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Update on AB 396 & SB 394Call to Action

May 19, 2022

WNA appreciates all who advocated for this bill.  We are disappointed of Governor Evers veto. Our goal is to get this bill passed in the session.  We will be identifying legislative candidates who are interested in supporting our bill for this upcoming election season.  This takes effort and financial contributions.  Please consider contributing to WINPAC today so nursing practice can be supported, protected and advanced. 

May 12, 2022

APRN speakers at the WNA press conference with Senator Patrick Testin told their stories about the impact of Governor Evers veto of the APRN Modernization Act.

Gina Dennik-Champion MSN, RN, MSHA, Executive Director of Wisconsin Nurses Association provided introductory remarks including the acknowledgment of the resignation of the Wisconsin State Board of Nursing Chair, Dr. Peter Kallio, CRNA.  Dennik-Champion introduced the APRNs speakers:

  • Rebecca Gilbertson, DNP, FNP, APNP, Medford, WI, owner of Taylored Family Care Clinic
  • Lori Kisting, MSN, APNP, FNP-BC, PMHNP-BC, Stevens Point, WI, owner of Linc Health Clinic
  • Rene Buenzow, APNP-C, APRN-C, and DNP/PMHNP-student, Cottage Grove, WI

State Senator Patrick Testin, Senate District 24, Stevens Point, WI.  Author of SB 394 APRN Modernization Act provided remarks about his disappointment of the veto and vowed that the bill will be back next session.

The press conference drew the attendance of the media and was recorded on WisEye the link is below (must create a free account to view)

News Conference: Veto of SB 394 – APRN legislation – WisconsinEye (wiseye.org)

Two local TV stations reported on the press conference.  The links are below:

NBC 15 – https://www.nbc15.com/video/2022/05/11/nurses-voice-disappointment-veto-aprn-modernization-act/

 

April 18, 2022

Please click here to read a joint press release statement from the American College of Nurse-Midwives (WI Affiliate), Wisconsin Association of Clinical Nurse Specialists, Wisconsin Association of Nurse Anesthetists, and the Wisconsin Nurses Association

April 15, 2022

WNA wants you to know that the Governor will be vetoing the APRN Modernization Act, SB 394 today. This is very disappointing.  We cannot thank you enough for all of your tireless advocacy and support.

Letter from Governor Evers in regards to veto.

March 28, 2022

Governor Evers remains undecided about signing SB 394 – The APRN Modernization Act. SB 394 creates a separate nursing license for Advanced Practice Registered Nurses (APRNs) . APRNs are RNs who receive a graduate nursing degree, (MSN or DNP) that prepares them to practice in a clinical role as a certified nurse midwife, certified registered nurse anesthetist, clinical nurse specialist or nurse practitioner. SB 394 describes the conditions, criteria, responsibility, and accountability required to practice as an APRN in Wisconsin. SB 394 will allow APRNs to have greater practice autonomy.  This autonomy will support increased patient access to quality, safe and economical care for Wisconsin’s rural, tribal, and urban populations.   APRNs are knowledgeable and skilled health care practitioners. They are key to addressing Wisconsin’s opioid epidemic and other substance abuse issues, treating, and managing patients’ chronic diseases, and delivering preventive care services.


March 21, 2022

ACTION ALERT: Sample Letters Asking the Governor to Support SB394 the APRN Modernization Act

WNA is requesting all members to please contact Governor Evers to ask that he sign SB 394, the APRN Modernization Act.

WNA thanks you in advance for your advocacy.  SB 394 will support patient access to care and the role of the Advanced Practice Registered Nurse and the nursing profession.


February 17, 2022

APRN Bill: Victory in the Assembly! Only Two More Steps Left

The Assembly unanimously passed the Senate version of the APRN Modernization Act, SB 394. There were two new amendments added. The bill passed on a voice vote. The language in the bill needs to be identical and therefore needs to go back to the Senate to vote on the two amendments.  WNA did not oppose the new amendments. If the Senate passes the amended bill next week, if goes to the Governor for his approval.

WNA thanks to all of you who have advocated for this legislation.  It is truly appreciated.


February 10, 2022

Action Alert!! Call your Assembly Representative requesting support of SB 394 TODAY

Thank you all who contacted your Senator to support SB 394 the APRN Modernization Act.  We need you to call your state Assembly Representative and request that he/she support SB 394.

