Wisconsin Senate Bill SB145

Wisconsin 2023-2024 Regular Session

• Introduced: 4/3/23
• Refer: 4/3/23
• Report Pass: 10/6/23
• Engrossed: 10/17/23
• Refer: 10/19/23
• Refer: 1/23/24
• Enrolled: 1/30/24
• Vetoed: 4/4/24
• Failed: 5/15/24

Caption

Advanced practice registered nurses, extending the time limit for emergency rule procedures, providing an exemption from emergency rule procedures, and granting rule-making authority. (FE)

Impact

The bill mandates that all APRNs are required to maintain malpractice liability insurance similar to that required of physicians and nurse anesthetists, thereby creating a standard for professional liability among APRNs. The bill also addresses the role of nurse-midwives by allowing those who meet the newly established licensure criteria to practice as APRNs without needing to be under a physician's supervision. This marks a significant shift in regulatory power from physicians to APRNs, potentially increasing the availability of healthcare providers in various settings.

Summary

Senate Bill 145 revises various aspects of the practice, licensure, and certification requirements for advanced practice registered nurses (APRNs) in Wisconsin. A key focus of the bill is the removal of the existing certification requirement for APRNs to issue prescription orders. Under this legislation, APRNs will be granted general authority to issue prescription orders, eliminating the need for a separate certificate. This change aims to facilitate access to medications and simplify the prescribing process for patients by allowing a broader range of healthcare providers to assist in patient care.

Contention

The bill introduces discussions about the implications of APRNs practicing independently and the associated risks. Supporters argue that this will enhance healthcare access, especially in underserved areas, while opponents express concerns about the potential for inadequate patient oversight and the quality of care provided. The debate surrounds how much autonomy should be afforded to APRNs, especially concerning prescribing medications and the necessity of direct physician collaboration, particularly in critical care scenarios.