Senate Bill 258 introduces a new licensure system for advanced practice registered nurses (APRNs) in Wisconsin, requiring applicants to hold a registered nurse (RN) license, complete an accredited graduate-level education program, and possess malpractice liability insurance. The bill defines four recognized roles for APRNs—certified nurse-midwife, certified registered nurse anesthetist, clinical nurse specialist, and nurse practitioner—and allows certain RNs practicing in these roles as of January 1, 2026, to obtain an APRN license without completing the accredited education program. It mandates that APRNs, except certified nurse-midwives, practice in collaboration with a physician or dentist unless they meet specific experience requirements. The bill also repeals existing licensure requirements for nurse-midwives, automatically granting APRN licenses to current nurse-midwives and allowing them to prescribe medications directly.

In addition to the changes for APRNs, the bill amends various sections of the statutes to enhance the rights of nursing home residents, ensuring their privacy and communication with family and healthcare providers. It allows spouses or domestic partners residing in the same facility to share a room unless medically contraindicated and emphasizes residents' rights to participate in social, religious, and community activities. The bill also introduces expedited partner therapy for sexually transmitted diseases, which can be provided by physicians, physician assistants, and APRNs, reflecting a broader scope of practice for these healthcare professionals.

Statutes affected:
Bill Text: 29.193(1m)(a)2.(intro.), 29.193, 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), 45.40, 46.03(44), 46.03, 50.01(1b), 50.01, 50.08(2), 50.08, 50.09(1)(a)(intro.), 50.09, 50.09(1)(f)1, 50.09(1)(h)