AB754,38 6Section 38. 441.15 (1) (a) of the statutes is repealed.
AB754,39 7Section 39. 441.15 (1) (am) of the statutes is created to read:
AB754,27,98 441.15 (1) (am) "Nurse-midwife" means a person licensed under this section
9to engage in the practice of nurse-midwifery.
AB754,40 10Section 40. 441.15 (1) (c) of the statutes is created to read:
AB754,27,1311 441.15 (1) (c) "Qualified health care professional" means a health care
12professional, as defined in s. 180.1901 (1m), who is performing services within his
13or her scope of practice.
AB754,41 14Section 41. 441.15 (2) (b) of the statutes is amended to read:
AB754,27,1715 441.15 (2) (b) The practice occurs in a health care facility approved by the board
16by rule under sub. (3) (c), in collaboration with a physician with postgraduate
17training in obstetrics, and pursuant to a written agreement with that physician
.
AB754,42 18Section 42. 441.15 (3) (c) of the statutes is amended to read:
AB754,27,2419 441.15 (3) (c) The board shall promulgate rules necessary to administer this
20section, including the establishment of appropriate limitations on the scope of the
21practice of nurse-midwifery, the facilities in which such practice may occur, the
22definition of "elective" for purposes of the prohibition in sub. (4m),
and the granting
23of temporary permits to practice nurse-midwifery pending qualification for
24certification.
AB754,43 25Section 43. 441.15 (4) of the statutes is amended to read:
AB754,28,5
1441.15 (4) A nurse-midwife who discovers evidence that any aspect of care
2involves any complication which jeopardizes the health or life of a newborn or mother
3shall consult with the collaborating physician under sub. (2) (b) or the physician's
4designee, or make a referral as specified in a written agreement under sub. (2) (b)
a
5qualified health care professional or make a referral
.
AB754,44 6Section 44. 441.15 (4m) of the statutes is created to read:
AB754,28,137 441.15 (4m) No nurse-midwife may perform an elective procedure intended
8to induce labor in a pregnant woman before the completion of a gestational period
9of 39 weeks unless the nurse-midwife has first obtained the informed consent of the
10woman. A woman's consent is informed for purposes of this subsection only if she
11receives timely information orally and in person from the nurse-midwife regarding
12potential negative effects to the fetus of early delivery, including long-term learning
13and behavioral problems.
AB754,45 14Section 45. 448.02 (3) (a) of the statutes is amended to read:
AB754,29,815 448.02 (3) (a) The board shall investigate allegations of unprofessional conduct
16and negligence in treatment by persons holding a license, certificate , or limited
17permit granted by the board. An allegation that a physician has violated s. 253.10
18(3), 448.30, 448.35, or 450.13 (2); or has failed to mail or present a medical
19certification required under s. 69.18 (2) within 21 days after the pronouncement of
20death of the person who is the subject of the required certificate ; or that a physician
21has failed at least 6 times within a 6-month period to mail or present a medical
22certificate required under s. 69.18 (2) within 6 days after the pronouncement of death
23of the person who is the subject of the required certificate is an allegation of
24unprofessional conduct. Information contained in reports filed with the board under
25s. 49.45 (2) (a) 12r., 50.36 (3) (b), 609.17, or 632.715, or under 42 CFR 1001.2005, shall

1be investigated by the board. Information contained in a report filed with the board
2under s. 655.045 (1), as created by 1985 Wisconsin Act 29, which is not a finding of
3negligence or in a report filed with the board under s. 50.36 (3) (c) may, within the
4discretion of the board, be used as the basis of an investigation of a person named in
5the report. The board may require a person holding a license, certificate, or limited
6permit to undergo, and may consider the results of , one or more physical, mental, or
7professional competency examinations if the board believes that the results of any
8such examinations may be useful to the board in conducting its investigation.
AB754,46 9Section 46. 448.35 of the statutes is created to read:
AB754,29,17 10448.35 Informed consent for certain elective procedures. No physician
11may perform an elective Caesarean section on a pregnant woman, or an elective
12procedure intended to induce labor in a pregnant woman, before the completion of
13a gestational period of 39 weeks unless the physician has first obtained the informed
14consent of the woman. A woman's consent is informed for purposes of this section
15only if she receives timely information orally and in person from the physician
16regarding potential negative effects to the fetus of early delivery, including
17long-term learning and behavioral problems.
AB754,47 18Section 47. 448.40 (2) (am) of the statutes is created to read:
AB754,29,2019 448.40 (2) (am) Defining "elective" for purposes of s. 448.35 and implementing
20s. 448.35.
