SB532,18,105 (a) Further define the scope of practice of naturopathic medicine. The board
6may expressly authorize diagnostic, therapeutic, or other practices that may be used
7by naturopathic doctors. The board may not authorize a naturopathic doctor to
8engage in any practice excluded from the definition of naturopathic medicine under
9s. 466.01 (6) (b). The board may expressly prohibit diagnostic, therapeutic, or other
10practices.
SB532,18,1311 (b) Establish character and fitness requirements for initial licensure or
12renewal of a license under this chapter and evidence required to demonstrate
13satisfaction of such requirements.
SB532,18,1614 (c) Establish physical and mental competency requirements for initial
15licensure or renewal of a license under this chapter and evidence required to
16demonstrate satisfaction of such requirements.
SB532,18,1917 (d) Establish evidence of professional competency requirements for initial
18licensure or renewal of a license under this chapter, including evidence relating to
19an applicant's licensure status in other states.
SB532,18,2120 (e) Establish additional clinical, practical, or residency requirements for initial
21licensure under this chapter.
SB532,18,2322 (f) Adopt minimum malpractice insurance requirements for naturopathic
23doctors.
SB532,19,3
1(3) The board may, for purposes of s. 466.04 (1) (d) 1. e., 2. d., 3. d., and 4. e.,
2disqualify any naturopathic medical program if the board determines the program
3does not adequately prepare students to practice naturopathic medicine.
SB532,19,5 4466.04 License; renewal. (1) Naturopathic doctor license. The board shall
5grant a naturopathic doctor license to a person who does all of the following:
SB532,19,76 (a) Submits an application for the license to the department on a form provided
7by the department.
SB532,19,88 (b) Pays the fee specified in s. 440.05 (1).
SB532,19,109 (c) Subject to ss. 111.321, 111.322, and 111.335, submits evidence satisfactory
10to the board that the applicant does not have an arrest or a conviction record.
SB532,19,1211 (d) Submits evidence satisfactory to the board that he or she has completed one
12of the following:
SB532,19,1413 1. A naturopathic medical education program offered in the United States that
14satisfies all of the following:
SB532,19,1615 a. The program provides the degree of doctor of naturopathy or doctor of
16naturopathic medicine.
SB532,19,1817 b. The program offers graduate-level, full-time, didactic and supervised
18clinical training.
SB532,19,2119 c. The program is accredited, or has achieved candidacy status for such
20accreditation, by the Council on Naturopathic Medical Education or an equivalent
21federally recognized accrediting body for naturopathic medical programs.
SB532,19,2522 d. The program is offered by an institution of higher education or part of an
23institution of higher education that is accredited, or is a candidate for such
24accreditation, by a regional accrediting organization or a national institutional
25accrediting agency recognized by the federal department of education.
SB532,20,2
1e. The program has not been disqualified by the board as an approved
2naturopathic medical educational program under s. 466.03 (3).
SB532,20,43 2. A program at a diploma-granting, degree-equivalent institution of higher
4education located in Canada that satisfies all of the following:
SB532,20,65 a. The program offers graduate-level, full-time didactic and supervised
6clinical training.
SB532,20,97 b. The program is accredited, or has achieved candidacy status for such
8accreditation, by the Council on Naturopathic Medical Education or an equivalent
9federally recognized accrediting body for naturopathic medical programs.
SB532,20,1110 c. The program has provincial approval for participation in
11government-funded student aid programs.
SB532,20,1312 d. The program has not been disqualified by the board as an approved
13naturopathic medical educational program under s. 466.03 (3).
SB532,20,1514 3. A program at a degree-granting institution of higher education located in
15the United States that satisfies all of the following:
SB532,20,1716 a. The program existed prior to the existence of the Council on Naturopathic
17Medical Education.
SB532,20,2118 b. The program offered a full-time, structured curriculum in basic sciences and
19supervised patient care comprising a doctoral naturopathic medical education for a
20duration of not less than 132 weeks and required completion within a period of not
21less than 35 months.
SB532,20,2522 c. If the program is still in existence, the program is currently accredited, or has
23achieved candidacy status for accreditation by the Council on Naturopathic Medical
24Education or an equivalent federally recognized accrediting body for the
25naturopathic medical profession recognized by the board.
SB532,21,2
1d. The program has not been disqualified by the board as an approved
2naturopathic medical educational program under s. 466.03 (3).
SB532,21,43 4. A program at a diploma-granting, degree-equivalent institution of higher
4education located in Canada that satisfies all of the following:
SB532,21,65 a. The program existed prior to the existence of the Council on Naturopathic
6Medical Education.
