Current Priorities

WNA’s priorities for the upcoming 2019-2020 biennium are: the nurse faculty shortage, workplace violence legislation, preserving the nursing workforce survey, and the APRN modernization act.

View the Public Policy Agenda Here
Nurse Faculty Shortage
Workplace Violence
Preserving the Nursing Workforce Survey
APRN Modernization Act

WNA Legislative Update- 1/31/20

WNA’s Public Policy Council has reviewed and taken a position on the following legislation introduced this 2019-2020 Legislative Biennium.  Positions are decided based on WNA’s 2019-2020 Public Policy Agenda and current Position Statements.

The information below includes the Bill numbers, topic, WNA position, and bill status.

WNA’s Public Policy Council has been spending time reviewing legislative proposals. Below is a summary of the bills that WNA has a position.


Assembly Bill 126 & 2019 Senate Bill 126

Relating to: Creating a nonrefundable individual income tax credit for certain expenses incurred by a family caregiver to assist a qualified family member. (FE)

Support

WNA Position: Continue state funding of services for children, families and vulnerable populations. This bill provides a tax credit up to $1000.00 per year. The expenses include amounts spent to improve the claimant’s primary residence to assist the family member, equipment to help the family member with daily living activities, and obtaining other goods or services to help the claimant care for the family member

Status:No action in either house.


Assembly Bill 139 Senate Bill 134

Relating to: reporting of naloxone administration by ambulance service providers.

Support

WNA Position: The collection of data related to the administration of naloxone is another important tool to addressing the opioid overdose crisis for Wisconsin.

Status:No action in either house.


Assembly Bill 162 Senate Bill 155 

Relating to: participation in the Volunteer Health Care Provider program by agencies serving homeless individuals.

Support

WNA Position: Registered nurses are critical to achieving the goals of improving population health and reducing health care costs in Wisconsin. Provides access to care for the homeless population.  Which in can reduce emergency department and hospital readmissions.

Status: Assembly Action:  11/7/19 – AB 155 passed the full Assembly. 10/31/19 – Passed out of Assembly Committee on Medicaid Reform & Oversight. 10/31/19 Referred to Committee on Rules

Status: Senate Action: 11/5/19 – Passed the full Senate.  9/19/19 – Passed out of the Committee on Insurance, Financial Services, Government Oversight and Courts.

Status: 11/26/19 Signed by the Governor


Assembly Bill 175 & Senate Bill 163

Relating to: causing bodily harm to harm to a nurse and providing a penalty.

Active Support

WNA Position: Eliminate bullying and violence in the workplace. This bill provides the same penalty for battery i.e.  Workplace Violence, to a nurse regardless of employment setting. The criminal penalty is a Level H felony subject to $10,000 fine and/or six years of incarceration. Amendment added that provides coverage for hospital health

Status: Assembly Action: 1/21/20 – SB 163 received by the Assembly and passed out of the full Assembly10/17/19 Passed out of the Committee on Criminal Justice and Public Safety with one amendment. Assembly Substitute Amendment 1. 9/19/19/Public Hearing

Status: Senate Action:1/27/20 – Correctly enrolled,  Moved on to the Governor for consideration. Passed the full Senate 9/25/19 – Passed out of the Senate Committee on Judiciary and Public SafetyPublic Hearing September 17, 2019.


Assembly Bill 178 & Senate Bill 166

Relating to: eligibility for physician, dentist, and health care provider educational loan assistance programs.

Active Support

WNA Position:  Increase the supply of nurse educators through a variety of funding options that include student loans, loan forgiveness, fellowships, and financial aid. This bill provides loan forgiveness to nurse midwives, nurse practitioners and mental health providers if he or she agrees to practice in a free or charitable clinic or a mental health shortage area for the required time. Two amendments added:2019 SA2-SB166and 2019 SA3-SB166.

Status: AssemblyAction:11/12/19 – Assembly to vote on AB and SB. Passed out of Assembly Committee on Health.  Public Hearing 7/10/19.

Senate Action: 11/5/19 – to be voted on by the full Senate. 9/30/19 – Exec’d out of the Senate Committee on Universities, Technical Colleges, Children and Families. 8/27/19 – Public Hearing.

Governor Action:  11/26/19 – Signed by the Governor. 


Assembly Bill 214 & Senate Bill 200

Relating to: storage and processing of sexual assault kits and requiring the exercise of rule-making.

Support

WNA Position: Protect the rights and safety of patients in and across all health care settings. This bill addresses forensic evidence collected by Sexual Assault Nurse Examiners (SANE) has assurance that the evidence kit backlogs are addressed and instill a timely and patient centered process for the collection and processing of kits.

Status: Assembly Action: 10/8/19 – SB 200 received from the Senate.  Waiting to be scheduled for a vote by the full Assembly.

Senate Action: 10/8/19 – Passed the full Senate. 10/3/19 – Exec’d out of the Committee on Insurance, Financial Services, Government Oversight and Courts. 9/19/19 – Public Hearing.

Assembly Bill 238 & 2019 Senate Bill 217

Relating to: diabetes care and prevention plan

Support

WNA Position: Provide accessible and affordable prescription drugs, medical supplies, and health care services, including dental and preventative services. Approximately 356,000 adults and 6,500 children and adolescents in Wisconsin have been diagnosed with diabetes and is the 7thleading cause of death in Wisconsin.This bill requires the DHS, in consultation with the ETF, to develop and implement a plan to reduce the incidence of diabetes in WI, improve diabetes care, and control complications associated with diabetes.

Status: Assembly Action: 1/15/20 – Voted out of Committee. 10/8/19:  Received the SB 225 which was passed by the Senate. Waiting for the bill to be scheduled for a vote by the full Assembly. Committee on Health held a Public Hearing 7/10/19.

Senate Action: 10/8/19 Passed the full Senate.  9/24/19 – Voted out of the Senate Committee on Health and Human Services. 8/6/19 Public Hearing.


2019 Assembly Bill 242 & 2019 Senate Bill 225

Relating to: establishing a Palliative Care Council. (FE)

Support

WNA Position: WNA collectively and collaboratively advocates for access to comprehensive and coordinated health care which enables all individuals to achieve optimal quality of life across the continuum. This bill requires the Department of Health Services to establish a statewide palliative care consumer and professional information and education program and must make available on its Internet site information and resources regarding palliative care.

Status: Assembly 12/17/19 Assembly Amendment 1  offered

Status: Senate No action.


Assembly Bill 248 & Senate Bill 262

Relating to: eliminating personal conviction exemption from immunizations.

Support

WNA Position: Support community-based prevention services including screening, nutrition, immunizations, family planning, violence prevention and health education across the life-span.

To protect the health of the public, all individuals should be immunized against vaccine-preventable diseases except for medical reasons.

Status:No action in either house.


Assembly Bill 267 & Senate Bill 249

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.

Active Support

WNA Position: Allow registered nurses and advanced practice registered nurses to practice to the full extent of their education, training, experience and license to improve patient access and outcomes. This legally acknowledges Advanced Practice Registered Nursing (APRN) in state statute. An APRN license will be issued if the following criteria are met:  graduate with a master’s degree or higher from an accredited nursing program and the individual has national board certification related to their role. This bill will provide increased access for patients and safety.

Status:No action in either house.

Assembly Bill 287 & 2019 Senate Bill 254 

Relating to: certifications for advance directives and findings of incapacity related to powers of attorney for health care. (FE)

Actively Support

WNA Position: Assure nurses’ role in coordinated, community-based health care services that include home care, long-term care, palliative and end-of-life care. This bill allows an attending physician assistant or attending advanced practice registered nurse to issue do-not-resuscitate orders and allows, unless a health care power of attorney instrument specifies otherwise, one physician and one qualified physician assistant or nurse practitioner to personally examine principals and make findings of incapacity upon which a health care power of attorney becomes effective.

Status: There is a proposed amendment that addressed WNA’s concern about APRNs being defined in 441.01 when there is a lack of state statute in Wisconsin’s Nurse Practice Act that defines them. The amendment removes this. The bill substituted Advanced Practice Clinician.

Assembly Action: 11/7/19 –Passed by the Assembly 10/30/19 – Voted out of the Assembly Committee on Health with an amendment that greater clarity on the bill: Assembly Amendment 1  10/16/19 – Public Hearing.

Senate Actions: 1/8/20 Available for scheduling. 1/8/20 – Voted out of committee. 11/20/19 Public Hearing Committee on Health and Human Services. 11/8/19 Received AB 287 by the Assembly.


