WI SB1047

Eliminates the requirement that patients under 18 must have a one-year opioid addiction history and two documented unsuccessful treatments to be admitted to an opioid treatment program (OTP)

Increases the maximum initial methadone dose from 30 milligrams to 50 milligrams, with practitioners able to exceed this limit with documented medical rationale

Allows either registered nurses or licensed practical nurses to administer medication, removing the requirement that a registered nurse be physically present during all dosing

Aligns take-home medication rules with federal regulations, permitting patients to receive doses for clinic closures, one weekend day, and holidays regardless of treatment length, with additional take-home doses based on practitioner assessment of federal criteria

Requires DHS to annually update substance use disorder treatment service rates beginning January 1, 2027, to match state-specific Medicare rates, excluding federally qualified health centers, rural health centers, Indian health services facilities, and certified community behavioral health centers