Amendment AA1-SB70

SB70-AA1,439,7 463.10 (5) Exception. Subsections (2) to (4m) do not apply to a dentist who is licensed under s. 447.03 (1) or to a , dental therapist, or physician who tattoos or offers to tattoo a person in the course of the dentist's, dental therapist's, or physician's professional practice.

SB70-AA1,985 Section 985. 463.12 (5) of the statutes is amended to read:

SB70-AA1,439,12 463.12 (5) Exception. Subsections (2) to (4m) do not apply to a dentist who is licensed under s. 447.03 (1) or to a , dental therapist, or physician who pierces the body of or offers to pierce the body of a person in the course of the dentist's, dental therapist's, or physician's professional practice.

SB70-AA1,986 Section 986. 466.04 (3) (a) (intro.) of the statutes is amended to read:

SB70-AA1,439,18 466.04 (3) (a) (intro.) The renewal date for licenses granted under this chapter is specified shall be as determined by the department under s. 440.08 (2) (a). Renewal applications shall be submitted to the department on a form provided by the department. The application shall include all of the following in order for the license to be renewed:

SB70-AA1,987 Section 987. 470.045 (3) (b) of the statutes is amended to read:

SB70-AA1,439,23 470.045 (3) (b) The renewal date for certificates of authorization under this section is specified shall be as determined by the department under s. 440.08 (2) (a), and the renewal fee for such certificates is determined by the department under s. 440.03 (9) (a).

SB70-AA1,988 Section 988. 470.07 of the statutes is amended to read:

SB70-AA1,440,7 470.07 Renewal of licenses. The renewal dates for licenses granted under this chapter are specified shall be as determined by the department under s. 440.08 (2) (a). Renewal applications shall be submitted to the department on a form provided by the department and shall include the renewal fee determined by the department under s. 440.03 (9) (a) and evidence satisfactory to the appropriate section of the examining board that the applicant has completed any continuing education requirements specified in rules promulgated under s. 470.03 (2).

SB70-AA1,989 Section 989. 480.08 (5) of the statutes is amended to read:

SB70-AA1,440,17 480.08 (5) Expiration and renewal. The renewal date for certificates granted under this chapter, other than temporary certificates granted under sub. (7), is specified shall be as determined by the department under s. 440.08 (2) (a), and the renewal fee for certificates granted under this chapter, other than temporary certificates granted under sub. (7), is determined by the department under s. 440.03 (9) (a). Renewal applications shall include evidence satisfactory to the department that the applicant holds a current permit issued under s. 77.52 (9). A renewal application for an auctioneer certificate shall be accompanied by proof of completion of continuing education requirements under sub. (6).

SB70-AA1,990 Section 990. 632.87 (4) of the statutes is amended to read:

SB70-AA1,440,23 632.87 (4) No policy, plan or contract may exclude coverage for diagnosis and treatment of a condition or complaint by a licensed dentist or dental therapist within the scope of the dentist's or dental therapist's license, if the policy, plan or contract covers diagnosis and treatment of the condition or complaint by another health care provider, as defined in s. 146.81 (1) (a) to (p).

SB70-AA1,991 Section 991. 655.001 (1) of the statutes is renumbered 655.001 (1r).

SB70-AA1,992 Section 992. 655.001 (1g) of the statutes is created to read:

SB70-AA1,441,8 655.001 (1g) “Advanced practice registered nurse” means an individual who is licensed under s. 441.09, who has qualified to practice independently in his or her recognized role under s. 441.09 (3m) (b), and who practices advanced practice registered nursing, as defined under s. 441.001 (1c), outside of a collaborative relationship with a physician or dentist, as described under s. 441.09 (3m) (a) 1., or other employment relationship. “Advanced practice registered nurse” does not include an individual who only engages in the practice of a certified nurse-midwife, as defined under s. 441.001 (3c).

SB70-AA1,993 Section 993. 655.001 (7t) of the statutes is amended to read:

SB70-AA1,441,15 655.001 (7t) “Health care practitioner" means a health care professional, as defined in s. 180.1901 (1m), who is an employee of a health care provider described in s. 655.002 (1) (d), (e), (em), or (f) and who has the authority to provide health care services that are not in collaboration with a physician under s. 441.15 (2) (b) or under the direction and supervision of a physician or nurse anesthetist advanced practice registered nurse.

SB70-AA1,994 Section 994. 655.001 (9) of the statutes is repealed.

