SB535,6,168 448.05 (6) (a) Except as provided in par. pars. (am) and (ar), the board shall
9examine each applicant it finds eligible under this section in such subject matters as
10the board deems applicable to the class of license or certificate which the applicant
11seeks to have granted. Examinations may be both written and oral. In lieu of its own
12examinations, in whole or in part, the board may make such use as it deems
13appropriate of examinations prepared, administered, and scored by national
14examining agencies, or by other licensing jurisdictions of the United States or
15Canada. The board shall specify passing grades for any and all examinations
16required.
SB535, s. 16 17Section 16. 448.05 (6) (ar) of the statutes is created to read:
SB535,6,2518 448.05 (6) (ar) When examining an applicant for a license to practice as an
19anesthesiologist assistant under par. (a), the board shall use the certification
20examination administered by the National Commission on Certification of
21Anesthesiologist Assistants or a successor entity. The board may license without
22additional examination any qualified applicant who is licensed in any state or
23territory of the United States or the District of Columbia and whose license
24authorizes the applicant to practice in the same manner and to the same extent as
25an anesthesiologist assistant is authorized to practice under s. 448.22 (2).
SB535, s. 17
1Section 17. 448.13 (3) of the statutes is created to read:
SB535,7,62 448.13 (3) Each person licensed as an anesthesiologist assistant shall, in each
32nd year at the time of application for a certificate of registration under s. 448.07,
4submit proof of meeting the criteria for recertification by the National Commission
5on Certification of Anesthesiologist Assistants or by a successor entity, including any
6continuing education requirements.
SB535, s. 18 7Section 18. 448.22 of the statutes is created to read:
SB535,7,11 8448.22 Anesthesiologist assistants. (1) In this section, "supervision" means
9the use of the powers of direction and decision to coordinate, direct, and inspect the
10accomplishments of another, and to oversee the implementation of the
11anesthesiologist's intentions.
SB535,7,18 12(2) An anesthesiologist assistant may assist an anesthesiologist in the
13delivery of medical care only under the supervision of an anesthesiologist and only
14as described in a supervision agreement between the anesthesiologist assistant and
15an anesthesiologist who represents the anesthesiologist assistant's employer. The
16supervising anesthesiologist shall be immediately available in the same physical
17location or facility in which the anesthesiologist assistant assists in the delivery of
18medical care such that the supervising anesthesiologist is able to intervene if needed.
SB535,7,19 19(3) A supervision agreement under sub. (2) shall do all of the following:
SB535,7,2020 (a) Describe the supervising anesthesiologist.
SB535,7,2221 (b) Define the practice of the anesthesiologist assistant consistent with subs.
22(2), (4) and (5).
SB535,8,2 23(4) An anesthesiologist assistant's practice may not exceed his or her education
24and training, the scope of practice of the supervising anesthesiologist, and the
25practice outlined in the anesthesiologist assistant supervision agreement. A medical

1care task assigned by the supervising anesthesiologist to the anesthesiologist
2assistant may not be delegated by the anesthesiologist assistant to another person.
SB535,8,5 3(5) An anesthesiologist assistant may assist only the supervising
4anesthesiologist in the delivery of medical care and may perform only the following
5medical care tasks as assigned by the supervising anesthesiologist:
SB535,8,66 (a) Developing and implementing an anesthesia care plan for a patient.
SB535,8,87 (b) Obtaining a comprehensive patient history and performing relevant
8elements of a physical exam.
SB535,8,109 (c) Pretesting and calibrating anesthesia delivery systems and obtaining and
10interpreting information from the systems and from monitors.
SB535,8,1111 (d) Implementing medically accepted monitoring techniques.
SB535,8,1312 (e) Establishing basic and advanced airway interventions, including
13intubation of the trachea and performing ventilatory support.
SB535,8,1514 (f) Administering intermittent vasoactive drugs and starting and adjusting
15vasoactive infusions.
