28,2995ed Section 2995ed. 441.16 (3) (d) of the statutes is amended to read:
441.16 (3) (d) Establishing procedures for maintaining a certificate to issue prescription orders, including requirements for continuing education and a requirement to complete the nursing workforce survey and submit the fee required under s. 441.01 (7).
28,2995eg Section 2995eg. 442.08 (1) of the statutes, as affected by 2007 Wisconsin Act 20, is amended to read:
442.08 (1) The department shall issue a license to an individual who holds an unrevoked certificate as a certified public accountant, submits an application for the license on a form provided by the department, and pays the initial credential fee determined by the department under s. 440.03 (9) (a) specified in s. 440.05 (1).
28,2995er Section 2995er. 442.08 (2) (intro.) of the statutes, as affected by 2007 Wisconsin Act 20, is amended to read:
442.08 (2) (intro.) The department shall issue a license to a firm that submits an application for the license on a form provided by the department, pays the initial credential fee determined by the department under s. 440.03 (9) (a) specified in s. 440.05 (1), and does each of the following:
28,2995f Section 2995f. 442.083 of the statutes, as affected by 2007 Wisconsin Act 20, is amended to read:
442.083 Renewal. The renewal dates and renewal fees for licenses issued under this chapter are specified under s. 440.08 (2) (a), and the renewal fees for such licenses are determined by the department under s. 440.03 (9) (a). The department may not renew a license issued to a firm unless, at the time of renewal, the firm satisfies the requirements under s. 442.08 (2) and demonstrates, to the satisfaction of the department, that the firm has complied with the requirements under s. 442.087.
28,2995fg Section 2995fg. 442.09 of the statutes, as affected by 2007 Wisconsin Act 20, is amended to read:
442.09 Fees. The fees for examination and licenses granted or renewed under this chapter are specified in s. ss. 440.05 and 440.08. The fee for renewal of such licenses is determined by the department under s. 440.03 (9) (a).
28,2995fr Section 2995fr. 443.07 (6) of the statutes, as affected by 2007 Wisconsin Act 20, is amended to read:
443.07 (6) The renewal date and renewal fee for permits under this section is are specified under s. 440.08 (2) (a), and the fee for renewal of such permits is determined by the department under s. 440.03 (9) (a).
28,2995g Section 2995g. 443.08 (3) (a) of the statutes, as affected by 2007 Wisconsin Act 20, is amended to read:
443.08 (3) (a) A firm, partnership, or corporation desiring a certificate of authorization shall submit an application to the department on forms provided by the department, listing the names and addresses of all officers and directors, and all individuals in its employment registered or granted a permit to practice architecture, professional engineering, or designing in this state who will be in responsible charge of architecture, professional engineering, or designing being practiced in this state through the firm, partnership , or corporation and other relevant information required by the examining board. A similar type of form shall also accompany the renewal fee. If there is a change in any of these persons, the change shall be reported on the same type of form, and filed with the department within 30 days after the effective date of the change. The examining board shall grant a certificate of authorization to a firm, partnership, or corporation complying with this subsection upon payment of the initial credential fee determined by the department under s. 440.03 (9) (a) specified in s. 440.05 (1). This subsection does not apply to firms, partnerships, or corporations exempt under s. 443.14 (3) or (5).
28,2995gg Section 2995gg. 443.08 (3) (b) of the statutes, as affected by 2007 Wisconsin Act 20, is amended to read:
443.08 (3) (b) The renewal date and renewal fee for certificates of authorization under this section is are specified under s. 440.08 (2) (a), and the fee for renewal of such certificates is determined by the department under s. 440.03 (9) (a).
28,2995gr Section 2995gr. 443.10 (2) (b) of the statutes, as affected by 2007 Wisconsin Act 20, is amended to read:
443.10 (2) (b) The fees for examinations and licenses granted or renewed under this chapter are specified in s. ss. 440.05, and the fee for renewal of such licenses is determined by the department under s. 440.03 (9) (a) and 440.08.
28,2995h Section 2995h. 443.10 (2) (e) of the statutes, as affected by 2007 Wisconsin Act 20, is amended to read:
443.10 (2) (e) The renewal date and renewal fee for certificates of registration for architects, landscape architects, and professional engineers is are specified under s. 440.08 (2) (a), and the fee for renewal of such certificates is determined by the department under s. 440.03 (9) (a).
28,2995hg Section 2995hg. 443.10 (5) of the statutes, as affected by 2007 Wisconsin Act 20, is amended to read:
443.10 (5) Fees; renewals. The land surveyor's section shall grant a certificate of registration as a land surveyor to any applicant who has met the applicable requirements of this chapter. The renewal date and renewal fee for the certificate is are specified under s. 440.08 (2) (a), and the renewal fee for the certificate is determined by the department under s. 440.03 (9) (a).
28,2995hr Section 2995hr. 445.04 (2) of the statutes, as affected by 2007 Wisconsin Act 20, is amended to read:
445.04 (2) No person may engage in the business of a funeral director, or make a representation as engaged in such business, in whole or in part, unless first licensed as a funeral director by the examining board. Application for a license, other than a renewal, shall be in writing and verified on a form to be furnished by the department. The application must specify the address at which the applicant proposes to conduct the business of a funeral director and shall contain such other information as the examining board requires to determine compliance with the requirements of this chapter. Accompanying the application shall be the initial credential fee determined by the department under s. 440.03 (9) (a) specified in s. 440.05 (1), together with affidavits of recommendation from at least 2 persons of the county in which the applicant resides or proposes to conduct the business of a funeral director.
28,2995i Section 2995i. 445.06 of the statutes, as affected by 2007 Wisconsin Act 20, is amended to read:
445.06 Renewal of licenses. The renewal date and renewal fee for a funeral directors' license is are specified under s. 440.08 (2) (a), and the renewal fee for such license is determined by the department under s. 440.03 (9) (a). Before any renewal license is delivered to any licensed funeral director, proof must be furnished by the applicant, to the satisfaction of the examining board, that the applicant is doing business at a recognized funeral establishment, except that if such applicant is not doing business at a recognized funeral establishment at the time of application for a license, the applicant shall be given a certificate, without additional cost, to the effect that the applicant is in good standing as a funeral director, and shall be entitled to a renewal license at any time during that license period, when located at a recognized funeral establishment, without payment of any additional renewal fee. The applicant must also furnish proof of completion of at least 15 hours of continuing education during the previous 2-year licensure period, except that new licensees are exempt from this requirement during the time between initial licensure and commencement of a full 2-year licensure period.
28,2995iam Section 2995iam. 445.105 (3) of the statutes, as affected by 2007 Wisconsin Act 20, is amended to read:
445.105 (3) Applications for funeral establishment permits shall be made on forms provided by the department and filed with the department and shall be accompanied by the initial credential fee determined by the department under s. 440.03 (9) (a) specified under s. 440.05 (1). The renewal date and renewal fee for a funeral establishment permit is are specified under s. 440.08 (2) (a), and the renewal fee for such permit is determined by the department under s. 440.03 (9) (a).
28,2995ib Section 2995ib. 446.01 (1) of the statutes is renumbered 446.01 (1t).
28,2995ibm Section 2995ibm. 446.01 (1d) of the statutes is created to read:
446.01 (1d) "Adjunctive services" means services that are preparatory or complementary to the practice of chiropractic. "Adjunctive services" includes all of the following:
(a) The taking and preparation of preliminary patient histories, as defined by the examining board by rule.
(b) Providing physiotherapy treatment, as defined by the examining board by rule.
28,2995ic Section 2995ic. 446.01 (1h) of the statutes is created to read:
446.01 (1h) "Chiropractic radiological technician" means an individual who holds a certificate as a chiropractic radiological technician granted by the examining board.
28,2995icm Section 2995icm. 446.01 (1p) of the statutes is created to read:
446.01 (1p) "Chiropractic technician" means an individual who holds a certificate as a chiropractic technician granted by the examining board.
28,2995id Section 2995id. 446.02 (1) (intro.) of the statutes is amended to read:
446.02 (1) (intro.) Except as provided in sub. (9), no person may engage in the practice of chiropractic or attempt to do so or hold himself or herself out as authorized to do so, unless such person satisfies all of the following:
28,2995idm Section 2995idm. 446.02 (1) (a) of the statutes is amended to read:
446.02 (1) (a) Is licensed by the examining board; and.
