WisconsinSB312025-2026 Wisconsin Legislature (Biennial Session)SenateWALLET

An Act to renumber and amend 251.07; to amend 165.25 (6) (c), 251.07 (title), 252.04 (9) and 895.46 (5) (b); to create 251.07 (1) and 252.01 (5) of the statutes; Relating to: state agency status for certain physician assistants and advanced practice nurses who provide services without compensation for local health departments or school districts. (FE)

Sponsored By: Rachael Cabral-Guevara (Republican)

Became Law

Sen Bill 31Health ServicesDepartment of -- AdministrationNursesPhysician assistantPublic healthSchool -- Health program

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 3 benefits, 0 costs, 0 mixed.

Clinician oversight for school immunizations

School districts and local health departments must have a physician, physician assistant, or advanced practice nurse prescriber supervise immunization clinics. The supervisor must issue written orders and follow the state health department’s written protocols. If the supervisor is unpaid, not an employee, and follows the protocols, the law treats them as a state agent with state legal defense and liability protection. The state health department can disapprove or require removal of a chosen supervisor.

Legal protection for unpaid public health clinicians

The law treats certain unpaid clinicians as state agents when they volunteer for local health departments or school immunization clinics. They must not be employees and must receive no pay for that work. They can get legal defense from the attorney general and state liability protection for those services. Protection applies only while doing unpaid duties that require medical oversight.

Clear definitions for physician assistants and nurse prescribers

The law defines who counts as an advanced practice nurse prescriber and a physician assistant. It ties both roles to state licenses and certifications. These definitions decide who can supervise clinics or receive state‑agent protections under this law.

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Sponsors & Cosponsors

Sponsor

  • Rachael Cabral-Guevara

    Republican • Senate

Cosponsors

  • David Armstrong

    Republican • House

  • Lindee Brill

    Republican • House

  • Calvin Callahan

    Republican • House

  • Joy Goeben

    Republican • House

  • Rick Gundrum

    Republican • House

  • Daniel Knodl

    Republican • House

  • Rob Kreibich

    Republican • House

  • Vincent Miresse

    Democratic • House

  • David Murphy

    Republican • House

  • Jerry O'Connor

    Republican • House

  • Christine Sinicki

    Democratic • House

  • Shelia Stubbs

    Democratic • House

  • Lisa Subeck

    Democratic • House

  • Chuck Wichgers

    Republican • House

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. Published 8-9-2025

    8/11/2025Senate
  2. Report approved by the Governor on 8-8-2025. 2025 Wisconsin Act 18

    8/11/2025Senate
  3. Presented to the Governor on 8-7-2025

    8/7/2025Senate
  4. Report correctly enrolled

    5/14/2025Senate
  5. Received from Assembly concurred in

    5/13/2025Senate
  6. Ordered immediately messaged

    5/13/2025House
  7. Read a third time and concurred in

    5/13/2025House
  8. Rules suspended

    5/13/2025House
  9. Ordered to a third reading

    5/13/2025House
  10. Read a second time

    5/13/2025House
  11. Rules suspended to withdraw from calendar and take up

    5/13/2025House
  12. Representative Miresse added as a cosponsor

    5/13/2025House
  13. Representative O'Connor added as a cosponsor

    5/12/2025House
  14. Withdrawn from committee on Rules and referred to calendar of 5-13-2025

    5/9/2025House
  15. Read first time and referred to committee on Rules

    4/24/2025House
  16. Received from Senate

    3/19/2025House
  17. Ordered immediately messaged

    3/18/2025Senate
  18. Read a third time and passed

    3/18/2025Senate
  19. Rules suspended to give bill its third reading

    3/18/2025Senate
  20. Ordered to a third reading

    3/18/2025Senate
  21. Read a second time

    3/18/2025Senate
  22. Placed on calendar 3-18-2025 pursuant to Senate Rule 18(1)

    3/14/2025Senate
  23. Available for scheduling

    3/14/2025Senate
  24. Report passage recommended by Committee on Health, Ayes 5, Noes 0

    3/14/2025Senate
  25. Executive action taken

    3/14/2025Senate

Bill Text

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