SB249,68 Section 68 . 343.51 (1) of the statutes is amended to read:

SB249,35,14 343.51 (1) Any person who qualifies for registration plates of a special design under s. 341.14 (1), (1a), (1m), or (1q) or any other person with a disability that limits or impairs the ability to walk may request from the department a special identification card that will entitle any motor vehicle parked by, or under the direction of, the person, or a motor vehicle operated by or on behalf of the organization when used to transport such a person, to parking privileges under s. 346.50 (2), (2a), and (3). The department shall issue the card at a fee to be determined by the department, upon submission by the applicant, if the applicant is an individual rather than an organization, of a statement from a physician licensed to practice medicine in any state, from an advanced practice registered nurse licensed to practice nursing in any state, from a public health nurse certified or licensed to practice in any state, from a physician assistant licensed or certified to practice in any state, from a podiatrist licensed to practice in any state, from a chiropractor licensed to practice chiropractic in any state, or from a Christian Science practitioner residing in this state and listed in the Christian Science journal that the person is a person with a disability that limits or impairs the ability to walk. The statement shall state whether the disability is permanent or temporary and, if temporary, the opinion of the physician, advanced practice registered nurse, public health nurse, physician assistant, podiatrist, chiropractor, or practitioner as to the duration of the disability. The department shall issue the card upon application by an organization on a form prescribed by the department if the department believes that the organization meets the requirements under this subsection.

SB249,69 Section 69 . 343.62 (4) (a) 4. of the statutes is amended to read:

SB249,35,24 343.62 (4) (a) 4. The applicant submits with the application a statement completed within the immediately preceding 24 months, except as provided by rule, by a physician licensed to practice medicine in any state, from an advanced practice registered nurse licensed to practice nursing in any state, from a physician assistant licensed or certified to practice in any state, from a podiatrist licensed to practice in any state, from a chiropractor licensed to practice chiropractic in any state, or from a Christian Science practitioner residing in this state, and listed in the Christian Science journal certifying that, in the medical care provider's judgment, the applicant is physically fit to teach driving.

SB249,70 Section 70 . 440.03 (13) (b) 3. of the statutes is amended to read:

SB249,36,2 440.03 (13) (b) 3. Advanced practice registered nurse prescriber permitted to issue prescription orders.

SB249,71 Section 71. 440.03 (13) (b) 39m. of the statutes is created to read:

SB249,36,4 440.03 (13) (b) 39m. Nurse, advanced practice registered.

SB249,72 Section 72. 440.03 (13) (b) 42. of the statutes is repealed.

SB249,73 Section 73 . 440.08 (2) (a) 4m. of the statutes is amended to read:

SB249,36,8 440.08 (2) (a) 4m. Advanced practice registered nurse prescriber: October permitted to issue prescription orders: March 1 of each even-numbered year.

SB249,74 Section 74. 440.08 (2) (a) 47. of the statutes is created to read:

SB249,36,11 440.08 (2) (a) 47. Nurse, advanced practice registered: March 1 of each even-numbered year.

SB249,75 Section 75. 440.08 (2) (a) 50. of the statutes is repealed.

SB249,76 Section 76 . 440.981 (1) of the statutes is amended to read:

SB249,36,18 440.981 (1) No person may use the title “licensed midwife," describe or imply that he or she is a licensed midwife, or represent himself or herself as a licensed midwife unless the person is granted a license under this subchapter or is licensed as a nurse-midwife under s. 441.15 an advanced practice registered nurse and possesses a certified nurse-midwife specialty designation under s. 441.09.

SB249,77 Section 77 . 440.982 (1) of the statutes is amended to read:

SB249,36,24 440.982 (1) No person may engage in the practice of midwifery unless the person is granted a license under this subchapter, is granted a temporary permit pursuant to a rule promulgated under s. 440.984 (2m), or is licensed as a nurse-midwife under s. 441.15 an advanced practice registered nurse and possesses a certified nurse-midwife specialty designation under s. 441.09.

SB249,78 Section 78 . 440.987 (2) of the statutes is amended to read:

SB249,37,4 440.987 (2) One member who is licensed as a nurse-midwife under s. 441.15 an advanced practice registered nurse and possesses a certified nurse-midwife specialty designation under s. 441.09 and who practices in an out-of-hospital setting.

SB249,79 Section 79 . 441.001 (1c) of the statutes is created to read:

SB249,37,11 441.001 (1c) Advanced practice registered nursing. “Advanced practice registered nursing” means the advanced practice of nursing in one of the 4 recognized roles based on advanced clinical knowledge and skills focusing on direct care of individuals, greater responsibility, autonomy, and accountability for the provision of care, health promotion and maintenance, including prescribing pharmacological agents and therapeutics, and management of patient conditions.

SB249,80 Section 80 . 441.001 (1m) of the statutes is created to read:

SB249,37,20 441.001 (1m) Clinical pharmacology or therapeutics. “Clinical pharmacology or therapeutics” means the identification of individual and classes of drugs, their indications and contraindications, their efficacy, their side effects, and their interactions, as well as clinical judgment skills and decision-making based on thorough interviewing, history taking, physical assessment, test selection and interpretation, pathophysiology, epidemiology, diagnostic reasoning, differentiation of conditions, treatment decisions, case evaluation, and nonpharmacological interventions.

SB249,81 Section 81 . 441.001 (5) of the statutes is created to read:

SB249,37,23 441.001 (5) Recognized role. “Recognized role” means one of the following roles:

SB249,37,24 (a) Certified nurse-midwife.

SB249,37,25 (b) Certified registered nurse anesthetist.

SB249,38,1 (c) Clinical nurse specialist.