2019 Assembly Bill 304 & 2019 Senate Bill 286

Relating to: permitting pharmacists to prescribe certain contraceptives, extending the time limit for emergency rule procedures, providing an exemption from emergency rule procedures, granting rule-making authority, and providing a penalty.

Support

WNA Position: Support community-based prevention services including screening, nutrition, immunizations, family planning, violence prevention and health education across the life-span.

This bill permits a pharmacist to prescribe and dispense hormonal contraceptive patches and self-administered oral hormonal contraceptives, subject to limitations described in the bill.

Status: Assembly Action:11/7/19 – Passed the Assembly.  10/30/19 – Exec’d out of the Committee on Health with one assembly amendment Assembly Amendment 1to amendment Assembly Amendment 1.  Assembly Public Hearing 8/14/19.

Status: Senate Action: 1/8/20 Available for scheduling, 1/8/20 – Voted out of the Committee with adoption of  Senate Amendment 1. 11/20/19 Public Hearing  Committee on Health and Human Services. 11/8/19 AB 304 – forwarded to Senate,


2019 Assembly Bill 358 & 2019 Senate Bill 332

Relating to: tracking of sexual assault kits in sexual assault cases and making an appropriation. (FE)

Support

WNA Position: Protect the rights and safety of patients in and across all health care settings. This bill requires the Department of Justice to establish a data bank, to be known as the Wisconsin Sexual Assault Kit Tracking System, for the purpose of providing victims of sexual assault access to information about the status of any sexual assault kit the victim has provided.

Status: Assembly Action: 10/8/19 – Received SB 332 that was passed by the full Senate on 10/8/19 with amendment:  Senate Amendment 1.

Senate Action:10/8/19 – Passed  the full Senate. 10/3/19 – Exec’d out of the Senate Committee on Insurance, Financial Services, Government Oversight and Courts. 9/19/19 – Public Hearing.


2019 Assembly Bill 377 & 2019 Senate Bill 347

Relating to: requiring sexual abuse prevention education. (FE)

Support

WNA Position: Support community-based prevention services including screening, nutrition, immunizations, family planning, violence prevention and health education across the life-spanThis bill requires the Department of Public Instruction to develop, by July 1, 2020, a child sexual abuse prevention policy and instructional program to be provided to pupils in grades kindergarten to six. DPI must include in the program an age-appropriate curriculum to provide pupils with the knowledge and tools to escape from a sexual abuse situation and communicate incidents of sexual abuse.

Status: Assembly Action:  Referred to Committee on Children and Families Amendments offered.

Status: Senate Action: Referred to Committee on Education Amendments offered.


2019 Assembly Bill 422 & 2019 Senate Bill 364

Relating to: raising the legal age for sale, purchase, and possession of cigarettes and nicotine and tobacco products, providing a legal age for sale, purchase, and possession of vapor products, and providing a penalty. (FE)

Support

WNA Position: Support community-based prevention services including screening, nutrition, immunizations, family planning, violence prevention and health education across the life-span.This bill changes the age for purchasing cigarettes, tobacco products, or nicotine products from 18 to 21, and imposes a minimum age for purchasing vapor products.

Status: Assembly Action:  11/6/19 Public Hearing Committee on Substance Abuse and Prevention


Assembly Bill 460  &  2019 Senate Bill 589

Relating to: a school district revenue limit adjustment for the cost of employing school nurses.

Support

WNA Position: Access to quality healthcare for all people is achievable if registered nurses are utilized to the full extent of their education, skills, expertise and licensure.

This bill creates a school district revenue limit adjustment for the costs of employing school nurses. Under the bill, if a school board adopts a resolution, the school district’s revenue limit is increased by the amount the school district spent during the second previous school year on salaries and benefits for school nurses.

Status: Assembly Action: None.

Status: Senate Action: SB 589 Introduced 11/27/19

2019 Assembly Bill 462 2019 Senate Bill 418

Relating to: right to specific staffing arrangements for certain patients in an intensive treatment program.

Submitted Testimony: LC Hearing Materials for AB462 on 10/16/2019

WNA Position: Watch.


 

2019 Assembly Bill 491& 2019 Senate Bill 442

Relating to: restrictions on the use of products used for inhaling or exhaling vapor.

Support

WNA Position:  Support community-based prevention services including screening, nutrition, immunizations, family planning, violence prevention and health education across the life-span.

This bill specifies that the term “smoking,” for purposes of the general prohibition under current law against smoking in indoor locations, includes inhaling or exhaling vapor from a “vapor product,” including nicotine.

Status:No action in either house.


2019 Assembly Bill 525 2019 Senate Bill 503

Relating to: implementing a suicide prevention program and making an appropriation. (FE)

Support

WNA Position:  Continue state funding of services for children, families and vulnerable populations. This bill requires the Department of Health Services to implement a suicide prevention program, coordinate suicide prevention activities with other state agencies, administer grant programs involving suicide prevention, and perform various other functions specified in the bill to promote efforts to prevent suicide. The bill authorizes two positions in DHS for implementing the suicide prevention program, one of which is the director of the suicide prevention program.

Status: Assembly Action: 11/7/19 – Passed by the Assembly. 11/1/19 – Exec’d out of the Assembly Committee on Health.  10/29/19 – Public Hearing.

Senate Action: 11/20/19 Public Hearing on SB 503  11/8/19 – received by the Assembly.


2019 Assembly Bill 526 2019 Senate Bill 520 

Relating to: requiring continuing education on suicide prevention for physicians, psychologists, social workers, marriage and family therapists, professional counselors, and substance abuse counselors and requiring the exercise of rule-making authority. (FE) Requiring 2 hours of CE for first time renewal. Nurses are not included.

WNA Position: WatchDoes not require RN CE.


2019 Assembly Bill 527 & 2019 Senate Bill 543

Relating to: grants related to preventing suicide by firearm and making an appropriation. (FE)

Support

WNA Position: Support community-based prevention services including screening, nutrition, immunizations, family planning, violence prevention and health education across the life-span. This bill requires the Department of Health Services to award grants to organizations or coalitions of organizations, including cities, villages, towns, and counties, for 1) sharing guidelines and training staff at a firearm retailer or firearm range on avoiding selling or renting a firearm to persons who may be considering suicide; 2) providing suicide prevention materials for distribution at a firearm retailer or firearm range; or 3) providing voluntary firearm storage.

Status: Assembly Action: 11/7/19 – Passed by the Assembly.  11/29/19 Exec’d out the Health Committee.  10/22/19 – Public Hearing.

Senate Action: 11/20/19 Public Hearing on SB 54311/8/19 – Received AB 537 l from the Assembly.


2019 Assembly Bill 528  & 2019 Senate Bill 498

Relating to: grants to support peer-to-peer suicide prevention programs in high schools, granting rule-making authority, and making an appropriation. (FE)

Support

WNA Position: Support community-based prevention services including screening, nutrition, immunizations, family planning, violence prevention and health education across the life-span. This bill requires the Department of Public Instruction to establish a competitive grant program to award grants for the purpose of supporting peer-to-peer suicide prevention programs in public, private, and tribal high schools.

Status: Assembly Action: 1/21/20: Received from the Senate, correctly enrolled. 11/8/19 – Passed by the Assembly. 10/29/19 – Exec’d out of the Committee on Education.  10/24/19 – Public Hearing.

Senate Action: 1/21/20  Voted out of the Senate.  Received the bill from the Assembly.  To be scheduled for a vote by the Senate.


2019 Assembly Bill 529 2019 Senate Bill 506 

Relating to: grants to the Wisconsin Safe and Healthy Schools Center and making an appropriation. (FE)

Support

WNA Position: Support community-based prevention services including screening, nutrition, immunizations, family planning, violence prevention and health education across the life-span.

This bill requires the Department of Public Instruction to annually award a grant to a cooperative educational service agency to support a collaborative project between DPI and CESAs that provides training and technical assistance to school districts related to prevention and intervention programs for alcohol, tobacco and other drug abuse, mental health programs, and programs to promote school safety.

Status: Assembly Action: 11/7/19 – Passed by the Assembly. 11/1/19 – Voted out of Committee on Education with Amendment Assembly Amendment 1 that deletes “general wellness” and substitute “mental health wellness as it pertains to suicide prevention” 11/1/10 Referred to Committee on Rules. 10/24/19 – Public Hearing.

Senate Action: Received by the Assembly. To be scheduled for a vote by the Senate.


2019 Assembly Bill 530 2019 Senate Bill 504

Relating to: grants for suicide prevention programming and making an appropriation. (FE)

Support

WNA Position:  Support community-based prevention services including screening, nutrition, immunizations, family planning, violence prevention and health education across the life-span. This bill requires the Department of Health Services to award grants to organizations or coalitions of organizations, including cities, villages, towns, and counties, for suicide prevention programming. A grant recipient must contribute matching funds or in-kind services having a value equal to at least 20 percent of the grant amount.

