SB232,4,17 16118.294 Physical examination for youth athletics and extracurricular
17activities; chiropractors.
(1) In this section:
SB232,4,1818 (a) “School” means a public, private, or tribal school.
SB232,4,1919 (b) “Youth athletic activity” has the meaning given in s. 118.293 (1) (c).
SB232,4,25 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.
SB232,5,6
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.
SB232,4 7Section 4 . 440.05 (intro.) of the statutes is amended to read:
SB232,5,10 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):
SB232,5 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 (this act), is repealed and recreated to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:
SB232,5,16 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):
SB232,6 17Section 6 . 440.08 (2) (a) 23k. of the statutes is created to read:
SB232,5,1918 440.08 (2) (a) 23k. Chiropractor acupuncturist: December 15 of each
19even-numbered year.
SB232,7 20Section 7 . 441.001 (3) (a) of the statutes is amended to read:
SB232,6,421 441.001 (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.
SB232,8 5Section 8 . 441.001 (4) (b) of the statutes is amended to read:
SB232,6,136 441.001 (4) (b) The execution of procedures and techniques in the treatment
7of the sick under the general or special supervision or direction of a physician,
8podiatrist licensed under ch. 448, chiropractor licensed under ch. 446, dentist
9licensed under ch. 447, or optometrist licensed under ch. 449, or under an order of
10a person who is licensed to practice medicine, podiatry, chiropractic, dentistry, or
11optometry in another state if the person making the order prepared the order after
12examining the patient in that other state and directs that the order be carried out
13in this state.
SB232,9 14Section 9 . 446.01 (1b) of the statutes is created to read:
SB232,6,1515 446.01 (1b) “Acupuncturist" has the meaning given in s. 451.01 (2).
SB232,10 16Section 10 . 446.01 (1f) of the statutes is created to read:
SB232,6,2117 446.01 (1f) “Chiropractic acupuncture” means to promote, maintain, or restore
18health or to diagnose, prevent, or treat disease by treating specific areas of the
19human body, known as acupuncture points or meridians, by the insertion of needles
20or by the application of manual, thermal, or electrical stimulation or any other
21secondary therapeutic technique.
SB232,11 22Section 11 . 446.01 (1g) of the statutes is created to read:
SB232,6,2523 446.01 (1g) “Chiropractic dry needling” means puncturing the skin of the
24human body with needles at trigger points to treat neuromusculoskeletal pain and
25performance.
SB232,12
1Section 12. 446.01 (1v) of the statutes is created to read:
SB232,7,32 446.01 (1v) “Health care professional" means an individual who is licensed,
3registered, or certified by any of the following:
SB232,7,44 (a) Board of nursing under ch. 441.
SB232,7,55 (b) Dentistry examining board under ch. 447.
SB232,7,66 (c) Medical examining board under subch. II of ch. 448.
SB232,7,77 (d) Physical therapy examining board under subch. III of ch. 448.
SB232,7,88 (e) Podiatry affiliated credentialing board under subch. IV of ch. 448.
SB232,7,99 (f) Dietitians affiliated credentialing board under subch. V of ch. 448.
SB232,7,1010 (g) Athletic trainers affiliated credentialing board under subch. VI of ch. 448.
SB232,7,1211 (h) Occupational therapists affiliated credentialing board under subch. VII of
12ch. 448.
SB232,7,1313 (i) Optometry examining board under ch. 449.
SB232,7,1414 (j) Pharmacy examining board under ch. 450.
SB232,7,1515 (k) The department of safety and professional services under ch. 451.
SB232,7,1616 (L) Psychology examining board under ch. 455.
SB232,7,1817 (m) Marriage and family therapy, professional counseling, and social work
18examining board under ch. 457.
SB232,7,1919 (n) Hearing and speech examining board under subch. II of ch. 459.
SB232,7,2120 (o) The massage therapy and bodywork therapy affiliated credentialing board
21under ch. 460.
SB232,13 22Section 13 . 446.02 (1) (b) of the statutes is amended to read:
SB232,8,1423 446.02 (1) (b) Submits evidence satisfactory to the examining board that the
24person meets the requirements of continuing education for license renewal as the
25examining board may require, which requirements shall include current proficiency

1in the use of an automated external defibrillator achieved through instruction
2provided by an individual, organization, or institution of higher education approved
3under s. 46.03 (38) to provide such instruction. Hours of continuing education
4completed under subs. (2) (dm) and (4) (b) shall count toward any hours required
5under this paragraph.
The person shall include the approval number assigned under
6sub. (5) (b) to each educational program completed by the person to satisfy the
7requirements of this paragraph. During the time between initial licensure and
8commencement of a full 2-year licensure period new licensees shall not be required
9to meet continuing education requirements. Any person who has not engaged in the
10practice of chiropractic for 2 years or more, while holding a valid license under this
11chapter, and desiring to engage in such practice, shall be required by the examining
12board to complete a continuing education course at a school of chiropractic approved
13by the examining board or pass a practical examination administered by the
14examining board or both.
SB232,14 15Section 14 . 446.02 (2) (d) of the statutes is created to read:
SB232,8,1716 446.02 (2) (d) 1. No person may practice chiropractic dry needling unless he or
17she is a chiropractor who is licensed under this chapter and certified under subd. 2.
SB232,8,1818 1m. No certification is required under subd. 2. for any of the following:
SB232,8,1919 a. A licensed chiropractor who is registered under s. 446.023.
SB232,8,2020 b. An acupuncturist who is certified under ch. 451.
SB232,9,221 2. The examining board shall issue a certificate to practice dry needling to a
22chiropractor who is licensed under this chapter, who submits satisfactory evidence
23that the chiropractor has completed 50 hours of postgraduate study in chiropractic
24dry needling that is approved by the examining board, and who pays a one-time
25certification fee of $25, except that no certification fee is required under this

1subdivision for an individual who is eligible for the veterans fee waiver program
2under s. 45.44.
SB232,9,43 3. Subject to subd. 4., the examining board shall promulgate rules
4implementing the postgraduate education requirement under subd. 2.
SB232,9,85 4. Each program sponsor of an education program required to be completed by
6a chiropractor as a condition of certification under subd. 2. shall submit the program
7to the examining board for approval. Under this subdivision, “program sponsor” has
8the meaning given in s. 446.028.
SB232,15 9Section 15 . 446.02 (2) (dm) of the statutes is created to read:
SB232,9,2010 446.02 (2) (dm) The examining board shall issue a certificate to a chiropractor
11who is licensed under this chapter and who submits satisfactory evidence that the
12chiropractor has completed postgraduate study in performing health or physical
13examinations for participation in school or college athletic activities. The
14chiropractor shall pay a one-time certification fee of $25, except that no fee is
15required under this paragraph for an individual who is eligible for the veterans fee
16waiver program under s. 45.44. The examining board shall promulgate rules that
17establish minimum requirements or standards for the postgraduate study that shall
18be completed in order to obtain a certificate under this paragraph. The examining
19board shall also promulgate rules that require continuing education in order to
20maintain the certificate.
SB232,16 21Section 16. 446.02 (7) (a) of the statutes is renumbered 446.02 (7) (a) (intro.)
22and amended to read:
SB232,9,2423 446.02 (7) (a) (intro.) Except as provided in pars. (b) and (d), a chiropractor who
24is licensed under this chapter may delegate to a person who is not licensed under this

1chapter the performance of adjunctive services if the services are performed by any
2of the following
under the direct, on-premises supervision of the chiropractor.:
SB232,17 3Section 17. 446.02 (7) (a) 2. of the statutes is created to read:
SB232,10,44 446.02 (7) (a) 2. A health care professional.
SB232,18 5Section 18 . 446.02 (7) (d) 1. of the statutes is renumbered 446.02 (7) (d) and
6amended to read:
SB232,10,97 446.02 (7) (d) Beginning on July 1, 2010, a A chiropractor may delegate X-ray
8services only to a chiropractic radiological technologist technician or a health care
9professional acting within the scope of his or her license, registration, or certification
.
SB232,19 10Section 19 . 446.02 (7) (d) 2. of the statutes is renumbered 446.02 (7) (a) 1. and
11amended to read:
SB232,10,1312 446.02 (7) (a) 1. Beginning on July 1, 2010, a chiropractor may delegate
13adjunctive services only to a
A chiropractic technologist technician.
SB232,20 14Section 20 . 446.02 (10m) of the statutes is created to read:
SB232,10,1815 446.02 (10m) A licensed chiropractor who has a valid federal motor carrier
16safety administration medical examiner certification credential issued under 49
17CFR 390.109
may conduct medical examinations for the federal motor carrier safety
18administration pursuant to 49 USC 31149 and 49 CFR parts 390 and 391.
SB232,21 19Section 21 . 446.023 of the statutes is created to read:
SB232,10,22 20446.023 Chiropractic acupuncture. (1) Definition. In this section,
21“licensed chiropractor" means a person who is licensed by the examining board to
22engage in the practice of chiropractic.
SB232,10,25 23(2) Registration required. (a) Except as provided under par. (b), no person
24may practice chiropractic acupuncture unless he or she is a licensed chiropractor who
25is registered under this section.
SB232,11,1
1(b) No registration is required under this section for any of the following:
SB232,11,22 1. An acupuncturist who is certified under ch. 451.
SB232,11,53 2. A licensed chiropractor who practices chiropractic acupuncture as part of a
4supervised course of study or residency program in chiropractic acupuncture that is
5approved by the examining board.
SB232,11,76 (c) The examining board shall register a licensed chiropractor under this
7section who does all of the following:
SB232,11,98 1. Submits an application for registration to the examining board on a form
9provided by the examining board.
SB232,11,1410 2. Submits evidence satisfactory to the examining board that the licensed
11chiropractor has completed at least 200 hours of postgraduate instruction in
12chiropractic acupuncture at a college of chiropractic approved by the examining
13board or at a college or university accredited by an accrediting agency that is
14recognized by the secretary of the federal department of education.
SB232,11,1615 3. Successfully completes the acupuncture examination administered by the
16National Board of Chiropractic Examiners.
SB232,11,1717 4. Pays a registration fee of $100.
SB232,11,21 18(3) Restriction on advertising. A licensed chiropractor who is registered
19under this section may not advertise or hold himself or herself out as employing
20traditional Oriental medical concepts in the practice of chiropractic acupuncture
21unless the licensed chiropractor is also an acupuncturist certified under ch. 451.
SB232,11,23 22(4) Registration renewal. (a) The renewal date for a registration under this
23section is specified under s. 440.08 (2) (a). There is no renewal fee.
SB232,12,424 (b) A licensed chiropractor registered under this section shall, at the time that
25he or she applies for renewal of a registration under par. (a), submit evidence

1satisfactory to the examining board that he or she has completed at least 4 hours of
2continuing education during the previous 2-year registration period in a
3chiropractic acupuncture–related program approved by the examining board under
4s. 446.028.
SB232,12,7 5(5) Rules. The examining board shall promulgate rules to implement this
6section and s. 446.02 (2) (d). The rules promulgated under this subsection shall
7incorporate the rules of the department promulgated under s. 451.12.
SB232,22 8Section 22 . 446.026 (1) (a) of the statutes is amended to read:
SB232,12,129 446.026 (1) (a) No person may provide adjunctive services unless the person
10is a chiropractic technician and is under the direct, on-premises supervision of a
11chiropractor licensed under this chapter, or the person is a health care professional,
12subject to s. 446.02 (7)
.
SB232,23 13Section 23 . 446.03 (intro.) of the statutes is amended to read:
SB232,12,18 14446.03 Reprimand; revocation, limitation, or suspension of a license or
15certificate.
(intro.) The examining board, by order, may reprimand a licensee,
16certificate holder, or registrant and may deny, limit, suspend or revoke any license,
17certificate, or certificate of registration if the licensee, certificate holder, or registrant
18does any of the following:
SB232,24 19Section 24 . 446.03 (1) of the statutes is amended to read:
SB232,12,2120 446.03 (1) Obtains the license, certificate, or certificate of registration through
21error or fraud.
SB232,25 22Section 25 . 446.04 (2) of the statutes is amended to read:
SB232,12,2423 446.04 (2) Loaning of a chiropractic license or certificate, or of a registration
24issued under s. 446.023,
to anyone.
SB232,26 25Section 26 . 446.04 (4) of the statutes is amended to read:
SB232,13,2
1446.04 (4) Splitting or dividing any fee for chiropractic service with any person
2except an associate licensed chiropractor or an acupuncturist certified under ch. 451.
SB232,27 3Section 27 . 446.04 (6) of the statutes is created to read:
SB232,13,54 446.04 (6) Use of unsanitary or unsafe acupuncture or dry needling equipment,
5contrary to the rules promulgated under s. 446.023 (5).
SB232,28 6Section 28 . 446.05 (1) of the statutes is amended to read:
SB232,13,117 446.05 (1) Subject to the rules promulgated under s. 440.03 (1), the examining
8board may make investigations and conduct hearings in regard to the conduct of any
9licensed chiropractor who, it has reason to believe, violated s. 446.02 , 446.023, or
10446.03. The person complained against may proceed to review any action of the
11examining board under ch. 227.
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