SB532,21,107 b. The program offered a full-time, structured curriculum in basic sciences and
8supervised patient care comprising a doctoral naturopathic medical education for a
9duration of not less than 132 weeks and required completion within a period of not
10less than 30 months.
SB532,21,1311 c. Prior to the existence of the Council on Naturopathic Medical Education, the
12program had provincial approval for participation in government-funded student
13aid programs.
SB532,21,1814 d. If the program is still in existence, the program is currently accredited, or
15has achieved candidacy status for accreditation by the Council on Naturopathic
16Medical Education or an equivalent federally recognized accrediting body for the
17naturopathic medical profession recognized by the board and currently has
18provincial approval for participation in government-funded student aid programs.
SB532,21,2019 e. The program has not been disqualified by the board as an approved
20naturopathic medical educational program under s. 466.03 (3).
SB532,21,2221 (e) Submits evidence satisfactory to the board that he or she has passed all of
22the following:
SB532,21,2323 1. Either of the following:
SB532,22,3
1a. A competency-based national naturopathic licensing examination
2administered by the North American Board of Naturopathic Examiners or its
3successor organization or another examination approved by the board by rule.
SB532,22,84 b. For graduates of approved naturopathic medical programs prior to the
5existence of the Council on Naturopathic Medical Education, a competency-based
6state naturopathic medicine licensing examination or equivalent Canadian
7provincial licensing examination for the practice of naturopathic medicine approved
8by the board.
SB532,22,99 2. A pharmacology examination approved by the board by rule.
SB532,22,1110 3. Any other competency or jurisprudence examinations required by the board
11by rule.
SB532,22,1412 (f) Meets any character and fitness, mental and physical competency, and
13professional competency standards established by the board under s. 466.03 (2) (b)
14to (d).
SB532,22,1615 (g) Meets any other requirement established by the board under s. 466.03 (2)
16(e).
SB532,22,18 17(2) Limited-scope naturopathic doctor license. (a) The board shall grant a
18limited-scope naturopathic doctor license to a person who does all of the following:
SB532,22,2119 1. Submits, no later than the first day of the 37th month beginning after
20publication .... [LRB inserts date], an application for the license to the department
21on a form provided by the department.
SB532,22,2222 2. Pays the fee specified in s. 440.05 (1).
SB532,22,2423 3. Subject to ss. 111.321, 111.322, and 111.335, submits evidence satisfactory
24to the board that the applicant does not have an arrest or a conviction record.
SB532,23,3
14. Submits evidence satisfactory to the board that, prior to 2003, he or she
2completed a naturopathic medical program offered in the United States that satisfies
3all of the following:
SB532,23,44 a. The program provided the degree of doctor of naturopathy.
SB532,23,65 b. The program provided training in naturopathic medicine for a duration of
6not less than 1,500 hours.
SB532,23,87 5. Submits evidence satisfactory to the board that he or she has passed any
8competency or jurisprudence examinations required by the board by rule.
SB532,23,109 6. Satisfies the board that he or she has exhibited a record of safety in the
10practice of naturopathic medicine or naturopathy.
SB532,23,1311 7. Meets any character and fitness, mental and physical competency, and
12professional competency standards established by the board under s. 466.03 (2) (b)
13to (d).
SB532,23,1714 (b) A limited-scope naturopathic doctor license issued under par. (a) shall not
15be considered to be a naturopathic doctor license for purposes of the law of any other
16state that offers reciprocal licensure or licensure by endorsement in that other state
17to individuals who are licensed in this state.
SB532,23,25 18(3) Renewal. The renewal date for licenses granted under this chapter is
19specified under s. 440.08 (2) (a). Renewal applications shall be submitted to the
20department on a form provided by the department, and shall include the renewal fee
21determined by the department under s. 440.03 (9) (a), proof of compliance with
22continuing education requirements established by the board under s. 466.03 (1) (b),
23proof of compliance with any requirements established by the board under s. 466.03
24(2) (b) to (d), and proof of compliance with any malpractice insurance requirements
25under s. 466.03 (2) (f).
SB532,24,2
1466.05 Practice. (1) (a) A naturopathic doctor may practice naturopathic
2medicine and may practice expedited partner therapy as provided in s. 466.052.
SB532,24,63 (b) A naturopathic doctor may, except as otherwise prohibited by the board by
4rule, utilize routes of administration that include oral, nasal, auricular, ocular,
5rectal, vaginal, transdermal, intramuscular, intravenous, intradermal, and
6subcutaneous, consistent with the education and training of a naturopathic doctor.
