SB394,51,42 a. Use the title “certified nurse-midwife,” the title “C.N.M.,” or anything else
3to indicate that he or she is a certified nurse-midwife unless he or she has been
4granted a certified nurse-midwife specialty designation under sub. (1) (b) 1.
SB394,51,85 b. Use the title “certified registered nurse anesthetist,” the title “C.R.N.A.,” or
6anything else to indicate that he or she is a certified registered nurse anesthetist
7unless he or she has been granted a certified registered nurse anesthetist specialty
8designation under sub. (1) (b) 1.
SB394,51,119 c. Use the title “clinical nurse specialist,” the title “C.N.S.,” or anything else to
10indicate that he or she is a clinical nurse specialist unless he or she has been granted
11a clinical nurse specialist specialty designation under sub. (1) (b) 1.
SB394,51,1412 d. Use the title “nurse practitioner,” the title “N.P.,” or anything else to indicate
13that he or she is a nurse practitioner unless he or she has been granted a nurse
14practitioner specialty designation under sub. (1) (b) 1.
SB394,51,2015 (c) An advanced practice registered nurse shall adhere to professional
16standards when managing situations that are beyond the advanced practice
17registered nurse's expertise. If a particular patient's needs are beyond the advanced
18practice registered nurse's expertise, the advanced practice registered nurse shall
19consult or collaborate with another health care provider or refer the patient to
20another health care provider, as warranted by the patient's needs.
SB394,52,221 (d) An advanced practice registered nurse licensed under this section may
22delegate a task or order to another clinically trained health care worker if the task
23or order is within the scope of the advanced practice registered nurse's practice, the
24advanced practice registered nurse is competent to perform the task or issue the
25order, and the advanced practice registered nurse has reasonable evidence that the

1health care worker is minimally competent to perform the task or issue the order
2under the circumstances.
SB394,52,83 (e) If an advanced practice registered nurse with a certified nurse-midwife
4specialty designation under sub. (1) (b) 1. practices outside of a hospital setting, the
5advanced practice registered nurse shall file and keep current with the department
6a proactive plan for involving a hospital or a physician who has admitting privileges
7at a hospital in the treatment of patients with higher acuity or emergency care needs
8that exceed the advanced practice registered nurse's scope of practice.
SB394,52,129 (f) Nothing in this section prohibits an employer, hospital, or other entity with
10a relationship with an advanced practice registered nurse from establishing
11employment practice requirements on the advanced practice registered nurse as a
12condition of employment.
SB394,52,17 13(4) Continuing education. Every advanced practice registered nurse shall
14submit to the board evidence of having completed at least 16 contact hours per
15biennium in clinical pharmacology or therapeutics relevant to the advanced practice
16registered nurse's area of practice. The board may promulgate rules regarding the
17continuing education requirements under this subsection.
SB394,53,2 18(5) Malpractice liability insurance. Except for a person whose employer has
19in effect malpractice liability insurance that provides coverage for the person in the
20amounts specified under s. 655.23 (4), no person may practice advanced practice
21registered nursing unless he or she at all times has in effect malpractice liability
22insurance coverage in the minimum amounts required by the rules of the board. An
23advanced practice registered nurse shall submit evidence of that coverage to the
24board when applying for an initial license under this section or a renewal of a license

1under this section. An advanced practice registered nurse shall also submit such
2evidence to the board upon request of the board.
SB394,53,8 3(5m) Nurse anesthetists. (b) Opt-out of federal certified registered nurse
4anesthetist supervision requirement.
1. The legislature finds that allowing certified
5registered nurse anesthetists to administer anesthesia without supervision or
6direction from an operating practitioner, physician, or anesthesiologist increases
7access to quality anesthesia services throughout the state and is in the best interests
8of the citizens of the state.
SB394,53,119 2. The state, including the governor, the board, and the medical examining
10board, shall act to maintain an opt-out of the federal requirement for physician
11supervision of certified registered nurse anesthetists pursuant to 42 CFR 482.52 (c).
SB394,53,13 12(6) Rules. The board shall promulgate rules necessary to administer this
13section, including rules for all of the following:
SB394,53,1814 (a) Further defining the scope of practice of an advanced practice registered
15nurse, practice of a certified nurse-midwife, practice of a certified registered nurse
16anesthetist, practice of a nurse practitioner, and practice of a clinical nurse specialist
17and defining the scope of practice within which an advanced practice registered
18nurse may issue prescription orders under sub. (2).
SB394,53,2019 (b) Determining acceptable national certification for purposes of sub. (1) (a) 2.
20a.
SB394,53,2321 (c) Establishing the appropriate education, training, or experience
22requirements that a registered nurse must satisfy in order to be an advanced practice
23registered nurse.
SB394,53,2524 (d) Specifying the classes of drugs, individual drugs, or devices that may not
25be prescribed by an advanced practice registered nurse under sub. (2).
SB394,54,1
1(e) Specifying the conditions to be met for registered nurses to do the following:
SB394,54,22 1. Administer a drug prescribed by an advanced practice registered nurse.
SB394,54,33 2. Administer a drug at the direction of an advanced practice registered nurse.
SB394,54,74 (f) Establishing the minimum amount of malpractice liability insurance
5coverage that an advanced practice registered nurse must at all times have in effect
6for purposes of sub. (5). The board shall promulgate rules under this paragraph in
7consultation with the commissioner of insurance.
SB394,109 8Section 109. 441.092 of the statutes is created to read:
SB394,54,9 9441.092 Expedited partner therapy. (1) In this section:
SB394,54,1010 (b) “Antimicrobial drug" has the meaning given in s. 448.035 (1) (b).
SB394,54,1111 (c) “Expedited partner therapy" has the meaning given in s. 448.035 (1) (c).
SB394,54,23 12(2) Notwithstanding the requirements of s. 448.9785, an advanced practice
13registered nurse who may issue prescription orders under s. 441.09 (2) may provide
14expedited partner therapy if a patient is diagnosed as infected with a chlamydial
15infection, gonorrhea, or trichomoniasis and the patient has had sexual contact with
16a sexual partner during which the chlamydial infection, gonorrhea, or
17trichomoniasis may have been transmitted to or from the sexual partner. The
18advanced practice registered nurse shall attempt to obtain the name of the patient's
19sexual partner. A prescription order for an antimicrobial drug prepared under this
20subsection shall include the name and address of the patient's sexual partner, if
21known. If the advanced practice registered nurse is unable to obtain the name of the
22patient's sexual partner, the prescription order shall include, in ordinary, bold-faced
23capital letters, the words, “expedited partner therapy" or the letters “EPT."
SB394,55,2 24(3) The advanced practice registered nurse shall provide the patient with a
25copy of the information sheet prepared by the department of health services under

1s. 46.03 (44) and shall request that the patient give the information sheet to the
2person with whom the patient had sexual contact.
SB394,55,7 3(4) (a) Except as provided in par. (b), an advanced practice registered nurse is
4immune from civil liability for injury to or the death of a person who takes any
5antimicrobial drug if the antimicrobial drug is prescribed, dispensed, or furnished
6under this section and if expedited partner therapy is provided as specified under
7this section.
SB394,55,118 (b) The immunity under par. (a) does not extend to the donation, distribution,
9furnishing, or dispensing of an antimicrobial drug by an advanced practice
10registered nurse whose act or omission involves reckless, wanton, or intentional
11misconduct.