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2019 - 2020 LEGISLATURE
February 12, 2020 - Offered by Representative VanderMeer.
AB575-ASA1,2,6 1An Act to repeal 15.407 (2), 50.01 (4p), 252.01 (5), 448.01 (6), 448.03 (1) (b),
2448.03 (3) (e), 448.04 (1) (f), 448.05 (5), 448.20, 448.21, 448.40 (2) (f) and 450.01
3(15r); to renumber 448.970, subchapter VIII of chapter 448 [precedes 448.980]
4and subchapter IX of chapter 448 [precedes 448.985]; to amend 15.08 (1m) (b),
515.085 (1m) (b), 16.417 (1) (e) 3m., 46.03 (44), 48.981 (2m) (b) 1., 49.45 (9r) (a)
67. a., 50.08 (2), 50.39 (3), 55.14 (8) (b), 69.01 (6g), 70.47 (8) (intro.), 97.67 (5m)
7(a) 3., 118.2925 (1) (f), 146.81 (1) (d), 146.82 (3) (a), 146.89 (1) (r) 1., 146.997 (1)
8(d) 5., 255.07 (1) (d), 343.16 (5) (a), 440.035 (2m) (b), 440.035 (2m) (c) 1. (intro.),
9448.015 (4) (am) 2., 448.02 (1), 448.03 (2) (a), 448.03 (2) (e), 448.03 (2) (k), 448.03
10(5) (b), 448.035 (2) to (4), 448.037 (2) (a) (intro.) and (b) and (3), 448.62 (7),
11448.695 (4) (a) and (b), 450.01 (16) (hm) 3., 450.11 (1), 450.11 (1g) (b), 450.11 (1i)
12(a) 1., 450.11 (1i) (b) 2. c., 450.11 (1i) (c) 2., 450.11 (8) (b), 462.02 (2) (e), 462.04,
13961.01 (19) (a) and 971.14 (4) (a); and to create 15.406 (7), 49.45 (9r) (a) 7. e.,

169.18 (1) (ck), 146.81 (1) (eu), subchapter VIII of chapter 448 [precedes 448.971],
2450.11 (1i) (b) 2. cm., 450.11 (8) (f) and 990.01 (27s) of the statutes; relating to:
3regulation of physician assistants, creating the Physician Assistant Affiliated
4Credentialing Board, extending the time limit for emergency rule procedures,
5providing an exemption from emergency rule procedures, granting
6rule-making authority, and providing a penalty.
Analysis by the Legislative Reference Bureau
This substitute amendment differs from 2019 Senate Bill 515 in the following
1. The substitute amendment creates the Physician Assistant Affiliated
Credentialing Board attached to the Medical Examining Board, instead of creating
the Physician Assistant Examining Board. As with other affiliated credentialing
boards attached to the Medical Examining Board, the Physician Assistant Affiliated
Credentialing Board must submit any proposed permanent administrative rules to
the Medical Examining Board, consider any comments from the Medical Examining
Board, and include in its final rules submitted to the legislature any comments on
the proposed rule submitted by the Medical Examining Board.
2. The substitute amendment adds additional requirements and stipulations
for written collaborative agreements between physician assistants and physicians.
3. The substitute amendment includes an express prohibition against the
Physician Assistant Affiliated Credentialing Board promulgating any rules that
would permit a broader scope of practice than that which may be exercised in
accordance with the other provisions in the bill and requires the Physician Assistant
Affiliated Credentialing Board to revise a proposed permanent rule that the Medical
Examining Board determines would do so.
4. The substitute amendment requires that a physician assistant working with
a podiatrist practice under the supervision and direction of the podiatrist, as under
current law, instead of under the provisions in the bill. The substitute amendment
retains authority for the Podiatry Affiliated Credentialing Board to establish
practice standards for physician assistants practicing under podiatrists and
requirements for podiatrists supervising physician assistants and retains a
limitation that a physician assistant acting under the supervision and direction of
a podiatrist be limited to providing nonsurgical patient services.

5. The substitute amendment deletes references to “physician associates" and
“associate physicians" for purposes of a provision restricting the use of titles.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB575-ASA1,1 1Section 1. 15.08 (1m) (b) of the statutes is amended to read:
AB575-ASA1,3,112 15.08 (1m) (b) The public members of the chiropractic examining board, the
3dentistry examining board, the hearing and speech examining board, the medical
4examining board, the physical therapy examining board, the perfusionists
5examining council, the respiratory care practitioners examining council and council
6on physician assistants
, the board of nursing, the nursing home administrator
7examining board, the veterinary examining board, the optometry examining board,
8the pharmacy examining board, the marriage and family therapy, professional
9counseling, and social work examining board, the psychology examining board, and
10the radiography examining board shall not be engaged in any profession or
11occupation concerned with the delivery of physical or mental health care.
AB575-ASA1,2 12Section 2 . 15.085 (1m) (b) of the statutes is amended to read:
AB575-ASA1,3,1713 15.085 (1m) (b) The public members of the podiatry affiliated credentialing
14board or, the occupational therapists affiliated credentialing board, and the
15physician assistant affiliated credentialing board
shall not be engaged in any
16profession or occupation concerned with the delivery of physical or mental health
AB575-ASA1,3 18Section 3. 15.406 (7) of the statutes is created to read:
AB575-ASA1,4,219 15.406 (7) Physician assistant affiliated credentialing board. There is
20created in the department of safety and professional services, attached to the medical

1examining board, a physician assistant affiliated credentialing board consisting of
2the following members appointed for staggered 4-year terms:
AB575-ASA1,4,33 (a) Eight physician assistants licensed under subch. VIII of ch. 448.
AB575-ASA1,4,44 (b) One public member.
AB575-ASA1,4 5Section 4. 15.407 (2) of the statutes is repealed.
AB575-ASA1,5 6Section 5 . 16.417 (1) (e) 3m. of the statutes is amended to read:
AB575-ASA1,4,87 16.417 (1) (e) 3m. A physician assistant who is licensed under s. 448.04 (1) (f)
AB575-ASA1,6 9Section 6 . 46.03 (44) of the statutes is amended to read:
AB575-ASA1,4,1810 46.03 (44) Sexually transmitted disease treatment information. Prepare and
11keep current an information sheet to be distributed to a patient by a physician,
12physician assistant, or certified advanced practice nurse prescriber providing
13expedited partner therapy to that patient under s. 448.035 or 448.9725. The
14information sheet shall include information about sexually transmitted diseases and
15their treatment and about the risk of drug allergies. The information sheet shall also
16include a statement advising a person with questions about the information to
17contact his or her physician, pharmacist, or local health department, as defined in
18s. 250.01 (4).
AB575-ASA1,7 19Section 7. 48.981 (2m) (b) 1. of the statutes is amended to read:
AB575-ASA1,4,2220 48.981 (2m) (b) 1. “Health care provider" means a physician, as defined under
21s. 448.01 (5), a physician assistant, as defined under s. 448.01 (6) 448.971 (3), or a
22nurse holding a license under s. 441.06 (1) or a license under s. 441.10.
AB575-ASA1,8 23Section 8 . 49.45 (9r) (a) 7. a. of the statutes is amended to read:
AB575-ASA1,4,2524 49.45 (9r) (a) 7. a. A physician or physician assistant licensed under subch. II
25of ch. 448.
1Section 9. 49.45 (9r) (a) 7. e. of the statutes is created to read:
AB575-ASA1,5,22 49.45 (9r) (a) 7. e. A physician assistant licensed under subch. VIII of ch. 448.
AB575-ASA1,10 3Section 10. 50.01 (4p) of the statutes is repealed.
AB575-ASA1,11 4Section 11. 50.08 (2) of the statutes is amended to read:
AB575-ASA1,5,95 50.08 (2) A physician, an advanced practice nurse prescriber certified under
6s. 441.16 (2), or a physician assistant licensed under ch. 448, who prescribes a
7psychotropic medication to a nursing home resident who has degenerative brain
8disorder shall notify the nursing home if the prescribed medication has a boxed
9warning under 21 CFR 201.57.
AB575-ASA1,12 10Section 12. 50.39 (3) of the statutes is amended to read:
AB575-ASA1,5,1911 50.39 (3) Facilities governed by ss. 45.50, 48.62, 49.70, 49.72, 50.02, 51.09, and
12252.10, juvenile correctional facilities as defined in s. 938.02 (10p), correctional
13institutions governed by the department of corrections under s. 301.02, and the
14offices and clinics of persons licensed to treat the sick under chs. 446, 447, and 448
15are exempt from ss. 50.32 to 50.39. Sections 50.32 to 50.39 do not abridge the rights
16of the medical examining board, physician assistant affiliated credentialing board,
17physical therapy examining board, podiatry affiliated credentialing board, dentistry
18examining board, pharmacy examining board, chiropractic examining board, and
19board of nursing in carrying out their statutory duties and responsibilities.
AB575-ASA1,13 20Section 13 . 55.14 (8) (b) of the statutes is amended to read:
AB575-ASA1,6,621 55.14 (8) (b) Order the individual to comply with the treatment plan under par.
22(a). The order shall provide that if the individual fails to comply with provisions of
23the treatment plan that require the individual to take psychotropic medications, the
24medications may be administered involuntarily with consent of the guardian. The
25order shall specify the methods of involuntary administration of psychotropic

1medication to which the guardian may consent. An order authorizing the forcible
2restraint of an individual shall specify that a person licensed under s. 441.06, 441.10,
3or 448.05 (2) or (5), or 448.974 shall be present at all times that psychotropic
4medication is administered in this manner and shall require the person or facility
5using forcible restraint to maintain records stating the date of each administration,
6the medication administered, and the method of forcible restraint utilized.
AB575-ASA1,14 7Section 14 . 69.01 (6g) of the statutes is amended to read:
AB575-ASA1,6,108 69.01 (6g) “Date of death" means the date that a person is pronounced dead by
9a physician, coroner, deputy coroner, medical examiner, deputy medical examiner,
10physician assistant, or hospice nurse.
AB575-ASA1,15 11Section 15 . 69.18 (1) (ck) of the statutes is created to read:
AB575-ASA1,6,1512 69.18 (1) (ck) For purposes of preparation of the certificate of death and in
13accordance with accepted medical standards, a physician assistant who is directly
14involved with the care of a patient who dies may pronounce the date, time, and place
15of the patient's death.
AB575-ASA1,16 16Section 16. 70.47 (8) (intro.) of the statutes is amended to read:
AB575-ASA1,7,417 70.47 (8) Hearing. (intro.) The board shall hear upon oath all persons who
18appear before it in relation to the assessment. Instead of appearing in person at the
19hearing, the board may allow the property owner, or the property owner's
20representative, at the request of either person, to appear before the board, under
21oath, by telephone or to submit written statements, under oath, to the board. The
22board shall hear upon oath, by telephone, all ill or disabled persons who present to
23the board a letter from a physician, osteopath, physician assistant, as defined in s.
24448.01 (6),
or advanced practice nurse prescriber certified under s. 441.16 (2) that
25confirms their illness or disability. At the request of the property owner or the

1property owner's representative, the board may postpone and reschedule a hearing
2under this subsection, but may not postpone and reschedule a hearing more than
3once during the same session for the same property. The board at such hearing shall
4proceed as follows:
AB575-ASA1,17 5Section 17. 97.67 (5m) (a) 3. of the statutes is amended to read:
AB575-ASA1,7,66 97.67 (5m) (a) 3. A physician assistant licensed under subch. II VIII of ch. 448.
AB575-ASA1,18 7Section 18. 118.2925 (1) (f) of the statutes is amended to read: