AB1090,2,4 1An Act to repeal 15.407 (1) (b), 448.03 (3) (c), 448.04 (1) (d), 448.05 (3) and 448.10
2(2); to renumber 448.01 (1), 448.01 (9g), 448.01 (9m), 448.075 (1) (b) 1., 2. and
33. and subchapter IV of chapter 448 [precedes 448.70]; to renumber and
4amend
448.01 (7), 448.01 (8), 448.01 (11), 448.03 (4), 448.075 (title), 448.075
5(1) (intro.), 448.075 (1) (a), 448.075 (1) (b) (intro.) and 448.075 (2); to amend
615.08 (1m) (b), 15.08 (4) (b), 15.085 (1m) (b), 15.406 (2) (a) 1., 49.45 (3) (k), 50.09
7(6) (b), 50.36 (3), 50.39 (3), 146.37 (1g), 146.81 (1) (em), 180.1901 (1m) (br),
8252.10 (7), 252.14 (1) (ar) 4m., 448.01 (2g), 448.01 (2r), 448.01 (5), 448.01 (6),
9448.01 (12), 448.02 (1), 448.02 (3) (a), 448.02 (4), 448.02 (6), 448.03 (1), 448.03
10(2) (intro.), 448.03 (2) (c), 448.03 (2) (d), 448.03 (2) (e), 448.03 (3) (f) 3. a., 448.03
11(3) (g) 3. a., 448.03 (5) (a), 448.04 (1) (c), 448.04 (3), 448.05 (1) (d), 448.07 (1) (a),
12448.07 (2), 448.08 (1), 448.08 (2), 448.08 (4), 448.09 (1), 448.09 (2), 448.10 (5),
13448.11, 448.21 (1) (d), 448.40 (1), 448.86 (1), 450.10 (3) (a) 5m., 450.11 (8) (b),
14632.895 (1) (b) 5. b. and 655.45 (1); and to create 15.406 (3), 180.1901 (1m) (bk),
15448.015 (intro.), subchapter IV of chapter 448 [precedes 448.60] and 450.11 (8)
16(bm) of the statutes; relating to: the regulation of podiatrists, licensure and
17continuing education requirements for podiatrists, abolishing the podiatry

1examining council and creating a podiatrists affiliated credentialing board, the
2members of an examining board entitled to vote to suspend or revoke a
3credential issued by the examining board, granting rule-making authority and
4providing a penalty.
Analysis by the Legislative Reference Bureau
Under current law, with exceptions, a person must be licensed as a podiatrist
by the medical examining board (MEB) in the department of regulation and licensing
(DORL) in order to practice podiatry or podiatric medicine and surgery or to
represent himself or herself to the public as a podiatrist.
This bill creates a 4-member podiatrists affiliated credentialing board (PACB)
in DORL consisting of 3 podiatrists and one public member, and transfers to PACB
all authority that MEB has under current law relating to the regulation of
podiatrists. In addition, the bill does all of the following with respect to the
regulation of podiatrists:
1. Under current law, an applicant for a podiatrist license must have graduated
from a school of podiatric medicine and surgery approved by MEB with the degree
of doctor of podiatric medicine or an equivalent degree. Under this bill, PACB may
waive the requirement of graduation from a school of podiatric medicine and surgery
approved by PACB if the applicant shows, among other things, that he or she
graduated from a podiatry school approved by the licensing jurisdiction of another
state. In addition, this bill also requires an applicant to have completed 12 months
of postgraduate training in a program approved by PACB.
2. Under this bill, if an applicant passes the podiatry examinations required
by PACB for a license, PACB is prohibited from testing the applicant for proficiency
in the English language if the sole reason for the testing is that the applicant was
educated at a podiatry school outside the United States. There is no comparable
prohibition under current law.
