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  Date of enactment: March 22, 2024
2023 Senate Bill 788   Date of publication*: March 23, 2024
* Section 991.11, Wisconsin Statutes: Effective date of acts. “Every act and every portion of an act enacted by the legislature over the governor's partial veto which does not expressly prescribe the time when it takes effect shall take effect on the day after its date of publication."
2023 WISCONSIN ACT 186
An Act to amend 446.026 (1) (a); and to create 446.02 (7) (a) 3. of the statutes; relating to: delegation of adjunctive services by chiropractors and creating administrative rules related to the delegation of adjunctive services by chiropractors.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
186,1 Section 1. 446.02 (7) (a) 3. of the statutes is created to read:
446.02 (7) (a) 3. An individual who has completed a training program for medical assistants accredited by the National Commission for Certifying Agencies, a national or state medical association, or another entity approved by the examining board.
186,2 Section 2. 446.026 (1) (a) of the statutes is amended to read:
446.026 (1) (a) No person may provide adjunctive services unless the person is a chiropractic technician or is described under s. 446.02 (7) (a) 3. and is under the direct, on-premises supervision of a chiropractor licensed under this chapter, or the person is a health care professional, subject to s. 446.02 (7).
186,2m Section 2m. Chir 10.024 of the administrative code is created to read:
Chir 10.024 Delegation of adjunctive services to individuals trained as medical assistants. A chiropractor may delegate the performance of an adjunctive service to an individual described under s. 446.02 (7) (a) 3., Stats., if all of the following conditions are met:
(1) The individual is qualified, through education, training, or experience, to perform the adjunctive service.
(2) The chiropractor maintains records or ensures the chiropractor's employer maintains records that verify the individual's training is current.
(3) The chiropractor exercises direct, on-premises supervision of the individual performing the delegated adjunctive service.
(4) The chiropractor retains ultimate responsibility for the manner and quality of the service.
186,3 Section 3. Effective dates. This act takes effect on the first day of the 4th month beginning after publication, except as follows:
(1) Administrative rules. The treatment of administrative rules takes effect as provided in s. 227.265.
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