LRB-2859/1
MED:cjs
2021 - 2022 LEGISLATURE
August 26, 2021 - Introduced by Senators Bernier, Felzkowski, Ringhand and L.
Taylor
, cosponsored by Representatives J. Rodriguez, Rozar, L. Myers,
Armstrong, Brostoff, Dittrich, Duchow, Edming, Goyke, Gundrum,
Horlacher, James, Kitchens, Magnafici, Murphy, Mursau, Snyder,
Summerfield, Tusler, Wichgers, Skowronski and Zimmerman. Referred to
Committee on Insurance, Licensing and Forestry.
SB532,2,2 1An Act to renumber 252.14 (1) (ar) 4q.; to amend 15.08 (1m) (b), 36.25 (11) (b),
246.03 (44), 48.981 (2m) (b) 1., 60.23 (9), 69.01 (6g), 77.54 (14) (b), 77.54 (14) (d),
3118.15 (3) (a), 118.25 (1) (a), 118.29 (1) (e), 146.82 (3) (a), 146.89 (1) (r) 1., 155.01
4(7), 252.11 (10), 255.06 (1) (d), 255.07 (1) (d), 257.01 (5) (a) and (b), 448.03 (2)
5(a), 448.56 (1), 448.56 (1m) (b), 450.03 (1) (e), 450.11 (7) (b), 462.04, 895.48 (1m)
6(a) (intro.) and 2., 905.04 (1) (b) and (c), (2) and (3), 961.01 (19) (a), 961.23 (6)
7and 961.41 (3j); and to create 15.08 (1m) (bm), 15.405 (7f), 48.981 (2) (a) 1m.,
869.18 (1) (cj), 77.54 (14) (f) 1m., 146.81 (1) (dc), 146.997 (1) (d) 4m., 180.1901
9(1m) (h), 252.14 (1) (ar) 4s., 440.03 (13) (b) 39g. and 39h., 440.08 (2) (a) 47g. and
1047h., 446.02 (9) (e), 450.10 (3) (a) 12., 450.11 (8) (g), chapter 466, 905.04 (1) (br),
11961.397 and 990.01 (22m) of the statutes; relating to: the regulation and

1licensure of naturopathic doctors, creating a naturopathic medicine examining
2board, granting rule-making authority, and providing a penalty.
Analysis by the Legislative Reference Bureau
This bill provides for regulation and licensing for the practice of naturopathic
medicine. Current law does not regulate the practice of naturopathic medicine
specifically, but does require a license in order to engage in anything that falls within
the scope of certain other health care practices, including the practice of medicine
and surgery.
Under the bill, subject to certain exceptions, no one may practice naturopathic
medicine, as defined in the bill, or use the title “naturopathic doctor” or make similar
representations without a license to practice naturopathic medicine. A license is
granted by the seven-member Naturopathic Medicine Examining Board, which is
created in the bill. Under the bill, the board must grant an initial license to a person
who has completed a qualifying naturopathic medical program specified in the bill,
has passed examinations specified in the bill, meets certain requirements that the
board may establish, does not have a disqualifying arrest or conviction record, and
pays a fee. The bill also provides, for one year after the licensure requirement goes
into effect, for a limited-scope license for individuals who satisfy other criteria
specified in the bill. The bill allows the board to disqualify a naturopathic medical
program that the board determines does not adequately prepare students to practice
naturopathic medicine. Biennial renewal of a license requires completion of
continuing education requirements established by the board, as well as satisfaction
of other requirements the board may establish.
A naturopathic doctor licensed under the bill may practice naturopathic
medicine, which is defined in the bill and includes, as well as excludes, a number of
specific practices. The bill also allows the board to further define the scope of practice
of naturopathic medicine by expressly authorizing or prohibiting certain practices.
The practice of naturopathic medicine includes prescribing drugs, but the bill
expressly prohibits naturopathic doctors from prescribing Schedule I and II
controlled substances and narcotics classified under Schedule III.
The bill requires the board to promulgate rules that establish standards of
practice for and a code of ethics governing the professional conduct of naturopathic
doctors, continuing education requirements for licensure renewal, and examination
standards for licensure, including required passing scores. The bill allows the board
to establish other requirements for initial licensure or renewal of a license and also
allows the board to adopt minimum malpractice insurance requirements for
naturopathic doctors. The bill includes provisions for the professional discipline of
licensees, which allow the board to take certain actions against a licensee who
violates certain prohibitions in the bill.
Finally, the bill also applies certain other laws, such as the law providing for
confidentiality of health care records and the health care workers whistleblowers
protection law, to licensed naturopathic doctors and allows naturopathic doctors to

