SB515,23,15 2. The applicant is at least 18 years of age.

SB515,23,16 3. The applicant provides evidence of one of the following:

SB515,23,21 a. That the applicant has successfully completed an educational program for physician assistants or physician associates that is accredited by the Accreditation Review Commission on Education for the Physician Assistant or its successor or, prior to 2001, by the Committee on Allied Health Education and Accreditation or the Commission on Accreditation of Allied Health Education Programs.

SB515,23,25 b. If the applicant does not satisfy subd. 3. a., that the applicant, prior to January 1, 1986, successfully passed the Physician Assistant National Certifying Examination administered by the National Commission on Certification of Physician Assistants.

SB515,24,2 4. The applicant passes the National Commission on Certification of Physician Assistants examination or an equivalent national examination adopted by the board.

SB515,24,4 5. The applicant provides a listing with all employers, practice settings, internships, residencies, fellowships, and other employment for the past 7 years.

SB515,24,6 6. Subject to ss. 111.321, 111.322, and 111.335, the applicant does not have an arrest or conviction record.

SB515,24,13 (b) Paragraph (a) 3. does not apply to an applicant if the applicant provides evidence that he or she is licensed as a physician assistant or physician associate in another state, the District of Columbia, Puerto Rico, the United States Virgin Islands, or any territory or insular possession subject to the jurisdiction of the United States and the board determines that the requirements for obtaining the license in that state or territory are substantially equivalent to the requirements under par. (a).

SB515,24,16 (2) (a) The renewal date for a license issued under this chapter is specified under s. 440.08 (2) (a), and the renewal fees for such licenses are determined by the department under s. 440.03 (9) (a). Renewal of a license is subject to par. (b).

SB515,24,21 (b) An applicant for the renewal of a license under this chapter shall submit with his or her application for renewal proof of having satisfied the continuing education requirements imposed by the board under s. 461.05 (1) (b). This paragraph does not apply to an applicant for renewal of a license that expires on the first renewal date after the date on which the board initially granted the license.

SB515,24,25 (3) Notwithstanding sub. (1), an individual who, on the effective date of this subsection .... [LRB inserts date], was licensed by the medical examining board as a physician assistant under subch. II of ch. 448, 2017 stats., shall be considered to have been licensed under sub. (1) for purposes of this chapter.

SB515,25,4 461.10 Practice and employment. (1) (a) Subject to the limitations and requirements under sub. (2); the physician assistant's experience, education, and training; and any rules promulgated under sub. (5), a physician assistant may do any of the following:

SB515,25,6 1. Examine into the fact, condition, or cause of human health or disease, or treat, operate, prescribe, or advise for the same, by any means or instrumentality.

SB515,25,8 2. Apply principles or techniques of medical sciences in the diagnosis or prevention of any of the conditions described in subd. 1. and in s. 461.01 (2).

SB515,25,9 3. Penetrate, pierce, or sever the tissues of a human being.

SB515,25,11 4. Offer, undertake, attempt, or hold oneself out in any manner as able to do any of the acts described in this paragraph.

SB515,25,15 (b) Subject to any rules promulgated by the board and consistent with his or her experience, education, and training, a physician assistant may order, prescribe, procure, dispense, and administer prescription drugs, medical devices, services, and supplies.

SB515,25,19 (c) A physician assistant may practice in ambulatory care, acute care, long-term care, home care, or other settings as a primary, specialty, or surgical care provider who may serve as a patient's primary care provider or specialty care provider.

SB515,25,22 (2) (a) 1. Except as provided in subd. 3. and sub. (5) (a) or (b), a physician assistant who provides care to patients shall maintain and provide to the board upon request one of the following:

SB515,26,4 a. Evidence that, pursuant to the physician assistant's employment, there is a physician who is primarily responsible for the overall direction and management of the physician assistant's professional activities and for assuring that the services provided by the physician assistant are medically appropriate. In this subd. 1. a., “employment” includes an arrangement between the physician assistant and a 3rd party in which the 3rd party receives payment for services provided by the physician assistant.

SB515,26,7 b. A written collaborative agreement with a physician that describes the physician assistant's individual scope of practice and that includes other information as required by the board.

SB515,26,11 c. If the physician assistant's practice is limited to the practice of podiatry, a written collaborative agreement with a podiatrist or physician that describes the physician assistant's individual scope of podiatry practice and that includes other information as required by the board.

SB515,26,13 2. Subdivision 1. does not require the physical presence of a physician or podiatrist at the time and place a physician assistant renders a service.

SB515,26,16 3. Subdivision 1. does not apply with respect to a physician assistant who is employed by the federal government as a civilian or member of the uniformed services while performing duties incident to that employment or service.

SB515,26,18 (b) A physician assistant shall limit his or her practice to the scope of his or her experience, education, and training.

SB515,26,20 (c) No physician assistant may provide medical care, except routine screening and emergency care, in any of the following:

SB515,26,21 1. The practice of dentistry or dental hygiene within the meaning of ch. 447.

SB515,26,22 2. The practice of optometry within the meaning of ch. 449.

SB515,26,23 3. The practice of chiropractic within the meaning of ch. 446.