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SB31 • 2025

state agency status for certain physician assistants and advanced practice nurses who provide services without compensation for local health departments or school districts

state agency status for certain physician assistants and advanced practice nurses who provide services without compensation for local health departments or school districts

Education
Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Senator Cabral-Guevara, cosponsored by Representatives Gundrum, Armstrong, Brill, Callahan, Goeben, Knodl, Kreibich, Murphy, Sinicki, Subeck, Wichgers and Stubbs
Last action
2025-08-11
Official status
S - Enacted into law
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

state agency status for certain physician assistants and advanced practice nurses who provide services without compensation for local health departments or school districts

state agency status for certain physician assistants and advanced practice nurses who provide services without compensation for local health departments or school districts Status: S - Enacted into law

What This Bill Does

  • state agency status for certain physician assistants and advanced practice nurses who provide services without compensation for local health departments or school districts Status: S - Enacted into law

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Bill History

  1. 2025-08-11 Sen.

    Report approved by the Governor on 8-8-2025. 2025 Wisconsin Act 18

  2. 2025-08-11 Sen.

    Published 8-9-2025

  3. 2025-08-07 Sen.

    Presented to the Governor on 8-7-2025

  4. 2025-05-14 Sen.

    Report correctly enrolled

  5. 2025-05-13 Asm.

    Representative Miresse added as a cosponsor

  6. 2025-05-13 Asm.

    Rules suspended to withdraw from calendar and take up

  7. 2025-05-13 Asm.

    Read a second time

  8. 2025-05-13 Asm.

    Ordered to a third reading

  9. 2025-05-13 Asm.

    Rules suspended

  10. 2025-05-13 Asm.

    Read a third time and concurred in

  11. 2025-05-13 Asm.

    Ordered immediately messaged

  12. 2025-05-13 Sen.

    Received from Assembly concurred in

  13. 2025-05-12 Asm.

    Representative O'Connor added as a cosponsor

  14. 2025-05-09 Asm.

    Withdrawn from committee on Rules and referred to calendar of 5-13-2025

  15. 2025-04-24 Asm.

    Read first time and referred to committee on Rules

  16. 2025-03-19 Asm.

    Received from Senate

  17. 2025-03-18 Sen.

    Read a second time

  18. 2025-03-18 Sen.

    Ordered to a third reading

  19. 2025-03-18 Sen.

    Rules suspended to give bill its third reading

  20. 2025-03-18 Sen.

    Read a third time and passed

  21. 2025-03-18 Sen.

    Ordered immediately messaged

  22. 2025-03-14 Sen.

    Executive action taken

  23. 2025-03-14 Sen.

    Report passage recommended by Committee on Health , Ayes 5, Noes 0

  24. 2025-03-14 Sen.

    Available for scheduling

  25. 2025-03-14 Sen.

    Placed on calendar 3-18-2025 pursuant to Senate Rule 18(1)

  26. 2025-03-13 Sen.

    Fiscal estimate received

  27. 2025-03-12 Sen.

    Public hearing held

  28. 2025-02-12 Sen.

    Introduced by Senator Cabral-Guevara ; cosponsored by Representatives Gundrum , Armstrong , Brill , Callahan , Goeben , Knodl , Kreibich , Murphy , Sinicki , Subeck , Wichgers and Stubbs

  29. 2025-02-12 Sen.

    Read first time and referred to Committee on Health

Official Summary Text

state agency status for certain physician assistants and advanced practice nurses who provide services without compensation for local health departments or school districts
Status: S - Enacted into law

Current Bill Text

Read the full stored bill text
Wisconsin Legislature: SB31: Bill Text

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Proposal Text
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SB31: Bill Text