AB754,48 21Section 48. 619.04 (3) of the statutes is amended to read:
AB754,30,922 619.04 (3) The plan shall operate subject to the supervision and approval of a
23board of governors consisting of 3 representatives of the insurance industry
24appointed by and to serve at the pleasure of the commissioner, a person to be named
25by the State Bar Association, a person to be named by the Wisconsin Academy of Trial

1Lawyers, 2 persons to be named by the Wisconsin Medical Society, a person to be
2named by the Wisconsin Hospital Association, the commissioner or a designated
3representative employed by the office of the commissioner, and 4 public members at
4least one of whom is named by the Wisconsin Nurses Association and
at least 2 of
5whom are not attorneys or physicians and are not professionally affiliated with any
6hospital or insurance company, appointed by the governor for staggered 3-year
7terms. The commissioner or the commissioner's representative shall be the
8chairperson of the board of governors. Board members shall be compensated at the
9rate of $50 per diem plus actual and necessary travel expenses.
AB754,49 10Section 49. 655.001 (7t) of the statutes is renumbered 655.001 (7t) (a) and
11amended to read:
AB754,30,1712 655.001 (7t) (a) "Health Except as provided in par. (b), "health care
13practitioner" means a health care professional, as defined in s. 180.1901 (1m), who
14is an employee of a health care provider described in s. 655.002 (1) (d), (e), (em), or
15(f) and who has the authority to provide health care services that are not in
16collaboration with a physician under s. 441.15 (2) (b) or
under the direction and
17supervision of a physician or nurse anesthetist.
AB754,50 18Section 50. 655.001 (7t) (a) of the statutes, as affected by 2013 Wisconsin Act
19.... (this act), is renumbered 655.001 (7t) and amended to read:
AB754,30,2420 655.001 (7t) Except as provided in par. (b), "health "Health care practitioner"
21means a health care professional, as defined in s. 180.1901 (1m), who is an employee
22of a health care provider described in s. 655.002 (1) (d), (e), (em), or (f) and who has
23the authority to provide health care services that are not under the direction and
24supervision of a physician or, nurse anesthetist, or nurse-midwife.
AB754,51 25Section 51. 655.001 (7t) (b) of the statutes is created to read:
AB754,31,2
1655.001 (7t) (b) "Health care practitioner" does not include a person licensed
2to practice nurse-midwifery under s. 441.15.
AB754,52 3Section 52. 655.001 (7t) (b) of the statutes, as created by 2013 Wisconsin Act
4.... (this act), is repealed.
AB754,53 5Section 53. 655.001 (9c) of the statutes is created to read:
AB754,31,76 655.001 (9c) "Nurse-midwife" means a person who is licensed to practice
7nurse-midwifery under s. 441.15.
AB754,54 8Section 54. 655.002 (1) (a) of the statutes is amended to read:
AB754,31,119 655.002 (1) (a) A physician or, a nurse anesthetist, or a nurse-midwife for
10whom this state is a principal place of practice and who practices his or her profession
11in this state more than 240 hours in a fiscal year.
AB754,55 12Section 55. 655.002 (1) (b) (intro.) of the statutes is amended to read:
AB754,31,1413 655.002 (1) (b) (intro.) A physician or , a nurse anesthetist, or a nurse-midwife
14for whom Michigan is a principal place of practice, if all of the following apply:
AB754,56 15Section 56. 655.002 (1) (b) 1. of the statutes is amended to read:
AB754,31,1716 655.002 (1) (b) 1. The physician or, nurse anesthetist, or nurse-midwife is a
17resident of this state.
AB754,57 18Section 57. 655.002 (1) (b) 2. of the statutes is amended to read:
AB754,31,2119 655.002 (1) (b) 2. The physician or, nurse anesthetist, or nurse-midwife
20practices his or her profession in this state or in Michigan or a combination of both
21more than 240 hours in a fiscal year.
AB754,58 22Section 58. 655.002 (1) (b) 3. of the statutes is amended to read:
AB754,32,223 655.002 (1) (b) 3. The physician or, nurse anesthetist, or nurse-midwife
24performs more procedures in a Michigan hospital than in any other hospital. In this
25subdivision, "Michigan hospital" means a hospital located in Michigan that is an

1affiliate of a corporation organized under the laws of this state that maintains its
2principal office and a hospital in this state.
AB754,59 3Section 59. 655.002 (1) (c) of the statutes is amended to read:
AB754,32,114 655.002 (1) (c) A physician or, nurse anesthetist, or nurse-midwife who is
5exempt under s. 655.003 (1) or (3), or a nurse-midwife who is exempt under s.
