SB532: Bill Text

SB532,15,6 3. Administering ionizing radioactive substances for therapeutic purposes.

SB532,15,8 4. Performing surgical procedures involving the eye, ear, tendons, nerves, veins, or arteries that extend beyond superficial tissue.

SB532,15,11 5. Performing any procedure or practice that is prohibited by the board by rule under s. 466.03 (2) (a) or that is excluded from the definition of naturopathic physical medicine under sub. (7) (b).

SB532,15,16 (7) (a) “Naturopathic physical medicine” includes, except as provided in par. (b), manually administering mechanical treatment of body structures or tissues for the purpose of restoring normal physiological function to the body by normalizing and balancing the musculoskeletal system of the body, such as massage, stretching, resistance, or joint play examination.

SB532,15,19 (b) “Naturopathic physical medicine” does not include the employment or application of chiropractic adjustments and the principles or techniques of chiropractic science as described in s. 446.01 (2) (b).

SB532,15,20 (8) “Nonprescription drug product" has the meaning given in s. 450.01 (13m).

SB532,15,24 466.02 License required; use of titles. (1) (a) Except as provided in subs. (2) (a) and (b) and (3), no person may practice naturopathic medicine or make a representation that he or she is authorized to do so unless the person is licensed under this chapter.

SB532,16,10 (b) 1. Except as provided in subs. (2) (b) and (3), no person may designate himself or herself as a naturopathic doctor or doctor of naturopathic medicine; use or assume the title “naturopathic doctor," “doctor of naturopathic medicine," or “doctor of naturopathy"; use the words “naturopathic medicine” or “naturopathic health care” in connection with his or her practice; append to the person's name the letters “N.D." or “ND"; use any other titles, words, letters, abbreviations, insignia, or designation that would imply that the individual is licensed, certified, or registered as a naturopathic doctor or doctor of naturopathic medicine; or claim to render naturopathic medicine or naturopathic health care services unless the person is licensed under s. 466.04 (1) or (2).

SB532,16,14 2. Except as provided in subs. (2) (b) and (3), no person may use or assume the title “naturopathic medical doctor” in connection with his or her practice or append to the person's name the letters “N.M.D.," or “NMD" unless the person is licensed under s. 466.04 (1).

SB532,16,15 (2) (a) Subsection (1) (a) does not require a license for any of the following:

SB532,16,17 1. Any person lawfully practicing within the scope of a license, permit, registration, or certification granted by this state or the federal government.

SB532,16,18 2. The provision of information in connection with the sale of vitamins or herbs.

SB532,16,20 3. The provision of advice regarding the use of a therapy, including herbal medicine, homeopathy, nutrition, or other nondrug or nonsurgical therapy.

SB532,16,23 4. Any individual acting under an exemption from the requirement to obtain a license to practice medicine and surgery under s. 448.03 (2), to the extent that the individual's activities also fall within the practice of naturopathic medicine.

SB532,17,3 5. Any person who is providing patient services as directed, supervised, and inspected by a naturopathic doctor who has the power to direct, decide, and oversee the implementation of the patient services rendered.

SB532,17,4 (b) Subsection (1) (a) and (b) does not require a license for any of the following:

SB532,17,7 1. The practice of naturopathic medicine by an individual employed by the federal government while the individual is engaged in the performance of duties prescribed by federal law.

SB532,17,10 2. A person who is licensed to practice naturopathic medicine in another state or country and is providing consultation to or with or a demonstration to or with a naturopathic doctor who is licensed under this chapter.

SB532,17,15 3. The practice of naturopathic medicine by a student enrolled in an approved naturopathic medical program that qualifies under s. 466.04 (1) (d) 1., provided that the performance of services is pursuant to a course of instruction or assignments from an instructor and is under the supervision of the instructor. The student shall use the title “ND candidate” with the intended year of graduation.

SB532,17,17 (3) The board may, by rule, establish additional exemptions from the requirements under sub. (1).

SB532,17,19 466.03 Duties and powers of examining board. (1) The board shall promulgate rules that establish all of the following:

SB532,17,21 (a) Standards of practice for and a code of ethics governing the professional conduct of naturopathic doctors and limited-scope naturopathic doctors.

SB532,17,24 (b) Continuing education requirements for applicants seeking renewal of a license under this chapter. The board shall establish separate continuing education requirements for naturopathic doctors and limited-scope naturopathic doctors.

SB532,18,3 (c) Examination standards and requirements for purposes of examinations required under s. 466.04 (1) (e), including required passing scores for examinations and the times when examinations are offered.

SB532,18,4 (2) The board may promulgate rules to do any of the following:

SB532,18,10 (a) Further define the scope of practice of naturopathic medicine. The board may expressly authorize diagnostic, therapeutic, or other practices that may be used by naturopathic doctors. The board may not authorize a naturopathic doctor to engage in any practice excluded from the definition of naturopathic medicine under s. 466.01 (6) (b). The board may expressly prohibit diagnostic, therapeutic, or other practices.

SB532,18,13 (b) Establish character and fitness requirements for initial licensure or renewal of a license under this chapter and evidence required to demonstrate satisfaction of such requirements.

SB532,18,16 (c) Establish physical and mental competency requirements for initial licensure or renewal of a license under this chapter and evidence required to demonstrate satisfaction of such requirements.

SB532,18,19 (d) Establish evidence of professional competency requirements for initial licensure or renewal of a license under this chapter, including evidence relating to an applicant's licensure status in other states.

SB532,18,21 (e) Establish additional clinical, practical, or residency requirements for initial licensure under this chapter.

SB532,18,23 (f) Adopt minimum malpractice insurance requirements for naturopathic doctors.

SB532,19,3 (3) The board may, for purposes of s. 466.04 (1) (d) 1. e., 2. d., 3. d., and 4. e., disqualify any naturopathic medical program if the board determines the program does not adequately prepare students to practice naturopathic medicine.

SB532,19,5 466.04 License; renewal. (1) Naturopathic doctor license. The board shall grant a naturopathic doctor license to a person who does all of the following:

SB532,19,7 (a) Submits an application for the license to the department on a form provided by the department.

SB532,19,8 (b) Pays the fee specified in s. 440.05 (1).

SB532,19,10 (c) Subject to ss. 111.321, 111.322, and 111.335, submits evidence satisfactory to the board that the applicant does not have an arrest or a conviction record.

SB532,19,12 (d) Submits evidence satisfactory to the board that he or she has completed one of the following:

SB532,19,14 1. A naturopathic medical education program offered in the United States that satisfies all of the following:

SB532,19,16 a. The program provides the degree of doctor of naturopathy or doctor of naturopathic medicine.

SB532,19,18 b. The program offers graduate-level, full-time, didactic and supervised clinical training.

SB532,19,21 c. The program is accredited, or has achieved candidacy status for such accreditation, by the Council on Naturopathic Medical Education or an equivalent federally recognized accrediting body for naturopathic medical programs.

SB532,19,25 d. The program is offered by an institution of higher education or part of an institution of higher education that is accredited, or is a candidate for such accreditation, by a regional accrediting organization or a national institutional accrediting agency recognized by the federal department of education.

SB532,20,2 e. The program has not been disqualified by the board as an approved naturopathic medical educational program under s. 466.03 (3).

SB532,20,4 2. A program at a diploma-granting, degree-equivalent institution of higher education located in Canada that satisfies all of the following:

SB532,20,6 a. The program offers graduate-level, full-time didactic and supervised clinical training.

SB532,20,9 b. The program is accredited, or has achieved candidacy status for such accreditation, by the Council on Naturopathic Medical Education or an equivalent federally recognized accrediting body for naturopathic medical programs.

SB532,20,11 c. The program has provincial approval for participation in government-funded student aid programs.

SB532,20,13 d. The program has not been disqualified by the board as an approved naturopathic medical educational program under s. 466.03 (3).

SB532,20,15 3. A program at a degree-granting institution of higher education located in the United States that satisfies all of the following:

SB532,20,17 a. The program existed prior to the existence of the Council on Naturopathic Medical Education.

SB532,20,21 b. The program offered a full-time, structured curriculum in basic sciences and supervised patient care comprising a doctoral naturopathic medical education for a duration of not less than 132 weeks and required completion within a period of not less than 35 months.

SB532,20,25 c. If the program is still in existence, the program is currently accredited, or has achieved candidacy status for accreditation by the Council on Naturopathic Medical Education or an equivalent federally recognized accrediting body for the naturopathic medical profession recognized by the board.

SB532,21,2 d. The program has not been disqualified by the board as an approved naturopathic medical educational program under s. 466.03 (3).

SB532,21,4 4. A program at a diploma-granting, degree-equivalent institution of higher education located in Canada that satisfies all of the following:

SB532,21,6 a. The program existed prior to the existence of the Council on Naturopathic Medical Education.

SB532,21,10 b. The program offered a full-time, structured curriculum in basic sciences and supervised patient care comprising a doctoral naturopathic medical education for a duration of not less than 132 weeks and required completion within a period of not less than 30 months.

SB532,21,13 c. Prior to the existence of the Council on Naturopathic Medical Education, the program had provincial approval for participation in government-funded student aid programs.

SB532,21,18 d. If the program is still in existence, the program is currently accredited, or has achieved candidacy status for accreditation by the Council on Naturopathic Medical Education or an equivalent federally recognized accrediting body for the naturopathic medical profession recognized by the board and currently has provincial approval for participation in government-funded student aid programs.

SB532,21,20 e. The program has not been disqualified by the board as an approved naturopathic medical educational program under s. 466.03 (3).

SB532,21,22 (e) Submits evidence satisfactory to the board that he or she has passed all of the following:

SB532,21,23 1. Either of the following:

SB532,22,3 a. A competency-based national naturopathic licensing examination administered by the North American Board of Naturopathic Examiners or its successor organization or another examination approved by the board by rule.

SB532,22,8 b. For graduates of approved naturopathic medical programs prior to the existence of the Council on Naturopathic Medical Education, a competency-based state naturopathic medicine licensing examination or equivalent Canadian provincial licensing examination for the practice of naturopathic medicine approved by the board.

SB532,22,9 2. A pharmacology examination approved by the board by rule.

SB532,22,11 3. Any other competency or jurisprudence examinations required by the board by rule.

SB532,22,14 (f) Meets any character and fitness, mental and physical competency, and professional competency standards established by the board under s. 466.03 (2) (b) to (d).

SB532,22,16 (g) Meets any other requirement established by the board under s. 466.03 (2) (e).

SB532,22,18 (2) Limited-scope naturopathic doctor license. (a) The board shall grant a limited-scope naturopathic doctor license to a person who does all of the following:

SB532,22,21 1. Submits, no later than the first day of the 37th month beginning after publication .... [LRB inserts date], an application for the license to the department on a form provided by the department.

SB532,22,22 2. Pays the fee specified in s. 440.05 (1).

SB532,22,24 3. Subject to ss. 111.321, 111.322, and 111.335, submits evidence satisfactory to the board that the applicant does not have an arrest or a conviction record.

SB532,23,3 4. Submits evidence satisfactory to the board that, prior to 2003, he or she completed a naturopathic medical program offered in the United States that satisfies all of the following:

SB532,23,4 a. The program provided the degree of doctor of naturopathy.

SB532,23,6 b. The program provided training in naturopathic medicine for a duration of not less than 1,500 hours.

SB532,23,8 5. Submits evidence satisfactory to the board that he or she has passed any competency or jurisprudence examinations required by the board by rule.

SB532,23,10 6. Satisfies the board that he or she has exhibited a record of safety in the practice of naturopathic medicine or naturopathy.

SB532,23,13 7. Meets any character and fitness, mental and physical competency, and professional competency standards established by the board under s. 466.03 (2) (b) to (d).

SB532,23,17 (b) A limited-scope naturopathic doctor license issued under par. (a) shall not be considered to be a naturopathic doctor license for purposes of the law of any other state that offers reciprocal licensure or licensure by endorsement in that other state to individuals who are licensed in this state.

SB532,23,25 (3) Renewal. The renewal date for licenses granted under this chapter is specified under s. 440.08 (2) (a). Renewal applications shall be submitted to the department on a form provided by the department, and shall include the renewal fee determined by the department under s. 440.03 (9) (a), proof of compliance with continuing education requirements established by the board under s. 466.03 (1) (b), proof of compliance with any requirements established by the board under s. 466.03 (2) (b) to (d), and proof of compliance with any malpractice insurance requirements under s. 466.03 (2) (f).

SB532,24,2 466.05 Practice. (1) (a) A naturopathic doctor may practice naturopathic medicine and may practice expedited partner therapy as provided in s. 466.052.

SB532,24,6 (b) A naturopathic doctor may, except as otherwise prohibited by the board by rule, utilize routes of administration that include oral, nasal, auricular, ocular, rectal, vaginal, transdermal, intramuscular, intravenous, intradermal, and subcutaneous, consistent with the education and training of a naturopathic doctor.

SB532,24,10 (2) (a) 1. Subject to subd. 3. and except as provided in subd. 2., a limited-scope naturopathic doctor may practice naturopathic medicine, but limited to what is specified under s. 466.01 (6) (a) 1. and 3. a. to c., except for s. 466.01 (6) (a) 1. d. to f.

SB532,24,17 2. A limited-scope naturopathic doctor may practice naturopathic medicine beyond what is authorized in subd. 1. if he or she demonstrates to the board that he or she is qualified to expand his or her scope of practice beyond what is authorized under subd. 1. If the limited-scope naturopathic doctor demonstrates to the board that he or she is qualified to expand his or her scope of practice, he or she may, subject to subd. 3., practice as authorized by the board, but not beyond what is authorized under sub. (1).

SB532,24,19 3. A limited-scope naturopathic doctor shall limit his or her practice to the scope of his or her experience, education, and training.

SB532,24,22 (b) Paragraph (a) applies notwithstanding any other provision of law that permits a naturopathic doctor to engage in any act that constitutes naturopathic medicine beyond what is authorized under par. (a).

SB532,24,23 466.052 Expedited partner therapy. (1) In this section:

SB532,24,24 (b) “Antimicrobial drug" has the meaning given in s. 448.035 (1) (b).

SB532,24,25 (c) “Expedited partner therapy" has the meaning given in s. 448.035 (1) (c).

SB532,25,11 (2) A naturopathic doctor may provide expedited partner therapy if a patient is diagnosed as infected with a chlamydial infection, gonorrhea, or trichomoniasis and the patient has had sexual contact with a sexual partner during which the chlamydial infection, gonorrhea, or trichomoniasis may have been transmitted to or from the sexual partner. The naturopathic doctor shall attempt to obtain the name of the patient's sexual partner. A prescription order for an antimicrobial drug prepared under this subsection shall include the name and address of the patient's sexual partner, if known. If the naturopathic doctor is unable to obtain the name of the patient's sexual partner, the prescription order shall include, in ordinary, bold-faced capital letters, the words, “expedited partner therapy" or the letters “EPT."