RPN/RNK/ARG:bjk&cjs:pg
2007 - 2008 LEGISLATURE
September 6, 2007 - Introduced by Representatives Molepske, Bies, Berceau,
Gunderson
and Turner, cosponsored by Senator Miller. Referred to
Committee on Health and Healthcare Reform.
AB497,1,8 1An Act to renumber 45.40 (1); to amend 25.36 (1), 29.193 (2) (b) 2., 29.193 (2)
2(c) 3., 45.40 (2m) (a), 45.40 (2m) (b), 45.40 (3m), 49.855 (4m) (b), 343.16 (5) (a),
3812.30 (9) and 814.29 (1) (d) 1.; and to create 45.40 (1g) and 45.40 (1t) of the
4statutes; relating to: allowing certified advanced practice nurse prescribers to
5determine an illness or injury and complete forms for the purpose of granting
6assistance to needy veterans and of medical review related to motor vehicle
7operator's licenses, and allowing certified advanced practice nurse prescribers
8to determine disability for the purpose of issuing certain hunting permits.
Analysis by the Legislative Reference Bureau
Under current law, the Department of Veterans Affairs (DVA) may grant
assistance to needy veterans who have suffered a loss of income due to illness, injury,
or natural disaster. By rule, DVA has defined an illness or injury as a physical or
mental health problem that is diagnosed by a physician, dentist, optometrist, or
audiologist.
This bill expands the health care providers who can diagnose an illness or
injury for DVA purposes to include certified advanced practice nurse prescribers.
Under current law, the Department of Transportation (DOT) may require an
operator's license applicant or licensee to submit to a special examination to

determine incompetency, physical or mental disability, disease, or any other
condition that might prevent the applicant or licensee from exercising reasonable
and ordinary control over a motor vehicle. If DOT receives a report from a physician,
advanced practice nurse prescriber, or optometrist, DOT must determine whether
the operator should submit to a special examination. When DOT receives the results
of a special examination, DOT must consider the recommendation of the examiner
together with other evidence in determining if it is in the interest of public safety to
issue, renew, deny, or cancel a license.
This bill specifies that a special examination required by DOT may be
conducted by, and the results of the examination certified by, a physician, certified
advanced practice nurse prescriber, or optometrist.
Under current law, the Department of Natural Resources (DNR) is authorized
to issue certain hunting permits that authorize hunting by persons who have a
physical disability or who are visually handicapped (specialized permits). Among
the privileges granted by these specialized permits is the privilege of hunting with
assistance rendered by another person. In order to obtain a specialized permit from
DNR, a person must submit an application furnished by DNR that includes a
statement or report prepared and signed by a licensed physician or chiropractor
verifying that the applicant is physically disabled. A person may also obtain a
specialized permit even if the person would otherwise be ineligible for a specialized
permit if DNR, based on the recommendation of a licensed physician or chiropractor,
determines that the issuance of the permit complies with the intent of the law.
This bill authorizes an applicant for a specialized permit to submit a statement,
report, or recommendation from a certified advanced practice nurse prescriber, as
well as from a physician or chiropractor, in support of a specialized permit
application.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB497, s. 1 1Section 1. 25.36 (1) of the statutes is amended to read:
AB497,3,122 25.36 (1) Except as provided in sub. (2), all moneys appropriated or transferred
3by law shall constitute the veterans trust fund which shall be used for the lending
4of money to the mortgage loan repayment fund under s. 45.37 (5) (a) 12. and for the
5veterans programs under ss. 20.485 (2) (m), (mn), (tm), (u), (v), (vo), (vy), (w), (z), and
6(zm), 45.03 (19), 45.07, 45.20, 45.21, 45.40 (1) (1m), 45.41, 45.42, 45.43, and 45.82 and
7administered by the department of veterans affairs, including all moneys received
8from the federal government for the benefit of veterans or their dependents; all

