Amendment ASA1-AB440

AB440-ASA1,5,21 448.70 (2m) "Dietetic nutrition therapy" means a specific application of dietetic nutrition care services and the nutrition care process for the management of disease or the treatment or rehabilitation of an injury. Dietetic nutrition therapy may be applied to an individual or to a group of individuals and may include the use of a medically prescribed diet, meal plans, and specialized nutrition solutions provided enterally, parenterally, or orally.

AB440-ASA1, s. 20 Section 20. 448.70 (3) of the statutes is amended to read:

AB440-ASA1,5,24 448.70 (3) "Dietitian nutritionist" means an individual who practices dietetics engages in the practice of dietetic nutrition care services.

AB440-ASA1, s. 21 Section 21. 448.70 (4m) of the statutes is created to read:

AB440-ASA1,6,2 448.70 (4m) "General nonmedical nutrition information" means information about any of the following:

AB440-ASA1,6,3 (a) Principles of good nutrition and food preparation.

AB440-ASA1,6,4 (b) Foods to be included in a normal daily diet.

AB440-ASA1,6,5 (c) Essential nutrients.

AB440-ASA1,6,6 (d) Sources of essential nutrients, including food and supplements.

AB440-ASA1,6,7 (e) Recommended amounts of essential nutrients.

AB440-ASA1,6,8 (f) The actions of nutrients in the body.

AB440-ASA1,6,9 (g) The effects of an excess or deficiency of a nutrient.

AB440-ASA1, s. 22 Section 22. 448.70 (6) to (9) of the statutes are created to read:

AB440-ASA1,6,12 448.70 (6) "Medically prescribed diet" means a diet prescribed to an individual by any of the following:

AB440-ASA1,6,14 (a) A physician, as defined in s. 448.01 (5), acting within the scope of practice of his or her license.

AB440-ASA1,6,16 (b) A physician assistant licensed under subch. II of ch. 448, acting within the scope of practice of his or her license.

AB440-ASA1,6,18 (c) An advanced practice nurse prescriber certified under s. 441.16, acting within the scope of practice of his or her license or certificate.

AB440-ASA1,6,21 (d) A licensed dietitian nutritionist, in consultation with a physician under par. (a), a physician assistant under par. (b), or an advanced practice nurse prescriber under par. (c).

AB440-ASA1,7,2 (7) "Nutrition care process" means an integrated and systematic problem-solving method used to identify, analyze, and address nutrition-related problems of an individual or a group and provide safe, quality, and effective nutrition care to that individual or group. "Nutrition care process" includes the following 4 distinct but interrelated and connected steps:

AB440-ASA1,7,6 (a) Evaluate the nutritional needs of an individual or group based upon biochemical, anthropometric, physical, and dietary information about the individual or group to determine the extent and cause of nutritional problems and recommend nutrition interventions, which may include enteral, parenteral, and oral solutions.

AB440-ASA1,7,8 (b) Identify and label each nutrition-related problem of the individual or group to be treated independently.

AB440-ASA1,7,11 (c) Develop and implement planned interventions intended to positively change a nutrition-related behavior or environmental condition with the purpose of resolving or improving each nutrition-related problem identified in par. (b).

AB440-ASA1,7,14 (d) Identify and evaluate nutrition-related goals and outcomes for each nutrition-related problem diagnosed under par. (b) and monitor and modify, as necessary, the interventions developed under par. (c).

AB440-ASA1,7,15 (8) "Practice of dietetic nutrition care services" includes each of the following:

AB440-ASA1,7,16 (a) Dietetic nutrition therapy.

AB440-ASA1,7,17 (b) The nutrition care process.

AB440-ASA1,7,19 (9) "Registration commission" means the commission on dietetic registration of the American Dietetic Association or its successor.