6655.003 (4),
but who practices his or her profession outside the scope of the exemption
7and who fulfills the requirements under par. (a) in relation to that practice outside
8the scope of the exemption. For a physician or a, nurse anesthetist, or nurse-midwife
9who is subject to this chapter under this paragraph, this chapter applies only to
10claims arising out of practice that is outside the scope of the exemption under s.
11655.003 (1) or, (3), or (4).
AB754,60 12Section 60. 655.002 (1) (d) of the statutes is amended to read:
AB754,32,1613 655.002 (1) (d) A partnership comprised of physicians or, nurse anesthetists,
14or nurse-midwives
and organized and operated in this state for the primary purpose
15of providing the medical services of physicians or, nurse anesthetists, or
16nurse-midwives
.
AB754,61 17Section 61. 655.002 (1) (e) of the statutes is amended to read:
AB754,32,2018 655.002 (1) (e) A corporation organized and operated in this state for the
19primary purpose of providing the medical services of physicians or, nurse
20anesthetists, or nurse-midwives.
AB754,62 21Section 62. 655.002 (1) (em) of the statutes is amended to read:
AB754,32,2422 655.002 (1) (em) Any organization or enterprise not specified under par. (d) or
23(e) that is organized and operated in this state for the primary purpose of providing
24the medical services of physicians or, nurse anesthetists, or nurse-midwives.
AB754,63 25Section 63. 655.002 (2) (a) of the statutes is amended to read:
AB754,33,4
1655.002 (2) (a) A physician or , nurse anesthetist, or nurse-midwife for whom
2this state is a principal place of practice but who practices his or her profession fewer
3than 241 hours in a fiscal year, for a fiscal year, or a portion of a fiscal year, during
4which he or she practices his or her profession.
AB754,64 5Section 64. 655.002 (2) (b) of the statutes is amended to read:
AB754,33,126 655.002 (2) (b) Except as provided in sub. (1) (b), a physician or, nurse
7anesthetist, or nurse-midwife for whom this state is not a principal place of practice,
8for a fiscal year, or a portion of a fiscal year, during which he or she practices his or
9her profession in this state. For a health care provider who elects to be subject to this
10chapter under this paragraph, this chapter applies only to claims arising out of
11practice that is in this state and that is outside the scope of an exemption under s.
12655.003 (1) or (3) or (4).
AB754,65 13Section 65. 655.003 (1) of the statutes is amended to read:
AB754,33,1714 655.003 (1) A physician or, a nurse anesthetist, or a nurse-midwife who is a
15state, county, or municipal employee, or federal employee or contractor covered
16under the federal tort claims act, as amended, and who is acting within the scope of
17his or her employment or contractual duties.
AB754,66 18Section 66. 655.003 (3) of the statutes is amended to read:
AB754,33,2319 655.003 (3) A physician or, a nurse anesthetist, or a nurse-midwife who
20provides professional services under the conditions described in s. 146.89 or 257.03
21(1)
, with respect to those professional services provided by the physician or, nurse
22anesthetist, or nurse-midwife for which he or she is covered by s. 165.25 and
23considered an agent of the department, as provided in s. 165.25 (6) (b).
AB754,67 24Section 67. 655.003 (4) of the statutes is created to read:
AB754,34,2
1655.003 (4) A nurse-midwife who is considered to be an employee of the federal
2public health service under 42 USC 233 (g).
AB754,68 3Section 68. 655.005 (2) (a) of the statutes is amended to read:
AB754,34,74 655.005 (2) (a) An employee of a health care provider if the employee is a
5physician or a nurse anesthetist or is a health care practitioner who is providing
6health care services that are not in collaboration with a physician under s. 441.15 (2)
7(b) or
under the direction and supervision of a physician or nurse anesthetist.
AB754,69 8Section 69 . 655.005 (2) (a) of the statutes, as affected by 2013 Wisconsin Act
9.... (this act), is amended to read:
AB754,34,1310 655.005 (2) (a) An employee of a health care provider if the employee is a
11physician or a, nurse anesthetist, or nurse-midwife or is a health care practitioner
12who is providing health care services that are not under the direction and
13supervision of a physician or, nurse anesthetist, or nurse-midwife.
