SB698,6,220 50.49 (1) (b) (intro.) "Home health services" means the following items and
21services that are furnished to an individual, who is under the care of a physician,
22physician assistant,
or advanced practice nurse prescriber, by a home health agency,
23or by others under arrangements made by the home health agency, that are under
24a plan for furnishing those items and services to the individual that is established
25and periodically reviewed by a physician, physician assistant, or advanced practice

1nurse prescriber and that are, except as provided in subd. 6., provided on a visiting
2basis in a place of residence used as the individual's home:
SB698, s. 7 3Section 7. 70.47 (8) (intro.) of the statutes is amended to read:
SB698,6,94 70.47 (8) Hearing. (intro.) The board shall hear upon oath all persons who
5appear before it in relation to the assessment. The board shall hear upon oath, by
6telephone, all ill or disabled persons who present to the board a letter from a
7physician, osteopath, physician assistant, as defined in s. 448.01 (6), or advanced
8practice nurse prescriber certified under s. 441.16 (2) that confirms their illness or
9disability. The board at such hearing shall proceed as follows:
SB698, s. 8 10Section 8. 146.82 (3) (a) of the statutes is amended to read:
SB698,6,1711 146.82 (3) (a) Notwithstanding sub. (1), a physician , physician assistant, as
12defined in s. 448.01 (6),
or advanced practice nurse prescriber certified under s.
13441.16 (2) who treats a patient whose physical or mental condition in the physician's,
14physician assistant's,
or advanced practice nurse prescriber's judgment affects the
15patient's ability to exercise reasonable and ordinary control over a motor vehicle may
16report the patient's name and other information relevant to the condition to the
17department of transportation without the informed consent of the patient.
SB698, s. 9 18Section 9. 252.01 (5) of the statutes is created to read:
SB698,6,1919 252.01 (5) "Physician assistant" has the meaning given in s. 448.01 (6).
SB698, s. 10 20Section 10. 252.07 (8) (a) 2. of the statutes is amended to read:
SB698,6,2321 252.07 (8) (a) 2. The department or local health officer provides to the court a
22written statement from a physician, physician assistant, or advanced practice nurse
23prescriber that the individual has infectious tuberculosis or suspect tuberculosis.
SB698, s. 11 24Section 11. 252.07 (9) (c) of the statutes is amended to read:
SB698,7,7
1252.07 (9) (c) If the court orders confinement of an individual under this
2subsection, the individual shall remain confined until the department or local health
3officer, with the concurrence of a treating physician, physician assistant, or advanced
4practice nurse prescriber, determines that treatment is complete or that the
5individual is no longer a substantial threat to himself or herself or to the public
6health. If the individual is to be confined for more than 6 months, the court shall
7review the confinement every 6 months.
SB698, s. 12 8Section 12. 252.11 (2) of the statutes is amended to read:
SB698,7,199 252.11 (2) An officer of the department or a local health officer having
10knowledge of any reported or reasonably suspected case or contact of a sexually
11transmitted disease for which no appropriate treatment is being administered, or of
12an actual contact of a reported case or potential contact of a reasonably suspected
13case, shall investigate or cause the case or contact to be investigated as necessary.
14If, following a request of an officer of the department or a local health officer, a person
15reasonably suspected of being infected with a sexually transmitted disease refuses
16or neglects examination by a physician, physician assistant, or advanced practice
17nurse prescriber or treatment, an officer of the department or a local health officer
18may proceed to have the person committed under sub. (5) to an institution or system
19of care for examination, treatment, or observation.
SB698, s. 13 20Section 13. 252.11 (4) of the statutes is amended to read:
SB698,8,221 252.11 (4) If a person infected with a sexually transmitted disease ceases or
22refuses treatment before reaching what in a physician's, physician assistant's, or
23advanced practice nurse prescriber's opinion is the noncommunicable stage, the
24physician, physician assistant, or advanced practice nurse prescriber shall notify the
25department. The department shall without delay take the necessary steps to have