3. To qualify for a podiatrist license under current law, a person must meet
education, examination and other requirements and must also be found qualified by
three-fourths of the members of MEB. For a temporary podiatrist license, current
law requires a person to be found qualified by 2 members of MEB. Except as
described above in items 1 and 2, this bill retains the education, examination and
other requirements that a person must satisfy for PACB to issue a podiatrist license,
but does not require PACB to find that a person is qualified.
4. Current law does not require a licensed podiatrist to meet continuing
education requirements. This bill requires a podiatrist to complete, every 2 years,
30 hours of continuing education in courses approved by PACB.
5. Under current law, a health care practitioner licensed or certified by MEB,
including a podiatrist, must register with MEB every 2 years, pay a license or
certificate renewal fee, and display a certificate of registration in his or her office at

all times. Registration with MEB is deemed to satisfy any statutory requirement to
renew a license or certificate. This bill does not require a podiatrist to register with
PACB. Instead, a podiatrist must renew his or her license every 2 years by
submitting a renewal form to DORL and paying a renewal fee. In addition, the
renewal form must be accompanied by proof that the podiatrist completed the
continuing education requirements described above in item 4.
Finally, current law requires the affirmative vote of two-thirds of the
membership of an examining board to suspend or revoke a credential that the
examining board issued to a person and that entitles the person to practice a trade
or profession. This bill requires an affirmative vote of two-thirds of the voting
membership of the examining board to suspend or revoke a credential. Currently,
MEB and the nursing home administrator examining board each have one nonvoting
member. Thus, under the bill, the nonvoting member on these examining boards
would not be counted for purposes of determining whether two-thirds of the
examining board's members had voted to suspend or revoke a credential.
For further information see the state fiscal estimate, which will be printed as
an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB1090, s. 1 1Section 1. 15.08 (1m) (b) of the statutes is amended to read:
AB1090,3,112 15.08 (1m) (b) The public members of the chiropractic examining board, the
3dentistry examining board, the hearing and speech examining board, the medical
4examining board, podiatry examining council, occupational therapy examining
5council, respiratory care practitioners examining council and council on physician
6assistants, the board of nursing, the nursing home administrator examining board,
7the veterinary examining board, the optometry examining board, the pharmacy
8examining board, the examining board of social workers, marriage and family
9therapists and professional counselors and the psychology examining board shall not
10be engaged in any profession or occupation concerned with the delivery of physical
11or mental health care.
AB1090, s. 2 12Section 2. 15.08 (4) (b) of the statutes is amended to read:
AB1090,4,4
115.08 (4) (b) Notwithstanding par. (a), no certificate or license which entitles
2the person certified or licensed to practice a trade or profession shall be suspended
3or revoked without the affirmative vote of two-thirds of the voting membership of
4the examining board.
AB1090, s. 3 5Section 3. 15.085 (1m) (b) of the statutes is amended to read:
AB1090,4,96 15.085 (1m) (b) The public members of the physical therapists affiliated
7credentialing board and the podiatrists affiliated credentialing board shall not be
8engaged in any profession or occupation concerned with the delivery of physical or
9mental health care.
AB1090, s. 4 10Section 4. 15.406 (2) (a) 1. of the statutes is amended to read:
AB1090,4,1111 15.406 (2) (a) 1. Three dietitians who are certified under subch. IV V of ch. 448.
AB1090, s. 5 12Section 5. 15.406 (3) of the statutes is created to read:
AB1090,4,1613 15.406 (3) podiatrists affiliated credentialing board. There is created in the
14department of regulation and licensing, attached to the medical examining board, a
15podiatrists affiliated credentialing board consisting of the following members
16appointed for 4-year terms:
AB1090,4,1717 (a) Three podiatrists who are licensed under subch. IV of ch. 448.
AB1090,4,1818 (b) One public member.
AB1090, s. 6 19Section 6. 15.407 (1) (b) of the statutes is repealed.
AB1090, s. 7 20Section 7. 49.45 (3) (k) of the statutes is amended to read:
AB1090,4,2421 49.45 (3) (k) If a physician performs a surgical procedure that is within the
22scope of practice of a podiatrist, as defined in s. 448.01 (7) 448.60 (3), the allowable
23charge for the procedure may not exceed the charge the department determines is
24reasonable.
AB1090, s. 8 25Section 8. 50.09 (6) (b) of the statutes is amended to read:
AB1090,5,8
150.09 (6) (b) Allegations of violations of such rights by persons licensed,
2certified or registered under chs. 441, 446 to 450, 455 and 456 shall be promptly
3reported by the facility to the appropriate licensing or , examining or affiliated
4credentialing
board and to the person against whom the allegation has been made.
5Any employe of the facility and any person licensed, certified or registered under chs.
6441, 446 to 450, 455 and 456 may also report such allegations to the board. Such
7board may make further investigation and take such disciplinary action, within the
8board's statutory authority, as the case requires.
AB1090, s. 9 9Section 9. 50.36 (3) of the statutes is amended to read:
AB1090,5,1710 50.36 (3) (a) Any person licensed to practice medicine and surgery under subch.
11II of ch. 448
or podiatry under ss. 448.05 and 448.06 subch. IV of ch. 448 shall be
12afforded an equal opportunity to obtain hospital staff privileges and may not be
13denied hospital staff privileges solely for the reason that the person is an osteopathic
14physician and surgeon or a podiatrist. Each individual hospital shall retain the right
15to determine whether the applicant's training, experience and demonstrated
16competence is sufficient to justify the granting of hospital staff privileges or is
17sufficient to justify the granting of limited hospital staff privileges.
AB1090,5,2518 (b) If, as a result of peer investigation or written notice thereof, a hospital staff
19member who is licensed by the medical examining board or podiatrists affiliated
20credentialing board
, for any reasons that include the quality of or ability to practice,
21loses his or her hospital staff privileges, has his or her hospital staff privileges
22reduced or resigns from the hospital staff, the hospital shall so notify the medical
23examining board or podiatrists affiliated credentialing board, whichever is
24applicable,
within 30 days after the loss, reduction or resignation takes effect.
25Temporary suspension due to incomplete records need not be reported.
AB1090,6,9
1(c) If, as a result of peer investigation or written notice thereof, a hospital staff
2member who is licensed by the medical examining board or podiatrists affiliated
3credentialing board
, for reasons that do not include the quality of or ability to
4practice, loses his or her hospital staff privileges for 30 days or more, has his or her
5hospital staff privileges reduced for 30 days or more or resigns from the hospital staff
6for 30 days or more, the hospital shall so notify the medical examining board or
7podiatrists affiliated credentialing board, whichever is applicable,
within 30 days
8after the loss, reduction or resignation takes effect. Temporary suspension due to
9incomplete records need not be reported.
AB1090, s. 10 10Section 10. 50.39 (3) of the statutes, as affected by 1995 Wisconsin Act 77, is
11amended to read:
AB1090,6,2012 50.39 (3) Facilities governed by ss. 45.365, 48.62, 49.70, 49.72, 50.02, 51.09,
1358.06, 252.073, 252.076 and 252.10, secured correctional facilities as defined in s.
14938.02 (15m), correctional institutions governed by the department of corrections
15under s. 301.02 and the offices and clinics of persons licensed to treat the sick under
16chs. 446, 447 and 448 are exempt from ss. 50.32 to 50.39. Sections 50.32 to 50.39 do
17not abridge the rights of the medical examining board, physical therapists affiliated
18credentialing board, podiatrists affiliated credentialing board, dentistry examining
19board, pharmacy examining board, chiropractic examining board and board of
20nursing in carrying out their statutory duties and responsibilities.
AB1090, s. 11 21Section 11. 146.37 (1g) of the statutes is amended to read:
AB1090,7,1122 146.37 (1g) Except as provided in s. 153.85, no person acting in good faith who
23participates in the review or evaluation of the services of health care providers or
24facilities or the charges for such services conducted in connection with any program
25organized and operated to help improve the quality of health care, to avoid improper

1utilization of the services of health care providers or facilities or to determine the
2reasonable charges for such services, or who participates in the obtaining of health
3care information under ch. 153, is liable for any civil damages as a result of any act
4or omission by such person in the course of such review or evaluation. Acts and
5omissions to which this subsection applies include, but are not limited to, acts or
6omissions by peer review committees or hospital governing bodies in censuring,
7reprimanding, limiting or revoking hospital staff privileges or notifying the medical
8examining board or podiatrists affiliated credentialing board under s. 50.36 or taking
9any other disciplinary action against a health care provider or facility and acts or
10omissions by a medical director, as defined in s. 146.50 (1) (j), in reviewing the
11performance of emergency medical technicians or ambulance service providers.
AB1090, s. 12 12Section 12. 146.81 (1) (em) of the statutes, as created by 1993 Wisconsin Act
13443
, is amended to read:
AB1090,7,1514 146.81 (1) (em) A dietitian certified under subch. IV V of ch. 448. This
15paragraph does not apply after June 30, 1999.
AB1090, s. 13 16Section 13. 180.1901 (1m) (bk) of the statutes is created to read:
AB1090,7,1817 180.1901 (1m) (bk) Podiatrists affiliated credentialing board under subch. IV
18of ch. 448.
AB1090, s. 14 19Section 14. 180.1901 (1m) (br) of the statutes, as created by 1995 Wisconsin
20Act .... (Assembly Bill 325), is amended to read:
AB1090,7,2221 180.1901 (1m) (br) Dietitians affiliated credentialing board under subch. IV V
22of ch. 448. This paragraph does not apply after June 30, 1999.
AB1090, s. 15 23Section 15. 252.10 (7) of the statutes, as affected by 1993 Wisconsin Act 443,
24is amended to read:
AB1090,8,9
1252.10 (7) Drugs necessary for the treatment of mycobacterium tuberculosis
2shall be purchased by the department from the appropriation under s. 20.435 (1) (e)
3and dispensed to patients through the public health dispensaries or through health
4care providers, as defined in s. 146.81 (1), other than social workers, marriage and
5family therapists or professional counselors certified under ch. 457,
6speech-language pathologists or audiologists licensed under subch. II of ch. 459,
7speech and language pathologists licensed by the department of education or, on or
8after July 1, 1995, and no later than June 30, 1999, dietitians certified under subch.
9IV V of ch. 448.
AB1090, s. 16 10Section 16. 252.14 (1) (ar) 4m. of the statutes, as created by 1993 Wisconsin
11Act 443
, is amended to read:
AB1090,8,1312 252.14 (1) (ar) 4m. A dietitian certified under subch. IV V of ch. 448. This
13subdivision does not apply after June 30, 1999.
AB1090, s. 17 14Section 17. 448.01 (1) of the statutes is renumbered 448.015 (1).
AB1090, s. 18 15Section 18. 448.01 (2g) of the statutes is amended to read:
AB1090,8,1816 448.01 (2g) "Occupational therapist" means an individual who meets the
17requirements under s. 448.05 (5m) (a) and is certified by the medical examining
18board to practice occupational therapy.
AB1090, s. 19 19Section 19. 448.01 (2r) of the statutes is amended to read:
AB1090,8,2320 448.01 (2r) "Occupational therapy assistant" means an individual who meets
21the requirements under s. 448.05 (5m) (b) and is certified by the medical examining
22board to assist in the practice of occupational therapy under the supervision of an
23occupational therapist.
AB1090, s. 20 24Section 20. 448.01 (5) of the statutes is amended to read:
AB1090,9,4
1448.01 (5) "Physician" means an individual possessing the degree of doctor of
2medicine or doctor of osteopathy or an equivalent degree as determined by the
3medical examining board, and holding a license granted by the medical examining
4board.
AB1090, s. 21 5Section 21. 448.01 (6) of the statutes is amended to read:
AB1090,9,86 448.01 (6) "Physician assistant" means an individual certified by the medical
7examining
board to perform patient services under the supervision and direction of
8a licensed physician.
AB1090, s. 22 9Section 22. 448.01 (7) of the statutes is renumbered 448.60 (3) and amended
10to read:
AB1090,9,1411 448.60 (3) "Podiatrist" means an individual possessing the degree of doctor of
12podiatric medicine or doctor of surgical chiropody or equivalent degree as determined
13by the affiliated credentialing board, and holding a license to practice podiatry or
14podiatric medicine and surgery granted by the affiliated credentialing board.
AB1090, s. 23 15Section 23. 448.01 (8) of the statutes is renumbered 448.60 (4) and amended
16to read:
AB1090,9,2517 448.60 (4) "Podiatry" or "podiatric medicine and surgery" means that branch
18or system of treating the sick which is limited to the diagnosis, or mechanical,
19medical or surgical treatment or treatment by use of drugs, of the feet, but does not
20include amputations other than digits of the foot or the use of a general anesthetic
21unless administered by or under the direction of a person licensed to practice
22medicine and surgery under subch. II. Diagnosis or treatment shall include no
23portion of the body above the feet except that diagnosis and treatment shall include
24the tendons and muscles of the lower leg insofar as they shall be involved in
25conditions of the feet.
AB1090, s. 24
1Section 24. 448.01 (9g) of the statutes is renumbered 448.015 (2).
AB1090, s. 25 2Section 25. 448.01 (9m) of the statutes is renumbered 448.015 (3).
AB1090, s. 26 3Section 26. 448.01 (11) of the statutes is renumbered 448.015 (4) and amended
4to read:
AB1090,10,85 448.015 (4) "Unprofessional conduct" means those acts or attempted acts of
6commission or omission defined as unprofessional conduct by the board under the
7authority delegated to the board by s. 15.08 (5) (b) and any act by a physician or
8podiatrist
in violation of ch. 161 or 450.
AB1090, s. 27 9Section 27. 448.01 (12) of the statutes is amended to read:
AB1090,10,1410 448.01 (12) "Warn" means to privately apprise the holder of a license or
11certificate of the unprofessional nature of the holder's conduct and admonish the
12holder that continued or repeated conduct of such nature may give the medical
13examining board or an attached affiliated credentialing board cause to reprimand
14the holder or to limit, suspend or revoke such license or certificate.
AB1090, s. 28 15Section 28. 448.015 (intro.) of the statutes is created to read:
AB1090,10,16 16448.015 Definitions. (intro.) In this subchapter:
AB1090, s. 29 17Section 29. 448.02 (1) of the statutes is amended to read:
AB1090,10,2018 448.02 (1) License. The board may grant licenses, including various classes of
19temporary licenses, to practice medicine and surgery and to practice podiatric
20medicine and surgery
.
AB1090, s. 30 21Section 30. 448.02 (3) (a) of the statutes is amended to read:
AB1090,11,1622 448.02 (3) (a) The board shall investigate allegations of unprofessional conduct
23and negligence in treatment by persons holding a license, certificate or limited
24permit granted by the board. An allegation that a physician has violated s. 448.30
25or 450.13 (2) or has failed to mail or present a medical certification required under

1s. 69.18 (2) within 21 days after the pronouncement of death of the person who is the
2subject of the required certificate or that a physician has failed at least 6 times within
3a 6-month period to mail or present a medical certificate required under s. 69.18 (2)
4within 6 days after the pronouncement of death of the person who is the subject of
5the required certificate is an allegation of unprofessional conduct. Information
6contained in reports filed with the board under s. 49.45 (2) (a) 12r., 50.36 (3) (b),
7609.17 or 632.715, or under 42 CFR 1001.109 (e) and 42 CFR 1001.124 (a) (3) and (b)
81001.2005, shall be investigated by the board. Information contained in a report filed
9with the board under s. 655.045 (1), as created by 1985 Wisconsin Act 29, which is
10not a finding of negligence or in a report filed with the board under s. 50.36 (3) (c) may,
11within the discretion of the board, be used as the basis of an investigation of the
12persons
a person named in the reports report. The board may require a person
13holding a license, certificate or limited permit to undergo and may consider the
14results of one or more physical, mental or professional competency examinations if
15the board believes that the results of any such examinations may be useful to the
16board in conducting its investigation.
AB1090, s. 31 17Section 31. 448.02 (4) of the statutes is amended to read:
AB1090,12,1018 448.02 (4) Suspension pending hearing. The board may summarily suspend
19any license, certificate or limited permit granted by the board for a period not to
20exceed 30 days pending hearing, when the board has in its possession evidence
21establishing probable cause to believe that the holder of the license, certificate or
22limited permit has violated the provisions of this chapter subchapter and that it is
23necessary to suspend the license, certificate or limited permit immediately to protect
24the public health, safety or welfare. The holder of the license, certificate or limited
25permit shall be granted an opportunity to be heard during the determination of

1probable cause. The board may designate any of its officers to exercise the authority
2granted by this subsection to suspend summarily a license, certificate or limited
3permit, but such suspension shall be for a period of time not to exceed 72 hours. If
4a license, certificate or limited permit has been summarily suspended by the board
5or any of its officers, the board may, while the hearing is in progress, extend the initial
630-day period of suspension for an additional 30 days. If the holder of the license,
7certificate or limited permit has caused a delay in the hearing process, the board may
8subsequently suspend the license, certificate or limited permit from the time the
9hearing is commenced until a final decision is issued or may delegate such authority
10to the hearing examiner.
AB1090, s. 32 11Section 32. 448.02 (6) of the statutes is amended to read:
AB1090,12,1512 448.02 (6) Restoration of license, certificate or limited permit. The board
13may restore any license, certificate or limited permit which has been voluntarily
14surrendered or revoked under any of the provisions of this chapter subchapter, on
15such terms and conditions as it may deem appropriate.
AB1090, s. 33 16Section 33. 448.03 (1) of the statutes is amended to read:
AB1090,12,1917 448.03 (1) License required to practice. No person may practice medicine and
18surgery, or podiatry, or attempt to do so or make a representation as authorized to
19do so, without a license granted by the board.
AB1090, s. 34 20Section 34. 448.03 (2) (intro.) of the statutes is amended to read:
AB1090,12,2321 448.03 (2)Exceptions. (intro.) Nothing in this chapter subchapter shall be
22construed either to prohibit, or to require, a license or certificate under this chapter
23subchapter for any of the following:
AB1090, s. 35 24Section 35. 448.03 (2) (c) of the statutes is amended to read:
AB1090,13,4
1448.03 (2) (c) The activities of a medical student, podiatry student, respiratory
2care student or physician assistant student required for such student's education
3and training; , or the activities of a medical school graduate required for training as
4required in s. 448.05 (2).
AB1090, s. 36 5Section 36. 448.03 (2) (d) of the statutes is amended to read:
AB1090,13,96 448.03 (2) (d) Actual consultation or demonstration by licensed physicians or
7podiatrists
or certified respiratory care practitioners of other states or countries with
8licensed physicians or podiatrists or certified respiratory care practitioners of this
9state.
AB1090, s. 37 10Section 37. 448.03 (2) (e) of the statutes is amended to read:
AB1090,13,1311 448.03 (2) (e) Any person providing patient services as directed, supervised and
12inspected by a physician or podiatrist who has the power to direct, decide and oversee
13the implementation of the patient services rendered.
AB1090, s. 38 14Section 38. 448.03 (3) (c) of the statutes is repealed.
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