LRB-2981/1
MPG/KP/FFK/ARG:all
2017 - 2018 LEGISLATURE
April 21, 2017 - Introduced by Representatives Wichgers, Sanfelippo, Spiros,
Doyle, Jacque, Kremer, Krug, Kulp, E. Brooks, Tittl, Thiesfeldt, Tusler
and Murphy, cosponsored by Senators Lasee, Olsen, Wanggaard and Feyen.
Referred to Committee on Health.
AB260,1,12 1An Act to renumber and amend 446.02 (7) (a), 446.02 (7) (d) 1. and 446.02 (7)
2(d) 2.; to amend 440.05 (intro.), 441.001 (3) (a), 441.001 (4) (b), 446.02 (1) (b),
3446.026 (1) (a), 446.03 (intro.), 446.03 (1), 446.04 (2), 446.04 (4), 446.05 (1) and
4451.02 (1); to repeal and recreate 440.05 (intro.); and to create 36.24, 38.235,
5118.294, 440.08 (2) (a) 23k., 446.01 (1b), 446.01 (1f), 446.01 (1g), 446.01 (1v),
6446.02 (2) (d), 446.02 (2) (dm), 446.02 (7) (a) 2., 446.02 (10m), 446.023, 446.04
7(6) and 632.87 (3) (d) of the statutes; relating to: physical examinations
8conducted by chiropractors; performance of medical examinations by
9chiropractors for the Federal Motor Carrier Safety Administration;
10chiropractic acupuncture and chiropractic dry needling; delegation of certain
11services by a chiropractor; modifying various administrative rules promulgated
12by the Chiropractic Examining Board; and granting rule-making authority.
Analysis by the Legislative Reference Bureau
This bill makes changes to the laws relating to chiropractors, including all of
the following:

Motor Carrier Safety Administration medical examinations
The bill provides that a licensed chiropractor who has a valid Federal Motor
Carrier Safety Administration medical examiner certification credential may
conduct medical examinations for the Federal Motor Carrier Safety Administration.
Physical examinations
If a school requires a pupil to have a physical examination as a condition of
participating in a youth athletic activity or an extracurricular activity, the bill
requires the school to accept a physical examination completed by a chiropractor who
holds a certificate in health or physical examinations in the same manner that the
school accepts a physical examination completed by a licensed physician. A youth
athletic activity is any organized athletic activity in which the participants, a
majority of whom are under 19 years of age, are engaged in an athletic game or
competition against another team, club, or entity, and includes practice or
preparation for such a game or competition. In addition, the bill allows a school
district to contract with an interscholastic association only if, for purposes of
determining whether a pupil may participate in a youth athletic activity or an
extracurricular activity, the association accepts a physical examination completed by
a chiropractor who holds a certificate in health or physical examinations in the same
manner that the association accepts a physical examination completed by a licensed
physician.
If a technical college within the Technical College System or a two-year college
campus within the University of Wisconsin System (UW college) requires a student
to have a physical examination as a condition of participating in an athletic activity,
the bill requires the technical college or UW college to accept, in the same manner
that it accepts a physical examination completed by a licensed physician, a physical
examination completed by a chiropractor who holds a certificate in health or physical
examinations.
Chiropractic acupuncture and dry needling
Under the bill, a chiropractor who is licensed by the examining board may
practice chiropractic acupuncture, as defined in the bill, without being an
acupuncturist certified by the Department of Safety and Professional Services if the
examining board registers the licensed chiropractor to practice chiropractic
acupuncture. Under the bill, the examining board may register a licensed
chiropractor to practice chiropractic acupuncture if, among other requirements, the
chiropractor does the following:
1. Submits evidence satisfactory to the examining board that the licensed
chiropractor has completed at least 200 hours of instruction in chiropractic
acupuncture at a college of chiropractic approved by the examining board or at an
accredited college or university.
2. Successfully completes the acupuncture examination administered by the
National Board of Chiropractic Examiners.
3. Pays a one-time registration fee of $100.
The bill also establishes standards for the certification of and authorizes the
examining board to certify a licensed chiropractor to practice chiropractic dry

needling, which is defined in the bill as puncturing the skin of the human body with
needles at trigger points to treat neuromusculoskeletal pain and performance.
Delegation of services
The bill authorizes a chiropractor to delegate certain services that are
preparatory or complementary to chiropractic adjustments to various licensed
health care professionals if the services are performed under the direct, on-premises
supervision of the chiropractor. Currently, a chiropractor may delegate such services
only to a chiropractic technician.
Administrative rules
Finally, the bill makes several changes to the administrative rules promulgated
by the Chiropractic Examining Board, including the following:
1. Provides that a chiropractic student need not be in his or her last academic
quarter, semester, or trimester in order to qualify for a preceptorship, provided the
student is eligible for graduation.
2. Specifies that a licensed chiropractor is not prohibited from using cold laser
therapy and that a licensed chiropractor may practice acupuncture at the same
location as the chiropractor practices chiropractic if the chiropractor is also a
certified acupuncturist.
For further information see the state and local 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:
AB260,1 1Section 1 . 36.24 of the statutes is created to read:
AB260,3,6 236.24 Physical examinations for athletics at college campuses. (1) In
3this section, “athletic activity” means an organized athletic activity in which the
4participants are engaged in an athletic game or competition against another team,
5club, or entity, or in practice or preparation for an organized athletic game or
6competition against another team, club, or entity.
AB260,4,2 7(2) If a college campus requires a student to have a health or physical
8examination as a condition of participating in an athletic activity, the college campus
9shall accept a health or physical examination completed by a certificate holder under

1s. 446.02 (2) (dm) in the same manner it accepts a health or physical examination
2completed by an individual licensed to practice medicine and surgery under ch. 448.
AB260,2 3Section 2 . 38.235 of the statutes is created to read:
AB260,4,8 438.235 Physical examinations for athletics at technical colleges. (1)
5In this section, “athletic activity” means an organized athletic activity in which the
6participants are engaged in an athletic game or competition against another team,
7club, or entity, or in practice or preparation for an organized athletic game or
8competition against another team, club, or entity.
AB260,4,14 9(2) If a technical college requires a student to have a health or physical
10examination as a condition of participating in an athletic activity, the technical
11college shall accept a health or physical examination completed by a certificate
12holder under s. 446.02 (2) (dm) in the same manner it accepts a health or physical
13examination completed by an individual licensed to practice medicine and surgery
14under ch. 448.
AB260,3 15Section 3 . 118.294 of the statutes is created to read:
AB260,4,17 16118.294 Physical examination for youth athletics and extracurricular
17activities; chiropractors.
(1) In this section:
AB260,4,1818 (a) “School” means a public, private, or tribal school.
AB260,4,1919 (b) “Youth athletic activity” has the meaning given in s. 118.293 (1) (c).
AB260,4,25 20(2) If a school requires a pupil to have a health or physical examination as a
21condition of participating in a youth athletic activity or an extracurricular activity,
22the school shall accept a health or physical examination completed by a certificate
23holder under s. 446.02 (2) (dm) in the same manner it accepts a health or physical
24examination completed by an individual licensed to practice medicine and surgery
25under ch. 448.
AB260,5,6
1(3) A school district may contract with an interscholastic association only if, for
2the purpose of determining whether a pupil may participate in a youth activity or an
3extracurricular activity, the interscholastic association accepts a health or physical
4examination completed by a certificate holder under s. 446.02 (2) (dm) in the same
5manner it accepts a health or physical examination completed by an individual
6licensed to practice medicine and surgery under ch. 448.
AB260,4 7Section 4 . 440.05 (intro.) of the statutes is amended to read:
AB260,5,10 8440.05 Standard fees. (intro.) The following standard fees apply to all initial
9credentials, except as provided in ss. 440.51, 444.03, 444.11, 446.02 (2) (c) and (dm),
10447.04 (2) (c) 2., 448.07 (2), 449.17 (1m) (d), and 449.18 (2) (d):
AB260,5 11Section 5 . 440.05 (intro.) of the statutes, as affected by 2015 Wisconsin Act
12116
, section 7m, and 2017 Wisconsin Act .... (this act), is repealed and recreated to
13read:
AB260,5,16 14440.05 Standard fees. (intro.) The following standard fees apply to all initial
15credentials, except as provided in ss. 440.51, 444.03, 444.11, 446.02 (2) (c) and (dm),
16447.04 (2) (c) 2., 449.17 (1m) (d), and 449.18 (2) (d):
AB260,6 17Section 6 . 440.08 (2) (a) 23k. of the statutes is created to read:
AB260,5,1918 440.08 (2) (a) 23k. Chiropractor acupuncturist: December 15 of each
19even-numbered year.
AB260,7 20Section 7 . 441.001 (3) (a) of the statutes is amended to read:
AB260,6,421 441.001 (3) (a) “Practical nursing" means the performance for compensation
22of any simple acts in the care of convalescent, subacutely or chronically ill, injured
23or infirm persons, or of any act or procedure in the care of the more acutely ill, injured
24or infirm under the specific direction of a nurse, physician, podiatrist licensed under
25ch. 448, chiropractor licensed under ch. 446, dentist licensed under ch. 447 or

1optometrist licensed under ch. 449, or under an order of a person who is licensed to
2practice medicine, podiatry, chiropractic, dentistry or optometry in another state if
3that person prepared the order after examining the patient in that other state and
4directs that the order be carried out in this state.
AB260,8 5Section 8 . 441.001 (4) (b) of the statutes is amended to read:
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