An Act to repeal 50.01 (1b), 77.54 (14) (f) 3., 118.2925 (1) (b), 118.294 (1) (a), 146.89 (1) (r) 8., 252.01 (1c), 440.03 (13) (b) 3., 440.03 (13) (b) 42., 440.08 (2) (a) 4m., 440.08 (2) (a) 50., 441.11 (title), 441.11 (1), 441.11 (3), 441.15, 441.16, 441.19, 448.035 (1) (a), 450.01 (1m) and 655.001 (9); to renumber 655.001 (1); to renumber and amend 146.89 (1) (r) 3., 253.13 (1), 255.06 (1) (d), 441.06 (7) and 441.11 (2); to amend 29.193 (1m) (a) 2. (intro.), 29.193 (2) (b) 2., 29.193 (2) (c) 3., 29.193 (2) (cd) 2. b., 29.193 (2) (cd) 2. c., 29.193 (2) (e), 29.193 (3) (a), 45.40 (1g) (a), 46.03 (44), 50.08 (2), 50.09 (1) (a) (intro.), 50.09 (1) (f) 1., 50.09 (1) (h), 50.09 (1) (k), 50.49 (1) (b) (intro.), 51.41 (1d) (b) 4., 70.47 (8) (intro.), 77.54 (14) (f) 4., 97.59, 106.30 (1), 118.15 (3) (a), 118.25 (1) (a), 118.29 (1) (e), 118.2915 (2) (a), 118.2915 (3) (a), 118.2915 (4) (c), 118.2915 (6) (a) (intro.), 118.2915 (6) (a) 2., 118.2915 (6) (a) 3., 118.2925 (3), 118.2925 (4) (c), 118.2925 (5), 118.294 (1) (am), 118.294 (2), 118.294 (4) (a), 146.615 (1) (a), 146.82 (3) (a), 146.89 (1) (r) 1., 146.89 (6), 154.01 (1g), 252.07 (8) (a) 2., 252.07 (9) (c), 252.10 (7), 252.11 (2), 252.11 (4), 252.11 (5), 252.11 (7), 252.11 (10), 252.15 (3m) (d) 11. b. and 13., (5g) (c), (5m) (d) 2. and (e) 2. and 3. and (7m) (intro.) and (b), 252.16 (3) (c) (intro.), 252.17 (3) (c) (intro.), 253.07 (4) (d), 253.115 (4), 253.115 (7) (a) (intro.), 253.15 (2), 255.06 (2) (d), 255.07 (1) (d), 257.01 (5) (a), 257.01 (5) (b), 341.14 (1a), 341.14 (1e) (a), 341.14 (1m), 341.14 (1q), 343.16 (5) (a), 343.51 (1), 343.62 (4) (a) 4., 440.077 (1) (a), 440.077 (2) (c), 440.094 (1) (c) 1., 440.094 (2) (a) (intro.), 440.981 (1), 440.982 (1), 440.987 (2), 441.01 (3), 441.01 (4), 441.01 (7) (a) (intro.), 441.01 (7) (b), 441.06 (3), 441.06 (4), 441.07 (1g) (intro.), (a), (c) and (e), 441.07 (2), 441.10 (7), 441.18 (2) (a) (intro.), 441.18 (2) (b), 441.18 (3), 448.03 (2) (a), 448.035 (2) to (4), 448.56 (1) and (1m) (b), 448.62 (2m), 448.67 (2), 448.956 (1m), 450.01 (16) (h) 2., 450.01 (16) (hr) 2., 450.03 (1) (e), 450.11 (1g) (b), 450.11 (1i) (a) 1., 450.11 (1i) (b) 2. b., 450.11 (7) (b), 450.11 (8) (e), 450.13 (5) (b), 450.135 (7) (b), 462.04, 655.001 (7t), 655.002 (1) (a), 655.002 (1) (b), 655.002 (1) (c), 655.002 (1) (d), 655.002 (1) (e), 655.002 (1) (em), 655.002 (2) (a), 655.002 (2) (b), 655.003 (1), 655.003 (3), 655.005 (2) (a), 655.005 (2) (b), 655.23 (5m), 655.27 (3) (a) 4., 655.27 (3) (b) 2m., 655.275 (2), 655.275 (5) (b) 2., 895.478 (3m), 961.01 (19) (a) and 961.395; to repeal and recreate 118.2915 (1) (a), 155.01 (1g) (b), 251.01 (1c) and 441.06 (title); to create 253.115 (1) (f), 253.13 (1) (a), 253.15 (1) (em), 255.06 (1) (f) 2., 440.03 (13) (b) 39m., 440.08 (2) (a) 47r., 441.001 (1c), 441.001 (3c), 441.001 (3g), 441.001 (3n), 441.001 (3r), 441.001 (3w), 441.001 (5), 441.01 (7) (c), 441.065, 441.07 (1r), 441.09, 441.092 and 655.001 (1g) of the statutes; Relating to: 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)
Sponsored By: Deb Andraca (Democratic), Elijah Behnke (Republican), Brienne Brown (Democratic), Angelina Cruz (Democratic), Ben DeSmidt (Democratic), Jodi Emerson (Democratic), Rick Gundrum (Republican), Alex Joers (Democratic), Rob Kreibich (Republican), Tony Kurtz (Republican), Dave Maxey (Republican), David Murphy (Republican), Jerry O'Connor (Republican), Sylvia Ortiz-Velez (Democratic), Priscilla Prado (Democratic), Jessie Rodriguez (Republican), John Spiros (Republican), Shelia Stubbs (Democratic), Lisa Subeck (Democratic), Ron Tusler (Republican), Randy Udell (Democratic), Chuck Wichgers (Republican)
Became Law
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Bill Overview
Analyzed Economic Effects
11 provisions identified: 4 benefits, 1 costs, 6 mixed.
Path to independent APRN practice
The law lets APRNs practice without a supervising doctor once experience is verified. You must complete 3,840 hours of professional nursing in a clinical setting. At least 24 months must have passed since you began those hours and since starting your APRN role. You must also complete 3,840 APRN clinical hours while a physician or dentist was immediately available and accepted responsibility. Certified nurse-midwives do not need a collaboration agreement.
Broader APRN prescribing and orders
APRNs licensed under the new program can write prescriptions, order X-rays, and issue needed medical orders and referrals in many settings. APRNs with written collaboration agreements are recognized as prescribers. The board may limit certain drugs or devices, and APRNs must put their APRN license number on every prescription. Licensed APRNs may handle controlled substances when state law allows. APRN-issued statements now count for things like school standing orders and some disability certificates.
Faster partner treatment and naloxone access
APRNs can provide expedited partner therapy when a patient has chlamydia, gonorrhea, or trichomoniasis. Pharmacists may dispense these antibiotics on a proper order and must consult and check allergies. Pharmacists can also give naloxone when an APRN prescribes it or issues a standing order, with a brief consultation. APRNs may deliver or dispense naloxone only under the specific dispensing authority the law allows. Schools, staff, and covered prescribers are not liable for giving an opioid antidote unless they act with gross negligence or willful misconduct.
New rules for APRN licenses and insurance
APRNs must complete 16 contact hours every two years in clinical pharmacology or therapeutics and show proof at renewal. APRNs must carry malpractice insurance at the required amounts and provide proof when applying or renewing. RNs practicing in a recognized APRN role on January 1, 2026 may keep the title and practice while the board reviews their application. People who held the prior prescriber certificate or a nurse-midwife license get the matching APRN license and specialty. The Board of Nursing uses emergency rules to put these changes in place, and the law confirms nursing is lawful practice under chapter 441.
New APRN licenses and protected titles
The law creates a new APRN license with roles like nurse practitioner and nurse-midwife. To get licensed, you need graduate-level training, an approved national certification, pay the state fee, and carry malpractice insurance. RNs practicing in an APRN role on January 1, 2026 can qualify under a board-set transitional path. Only licensed APRNs may use APRN titles or practice as an APRN. Misusing titles brings discipline: a written warning, then suspension, then revocation. Old nurse-midwife and earlier nurse prescribing statutes are repealed and replaced by this system.
Liability and fund rules for APRNs
The law brings APRNs and their organizations into Wisconsin’s medical liability system. It covers APRN partnerships, corporations, and other groups and sets when in‑state, low‑hour, or Michigan cross‑border practice is covered (generally over 240 hours a year, with defined Michigan criteria). Joint liability limits now also apply to APRNs and their companies, and a peer‑review council must include an APRN. Assessments may reflect non‑physician staff loss history, and separate payment classes or fees can be set with board approval. Public‑employee exemptions are clarified, and most APRN services under the volunteer‑care law are treated as department‑covered services.
APRNs can give foot care, separate billing
An APRN may give nonsurgical foot care when a podiatrist directs, supervises, and inspects the care. When you are charged for podiatry services, you get a separate bill for those charges. This does not change bills allowed under Medicare, Medicaid, or other listed exceptions.
Legal protections for APRNs helping patients
APRNs who in good faith prescribe or give naloxone are immune from criminal, civil, and professional discipline for outcomes. APRNs who follow the Expedited Partner Therapy rules are protected from civil lawsuits. APRNs who report to the Department of Transportation about unsafe drivers in good faith, or in good faith do not report when there is no impairment, are not civilly liable.
Stronger checks on illegal drug-seeking
Statements made to try to illegally get a prescription are not protected by patient-provider privilege. The Board of Nursing oversees controlled-substance matters for APRNs and registered nurses. A pharmacy definition tied to the old system is repealed to align with the new APRN framework.
Written referral needed for rehab training
Certain athletic training in outpatient rehab now needs a written referral. The referral must come from one of the listed qualified practitioners. Without a written referral, those specific training services cannot be provided.
Board rules and rollout timeline for APRNs
The Board of Nursing must set APRN rules for scope, education, certifications, drug limits, and conduct. The board cannot expand APRN practice beyond advanced practice registered nursing. Most changes start on the first day of the 13th month after publication; emergency rulemaking begins the day after publication.
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Sponsors & Cosponsors
Sponsors
Deb Andraca
Democratic • House
Elijah Behnke
Republican • House
Brienne Brown
Democratic • House
Angelina Cruz
Democratic • House
Ben DeSmidt
Democratic • House
Jodi Emerson
Democratic • House
Rick Gundrum
Republican • House
Alex Joers
Democratic • House
Rob Kreibich
Republican • House
Tony Kurtz
Republican • House
Dave Maxey
Republican • House
David Murphy
Republican • House
Jerry O'Connor
Republican • House
Sylvia Ortiz-Velez
Democratic • House
Priscilla Prado
Democratic • House
Jessie Rodriguez
Republican • House
John Spiros
Republican • House
Shelia Stubbs
Democratic • House
Lisa Subeck
Democratic • House
Ron Tusler
Republican • House
Randy Udell
Democratic • House
Chuck Wichgers
Republican • House
Cosponsors
Rachael Cabral-Guevara
Republican • Senate
Tim Carpenter
Democratic • Senate
Ryan Clancy
Democratic • House
Kristin Dassler-Alfheim
Democratic • Senate
Jodi Habush Sinykin
Democratic • Senate
Dianne Hesselbein
Democratic • Senate
Jenna Jacobson
Democratic • House
André Jacque
Republican • Senate
Sarah Keyeski
Democratic • Senate
Joel Kitchens
Republican • House
Devin LeMahieu
Republican • Senate
Darrin Madison
Democratic • House
Howard Marklein
Republican • Senate
Clint Moses
Republican • House
Romaine Quinn
Republican • Senate
Melissa Ratcliff
Democratic • Senate
Kelda Roys
Democratic • Senate
Jeff Smith
Democratic • Senate
Lee Snodgrass
Democratic • House
Mark Spreitzer
Democratic • Senate
Patrick Testin
Republican • Senate
Robyn Vining
Democratic • House
Roll Call Votes
No roll call votes available for this bill.
Actions Timeline
Representative J. Jacobson added as a coauthor
9/9/2025HousePublished 8-9-2025
8/11/2025HouseReport approved by the Governor on 8-8-2025. 2025 Wisconsin Act 17
8/11/2025HousePresented to the Governor on 8-7-2025
8/7/2025HouseReport correctly enrolled on 6-23-2025
6/23/2025HouseFiscal estimate received
6/19/2025HouseReceived from Senate concurred in
6/19/2025HouseOrdered immediately messaged
6/18/2025SenateRead a third time and concurred in
6/18/2025SenateRules suspended to give bill its third reading
6/18/2025SenateOrdered to a third reading
6/18/2025SenateRead a second time
6/18/2025SenateRules suspended and taken up
6/18/2025SenateSenator Carpenter added as a cosponsor
6/18/2025SenateReceived from Assembly
6/18/2025SenateOrdered immediately messaged
6/18/2025HouseRead a third time and passed
6/18/2025HouseRules suspended
6/18/2025HouseOrdered to a third reading
6/18/2025HouseRead a second time
6/18/2025HouseWithdrawn from committee on Rules and referred to calendar of 6-18-2025
6/16/2025HouseReferred to committee on Rules
6/6/2025HouseReport passage recommended by Committee on Health, Aging and Long-Term Care, Ayes 15, Noes 0
6/6/2025HouseFiscal estimate received
6/6/2025HouseExecutive action taken
6/4/2025House
Bill Text
Bill Text
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