28,2995ie Section 2995ie. 446.02 (1) (b) of the statutes is amended to read:
446.02 (1) (b) Meets Submits evidence satisfactory to the examining board that the person meets the requirements of continuing education for license renewal as the examining board may require, which requirements shall include current proficiency in the use of an automated external defibrillator achieved through instruction provided by an individual, organization, or institution of higher education approved under s. 46.03 (38) to provide such instruction. The person shall include the approval number assigned under sub. (5) (b) to each educational program completed by the person to satisfy the requirements of this paragraph. During the time between initial licensure and commencement of a full 2-year licensure period new licensees shall not be required to meet continuing education requirements. Any person who has not engaged in the practice of chiropractic for 2 years or more, while holding a valid license under this chapter, and desiring to engage in such practice, shall be required by the examining board to complete a continuing education course at a school of chiropractic approved by the examining board or pass a practical examination administered by the examining board or both.
28,2995iem Section 2995iem. 446.02 (2) (a) of the statutes is renumbered 446.02 (2) (a) 1. and amended to read:
446.02 (2) (a) 1. The Except as provided in subd. 2., the examining board shall grant a license to engage in the practice of chiropractic to a qualified person who submits an application for the license to the department on a form provided by the department, accompanied by satisfactory evidence of completion of the educational requirements established in the rules promulgated under par. (b), passes the examination examinations described under sub. (3) and pays the license fee specified in s. 440.05 (1).
28,2995if Section 2995if. 446.02 (2) (a) 2. of the statutes is created to read:
446.02 (2) (a) 2. The examining board may not issue a license under this subsection to an applicant who has defaulted on any loan obtained by the applicant to finance the applicant's education. The examining board shall promulgate rules to implement this subdivision, including standards for satisfactory documentary evidence to be submitted by the applicant to verify compliance with the requirements under this subdivision.
28,2995ifm Section 2995ifm. 446.02 (2) (b) 4. of the statutes is created to read:
446.02 (2) (b) 4. Has successfully completed the examinations required under sub. (3).
28,2995ig Section 2995ig. 446.02 (3) (intro.) of the statutes is created to read:
446.02 (3) (intro.) The examining board shall require each applicant for licensure to successfully complete the following examinations:
28,2995igm Section 2995igm. 446.02 (3) of the statutes is renumbered 446.02 (3) (a) and amended to read:
446.02 (3) (a) Examination An examination administered by the examining board. The examination shall be in the subjects usually taught in such reputable schools of chiropractic, and shall be conducted at least twice a year at such times and places as the examining board determines. The examination shall include a practical examination of the applicant as prescribed by the examining board. In lieu of its own written examination, the examining board may accept, in whole or in part,the certificate of The examining board shall charge an examination fee to each applicant for licensure under sub. (2) to cover the cost of developing and administering the examination required under this paragraph.
(b) Any examination required by the national board of chiropractic examiners.
28,2995ih Section 2995ih. 446.02 (4) of the statutes, as affected by 2007 Wisconsin Act 20, is amended to read:
446.02 (4) The renewal date and renewal fee for all licenses granted by the examining board is are specified under s. 440.08 (2) (a), and the renewal fee for such licenses is determined by the department under s. 440.03 (9) (a).
28,2995ihm Section 2995ihm. 446.02 (5) of the statutes is renumbered 446.02 (5) (a).
28,2995ii Section 2995ii. 446.02 (5) (b) of the statutes is created to read:
446.02 (5) (b) The examining board shall assign a unique approval number to each continuing education program approved by the examining board under s. 446.028.
28,2995iim Section 2995iim. 446.02 (7) (a) of the statutes is amended to read:
446.02 (7) (a) Except as provided in par. pars. (b) and (d), a chiropractor who is licensed under this chapter may delegate to a person who is not licensed under this chapter the performance of services that are adjunctive to the practice of chiropractic services if the services are performed under the direct, on-premises supervision of the chiropractor.
28,2995ij Section 2995ij. 446.02 (7) (d) of the statutes is created to read:
446.02 (7) (d) 1. Beginning on the effective date of this subdivision .... [LRB inserts date], a chiropractor may delegate X-ray services only to a chiropractic radiological technologist.
2. Beginning on the effective date of this subdivision .... [LRB inserts date], a chiropractor may delegate adjunctive services only to a chiropractic technologist.
28,2995ijm Section 2995ijm. 446.02 (7d) of the statutes is created to read:
446.02 (7d) (a) A chiropractor shall evaluate each patient before commencing treatment of the patient to determine whether the patient has a condition that is treatable by the practice of chiropractic. The evaluation shall be based upon an examination that is appropriate to the patient. To conduct the evaluation, the chiropractor shall utilize chiropractic science, as defined by the examining board by rule, and the principles of education and training of the chiropractic profession.