AB440-ASA1, s. 23 Section 23. 448.71 of the statutes is created to read:

AB440-ASA1,7,23 448.71 License required. Except as provided in s. 448.72, no individual may engage in the practice of dietetic nutrition care services unless the individual is licensed under this subchapter.

AB440-ASA1, s. 24 Section 24. 448.72 (intro.) and (1) (intro.) of the statutes are consolidated, renumbered 448.72 (intro.) and amended to read:

AB440-ASA1,8,3 448.72 Applicability. (intro.) This No license is required under this subchapter does not do any of the following: (1) (intro.) Require a certificate under this subchapter for any of the following:

AB440-ASA1, s. 25 Section 25. 448.72 (1) (a) and (b) of the statutes are repealed.

AB440-ASA1, s. 26 Section 26. 448.72 (1) (c) of the statutes is renumbered 448.72 (9) and amended to read:

AB440-ASA1,8,12 448.72 (9) A person pursuing a supervised course of study, including internships, leading to a degree or certificate student enrolled in a dietetics from an educational program that is accredited educational program or an educational program approved by the affiliated credentialing board accreditation commission if the student's enrollment is for the purpose of meeting eligibility requirements to take the examination for dietitians established by the registration commission.

AB440-ASA1, s. 27 Section 27. 448.72 (1) (d) of the statutes is repealed.

AB440-ASA1, s. 28 Section 28. 448.72 (1) (e) of the statutes is renumbered 448.72 (10) and amended to read:

AB440-ASA1,8,20 448.72 (10) A dietitian nutritionist who is serving in the U.S. armed forces, as defined in s. 40.02 (57m), or in the commissioned corps of the federal public health service or is employed by the U.S. veterans administration, and who is engaged in the practice of dietetics dietetic nutrition care services as part of that service or employment.

AB440-ASA1, s. 29 Section 29. 448.72 (1) (f) of the statutes is repealed.

AB440-ASA1, s. 30 Section 30. 448.72 (2) of the statutes is repealed.

AB440-ASA1, s. 31 Section 31. 448.72 (3) of the statutes is renumbered 448.76 (3) and amended to read:

AB440-ASA1,9,5 448.76 (3) Prohibit an An individual described in sub. (1) (e) from using s. 448.72 (10) may use the title "dietitian nutritionist" or any letters or designation that represents or may tend to represent the individual as a dietitian nutritionist, if the title, letters, or designation is used only in the course of the individual's service or employment.

AB440-ASA1, s. 32 Section 32. 448.72 (4) of the statutes is renumbered 448.76 (4) and amended to read:

AB440-ASA1,9,10 448.76 (4) Prohibit an An individual who is registered as a dietitian with the registration commission on dietetic registration of the American Dietetic Association from using may use the title " dietitian" or "registered dietitian" or the initials, "R.D.".

AB440-ASA1, s. 33 Section 33. 448.72 (5) of the statutes is renumbered 448.76 (5) and amended to read:

AB440-ASA1,9,16 448.76 (5) Prohibit an An individual who is registered as a dietetic technician with the registration commission on dietetic registration of the American Dietetic Association from using may use the title "dietetic technician" or," "dietetic technician registered" registered," or the initials, "D.T.R.".

AB440-ASA1, s. 34 Section 34. 448.72 (6) of the statutes is renumbered 448.76 (6) and amended to read:

AB440-ASA1,9,25 448.76 (6) Prohibit an An individual from using may use the title "dietitian",," "dietitian nutritionist," "licensed dietitian" or," "licensed dietitian nutritionist," "certified dietitian"," or certified dietitian nutritionist" if the person individual is licensed or certified as a dietitian or dietitian nutritionist under the laws of another state which has licensure or certification requirements that the affiliated credentialing board determines to be substantially equivalent to the requirements under s. 448.78.

AB440-ASA1, s. 35 Section 35. 448.72 (7) of the statutes is created to read:

AB440-ASA1,10,4 448.72 (7) An individual who is lawfully practicing within the scope of a license or certificate granted under subch. XII of ch. 440, chs. 441, 446, or 447, subchs. I to IV, VI, and VII of ch. 448, or chs. 449 to 451.