1the person committed for treatment or observation under sub. (5), or shall notify the
2local health officer to take these steps.
SB698, s. 14 3Section 14. 252.11 (5) of the statutes is amended to read:
SB698,8,204 252.11 (5) Any court of record may commit a person infected with a sexually
5transmitted disease to any institution or may require the person to undergo a system
6of care for examination, treatment, or observation if the person ceases or refuses
7examination, treatment, or observation under the supervision of a physician,
8physician assistant,
or advanced practice nurse prescriber. The court shall summon
9the person to appear on a date at least 48 hours, but not more than 96 hours, after
10service if an officer of the department or a local health officer petitions the court and
11states the facts authorizing commitment. If the person fails to appear or fails to
12accept commitment without reasonable cause, the court may cite the person for
13contempt. The court may issue a warrant and may direct the sheriff, any constable,
14or any police officer of the county immediately to arrest the person and bring the
15person to court if the court finds that a summons will be ineffectual. The court shall
16hear the matter of commitment summarily. Commitment under this subsection
17continues until the disease is no longer communicable or until other provisions are
18made for treatment that satisfy the department. The certificate of the petitioning
19officer is prima facie evidence that the disease is no longer communicable or that
20satisfactory provisions for treatment have been made.
SB698, s. 15 21Section 15. 252.11 (7) of the statutes is amended to read:
SB698,9,622 252.11 (7) Reports, examinations and inspections and all records concerning
23sexually transmitted diseases are confidential and not open to public inspection, and
24may not be divulged except as may be necessary for the preservation of the public
25health, in the course of commitment proceedings under sub. (5), or as provided under

1s. 938.296 (4) or (5) or 968.38 (4) or (5). If a physician , physician assistant, or
2advanced practice nurse prescriber has reported a case of sexually transmitted
3disease to the department under sub. (4), information regarding the presence of the
4disease and treatment is not privileged when the patient, physician, physician
5assistant,
or advanced practice nurse prescriber is called upon to testify to the facts
6before any court of record.
SB698, s. 16 7Section 16. 252.11 (10) of the statutes is amended to read:
SB698,9,158 252.11 (10) The state laboratory of hygiene shall examine specimens for the
9diagnosis of sexually transmitted diseases for any physician, physician assistant,
10advanced practice nurse prescriber, or local health officer in the state, and shall
11report the positive results of the examinations to the local health officer and to the
12department. All laboratories performing tests for sexually transmitted diseases
13shall report all positive results to the local health officer and to the department, with
14the name of the physician, physician assistant, or advanced practice nurse prescriber
15to whom reported.
SB698, s. 17 16Section 17. 252.14 (1) (ar) 14. of the statutes is amended to read:
SB698,9,1717 252.14 (1) (ar) 14. A physician assistant licensed under ch. 448.
SB698, s. 18 18Section 18. 252.15 (2) (a) 7. ak. of the statutes is amended to read:
SB698,9,2519 252.15 (2) (a) 7. ak. A physician, physician assistant, or advanced practice
20nurse prescriber, based on information provided to the physician, physician
21assistant,
or advanced practice nurse prescriber, determines and certifies in writing
22that the affected person has been significantly exposed. The certification shall
23accompany the request for testing and disclosure. If the affected person who is
24significantly exposed is a physician, physician assistant, or advanced practice nurse
25prescriber, he or she may not make this determination or certification. The

1information that is provided to a physician, physician assistant, or advanced practice
2nurse prescriber to document the occurrence of a significant exposure and the
3physician's, physician assistant's, or advanced practice nurse prescriber's
4certification that an affected person has been significantly exposed, under this subd.
57. ak., shall be provided on a report form that is developed by the department of
6commerce under s. 101.02 (19) (a) or on a report form that the department of
7commerce determines, under s. 101.02 (19) (b), is substantially equivalent to the
8report form that is developed under s. 101.02 (19) (a).
SB698, s. 19 9Section 19. 252.15 (5) (a) 11. of the statutes is amended to read:
SB698,10,1810 252.15 (5) (a) 11. To a person, including a person exempted from civil liability
11under the conditions specified under s. 895.48, 895.4802, or 895.4803, who renders
12to the victim of an emergency or accident emergency care during the course of which
13the emergency caregiver is significantly exposed to the emergency or accident victim,
14if a physician, physician assistant, or advanced practice nurse prescriber, based on
15information provided to the physician, physician assistant, or advanced practice
16nurse prescriber, determines and certifies in writing that the emergency caregiver
17has been significantly exposed and if the certification accompanies the request for
18disclosure.
SB698, s. 20 19Section 20. 252.15 (5) (a) 12. b. of the statutes is amended to read:
SB698,11,220 252.15 (5) (a) 12. b. The coroner, medical examiner, or appointed assistant is
21significantly exposed to a person whose death is under direct investigation by the
22coroner, medical examiner, or appointed assistant, if a physician, physician
23assistant,
or advanced practice nurse prescriber, based on information provided to
24the physician, physician assistant, or advanced practice nurse prescriber,
25determines and certifies in writing that the coroner, medical examiner, or appointed

