SB762: Bill Text

SB762,41 Section 41. 102.42 (1) of the statutes is amended to read:

SB762,19,19 102.42 (1) Treatment of employee. The employer shall supply such medical, surgical, chiropractic, psychological, podiatric, spinal medicine, as defined in s. 448.971 (5), dental, and hospital treatment, medicines, medical and surgical supplies, crutches, artificial members, appliances, and training in the use of artificial members and appliances, or, at the option of the employee, Christian Science treatment in lieu of medical treatment, medicines, and medical supplies, as may be reasonably required to cure and relieve from the effects of the injury, and to attain efficient use of artificial members and appliances, and in case of the employer's neglect or refusal seasonably to do so, or in emergency until it is practicable for the employee to give notice of injury, the employer shall be liable for the reasonable expense incurred by or on behalf of the employee in providing such treatment, medicines, supplies, and training. When the employer has knowledge of the injury and the necessity for treatment, the employer's failure to tender the necessary treatment, medicines, supplies, and training constitutes such neglect or refusal. The employer shall also be liable for reasonable expense incurred by the employee for necessary treatment to cure and relieve the employee from the effects of occupational disease prior to the time that the employee knew or should have known the nature of his or her disability and its relation to employment, and as to such treatment subs. (2) and (3) shall not apply. The obligation to furnish such treatment and appliances shall continue as required to prevent further deterioration in the condition of the employee or to maintain the existing status of such condition whether or not healing is completed.

SB762,42 Section 42. 102.42 (2) (a) of the statutes is amended to read:

SB762,20,9 102.42 (2) (a) When the employer has notice of an injury and its relationship to the employment, the employer shall offer to the injured employee his or her choice of any physician, chiropractor, psychologist, dentist, physician assistant, advanced practice nurse prescriber, or podiatrist, or primary spinal care practitioner licensed to practice and practicing in this state for treatment of the injury. By mutual agreement, the employee may have the choice of any qualified practitioner not licensed in this state. In case of emergency, the employer may arrange for treatment without tendering a choice. After the emergency has passed the employee shall be given his or her choice of attending practitioner at the earliest opportunity. The employee has the right to a 2nd choice of attending practitioner on notice to the employer or its insurance carrier. Any further choice shall be by mutual agreement. Partners and clinics are considered to be one practitioner. Treatment by a practitioner on referral from another practitioner is considered to be treatment by one practitioner.

SB762,43 Section 43. 102.61 (1g) (c) of the statutes, as affected by 2015 Wisconsin Act 55, is amended to read:

SB762,21,5 102.61 (1g) (c) On receiving notice that he or she is eligible to receive vocational rehabilitation services under 29 USC 701 to 797a, an employee shall provide the employer with a written report from a physician, chiropractor, psychologist, or podiatrist, or primary spinal care practitioner stating the employee's permanent work restrictions. Within 60 days after receiving that report, the employer shall provide to the employee in writing an offer of suitable employment, a statement that the employer has no suitable employment for the employee, or a report from a physician, chiropractor, psychologist, or podiatrist , or primary spinal care practitioner showing that the permanent work restrictions provided by the employee's practitioner are in dispute and documentation showing that the difference in work restrictions would materially affect either the employer's ability to provide suitable employment or a vocational rehabilitation counselor's ability to recommend a rehabilitative training program. If the employer and employee cannot resolve the dispute within 30 days after the employee receives the employer's report and documentation, the employer or employee may request a hearing before the division to determine the employee's work restrictions. Within 30 days after the division determines the employee's work restrictions, the employer shall provide to the employee in writing an offer of suitable employment or a statement that the employer has no suitable employment for the employee.

SB762,44 Section 44. 118.15 (3) (a) of the statutes is amended to read:

SB762,21,18 118.15 (3) (a) Any child who is excused by the school board because the child is temporarily not in proper physical or mental condition to attend a school program but who can be expected to return to a school program upon termination or abatement of the illness or condition. The school attendance officer may request the parent or guardian of the child to obtain a written statement from a licensed physician, primary spinal care practitioner, dentist, chiropractor, optometrist, psychologist, physician assistant, or nurse practitioner, as defined in s. 255.06 (1) (d), or certified advanced practice nurse prescriber or Christian Science practitioner living and residing in this state, who is listed in the Christian Science Journal, as sufficient proof of the physical or mental condition of the child. An excuse under this paragraph shall be in writing and shall state the time period for which it is valid, not to exceed 30 days.

