SB692,41,1917 2. The commission shall provide an explanation of the reasons for substantive
18changes made to the proposed rule as well as reasons for substantive changes not
19made that were recommended by commenters.
SB692,41,2320 3. The commission shall determine a reasonable effective date for the rule.
21Except for an emergency as provided in par. (L), the effective date of the rule shall
22be no sooner than thirty (30) days after the commission issuing the notice that it
23adopted or amended the rule.
SB692,42,524 (L) Upon determination that an emergency exists, the commission may
25consider and adopt an emergency rule with 24 hours' notice, with opportunity to

1comment, provided that the usual rule-making procedures provided in the compact
2and in this subsection shall be retroactively applied to the rule as soon as reasonably
3possible, in no event later than ninety (90) days after the effective date of the rule.
4For the purposes of this provision, an emergency rule is one that must be adopted
5immediately in order to:
SB692,42,66 1. Meet an imminent threat to public health, safety, or welfare;
SB692,42,77 2. Prevent a loss of commission or participating state funds;
SB692,42,98 3. Meet a deadline for the promulgation of a rule that is established by federal
9law or rule; or
SB692,42,1010 4. Protect public health and safety.
SB692,42,2011 (m) The commission or an authorized committee of the commission may direct
12revisions to a previously adopted rule for purposes of correcting typographical errors,
13errors in format, errors in consistency, or grammatical errors. Public notice of any
14revisions shall be posted on the website of the commission. The revision shall be
15subject to challenge by any person for a period of thirty (30) days after posting. The
16revision may be challenged only on grounds that the revision results in a material
17change to a rule. A challenge shall be made in writing and delivered to the
18commission prior to the end of the notice period. If no challenge is made, the revision
19will take effect without further action. If the revision is challenged, the revision may
20not take effect without the approval of the commission.
SB692,42,2221 (n) No participating state's rule-making requirements shall apply under this
22compact.
SB692,43,2 23(10) Oversight, dispute resolution, and enforcement. (a) Oversight. 1. The
24executive and judicial branches of state government in each participating state shall

1enforce this compact and take all actions necessary and appropriate to implement
2the compact.
SB692,43,93 2. Venue is proper and judicial proceedings by or against the commission shall
4be brought solely and exclusively in a court of competent jurisdiction where the
5principal office of the commission is located. The commission may waive venue and
6jurisdictional defenses to the extent it adopts or consents to participate in alternative
7dispute resolution proceedings. Nothing herein shall affect or limit the selection or
8propriety of venue in any action against a licensee for professional malpractice,
9misconduct or any such similar matter.
SB692,43,1410 3. The commission shall be entitled to receive service of process in any
11proceeding regarding the enforcement or interpretation of the compact or
12commission rule and shall have standing to intervene in such a proceeding for all
13purposes. Failure to provide the commission service of process shall render a
14judgment or order void as to the commission, this compact, or promulgated rules.
SB692,43,2115 (b) Default, technical assistance, and termination. 1. If the commission
16determines that a participating state has defaulted in the performance of its
17obligations or responsibilities under this compact or the promulgated rules, the
18commission shall provide written notice to the defaulting state. The notice of default
19shall describe the default, the proposed means of curing the default, and any other
20action that the commission may take, and shall offer training and specific technical
21assistance regarding the default.
SB692,43,2322 2. The commission shall provide a copy of the notice of default to the other
23participating states.
SB692,44,424 (c) If a state in default fails to cure the default, the defaulting state may be
25terminated from the compact upon an affirmative vote of a majority of the

1commissioners, and all rights, privileges and benefits conferred on that state by this
2compact may be terminated on the effective date of termination. A cure of the default
3does not relieve the offending state of obligations or liabilities incurred during the
4period of default.
SB692,44,105 (d) Termination of participation in the compact shall be imposed only after all
6other means of securing compliance have been exhausted. Notice of intent to
7suspend or terminate shall be given by the commission to the governor, the majority
8and minority leaders of the defaulting state's legislature, the defaulting state's state
9licensing authority or authorities, as applicable, and each of the participating states'
10state licensing authority or authorities, as applicable.
SB692,44,1311 (e) A state that has been terminated is responsible for all assessments,
12obligations, and liabilities incurred through the effective date of termination,
13including obligations that extend beyond the effective date of termination.
SB692,44,1914 (f) Upon the termination of a state's participation in this compact, that state
15shall immediately provide notice to all licensees of the state, including licensees of
16other participating states issued a compact privilege to practice within that state, of
17such termination. The terminated state shall continue to recognize all compact
18privileges then in effect in that state for a minimum of one hundred eighty (180) days
19after the date of said notice of termination.
SB692,44,2220 (g) The commission shall not bear any costs related to a state that is found to
21be in default or that has been terminated from the compact, unless agreed upon in
22writing between the commission and the defaulting state.
SB692,45,223 (h) The defaulting state may appeal the action of the commission by petitioning
24the U.S. District Court for the District of Columbia or the federal district where the

1commission has its principal offices. The prevailing party shall be awarded all costs
2of such litigation, including reasonable attorney's fees.
SB692,45,53 (i) Dispute resolution. 1. Upon request by a participating state, the commission
4shall attempt to resolve disputes related to the compact that arise among
5participating states and between participating states and non-participating states.
SB692,45,76 2. The commission shall promulgate a rule providing for both mediation and
7binding dispute resolution for disputes as appropriate.
SB692,45,98 (j) Enforcement. 1. The commission, in the reasonable exercise of its discretion,
9shall enforce the provisions of this compact and the commission's rules.
SB692,45,1810 2. By majority vote, the commission may initiate legal action against a
11participating state in default in the United States District Court for the District of
12Columbia or the federal district where the commission has its principal offices to
13enforce compliance with the provisions of the compact and its promulgated rules.
14The relief sought may include both injunctive relief and damages. In the event
15judicial enforcement is necessary, the prevailing party shall be awarded all costs of
16such litigation, including reasonable attorney's fees. The remedies herein shall not
17be the exclusive remedies of the commission. The commission may pursue any other
18remedies available under federal or the defaulting participating state's law.
SB692,45,2519 3. A participating state may initiate legal action against the commission in the
20U.S. District Court for the District of Columbia or the federal district where the
21commission has its principal offices to enforce compliance with the provisions of the
22compact and its promulgated rules. The relief sought may include both injunctive
23relief and damages. In the event judicial enforcement is necessary, the prevailing
24party shall be awarded all costs of such litigation, including reasonable attorney's
25fees.
SB692,46,2
14. No individual or entity other than a participating state may enforce this
2compact against the commission.
SB692,46,5 3(11) Effective date, withdrawal, and amendment. (a) The compact shall come
4into effect on the date on which the compact statute is enacted into law in the seventh
5participating state.
SB692,46,106 1. On or after the effective date of the compact, the commission shall convene
7and review the enactment of each of the states that enacted the compact prior to the
8commission convening (“charter participating states”) to determine if the statute
9enacted by each such charter participating state is materially different than the
10model compact.
SB692,46,1311 a. A charter participating state whose enactment is found to be materially
12different from the model compact shall be entitled to the default process set forth in
13sub. (10).
SB692,46,1714 b. If any participating state is later found to be in default, or is terminated or
15withdraws from the compact, the commission shall remain in existence and the
16compact shall remain in effect even if the number of participating states should be
17less than seven (7).
SB692,46,2118 2. Participating states enacting the compact subsequent to the charter
19participating states shall be subject to the process set forth in sub. (7) (c) 23. to
20determine if their enactments are materially different from the model compact and
21whether they qualify for participation in the compact.
SB692,46,2522 3. All actions taken for the benefit of the commission or in furtherance of the
23purposes of the administration of the compact prior to the effective date of the
24compact or the commission coming into existence shall be considered to be actions
25of the commission unless specifically repudiated by the commission.
SB692,47,5
14. Any state that joins the compact subsequent to the commission's initial
2adoption of the rules and bylaws shall be subject to the commission's rules and
3bylaws as they exist on the date on which the compact becomes law in that state. Any
4rule that has been previously adopted by the commission shall have the full force and
5effect of law on the day the compact becomes law in that state.
SB692,47,76 (b) Any participating state may withdraw from this compact by enacting a
7statute repealing that state's enactment of the compact.
SB692,47,98 1. A participating state's withdrawal shall not take effect until one hundred
9eighty (180) days after enactment of the repealing statute.
SB692,47,1310 2. Withdrawal shall not affect the continuing requirement of the withdrawing
11state's licensing authority or authorities to comply with the investigative and
12adverse action reporting requirements of this compact prior to the effective date of
13withdrawal.
SB692,47,1914 3. Upon the enactment of a statute withdrawing from this compact, the state
15shall immediately provide notice of such withdrawal to all licensees within that
16state. Notwithstanding any subsequent statutory enactment to the contrary, such
17withdrawing state shall continue to recognize all compact privileges to practice
18within that state granted pursuant to this compact for a minimum of one hundred
19eighty (180) days after the date of such notice of withdrawal.
SB692,47,2320 (c) Nothing contained in this compact shall be construed to invalidate or
21prevent any licensure agreement or other cooperative arrangement between a
22participating state and a non-participating state that does not conflict with the
23provisions of this compact.
SB692,48,3
1(d) This compact may be amended by the participating states. No amendment
2to this compact shall become effective and binding upon any participating state until
3it is enacted into the laws of all participating states.
SB692,48,8 4(12) Construction and severability. (a) This compact and the commission's
5rule-making authority shall be liberally construed so as to effectuate the purposes,
6and the implementation and administration of the compact. Provisions of the
7compact expressly authorizing or requiring the promulgation of rules shall not be
8construed to limit the commission's rule-making authority solely for those purposes.
SB692,48,169 (b) The provisions of this compact shall be severable and if any phrase, clause,
10sentence or provision of this compact is held by a court of competent jurisdiction to
11be contrary to the constitution of any participating state, a state seeking
12participation in the compact, or of the United States, or the applicability thereof to
13any government, agency, person or circumstance is held to be unconstitutional by a
14court of competent jurisdiction, the validity of the remainder of this compact and the
15applicability thereof to any other government, agency, person or circumstance shall
16not be affected thereby.
SB692,48,2417 (c) Notwithstanding par. (b), the commission may deny a state's participation
18in the compact or, in accordance with the requirements of sub. (10) (b), terminate a
19participating state's participation in the compact, if it determines that a
20constitutional requirement of a participating state is a material departure from the
21compact. Otherwise, if this compact shall be held to be contrary to the constitution
22of any participating state, the compact shall remain in full force and effect as to the
23remaining participating states and in full force and effect as to the participating state
24affected as to all severable matters.
SB692,49,3
1(13) Consistent effect and conflict with other state laws. (a) Nothing
2herein shall prevent or inhibit the enforcement of any other law of a participating
3state that is not inconsistent with the compact.
SB692,49,64 (b) Any laws, statutes, regulations, or other legal requirements in a
5participating state in conflict with the compact are superseded to the extent of the
6conflict.
SB692,49,87 (c) All permissible agreements between the commission and the participating
8states are binding in accordance with their terms.
SB692,49,10 9447.51 Implementation of the dentist and dental hygienist compact.
10(1) In this section, “compact privilege” has the meaning given in s. 447.50 (2) (g).
SB692,49,12 11(2) The department may impose a fee for an individual to receive a compact
12privilege as provided in s. 447.50 (4) (a) 4.
SB692,49,14 13(3) (a) An individual who is exercising the compact privilege in this state shall
14comply with s. 440.03 (13) (am).
SB692,49,1815 (b) Subject to s. 447.50 and any rules promulgated thereunder, ss. 440.20 to
16440.22 and the rules promulgated under s. 440.03 (1) shall apply to an individual who
17is exercising the compact privilege in this state in the same manner that they apply
18to holders of licenses issued under subch. I.
SB692,51 19Section 51. 448.956 (4) of the statutes, as affected by 2021 Wisconsin Act 251,
20is amended to read:
SB692,50,221 448.956 (4) If a licensee determines that a patient's medical condition is beyond
22the scope of practice of the licensee, the licensee shall, in accordance with the protocol
23established under sub. (1) (a), refer the patient to a health care practitioner who is
24licensed under ch. 446 or 447 or subch. II, III or IV of ch. 448; or who holds a compact

1privilege under subch. II of ch. 447 or subch. XI of ch. 448 and who can provide
2appropriate treatment to the patient.
SB692,52 3Section 52. 450.10 (3) (a) 4. of the statutes is amended to read:
SB692,50,54 450.10 (3) (a) 4. A dentist who is licensed under subch. I of ch. 447 or who holds
5a compact privilege under subch. II of ch. 447
.
SB692,53 6Section 53. 451.02 (1) of the statutes, as affected by 2021 Wisconsin Act 251,
7is amended to read:
SB692,50,118 451.02 (1) An individual holding a license, permit or certificate under ch. 441,
9446, 447, 448, or 449 or a compact privilege under subch. II of ch. 447 or subch. XI
10or XII of ch. 448 who engages in a practice of acupuncture that is also included within
11the scope of his or her license, permit, certificate, or privilege.
SB692,54 12Section 54. 462.02 (2) (d) of the statutes is amended to read:
SB692,50,1613 462.02 (2) (d) A dentist licensed under s. 447.04 (1), a dental hygienist licensed
14under s. 447.04 (2), a person certified as an expanded function dental auxiliary under
15s. 447.04 (3), a dentist or dental hygienist who holds a compact privilege under subch.
16II of ch. 447,
or a person under the direct supervision of a dentist.
SB692,55 17Section 55. 462.04 of the statutes, as affected by 2021 Wisconsin Act 251, is
18amended to read:
SB692,51,3 19462.04 Prescription or order required. A person who holds a license or
20limited X-ray machine operator permit under this chapter may not use diagnostic
21X-ray equipment on humans for diagnostic purposes unless authorized to do so by
22prescription or order of a physician licensed under s. 448.04 (1) (a), a naturopathic
23doctor licensed under s. 466.04 (1), a dentist who is licensed under s. 447.04 (1) or who
24holds a compact privilege under subch. II of ch. 447
, a podiatrist licensed under s.
25448.63, a chiropractor licensed under s. 446.02, an advanced practice nurse certified

1under s. 441.16 (2), a physician assistant licensed under s. 448.974, or, subject to s.
2448.56 (7) (a), a physical therapist who is licensed under s. 448.53 or who holds a
3compact privilege under subch. XI of ch. 448.
SB692,56 4Section 56. 463.10 (5) of the statutes is amended to read:
SB692,51,75 463.10 (5) Exception. Subsections (2) to (4m) do not apply to a dentist who is
6licensed under s. 447.03 (1)
or to a physician who tattoos or offers to tattoo a person
7in the course of the dentist's or physician's professional practice.
SB692,57 8Section 57. 463.12 (5) of the statutes is amended to read:
SB692,51,119 463.12 (5) Exception. Subsections (2) to (4m) do not apply to a dentist who is
10licensed under s. 447.03 (1)
or to a physician who pierces the body of or offers to pierce
11the body of a person in the course of the dentist's or physician's professional practice.
SB692,58 12Section 58. 895.48 (1m) (a) (intro.) of the statutes is amended to read:
SB692,51,2513 895.48 (1m) (a) (intro.) Except as provided in par. (b), any physician,
14naturopathic doctor, physician assistant, podiatrist, or athletic trainer licensed
15under ch. 448, naturopathic doctor licensed under ch. 466, chiropractor licensed
16under ch. 446, dentist who is licensed under subch. I of ch. 447 or who holds a compact
17privilege under subch. II of ch. 447
, emergency medical services practitioner licensed
18under s. 256.15, emergency medical responder certified under s. 256.15 (8),
19registered nurse licensed under ch. 441, or a massage therapist or bodywork
20therapist licensed under ch. 460 who renders voluntary health care to a participant
21in an athletic event or contest sponsored by a nonprofit corporation, as defined in s.
2266.0129 (6) (b), a private school, as defined in s. 115.001 (3r), a tribal school, as
23defined in s. 115.001 (15m), a public agency, as defined in s. 46.856 (1) (b), or a school,
24as defined in s. 609.655 (1) (c), is immune from civil liability for his or her acts or
25omissions in rendering that care if all of the following conditions exist:
SB692,59
1Section 59. 990.01 (6m) of the statutes is created to read:
SB692,52,42 990.01 (6m) Dentist. “Dentist” means a person who is licensed as a dentist
3under subch. I of ch. 447 or who holds a dentist compact privilege under subch. II of
4ch. 447.
SB692,52,55 (End)
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