LRB-0639/2
RLR/GMM/TKK:kjf:nwn
2007 - 2008 LEGISLATURE
April 13, 2007 - Introduced by Representatives Ballweg, Wasserman, Benedict,
Berceau, Cullen, Gunderson, Hahn, Hines, Hixson, Newcomer, Owens,
Petersen, Sinicki, Townsend, Young, Van Akkeren, Van Roy
and Vruwink,
cosponsored by Senators Vinehout, Roessler, Breske, Cowles, Erpenbach,
Hansen
and Olsen. Referred to Committee on Homeland Security and State
Preparedness.
AB262,1,12 1An Act to renumber 49.45 (3) (m) and 440.01 (1) (a); to renumber and amend
248.67, 440.983 (2) and 446.02 (2) (b); to amend 100.178 (2) (a) and (b), 100.178
3(5) (a) and (b), 446.02 (1) (b), 446.02 (3g) (b), 446.02 (3r), 448.953 (2) (intro.),
4448.953 (2) (b), 448.953 (3) (a), 448.953 (4) (a) and 460.05 (3) (intro.); and to
5create
46.03 (38), 48.67 (3), 48.67 (4), 48.67 (5), 48.67 (6), 49.45 (3) (m) 2., 50.36
6(5), 146.50 (9m), 254.47 (6), 440.01 (1) (ad), 440.01 (1) (ag), 440.01 (1) (i), 440.982
7(1m) (d), 440.983 (2) (b), 446.02 (2) (b) 3., 447.02 (2) (f), 448.9525 (1) (e), 448.953
8(1) (i), 448.955 (2) (d), 460.04 (2) (e) and 460.05 (1) (i) of the statutes; relating
9to:
requirements to successfully complete training on use of an automated
10external defibrillator, extending the time limit for emergency rule procedures,
11providing an exemption from emergency rule procedures, and requiring the
12exercise of rule-making authority.
Analysis by the Legislative Reference Bureau
Under current statutes and administrative rules, the following persons are
required to successfully complete instruction in cardiopulmonary resuscitation:

emergency medical technicians; first responders; instructors of emergency medical
technicians or first responders; hospital medical and nursing personnel who provide
emergency services; day care center, group home, and shelter care facility staff who
provide care for children; chiropractors; dental hygienists; dentists; licensed
midwives; lifeguards; health services staff at camps; fitness center employees;
athletic trainers; specialized motor vehicle drivers and attendants; and massage
therapists and bodyworkers. Beginning May 1, 2007, licensed midwives will be
required to be currently certified in cardiopulmonary resuscitation.
This bill requires these persons to successfully complete a course on the use of
automated external defibrillators. The bill requires chiropractors, dental hygienists,
dentists, licensed midwives, athletic trainers, and massage therapists and
bodyworkers to demonstrate current proficiency in the use of an automated external
defibrillator in order to obtain licensure or certification and, with the exception of
massage therapists and bodyworkers, the renewal of a license or certificate. This bill
also requires the Department of Health and Family Services (DHFS) to approve
individuals, organizations, and institutions of higher education to provide the
course.
Current administrative rules require a residential care center for children and
youth operated by a child welfare agency to have in each building housing residents
of the residential care center for children and youth when those residents are present
at least one staff member who has successfully completed instruction in
cardiopulmonary resuscitation and require a shelter care facility to have readily
available on the premises of the shelter care facility a staff member or other person
who has successfully completed such instruction. This bill requires DHFS to
promulgate administrative rules requiring a residential care center for children and
youth to have in each building housing residents when residents are present at least
one staff member who has successfully completed a course in the use of automated
external defibrillators and requiring shelter care facilities to have readily available
on the premises a staff member or other person who has successfully completed such
a course.
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:
AB262, s. 1 1Section 1. 46.03 (38) of the statutes is created to read:
AB262,3,22 46.03 (38) Automatic external defibrillator instruction. Approve
3individuals, organizations, or institutions of higher education to teach courses on use
4of an automated external defibrillator, as defined in s. 146.50 (1) (cr), for persons who

1are required as a condition of licensure, certification, or registration to successfully
2complete a course on use of an automatic external defibrillator.
AB262, s. 2 3Section 2. 48.67 of the statutes is renumbered 48.67 (intro.) and amended to
4read:
AB262,3,17 548.67 Rules governing child welfare agencies, day care centers, foster
6homes, treatment foster homes, group homes, shelter care facilities, and
7county departments.
(intro.) The department shall promulgate rules establishing
8minimum requirements for the issuance of licenses to, and establishing standards
9for the operation of, child welfare agencies, day care centers, foster homes, treatment
10foster homes, group homes, shelter care facilities, and county departments. Those
11rules shall be designed to protect and promote the health, safety, and welfare of the
12children in the care of all licensees. The department shall consult with the
13department of commerce, the department of public instruction, and the child abuse
14and neglect prevention board before promulgating those rules. In establishing the
15minimum requirements for the issuance of licenses to day care centers, the
16department
Those rules shall include a requirement that rules that require all of the
17following:
AB262,3,24 18(1) That all day care center licensees who are individuals, and all employees
19and volunteers of a licensee day care center, who provide care and supervision for
20children under one year of age receive, before the date on which the license is issued
21or the employment or volunteer work commences, whichever is applicable, training
22in the most current medically accepted methods of preventing sudden infant death
23syndrome, if the licensee, employee, or volunteer provides care and supervision for
24children under one year of age, and the
.
AB262,4,6
1(2) That all day care center licensees, and all employees and volunteers of a day
2care center, who provide care and supervision for children under 5 years of age
3receive, before the date on which the license is issued or the employment or volunteer
4work commences, whichever is applicable,
the training relating to shaken baby
5syndrome and impacted babies required under s. 253.15 (4), if the licensee, employee,
6or volunteer provides care and supervision for children under 5 years of age
.
AB262, s. 3 7Section 3. 48.67 (3) of the statutes is created to read:
AB262,4,148 48.67 (3) That all day care center licensees, and all employees of a day care
9center, who provide care and supervision for children successfully complete, within
106 months after the date on which the license is issued or the employment commences,
11whichever is applicable, a course on the use of an automated external defibrillator,
12as defined in s. 146.50 (1) (cr), that is provided by an individual, organization, or
13institution of higher education that is approved under s. 46.03 (38) to teach such a
14course.
AB262, s. 4 15Section 4. 48.67 (4) of the statutes is created to read:
AB262,4,2116 48.67 (4) That all staff members of a group home who provide care for the
17residents of the group home successfully complete, within 6 months after the date
18on which the employment commences, a course on the use of an automated external
19defibrillator, as defined in s. 146.50 (1) (cr), that is provided by an individual,
20organization, or institution of higher education that is approved under s. 46.03 (38)
21to teach such a course.
AB262, s. 5 22Section 5. 48.67 (5) of the statutes is created to read:
AB262,5,523 48.67 (5) That all staff members of a shelter care facility who provide care and
24supervision for children successfully complete, before the date on which the
25employment commences, a course on the use of an automated external defibrillator,

1as defined in s. 146.50 (1) (cr), that is provided by an individual, organization, or
2institution of higher education that is approved under s. 46.03 (38) to teach such a
3course and that all shelter care facilities have readily available on the premises of
4the shelter care facility a staff member or other person who has successfully
5completed such a course.
AB262, s. 6 6Section 6. 48.67 (6) of the statutes is created to read:
AB262,5,137 48.67 (6) That all child welfare agencies that operate a residential care center
8for children and youth have in each building housing residents of the residential care
9center for children and youth when those residents are present at least one staff
10member who has successfully completed a course on the use of an automated
11external defibrillator, as defined in s. 146.50 (1) (cr), that is provided by an
12individual, organization, or institution of higher education that is approved under
13s. 46.03 (38) to teach such a course.
AB262, s. 7 14Section 7. 49.45 (3) (m) of the statutes is renumbered 49.45 (3) (m) 1.
AB262, s. 8 15Section 8. 49.45 (3) (m) 2. of the statutes is created to read:
AB262,5,2216 49.45 (3) (m) 2. A person who is certified to provide transportation by
17specialized medical vehicle under sub. (2) (a) 11. shall ensure that every person who
18drives or serves as an attendant to passengers on a specialized medical vehicle shall,
19before driving or serving as an attendant, successfully complete a course on the use
20of an automated external defibrillator, as defined in s. 146.50 (1) (cr), that is provided
21by an individual, organization, or institution of higher education that is approved
22under s. 46.03 (38) to teach such a course.
AB262, s. 9 23Section 9. 50.36 (5) of the statutes is created to read:
AB262,6,324 50.36 (5) Before providing emergency services in a hospital, medical and
25nursing personnel shall successfully complete a course on the use of an automated

1external defibrillator, as defined in s. 146.50 (1) (cr), that is provided by an
2individual, organization, or institution of higher education that is approved under
3s. 46.03 (38) to teach such a course.
AB262, s. 10 4Section 10. 100.178 (2) (a) and (b) of the statutes are amended to read:
AB262,6,135 100.178 (2) (a) At all times during which the fitness center is open and its
6facilities and services are available for use, have at least one employee present on the
7premises of the fitness center at least one employee who has satisfactorily completed
8a course or courses in basic first aid and basic cardiopulmonary resuscitation taught
9by an individual, organization, or institution of higher education approved by the
10department and at least one employee who has successfully completed a course on
11use of an automated external defibrillator that is provided by an individual,
12organization, or institution of higher education that is approved under s. 46.03 (38)
13to teach the course
.
AB262,6,2014 (b) Ensure that each of its employees, within 90 days after hire, satisfactorily
15completes at least one course in basic first aid and basic cardiopulmonary
16resuscitation taught by an individual, organization, or institution of higher
17education approved by the department and at least one course on use of an
18automated external defibrillator that is provided by an individual, organization, or
19institution of higher education that is approved under s. 46.03 (38) to teach the
20course
.
AB262, s. 11 21Section 11. 100.178 (5) (a) and (b) of the statutes are amended to read:
AB262,7,222 100.178 (5) (a) The minimum standards for the qualifications and training of
23an individual, including an individual associated with an organization or institution
24of higher education, who teaches basic first aid or basic cardiopulmonary

1resuscitation or use of an automated external defibrillator to fitness center
2employees under sub. (2).
AB262,7,53 (b) The minimum hours of instruction and general content of the basic first aid
4and basic cardiopulmonary resuscitation or automatic external defibrillator courses
5taught to fitness center employees under sub. (2).
AB262, s. 12 6Section 12. 146.50 (9m) of the statutes is created to read:
AB262,7,147 146.50 (9m) Defibrillation training. The department shall promulgate rules
8requiring emergency medical technicians, first responders, and individuals who
9provide instruction to emergency medical technicians or first responders to
10successfully complete training on the use of an automated external defibrillator. The
11rules shall specify the content of the training, qualifications for providers of the
12training, and the frequency with which emergency medical technicians, first
13responders, and individuals who provide instruction to emergency medical
14technicians or first responders must complete the training.
AB262, s. 13 15Section 13. 254.47 (6) of the statutes is created to read:
AB262,7,2116 254.47 (6) Before serving as a lifeguard at a public swimming pool or a
17recreational and educational camp or as an on-site health services staff member at
18a recreational and educational camp, an individual shall successfully complete a
19course on the use of an automated external defibrillator, as defined in s. 146.50 (1)
20(cr), that is provided by an individual, organization, or institution of higher
21education that is approved under s. 46.03 (38) to teach such a course.
AB262, s. 14 22Section 14. 440.01 (1) (a) of the statutes is renumbered 440.01 (1) (aj).
AB262, s. 15 23Section 15. 440.01 (1) (ad) of the statutes is created to read:
AB262,7,2524 440.01 (1) (ad) "Automated external defibrillator" means a defibrillator device
25to which all of the following apply:
AB262,8,2
11. It is approved for commercial distribution by the federal food and drug
2administration.
AB262,8,53 2. It is capable of recognizing the presence or absence of ventricular fibrillation
4or rapid ventricular tachycardia and of determining without intervention by the user
5of the device whether defibrillation should be performed.
AB262,8,86 3. After having determined that defibrillation should be performed, it is
7capable, either at the command of an operator or without intervention by an operator,
8of delivering an electrical shock to an individual.
AB262, s. 16 9Section 16. 440.01 (1) (ag) of the statutes is created to read:
AB262,8,1210 440.01 (1) (ag) "Defibrillation" means administering an electrical impulse to
11an individual's heart in order to stop ventricular fibrillation or rapid ventricular
12tachycardia.
AB262, s. 17 13Section 17. 440.01 (1) (i) of the statutes is created to read:
AB262,8,1614 440.01 (1) (i) "Ventricular fibrillation" means a disturbance in the normal
15rhythm of the heart that is characterized by rapid, irregular, and ineffective
16twitching of the ventricles of the heart.
AB262, s. 18 17Section 18. 440.982 (1m) (d) of the statutes is created to read:
AB262,8,2118 440.982 (1m) (d) The person submits evidence satisfactory to the department
19that the person has current proficiency in the use of an automated external
20defibrillator achieved in a course provided by an individual, organization, or
21institution of higher education approved under s. 46.03 (38) to provide such a course.
AB262, s. 19 22Section 19. 440.983 (2) of the statutes, as created by 2005 Wisconsin Act 292,
23is renumbered 440.983 (2) (intro.) and amended to read:
AB262,9,3
1440.983 (2) (intro.) A licensed midwife shall, at the time that he or she applies
2for renewal of a license under sub. (1), submit proof satisfactory to the department
3that he of all of the following:
AB262,9,7 4(a) He or she holds a valid certified professional midwife credential from the
5North American Registry of Midwives or a successor organization or a valid certified
6nurse-midwife credential from the American College of Nurse Midwives or a
7successor organization.
AB262, s. 20 8Section 20. 440.983 (2) (b) of the statutes is created to read:
AB262,9,129 440.983 (2) (b) He or she has current proficiency in the use of an automated
10external defibrillator achieved in a course provided by an individual, organization,
11or institution of higher education approved under s. 46.03 (38) to provide such a
12course.
AB262, s. 21 13Section 21. 446.02 (1) (b) of the statutes is amended to read:
AB262,9,2514 446.02 (1) (b) Meets the requirements of continuing education for license
15renewal as the examining board may require, which requirements shall include
16current proficiency in the use of an automated external defibrillator achieved in a
17course provided by an individual, organization, or institution of higher education
18approved under s. 46.03 (38) to provide such a course
. During the time between
19initial licensure and commencement of a full 2-year licensure period new licensees
20shall not be required to meet continuing education requirements. Any person who
21has not engaged in the practice of chiropractic for 2 years or more, while holding a
22valid license under this chapter, and desiring to engage in such practice, shall be
23required by the examining board to complete a continuing education course at a
24school of chiropractic approved by the examining board or pass a practical
25examination administered by the examining board or both.
AB262, s. 22
1Section 22. 446.02 (2) (b) of the statutes is renumbered 446.02 (2) (b) (intro.)
2and amended to read:
AB262,10,73 446.02 (2) (b) (intro.) The examining board shall promulgate rules establishing
4educational requirements for obtaining a license under par. (a). The rules shall
5require that an application for the license that is received by the department after
6June 30, 1998, be accompanied by satisfactory evidence that the applicant has
7satisfies all of the following:
AB262,10,10 81. Has a bachelor's degree from a college or university accredited by an
9accrediting body listed as nationally recognized by the secretary of the federal
10department of education, and has.
AB262,10,12 112. Has graduated from a college of chiropractic approved by the examining
12board.
AB262, s. 23 13Section 23. 446.02 (2) (b) 3. of the statutes is created to read:
AB262,10,1614 446.02 (2) (b) 3. Has current proficiency in the use of an automated external
15defibrillator achieved in a course provided by an individual, organization, or
16institution of higher education approved under s. 46.03 (38) to provide such a course.
AB262, s. 24 17Section 24. 446.02 (3g) (b) of the statutes is amended to read:
AB262,10,2318 446.02 (3g) (b) The examining board shall promulgate rules establishing
19additional requirements for obtaining a license under par. (a), including a
20requirement that each person licensed under this subsection has current proficiency
21in the use of an automated external defibrillator achieved in a course provided by an
22individual, organization, or institution of higher education approved under s. 46.03
23(38) to provide such a course
.
AB262, s. 25 24Section 25. 446.02 (3r) of the statutes is amended to read:
AB262,11,10
1446.02 (3r) The examining board may promulgate rules providing for the
2granting of a temporary permit to practice chiropractic to an individual who is
3licensed to practice chiropractic in another state or territory of the United States or
4in another country, and establishing requirements for practicing chiropractic under
5a temporary permit. Any rules promulgated under this subsection shall require an
6individual seeking a temporary permit under this subsection to submit evidence
7satisfactory to the examining board that the individual has current proficiency in the
8use of an automated external defibrillator achieved in a course provided by an
9individual, organization, or institution of higher education approved under s. 46.03
10(38) to provide such a course
.
AB262, s. 26 11Section 26. 447.02 (2) (f) of the statutes is created to read:
AB262,11,1612 447.02 (2) (f) A requirement that each of the following individuals submit
13evidence satisfactory to the examining board that the individual has current
14proficiency in the use of an automated external defibrillator achieved in a course
15provided by an individual, organization, or institution of higher education approved
16under s. 46.03 (38) to provide such a course:
AB262,11,1717 1. An applicant for licensure under s. 447.04.
AB262,11,1818 2. An applicant for renewal of a license under s. 447.05.
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