SB762,45 Section 45. 118.29 (1) (e) of the statutes is amended to read:

SB762,21,22 118.29 (1) (e) "Practitioner" means any physician, dentist, optometrist, physician assistant, advanced practice nurse prescriber, or podiatrist, or primary spinal care practitioner licensed in any state.

SB762,46 Section 46. 146.37 (1g) of the statutes is amended to read:

SB762,22,14 146.37 (1g) Except as provided in s. 153.76, no person acting in good faith who participates in the review or evaluation of the services of health care providers or facilities or the charges for such services conducted in connection with any program organized and operated to help improve the quality of health care, to avoid improper utilization of the services of health care providers or facilities or to determine the reasonable charges for such services, or who participates in the obtaining of health care information under subch. I of ch. 153, is liable for any civil damages as a result of any act or omission by such person in the course of such review or evaluation. Acts and omissions to which this subsection applies include, but are not limited to, acts or omissions by peer review committees or hospital governing bodies in censuring, reprimanding, limiting or revoking hospital staff privileges or notifying the medical examining board or podiatry affiliated credentialing board, or spinal medicine affiliated credentialing board under s. 50.36 or taking any other disciplinary action against a health care provider or facility and acts or omissions by a medical director in reviewing the performance of emergency medical technicians or ambulance service providers.

SB762,47 Section 47. 146.81 (1) (ev) of the statutes is created to read:

SB762,22,17 146.81 (1) (ev) A primary spinal care practitioner licensed under subch. VIII of ch. 448.

SB762,48 Section 48. 146.89 (1) (r) 1. of the statutes is amended to read:

SB762,22,24 146.89 (1) (r) 1. Licensed as a physician under ch. 448, a dentist or dental hygienist under ch. 447, a registered nurse, practical nurse, or nurse-midwife under ch. 441, an optometrist under ch. 449, a physician assistant under ch. 448, a pharmacist under ch. 450, a chiropractor under ch. 446, a podiatrist under subch. IV of ch. 448, a primary spinal care practitioner licensed under subch. VIII of ch. 448, or a physical therapist under subch. III of ch. 448.

SB762,49 Section 49. 146.903 (1) (b) of the statutes is amended to read:

SB762,23,3 146.903 (1) (b) "Clinic" means a place, other than a residence or a hospital, that is used primarily for the provision of nursing, medical, podiatric, spinal medicine, as defined in s. 448.971 (5), dental, chiropractic, or optometric care and treatment.

SB762,50 Section 50. 146.997 (1) (d) 4. of the statutes is amended to read:

SB762,23,7 146.997 (1) (d) 4. A physician, podiatrist, primary spinal care practitioner, perfusionist, physical therapist, or physical therapist assistant licensed under ch. 448.

SB762,51 Section 51. 155.01 (7) of the statutes is amended to read:

SB762,23,19 155.01 (7) "Health care provider" means a nurse licensed or permitted under ch. 441, a chiropractor licensed under ch. 446, a dentist licensed under ch. 447, a physician, physician assistant, perfusionist, podiatrist, primary spinal care practitioner, physical therapist, physical therapist assistant, occupational therapist, or occupational therapy assistant licensed under ch. 448, a person practicing Christian Science treatment, an optometrist licensed under ch. 449, a psychologist licensed under ch. 455, a partnership thereof, a corporation or limited liability company thereof that provides health care services, a cooperative health care association organized under s. 185.981 that directly provides services through salaried employees in its own facility, or a home health agency, as defined in s. 50.49 (1) (a).

SB762,52 Section 52. 180.1901 (1m) (bw) of the statutes is created to read:

SB762,23,22 180.1901 (1m) (bw) Spinal medicine affiliated credentialing board under subch. VIII of ch. 448.

SB762,53 Section 53. 185.981 (1) of the statutes is amended to read:

SB762,24,4 185.981 (1) Cooperative associations may be organized under this chapter without capital stock, primarily to establish and operate in the state or in any county or counties in the state nonprofit plans or programs for health care, including hospital care, for their members and their members' dependents through contracts with physicians, medical societies, chiropractors, optometrists, dentists, dental societies, hospitals, podiatrists, primary spinal care practitioners, and others.

SB762,54 Section 54. 185.981 (2) of the statutes is amended to read:

SB762,24,22 185.981 (2) A cooperative association organized under this section shall operate only on a cooperative nonprofit basis and for the primary purpose of establishing, maintaining, and operating a voluntary nonprofit health, dental, or vision care plan or plans, or for constructing, operating, and maintaining nonprofit hospitals or other facilities whereby health care, including hospital, dental, or vision care, is provided to its members and to other persons or groups of persons who become subscribers to the plans, subject to s. 185.982 (2), under contracts that provide access to medical, surgical, chiropractic, vision, dental, or hospital care, other health care services, appliances, and supplies, by physicians and surgeons licensed and registered under ch. 448, podiatrists licensed under ch. 448, primary spinal care practitioners licensed under ch. 448, optometrists licensed under ch. 449, chiropractors licensed under ch. 446, dentists licensed under ch. 447, and other health care providers in their offices, in hospitals, in other facilities, and in the home. Nothing in this subsection precludes a cooperative association organized under this section from owning an interest in other entities for enhancing or improving member services or for investment or other purposes, as long as the association's primary purpose remains as provided in this subsection.

SB762,55 Section 55. 185.981 (3) of the statutes is amended to read:

SB762,25,7 185.981 (3) No cooperative association organized primarily for the purposes provided in ss. 185.981 to 185.983 shall be prevented from contracting with any hospital in this state for the rendition of such hospital care as is included within the cooperative association's plans because the hospital participates in a plan of any other cooperative association, or in a plan organized and operated under ss. 148.03 and 613.80. No hospital may discriminate against any physician and surgeon, chiropractor, dentist, or podiatrist, or primary spinal care practitioner with respect to the use of the hospital's facilities by reason of his or her participation in a health care plan of a cooperative.

SB762,56 Section 56. 185.981 (4) (a) of the statutes is amended to read:

SB762,25,17 185.981 (4) (a) Except as provided in par. (b), no contract by or on behalf of any such cooperative association shall provide for the payment of any cash, indemnity, or other material benefit by that association to the subscriber or the subscriber's estate on account of death, illness, or injury, but any such association may stipulate in its plans that it will pay any nonparticipating physician and surgeon, optometrist, chiropractor, dentist, podiatrist, primary spinal care practitioner, hospital, or other provider for hospital or other health care rendered to any covered person who is in need of a plan's benefits. The plans may prescribe monetary limitations with respect to the benefits.

SB762,57 Section 57. 185.982 (1) of the statutes is amended to read:

SB762,26,5 185.982 (1) No health care plan or contract issued by a cooperative association shall interfere with the manner or mode of the practice of medicine, optometry, chiropractic, dentistry, or podiatry, or spinal medicine, as defined in s. 448.971 (5), the manner or mode of providing wellness or other services, the relationship of physician, chiropractor, optometrist, dentist, podiatrist, primary spinal care practitioner, or other provider and patient, nor the responsibility of physician, chiropractor, optometrist, dentist, podiatrist, primary spinal care practitioner, or other provider to patient. Plans may require persons covered to utilize health care providers designated by the cooperative association. The cooperative association may provide health care services directly through providers who are employees of the cooperative association or through agreements with individual providers or groups of providers organized on a group practice or individual practice basis.

SB762,58 Section 58. 185.982 (2) of the statutes is amended to read:

SB762,26,14 185.982 (2) Any cooperative association operating voluntary health care plans under the provisions of this chapter may pay physicians and surgeons, optometrists, chiropractors, dentists, primary spinal care practitioners, or other providers on a salary, per person, or fee-for-service basis to provide health care to members of the association. Every cooperative association may offer its health care services to nonmembers. Any cooperative association that operates a hospital may make the hospital's facilities available to nonmembers and to nonparticipating physicians, optometrists, dentists, or other providers.