AB440-ASA1, s. 36 Section 36. 448.72 (8) of the statutes is created to read:

AB440-ASA1,10,10 448.72 (8) A retailer that sells food, food materials, dietary supplements, and other goods at the retailer's establishment or a similar establishment and that furnishes oral or written general nonmedical nutrition information related to the sale, marketing, and distribution of the food, food materials, dietary supplements, or other goods.

AB440-ASA1, s. 37 Section 37. 448.72 (11) of the statutes is created to read:

AB440-ASA1,10,14 448.72 (11) (a) An individual who provides weight control services to a client or group of clients through a program of instruction that has been reviewed and approved in writing by one of the following:

AB440-ASA1,10,15 1. An individual licensed under this subchapter.

AB440-ASA1,10,16 2. A physician as defined in s. 448.01 (5).

AB440-ASA1,10,20 3. An individual who is licensed or certified as a dietitian or dietitian nutritionist under the laws of another state that has licensure or certification requirements that the affiliated credentialing board determines to be substantially equivalent to the licensure requirements under s. 448.78.

AB440-ASA1,10,22 4. An individual who is registered as a dietitian with the registration commission.

AB440-ASA1,11,2 (b) An individual who provides weight control services as provided under par. (a) may not initiate changes to the program of instruction until the changes have been reviewed and approved in writing by an individual who is authorized to review and approve a program of instruction under par. (a).

AB440-ASA1, s. 38 Section 38. 448.72 (12) of the statutes is created to read:

AB440-ASA1,11,8 448.72 (12) An individual practicing under the disciplines, tenets, or traditions of a recognized religious organization and providing information and services to other individuals who are adherents to or members of the same recognized religious organization if the individual provides to the other individuals a written disclosure that contains the information required under s. 448.865 (1) (b) 2.

AB440-ASA1, s. 39 Section 39. 448.74 (intro.) and (2) of the statutes are consolidated, renumbered 448.74 and amended to read:

AB440-ASA1,11,16 448.74 Duties of affiliated credentialing board. The affiliated credentialing board shall promulgate rules that do all of the following: (2) Establish a code of ethics establish by rule standards of practice to govern the professional conduct of certified dietitians an individual licensed as a dietitian nutritionist, including a code of ethics, and may promulgate rules necessary for the administration and enforcement of this subchapter.

AB440-ASA1, s. 40 Section 40. 448.74 (1) of the statutes is repealed.

AB440-ASA1, s. 41 Section 41. 448.76 of the statutes is renumbered 448.76 (1) and amended to read:

AB440-ASA1,12,3 448.76 (1) Except as provided in s. 448.72 (1) (e) and (2) subs. (3) to (6), a person (7), an individual who is not a certified licensed as a dietitian nutritionist may not designate himself or herself as a dietitian, claim to provide dietetic services nutritionist; use or assume the title "dietitian," "certified dietitian," "licensed dietitian," "certified nutritionist," "licensed nutritionist," "dietitian nutritionist," "certified dietitian nutritionist," or "licensed dietitian nutritionist"; append to the individual's name the letters "L.D.," "L.N.," or "L.D.N."; or use any title or initials that represent or may tend to represent the person individual as certified or licensed as a dietitian nutritionist or as certified or licensed in a nutrition-related field.

AB440-ASA1, s. 42 Section 42. 448.76 (7) of the statutes is created to read:

AB440-ASA1,12,6 448.76 (7) An individual with a temporary license under s. 448.80 shall use the title "registry eligible dietitian," which title shall not be abbreviated or capitalized.

AB440-ASA1, s. 43 Section 43. 448.78 (intro.) of the statutes is amended to read:

AB440-ASA1,12,10 448.78 Certification of dietitians Licensure as a dietitian nutritionist. (intro.) The affiliated credentialing board shall grant a certificate license as a dietitian nutritionist to an individual who does all of the following:

AB440-ASA1, s. 44 Section 44. 448.78 (1) of the statutes is amended to read:

AB440-ASA1,12,13 448.78 (1) Submits an application for the certificate license to the department on a form provided by the department.

AB440-ASA1, s. 45 Section 45. 448.78 (3) (a) of the statutes is amended to read:

AB440-ASA1,12,21 448.78 (3) (a) Received Possesses a bachelor's, master's, or doctoral degree in human nutrition, nutrition education, food and nutrition, dietetics or food systems management from a program at granted by a United States regionally accredited college or university that is regionally accredited, as determined by the affiliated credentialing board, and that is located in a state or territory of the United States and successfully completes a didactic program in dietetics accredited by the accreditation commission.

AB440-ASA1, s. 46 Section 46. 448.78 (3) (b) of the statutes is amended to read:

AB440-ASA1,13,4 448.78 (3) (b) Received Possesses a bachelor's, master's, or doctoral degree in human nutrition, nutrition education, food and nutrition, dietetics or food systems management from a program at granted by a college or university that is not located in a state or territory of the United States if an independent agency approved by the affiliated credentialing board determines registration commission has determined that the program degree is substantially equivalent to a program degree described under par. (a).

AB440-ASA1, s. 47 Section 47. 448.78 (3) (c) of the statutes is repealed.

AB440-ASA1, s. 48 Section 48. 448.78 (4) (intro.) of the statutes is renumbered 448.78 (4) and amended to read:

AB440-ASA1,13,12 448.78 (4) Submits evidence satisfactory to the affiliated credentialing board that he or she has completed a supervised practice program accredited by the accreditation commission with at least 900 supervised practice hours of dietetics practice in any state or territory of the United States under the supervision of any of the following:.

AB440-ASA1, s. 49 Section 49. 448.78 (4) (a), (b) and (c) of the statutes are repealed.

AB440-ASA1, s. 50 Section 50. 448.78 (5) of the statutes is amended to read:

AB440-ASA1,13,18 448.78 (5) Passes the registration examination for dietitians established by the registration commission on dietetic registration of the American dietetic association, or passes an equivalent examination approved by the affiliated credentialing board, and held under s. 448.84, to determine fitness to practice dietetics.

AB440-ASA1, s. 51 Section 51. 448.80 of the statutes is amended to read:

AB440-ASA1,14,3 448.80 Temporary certificate license. Upon application and payment of the fee specified in s. 440.05 (6), the affiliated credentialing board may grant a temporary dietitian certificate license to an individual who satisfies the requirements under s. 448.78 (1) to (4) and has submitted an application to take the next available examination under s. 448.84 submits a letter from the registration commission verifying registration eligibility status. A temporary certificate license granted under this section is valid for a period designated by the affiliated credentialing board, not to exceed 9 6 months, and may be renewed once by the affiliated credentialing board.

AB440-ASA1, s. 52 Section 52. 448.82 of the statutes is renumbered 448.82 (intro.) and amended to read:

AB440-ASA1,14,8 448.82 Reciprocal certificate license. (intro.) Upon application and payment of the fee specified in s. 440.05 (2), the affiliated credentialing board shall grant a dietitian certificate license to an the following:

AB440-ASA1,14,12 (2) An individual who holds a similar certificate or license in issued by another state or territory of the United States if the affiliated credentialing board determines that the requirements for receiving the certificate or license in the other state or territory are substantially equivalent to the requirements under s. 448.78.

AB440-ASA1, s. 53 Section 53. 448.82 (1) of the statutes is created to read:

AB440-ASA1,14,14 448.82 (1) An individual who is registered with the registration commission.

AB440-ASA1, s. 54 Section 54. 448.84 (1) of the statutes is amended to read: