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SB532,7,1514 146.81 (1) (dc) A naturopathic doctor or limited-scope naturopathic doctor
15licensed under ch. 466.
SB532,18 16Section 18 . 146.82 (3) (a) of the statutes is amended to read:
SB532,7,2517 146.82 (3) (a) Notwithstanding sub. (1), a physician, a naturopathic doctor, a
18limited-scope naturopathic doctor, a
physician assistant, as defined in s. 448.01 (6),
19or an advanced practice nurse prescriber certified under s. 441.16 (2) who treats a
20patient whose physical or mental condition in the physician's, naturopathic doctor's,
21limited-scope naturopathic doctor's,
physician assistant's, or advanced practice
22nurse prescriber's judgment affects the patient's ability to exercise reasonable and
23ordinary control over a motor vehicle may report the patient's name and other
24information relevant to the condition to the department of transportation without
25the informed consent of the patient.
SB532,19
1Section 19. 146.89 (1) (r) 1. of the statutes is amended to read:
SB532,8,72 146.89 (1) (r) 1. Licensed as a physician under ch. 448, naturopathic doctor
3under ch. 466,
a dentist or dental hygienist under ch. 447, a registered nurse,
4practical nurse, or nurse-midwife under ch. 441, an optometrist under ch. 449, a
5physician assistant under ch. 448, a pharmacist under ch. 450, a chiropractor under
6ch. 446, a podiatrist under subch. IV of ch. 448, or a physical therapist under subch.
7III of ch. 448.
SB532,20 8Section 20. 146.997 (1) (d) 4m. of the statutes is created to read:
SB532,8,99 146.997 (1) (d) 4m. A naturopathic doctor licensed under ch. 466.
SB532,21 10Section 21. 155.01 (7) of the statutes is amended to read:
SB532,8,2111 155.01 (7) “Health care provider" means a nurse licensed or permitted under
12ch. 441, a chiropractor licensed under ch. 446, a dentist licensed under ch. 447, a
13physician, physician assistant, perfusionist, podiatrist, physical therapist, physical
14therapist assistant, occupational therapist, or occupational therapy assistant
15licensed under ch. 448, a naturopathic doctor licensed under ch. 466, a person
16practicing Christian Science treatment, an optometrist licensed under ch. 449, a
17psychologist licensed under ch. 455, a partnership thereof, a corporation or limited
18liability company thereof that provides health care services, a cooperative health
19care association organized under s. 185.981 that directly provides services through
20salaried employees in its own facility, or a home health agency, as defined in s. 50.49
21(1) (a).
SB532,22 22Section 22. 180.1901 (1m) (h) of the statutes is created to read:
SB532,8,2523 180.1901 (1m) (h) Naturopathic medicine examining board under ch. 466,
24except that “health care professional" does not include a limited-scope naturopathic
25doctor licensed by the naturopathic medicine examining board under ch. 466.
SB532,23
1Section 23. 252.11 (10) of the statutes is amended to read:
SB532,9,92 252.11 (10) The state laboratory of hygiene shall examine specimens for the
3diagnosis of sexually transmitted diseases for any physician, naturopathic doctor,
4physician assistant, advanced practice nurse prescriber, or local health officer in the
5state, and shall report the positive results of the examinations to the local health
6officer and to the department. All laboratories performing tests for sexually
7transmitted diseases shall report all positive results to the local health officer and
8to the department, with the name of the physician, naturopathic doctor, physician
9assistant, or advanced practice nurse prescriber to whom reported.
SB532,24 10Section 24. 252.14 (1) (ar) 4q. of the statutes is renumbered 252.14 (1) (ar) 4n.
SB532,25 11Section 25. 252.14 (1) (ar) 4s. of the statutes is created to read:
SB532,9,1212 252.14 (1) (ar) 4s. A naturopathic doctor licensed under ch. 466.
SB532,26 13Section 26 . 255.06 (1) (d) of the statutes is amended to read:
SB532,9,1814 255.06 (1) (d) “Nurse practitioner" means a registered nurse who is licensed
15under ch. 441 or who holds a multistate license, as defined in s. 441.51 (2) (h), issued
16in a party state, as defined in s. 441.51 (2) (k), and whose practice of professional
17nursing under s. 441.001 (4) includes performance of delegated medical services
18under the supervision of a physician, naturopathic doctor, dentist, or podiatrist.
