Chapter 448

448.980(18)(c) (c) If the defaulting state fails to cure the default, the defaulting state shall be terminated from the compact upon an affirmative vote of a majority of the commissioners and all rights, privileges, and benefits conferred by the compact shall terminate on the effective date of termination. A cure of the default does not relieve the offending state of obligations or liabilities incurred during the period of the default.

448.980(18)(d) (d) Termination of membership in the compact shall be imposed only after all other means of securing compliance have been exhausted. Notice of intent to terminate shall be given by the interstate commission to the governor, the majority and minority leaders of the defaulting state’s legislature, and each of the member states.

448.980(18)(e) (e) The interstate commission shall establish rules and procedures to address licenses and physicians that are materially impacted by the termination of a member state, or the withdrawal of a member state.

448.980(18)(f) (f) The member state which has been terminated is responsible for all dues, obligations, and liabilities incurred through the effective date of termination including obligations, the performance of which extends beyond the effective date of termination.

448.980(18)(g) (g) The interstate commission shall not bear any costs relating to any state that has been found to be in default or which has been terminated from the compact, unless otherwise mutually agreed upon in writing between the interstate commission and the defaulting state.

448.980(18)(h) (h) The defaulting state may appeal the action of the interstate commission by petitioning the United States District Court for the District of Columbia or the federal district where the interstate commission has its principal offices. The prevailing party shall be awarded all costs of such litigation including reasonable attorney fees.

448.980(19) (19) Section 19 — Dispute resolution.

448.980(19)(a) (a) The interstate commission shall attempt, upon the request of a member state, to resolve disputes which are subject to the compact and which may arise among member states or member boards.

448.980(19)(b) (b) The interstate commission shall promulgate rules providing for both mediation and binding dispute resolution as appropriate.

448.980(20) (20) Section 20 — Member states, effective date and amendment.

448.980(20)(a) (a) Any state is eligible to become a member state of the compact.

448.980(20)(b) (b) The compact shall become effective and binding upon legislative enactment of the compact into law by no less than 7 states. Thereafter, it shall become effective and binding on a state upon enactment of the compact into law by that state.

448.980(20)(c) (c) The governors of non-member states, or their designees, shall be invited to participate in the activities of the interstate commission on a non-voting basis prior to adoption of the compact by all states.

448.980(20)(d) (d) The interstate commission may propose amendments to the compact for enactment by the member states. No amendment shall become effective and binding upon the interstate commission and the member states unless and until it is enacted into law by unanimous consent of the member states.

448.980(21) (21) Section 21 — Withdrawal.

448.980(21)(a) (a) Once effective, the compact shall continue in force and remain binding upon each and every member state; provided that a member state may withdraw from the compact by specifically repealing the statute which enacted the compact into law.

448.980(21)(b) (b) Withdrawal from the compact shall be by the enactment of a statute repealing the same, but shall not take effect until one year after the effective date of such statute and until written notice of the withdrawal has been given by the withdrawing state to the governor of each other member state.

448.980(21)(c) (c) The withdrawing state shall immediately notify the chairperson of the interstate commission in writing upon the introduction of legislation repealing the compact in the withdrawing state.

448.980(21)(d) (d) The interstate commission shall notify the other member states of the withdrawing state’s intent to withdraw within 60 days of its receipt of notice provided under par. (c).

448.980(21)(e) (e) The withdrawing state is responsible for all dues, obligations and liabilities incurred through the effective date of withdrawal, including obligations, the performance of which extend beyond the effective date of withdrawal.

448.980(21)(f) (f) Reinstatement following withdrawal of a member state shall occur upon the withdrawing state reenacting the compact or upon such later date as determined by the interstate commission.

448.980(21)(g) (g) The interstate commission is authorized to develop rules to address the impact of the withdrawal of a member state on licenses granted in other member states to physicians who designated the withdrawing member state as the state of principal license.

448.980(22) (22) Section 22 — Dissolution.

448.980(22)(a) (a) The compact shall dissolve effective upon the date of the withdrawal or default of the member state which reduces the membership in the compact to one member state.

448.980(22)(b) (b) Upon the dissolution of the compact, the compact becomes null and void and shall be of no further force or effect, and the business and affairs of the interstate commission shall be concluded and surplus funds shall be distributed in accordance with the bylaws.

448.980(23) (23) Section 23 — Severability and construction.

448.980(23)(a) (a) The provisions of the compact shall be severable, and if any phrase, clause, sentence, or provision is deemed unenforceable, the remaining provisions of the compact shall be enforceable.

448.980(23)(b) (b) The provisions of the compact shall be liberally construed to effectuate its purposes.

448.980(23)(c) (c) Nothing in the compact shall be construed to prohibit the applicability of other interstate compacts to which the states are members.

448.980(24) (24) Section 24 — Binding effect of compact and other laws.

448.980(24)(a) (a) Nothing herein prevents the enforcement of any other law of a member state that is not inconsistent with the compact.

448.980(24)(b) (b) All laws in a member state in conflict with the compact are superseded to the extent of the conflict.

448.980(24)(c) (c) All lawful actions of the interstate commission, including all rules and bylaws promulgated by the commission, are binding upon the member states.

448.980(24)(d) (d) All agreements between the interstate commission and the member states are binding in accordance with their terms.

448.980(24)(e) (e) In the event any provision of the compact exceeds the constitutional limits imposed on the legislature of any member state, such provision shall be ineffective to the extent of the conflict with the constitutional provision in question in that member state.

448.980 History History: 2015 a. 116; 2017 a. 364 s. 49; 2017 a. 365 s. 111; 2019 a. 49 s. 1.

448.981 448.981 Implementation of the interstate medical licensure compact.

448.981(1) (1) In this section:

448.981(1)(a) (a) “Board” means the medical examining board.

448.981(1)(b) (b) “Compact” means the interstate medical licensure compact entered into under s. 448.980.

448.981(1)(c) (c) “Expedited license” has the meaning given in s. 448.980 (2) (d).

448.981(1)(d) (d) “Interstate commission” has the meaning given in s. 448.980 (2) (e).

448.981(1)(e) (e) “Member board” has the meaning given in s. 448.980 (2) (h).

448.981(1)(f) (f) “Member state” has the meaning given in s. 448.980 (2) (i).

448.981(1)(g) (g) “State of principal license” has the meaning given in s. 448.980 (2) (o).

448.981(2) (2) Notwithstanding s. 448.980 and any rules promulgated by the interstate commission under s. 448.980, the board may only disclose information about an individual pursuant to the compact if the information meets all of the following criteria:

448.981(2)(a) (a) Any of the following applies:

448.981(2)(a)1. 1. The individual has a current expedited license granted by the board pursuant to the compact.

448.981(2)(a)2. 2. The individual has a current expedited license granted by another member state or is applying to receive an expedited license in another member state, and Wisconsin is currently designated as his or her state of principal license.

448.981(2)(a)3. 3. The individual is requesting to designate Wisconsin as his or her state of principal license pursuant to the compact.

448.981(2)(a)4. 4. The individual is applying to receive an expedited license to practice in Wisconsin pursuant to the compact.

448.981(2)(b) (b) The information is provided only to a member board with responsibility for authorizing the practice of medicine in the member state or to the interstate commission.

448.981(2)(c) (c) If the information pertains to an investigation or discipline, all identifying information of individuals or entities other than the individual being investigated or disciplined is removed.

448.981(2)(d) (d) The information is not confidential under the laws of this state.

448.981(3) (3) A subpoena issued pursuant to s. 448.980 (9) (c) shall only be enforceable in this state or against a citizen of this state if all of the following apply:

448.981(3)(a) (a) The subpoena is issued by a member board with responsibility for authorizing the practice of medicine in the member state.

448.981(3)(b) (b) The individual being subpoenaed is one of the following:

448.981(3)(b)1. 1. A physician with a current expedited license granted by the board pursuant to the compact.

448.981(3)(b)2. 2. A physician with a current expedited license granted by another member state, and Wisconsin is currently designated as the physician’s state of principal license.

448.981(4) (4) In applying s. 448.980 (9) (e), the board may only undertake such investigation of violations of another state’s statute authorizing the practice of medicine if one of the following applies:

448.981(4)(a) (a) The physician being investigated has a current expedited license that was granted by the board and a current expedited license that was granted by the other state pursuant to the compact.

448.981(4)(b) (b) The physician being investigated has a current expedited license that was granted by the board pursuant to the compact and the other state is the physician’s currently designated state of principal license.

448.981(4)(c) (c) The physician being investigated has a current expedited license that was granted by the other state pursuant to the compact and Wisconsin is the physician’s currently designated state of principal license.

448.981(5) (5) The board shall, by January 1 of each year, report to the members of the joint committee on finance the number of individuals investigated by the board solely pursuant to s. 448.980 (9) (e) and the expenses incurred by the board undertaking investigations pursued solely pursuant to s. 448.980 (9) (e) and shall also include in the report a copy of all rules promulgated by the interstate commission since the last report under this subsection and all changes made to any rules previously promulgated by the interstate commission since the last report.

448.981(6) (6) The payment of assessments for the interstate medical licensure compact under s. 448.980 (13) (a) shall be made from the appropriation account under s. 20.165 (1) (hg) using the licensure fees paid by physicians licensed under the compact. No fees from physicians that have not applied for licensure through the compact shall be used to pay Wisconsin’s annual assessment pursuant to s. 448.980 (13) (a) without the approval of the joint committee on finance.

448.981 History History: 2015 a. 116; 2017 a. 366 s. 99; 2019 a. 49 s. 1.

subch. XI of ch. 448 SUBCHAPTER XI

PHYSICAL THERAPY
LICENSURE COMPACT

Subch. XI of ch. 448 Note NOTE: Subch. XI (title) was renumbered from subch. X (title) by the legislative reference bureau under s. 13.92 (1) (bm) 2.

448.985 448.985 Physical therapy licensure compact.

448.985(1) (1) Purpose.

448.985(1)(a) (a) The purpose of this compact is to facilitate interstate practice of physical therapy with the goal of improving public access to physical therapy services. The practice of physical therapy occurs in the state where the patient/client is located at the time of the patient/client encounter. The compact preserves the regulatory authority of states to protect public health and safety through the current system of state licensure.

448.985(1)(b) (b) This compact is designed to achieve all of the following objectives:

448.985(1)(b)1. 1. Increase public access to physical therapy services by providing for the mutual recognition of other member state licenses.

448.985(1)(b)2. 2. Enhance the states’ ability to protect the public’s health and safety.

448.985(1)(b)3. 3. Encourage the cooperation of member states in regulating multistate physical therapy practice.

448.985(1)(b)4. 4. Support spouses of relocating military members.

448.985(1)(b)5. 5. Enhance the exchange of licensure, investigative, and disciplinary information between member states.

448.985(1)(b)6. 6. Allow a remote state to hold a provider of services with a compact privilege in that state accountable to that state’s practice standards.

448.985(2) (2) Definitions. As used in this compact, and except as otherwise provided, the following definitions shall apply:

448.985(2)(a) (a) “Active duty military” means full-time duty status in the active uniformed service of the United States, including members of the National Guard and Reserve on active duty orders pursuant to 10 USC 1209 and 1211 [10 USC chs. 1209 and 1211].

448.985 Note NOTE: The correct cross-reference is shown in brackets. Corrective legislation is pending.

448.985(2)(b) (b) “Adverse action” means disciplinary action taken by a physical therapy licensing board based upon misconduct, unacceptable performance, or a combination of both.

448.985(2)(c) (c) “Alternative program” means a nondisciplinary monitoring or practice remediation process approved by a physical therapy licensing board. This includes, but is not limited to, substance abuse issues.

448.985(2)(d) (d) “Compact privilege” means the authorization granted by a remote state to allow a licensee from another member state to practice as a physical therapist or work as a physical therapist assistant in the remote state under its laws and rules. The practice of physical therapy occurs in the member state where the patient/client is located at the time of the patient/client encounter.

448.985(2)(e) (e) “Continuing competence” means a requirement, as a condition of license renewal, to provide evidence of participation in, and/or completion of, educational and professional activities relevant to practice or area of work.

448.985(2)(f) (f) “Data system” means a repository of information about licensees, including examination, licensure, investigative, compact privilege, and adverse action.

448.985(2)(g) (g) “Encumbered license” means a license that a physical therapy licensing board has limited in any way.

448.985(2)(h) (h) “Executive board” means a group of directors elected or appointed to act on behalf of, and within the powers granted to them by, the commission.