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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

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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.