SB762,59 Section 59. 252.14 (1) (ar) 4r. of the statutes is created to read:

SB762,26,17 252.14 (1) (ar) 4r. A primary spinal care practitioner licensed under subch. VIII of ch. 448.

SB762,60 Section 60. 254.35 (3) (c) of the statutes is amended to read:

SB762,26,21 254.35 (3) (c) For a podiatric, spinal medicine, as defined in 448.971 (5), or veterinary site having an ionizing radiation installation, the fee shall be at least $36 for each site and at least $44 for each X-ray tube.

SB762,61 Section 61. 254.39 (1) of the statutes is amended to read:

SB762,27,2 254.39 (1) Nothing in this subchapter may be interpreted as limiting intentional exposure of persons to radiation for the purpose of analysis, diagnosis, therapy, and medical, spinal medicine, as defined in s. 448.971 (5), chiropractic, or dental research as authorized by law.

SB762,62 Section 62. 255.06 (1) (d) of the statutes is amended to read:

SB762,27,8 255.06 (1) (d) "Nurse practitioner" means a registered nurse licensed under ch. 441 or in a party state, as defined in s. 441.50 (2) (j), whose practice of professional nursing under s. 441.001 (4) includes performance of delegated medical services under the supervision of a physician, dentist, or podiatrist, or primary spinal care practitioner.

SB762,63 Section 63. 257.01 (5) (a) of the statutes, as affected by 2015 Wisconsin Act 55, is amended to read:

SB762,27,16 257.01 (5) (a) An individual who is licensed as a physician, a physician assistant, or a podiatrist, or a primary spinal care practitioner under ch. 448, licensed as a registered nurse, licensed practical nurse, or nurse-midwife under ch. 441, licensed as a dentist under ch. 447, licensed as a pharmacist under ch. 450, licensed as a veterinarian or certified as a veterinary technician under ch. 89, or certified as a respiratory care practitioner under ch. 448.

SB762,64 Section 64. 257.01 (5) (b) of the statutes, as affected by 2015 Wisconsin Act 55, is amended to read:

SB762,28,2 257.01 (5) (b) An individual who was at any time within the previous 10 years, but is not currently, licensed as a physician, a physician assistant, or a podiatrist, or a primary spinal care practitioner under ch. 448, licensed as a registered nurse, licensed practical nurse or nurse-midwife, under ch. 441, licensed as a dentist under ch. 447, licensed as a pharmacist under ch. 450, licensed as a veterinarian or certified as a veterinary technician under ch. 89, or certified as a respiratory care practitioner under ch. 448, if the individual's license or certification was never revoked, limited, suspended, or denied renewal.

SB762,65 Section 65. 287.07 (7) (c) 1. a. of the statutes is amended to read:

SB762,28,6 287.07 (7) (c) 1. a. "Clinic" means a place, other than a residence, that is used primarily for the provision of nursing, medical, podiatric, spinal medicine, as defined in s. 448.971 (5), dental, chiropractic, optometric or veterinary care and treatment.

SB762,66 Section 66. 341.14 (1a) of the statutes is amended to read:

SB762,29,2 341.14 (1a) If any resident of this state, who is registering or has registered an automobile, or a motor truck, dual purpose motor home or dual purpose farm truck which has a gross weight of not more than 8,000 pounds, a farm truck which has a gross weight of not more than 12,000 pounds or a motor home, submits a statement once every 4 years, as determined by the department, from a physician licensed to practice medicine in any state, from an advanced practice nurse licensed to practice nursing in any state, from a public health nurse certified or licensed to practice in any state, from a physician assistant licensed or certified to practice in any state, from a podiatrist licensed to practice in any state, from a primary spinal care practitioner licensed to practice spinal medicine in any state, from a chiropractor licensed to practice chiropractic in any state, or from a Christian Science practitioner residing in this state and listed in the Christian Science journal certifying to the department that the resident is a person with a disability that limits or impairs the ability to walk, the department shall procure, issue and deliver to the disabled person plates of a special design in lieu of plates which ordinarily would be issued for the vehicle, and shall renew the plates. The plates shall be so designed as to readily apprise law enforcement officers of the fact that the vehicle is owned by a nonveteran disabled person and is entitled to the parking privileges specified in s. 346.50 (2a). No charge in addition to the registration fee shall be made for the issuance or renewal of such plates.

SB762,67 Section 67. 341.14 (1e) (a) of the statutes is amended to read:

SB762,29,25 341.14 (1e) (a) If any resident of this state, who is registering or has registered a motorcycle, submits a statement once every 4 years, as determined by the department, from a physician licensed to practice medicine in any state, from an advanced practice nurse licensed to practice nursing in any state, from a public health nurse certified or licensed to practice in any state, from a physician assistant licensed or certified to practice in any state, from a podiatrist licensed to practice in any state, from a primary spinal care practitioner licensed to practice spinal medicine in any state, from a chiropractor licensed to practice chiropractic in any state, from a Christian Science practitioner residing in this state and listed in the Christian Science journal, or from the U.S. department of veterans affairs certifying to the department that the resident is a person with a disability that limits or impairs the ability to walk, the department shall procure, issue and deliver to the disabled person a plate of a special design in lieu of the plate which ordinarily would be issued for the motorcycle, and shall renew the plate. The statement shall state whether the disability is permanent or temporary and, if temporary, the opinion of the physician, advanced practice nurse, public health nurse, physician assistant, podiatrist, primary spinal care practitioner, chiropractor, practitioner, or U.S. department of veterans affairs as to the duration of the disability. The plate shall be so designed as to readily apprise law enforcement officers of the fact that the motorcycle is owned by a disabled person and is entitled to the parking privileges specified in s. 346.50 (2a). No charge in addition to the registration fee may be made for the issuance or renewal of the plate.

SB762,68 Section 68. 341.14 (1m) of the statutes is amended to read:

SB762,30,22 341.14 (1m) If any licensed driver submits to the department a statement once every 4 years, as determined by the department, from a physician licensed to practice medicine in any state, from a public health nurse certified or licensed to practice in any state, from an advanced practice nurse licensed to practice nursing in any state, from a physician assistant licensed or certified to practice in any state, from a podiatrist licensed to practice in any state, from a primary spinal care practitioner licensed to practice spinal medicine in any state, from a chiropractor licensed to practice chiropractic in any state, or from a Christian Science practitioner residing in this state and listed in the Christian Science journal certifying that another person who is regularly dependent on the licensed driver for transportation is a person with a disability that limits or impairs the ability to walk, the department shall issue and deliver to the licensed driver plates of a special design in lieu of the plates which ordinarily would be issued for the automobile or motor truck, dual purpose motor home or dual purpose farm truck having a gross weight of not more than 8,000 pounds, farm truck having a gross weight of not more than 12,000 pounds or motor home, and shall renew the plates. The plates shall be so designed as to readily apprise law enforcement officers of the fact that the vehicle is operated by a licensed driver on whom a disabled person is regularly dependent and is entitled to the parking privileges specified in s. 346.50 (2a). No charge in addition to the registration fee may be made for the issuance or renewal of the plates. The plates shall conform to the plates required in sub. (1a).

SB762,69 Section 69. 341.14 (1q) of the statutes is amended to read:

SB762,31,18 341.14 (1q) If any employer who provides an automobile, or a motor truck, dual purpose motor home or dual purpose farm truck which has a gross weight of not more than 8,000 pounds, a farm truck which has a gross weight of not more than 12,000 pounds or a motor home, for an employee's use submits to the department a statement once every 4 years, as determined by the department, from a physician licensed to practice medicine in any state, from an advanced practice nurse licensed to practice nursing in any state, from a public health nurse certified or licensed to practice in any state, from a physician assistant licensed or certified to practice in any state, from a podiatrist licensed to practice in any state, from a primary spinal care practitioner licensed to practice spinal medicine in any state, from a chiropractor licensed to practice chiropractic in any state, or from a Christian Science practitioner residing in this state and listed in the Christian Science journal certifying that the employee is a person with a disability that limits or impairs the ability to walk, the department shall issue and deliver to such employer plates of a special design in lieu of the plates which ordinarily would be issued for the vehicle, and shall renew the plates. The plates shall be so designed as to readily apprise law enforcement officers of the fact that the vehicle is operated by a disabled person and is entitled to the parking privileges specified in s. 346.50 (2a). No charge in addition to the registration fee may be made for the issuance or renewal of the plates. The plates shall conform to the plates required in sub. (1a).

SB762,70 Section 70. 343.51 (1) of the statutes is amended to read:

SB762,32,18 343.51 (1) Any person who qualifies for registration plates of a special design under s. 341.14 (1), (1a), (1m), or (1q) or any other person with a disability that limits or impairs the ability to walk may request from the department a special identification card that will entitle any motor vehicle parked by, or under the direction of, the person, or a motor vehicle operated by or on behalf of the organization when used to transport such a person, to parking privileges under s. 346.50 (2), (2a), and (3). The department shall issue the card at a fee to be determined by the department, upon submission by the applicant, if the applicant is an individual rather than an organization, of a statement from a physician licensed to practice medicine in any state, from an advanced practice nurse licensed to practice nursing in any state, from a public health nurse certified or licensed to practice in any state, from a physician assistant licensed or certified to practice in any state, from a podiatrist licensed to practice in any state, from a primary spinal care practitioner licensed to practice spinal medicine in any state, from a chiropractor licensed to practice chiropractic in any state, or from a Christian Science practitioner residing in this state and listed in the Christian Science journal that the person is a person with a disability that limits or impairs the ability to walk. The statement shall state whether the disability is permanent or temporary and, if temporary, the opinion of the physician, advanced practice nurse, public health nurse, physician assistant, podiatrist, primary spinal care practitioner, chiropractor, or practitioner as to the duration of the disability. The department shall issue the card upon application by an organization on a form prescribed by the department if the department believes that the organization meets the requirements under this subsection.

SB762,71 Section 71. 343.62 (4) (a) 4. of the statutes is amended to read:

SB762,33,4 343.62 (4) (a) 4. The applicant submits with the application a statement completed within the immediately preceding 24 months, except as provided by rule, by a physician licensed to practice medicine in any state, from an advanced practice nurse licensed to practice nursing in any state, from a physician assistant licensed or certified to practice in any state, from a podiatrist licensed to practice in any state, from a primary spinal care practitioner licensed to practice spinal medicine in any state, from a chiropractor licensed to practice chiropractic in any state, or from a Christian Science practitioner residing in this state, and listed in the Christian Science journal certifying that, in the medical care provider's judgment, the applicant is physically fit to teach driving.

SB762,72 Section 72. 440.03 (13) (b) 53s. of the statutes is created to read:

SB762,33,6 440.03 (13) (b) 53s. Primary spinal care practitioner.

SB762,73 Section 73. 440.08 (2) (a) 60s. of the statutes is created to read:

SB762,33,9 440.08 (2) (a) 60s. Primary spinal care practitioner: December 15 of each even-numbered year.

SB762,74 Section 74. 441.001 (3) (a) of the statutes is amended to read:

SB762,33,19 441.001 (3) (a) "Practical nursing" means the performance for compensation of any simple acts in the care of convalescent, subacutely or chronically ill, injured or infirm persons, or of any act or procedure in the care of the more acutely ill, injured or infirm under the specific direction of a nurse, physician, podiatrist or primary spinal care practitioner licensed under ch. 448, dentist licensed under ch. 447 or optometrist licensed under ch. 449, or under an order of a person who is licensed to practice medicine, podiatry, spinal medicine, as defined in s. 448.971 (5), dentistry or optometry in another state if that person prepared the order after examining the patient in that other state and directs that the order be carried out in this state.

SB762,75 Section 75. 441.001 (4) (b) of the statutes is amended to read:

SB762,34,3 441.001 (4) (b) The execution of procedures and techniques in the treatment of the sick under the general or special supervision or direction of a physician, podiatrist, or primary spinal care practitioner licensed under ch. 448, dentist licensed under ch. 447, or optometrist licensed under ch. 449, or under an order of a person who is licensed to practice medicine, podiatry, spinal medicine, as defined in s. 448.971 (5), dentistry, or optometry in another state if the person making the order prepared the order after examining the patient in that other state and directs that the order be carried out in this state.

SB762,76 Section 76. 446.02 (6m) of the statutes is amended to read:

SB762,34,10 446.02 (6m) No chiropractor may provide counsel, direction, guidance, advice, or a recommendation to a patient regarding the health effects of vitamins, herbs, or nutritional supplements unless the chiropractor has been issued a certificate under sub. (2) (c). This subsection does not apply to a chiropractor licensed under this chapter who is certified as a dietician under subch. V of ch. 448 or who is a primary spinal care practitioner licensed under s. 448.9725.

SB762,77 Section 77. 446.02 (7d) (d) of the statutes is created to read:

SB762,34,14 446.02 (7d) (d) This subsection does not apply to a primary spinal care practitioner licensed under subch. VIII of ch. 448 with respect to treatment of a condition within the scope of that license.

SB762,78 Section 78. 446.026 (1) (a) of the statutes is amended to read:

SB762,34,19 446.026 (1) (a) No person may provide adjunctive services unless the person is a chiropractic technician and is under the direct, on-premises supervision of a chiropractor licensed under this chapter or a primary spinal care practitioner licensed under subch. VIII of ch. 448.

SB762,79 Section 79. 446.05 (1) of the statutes is renumbered 446.05 (1) (a).

SB762,80 Section 80. 446.05 (1) (b) of the statutes is created to read:

SB762,35,2 446.05 (1) (b) The examining board shall refer an allegation of a violation of subch. VIII of ch. 448 to the spinal medicine affiliated credentialing board for investigation, unless the alleged conduct also involves a violation of this chapter, in which case the examining board and the spinal medicine affiliated credentialing board shall consult concerning the investigation.

SB762,81 Section 81. 448.03 (2) (a) of the statutes is amended to read:

SB762,35,10 448.03 (2) (a) Any person lawfully practicing within the scope of a license, permit, registration, certificate or certification granted to practice midwifery under subch. XIII of ch. 440, to practice professional or practical nursing or nurse-midwifery under ch. 441, to practice chiropractic under ch. 446, to practice dentistry or dental hygiene under ch. 447, to practice spinal medicine under subch. VIII, to practice optometry under ch. 449, to practice acupuncture under ch. 451 or under any other statutory provision, or as otherwise provided by statute.

SB762,82 Section 82. 448.21 (1) (f) of the statutes is created to read:

SB762,35,13 448.21 (1) (f) The practice of spinal medicine within the meaning of s. 448.971 (5).

SB762,83 Section 83. 448.52 (2m) (a) of the statutes is amended to read:

SB762,35,18 448.52 (2m) (a) Except as provided in par. (b), a chiropractor licensed under ch. 446 or a primary spinal care practitioner under subch. VIII claiming to render physical therapy, if the physical therapy is provided by a physical therapist employed by the chiropractor or primary spinal care practitioner.

SB762,84 Section 84. 448.52 (2m) (b) of the statutes is amended to read:

SB762,35,21 448.52 (2m) (b) A chiropractor licensed under ch. 446 or a doctor of chiropractic licensed under subch. VIII claiming to render physical therapy modality services.

SB762,85 Section 85. 448.56 (1) of the statutes is amended to read:

SB762,36,12 448.56 (1) Written referral. Except as provided in this subsection and s. 448.52, a person may practice physical therapy only upon the written referral of a physician, physician assistant, chiropractor, dentist, podiatrist, primary spinal care practitioner, or advanced practice nurse prescriber certified under s. 441.16 (2). Written referral is not required if a physical therapist provides services in schools to children with disabilities, as defined in s. 115.76 (5), pursuant to rules promulgated by the department of public instruction; provides services as part of a home health care agency; provides services to a patient in a nursing home pursuant to the patient's plan of care; provides services related to athletic activities, conditioning, or injury prevention; or provides services to an individual for a previously diagnosed medical condition after informing the individual's physician, physician assistant, chiropractor, dentist, podiatrist, primary spinal care practitioner, or advanced practice nurse prescriber certified under s. 441.16 (2) who made the diagnosis. The examining board may promulgate rules establishing additional services that are excepted from the written referral requirements of this subsection.