SB762,20,921 102.42 (2) (a) When the employer has notice of an injury and its relationship
22to the employment, the employer shall offer to the injured employee his or her choice
23of any physician, chiropractor, psychologist, dentist, physician assistant, advanced
24practice nurse prescriber, or podiatrist, or primary spinal care practitioner licensed
25to practice and practicing in this state for treatment of the injury. By mutual

1agreement, the employee may have the choice of any qualified practitioner not
2licensed in this state. In case of emergency, the employer may arrange for treatment
3without tendering a choice. After the emergency has passed the employee shall be
4given his or her choice of attending practitioner at the earliest opportunity. The
5employee has the right to a 2nd choice of attending practitioner on notice to the
6employer or its insurance carrier. Any further choice shall be by mutual agreement.
7Partners and clinics are considered to be one practitioner. Treatment by a
8practitioner on referral from another practitioner is considered to be treatment by
9one practitioner.
SB762,43 10Section 43. 102.61 (1g) (c) of the statutes, as affected by 2015 Wisconsin Act
1155
, is amended to read:
SB762,21,512 102.61 (1g) (c) On receiving notice that he or she is eligible to receive vocational
13rehabilitation services under 29 USC 701 to 797a, an employee shall provide the
14employer with a written report from a physician, chiropractor, psychologist, or
15podiatrist, or primary spinal care practitioner stating the employee's permanent
16work restrictions. Within 60 days after receiving that report, the employer shall
17provide to the employee in writing an offer of suitable employment, a statement that
18the employer has no suitable employment for the employee, or a report from a
19physician, chiropractor, psychologist, or podiatrist , or primary spinal care
20practitioner
showing that the permanent work restrictions provided by the
21employee's practitioner are in dispute and documentation showing that the
22difference in work restrictions would materially affect either the employer's ability
23to provide suitable employment or a vocational rehabilitation counselor's ability to
24recommend a rehabilitative training program. If the employer and employee cannot
25resolve the dispute within 30 days after the employee receives the employer's report

1and documentation, the employer or employee may request a hearing before the
2division to determine the employee's work restrictions. Within 30 days after the
3division determines the employee's work restrictions, the employer shall provide to
4the employee in writing an offer of suitable employment or a statement that the
5employer has no suitable employment for the employee.
SB762,44 6Section 44. 118.15 (3) (a) of the statutes is amended to read:
SB762,21,187 118.15 (3) (a) Any child who is excused by the school board because the child
8is temporarily not in proper physical or mental condition to attend a school program
9but who can be expected to return to a school program upon termination or
10abatement of the illness or condition. The school attendance officer may request the
11parent or guardian of the child to obtain a written statement from a licensed
12physician, primary spinal care practitioner, dentist, chiropractor, optometrist,
13psychologist, physician assistant, or nurse practitioner, as defined in s. 255.06 (1) (d),
14or certified advanced practice nurse prescriber or Christian Science practitioner
15living and residing in this state, who is listed in the Christian Science Journal, as
16sufficient proof of the physical or mental condition of the child. An excuse under this
17paragraph shall be in writing and shall state the time period for which it is valid, not
18to exceed 30 days.
SB762,45 19Section 45. 118.29 (1) (e) of the statutes is amended to read:
SB762,21,2220 118.29 (1) (e) "Practitioner" means any physician, dentist, optometrist,
21physician assistant, advanced practice nurse prescriber, or podiatrist, or primary
22spinal care practitioner
licensed in any state.
SB762,46 23Section 46. 146.37 (1g) of the statutes is amended to read:
SB762,22,1424 146.37 (1g) Except as provided in s. 153.76, no person acting in good faith who
25participates in the review or evaluation of the services of health care providers or

1facilities or the charges for such services conducted in connection with any program
2organized and operated to help improve the quality of health care, to avoid improper
3utilization of the services of health care providers or facilities or to determine the
4reasonable charges for such services, or who participates in the obtaining of health
5care information under subch. I of ch. 153, is liable for any civil damages as a result
6of any act or omission by such person in the course of such review or evaluation. Acts
7and omissions to which this subsection applies include, but are not limited to, acts
8or omissions by peer review committees or hospital governing bodies in censuring,
9reprimanding, limiting or revoking hospital staff privileges or notifying the medical
10examining board or podiatry affiliated credentialing board, or spinal medicine
11affiliated credentialing board
under s. 50.36 or taking any other disciplinary action
12against a health care provider or facility and acts or omissions by a medical director
13in reviewing the performance of emergency medical technicians or ambulance
14service providers.
SB762,47 15Section 47. 146.81 (1) (ev) of the statutes is created to read:
SB762,22,1716 146.81 (1) (ev) A primary spinal care practitioner licensed under subch. VIII
17of ch. 448.
SB762,48 18Section 48. 146.89 (1) (r) 1. of the statutes is amended to read:
SB762,22,2419 146.89 (1) (r) 1. Licensed as a physician under ch. 448, a dentist or dental
20hygienist under ch. 447, a registered nurse, practical nurse, or nurse-midwife under
21ch. 441, an optometrist under ch. 449, a physician assistant under ch. 448, a
22pharmacist under ch. 450, a chiropractor under ch. 446, a podiatrist under subch. IV
23of ch. 448, a primary spinal care practitioner licensed under subch. VIII of ch. 448,
24or a physical therapist under subch. III of ch. 448.
SB762,49 25Section 49. 146.903 (1) (b) of the statutes is amended to read:
SB762,23,3
1146.903 (1) (b) "Clinic" means a place, other than a residence or a hospital, that
2is used primarily for the provision of nursing, medical, podiatric, spinal medicine, as
3defined in s. 448.971 (5),
dental, chiropractic, or optometric care and treatment.
SB762,50 4Section 50. 146.997 (1) (d) 4. of the statutes is amended to read:
SB762,23,75 146.997 (1) (d) 4. A physician, podiatrist, primary spinal care practitioner,
6perfusionist, physical therapist, or physical therapist assistant licensed under ch.
7448.
SB762,51 8Section 51. 155.01 (7) of the statutes is amended to read:
SB762,23,199 155.01 (7) "Health care provider" means a nurse licensed or permitted under
10ch. 441, a chiropractor licensed under ch. 446, a dentist licensed under ch. 447, a
11physician, physician assistant, perfusionist, podiatrist, primary spinal care
12practitioner,
physical therapist, physical therapist assistant, occupational therapist,
13or occupational therapy assistant licensed under ch. 448, a person practicing
14Christian Science treatment, an optometrist licensed under ch. 449, a psychologist
15licensed under ch. 455, a partnership thereof, a corporation or limited liability
16company thereof that provides health care services, a cooperative health care
17association organized under s. 185.981 that directly provides services through
18salaried employees in its own facility, or a home health agency, as defined in s. 50.49
19(1) (a).
SB762,52 20Section 52. 180.1901 (1m) (bw) of the statutes is created to read:
SB762,23,2221 180.1901 (1m) (bw) Spinal medicine affiliated credentialing board under
22subch. VIII of ch. 448.
SB762,53 23Section 53. 185.981 (1) of the statutes is amended to read:
SB762,24,424 185.981 (1) Cooperative associations may be organized under this chapter
25without capital stock, primarily to establish and operate in the state or in any county

1or counties in the state nonprofit plans or programs for health care, including
2hospital care, for their members and their members' dependents through contracts
3with physicians, medical societies, chiropractors, optometrists, dentists, dental
4societies, hospitals, podiatrists, primary spinal care practitioners, and others.
SB762,54 5Section 54. 185.981 (2) of the statutes is amended to read:
SB762,24,226 185.981 (2) A cooperative association organized under this section shall
7operate only on a cooperative nonprofit basis and for the primary purpose of
8establishing, maintaining, and operating a voluntary nonprofit health, dental, or
9vision care plan or plans, or for constructing, operating, and maintaining nonprofit
10hospitals or other facilities whereby health care, including hospital, dental, or vision
11care, is provided to its members and to other persons or groups of persons who become
12subscribers to the plans, subject to s. 185.982 (2), under contracts that provide access
13to medical, surgical, chiropractic, vision, dental, or hospital care, other health care
14services, appliances, and supplies, by physicians and surgeons licensed and
15registered under ch. 448, podiatrists licensed under ch. 448, primary spinal care
16practitioners licensed under ch. 448,
optometrists licensed under ch. 449,
17chiropractors licensed under ch. 446, dentists licensed under ch. 447, and other
18health care providers in their offices, in hospitals, in other facilities, and in the home.
19Nothing in this subsection precludes a cooperative association organized under this
20section from owning an interest in other entities for enhancing or improving member
21services or for investment or other purposes, as long as the association's primary
22purpose remains as provided in this subsection.
SB762,55 23Section 55. 185.981 (3) of the statutes is amended to read:
SB762,25,724 185.981 (3) No cooperative association organized primarily for the purposes
25provided in ss. 185.981 to 185.983 shall be prevented from contracting with any

1hospital in this state for the rendition of such hospital care as is included within the
2cooperative association's plans because the hospital participates in a plan of any
3other cooperative association, or in a plan organized and operated under ss. 148.03
4and 613.80. No hospital may discriminate against any physician and surgeon,
5chiropractor, dentist, or podiatrist, or primary spinal care practitioner with respect
6to the use of the hospital's facilities by reason of his or her participation in a health
7care plan of a cooperative.
SB762,56 8Section 56. 185.981 (4) (a) of the statutes is amended to read:
SB762,25,179 185.981 (4) (a) Except as provided in par. (b), no contract by or on behalf of any
10such cooperative association shall provide for the payment of any cash, indemnity,
11or other material benefit by that association to the subscriber or the subscriber's
12estate on account of death, illness, or injury, but any such association may stipulate
13in its plans that it will pay any nonparticipating physician and surgeon, optometrist,
14chiropractor, dentist, podiatrist, primary spinal care practitioner, hospital, or other
15provider for hospital or other health care rendered to any covered person who is in
16need of a plan's benefits. The plans may prescribe monetary limitations with respect
17to the benefits.
SB762,57 18Section 57. 185.982 (1) of the statutes is amended to read:
SB762,26,519 185.982 (1) No health care plan or contract issued by a cooperative association
20shall interfere with the manner or mode of the practice of medicine, optometry,
21chiropractic, dentistry, or podiatry, or spinal medicine, as defined in s. 448.971 (5),
22the manner or mode of providing wellness or other services, the relationship of
23physician, chiropractor, optometrist, dentist, podiatrist, primary spinal care
24practitioner,
or other provider and patient, nor the responsibility of physician,
25chiropractor, optometrist, dentist, podiatrist, primary spinal care practitioner, or

1other provider to patient. Plans may require persons covered to utilize health care
2providers designated by the cooperative association. The cooperative association
3may provide health care services directly through providers who are employees of the
4cooperative association or through agreements with individual providers or groups
5of providers organized on a group practice or individual practice basis.
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:
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