perform certain actions that can be performed by physicians or other health care
providers, including allowing a naturopathic doctor who is directly involved with the
care of a patient to pronounce a patient's date, time, and place, but not cause, of
death.
Because this bill creates a new crime or revises a penalty for an existing crime,
the Joint Review Committee on Criminal Penalties may be requested to prepare a
report.
Because this bill relates to an exemption from state or local taxes, it may be
referred to the Joint Survey Committee on Tax Exemptions for a report to be printed
as an appendix to the bill.
For further information see the state 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:
SB532,1 1Section 1. 15.08 (1m) (b) of the statutes is amended to read:
SB532,3,122 15.08 (1m) (b) The public members of the chiropractic examining board, the
3dentistry examining board, the hearing and speech examining board, the medical
4examining board, the naturopathic medicine examining board, the physical therapy
5examining board, perfusionists examining council, respiratory care practitioners
6examining council and council on physician assistants, the board of nursing, the
7nursing home administrator examining board, the veterinary examining board, the
8optometry examining board, the pharmacy examining board, the marriage and
9family therapy, professional counseling, and social work examining board, the
10psychology examining board, and the radiography examining board shall not be
11engaged in any profession or occupation concerned with the delivery of physical or
12mental health care.
SB532,2 13Section 2. 15.08 (1m) (bm) of the statutes is created to read:
SB532,4,3
115.08 (1m) (bm) The public members of the naturopathic medicine examining
2board may not have any financial interest in naturopathic education, business, or
3practice.
SB532,3 4Section 3. 15.405 (7f) of the statutes is created to read:
SB532,4,75 15.405 (7f) Naturopathic medicine examining board. There is created a
6naturopathic medicine examining board in the department of safety and professional
7services consisting of the following members appointed for 4-year terms:
SB532,4,88 (a) Four naturopathic doctors licensed under s. 466.04 (1).
SB532,4,119 (b) One physician licensed under ch. 448 who works as a primary care physician
10and who has experience in naturopathic medicine or working with naturopathic
11doctors.
SB532,4,1212 (c) Two public members.
SB532,4 13Section 4 . 36.25 (11) (b) of the statutes is amended to read:
SB532,4,2014 36.25 (11) (b) The laboratory shall provide complete laboratory services in the
15areas of water quality, air quality, public health and contagious diseases for
16appropriate state agencies, and may perform examinations for licensed physicians,
17naturopathic doctors, veterinarians, local health officers, as defined in s. 250.01 (5),
18and resource management officials as may be necessary for the prevention and
19control of those diseases and environmental hazards which cause concern for public
20health and environmental quality.
SB532,5 21Section 5 . 46.03 (44) of the statutes is amended to read:
SB532,5,522 46.03 (44) Sexually transmitted disease treatment information. Prepare and
23keep current an information sheet to be distributed to a patient by a physician,
24naturopathic doctor, physician assistant, or certified advanced practice nurse
25prescriber providing expedited partner therapy to that patient under s. 448.035 or

1466.052
. The information sheet shall include information about sexually
2transmitted diseases and their treatment and about the risk of drug allergies. The
3information sheet shall also include a statement advising a person with questions
4about the information to contact his or her physician, pharmacist, or local health
5department, as defined in s. 250.01 (4).
SB532,6 6Section 6. 48.981 (2) (a) 1m. of the statutes is created to read:
SB532,5,77 48.981 (2) (a) 1m. A naturopathic doctor.
SB532,7 8Section 7 . 48.981 (2m) (b) 1. of the statutes is amended to read:
SB532,5,129 48.981 (2m) (b) 1. “Health care provider" means a physician, as defined under
10s. 448.01 (5), a naturopathic doctor, as defined under s. 466.01 (5), a physician
11assistant, as defined under s. 448.01 (6), or a nurse holding a license under s. 441.06
12(1) or a license under s. 441.10.
SB532,8 13Section 8 . 60.23 (9) of the statutes is amended to read:
SB532,5,1814 60.23 (9) Resident physicians, physician assistants and nurses health care
15providers
in certain towns. In a town comprised entirely of one or more islands,
16annually appropriate money to retain a physician or, if no physician is available, a
17physician assistant, naturopathic doctor, or nurse practitioner, as a resident within
18the town.
SB532,9 19Section 9 . 69.01 (6g) of the statutes is amended to read:
SB532,5,2220 69.01 (6g) “Date of death" means the date that a person is pronounced dead by
21a physician, naturopathic doctor, coroner, deputy coroner, medical examiner, deputy
22medical examiner, or hospice nurse.
SB532,10 23Section 10 . 69.18 (1) (cj) of the statutes is created to read:
SB532,6,324 69.18 (1) (cj) 1. For purposes of preparation of the certificate of death and in
25accordance with accepted medical standards, a naturopathic doctor who is directly