1assistant has been significantly exposed and if the certification accompanies the
2request for disclosure.
SB698, s. 21 3Section 21. 252.15 (5) (a) 14. of the statutes is amended to read:
SB698,11,94 252.15 (5) (a) 14. If the test results of a test administered to an individual are
5positive and the individual is deceased, by the individual's attending physician,
6physician assistant,
or advanced practice nurse prescriber, to persons, if known to
7the physician, physician assistant, or advanced practice nurse prescriber, with
8whom the individual has had sexual contact or has shared intravenous drug use
9paraphernalia.
SB698, s. 22 10Section 22. 252.15 (5m) (a) of the statutes is amended to read:
SB698,11,2311 252.15 (5m) (a) If a person, including a person exempted from civil liability
12under the conditions specified under s. 895.48, 895.4802, or 895.4803, who renders
13to the victim of an emergency or accident emergency care during the course of which
14the emergency caregiver is significantly exposed to the emergency or accident victim
15and the emergency or accident victim subsequently dies prior to testing for the
16presence of HIV, antigen or nonantigenic products of HIV, or an antibody to HIV; if
17a physician, physician assistant, or advanced practice nurse prescriber, based on
18information provided to the physician, physician assistant, or advanced practice
19nurse prescriber, determines and certifies in writing that the emergency caregiver
20has been significantly exposed; and if the certification accompanies the request for
21testing and disclosure. Testing of a corpse under this paragraph shall be ordered by
22the coroner, medical examiner, or physician who certifies the victim's cause of death
23under s. 69.18 (2) (b), (c), or (d).
SB698, s. 23 24Section 23. 252.15 (5m) (b) of the statutes is amended to read:
SB698,12,12
1252.15 (5m) (b) If a funeral director, coroner, medical examiner, or appointed
2assistant to a coroner or medical examiner who prepares the corpse of a decedent for
3burial or other disposition or a person who performs an autopsy or assists in
4performing an autopsy is significantly exposed to the corpse; if a physician, physician
5assistant,
or advanced practice nurse prescriber, based on information provided to
6the physician, physician assistant, or advanced practice nurse prescriber,
7determines and certifies in writing that the funeral director, coroner, medical
8examiner, or appointed assistant has been significantly exposed; and if the
9certification accompanies the request for testing and disclosure. Testing of a corpse
10under this paragraph shall be ordered by the attending physician, physician
11assistant,
or advanced practice nurse prescriber of the funeral director, coroner,
12medical examiner, or appointed assistant who is so exposed.
SB698, s. 24 13Section 24. 252.15 (5m) (c) of the statutes is amended to read:
SB698,12,2414 252.15 (5m) (c) If a health care provider or an agent or employee of a health
15care provider is significantly exposed to the corpse or to a patient who dies
16subsequent to the exposure and prior to testing for the presence of HIV, antigen or
17nonantigenic products of HIV, or an antibody to HIV; if a physician , physician
18assistant,
or advanced practice nurse prescriber who is not the health care provider,
19based on information provided to the physician, physician assistant, or advanced
20practice nurse prescriber, determines and certifies in writing that the health care
21provider, agent, or employee has been significantly exposed; and if the certification
22accompanies the request for testing and disclosure. Testing of a corpse under this
23paragraph shall be ordered by the physician, physician assistant, or advanced
24practice nurse prescriber who certifies that the significant exposure has occurred.
SB698, s. 25 25Section 25. 252.15 (7m) (intro.) of the statutes is amended to read:
SB698,13,8
1252.15 (7m) Reporting of persons significantly exposed. (intro.) If a positive,
2validated test result is obtained from a test subject, the test subject's physician,
3physician assistant,
or advanced practice nurse prescriber who maintains a record
4of the test result under sub. (4) (c) may report to the state epidemiologist the name
5of any person known to the physician, physician assistant, or advanced practice
6nurse prescriber to have been significantly exposed to the test subject, only after the
7physician, physician assistant, or advanced practice nurse prescriber has done all of
8the following:
SB698, s. 26 9Section 26. 252.15 (7m) (b) of the statutes is amended to read:
SB698,13,1310 252.15 (7m) (b) Notified the test subject that the name of any person known
11to the physician, physician assistant, or advanced practice nurse prescriber to have
12been significantly exposed to the test subject will be reported to the state
13epidemiologist.
SB698, s. 27 14Section 27. 252.16 (3) (c) (intro.) of the statutes is amended to read:
SB698,13,1715 252.16 (3) (c) (intro.) Has submitted to the department a certification from a
16physician, as defined in s. 448.01 (5), physician assistant, or advanced practice nurse
17prescriber of all of the following:
SB698, s. 28 18Section 28. 252.17 (3) (c) (intro.) of the statutes is amended to read:
SB698,13,2119 252.17 (3) (c) (intro.) Has submitted to the department a certification from a
20physician, as defined in s. 448.01 (5), physician assistant, or advanced practice nurse
21prescriber of all of the following:
SB698, s. 29 22Section 29. 252.18 of the statutes is amended to read:
SB698,14,10 23252.18 Handling foods. No person in charge of any public eating place or
24other establishment where food products to be consumed by others are handled may
25knowingly employ any person handling food products who has a disease in a form