(b) A chiropractor shall discontinue the practice of chiropractic on a patient if, at any time after the evaluation under par. (a) or during or following treatment of the patient, the chiropractor determines or reasonably believes that the patient's condition is not treatable by the practice of chiropractic, or will not respond to further practice of chiropractic by the chiropractor, except that a chiropractor may provide maintenance, supportive, and wellness care to the patient if the patient is being treated by another health care professional.
(c) A chiropractor who discontinues the practice of chiropractic as required in par. (b) shall inform the patient of the reason for discontinuing the practice of chiropractic and shall refer the patient to a physician licensed under subch. II of ch. 448. A chiropractor may continue to provide maintenance, supportive, and wellness care to a patient referred under this paragraph who requests these services from the chiropractor. A referral under this paragraph shall describe the chiropractor's findings. If the referral is written, the chiropractor shall provide the patient with a copy and shall maintain a copy in the patient's records. If the referral is oral, the chiropractor shall communicate the referral directly to the physician, shall notify the patient about the referral, and shall make a written record of the oral referral. The written record of the oral referral shall include the name of the physician to whom the patient was referred and the date of the referral. The chiropractor shall maintain a copy of the written record of the oral referral in the patient's records.
28,2995ik Section 2995ik. 446.02 (9) (d) of the statutes is amended to read:
446.02 (9) (d) A person who performs services that are adjunctive to the practice of chiropractic and services that are delegated to the person under sub. (7).
28,2995ikm Section 2995ikm. 446.02 (10) of the statutes is created to read:
446.02 (10) (a) A chiropractor may waive all or a portion of an insured patient's copayments, coinsurance, or deductibles due to a chiropractor who engages in the practice of chiropractic on behalf of the insured patient if all of the following are satisfied:
1. The chiropractor receives from and maintains written documentation of the patient's financial hardship, as defined by the examining board by rule.
2. The chiropractor accurately reports to the patient's insurer the actual fee charged, if any, to the patient. If the chiropractor waives all or a portion of the patient's copayments, coinsurance, or deductibles due to the chiropractor, the chiropractor may not seek payment from the insurer for any portion of the copayment, coinsurance, or deductible waived by the chiropractor unless the claim for the services related to the copayment, coinsurance, or deductible is reduced by an equal amount. In this subdivision and in par. (b), "insurer" has the meaning given in s. 600.03 (27).
(b) A chiropractor who violates par. (a) shall refund the insurer for all payments received from the insurer that are related to the day on which a patient's payment was waived or reduced or for the course of treatment for which the patient's payment was waived or reduced.
28,2995iL Section 2995iL. 446.025 of the statutes is created to read:
446.025 Regulation of chiropractic radiological technicians. (1) (a) No person may provide X-ray services on behalf of a chiropractor in connection with the practice of chiropractic unless the person is a chiropractic radiological technician and is under the direct, on-premises supervision of a chiropractor licensed under this chapter.
(b) No person may designate himself or herself as a "chiropractic radiological technician" or "chiropractor radiological technician," use or assume the title "chiropractic radiological technician" or "chiropractor radiological technician" or any title that includes "chiropractic radiological technician"or "chiropractor radiological technician," append to the person's name the letters "C.R.T.," or use any other title or designation that represents or implies that he or she is a chiropractic radiological technician unless the person is certified by the examining board under this section.
(2) (a) The examining board shall certify as a chiropractic radiological technician an individual who does all of the following:
1. Submits an application to the department on a form provided by the department.
2. Pays the fee specified in s. 440.05 (1).
3. Submits evidence satisfactory to the examining board that the individual has completed a course of study approved by the examining board.
4. Subject to ss. 111.321, 111.322, and 111.335, submits evidence satisfactory to the examining board that the individual does not have an arrest or conviction record.
5. Completes any other requirements established by the examining board by rule.
(b) The department shall assign a unique certificate number to each individual certified under this section.
(3) (a) The renewal date and fees for a certificate issued under this section are specified in s. 440.08 (2) (a).
(b) A chiropractic radiological technician shall, at the time that he or she applies for renewal of a certificate under par. (a), submit evidence satisfactory to the examining board that he or she has completed at least 12 continuing educational credit hours in programs established by rules promulgated by the examining board.
28,2995iLm Section 2995iLm. 446.026 of the statutes is created to read:
446.026 Regulation of chiropractic technicians. (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.
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