Wisconsin Senate Bill SB258

Wisconsin 2025-2026 Regular Session

• Introduced: 5/16/25
• Refer: 5/16/25
• Report Pass: 6/2/25

Caption

Advanced practice registered nurses, extending the time limit for emergency rule procedures, providing an exemption from emergency rule procedures, and granting rule-making authority. (FE)

Impact

This legislation marks a significant shift in the nursing landscape of Wisconsin by streamlining the process for APRNs to obtain and retain their licenses. It repeals prior separate licensure requirements specifically for nurse-midwives, automatically granting APRN licenses to currently licensed nurse-midwives, provided they meet the new criteria. The bill enhances the capacity of APRNs to practice independently by allowing those with sufficient clinical hours to operate without direct supervision from a physician or dentist, which is expected to improve access to primary and specialized healthcare services across the state.

Summary

Senate Bill 258 aims to reform licensure and practice requirements for advanced practice registered nurses (APRNs) in Wisconsin. It introduces a new system of licensure for APRNs, necessitating current national certification, malpractice liability insurance, and specific clinical experience. The bill consolidates licensing for various APRN roles, including nurse-midwives, emphasizing their responsibilities and capabilities within the healthcare system. A notable aspect of the bill is the requirement for all APRNs to complete continuing education in clinical pharmacology relevant to their practice area every two years to maintain their licenses.

Contention

The bill has sparked a robust debate around the safety and efficacy of allowing APRNs to have greater autonomy in prescribing medications and delivering care, especially in the context of opioid prescriptions and managing complex patient needs. Proponents argue that increased independence for APRNs would alleviate pressure on the healthcare system and fill gaps in care, particularly in rural areas. However, opponents express concerns about potential risks related to patient safety and the quality of care, fearing that insufficient oversight could lead to adverse outcomes. This tension reflects broader discussions about the roles of various healthcare providers in an evolving medical landscape.