SB532,27 19Section 27 . 255.07 (1) (d) of the statutes is amended to read:
SB532,9,2220 255.07 (1) (d) “Health care practitioner" means a physician, a naturopathic
21doctor,
a physician assistant licensed under s. 448.04 (1) (f), or an advanced practice
22nurse who is certified to issue prescription orders under s. 441.16.
SB532,28 23Section 28. 257.01 (5) (a) and (b) of the statutes are amended to read:
SB532,9,2524 257.01 (5) (a) An individual who is licensed as a physician, a physician
25assistant, or a podiatrist under ch. 448, licensed as a naturopathic doctor under ch.

1466,
licensed as a registered nurse, licensed practical nurse, or nurse-midwife under
2ch. 441, licensed as a dentist under ch. 447, licensed as a pharmacist under ch. 450,
3licensed as a veterinarian or certified as a veterinary technician under ch. 89, or
4certified as a respiratory care practitioner under ch. 448.
SB532,10,125 (b) An individual who was at any time within the previous 10 years, but is not
6currently, licensed as a physician, a physician assistant, or a podiatrist under ch. 448,
7licensed as a naturopathic doctor under ch. 466, licensed as a registered nurse,
8licensed practical nurse or nurse-midwife, under ch. 441, licensed as a dentist under
9ch. 447, licensed as a pharmacist under ch. 450, licensed as a veterinarian or certified
10as a veterinary technician under ch. 89, or certified as a respiratory care practitioner
11under ch. 448, if the individual's license or certification was never revoked, limited,
12suspended, or denied renewal.
SB532,29 13Section 29. 440.03 (13) (b) 39g. and 39h. of the statutes are created to read:
SB532,10,1414 440.03 (13) (b) 39g. Naturopathic doctor.
SB532,10,1515 39h. Naturopathic doctor, limited-scope.
SB532,30 16Section 30. 440.08 (2) (a) 47g. and 47h. of the statutes are created to read:
SB532,10,1717 440.08 (2) (a) 47g. Naturopathic doctor: January 1 of each odd-numbered year.
SB532,10,1918 47h. Naturopathic doctor, limited-scope: January 1 of each odd-numbered
19year.
SB532,31 20Section 31. 446.02 (9) (e) of the statutes is created to read:
SB532,10,2221 446.02 (9) (e) A naturopathic doctor or limited-scope naturopathic doctor
22acting within the scope of his or her license under ch. 466.
SB532,32 23Section 32. 448.03 (2) (a) of the statutes is amended to read:
SB532,11,524 448.03 (2) (a) Any person lawfully practicing within the scope of a license,
25permit, registration, certificate or certification granted to practice midwifery under

1subch. XIII of ch. 440, to practice professional or practical nursing or
2nurse-midwifery under ch. 441, to practice chiropractic under ch. 446, to practice
3dentistry or dental hygiene under ch. 447, to practice optometry under ch. 449, to
4practice acupuncture under ch. 451 or under any other statutory provision, to
5practice naturopathic medicine under ch. 466,
or as otherwise provided by statute.
SB532,33 6Section 33 . 448.56 (1) of the statutes is amended to read:
SB532,11,217 448.56 (1) Written referral. Except as provided in this subsection and s.
8448.52, a person may practice physical therapy only upon the written referral of a
9physician, naturopathic doctor, physician assistant, chiropractor, dentist, podiatrist,
10or advanced practice nurse prescriber certified under s. 441.16 (2). Written referral
11is not required if a physical therapist provides services in schools to children with
12disabilities, as defined in s. 115.76 (5), pursuant to rules promulgated by the
13department of public instruction; provides services as part of a home health care
14agency; provides services to a patient in a nursing home pursuant to the patient's
15plan of care; provides services related to athletic activities, conditioning, or injury
16prevention; or provides services to an individual for a previously diagnosed medical
17condition after informing the individual's physician, naturopathic doctor, physician
18assistant, chiropractor, dentist, podiatrist, or advanced practice nurse prescriber
19certified under s. 441.16 (2) who made the diagnosis. The examining board may
20promulgate rules establishing additional services that are excepted from the written
21referral requirements of this subsection.
SB532,34 22Section 34 . 448.56 (1m) (b) of the statutes is amended to read:
SB532,12,323 448.56 (1m) (b) The examining board shall promulgate rules establishing the
24requirements that a physical therapist must satisfy if a physician, naturopathic
25doctor,
physician assistant, chiropractor, dentist, podiatrist, or advanced practice

1nurse prescriber makes a written referral under sub. (1). The purpose of the rules
2shall be to ensure continuity of care between the physical therapist and the health
3care practitioner.
SB532,35 4Section 35. 450.03 (1) (e) of the statutes is amended to read:
SB532,12,115 450.03 (1) (e) Any person lawfully practicing within the scope of a license,
6permit, registration, certificate, or certification granted to provide home medical
7oxygen under s. 450.076, to practice professional or practical nursing or
8nurse-midwifery under ch. 441, to practice dentistry or dental hygiene under ch.
9447, to practice medicine and surgery under ch. 448, to practice optometry under ch.
10449, to practice naturopathic medicine under ch. 466, or to practice veterinary
11medicine under ch. 89, or as otherwise provided by statute.
SB532,36 12Section 36. 450.10 (3) (a) 12. of the statutes is created to read:
SB532,12,1413 450.10 (3) (a) 12. A naturopathic doctor or limited-scope naturopathic doctor
14licensed under ch. 466.
SB532,37 15Section 37 . 450.11 (7) (b) of the statutes is amended to read:
SB532,12,1916 450.11 (7) (b) Information communicated to a physician, naturopathic doctor,
17physician assistant, or advanced practice nurse prescriber in an effort to procure
18unlawfully a prescription drug or the administration of a prescription drug is not a
19privileged communication.
SB532,38 20Section 38. 450.11 (8) (g) of the statutes is created to read:
SB532,12,2221 450.11 (8) (g) The naturopathic medicine examining board, insofar as this
22section applies to naturopathic doctors.
SB532,39 23Section 39. 462.04 of the statutes is amended to read:
SB532,13,7 24462.04 Prescription or order required. A person who holds a license or
25limited X-ray machine operator permit under this chapter may not use diagnostic

1X-ray equipment on humans for diagnostic purposes unless authorized to do so by
2prescription or order of a physician licensed under s. 448.04 (1) (a), a naturopathic
3doctor licensed under s. 466.04 (1),
a dentist licensed under s. 447.04 (1), a podiatrist
4licensed under s. 448.63, a chiropractor licensed under s. 446.02, an advanced
5practice nurse certified under s. 441.16 (2), a physician assistant licensed under s.
6448.04 (1) (f), or, subject to s. 448.56 (7) (a), a physical therapist licensed under s.
7448.53.
SB532,40 8Section 40. Chapter 466 of the statutes is created to read:
SB532,13,99 chapter 466
SB532,13,1010 naturopathic MEDICINE
SB532,13,11 11466.01 Definitions. In this chapter:
SB532,13,12 12(1) “Board" means the naturopathic medicine examining board.
SB532,13,13 13(2) “Drug” has the meaning given in s. 450.01 (10).
SB532,13,15 14(3) “Limited-scope naturopathic doctor" means an individual licensed under
15s. 466.04 (2).
SB532,13,18 16(4) “Minor office procedure" includes the methods for the repair and care
17incidental to superficial lacerations, superficial abrasions, and superficial lesions
18and the removal of foreign bodies located in the superficial tissues.
SB532,13,19 19(5) “Naturopathic doctor" means an individual licensed under s. 466.04 (1).
SB532,13,25 20(6) (a) “Naturopathic medicine” means, except as provided in par. (b), a system
21of primary health care for the prevention, diagnosis, and treatment of human health
22conditions, injury, and disease; the promotion or restoration of health; and the
23support and stimulation of a patient's inherent self-healing processes through
24patient education and the use of naturopathic therapies and therapeutic substances,
25including all of the following:
SB532,14,3
11. Ordering and performing physical and laboratory examinations, for
2diagnostic purposes, consistent with naturopathic education and training, including
3all of the following:
SB532,14,44 a. Diagnostic or evaluation methods.
SB532,14,55 b. Physical examinations.
SB532,14,66 c. Clinical laboratory tests.