AB754,70 14Section 70. 655.005 (2) (b) of the statutes is amended to read:
AB754,34,2315 655.005 (2) (b) A service corporation organized under s. 180.1903 by health care
16professionals, as defined under s. 180.1901 (1m), if the board of governors determines
17that it is not the primary purpose of the service corporation to provide the medical
18services of physicians or, nurse anesthetists, or nurse-midwives. The board of
19governors may not determine under this paragraph that it is not the primary purpose
20of a service corporation to provide the medical services of physicians or, nurse
21anesthetists, or nurse-midwives unless more than 50% of the shareholders of the
22service corporation are neither not physicians nor, nurse anesthetists, or
23nurse-midwives
.
AB754,71 24Section 71. 655.23 (5m) of the statutes is amended to read:
AB754,35,3
1655.23 (5m) The limits set forth in sub. (4) shall apply to any joint liability of
2a physician or, nurse anesthetist, or nurse-midwife and his or her corporation,
3partnership, or other organization or enterprise under s. 655.002 (1) (d), (e), or (em).
AB754,72 4Section 72. 655.27 (3) (a) 4. of the statutes is amended to read:
AB754,35,85 655.27 (3) (a) 4. For a health care provider described in s. 655.002 (1) (d), (e),
6(em), or (f), risk factors and past and prospective loss and expense experience
7attributable to employees of that health care provider other than employees licensed
8as a physician or, nurse anesthetist , or nurse-midwife.
AB754,73 9Section 73. 655.27 (3) (b) 2f. of the statutes is created to read:
AB754,35,1410 655.27 (3) (b) 2f. With respect to fees paid by nurse-midwives, the rule may
11provide for a separate payment classification or for a payment classification that is
12combined with one or more other categories of health care providers, as the
13commissioner, after approval by the board of governors, determines is appropriate
14for pooling risks under the fund.
AB754,74 15Section 74. 655.27 (3) (b) 2m. of the statutes is amended to read:
AB754,35,2216 655.27 (3) (b) 2m. In addition to the fees and payment classifications described
17under subds. 1. and 2. to 2f., the commissioner, after approval by the board of
18governors, may by rule establish a separate payment classification for physicians
19satisfying s. 655.002 (1) (b) and, a separate fee for nurse anesthetists satisfying s.
20655.002 (1) (b), and a separate fee for nurse-midwives satisfying s. 655.002 (1) (b)
21which take into account the loss experience of health care providers for whom
22Michigan is a principal place of practice.
AB754,75 23Section 75. 655.275 (5) (b) 3. of the statutes is created to read:
AB754,35,2524 655.275 (5) (b) 3. If a claim was paid for damages arising out of the rendering
25of care by a nurse-midwife, with at least one nurse-midwife.
AB754,76
1Section 76 . Nonstatutory provisions.
AB754,36,6 2(1) Expiration of term of member on board of governors. Notwithstanding
3the length of terms specified for the members of the board of governors under section
4619.04 (3) of the statutes, as affected by this act, the initial public member named
5by the Wisconsin Nurses Association shall be appointed for a term expiring on May
61, 2015.
AB754,36,12 7(2 ) Notice of effective date of rule for fees. The commissioner of insurance
8shall promulgate a rule under section 655.27 (3) (b) of the statutes, as affected by this
9act, that takes into account participation in the injured patients and families
10compensation fund by nurse-midwives. When the rule has been promulgated and
11is in effect, the commissioner of insurance shall publish a notice in the Wisconsin
12Administrative Register that specifies the effective date of the rule.
AB754,77 13Section 77. Initial applicability.
AB754,36,1814 (1) The treatment of section 71.07 (9e) (h) of the statutes first applies to taxable
15years beginning on January 1 of the year in which this subsection takes effect, except
16that if this subsection takes effect on or after August 1 the treatment of section 71.07
17(9e) (h) of the statutes first applies to taxable years beginning on January 1 of the
18year following the year in which this subsection takes effect.
AB754,78 19Section 78. Effective dates. This act takes effect on the day after publication,
20except as follows:
AB754,37,3 21(1) Injured patients and families compensation fund. The treatment of
22sections 655.002 (1) (a), (b) (intro.) 1., 2., and 3., (c), (d), (e), and (em) and (2) (a) and
23(b), 655.003 (1), (3), and (4), 655.005 (2) (a) (by Section 69) and (b), 655.23 (5m), and
24655.275 (5) (b) 3. of the statutes, the repeal of section 655.001 (7t) (b) of the statutes,
25and the renumbering and amendment of section 655.001 (7t) (a) of the statutes take

1effect on the first day of the 3rd month beginning after the date published by the
2commissioner of insurance in the Wisconsin Administrative Register under Section
376 (2 ) of this act.
AB754,37,44 (End)
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