Status: Assembly Action: 11/7/19 – Passed by the Assembly.10/29/19 – Exec’d out of the Committee on Local Government.  11/1/19 – Assembly Amendment 1 adopted.  10/22/19 – Public Hearing.

Senate Action: 11/8/19 –Received AB 530 from the Assembly 11/20/19 Public Hearing on SB 504..


2019 Assembly Bill 531 2019 Senate Bill 496

Relating to: requiring that student identification cards include contact information for suicide prevention hotlines. (FE)

Support

WNA Position: Support community-based prevention services including screening, nutrition, immunizations, family planning, violence prevention and health education across the life-span.

This bill provides that, if a school board, operator of an independent charter school, or governing body of a private school, or an institution of higher education (college), issues identification cards to, respectively, pupils or college students, the school board, operator, or governing body, or the college, shall include on the identification card certain contact information for suicide prevention and crisis support hotlines.

Status: Assembly Action: 1/21/20 received from the Senate with Amendment 1.11/7/19 – Passed by the Assembly.  10/29/19 – Exec’d out of the Committee on Education. 11/1/19 Assembly Amendment 1 adopted.  11/1/19 – Referred to Committee on Rules.10/24/19 – Public Hearing.

Senate Action: 1/21/20 – Passed out the Senate with Amendment 1. 1/17/20 received by the Assembly. 11/8/19 – Received the bill sent by the Assembly. To be scheduled for a vote in the Senate.


2019 Assembly Bill 542 2019 Senate Bill 489

Relating to: allowing reimbursement of certain expenses for patients participating in cancer clinical trials.

Support

WNA Position:  Provide accessible and affordable prescription drugs, medical supplies, and health care services, including dental and preventative services.

This bill allows for reimbursement of travel, ancillary costs, and other direct patient-incurred expenses related to cancer clinical trial participation will not be considered an undue inducement to participate in a cancer clinical trial, and reimbursement for travel and ancillary costs may not be considered coercive or as exerting undue influence to participate in a cancer clinical trial, but rather as a means to create parity in cancer clinical trial access and remove a barrier to participation.

Status: Assembly Action: 1/29/20 Passed out of the Health Committee. 1/7/20 Public  Hearing. Referred to Committee on Health. No other action.

Senate Action: 1/21/20 Passed out of the Senate and referred to the Assembly.1/8/20 Passed out of the Senate Health Committee. 11/20/19 Public Hearing Committee on Health and Human Services. No other action.


2019 Assembly Bill 583 & 2019 Senate Bill 514

Relating to: practicing as a physician assistant or nurse while performing official duties for the armed services or federal health services.

Support

WNA Position: Allow registered nurses and advanced practice registered nurses to practice to the full extent of their education, training, experience and license to improve patient outcomes.

Status:

Senate Action:   1/21/20 Passed out of the Senate.  1/21/20 Received by the Assembly.  1/29/20 Assembly Committee voted AB 583 out of Committee11/20/19 Public Hearing Committee on Health and Human Services


2019 Assembly Bill 584 2019 Senate Bill 516

Relating to: requiring hospitals to allow designation of a caregiver.

Support

WNA Position: Patients, families and caregivers are actively engaged and valued as equal members of the health care team. This bill requires hospitals to provide a patient or, if applicable, a patient’s legal guardian with an opportunity to designate a caregiver who will receive, before the patient is discharged from the hospital, instruction regarding assistance with the patient’s care after discharge.

Status: Assembly Action: Referred to Committee on Health

Senate Action: Referred to Committee on Government Operations, Technology and Consumer Protection


WNA Position:  The bill allows a health care provider with prescribing authority who is employed by or under contract with the Department of Health Services to issue a statewide standing order for the dispensing of epinephrine auto-injectors or prefilled syringes for use by trained individuals. The bill also allows prescribers to issue a standing order for the dispensing of epinephrine auto-injectors or prefilled syringes for use by trained individuals. This increase access to care and services.

Status: Assembly Action:1/30/20 – Introduced and assigned to Committee on Health

Status: Senate Action: 1/29/20 – Introduced and assigned to Committee on Health and Human Services