AB754,56 15Section 56. 655.002 (1) (b) 1. of the statutes is amended to read:
AB754,31,1716 655.002 (1) (b) 1. The physician or, nurse anesthetist, or nurse-midwife is a
17resident of this state.
AB754,57 18Section 57. 655.002 (1) (b) 2. of the statutes is amended to read:
AB754,31,2119 655.002 (1) (b) 2. The physician or, nurse anesthetist, or nurse-midwife
20practices his or her profession in this state or in Michigan or a combination of both
21more than 240 hours in a fiscal year.
AB754,58 22Section 58. 655.002 (1) (b) 3. of the statutes is amended to read:
AB754,32,223 655.002 (1) (b) 3. The physician or, nurse anesthetist, or nurse-midwife
24performs more procedures in a Michigan hospital than in any other hospital. In this
25subdivision, "Michigan hospital" means a hospital located in Michigan that is an

1affiliate of a corporation organized under the laws of this state that maintains its
2principal office and a hospital in this state.
AB754,59 3Section 59. 655.002 (1) (c) of the statutes is amended to read:
AB754,32,114 655.002 (1) (c) A physician or, nurse anesthetist, or nurse-midwife who is
5exempt under s. 655.003 (1) or (3), or a nurse-midwife who is exempt under s.
6655.003 (4),
but who practices his or her profession outside the scope of the exemption
7and who fulfills the requirements under par. (a) in relation to that practice outside
8the scope of the exemption. For a physician or a, nurse anesthetist, or nurse-midwife
9who is subject to this chapter under this paragraph, this chapter applies only to
10claims arising out of practice that is outside the scope of the exemption under s.
11655.003 (1) or, (3), or (4).
AB754,60 12Section 60. 655.002 (1) (d) of the statutes is amended to read:
AB754,32,1613 655.002 (1) (d) A partnership comprised of physicians or, nurse anesthetists,
14or nurse-midwives
and organized and operated in this state for the primary purpose
15of providing the medical services of physicians or, nurse anesthetists, or
16nurse-midwives
.
AB754,61 17Section 61. 655.002 (1) (e) of the statutes is amended to read:
AB754,32,2018 655.002 (1) (e) A corporation organized and operated in this state for the
19primary purpose of providing the medical services of physicians or, nurse
20anesthetists, or nurse-midwives.
AB754,62 21Section 62. 655.002 (1) (em) of the statutes is amended to read:
AB754,32,2422 655.002 (1) (em) Any organization or enterprise not specified under par. (d) or
23(e) that is organized and operated in this state for the primary purpose of providing
24the medical services of physicians or, nurse anesthetists, or nurse-midwives.
AB754,63 25Section 63. 655.002 (2) (a) of the statutes is amended to read:
AB754,33,4
1655.002 (2) (a) A physician or , nurse anesthetist, or nurse-midwife for whom
2this state is a principal place of practice but who practices his or her profession fewer
3than 241 hours in a fiscal year, for a fiscal year, or a portion of a fiscal year, during
4which he or she practices his or her profession.
AB754,64 5Section 64. 655.002 (2) (b) of the statutes is amended to read:
AB754,33,126 655.002 (2) (b) Except as provided in sub. (1) (b), a physician or, nurse
7anesthetist, or nurse-midwife for whom this state is not a principal place of practice,
8for a fiscal year, or a portion of a fiscal year, during which he or she practices his or
9her profession in this state. For a health care provider who elects to be subject to this
10chapter under this paragraph, this chapter applies only to claims arising out of
11practice that is in this state and that is outside the scope of an exemption under s.
12655.003 (1) or (3) or (4).
AB754,65 13Section 65. 655.003 (1) of the statutes is amended to read:
AB754,33,1714 655.003 (1) A physician or, a nurse anesthetist, or a nurse-midwife who is a
15state, county, or municipal employee, or federal employee or contractor covered
16under the federal tort claims act, as amended, and who is acting within the scope of
17his or her employment or contractual duties.
AB754,66 18Section 66. 655.003 (3) of the statutes is amended to read:
AB754,33,2319 655.003 (3) A physician or, a nurse anesthetist, or a nurse-midwife who
20provides professional services under the conditions described in s. 146.89 or 257.03
21(1)
, with respect to those professional services provided by the physician or, nurse
22anesthetist, or nurse-midwife for which he or she is covered by s. 165.25 and
23considered an agent of the department, as provided in s. 165.25 (6) (b).
AB754,67 24Section 67. 655.003 (4) of the statutes is created to read:
AB754,34,2
1655.003 (4) A nurse-midwife who is considered to be an employee of the federal
2public health service under 42 USC 233 (g).
AB754,68 3Section 68. 655.005 (2) (a) of the statutes is amended to read:
AB754,34,74 655.005 (2) (a) An employee of a health care provider if the employee is a
5physician or a nurse anesthetist or is a health care practitioner who is providing
6health care services that are not in collaboration with a physician under s. 441.15 (2)
7(b) or
under the direction and supervision of a physician or nurse anesthetist.
AB754,69 8Section 69 . 655.005 (2) (a) of the statutes, as affected by 2013 Wisconsin Act
9.... (this act), is amended to read:
AB754,34,1310 655.005 (2) (a) An employee of a health care provider if the employee is a
11physician or a, nurse anesthetist, or nurse-midwife or is a health care practitioner
12who is providing health care services that are not under the direction and
13supervision of a physician or, nurse anesthetist, or nurse-midwife.
AB754,70 14Section 70. 655.005 (2) (b) of the statutes is amended to read:
AB754,34,2315 655.005 (2) (b) A service corporation organized under s. 180.1903 by health care
16professionals, as defined under s. 180.1901 (1m), if the board of governors determines
17that it is not the primary purpose of the service corporation to provide the medical
18services of physicians or, nurse anesthetists, or nurse-midwives. The board of
19governors may not determine under this paragraph that it is not the primary purpose
20of a service corporation to provide the medical services of physicians or, nurse
21anesthetists, or nurse-midwives unless more than 50% of the shareholders of the
22service corporation are neither not physicians nor, nurse anesthetists, or
23nurse-midwives
.
AB754,71 24Section 71. 655.23 (5m) of the statutes is amended to read:
AB754,35,3
1655.23 (5m) The limits set forth in sub. (4) shall apply to any joint liability of
2a physician or, nurse anesthetist, or nurse-midwife and his or her corporation,
3partnership, or other organization or enterprise under s. 655.002 (1) (d), (e), or (em).
AB754,72 4Section 72. 655.27 (3) (a) 4. of the statutes is amended to read:
AB754,35,85 655.27 (3) (a) 4. For a health care provider described in s. 655.002 (1) (d), (e),
6(em), or (f), risk factors and past and prospective loss and expense experience
7attributable to employees of that health care provider other than employees licensed
8as a physician or, nurse anesthetist , or nurse-midwife.
AB754,73 9Section 73. 655.27 (3) (b) 2f. of the statutes is created to read:
AB754,35,1410 655.27 (3) (b) 2f. With respect to fees paid by nurse-midwives, the rule may
11provide for a separate payment classification or for a payment classification that is
12combined with one or more other categories of health care providers, as the
13commissioner, after approval by the board of governors, determines is appropriate
14for pooling risks under the fund.
AB754,74 15Section 74. 655.27 (3) (b) 2m. of the statutes is amended to read:
AB754,35,2216 655.27 (3) (b) 2m. In addition to the fees and payment classifications described
17under subds. 1. and 2. to 2f., the commissioner, after approval by the board of
18governors, may by rule establish a separate payment classification for physicians
19satisfying s. 655.002 (1) (b) and, a separate fee for nurse anesthetists satisfying s.
20655.002 (1) (b), and a separate fee for nurse-midwives satisfying s. 655.002 (1) (b)
21which take into account the loss experience of health care providers for whom
22Michigan is a principal place of practice.
AB754,75 23Section 75. 655.275 (5) (b) 3. of the statutes is created to read:
AB754,35,2524 655.275 (5) (b) 3. If a claim was paid for damages arising out of the rendering
25of care by a nurse-midwife, with at least one nurse-midwife.
AB754,76
1Section 76 . Nonstatutory provisions.
AB754,36,6 2(1) Expiration of term of member on board of governors. Notwithstanding
3the length of terms specified for the members of the board of governors under section
4619.04 (3) of the statutes, as affected by this act, the initial public member named
5by the Wisconsin Nurses Association shall be appointed for a term expiring on May
61, 2015.
AB754,36,12 7(2 ) Notice of effective date of rule for fees. The commissioner of insurance
8shall promulgate a rule under section 655.27 (3) (b) of the statutes, as affected by this
9act, that takes into account participation in the injured patients and families
10compensation fund by nurse-midwives. When the rule has been promulgated and
11is in effect, the commissioner of insurance shall publish a notice in the Wisconsin
12Administrative Register that specifies the effective date of the rule.
AB754,77 13Section 77. Initial applicability.
AB754,36,1814 (1) The treatment of section 71.07 (9e) (h) of the statutes first applies to taxable
15years beginning on January 1 of the year in which this subsection takes effect, except
16that if this subsection takes effect on or after August 1 the treatment of section 71.07
17(9e) (h) of the statutes first applies to taxable years beginning on January 1 of the
18year following the year in which this subsection takes effect.
AB754,78 19Section 78. Effective dates. This act takes effect on the day after publication,
20except as follows:
AB754,37,3 21(1) Injured patients and families compensation fund. The treatment of
22sections 655.002 (1) (a), (b) (intro.) 1., 2., and 3., (c), (d), (e), and (em) and (2) (a) and
23(b), 655.003 (1), (3), and (4), 655.005 (2) (a) (by Section 69) and (b), 655.23 (5m), and
24655.275 (5) (b) 3. of the statutes, the repeal of section 655.001 (7t) (b) of the statutes,
25and the renumbering and amendment of section 655.001 (7t) (a) of the statutes take

1effect on the first day of the 3rd month beginning after the date published by the
2commissioner of insurance in the Wisconsin Administrative Register under Section
376 (2 ) of this act.
AB754,37,44 (End)
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