SB762,58 6Section 58. 185.982 (2) of the statutes is amended to read:
SB762,26,147 185.982 (2) Any cooperative association operating voluntary health care plans
8under the provisions of this chapter may pay physicians and surgeons, optometrists,
9chiropractors, dentists, primary spinal care practitioners, or other providers on a
10salary, per person, or fee-for-service basis to provide health care to members of the
11association. Every cooperative association may offer its health care services to
12nonmembers. Any cooperative association that operates a hospital may make the
13hospital's facilities available to nonmembers and to nonparticipating physicians,
14optometrists, dentists, or other providers.
SB762,59 15Section 59. 252.14 (1) (ar) 4r. of the statutes is created to read:
SB762,26,1716 252.14 (1) (ar) 4r. A primary spinal care practitioner licensed under subch. VIII
17of ch. 448.
SB762,60 18Section 60. 254.35 (3) (c) of the statutes is amended to read:
SB762,26,2119 254.35 (3) (c) For a podiatric, spinal medicine, as defined in 448.971 (5), or
20veterinary site having an ionizing radiation installation, the fee shall be at least $36
21for each site and at least $44 for each X-ray tube.
SB762,61 22Section 61. 254.39 (1) of the statutes is amended to read:
SB762,27,223 254.39 (1) Nothing in this subchapter may be interpreted as limiting
24intentional exposure of persons to radiation for the purpose of analysis, diagnosis,

1therapy, and medical, spinal medicine, as defined in s. 448.971 (5), chiropractic, or
2dental research as authorized by law.
SB762,62 3Section 62. 255.06 (1) (d) of the statutes is amended to read:
SB762,27,84 255.06 (1) (d) "Nurse practitioner" means a registered nurse licensed under ch.
5441 or in a party state, as defined in s. 441.50 (2) (j), whose practice of professional
6nursing under s. 441.001 (4) includes performance of delegated medical services
7under the supervision of a physician, dentist, or podiatrist, or primary spinal care
8practitioner
.
SB762,63 9Section 63. 257.01 (5) (a) of the statutes, as affected by 2015 Wisconsin Act 55,
10is amended to read:
SB762,27,1611 257.01 (5) (a) An individual who is licensed as a physician, a physician
12assistant, or a podiatrist, or a primary spinal care practitioner under ch. 448,
13licensed as a registered nurse, licensed practical nurse, or nurse-midwife under ch.
14441, licensed as a dentist under ch. 447, licensed as a pharmacist under ch. 450,
15licensed as a veterinarian or certified as a veterinary technician under ch. 89, or
16certified as a respiratory care practitioner under ch. 448.
SB762,64 17Section 64. 257.01 (5) (b) of the statutes, as affected by 2015 Wisconsin Act 55,
18is amended to read:
SB762,28,219 257.01 (5) (b) An individual who was at any time within the previous 10 years,
20but is not currently, licensed as a physician, a physician assistant, or a podiatrist, or
21a primary spinal care practitioner
under ch. 448, licensed as a registered nurse,
22licensed practical nurse or nurse-midwife, under ch. 441, licensed as a dentist under
23ch. 447, licensed as a pharmacist under ch. 450, licensed as a veterinarian or certified
24as a veterinary technician under ch. 89, or certified as a respiratory care practitioner

1under ch. 448, if the individual's license or certification was never revoked, limited,
2suspended, or denied renewal.
SB762,65 3Section 65. 287.07 (7) (c) 1. a. of the statutes is amended to read:
SB762,28,64 287.07 (7) (c) 1. a. "Clinic" means a place, other than a residence, that is used
5primarily for the provision of nursing, medical, podiatric, spinal medicine, as defined
6in s. 448.971 (5),
dental, chiropractic, optometric or veterinary care and treatment.
SB762,66 7Section 66. 341.14 (1a) of the statutes is amended to read:
SB762,29,28 341.14 (1a) If any resident of this state, who is registering or has registered an
9automobile, or a motor truck, dual purpose motor home or dual purpose farm truck
10which has a gross weight of not more than 8,000 pounds, a farm truck which has a
11gross weight of not more than 12,000 pounds or a motor home, submits a statement
12once every 4 years, as determined by the department, from a physician licensed to
13practice medicine in any state, from an advanced practice nurse licensed to practice
14nursing in any state, from a public health nurse certified or licensed to practice in
15any state, from a physician assistant licensed or certified to practice in any state,
16from a podiatrist licensed to practice in any state, from a primary spinal care
17practitioner licensed to practice spinal medicine in any state,
from a chiropractor
18licensed to practice chiropractic in any state, or from a Christian Science practitioner
19residing in this state and listed in the Christian Science journal certifying to the
20department that the resident is a person with a disability that limits or impairs the
21ability to walk, the department shall procure, issue and deliver to the disabled
22person plates of a special design in lieu of plates which ordinarily would be issued
23for the vehicle, and shall renew the plates. The plates shall be so designed as to
24readily apprise law enforcement officers of the fact that the vehicle is owned by a
25nonveteran disabled person and is entitled to the parking privileges specified in s.

1346.50 (2a). No charge in addition to the registration fee shall be made for the
2issuance or renewal of such plates.
SB762,67 3Section 67. 341.14 (1e) (a) of the statutes is amended to read:
SB762,29,254 341.14 (1e) (a) If any resident of this state, who is registering or has registered
5a motorcycle, submits a statement once every 4 years, as determined by the
6department, from a physician licensed to practice medicine in any state, from an
7advanced practice nurse licensed to practice nursing in any state, from a public
8health nurse certified or licensed to practice in any state, from a physician assistant
9licensed or certified to practice in any state, from a podiatrist licensed to practice in
10any state, from a primary spinal care practitioner licensed to practice spinal
11medicine in any state,
from a chiropractor licensed to practice chiropractic in any
12state, from a Christian Science practitioner residing in this state and listed in the
13Christian Science journal, or from the U.S. department of veterans affairs certifying
14to the department that the resident is a person with a disability that limits or impairs
15the ability to walk, the department shall procure, issue and deliver to the disabled
16person a plate of a special design in lieu of the plate which ordinarily would be issued
17for the motorcycle, and shall renew the plate. The statement shall state whether the
18disability is permanent or temporary and, if temporary, the opinion of the physician,
19advanced practice nurse, public health nurse, physician assistant, podiatrist,
20primary spinal care practitioner, chiropractor, practitioner, or U.S. department of
21veterans affairs as to the duration of the disability. The plate shall be so designed
22as to readily apprise law enforcement officers of the fact that the motorcycle is owned
23by a disabled person and is entitled to the parking privileges specified in s. 346.50
24(2a). No charge in addition to the registration fee may be made for the issuance or
25renewal of the plate.
SB762,68
1Section 68. 341.14 (1m) of the statutes is amended to read:
SB762,30,222 341.14 (1m) If any licensed driver submits to the department a statement once
3every 4 years, as determined by the department, from a physician licensed to practice
4medicine in any state, from a public health nurse certified or licensed to practice in
5any state, from an advanced practice nurse licensed to practice nursing in any state,
6from a physician assistant licensed or certified to practice in any state, from a
7podiatrist licensed to practice in any state, from a primary spinal care practitioner
8licensed to practice spinal medicine in any state,
from a chiropractor licensed to
9practice chiropractic in any state, or from a Christian Science practitioner residing
10in this state and listed in the Christian Science journal certifying that another
11person who is regularly dependent on the licensed driver for transportation is a
12person with a disability that limits or impairs the ability to walk, the department
13shall issue and deliver to the licensed driver plates of a special design in lieu of the
14plates which ordinarily would be issued for the automobile or motor truck, dual
15purpose motor home or dual purpose farm truck having a gross weight of not more
16than 8,000 pounds, farm truck having a gross weight of not more than 12,000 pounds
17or motor home, and shall renew the plates. The plates shall be so designed as to
18readily apprise law enforcement officers of the fact that the vehicle is operated by a
19licensed driver on whom a disabled person is regularly dependent and is entitled to
20the parking privileges specified in s. 346.50 (2a). No charge in addition to the
21registration fee may be made for the issuance or renewal of the plates. The plates
22shall conform to the plates required in sub. (1a).
SB762,69 23Section 69. 341.14 (1q) of the statutes is amended to read:
SB762,31,1824 341.14 (1q) If any employer who provides an automobile, or a motor truck, dual
25purpose motor home or dual purpose farm truck which has a gross weight of not more

1than 8,000 pounds, a farm truck which has a gross weight of not more than 12,000
2pounds or a motor home, for an employee's use submits to the department a
3statement once every 4 years, as determined by the department, from a physician
4licensed to practice medicine in any state, from an advanced practice nurse licensed
5to practice nursing in any state, from a public health nurse certified or licensed to
6practice in any state, from a physician assistant licensed or certified to practice in
7any state, from a podiatrist licensed to practice in any state, from a primary spinal
8care practitioner licensed to practice spinal medicine in any state,
from a
9chiropractor licensed to practice chiropractic in any state, or from a Christian
10Science practitioner residing in this state and listed in the Christian Science journal
11certifying that the employee is a person with a disability that limits or impairs the
12ability to walk, the department shall issue and deliver to such employer plates of a
13special design in lieu of the plates which ordinarily would be issued for the vehicle,
14and shall renew the plates. The plates shall be so designed as to readily apprise law
15enforcement officers of the fact that the vehicle is operated by a disabled person and
16is entitled to the parking privileges specified in s. 346.50 (2a). No charge in addition
17to the registration fee may be made for the issuance or renewal of the plates. The
18plates shall conform to the plates required in sub. (1a).
SB762,70 19Section 70. 343.51 (1) of the statutes is amended to read:
SB762,32,1820 343.51 (1) Any person who qualifies for registration plates of a special design
21under s. 341.14 (1), (1a), (1m), or (1q) or any other person with a disability that limits
22or impairs the ability to walk may request from the department a special
23identification card that will entitle any motor vehicle parked by, or under the
24direction of, the person, or a motor vehicle operated by or on behalf of the
25organization when used to transport such a person, to parking privileges under s.

1346.50 (2), (2a), and (3). The department shall issue the card at a fee to be determined
2by the department, upon submission by the applicant, if the applicant is an
3individual rather than an organization, of a statement from a physician licensed to
4practice medicine in any state, from an advanced practice nurse licensed to practice
5nursing in any state, from a public health nurse certified or licensed to practice in
6any state, from a physician assistant licensed or certified to practice in any state,
7from a podiatrist licensed to practice in any state, from a primary spinal care
8practitioner licensed to practice spinal medicine in any state,
from a chiropractor
9licensed to practice chiropractic in any state, or from a Christian Science practitioner
10residing in this state and listed in the Christian Science journal that the person is
11a person with a disability that limits or impairs the ability to walk. The statement
12shall state whether the disability is permanent or temporary and, if temporary, the
13opinion of the physician, advanced practice nurse, public health nurse, physician
14assistant, podiatrist, primary spinal care practitioner, chiropractor, or practitioner
15as to the duration of the disability. The department shall issue the card upon
16application by an organization on a form prescribed by the department if the
17department believes that the organization meets the requirements under this
18subsection.
SB762,71 19Section 71. 343.62 (4) (a) 4. of the statutes is amended to read:
SB762,33,420 343.62 (4) (a) 4. The applicant submits with the application a statement
21completed within the immediately preceding 24 months, except as provided by rule,
22by a physician licensed to practice medicine in any state, from an advanced practice
23nurse licensed to practice nursing in any state, from a physician assistant licensed
24or certified to practice in any state, from a podiatrist licensed to practice in any state,
25from a primary spinal care practitioner licensed to practice spinal medicine in any

1state,
from a chiropractor licensed to practice chiropractic in any state, or from a
2Christian Science practitioner residing in this state, and listed in the Christian
3Science journal certifying that, in the medical care provider's judgment, the
4applicant is physically fit to teach driving.
SB762,72 5Section 72. 440.03 (13) (b) 53s. of the statutes is created to read:
SB762,33,66 440.03 (13) (b) 53s. Primary spinal care practitioner.
SB762,73 7Section 73. 440.08 (2) (a) 60s. of the statutes is created to read:
SB762,33,98 440.08 (2) (a) 60s. Primary spinal care practitioner: December 15 of each
9even-numbered year.
SB762,74 10Section 74. 441.001 (3) (a) of the statutes is amended to read:
SB762,33,1911 441.001 (3) (a) "Practical nursing" means the performance for compensation
12of any simple acts in the care of convalescent, subacutely or chronically ill, injured
13or infirm persons, or of any act or procedure in the care of the more acutely ill, injured
14or infirm under the specific direction of a nurse, physician, podiatrist or primary
15spinal care practitioner
licensed under ch. 448, dentist licensed under ch. 447 or
16optometrist licensed under ch. 449, or under an order of a person who is licensed to
17practice medicine, podiatry, spinal medicine, as defined in s. 448.971 (5), dentistry
18or optometry in another state if that person prepared the order after examining the
19patient in that other state and directs that the order be carried out in this state.
SB762,75 20Section 75. 441.001 (4) (b) of the statutes is amended to read:
SB762,34,321 441.001 (4) (b) The execution of procedures and techniques in the treatment
22of the sick under the general or special supervision or direction of a physician,
23podiatrist, or primary spinal care practitioner licensed under ch. 448, dentist
24licensed under ch. 447, or optometrist licensed under ch. 449, or under an order of
25a person who is licensed to practice medicine, podiatry, spinal medicine, as defined

1in s. 448.971 (5),
dentistry, or optometry in another state if the person making the
2order prepared the order after examining the patient in that other state and directs
3that the order be carried out in this state.
SB762,76 4Section 76. 446.02 (6m) of the statutes is amended to read:
SB762,34,105 446.02 (6m) No chiropractor may provide counsel, direction, guidance, advice,
6or a recommendation to a patient regarding the health effects of vitamins, herbs, or
7nutritional supplements unless the chiropractor has been issued a certificate under
8sub. (2) (c). This subsection does not apply to a chiropractor licensed under this
9chapter who is certified as a dietician under subch. V of ch. 448 or who is a primary
10spinal care practitioner licensed under s. 448.9725
.
SB762,77 11Section 77. 446.02 (7d) (d) of the statutes is created to read:
SB762,34,1412 446.02 (7d) (d) This subsection does not apply to a primary spinal care
13practitioner licensed under subch. VIII of ch. 448 with respect to treatment of a
14condition within the scope of that license.
SB762,78 15Section 78. 446.026 (1) (a) of the statutes is amended to read:
SB762,34,1916 446.026 (1) (a) No person may provide adjunctive services unless the person
17is a chiropractic technician and is under the direct, on-premises supervision of a
18chiropractor licensed under this chapter or a primary spinal care practitioner
19licensed under subch. VIII of ch. 448
.
SB762,79 20Section 79. 446.05 (1) of the statutes is renumbered 446.05 (1) (a).
SB762,80 21Section 80. 446.05 (1) (b) of the statutes is created to read:
SB762,35,222 446.05 (1) (b) The examining board shall refer an allegation of a violation of
23subch. VIII of ch. 448 to the spinal medicine affiliated credentialing board for
24investigation, unless the alleged conduct also involves a violation of this chapter, in

1which case the examining board and the spinal medicine affiliated credentialing
2board shall consult concerning the investigation.
SB762,81 3Section 81. 448.03 (2) (a) of the statutes is amended to read:
SB762,35,104 448.03 (2) (a) Any person lawfully practicing within the scope of a license,
5permit, registration, certificate or certification granted to practice midwifery under
6subch. XIII of ch. 440, to practice professional or practical nursing or
7nurse-midwifery under ch. 441, to practice chiropractic under ch. 446, to practice
8dentistry or dental hygiene under ch. 447, to practice spinal medicine under subch.
9VIII,
to practice optometry under ch. 449, to practice acupuncture under ch. 451 or
10under any other statutory provision, or as otherwise provided by statute.
SB762,82 11Section 82. 448.21 (1) (f) of the statutes is created to read:
SB762,35,1312 448.21 (1) (f) The practice of spinal medicine within the meaning of s. 448.971
13(5).
SB762,83 14Section 83. 448.52 (2m) (a) of the statutes is amended to read:
SB762,35,1815 448.52 (2m) (a) Except as provided in par. (b), a chiropractor licensed under ch.
16446 or a primary spinal care practitioner under subch. VIII claiming to render
17physical therapy, if the physical therapy is provided by a physical therapist employed
18by the chiropractor or primary spinal care practitioner.
SB762,84 19Section 84. 448.52 (2m) (b) of the statutes is amended to read:
SB762,35,2120 448.52 (2m) (b) A chiropractor licensed under ch. 446 or a doctor of chiropractic
21licensed under subch. VIII
claiming to render physical therapy modality services.
SB762,85 22Section 85. 448.56 (1) of the statutes is amended to read:
SB762,36,1223 448.56 (1) Written referral. Except as provided in this subsection and s.
24448.52, a person may practice physical therapy only upon the written referral of a
25physician, physician assistant, chiropractor, dentist, podiatrist, primary spinal care

1practitioner,
or advanced practice nurse prescriber certified under s. 441.16 (2).
2Written referral is not required if a physical therapist provides services in schools to
3children with disabilities, as defined in s. 115.76 (5), pursuant to rules promulgated
4by the department of public instruction; provides services as part of a home health
5care agency; provides services to a patient in a nursing home pursuant to the
6patient's plan of care; provides services related to athletic activities, conditioning, or
7injury prevention; or provides services to an individual for a previously diagnosed
8medical condition after informing the individual's physician, physician assistant,
9chiropractor, dentist, podiatrist, primary spinal care practitioner, or advanced
10practice nurse prescriber certified under s. 441.16 (2) who made the diagnosis. The
11examining board may promulgate rules establishing additional services that are
12excepted from the written referral requirements of this subsection.
SB762,86 13Section 86. 448.56 (1m) (b) of the statutes is amended to read:
SB762,36,1914 448.56 (1m) (b) The examining board shall promulgate rules establishing the
15requirements that a physical therapist must satisfy if a physician, physician
16assistant, chiropractor, dentist, podiatrist, primary spinal care practitioner, or
17advanced practice nurse prescriber makes a written referral under sub. (1). The
18purpose of the rules shall be to ensure continuity of care between the physical
19therapist and the health care practitioner.
SB762,87 20Section 87. 448.956 (1m) of the statutes is amended to read:
SB762,37,221 448.956 (1m) Subject to sub. (1) (a), a licensee may provide athletic training
22to an individual without a referral, except that a licensee may not provide athletic
23training as described under s. 448.95 (5) (d) or (e) in an outpatient rehabilitation
24setting unless the licensee has obtained a written referral for the individual from a

1practitioner licensed or certified under subch. II, III, IV, V, or, VII, or VIII of this
2chapter; under ch. 446; or under s. 441.16 (2).
SB762,88 3Section 88. 448.956 (3) (c) of the statutes is amended to read:
SB762,37,84 448.956 (3) (c) Treat or rehabilitate an employee with an injury or illness that
5has resulted from an employment activity as directed, supervised, and inspected by
6a physician, as defined in s. 448.01 (5), or by a person licensed under subch. VIII or
7under s. 446.02, who has the power to direct, decide, and oversee the implementation
8of the treatment or rehabilitation.
SB762,89 9Section 89. 448.956 (4) of the statutes is amended to read:
SB762,37,1510 448.956 (4) If a licensee or the consulting physician of the licensee determines
11that a patient's medical condition is beyond the scope of practice of the licensee, the
12licensee shall, in accordance with the protocol established under sub. (1) (a), refer the
13patient to a health care practitioner who is licensed under ch. 446 or 447 or subch.
14II, III or, IV, or VIII of ch. 448 and who can provide appropriate treatment to the
15patient.
SB762,90 16Section 90. Subchapter VIII of chapter 448 [precedes 448.971] of the statutes
17is created to read:
SB762,37,1818 chapter 448
SB762,37,1919 subchapter viii
SB762,37,2120 spinal medicine affiliated
21 credentialing board
SB762,37,22 22448.971 Definitions. In this subchapter:
SB762,37,24 23(1) "Affiliated credentialing board" means the spinal medicine affiliated
24credentialing board.
SB762,37,25 25(2) "Licensee" means a person who is licensed under s. 448.9725.
SB762,38,1
1(3) "Practice of chiropractic" has the meaning given in s. 446.01 (2).
SB762,38,4 2(4) "Primary spinal care practitioner" means an individual possessing the
3degree of doctor of spinal medicine or equivalent degree as determined by the
4affiliated credentialing board.
SB762,38,9 5(5) "Spinal medicine" means the integration and application of the practice of
6chiropractic and the practice of medicine and surgery that is limited to conditions of
7the spine and of the musculoskeletal, neuromuscular, and nervous systems and
8includes prescribing and administering drugs. The practice of spinal medicine does
9not include all of the following:
SB762,38,1010 (a) Surgery.
SB762,38,1211 (b) Administering a general anesthetic, except under the direction of a person
12licensed to practice medicine and surgery under subch. II.
SB762,38,18 13448.9715 License required. (1) Except as provided in ss. 257.03 and
14448.972, no person may practice spinal medicine, designate himself or herself as a
15primary spinal care practitioner, use or assume the title "primary spinal care
16practitioner," or append to the person's name the letters "P.S.C.P.," or any other title,
17letters, or designation that represents or may tend to represent the person as a
18primary spinal care practitioner unless the person is a licensee.
SB762,38,22 19(2) (a) A primary spinal care practitioner shall evaluate each patient before
20commencing treatment of the patient to determine whether the patient has a
21condition that is treatable by the practice of spinal medicine. The evaluation shall
22be based upon an examination that is appropriate to the patient.
SB762,39,523 (b) A primary spinal care practitioner shall discontinue the practice of spinal
24medicine on a patient if, at any time after the evaluation under par. (a) or during or
25following treatment of the patient, the primary spinal care practitioner determines

1or reasonably believes that the patient's condition is not treatable by the practice of
2spinal medicine, or will not respond to further practice of spinal medicine by the
3primary spinal care practitioner, except that a primary spinal care practitioner may
4provide maintenance, supportive, and wellness care to the patient if the patient is
5being treated by another health care professional.
SB762,39,206 (c) A primary spinal care practitioner who discontinues the practice of spinal
7medicine as required in par. (b) shall inform the patient of the reason for
8discontinuing the practice of spinal medicine and shall refer the patient to a
9physician. A primary spinal care practitioner may continue to provide maintenance,
10supportive, and wellness care to a patient referred under this paragraph who
11requests these services from the doctor of spinal medicine. A referral under this
12paragraph shall describe the primary spinal care practitioner's findings. If the
13referral is written, the primary spinal care practitioner shall provide the patient
14with a copy and shall maintain a copy in the patient's records. If the referral is oral,
15the primary spinal care practitioner shall communicate the referral directly to the
16physician, shall notify the patient about the referral, and shall make a written record
17of the oral referral. The written record of the oral referral shall include the name of
18the physician to whom the patient was referred and the date of the referral. The
19primary spinal care practitioner shall maintain a copy of the written record of the
20oral referral in the patient's records.
SB762,39,22 21448.972 Applicability. This subchapter does not require a license for any of
22the following:
SB762,39,24 23(1) A person lawfully practicing within the scope of a license, permit,
24registration, or certification granted by this state or the federal government.
SB762,40,2
1(2) A person assisting a primary spinal care practitioner under the direct,
2on-premises supervision of the primary spinal care practitioner.
SB762,40,5 3(3) A student enrolled in a spinal medicine program approved by the affiliated
4credentialing board under s. 448.973 if the student is engaged in activities required
5under that program.
SB762,40,7 6(4) A person performing the gratuitous domestic administration of family
7remedies.
SB762,40,9 8(5) A person furnishing medical assistance or first aid at the scene of an
9emergency.
SB762,40,12 10448.9725 Licensure of primary spinal care practitioners. (1) The
11affiliated credentialing board shall grant a license as a primary spinal care
12practitioner to a person who does all of the following:
SB762,40,1413 (a) Submits an application for the license to the department on a form provided
14by the department.
SB762,40,1515 (b) Pays the fee specified in s. 440.05 (1).
SB762,40,1816 (c) Subject to ss. 111.321, 111.322, and 111.335, submits evidence satisfactory
17to the affiliated credentialing board that the applicant does not have an arrest or
18conviction record.
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