

SB45,1130,21 (3) “Arrangement” includes any agreement, association, partnership, joint venture, management services agreement, professional services agreement, health care staffing company agreement, or other arrangement that results in a change of governance or control of a health care entity or a department, subdivision, or subsidiary of a health care entity.

SB45,1130,24 (4) “Change of control” means an arrangement in which any person, corporation, partnership, or any entity acquires direct or indirect control over the operations of a health care entity in whole or in substantial part.

SB45,1131,3 (5) “Control,” “controlling,” “controlled by,” and “under common control with” means the direct or indirect power through ownership, contractual agreement, or otherwise to do any of the following:

SB45,1131,5 (a) Vote 10 percent or more of any class of voting shares or interests of a health care entity.

SB45,1131,6 (b) Direct the actions or policies of the specified entity.