SB532,24,10 7(2) (a) 1. Subject to subd. 3. and except as provided in subd. 2., a limited-scope
8naturopathic doctor may practice naturopathic medicine, but limited to what is
9specified under s. 466.01 (6) (a) 1. and 3. a. to c., except for s. 466.01 (6) (a) 1. d. to
10f.
SB532,24,1711 2. A limited-scope naturopathic doctor may practice naturopathic medicine
12beyond what is authorized in subd. 1. if he or she demonstrates to the board that he
13or she is qualified to expand his or her scope of practice beyond what is authorized
14under subd. 1. If the limited-scope naturopathic doctor demonstrates to the board
15that he or she is qualified to expand his or her scope of practice, he or she may, subject
16to subd. 3., practice as authorized by the board, but not beyond what is authorized
17under sub. (1).
SB532,24,1918 3. A limited-scope naturopathic doctor shall limit his or her practice to the
19scope of his or her experience, education, and training.
SB532,24,2220 (b) Paragraph (a) applies notwithstanding any other provision of law that
21permits a naturopathic doctor to engage in any act that constitutes naturopathic
22medicine beyond what is authorized under par. (a).
SB532,24,23 23466.052 Expedited partner therapy. (1) In this section:
SB532,24,2424 (b) “Antimicrobial drug" has the meaning given in s. 448.035 (1) (b).
SB532,24,2525 (c) “Expedited partner therapy" has the meaning given in s. 448.035 (1) (c).
SB532,25,11
1(2) A naturopathic doctor may provide expedited partner therapy if a patient
2is diagnosed as infected with a chlamydial infection, gonorrhea, or trichomoniasis
3and the patient has had sexual contact with a sexual partner during which the
4chlamydial infection, gonorrhea, or trichomoniasis may have been transmitted to or
5from the sexual partner. The naturopathic doctor shall attempt to obtain the name
6of the patient's sexual partner. A prescription order for an antimicrobial drug
7prepared under this subsection shall include the name and address of the patient's
8sexual partner, if known. If the naturopathic doctor is unable to obtain the name of
9the patient's sexual partner, the prescription order shall include, in ordinary,
10bold-faced capital letters, the words, “expedited partner therapy" or the letters
11“EPT."
SB532,25,15 12(3) The naturopathic doctor shall provide the patient with a copy of the
13information sheet prepared by the department of health services under s. 46.03 (44)
14and shall request that the patient give the information sheet to the person with
15whom the patient had sexual contact.
SB532,25,19 16(4) (a) Except as provided in par. (b), a naturopathic doctor is immune from civil
17liability for injury to or the death of a person who takes any antimicrobial drug if the
18antimicrobial drug is prescribed, dispensed, or furnished under this section and if
19expedited partner therapy is provided as specified under this section.
SB532,25,2220 (b) The immunity under par. (a) does not extend to the donation, distribution,
21furnishing, or dispensing of an antimicrobial drug by a naturopathic doctor whose
22act or omission involves reckless, wanton, or intentional misconduct.
SB532,26,2 23466.07 Disciplinary proceedings and actions. (1) Subject to the rules
24promulgated under s. 440.03 (1), the board may make investigations and conduct

1hearings to determine whether a violation of this chapter or any rule promulgated
2under this chapter has occurred.
SB532,26,7 3(2) Subject to the rules promulgated under s. 440.03 (1), the board may
4reprimand a naturopathic doctor or limited-scope naturopathic doctor or may deny,
5limit, suspend, or revoke a license granted under this chapter if it finds that the
6applicant, naturopathic doctor, or limited-scope naturopathic doctor has done any
7of the following:
SB532,26,98 (a) Made a material misstatement in an application for a license, or for renewal
9of a license.
SB532,26,1110 (b) Interfered with an investigation or disciplinary proceeding by using threats,
11harassment, or intentional misrepresentation of facts.
SB532,26,1312 (c) Subject to ss. 111.321, 111.322, and 111.335, been convicted of an offense the
13circumstances of which substantially relate to the practice of naturopathic medicine.
SB532,26,1414 (d) Been adjudicated mentally incompetent by a court.
SB532,26,1515 (e) Advertised in a manner that is false, deceptive, or misleading.
SB532,26,1616 (f) Advertised, practiced, or attempted to practice under another's name.
SB532,26,1917 (g) Subject to ss. 111.321, 111.322, and 111.34, practiced or assisted in the
18practice of naturopathic medicine while the applicant's or licensee's ability to
19practice or assist was impaired by alcohol or other drugs.
SB532,26,2320 (h) Engaged in unprofessional or unethical conduct in violation of the code of
21ethics established in the rules promulgated under s. 466.03 (1) (a). In this paragraph,
22“unprofessional or unethical conduct” and “unprofessional conduct" do not include
23providing expedited partner therapy as described in s. 466.052.
SB532,26,2524 (i) Engaged in conduct while practicing naturopathic medicine that evidences
25a lack of knowledge or ability to apply professional principles or skills.
SB532,27,1
1(j) Violated this chapter or any rule promulgated under this chapter.
SB532,27,4 2466.09 Penalties. Any person who violates this chapter or any rule
3promulgated under this chapter may be fined not more than $10,000 or imprisoned
4for not more than 9 months or both.
SB532,41 5Section 41 . 895.48 (1m) (a) (intro.) and 2. of the statutes are amended to read:
SB532,27,176 895.48 (1m) (a) (intro.) Except as provided in par. (b), any physician,
7naturopathic doctor, physician assistant, podiatrist, or athletic trainer licensed
8under ch. 448, chiropractor licensed under ch. 446, dentist licensed under ch. 447,
9emergency medical services practitioner licensed under s. 256.15, emergency
10medical responder certified under s. 256.15 (8), registered nurse licensed under ch.
11441, or a massage therapist or bodywork therapist licensed under ch. 460 who
12renders voluntary health care to a participant in an athletic event or contest
13sponsored by a nonprofit corporation, as defined in s. 66.0129 (6) (b), a private school,
14as defined in s. 115.001 (3r), a tribal school, as defined in s. 115.001 (15m), a public
15agency, as defined in s. 46.856 (1) (b), or a school, as defined in s. 609.655 (1) (c), is
16immune from civil liability for his or her acts or omissions in rendering that care if
17all of the following conditions exist:
SB532,27,2218 2. The physician, naturopathic doctor, podiatrist, athletic trainer, chiropractor,
19dentist, emergency medical services practitioner, as defined in s. 256.01 (5),
20emergency medical responder, as defined in s. 256.01 (4p), physician assistant,
21registered nurse, massage therapist or bodywork therapist does not receive
22compensation for the health care, other than reimbursement for expenses.
SB532,42 23Section 42 . 905.04 (1) (b) and (c), (2) and (3) of the statutes are amended to
24read:
SB532,28,8
1905.04 (1) (b) A communication or information is “confidential" if not intended
2to be disclosed to 3rd persons other than those present to further the interest of the
3patient in the consultation, examination, or interview, to persons reasonably
4necessary for the transmission of the communication or information, or to persons
5who are participating in the diagnosis and treatment under the direction of the
6physician, naturopathic doctor, podiatrist, registered nurse, chiropractor,
7psychologist, social worker, marriage and family therapist or professional counselor,
8including the members of the patient's family.
SB532,28,129 (c) “Patient" means an individual, couple, family or group of individuals who
10consults with or is examined or interviewed by a physician, naturopathic doctor,
11podiatrist, registered nurse, chiropractor, psychologist, social worker, marriage and
12family therapist or professional counselor.
SB532,28,23 13(2) General rule of privilege. A patient has a privilege to refuse to disclose
14and to prevent any other person from disclosing confidential communications made
15or information obtained or disseminated for purposes of diagnosis or treatment of the
16patient's physical, mental or emotional condition, among the patient, the patient's
17physician, the patient's naturopathic doctor, the patient's podiatrist, the patient's
18registered nurse, the patient's chiropractor, the patient's psychologist, the patient's
19social worker, the patient's marriage and family therapist, the patient's professional
20counselor or persons, including members of the patient's family, who are
21participating in the diagnosis or treatment under the direction of the physician,
22naturopathic doctor, podiatrist, registered nurse, chiropractor, psychologist, social
23worker, marriage and family therapist or professional counselor.
SB532,29,5 24(3) Who may claim the privilege. The privilege may be claimed by the patient,
25by the patient's guardian or conservator, or by the personal representative of a

1deceased patient. The person who was the physician, naturopathic doctor,
2podiatrist, registered nurse, chiropractor, psychologist, social worker, marriage and
3family therapist or professional counselor may claim the privilege but only on behalf
4of the patient. The authority so to do is presumed in the absence of evidence to the
5contrary.
SB532,43 6Section 43 . 905.04 (1) (br) of the statutes is created to read:
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