1moneys paid as interest on and repayment of loans under the post-war
2rehabilitation fund; soldiers rehabilitation fund, veterans housing funds as they
3existed prior to July 1, 1961; all moneys paid as interest on and repayment of loans
4under this fund; all moneys paid as expenses for, interest on, and repayment of
5veterans trust fund stabilization loans under s. 45.356, 1995 stats.; all moneys paid
6as expenses for, interest on, and repayment of veterans personal loans; the net
7proceeds from the sale of mortgaged properties related to veterans personal loans;
8all mortgages issued with the proceeds of the 1981 veterans home loan revenue bond
9issuance purchased with moneys in the veterans trust fund; all moneys received from
10the state investment board under s. 45.42 (8) (b); all moneys received from the
11veterans mortgage loan repayment fund under s. 45.37 (7) (a) and (c); and all gifts
12of money received by the board of veterans affairs for the purposes of this fund.
AB497, s. 2 13Section 2. 29.193 (2) (b) 2. of the statutes is amended to read:
AB497,3,1914 29.193 (2) (b) 2. An applicant shall submit an application on a form prepared
15and furnished by the department, which shall include a written statement or report
16prepared and signed by a licensed physician or, a licensed chiropractor, or an
17advanced practice nurse prescriber certified under s. 441.16 (2)
prepared no more
18than 6 months preceding the application and verifying that the applicant is
19physically disabled.
AB497, s. 3 20Section 3. 29.193 (2) (c) 3. of the statutes is amended to read:
AB497,4,521 29.193 (2) (c) 3. The department may issue a Class B permit to an applicant
22who is ineligible for a permit under subd. 1., 2. or 2m. or who is denied a permit under
23subd. 1., 2. or 2m. if, upon review and after considering the physical condition of the
24applicant and the recommendation of a licensed physician or , a licensed chiropractor,
25or an advanced practice nurse prescriber certified under s. 441.16 (2)
selected by the

1applicant from a list of licensed physicians and , licensed chiropractors, and advanced
2practice nurse prescribers certified under s. 441.16 (2)
compiled by the department,
3the department finds that issuance of a permit complies with the intent of this
4subsection. The use of this review procedure is discretionary with the department
5and all costs of the review procedure shall be paid by the applicant.
AB497, s. 4 6Section 4. 45.40 (1) of the statutes is renumbered 45.40 (1m).
AB497, s. 5 7Section 5. 45.40 (1g) of the statutes is created to read:
AB497,4,88 45.40 (1g) Definitions. In this section:
AB497,4,129 (a) "Health care provider" means an advanced practice nurse prescriber
10certified under s. 441.16 (2), an audiologist licensed under ch. 459, a dentist licensed
11under ch. 447, an optometrist licensed under ch. 449, or a physician licensed under
12ch. 448.
AB497,4,1413 (b) "Illness" or "injury" means a physical or mental health problem that has
14been diagnosed by a health care provider.
AB497, s. 6 15Section 6. 45.40 (1t) of the statutes is created to read:
AB497,4,1816 45.40 (1t) Completion of health care forms. A health care provider may
17complete the medical forms necessary for the receipt of aid under this section if the
18provider has diagnosed the veteran and determined the veteran's medical condition.
AB497, s. 7 19Section 7. 45.40 (2m) (a) of the statutes is amended to read:
AB497,4,2520 45.40 (2m) (a) The unremarried spouse and dependent children of a veteran
21who died on active duty, or in the line of duty while on active or inactive duty for
22training purposes, in the U.S. armed forces or forces incorporated in the U.S. armed
23forces are eligible to receive payments under subs. (1) (1m) and (2) if the household
24income of those persons does not exceed the income limitations established under
25sub. (3m).
AB497, s. 8
1Section 8. 45.40 (2m) (b) of the statutes is amended to read:
AB497,5,72 45.40 (2m) (b) The spouse and dependent children of a member of the U.S.
3armed forces or of the Wisconsin national guard who has been activated or deployed
4to serve in the U.S. armed forces who are residents of this state, who have suffered
5a loss of income due to that activation or deployment, and who experience an
6economic emergency during the member's activation or deployment are eligible to
7receive assistance under subs. (1) (1m) and (2).
AB497, s. 9 8Section 9. 45.40 (3m) of the statutes is amended to read:
AB497,5,119 45.40 (3m) Rules. The department shall promulgate rules establishing
10eligibility criteria and household income limits for payments under subs. (1) (1m),
11(2), and (2m).
AB497, s. 10 12Section 10. 49.855 (4m) (b) of the statutes is amended to read:
AB497,6,1613 49.855 (4m) (b) The department of revenue may provide a certification that it
14receives under sub. (1), (2m), or (2p) to the department of administration. Upon
15receipt of the certification, the department of administration shall determine
16whether the obligor is a vendor or is receiving any other payments from this state,
17except for wages, retirement benefits, or assistance under s. 45.352, 1971 stats., s.
1845.40 (1) (1m), this chapter, or ch. 46, 108, or 301. If the department of
19administration determines that the obligor is a vendor or is receiving payments from
20this state, except for wages, retirement benefits, or assistance under s. 45.352, 1971
21stats., s. 45.40 (1) (1m), this chapter, or ch. 46, 108, or 301, it shall begin to withhold
22the amount certified from those payments and shall notify the obligor that the state
23intends to reduce any payments due the obligor by the amount the obligor is
24delinquent under the support, maintenance, or receiving and disbursing fee order or
25obligation, by the outstanding amount for past support, medical expenses, or birth

1expenses under the court order, or by the amount due under s. 46.10 (4) or 301.12 (4).
2The notice shall provide that within 20 days after receipt of the notice the obligor may
3request a hearing before the circuit court rendering the order under which the
4obligation arose. An obligor may, within 20 days after receiving notice, request a
5hearing under this paragraph. Within 10 days after receiving a request for hearing
6under this paragraph, the court shall set the matter for hearing. A circuit court
7commissioner may conduct the hearing. Pending further order by the court or circuit
8court commissioner, the department of workforce development or its designee,
9whichever is appropriate, may not disburse the payments withheld from the obligor.
10The sole issues at the hearing are whether the obligor owes the amount certified and,
11if not and it is a support or maintenance order, whether the money withheld shall be
12paid to the obligor or held for future support or maintenance, except that the obligor's
13ability to pay is also an issue at the hearing if the obligation relates to an order under
14s. 767.51 (3) (e) 1. or 767.62 (4) (d) 1. s. 767.805 (4) (d) 1. or 767.89 (3) (e) 1. and the
15order specifies that the court found that the obligor's income was at or below the
16poverty line established under 42 USC 9902 (2).
AB497, s. 11 17Section 11. 343.16 (5) (a) of the statutes is amended to read:
AB497,7,1918 343.16 (5) (a) The secretary may require any applicant for a license or any
19licensed operator to submit to a special examination by such persons or agencies as
20the secretary may direct to determine incompetency, physical or mental disability,
21disease, or any other condition that might prevent such applicant or licensed person
22from exercising reasonable and ordinary control over a motor vehicle. If the
23department requires the applicant to submit to an examination, the applicant shall
24pay for the examination. If the department receives an application for a renewal or
25duplicate license after voluntary surrender under s. 343.265 or receives a report from

1a physician, advanced practice nurse prescriber certified under s. 441.16 (2), or
2optometrist under s. 146.82 (3), or if the department has a report of 2 or more arrests
3within a one-year period for any combination of violations of s. 346.63 (1) or (5) or
4a local ordinance in conformity with s. 346.63 (1) or (5) or a law of a federally
5recognized American Indian tribe or band in this state in conformity with s. 346.63
6(1) or (5), or s. 346.63 (1m), 1985 stats., or s. 346.63 (2) or (6) or 940.25, or s. 940.09
7where the offense involved the use of a vehicle, the department shall determine, by
8interview or otherwise, whether the operator should submit to an examination under
9this section. The examination may consist of an assessment. If the examination
10results from the department receiving a report from a physician, advanced practice
11nurse prescriber certified under s. 441.16 (2), or optometrist under s. 146.82 (3), the
12examination may be conducted by, and the results of the examination certified by, a
13physician, advanced practice nurse prescriber certified under s. 441.16 (2), or
14optometrist.
If the examination indicates that education or treatment for a
15disability, disease or condition concerning the use of alcohol, a controlled substance
16or a controlled substance analog is appropriate, the department may order a driver
17safety plan in accordance with s. 343.30 (1q). If there is noncompliance with
18assessment or the driver safety plan, the department shall revoke the person's
19operating privilege in the manner specified in s. 343.30 (1q) (d).
AB497, s. 12 20Section 12. 812.30 (9) of the statutes is amended to read:
AB497,7,2521 812.30 (9) "Need-based public assistance" means aid to families with
22dependent children, relief funded by a relief block grant under ch. 49, relief provided
23by counties under s. 59.53 (21), medical assistance, supplemental security income,
24food stamps, or benefits received by veterans under s. 45.40 (1) (1m) or under 38 USC
25501
to 562.
AB497, s. 13
1Section 13. 814.29 (1) (d) 1. of the statutes is amended to read:
AB497,8,62 814.29 (1) (d) 1. That the person is a recipient of means-tested public
3assistance, including aid to families with dependent children, relief funded by a relief
4block grant under ch. 49, relief provided by counties under s. 59.53 (21), medical
5assistance, supplemental security income, food stamps or benefits received by
6veterans under s. 45.40 (1) (1m) or under 38 USC 501 to 562.
AB497,8,77 (End)
Loading...
Loading...