AB50,1343,12105. If all of the following apply to a person, a notation indicating that the person 11may not issue prescription orders shall appear on the person’s advanced practice 12registered nurse license: AB50,1343,1513a. The person is granted an advanced practice registered nurse license under 14subd. 1. a. and satisfies only par. (a) 2. b. but not par. (a) 2. a., or the person is 15granted an advanced practice registered nurse license under subd. 1. c. AB50,1343,1716b. On January 1, 2026, the person did not hold a certificate under s. 441.16 17(2), 2023 stats. AB50,1344,818(c) On or before the applicable renewal date determined by the department 19under s. 440.08 (2), an advanced practice registered nurse shall submit to the board 20on a form furnished by the board a statement giving his or her name and residence, 21the nursing workforce survey and fee required under s. 441.01 (7), evidence of 22having satisfied the continuing education requirements under sub. (4), evidence of 23any malpractice liability insurance coverage required under sub. (5), any plan
1required under sub. (3m) (i), current evidence that the person satisfies each of the 2requirements under par. (a) 1., 2., 5. a., and 7. that apply with respect to the person, 3and any other information that the board requires by rule, with the applicable 4renewal fee determined by the department under s. 440.03 (9) (a). The board shall 5grant to a person who satisfies the requirements under this paragraph the renewal 6of his or her advanced practice registered nurse license and specialty designations 7granted under par. (b) 1. and shall, if the person holds a license under s. 441.06 (1), 8(1c), or (1m), also grant the renewal of that license. AB50,1344,129(2) Prescribing authority. (a) Except as provided in par. (b), an advanced 10practice registered nurse may issue prescription orders, subject to the rules 11promulgated under sub. (6) (a) 1. and 4., and may provide expedited partner 12therapy in the manner described in s. 441.092. AB50,1344,1613(b) An advanced practice registered nurse may not issue prescription orders if 14a notation under sub. (1) (b) 5. indicating that the advanced practice registered 15nurse may not issue prescription orders appears on the advanced practice 16registered nurse’s license. AB50,1344,2017(3) License required; use of titles. (a) 1. The holder of a license issued 18under this section is an “advanced practice registered nurse,” may append to his or 19her name the title “A.P.R.N.,” and is authorized to practice advanced practice 20registered nursing. AB50,1345,2212. Notwithstanding s. 441.14, the holder of a specialty designation for a 22recognized role granted under sub. (1) (b) 1. may append to his or her name the title
1and an abbreviation described under par. (b) 2. corresponding to that recognized 2role. AB50,1345,73(b) 1. Except as provided in sub. (3m) (h) and s. 257.03, no person may practice 4or attempt to practice advanced practice registered nursing, nor use the title 5“advanced practice registered nurse,” the title “A.P.R.N.,” or anything else to 6indicate that he or she is an advanced practice registered nurse unless he or she is 7licensed under this section. AB50,1345,882. Except as provided in s. 257.03, no person may do any of the following: AB50,1345,119a. Use the title “certified nurse-midwife,” the title “C.N.M.,” or anything else 10to indicate that he or she is a certified nurse-midwife unless he or she has been 11granted a certified nurse-midwife specialty designation under sub. (1) (b) 1. AB50,1345,1512b. Use the title “certified registered nurse anesthetist,” the title “C.R.N.A.,” 13or anything else to indicate that he or she is a certified registered nurse anesthetist 14unless he or she has been granted a certified registered nurse anesthetist specialty 15designation under sub. (1) (b) 1. AB50,1345,1816c. Use the title “clinical nurse specialist,” the title “C.N.S.,” or anything else 17to indicate that he or she is a clinical nurse specialist unless he or she has been 18granted a clinical nurse specialist specialty designation under sub. (1) (b) 1. AB50,1345,2119d. Use the title “nurse practitioner,” the title “N.P.,” or anything else to 20indicate that he or she is a nurse practitioner unless he or she has been granted a 21nurse practitioner specialty designation under sub. (1) (b) 1. AB50,1346,222(3m) Practice requirements and limitations. (a) 1. An advanced practice 23registered nurse licensed under this section may, except as provided in subd. 2. and