Rationale:

SB 394 reflects the conditions and responsibilities to practice safely as a licensed APRN in Wisconsin.

SB 394 will provide patients with access to quality, economical, safe and patient-focused care.

Wisconsin’s citizens need the care delivered by licensed APRNs now to meet the demands of health care.

 

Senate passes SB 394 – APRN Modernization Act

The Senate passed SB 394 January 25, 2022.  SB 394 has been sent to the Assembly for a vote.

Voting results:   Ayes-19   Nays-14   Not Voting-0   Paired-0

Ayes:19   Ballweg, Bernier, Bradley, Cowles, Felzkowski, Jacque, Jagler, Kapenga, Kooyenga, LeMahieu, Marklein, Nass, Petrowski, Stafsholt, Stroebel, L. Taylor, Testin, Wanggaard, Wimberger

Nays:14 Agard, Bewley, Carpenter, Darling, Erpenbach, Feyen, Johnson, Larson, Pfaff, Ringhand, Roth, Roys, Smith, Wirch


January 24, 2022

Action Alert! Senate Voting on APRN Modernization Act SSA-1

The Senate will be voting on Senate Substitute Amendment 1 to SB 394 tomorrow. The floor session begins at 11:00 am. Please contact your Senator and let them know that you support this bill and that you would like him/her to vote YES. This legislation will create separate licensure for advanced practice registered nurses. Licensure will support the responsibilities and accountabilities of the APRN to the patients they care for. This will also increase patient access to safe, high-quality health care delivered by educated, nationally board-certified advanced practice registered nurses. There are over 50 years of research and studies on the APRN workforce that demonstrate safety, economic value, and meeting health needs through accessibility.
Please ask your Senator to vote yes. Find your state senator here: https://maps.legis.wisconsin.gov/

January 14, 2022

Here is an update on the progress of the APRN Modernization Act SB 394 and AB 396, the crisis we face,  and the need for your involvement.

First: The Senate Health Committee passed Senate Substitute Amendment 1 out of Committee on December 7, 2021 on a vote of 3 to 2. It is now waiting to be placed on the agenda for a full vote of the Senate.

Second: The Assembly Health Committee met Wednesday, January 12, 2022 to vote on Assembly Substitute Amendment 1 and one other amendment, called Amendment 2. 

Summary of the Committee Meeting

  • Amendment 2 – passed with a vote of 13 – 2.
  • Assembly Substitute Amendment passed by two vote 9 – 6.
  • Those voting:

Ayes: (9) Representative Sanfelippo; Representatives Summerfield, Wichgers, Murphy, Magnafici, Dittrich, Cabral-Guevara, Riemer S. Rodriguez.

Noes: (6) Representatives VanderMeer, Rozar, Moses, Subeck, Anderson and Vining.

  • We did not expect the vote to be so close and this raises concerns.

What happened?

  • Organized medicine (physician associations) have mounted a full court press. Which you can see by the vote results.
  • The Health Committee Chairperson, Rep. Joe Sanfelippo, wants to bring all of the stakeholders and interested legislators together to come to agreement on language.
  • If there is no agreement the bill it will not get scheduled for an Assembly floor vote.
  • If the bill does not get to the Assembly for a vote before the end of this session, we will need to start all over in the 2023-2024 legislative session.
  • There are only 3 floor sessions remaining.

Call to Action

We have 99 Assembly Representatives.

Your Assembly Representative needs to hear from you today and before January 19.

Tell him or her that you want them to vote yes on Assembly Substitute Amendment to AB 396 the APRN Modernization Act.

You can send your email to your Assembly Representative. Click here to find out who is your Assembly Representative and contact information. The “Find My Legislator” tool is on the right hand side of the page.

Or

You can also use WNA’s Nurses Voice Grass Roots Advocacy Messaging Platform.  

Tell your legislator why this is important to you

  • Increase access to care delivered by APRNS
  • APRNs are a safe health care provider. They have a Masters/DNP Degree from an accredited school of nursing, you are nationally board certified, you are a prescriber.
  • They consult, collaborate, and refer your patients to physicians and other health care providers when your patients need care beyond your expertise.
  • Licensure as an APRN will provide greater protection for the public as your nursing care is expected to reflect advanced clinical and pharmacological education and training.
  • They must have medical malpractice insurance coverage at all times at the same coverage amount as physicians.
  • Mandatory physician collaboration is costly, ineffective, unnecessary and prevents access to care for your constituents and your communities. All healthcare providers collaborate as it is part of team-based care. You are concerned about only APRNs being singled out.

 

Other information about APRNs

  • There are 7,800 APRNs practicing in Wisconsin. Continued barriers to practice will result in APRNs moving to other states to practice because there is greater autonomy.
  • Wisconsin APRNs are part of the surgical team in our hospitals and surgery centers. APRNs are used to assess and manage the pain of post-surgical patients.  APRNs order discharge medications, including pain relief for the patient.  This gives the appearance that APRNs prescribe more pain medications than physicians.
  • There are 26 states and US Territories that allow for full practice authority. Access has improved for at-risk communities and rural communities.
  • APRN practice has been studied for over 50 years. Results indicate that APRNs are safe and quality providers. Performance measures show that care is comparable or at times better than physician counterparts.

Thank you so much.


January 7, 2022

Action Alert!  Please contact Assembly Representatives to request Support of Amendment 1 of the APRN Modernization Bill – AB 396

The amended version of the APRN Modernization Act, AB 396 has been passed by the Senate Health Committee. The Assembly Amendment has the same language as the Senate version. This language meets our goals and objectives for APRN full practice authority. There are physician-driven amendments being developed.  If these proposed amendments are passed, we will see delays in patient access to APRN care and services and 4 years of physician supervision of the new APRN graduate who want to become an independent provider. This is a huge step backwards.

WNA has two requests:

  1. Contact your Assembly Representative (email or call)
  2. Contact the members of the Assembly Health Committee (Call of email)

Contacting Tips

  1. Do not use your work email or phone number.
  2. Provide your name and address and type of nurse, RN or APRN.
  3. Sample phone and email script:

“ Hello Representative ___________, my name is __________ and I am contacting you to ask that you support Assembly Substitute Amendment 1 to Assembly Bill 396 without further amendments.

 Assembly amendment 1 supports timely access to health care provided by APRNs that is safe, high-quality, appropriate, and economical. This is good for your constituents and the citizens of Wisconsin.  Thank you in advance for consideration of my request.”  I can be contacted at: (provide a non-work email address or your phone number.)

WNA thanks you for advocacy efforts

Click here to send an email or phone message to your Assembly Representatives. 

The contact information for the Assembly Health Committee are as follows:

Assembly Health CommitteeEmailOffice phone (Leave a message)
Representative Sanfelippo (Chair)Rep.Sanfelippo@legis.wisconsin.gov (608) 266-0620
Representative Summerfield (Vice-Chair)Rep.Summerfield@legis.wisconsin.gov
(608) 266-1194
Representative WichgersRep.Wichgers@legis.wisconsin.gov (608) 266-3363
Representative VanderMeerRep.VanderMeer@legis.wisconsin.gov 608) 266-8366
Representative SkowronskiRep.Skowronski@legis.wisconsin.gov (608) 266-8590
Representative MurphyRep.Murphy@legis.wisconsin.gov (608) 266-7500
Representative MagnaficiRep.Magnafici@legis.wisconsin.gov (608) 267-2365
Representative DittrichRep.Dittrich@legis.wisconsin.gov (608) 266-8551
Representative RozarRep.Rozar@legis.wisconsin.gov (608) 267-0280
Representative MosesRep.Moses@legis.wisconsin.gov (608) 266-7683
Representative Cabral-GuevaraRep.Cabral-Guevara@legis.wisconsin.gov (608) 266-5719
Representative SubeckRep.Subeck@legis.wisconsin.gov (608) 266-7521;
Representative AndersonRep.Anderson@legis.wisconsin.gov (608) 266-8570
Representative RiemerRep.Riemer@legis.wisconsin.gov (608) 266-1733
Representative S. RodriguezRep.SRodriguez@legis.wisconsin.gov (608) 267-9836
Representative ViningRep.Vining@legis.wisconsin.gov (608) 266-9180

December 6, 2021

Please find below two memos that have gone out to the legislature

Associations Memo

WNA Key Facts Sample


November 30, 2021

The Public Hearings in both the Senate and Assembly Health Committees resulted in the development of amendments to AB 396 & SB 394. The amendments are supported by WNA and other stakeholders.  The next step in this legislative process is for each Chairperson of the Senate and Health Committees to hold a vote of the committee members to pass the amended bills out of the Committee. Once the bills are passed out of the Committees, they can be scheduled for a vote of the full Senate and the full Assembly.

WNA is asking you to call your legislators’ offices today and ask them to support AB 396 and SB 394, the APRN Modernization Act.

Reasons for support:

SB 394 and AB 396 create a separate nursing license for Advanced Practice Registered Nurses (APRN).  With this licensure, APRNs will be required to demonstrate greater accountability and responsibility to the public due to their advanced education and clinical training.

APRNs are registered nurses who graduate with a masters or higher degree in nursing from an accredited APRN nursing education program. APRNs hold national board certification as either a Nurse Practitioner, Certified Registered Nurse Anesthetist, Certified Nurse Midwife or Clinical Nurse Specialist.

The legislators will need to hear from you that these bills will support APRN practice that can increase access to care for their constituents and their communities.

This legislation is important to you, an APRN, as it will allow me to practice to the full scope of my license, which can result in increased efficiencies in care delivery, decreased cost-related expenses, support quality care and work as an equal member of the health care team. This is good for patients, employers, and nurses.

I thank you in advance for your advocacy.

Gina Dennik-Champion, MSN, RN, MSHA

WNA Executive Director and Lobbyist

Please read the information below on calling your legislator.

Tips for preparing for your legislator call:

  1. Know your Senator or Assembly Representative’s name and where they live. You will be making two calls. You can find their office phone number by going to:https://maps.legis.wisconsin.gov/
  2. You will be asking the staff member if your legislator is available, be prepared to talk to him or her if available.
  3. You will need to tell them your full name and probably your home address. (Verify that you are the legislators’ constituent)
  4. Let them know the purpose of your call. (see below)
  5. If possible, can you share a story or experience that you can share that will support your request.

Script and talking points that you can use for your call

Script

Hello, my name is   _________________      and I am wondering if Senator (name)  or Representative (name)  is available? I am a Nurse Practitioner, Clinical Nurse Specialist, Certified Registered Nurse Anesthetist, Certified Nurse Midwife. The purpose of my calling today is to ask him/her to support a legislative bill that is very important to me. The bill numbers are AB 396 and SB 394, The APRN Modernization Act.

Reasons for support that you can use or elaborate on:

  1. SB 394 and AB 396 create a separate nursing license for Advanced Practice Registered Nurses (APRN). This licensure will increase patient protection due to advanced education and clinical training, and with that comes greater accountability and responsibility for care delivery.
  2. To practice as an APRN, the nurse must graduate from a masters or higher degree in nursing from an accredited APRN nursing education program. The APRN must hold national board certification as either a Nurse Practitioner, Certified Registered Nurse Anesthetist, Certified Nurse Midwife or Clinical Nurse Specialist.
  3. These bills will allow your constituents and your communities to gain increased access to health care services delivered by Advanced Practice Registered Nurses.
  4. This legislation is important to me as it will allow me to practice to the full scope of my license, which can:  increase efficiencies in care delivery, decrease cost-related expenses, support quality and safe care, and allow me to practice as an equal member of the health care team.
  5. This legislation is good for patients, employers and nurses.

Thank you for your time. I can be contacted at:  (use your home email or personal phone number).


APRN Modernization Act Update – September 28, 2021

WNA wants to let you know the status of the APRN Modernization Act, 2021 Assembly Bill 396 & 2021 Senate Bill 394.

We are in the process of finalizing proposed amendments to the bill which should be available for review soon. Once released, WNA will provide a brief webinar about the amendments and next steps needed from you contacting your legislators.

WNA needs your financial support for this advocacy effort!
Important lobbying and advocacy work remains in order for the bill to become law.
This includes lobbyists working on the following:
  • Oversee the amendment development process and final language;
  • Meet with Health Committee members to inform them on the proposed amendments and request support;
  • Request the Chairs of the Health Committees hold a vote on the amendments and bill so they can be forwarded to the Senate and Assembly for action; and
  • Meet with legislature leadership to schedule a vote on the bill by the full Assembly and Senate.

DONATE HERE


APRN Modernization Act Update – August 6, 2021 

Successful Public Hearings on APRN Modernization Act

The public hearings on 2021 Assembly Bill 396  and 2021 Senate Bill 394, The APRN Modernization Act,  provided the members of the Assembly and Senate Health Committees very effective information about the importance of supporting this legislation.  APRNs representing NPs, CNS’s, CRNAs and CNMs shared information about their role, location, and their competencies in delivering safe, accessible and quality care.  The opposition, physician groups, were outnumbered almost 4:1. Their testimony focused on discrediting the education, experience and safety of APRN providers.

You can find more information about the hearings and next steps from WNA’s Lobbyist, Bob Welch and Gina Dennik-Champion, WNA Executive Director.

Click Here to Register for the On Demand Recording

WNA wants to thank all who submitted contacted your legislator and sent messages to the Committee members.

Action Needed!  The members of the Senate and Assembly Health Committees need to hear from as many APRNs and RNs as possible.  Your message should include a description how these bills will affect you and your patients; and ask for their support.

WNA has developed sample letters that can be used to send your letter to each of the Committee member, click here to learn more.

 


July 20, 2021, UPDATE – CALL TO ACTION

The Public Hearings on the APRN Modernization Action Legislative Bills Assembly Bill 396 and Senate Bill 394 have been scheduled.

The Senate Health Committee Public Hearing on 2021 Senate Bill 394  is scheduled for Wednesday July 28, 2021. Beginning at 10:00 am in room 411 Southeast, State Capitol.

The Assembly Health Committee Public Hearing on 2021 Assembly Bill 396   is scheduled for Thursday, July 29, 2021.  The hearing is scheduled from 9:00 am – 5:00 pm. Room 412 East. Time: 9:00 AM – 5:00 pm There is a total of 11 bills scheduled for the hearing.  AB 396 will be last.

The Bill Sponsors are Senator Patrick Testin (Stevens Point) and Representative Rachael Cabral-Guevera (Appleton)

Click here for an overview to prepare you for the public hearings.

To learn about the Public Hearing  you can view the July 20, 2021 Webinar presented by Gina Dennik-Champion, WNA Executive Director and Lobbyist below

——————————————–

July 1, 2021 UPDATE – CALL TO ACTION

WNA has been notified that there will be Public Hearings on the APRN Modernization Action Legislative Bills Assembly Bill 396 and Senate Bill 394. 

The Senate Health Committee Public Hearing on SB 394 is scheduled for Wednesday July 28, 2021. We will identify the time when it becomes available.

The Assembly Health Committee Public Hearing on AB 396 is scheduled for Thursday, July 29, 2021.  The hearing is scheduled from 9:00 am – 5:00 pm.  We are not sure of the time when the bill will be discussed.

The Bill Sponsors are Senator Patrick Testin (Stevens Point) and Representative Rachael Cabral-Guevera (Appleton)

To learn about the legislation, you can view the WNA June 29th webinar presented by Gina Dennik-Champion, WNA Executive Director and Lobbyist

or you can find the key content below.

What the APRN Modernization Act Accomplishes

The APRN Modernization Act is a legislative proposal that is sponsored by Representative Rachael Cabral-Guevara and Senator Patrick Testin.  The language is very similar to the legislative bills from the last legislative session.  The overall benefits of this legislative proposal supports includes the following: Protects the public with truth and transparency about the responsibility and accountability of APRN practice through separate licensure.

  • Modernizes antiquated language to reflect current APRN practice and responsibilities.
  • Eliminates unnecessary barriers that have proven to provide no value to the delivery and safety of APRN care and services.
  • Set a high standard of safety in caring for our patients

Wisconsin is witnessing a shortage of physicians in our population dense and rural communities prior to, during, and post COVID-19 public health emergency. This is creating long wait times for individuals to access quality care in the most appropriate cost-effective setting.  You are finding utilization of APRNs to meet the health care needs in the majority of legislator’s communities. Research repeatedly demonstrates that APRNs provide safe, high-quality care with equivalent outcomes to their physician counterparts.  This is why they are in such high demand.