1that is communicable by food handling. If required by the local health officer or any
2officer of the department for the purposes of an investigation, any person who is
3employed in the handling of foods or is suspected of having a disease in a form that
4is communicable by food handling shall submit to an examination by the officer or
5by a physician, physician assistant, or advanced practice nurse prescriber
6designated by the officer. The expense of the examination, if any, shall be paid by the
7person examined. Any person knowingly infected with a disease in a form that is
8communicable by food handling who handles food products to be consumed by others
9and any persons knowingly employing or permitting such a person to handle food
10products to be consumed by others shall be punished as provided by s. 252.25.
SB698, s. 30 11Section 30. 343.16 (5) (a) of the statutes is amended to read:
SB698,15,912 343.16 (5) (a) The secretary may require any applicant for a license or any
13licensed operator to submit to a special examination by such persons or agencies as
14the secretary may direct to determine incompetency, physical or mental disability,
15disease, or any other condition that might prevent such applicant or licensed person
16from exercising reasonable and ordinary control over a motor vehicle. If the
17department requires the applicant to submit to an examination, the applicant shall
18pay for the examination. If the department receives an application for a renewal or
19duplicate license after voluntary surrender under s. 343.265 or receives a report from
20a physician, physician assistant, as defined in s. 448.01 (6), advanced practice nurse
21prescriber certified under s. 441.16 (2), or optometrist under s. 146.82 (3), or if the
22department has a report of 2 or more arrests within a one-year period for any
23combination of violations of s. 346.63 (1) or (5) or a local ordinance in conformity with
24s. 346.63 (1) or (5) or a law of a federally recognized American Indian tribe or band
25in this state in conformity with s. 346.63 (1) or (5), or s. 346.63 (1m), 1985 stats., or