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2025 - 2026 LEGISLATURE
LRB-1923/1
JPC:cdc
2025 SENATE BILL 31
February 12, 2025 - Introduced by Senator
Cabral-Guevara
, cosponsored by Representatives
Gundrum
,
Armstrong
,
Brill
,
Callahan
,
Goeben
,
Knodl
,
Kreibich
,
Murphy
,
Sinicki
,
Subeck
,
Wichgers
and
Stubbs
. Referred to Committee on Health.
SB31,1,5
1
An Act

to renumber and amend
251.07;
to amend
165.25 (6) (c), 251.07
2
(title), 252.04 (9) and 895.46 (5) (b);
to create
251.07 (1) and 252.01 (5) of the
3
statutes;
relating to:
state agency status for certain physician assistants and
4
advanced practice nurses who provide services without compensation for local
5
health departments or school districts.
Analysis by the Legislative Reference Bureau
This bill provides that physician assistants and advanced practice nurse prescribers who are not employed by a local health department but who provide services without compensation for the programs and services provided by a local health department are, for the provision of those services, state agents of the Department of Health Services in certain circumstances for certain legal purposes and protections. For example, under the bill, if a physician assistant or certified advanced practice nurse prescriber who is considered a state agent of DHS is a defendant in any action or special proceeding because of acts they committed within the scope of their agency, any judgment as to damages and costs entered against them shall be paid by DHS.
Further, this bill provides that physician assistants and advanced practice nurse prescribers may be selected by a school district or a local health department to supervise an immunization program and issue orders for the administration of immunizations that are in accordance with written protocols issued by DHS. If the physician assistant or advanced practice nurse prescriber is not an employee of the school district or local health department, receives no compensation for his or her services as supervisor of the immunization program, and acts in accordance with written protocols issued by DHS, he or she is a state agent of DHS for the same legal purposes and protections as described above.
For further information see the state fiscal estimate, which will be printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
SB31,1
1
Section

1
.
165.25 (6) (c) of the statutes is amended to read:
SB31,2,5
2
165.25
(6)
(c) Physicians
, physician assistants, and advanced practice nurse
3
prescribers
under s. 251.07 or 252.04 (9) (b) are covered by this section and shall be
4
considered agents of the department of health services for purposes of determining
5
which agency head may request the attorney general to appear and defend them.
SB31,2
6
Section

2
.
251.07 (title) of the statutes is amended to read:
SB31,2,8
7
251.07
(title)
Certain
physicians

health care providers
; state agency
8
status.
SB31,3
9
Section

3
.
251.07 of the statutes is renumbered 251.07 (2) and amended to
10
read:
SB31,2,16
11
251.07
(2)
A physician
, physician assistant, or advanced practice nurse
12
prescriber
who is not an employee of the local health department and who provides
13
services, without compensation, for those programs and services provided by a local
14
health department that require medical oversight is, for the provision of the
15
services he or she provides, a state agent of the department of health services for
16
the purposes of ss. 165.25 (6), 893.82 (3), and 895.46.
SB31,4
17
Section

4
.
251.07 (1) of the statutes is created to read:
SB31,3,1
1
251.07
(1)
In this section:
SB31,3,3
2
(a) “Advanced practice nurse prescriber” means an advanced practice nurse
3
who is certified under s. 441.16 (2) to issue prescription orders.
SB31,3,4
4
(b) “Physician assistant” means a person licensed under s. 448.974.
SB31,5
5
Section

5
.
252.01 (5) of the statutes is created to read:
SB31,3,6
6
252.01
(5)
“Physician assistant” means a person licensed under s. 448.974.
SB31,6
7
Section

6
.
252.04 (9) of the statutes is amended to read:
SB31,3,12
8
252.04
(9)
(a) An immunization program under sub. (8) shall be supervised by
9
a physician,
physician assistant, or advanced practice nurse prescriber
selected by
10
the school district or local health department
,
who shall issue written orders for the
11
administration of immunizations that are in accordance with written protocols
12
issued by the department.
SB31,3,18
13
(b) If the physician
, physician assistant, or advanced practice nurse prescriber

14
under par. (a) is not an employee of the county, city, village or school district,
15
receives no compensation for his or her services under par. (a) and acts under par.
16
(a) in accordance with written protocols issued by the department, he or she is a
17
state agent of the department for the purposes of ss. 165.25 (6), 893.82 (3) and
18
895.46.
SB31,3,21
19
(c) The department may disapprove the selection made under par. (a) or may
20
require the removal of a physician
, physician assistant, or advanced practice nurse
21
prescriber
selected.
SB31,7
22
Section

7
.
895.46 (5) (b) of the statutes is amended to read:
SB31,4,2
1
895.46
(5)
(b) A physician
, physician assistant, or advanced practice nurse
2
prescriber
under s. 251.07 or 252.04 (9) (b).
SB31,4,3
3
(end)

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