SB535,8,1616 (g) Administering anesthetic drugs, adjuvant drugs, and accessory drugs.
SB535,8,1717 (h) Implementing spinal, epidural, and regional anesthetic procedures.
SB535,8,1818 (i) Administering blood, blood products, and supportive fluids.
SB535,8,2019 (j) Assisting a cardiopulmonary resuscitation team in response to a life
20threatening situation.
SB535,8,2221 (k) Participating in administrative, research, and clinical teaching activities
22specified in the supervision agreement.
SB535,8,2323 (L) Supervising student anesthesiologist assistants.
SB535,9,4 24(6) An anesthesiologist who represents an anesthesiologist assistant's
25employer shall review a supervision agreement with the anesthesiologist assistant

1at least annually. The supervision agreement shall be available for inspection at the
2location where the anesthesiologist assistant practices. The supervision agreement
3may limit the practice of an anesthesiologist assistant to less than the full scope of
4practice authorized under sub. (5).
SB535,9,10 5(7) An anesthesiologist assistant shall be employed by a health care provider,
6as defined in s. 655.001 (8), that is operated in this state for the primary purpose of
7providing the medical services of physicians or that is an entity described in s.
8655.002 (1) (g), (h), or (i). If an anesthesiologist assistant's employer is not an
9anesthesiologist, the employer shall provide for, and not interfere with, an
10anesthesiologist's supervision of the anesthesiologist assistant.
SB535,9,23 11(8) A student in an anesthesiologist assistant training program may assist only
12an anesthesiologist in the delivery of medical care and may perform only medical
13care tasks assigned by the anesthesiologist. An anesthesiologist may delegate the
14supervision of a student in an anesthesiologist assistant training program to a
15qualified anesthesia provider. For purposes of this subsection, a "qualified
16anesthesia provider" is an anesthesiologist, an anesthesiology fellow, an
17anesthesiology resident who has completed his or her first year of anesthesiology
18residency, a certified registered nurse anesthetist or an anesthesiologist assistant.
19This section shall not be interpreted to limit the number of other qualified anesthesia
20providers an anesthesiologist may supervise. A student in an anesthesiologist
21assistant training program shall be identified as a student anesthesiologist assistant
22or an anesthesiologist assistant student and may not be identified as an "intern,"
23"resident," or "fellow."
SB535, s. 19 24Section 19. 448.23 of the statutes is created to read:
SB535,10,4
1448.23 Council on anesthesiologist assistants. The council on
2anesthesiologist assistants shall guide, advise, and make recommendations to the
3board regarding the scope of anesthesiologist assistant practice and the promotion
4of the role of anesthesiologist assistants in the delivery of health care services.
SB535, s. 20 5Section 20. Nonstatutory provisions.
SB535,10,116 (1) Notwithstanding section 15.407 (9) (b) of the statutes, as created by this act,
7the initial member of the council on anesthesiologist assistants appointed under
8section 15.407 (9) (b) of the statutes, as created by this act, is not required to be a
9licensed anesthesiologist assistant under section 448.04 (1) (g) of the statutes, as
10created by this act, but shall be an individual who meets the criteria specified under
11section 448.05 (5w) of the statutes, as created by this act.
SB535,10,1512 (2) Notwithstanding section 15.407 (9) of the statutes, as created by this act,
13one of the initial members of the council on anesthesiologist assistants appointed
14under section 15.407 (9) (c) of the statutes, as created by this act, shall be appointed
15for a 2-year term.
SB535,10,2216 (3) The Board of Regents of the University of Wisconsin shall direct the School
17of Medicine and Public Health to study the feasibility of establishing a School of
18Anesthesiologist Assistants in the University of Wisconsin System. The School of
19Medicine and Public Health shall submit a report containing the School of Medicine
20and Public Health's findings to the Board of Regents and to the council on
21anesthesiologist assistants under section 15.407 (9) of the statutes, as created by this
22act, not later than one year after the effective date of this subsection.
SB535,10,2323 (End)
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