SB532,14,77 d. Diagnostic sonography.
SB532,14,88 e. Electrocardiography.
SB532,14,99 f. Phlebotomy.
SB532,14,1010 2. Ordering diagnostic imaging studies.
SB532,14,1111 3. Dispensing, administering, ordering, or performing any of the following:
SB532,14,1212 a. Health education and health counseling.
SB532,14,1513 b. Food, extracts of food, nutraceuticals, vitamins, amino acids, minerals,
14enzymes, botanical medicines, homeopathic medicines, dietary supplements, and
15nonprescription drug products.
SB532,14,1716 c. Hot or cold hydrotherapy, naturopathic physical medicine, the use of
17therapeutic medical equipment, and therapeutic exercise.
SB532,14,1918 d. Devices, including therapeutic devices, barrier contraception, and durable
19medical equipment.
SB532,14,2120 e. Any other diagnostic, therapeutic, or other procedure authorized by rule
21under s. 466.03 (2) (a).
SB532,14,2222 4. Prescribing, dispensing, and administering drugs, subject to s. 961.397.
SB532,14,2323 5. Performing minor office procedures.
SB532,15,224 6. Signing and attesting to any certificates, cards, forms or other required
25documentation that a physician may sign, so long as it is within the naturopathic

1doctor's scope of practice. This subdivision does not supersede any federal or state
2statute, rule, or regulation.
SB532,15,33 (b) “Naturopathic medicine” does not include any of the following:
SB532,15,44 1. Performing any surgical procedure other than a minor office procedure.
SB532,15,55 2. Using general or spinal anesthetics.
SB532,15,66 3. Administering ionizing radioactive substances for therapeutic purposes.
SB532,15,87 4. Performing surgical procedures involving the eye, ear, tendons, nerves,
8veins, or arteries that extend beyond superficial tissue.
SB532,15,119 5. Performing any procedure or practice that is prohibited by the board by rule
10under s. 466.03 (2) (a) or that is excluded from the definition of naturopathic physical
11medicine under sub. (7) (b).
SB532,15,16 12(7) (a) “Naturopathic physical medicine” includes, except as provided in par.
13(b), manually administering mechanical treatment of body structures or tissues for
14the purpose of restoring normal physiological function to the body by normalizing
15and balancing the musculoskeletal system of the body, such as massage, stretching,
16resistance, or joint play examination.
SB532,15,1917 (b) “Naturopathic physical medicine” does not include the employment or
18application of chiropractic adjustments and the principles or techniques of
19chiropractic science as described in s. 446.01 (2) (b).
SB532,15,20 20(8) “Nonprescription drug product" has the meaning given in s. 450.01 (13m).
SB532,15,24 21466.02 License required; use of titles. (1) (a) Except as provided in subs.
22(2) (a) and (b) and (3), no person may practice naturopathic medicine or make a
23representation that he or she is authorized to do so unless the person is licensed
24under this chapter.
SB532,16,10
1(b) 1. Except as provided in subs. (2) (b) and (3), no person may designate
2himself or herself as a naturopathic doctor or doctor of naturopathic medicine; use
3or assume the title “naturopathic doctor," “doctor of naturopathic medicine," or
4“doctor of naturopathy"; use the words “naturopathic medicine” or “naturopathic
5health care” in connection with his or her practice; append to the person's name the
6letters “N.D." or “ND"; use any other titles, words, letters, abbreviations, insignia,
7or designation that would imply that the individual is licensed, certified, or
8registered as a naturopathic doctor or doctor of naturopathic medicine; or claim to
9render naturopathic medicine or naturopathic health care services unless the person
10is licensed under s. 466.04 (1) or (2).
SB532,16,1411 2. Except as provided in subs. (2) (b) and (3), no person may use or assume the
12title “naturopathic medical doctor” in connection with his or her practice or append
13to the person's name the letters “N.M.D.," or “NMD" unless the person is licensed
14under s. 466.04 (1).
SB532,16,15 15(2) (a) Subsection (1) (a) does not require a license for any of the following:
SB532,16,1716 1. Any person lawfully practicing within the scope of a license, permit,
17registration, or certification granted by this state or the federal government.
SB532,16,1818 2. The provision of information in connection with the sale of vitamins or herbs.
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