1par. (b), practice advanced practice registered nursing only in collaboration with a 2physician or dentist. AB50,1346,432. Subdivision 1. does not apply to an advanced practice registered nurse with 4a certified nurse-midwife specialty designation. AB50,1346,105(b) An advanced practice registered nurse to whom par. (a) 1. applies may, 6except as provided in pars. (d) 1. and (f), practice advanced practice registered 7nursing in a recognized role without being supervised by or collaborating with, and 8independent of, a physician or dentist if the board verifies, upon application of the 9advanced practice registered nurse, that the advanced practice registered nurse 10satisfies all of the following: AB50,1346,17111. The advanced practice registered nurse has, except as provided in subd. 3., 12completed 3,840 hours of professional nursing in a clinical setting. Clinical hours 13completed as a requirement of a nursing program offered by a qualifying school of 14nursing described under s. 441.06 (1) (c) may be used to satisfy the requirement 15under this subdivision. Hours completed to satisfy a requirement of an education 16program described in sub. (1) (a) 2. a. may not be used to satisfy the requirement 17under this subdivision. AB50,1346,20182. At least 24 months have elapsed since the advanced practice registered 19nurse first began completing the clinical hours required by a nursing program 20described under subd. 1. AB50,1347,6213. The advanced practice registered nurse has completed 3,840 clinical hours 22of advanced practice registered nursing practice in that recognized role while 23working with a physician or dentist who was immediately available for consultation
1and accepted responsibility for the actions of the advanced practice registered nurse 2during those 3,840 hours of practice. The advanced practice registered nurse may 3substitute additional hours of advanced practice registered nursing working with a 4physician or dentist described in this subdivision to count toward the requirement 5under subd. 1. Each such additional hour shall count toward one hour of the 6requirement under subd. 1. AB50,1347,974. At least 24 months have elapsed since the advanced practice registered 8nurse first began practicing advanced practice registered nursing in that 9recognized role as described in subd. 3. AB50,1347,1310(c) For purposes of par. (b) 3., hours of advanced practice registered nursing 11practice may include the lawful practice of advanced practice registered nursing 12outside this state or the lawful practice of advanced practice registered nursing in 13this state prior to the effective date of this paragraph .... [LRB inserts date]. AB50,1347,1914(d) 1. Except as otherwise provided in this paragraph, an advanced practice 15registered nurse may provide chronic pain management services only while 16working in a collaborative relationship with a physician who, through education, 17training, and experience, specializes in pain management. This subdivision applies 18regardless of whether the advanced practice registered nurse has qualified for 19independent practice under par. (b). AB50,1347,23202. Except as provided in par. (f), subd. 1. does not apply to an advanced 21practice registered nurse who is providing chronic pain management services in a 22hospital, as defined in s. 50.33 (2), or a clinic associated with a hospital, and who 23has qualified for independent practice under par. (b). AB50,1348,4
13. Except as provided in par. (f), subd. 1. does not apply to an advanced 2practice registered nurse who has qualified for independent practice under par. (b) 3and has privileges in a hospital, as defined in s. 50.33 (2), to provide chronic pain 4management services without a collaborative relationship with a physician. AB50,1348,105(e) For purposes of pars. (a) 1. and (d) 1. and 3., a collaborative relationship is 6a process in which an advanced practice registered nurse is working with a 7physician or dentist, in each other’s presence when necessary, to deliver health care 8services within the scope of the advanced practice registered nurse’s training, 9education, and experience. The advanced practice registered nurse shall document 10such a collaborative relationship. AB50,1348,1611(em) Any advanced practice registered nurse who may provide chronic pain 12management services without a collaborative relationship with a physician as 13provided in par. (d) 3. shall inform the hospital in which the advanced practice 14registered nurse has privileges as described under par. (d) 3. that the advanced 15practice registered nurse may provide chronic pain management services without a 16collaborative relationship with a physician. AB50,1348,2017(f) Nothing in this section prohibits an entity employing or with a relationship 18with an advanced practice registered nurse from establishing additional 19requirements for an advanced practice registered nurse as a condition of 20employment or relationship. AB50,1349,221(g) An advanced practice registered nurse shall adhere to professional 22standards when managing situations that are beyond the advanced practice 23registered nurse’s expertise. If a particular patient’s needs are beyond the 24advanced practice registered nurse’s expertise, the advanced practice registered
1nurse shall, as warranted by the patient’s needs, consult or collaborate with or refer 2the patient to at least one of the following: