Summary of, and comparison with, existing or proposed federal regulation:
Comparison with rules in adjacent states:
Illinois statutes provide a licensure exemption for health care professionals licensed to practice in another state or country (20 ILCS 2105/2105-360). The exemption applies if the following conditions are met:
The health care professional has an oral or written agreement with an athletic team to provide health care services to the athletic team members, coaching staff, and families traveling with the athletic team for a specific sporting event to take place in Illinois.
The health care professional may not provide care or consultation to any person residing in Illinois other than the athletic team members, coaching staff, and families traveling with the athletic team, unless the care is covered under the Good Samaritan Act.
The exemption from licensure remains in force while the health care professional is traveling with the athletic team, limited to 10 days per individual sporting event. Upon prior written request from the health care professional, the Illinois Department of Financial and Professional Regulation may grant an extension of the exemption for up to 20 days per sporting event.
A health care professional exempt from licensure under these provisions is not authorized to practice at a health care clinic or facility, including an acute care facility.
Rules of the Iowa Board of Medicine provide a licensure exemption for physicians and surgeons from out of state who hold a current, active license in good standing in another United States jurisdiction and who accompany one or more individuals into Iowa for the purpose of providing medical care to the individuals on a short-term basis (653 IAC 9.2 (2) f.).
Michigan statutes provide a licensure exemption for individuals authorized to practice a health profession in another state or territory of the United States who are appointed by the United States Olympic Committee to provide health services exclusively to team personnel and athletes at a training site or event [MCL 333.16171 (i)]. The exemption applies to the individual while performing the duties assigned in the course of the sanctioned training program or event and for the time period specified by the United States Olympic Committee.
An exemption is also provided for individuals currently authorized to practice a health profession in another state and providing health services for an athletic team [MCL 333.16171 (j)]. The exemption is subject to the following conditions:
The individual may provide only those health services permitted if the individual were licensed to practice in Michigan.
The athletic team must be from the same state that authorized the individual to practice the health profession.
The individual must provide health services under the terms of a written agreement with the athletic team.
The individual may only provide health services while the athletic team is traveling to or from or participating in a sporting event in Michigan.
Health services may only be provided to a member of the athletic team; a member of the athletic team's coaching, communications, equipment, or sports medicine staff; a member of a band or cheerleading squad that is accompanying the athletic team; or the athletic team's mascot.
The individual may not provide health services at a health care facility or agency located in Michigan.
Minnesota statutes provide a licensure exemption for a physician licensed to practice medicine in another state who is in Minnesota for the sole purpose of providing medical services at a competitive athletic event [2017 Minn. Stat. Section 147.09 (12)]. The physician may practice medicine only on participants in the athletic event. A physician must first register with the Minnesota Board of Medical Practice on a form developed by the Board for that purpose. The physician must provide evidence satisfactory to the Board of a current unrestricted license in another state.
Summary of factual data and analytical methodologies:
The rules were developed by reviewing the provisions of 2017 Wisconsin Act 341 and obtaining input and feedback from the Medical Examining Board.
Analysis and supporting documents used to determine effect on small business or in preparation of economic impact analysis:
The rules were posted for a period of 14 days to solicit public comment on economic impact, including how the proposed rules may affect businesses, local government units, and individuals. No comments were received.
Fiscal Estimate and Economic Impact Analysis:
The Fiscal Estimate and Economic Impact Analysis document is attached.
Effect on small business:
These rules do not have an economic impact on small businesses, as defined in s. 227.114 (1), Stats. The Department’s Regulatory Review Coordinator may be contacted by email at Daniel.Hereth@wisconsin.gov, or by calling (608) 267-2435.
Agency contact person:
Dale Kleven, Administrative Rules Coordinator, Department of Safety and Professional Services, Division of Policy Development, P.O. Box 8366, Madison, Wisconsin 53708-8366; telephone 608-261-4472; email at DSPSAdminRules@wisconsin.gov.
Place where comments are to be submitted and deadline for submission:
Comments may be submitted to Dale Kleven, Administrative Rules Coordinator, Department of Safety and Professional Services, Division of Policy Development, P.O. Box 8366, Madison, WI 53708-8366, or by email to DSPSAdminRules@wisconsin.gov. Comments must be received at or before the public hearing to be held at 8:00 a.m. on January 16, 2019, to be included in the record of rule-making proceedings.
TEXT OF RULE
Section 1. Chapter Med 25 is created to read:
CHAPTER MED 25
SPORTS PHYSICIAN LICENSURE EXEMPTION
Med 25.01 Authority and scope. The rules in this chapter are adopted by the medical examining board pursuant to the authority delegated by ss. 15.08 (5) (b) and 448.03 (2m) (e), Stats., and implement the sports physician licensure exemption under s. 448.03 (2m), Stats.
Med 25.02 Exemption for medical services provided to a sports team.
(1) Qualification for exemption. A physician who is licensed in good standing to practice medicine and surgery in another state may practice medicine and surgery in this state without a license granted by the board if the physician has a written agreement with a sports team to provide care to team members and coaching staff traveling with the team for a specific sporting event to take place in this state.
(2) Exemption period. An exemption under this section is valid only while the physician is traveling with the sports team, and, except as provided under sub. (3), is subject to a limit of 10 days per sporting event.
(3) Extension. The board may extend an exemption under this section for up to 20 days. As provided under s. 448.03 (2m) (c) 1. b., Stats., the total extensions granted a physician under this subsection may not exceed 30 days in a given calendar year. The board shall grant a request for extension that is submitted to the board at least 10 days prior to the expiration date under sub. (2) and includes all of the following:
(a) A completed application on a form provided by the board.
(b) Evidence of the written agreement between the applicant and the sports team.
(c) Evidence the applicant is licensed and currently eligible to practice medicine and surgery in another state.
Note: An application for extension may be obtained from the department of safety and professional services at (608) 261-2112 or from the department’s website at http://dsps.wi.gov.
(4) Display of qualifications. When practicing under this section, a physician shall display upon request a copy of the written agreement between the physician and the sports team and indicia of current and active licensure in the state in which the physician is licensed.
Med 25.03 Exemption for medical services provided at the request of a national sport governing body.
(1) Qualifications for exemption. A physician who is licensed in good standing to practice medicine and surgery in another state may practice medicine and surgery in this state without a license granted by the board if the physician meets all of the following criteria:
(a) The physician has an invitation from a national sport governing body to provide services to team members and coaching staff at a national sport training center in this state or to provide services to athletes and coaching staff at an event or competition in this state that is sanctioned by the national sport governing body.
Examples: Examples of a national sport governing body are the National Collegiate Athletic Association and the United States Olympic Committee.
(b) The physician’s practice is limited to that required by the national sport governing body.
(c) The services to be provided by the physician are within the physician’s training and expertise.
(2) Exemption period. An exemption under this section is valid during the time certified by the national sport governing body, subject to a limit of 30 days per exemption.
(3) Display of qualifications. When practicing under this section, a physician shall display upon request evidence of the invitation from the national sport governing body and indicia of current and active licensure in the state in which the physician is licensed.
Med 25.04 Practice limitations. As provided under s. 448.03 (2m) (b), Stats., a physician may not do any of the following while practicing under s. Med 25.02 or 25.03: (1) Provide care or consultation to any person residing in this state, other than an athlete, team member, or member of a coaching staff specified under s. Med 25.02 (1) or 25.03 (1) (a).
(3) Prescribe drugs.
Section 2. Effective date. The rules adopted in this order shall take effect on the first day of the month following publication in the Wisconsin Administrative Register, pursuant to s. 227.22 (2) (intro.), Stats.
(END OF TEXT OF RULE)
Dated _________________ Agency __________________________________
Medical Examining Board