The language in the APRN Modernization Act

  • Provides licensing for APRNs and describes the strict educational/experience requirements to obtain a license.
  • Grants title protection for APRN and the four specialties.
  • Sets the stage for future APRN Compact agreements with other states.
  • Standardizes the APRN professional titles to be consistent with the other states.
  • Gives the Wisconsin Board of Nursing greater authority in regulating APRNs and APRN graduate schools.
  • Provide technical amendments to replace Advanced Practice Nurse Prescriber (APNP) with APRN.
  • Modernizes Wisconsin’s Nurse Practice Act, § Chapter 441 to reflect the national consensus model being adopted across the country. Specifically the APRN Modernization Act;
  • Adds a definition for Advanced Practice Registered Nurse (APRN) and scope of practice.
  • Provides formal licensure for advanced practice registered nurses (APRN), recognizing the four different practice roles; Certified Nurse Midwife, Certified Registered Nurse Anesthetist, Clinical Nurse Specialist and Nurse Practitioner. Requires the licensee to hold national board certification.
  • Requires graduating with a Master’s Degree or higher in an APRN role; and graduated from a school of nursing with national accreditation.
  • Requires demonstration of medical malpractice and liability insurance coverage.
  • Creates the conditions for an APRN to prescribe, consult, collaborate and refer patients to other health care providers and health systems.
  • Allows currently practicing APNPs be licensed as APRNs without application.
  • Repeals §441.15 – Nurse Midwife Practice Act
  • Repeals §441.16 – Prescription Privileges for Advanced Practice Nurses

Other information

  • Wisconsin’s Nurse Practice Act, State Statute 441, is relatively silent when it comes to defining the role and responsibility of advanced practice registered nurses (APRNs).
  • Legislation recognized advanced practice registered nurses in 1995 when subsets of these practitioners’ were granted prescriptive authority. Wisconsin State Statute 441.16 was created to allow advanced practice nurse to prescribe medications under the conditions defined. APRNs practice beyond the realm of prescriber work. Clarity regarding their legal definition and role are needed.
  • According to the a report of the U.S. Federal Trade Commission, APRNs play a critical role in alleviating provider shortages and expanding access to health care services for medically underserved populations by commenting on how the requirements for physician collaboration for licensure creates scope of practice restrictions and may eliminate APRNs as an important source of safe, lower-cost competition. Such a reduction of competition may lead to a number of anticompetitive effects.
  • Currently in Wisconsin, Advanced Practice Registered Nurses cannot provide pharmacologic-related care without having a documented collaborative relationship with a physician. This has become an artificial barrier effectively giving one group of health care professionals the ability to restrict access to the market by another, competing group of health care professionals, thereby denying health care consumers the benefits of greater competition and access to care.  The APRN physician collaboration requirement is currently suspended because of the COVID-19 public health emergency.  APRNs practicing independently who have ceased their documented physician relationship are saving substantial dollars each month while continuing to provide, safe, quality and accessible care.
  • Wisconsin’s population is aging. The workforce predictions from Wisconsin Hospital Association show a dire need for health care providers now–and worsening in the near future. APRNs have proven themselves ready and able to fill those needs, particularly in rural and urban underserved areas.  APRNs provide access to care at no added cost to the state, no delay in the benefit to the consumer or the state, and are a solution that has a track record of 50 years of success.

 The Public Hearing

WNA wants to let you know that there are options for advocating for SB 394 and AB 396:

  • Reach out to your legislators between now and the Public Hearings and ask for their support
  • Attend the Public Hearings and provide in-person testimony in favor of the bills*
  • Attend the Public Hearing and submit written testimony in favor of the bills*
  • Attend the Public Hearing as an observer and register in favor of the bills*
  • Unable to attend??Send an email to your legislators asking for their support.
  • Contact, call your legislators asking for support

* WNA requests, that if possible, your attendance at the committee hearings would be very helpful. 

Click here for a listing of the Senate Health Committee members and the Assembly are listed below.

WNA will assist you with talking points for testimony any time before July 27, 2021.

Watch for the posting of the Nurse’s Voice Advocacy Platform on July 26 which you can use to send your email letter.

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5-28-21 UPDATE –

We are pleased to report that 23 legislators signed on as co-sponsors to the  APRN Modernization Act legislative proposal.  The next step is for the two bills will receive a bill number and Committee assignment.  The Chairs of the assigned Committees will schedule public hearings on the bills.  WNA will notify you when the hearings are scheduled.

Thanks to all of you who contacted your legislators asking for their support.


Update on the APRN Modernization Act. Action Alert!  Now is the time for you to contact your state senator and assembly person asking them to sign-on as a co-sponsor to Assembly LRB- 3325 and Senate LRB – 3578 

The APRN Modernization Act is a legislative proposal that is sponsored by Representative Rachael Cabral-Guevara and Senator Patrick Testin.  The language is very similar to the legislative bills from the last legislative session.  The overall benefits of this legislative proposal supports includes the following:

  • Protects the public with truth and transparency about the responsibility and accountability of APRN practice through separate licensure.
  • Modernizes antiquated language to reflect current APRN practice and responsibilities.
  • Eliminates unnecessary barriers that have proven to provide no value to the delivery and safety of APRN care and services.
  • Set a high standard of safety in caring for our patients

Wisconsin is witnessing a shortage of physicians in our population dense and rural communities prior to, during, and post COVID-19 public health emergency. This is creating long wait times for individuals to access quality care in the most appropriate cost-effective setting.  You are finding utilization of APRNs  to meet the health care needs in the majority of legislator’s communities. Research repeatedly demonstrates that APRNs provide safe, high-quality care with equivalent outcomes to their physician counterparts.  This is why they are in such high demand.

The language in the APRN Modernization Act

  • Provides licensing for APRNs and describes the strict educational/experience requirements to obtain a license.
  • Grants title protection for APRN and the four specialties.
  • Sets the stage for future APRN Compact agreements with other states.
  • Standardizes the APRN professional titles to be consistent with the other states.
  • Gives the Wisconsin Board of Nursing greater authority in regulating APRNs and APRN graduate schools.
  • Provide technical amendments to replace Advanced Practice Nurse Prescriber (APNP) with APRN.
  • Modernizes Wisconsin’s Nurse Practice Act, § Chapter 441 to reflect the national consensus model being adopted across the country. Specifically the APRN Modernization Act;
  • Adds a definition for Advanced Practice Registered Nurse (APRN) and scope of practice.
  • Provides formal licensure for advanced practice registered nurses (APRN), recognizing the four different practice roles; Certified Nurse Midwife, Certified Registered Nurse Anesthetist, Clinical Nurse Specialist and Nurse Practitioner. Requires the licensee to hold national board certification.
  • Requires graduating with a Master’s Degree or higher in an APRN role; and graduated from a school of nursing with national accreditation.
  • Requires demonstration of medical malpractice and liability insurance coverage.
  • Creates the conditions for an APRN to prescribe, consult, collaborate and refer patients to other health care providers and health systems.
  • Allows currently practicing APNPs be licensed as APRNs without application.
  • Repeals §441.15 – Nurse Midwife Practice Act
  • Repeals §441.16 – Prescription Privileges for Advanced Practice Nurses

 

Other information

  • Wisconsin’s Nurse Practice Act, State Statute 441, is relatively silent when it comes to defining the role and responsibility of advanced practice registered nurses (APRNs).
  • Legislation recognized advanced practice registered nurses in 1995 when subsets of these practitioners’ were granted prescriptive authority. Wisconsin State Statute 441.16 was created to allow advanced practice nurse to prescribe medications under the conditions defined. APRNs practice beyond the realm of prescriber work. Clarity regarding their legal definition and role are needed.
  • According to the a report of the U.S. Federal Trade Commission, APRNs play a critical role in alleviating provider shortages and expanding access to health care services for medically underserved populations by commenting on how the requirements for physician collaboration for licensure creates scope of practice restrictions and may eliminate APRNs as an important source of safe, lower-cost competition. Such a reduction of competition may lead to a number of anticompetitive effects.
  • Currently in Wisconsin, Advanced Practice Registered Nurses cannot provide pharmacologic-related care without having a documented collaborative relationship with a physician. This has become an artificial barrier effectively giving one group of health care professionals the ability to restrict access to the market by another, competing group of health care professionals, thereby denying health care consumers the benefits of greater competition and access to care.  The APRN physician collaboration requirement is currently suspended because of the COVID-19 public health emergency.  APRNs practicing independently who have ceased their documented physician relationship are saving substantial dollars each month while continuing to provide, safe, quality and accessible care.
  • Wisconsin’s population is aging. The workforce predictions from Wisconsin Hospital Association show a dire need for health care providers now–and worsening in the near future. APRNs have proven themselves ready and able to fill those needs, particularly in rural and urban underserved areas.  APRNs provide access to care at no added cost to the state, no delay in the benefit to the consumer or the state, and are a solution that has a track record of 50 years of success.

WNA is requesting that you contact your legislators before May 25, 2021  and ask that they sign-on as a co-sponsor to the APRN Modernization Act

Historical information on the APRN Modernization Act can be found here.