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Bill

SB 258

Relating to: 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)

2025-2026 Regular Session Introduced by Rachael Cabral-Guevara and 14 co-sponsors

Wisconsin bill expands APRN regulatory authority and extends emergency rule procedures, potentially increasing independent nursing practice scope while reducing public oversight periods.

Representative J. Jacobson added as a cosponsor
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WeVote Research Nonpartisan
Bill Summary · SB 258

Legislative bill overview

SB 258 modifies Wisconsin regulations governing Advanced Practice Registered Nurses (APRNs) by extending emergency rule procedures and granting new rule-making authority to state agencies. The bill streamlines the regulatory process for implementing changes to APRN practice standards and scope of authority.

Why is this important

This legislation directly affects healthcare delivery in Wisconsin by potentially expanding or modifying what nursing professionals can do independently versus under physician supervision. Changes to APRN regulations impact patient access to care, healthcare costs, and the regulatory balance between nursing and medical professions.

Potential points of contention

  • Scope of practice expansion: Healthcare provider groups (physicians, hospitals) may oppose rules that allow APRNs greater independent authority, citing patient safety and training differences, while nursing organizations likely support expanded practice rights
  • Emergency rule procedures: Extending emergency rule timelines reduces public comment periods and legislative oversight, raising concerns about stakeholder input and democratic process
  • Regulatory clarity: Ambiguity about which specific APRN activities are being modified could create uncertainty for healthcare facilities trying to comply with new standards

Compiled from official sources — confirm details with the bill’s official record.

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