1involved with the care of a patient who dies may pronounce the date, time, and place
2of the patient's death if the patient was generally under the care of a naturopathic
3doctor at the time of death.
SB532,6,54 2. Subdivision 1. may not be construed to authorize a naturopathic doctor to
5certify under sub. (2) (b) the cause of the patient's death.
SB532,11 6Section 11 . 77.54 (14) (b) of the statutes is amended to read:
SB532,6,87 77.54 (14) (b) Furnished by a licensed physician, naturopathic doctor, surgeon,
8podiatrist, or dentist to a patient who is a human being for treatment of the patient.
SB532,12 9Section 12 . 77.54 (14) (d) of the statutes is amended to read:
SB532,6,1110 77.54 (14) (d) Sold to a licensed physician, naturopathic doctor, surgeon,
11podiatrist, dentist, or hospital for the treatment of a human being.
SB532,13 12Section 13 . 77.54 (14) (f) 1m. of the statutes is created to read:
SB532,6,1313 77.54 (14) (f) 1m. A naturopathic doctor.
SB532,14 14Section 14 . 118.15 (3) (a) of the statutes is amended to read:
SB532,7,215 118.15 (3) (a) Any child who is excused by the school board because the child
16is temporarily not in proper physical or mental condition to attend a school program
17but who can be expected to return to a school program upon termination or
18abatement of the illness or condition. The school attendance officer may request the
19parent or guardian of the child to obtain a written statement from a licensed
20physician, naturopathic doctor, dentist, chiropractor, optometrist, psychologist,
21physician assistant, or nurse practitioner, as defined in s. 255.06 (1) (d), or certified
22advanced practice nurse prescriber or Christian Science practitioner living and
23residing in this state, who is listed in the Christian Science Journal, as sufficient
24proof of the physical or mental condition of the child. An excuse under this paragraph

1shall be in writing and shall state the time period for which it is valid, not to exceed
230 days.
SB532,15 3Section 15 . 118.25 (1) (a) of the statutes is amended to read:
SB532,7,84 118.25 (1) (a) “Practitioner" means a person licensed as a physician,
5naturopathic doctor, naturopathic medical doctor, naturopathic physician,
or as a
6physician assistant in any state or licensed or certified as an advanced practice nurse
7prescriber in any state. In this paragraph, “physician” has the meaning given in s.
8448.01 (5).
SB532,16 9Section 16 . 118.29 (1) (e) of the statutes is amended to read:
SB532,7,1210 118.29 (1) (e) “Practitioner" means any physician, naturopathic doctor,
11naturopathic medical doctor, naturopathic physician,
dentist, optometrist, physician
12assistant, advanced practice nurse prescriber, or podiatrist licensed in any state.
SB532,17 13Section 17. 146.81 (1) (dc) of the statutes is created to read:
SB532,7,1514 146.81 (1) (dc) A naturopathic doctor or limited-scope naturopathic doctor
15licensed under ch. 466.
SB532,18 16Section 18 . 146.82 (3) (a) of the statutes is amended to read:
SB532,7,2517 146.82 (3) (a) Notwithstanding sub. (1), a physician, a naturopathic doctor, a
18limited-scope naturopathic doctor, a
physician assistant, as defined in s. 448.01 (6),
19or an advanced practice nurse prescriber certified under s. 441.16 (2) who treats a
20patient whose physical or mental condition in the physician's, naturopathic doctor's,
21limited-scope naturopathic doctor's,
physician assistant's, or advanced practice
22nurse prescriber's judgment affects the patient's ability to exercise reasonable and
23ordinary control over a motor vehicle may report the patient's name and other
24information relevant to the condition to the department of transportation without
25the informed consent of the patient.
SB532,19
1Section 19. 146.89 (1) (r) 1. of the statutes is amended to read:
SB532,8,72 146.89 (1) (r) 1. Licensed as a physician under ch. 448, naturopathic doctor
3under ch. 466,
a dentist or dental hygienist under ch. 447, a registered nurse,
4practical nurse, or nurse-midwife under ch. 441, an optometrist under ch. 449, a
5physician assistant under ch. 448, a pharmacist under ch. 450, a chiropractor under
6ch. 446, a podiatrist under subch. IV of ch. 448, or a physical therapist under subch.
7III of ch. 448.
SB532,20 8Section 20. 146.997 (1) (d) 4m. of the statutes is created to read:
SB532,8,99 146.997 (1) (d) 4m. A naturopathic doctor licensed under ch. 466.
SB532,21 10Section 21. 155.01 (7) of the statutes is amended to read:
SB532,8,2111 155.01 (7) “Health care provider" means a nurse licensed or permitted under
12ch. 441, a chiropractor licensed under ch. 446, a dentist licensed under ch. 447, a
13physician, physician assistant, perfusionist, podiatrist, physical therapist, physical
14therapist assistant, occupational therapist, or occupational therapy assistant
15licensed under ch. 448, a naturopathic doctor licensed under ch. 466, a person
16practicing Christian Science treatment, an optometrist licensed under ch. 449, a
17psychologist licensed under ch. 455, a partnership thereof, a corporation or limited
18liability company thereof that provides health care services, a cooperative health
19care association organized under s. 185.981 that directly provides services through
20salaried employees in its own facility, or a home health agency, as defined in s. 50.49
21(1) (a).
SB532,22 22Section 22. 180.1901 (1m) (h) of the statutes is created to read:
Loading...
Loading...