The APRN bill establishes an Advance Practice Registered Nurse credential in Wisconsin.  WISCA has been closely monitoring AB 154/SB 145, as one of the biggest sticking points within that new credential relates to pain management procedures and the collaborative agreements surrounding nurse anesthetists. There has been an amendment requiring CRNA’s have a collaborative agreement with a physician who has a pain management background. WISCA has pushed back against this amendment arguing that it would hurt our ability to provide services, especially in more rural areas, where there are fewer physicians with a pain management background. The bill has passed the Senate without this amendment and is being considered in the Assembly.  In addition to our concerns, it appears the Governor still has certain issues with the bill. and it is unclear how and if it will move forward.