1s. 346.63 (2) or (6) or 940.25, or s. 940.09 where the offense involved the use of a
2vehicle, the department shall determine, by interview or otherwise, whether the
3operator should submit to an examination under this section. The examination may
4consist of an assessment. If the examination indicates that education or treatment
5for a disability, disease or condition concerning the use of alcohol, a controlled
6substance or a controlled substance analog is appropriate, the department may order
7a driver safety plan in accordance with s. 343.30 (1q). If there is noncompliance with
8assessment or the driver safety plan, the department shall revoke the person's
9operating privilege in the manner specified in s. 343.30 (1q) (d).
SB698, s. 31 10Section 31. 448.03 (5) (b) of the statutes is amended to read:
SB698,15,1211 448.03 (5) (b) No physician or physician assistant shall be liable for any civil
12damages for either of the following:
SB698,15,1613 1. Reporting in good faith to the department of transportation under s. 146.82
14(3) a patient's name and other information relevant to a physical or mental condition
15of the patient which in the physician's or physician assistant's judgment impairs the
16patient's ability to exercise reasonable and ordinary control over a motor vehicle.
SB698,15,2117 2. In good faith, not reporting to the department of transportation under s.
18146.82 (3) a patient's name and other information relevant to a physical or mental
19condition of the patient which in the physician's or physician assistant's judgment
20does not impair the patient's ability to exercise reasonable and ordinary control over
21a motor vehicle.
SB698, s. 32 22Section 32. 448.56 (1) of the statutes is amended to read:
SB698,16,1223 448.56 (1) Written referral. Except as provided in this subsection and s.
24448.52, a person may practice physical therapy only upon the written referral of a
25physician, physician assistant, chiropractor, dentist, podiatrist, or advanced practice

1nurse prescriber certified under s. 441.16 (2). Written referral is not required if a
2physical therapist provides services in schools to children with disabilities, as
3defined in s. 115.76 (5), pursuant to rules promulgated by the department of public
4instruction; provides services as part of a home health care agency; provides services
5to a patient in a nursing home pursuant to the patient's plan of care; provides services
6related to athletic activities, conditioning, or injury prevention; or provides services
7to an individual for a previously diagnosed medical condition after informing the
8individual's physician, physician assistant, chiropractor, dentist, podiatrist, or
9advanced practice nurse prescriber certified under s. 441.16 (2) who made the
10diagnosis. The affiliated credentialing board may promulgate rules establishing
11additional services that are excepted from the written referral requirements of this
12subsection.
SB698, s. 33 13Section 33. 448.56 (1m) (b) of the statutes is amended to read:
SB698,16,1914 448.56 (1m) (b) The affiliated credentialing board shall promulgate rules
15establishing the requirements that a physical therapist must satisfy if a physician,
16physician assistant, chiropractor, dentist, podiatrist, or advanced practice nurse
17prescriber makes a written referral under sub. (1). The purpose of the rules shall be
18to ensure continuity of care between the physical therapist and the health care
19practitioner.
SB698, s. 34 20Section 34. 448.67 (2) of the statutes is amended to read:
SB698,17,521 448.67 (2) Separate billing required. Except as provided in sub. (4), a licensee
22who renders any podiatric service or assistance, or gives any podiatric advice or any
23similar advice or assistance, to any patient, podiatrist, physician, physician
24assistant,
advanced practice nurse prescriber certified under s. 441.16 (2),
25partnership, or corporation, or to any other institution or organization, including a

1hospital, for which a charge is made to a patient, shall, except as authorized by
2Title 18 or Title 19 of the federal Social Security Act, render an individual statement
3or account of the charge directly to the patient, distinct and separate from any
4statement or account by any other podiatrist, physician, physician assistant,
5advanced practice nurse prescriber, or other person.
SB698, s. 35 6Section 35. 450.01 (15r) of the statutes is created to read:
SB698,17,77 450.01 (15r) "Physician assistant" has the meaning given in s. 448.01 (6).
SB698, s. 36 8Section 36. 450.01 (16) (h) 3. of the statutes is created to read:
SB698,17,99 450.01 (16) (h) 3. The patient's physician assistant.
SB698, s. 37 10Section 37. 450.11 (7) (b) of the statutes is amended to read:
SB698,17,1411 450.11 (7) (b) Information communicated to a physician , physician assistant,
12or advanced practice nurse prescriber in an effort to procure unlawfully a
13prescription drug or the administration of a prescription drug is not a privileged
14communication.
SB698, s. 38 15Section 38. 450.11 (8) (b) of the statutes is amended to read:
SB698,17,1716 450.11 (8) (b) The medical examining board, insofar as this section applies to
17physicians and physician assistants.
SB698, s. 39 18Section 39. 450.13 (5) (c) of the statutes is created to read:
SB698,17,1919 450.13 (5) (c) The patient's physician assistant.
SB698,17,2020 (End)
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