SB70-AA1,995 Section 995. 655.002 (1) (a) of the statutes is amended to read:

SB70-AA1,441,20 655.002 (1) (a) A physician or a nurse anesthetist an advanced practice registered nurse for whom this state is a principal place of practice and who practices his or her profession in this state more than 240 hours in a fiscal year.

SB70-AA1,996 Section 996. 655.002 (1) (b) of the statutes is amended to read:

SB70-AA1,441,24 655.002 (1) (b) A physician or a nurse anesthetist an advanced practice registered nurse for whom Michigan is a principal place of practice, if all of the following apply:

SB70-AA1,442,2 1. The physician or nurse anesthetist advanced practice registered nurse is a resident of this state.

SB70-AA1,442,5 2. The physician or nurse anesthetist advanced practice registered nurse practices his or her profession in this state or in Michigan or a combination of both more than 240 hours in a fiscal year.

SB70-AA1,442,10 3. The physician or nurse anesthetist advanced practice registered nurse performs more procedures in a Michigan hospital than in any other hospital. In this subdivision, “Michigan hospital" means a hospital located in Michigan that is an affiliate of a corporation organized under the laws of this state that maintains its principal office and a hospital in this state.

SB70-AA1,997 Section 997. 655.002 (1) (c) of the statutes is amended to read:

SB70-AA1,442,19 655.002 (1) (c) A physician or nurse anesthetist an advanced practice registered nurse who is exempt under s. 655.003 (1) or (3), but who practices his or her profession outside the scope of the exemption and who fulfills the requirements under par. (a) in relation to that practice outside the scope of the exemption. For a physician or a nurse anesthetist an advanced practice registered nurse who is subject to this chapter under this paragraph, this chapter applies only to claims arising out of practice that is outside the scope of the exemption under s. 655.003 (1) or (3).

SB70-AA1,998 Section 998. 655.002 (1) (d) of the statutes is amended to read:

SB70-AA1,442,24 655.002 (1) (d) A partnership comprised of physicians or nurse anesthetists advanced practice registered nurses and organized and operated in this state for the primary purpose of providing the medical services of physicians or nurse anesthetists advanced practice registered nurses.

SB70-AA1,999 Section 999. 655.002 (1) (e) of the statutes is amended to read:

SB70-AA1,443,3 655.002 (1) (e) A corporation organized and operated in this state for the primary purpose of providing the medical services of physicians or nurse anesthetists advanced practice registered nurses.

SB70-AA1,1000 Section 1000. 655.002 (1) (em) of the statutes is amended to read:

SB70-AA1,443,8 655.002 (1) (em) Any organization or enterprise not specified under par. (d) or (e) that is organized and operated in this state for the primary purpose of providing the medical services of physicians or nurse anesthetists advanced practice registered nurses.

SB70-AA1,1001 Section 1001. 655.002 (2) (a) of the statutes is amended to read:

SB70-AA1,443,13 655.002 (2) (a) A physician or nurse anesthetist advanced practice registered nurse for whom this state is a principal place of practice but who practices his or her profession fewer than 241 hours in a fiscal year, for a fiscal year, or a portion of a fiscal year, during which he or she practices his or her profession.

SB70-AA1,1002 Section 1002. 655.002 (2) (b) of the statutes is amended to read:

SB70-AA1,443,21 655.002 (2) (b) Except as provided in sub. (1) (b), a physician or nurse anesthetist advanced practice registered nurse for whom this state is not a principal place of practice, for a fiscal year, or a portion of a fiscal year, during which he or she practices his or her profession in this state. For a health care provider who elects to be subject to this chapter under this paragraph, this chapter applies only to claims arising out of practice that is in this state and that is outside the scope of an exemption under s. 655.003 (1) or (3).

SB70-AA1,1003 Section 1003. 655.003 (1) of the statutes is amended to read:

SB70-AA1,444,2 655.003 (1) A physician or a nurse anesthetist an advanced practice registered nurse who is a state, county or municipal employee, or federal employee or contractor covered under the federal tort claims act, as amended, and who is acting within the scope of his or her employment or contractual duties.

SB70-AA1,1004 Section 1004. 655.003 (3) of the statutes is amended to read:

SB70-AA1,444,10 655.003 (3) Except for a physician or nurse anesthetist an advanced practice registered nurse who meets the criteria under s. 146.89 (5) (a), a physician or a nurse anesthetist an advanced practice registered nurse who provides professional services under the conditions described in s. 146.89, with respect to those professional services provided by the physician or nurse anesthetist advanced practice registered nurse for which he or she is covered by s. 165.25 and considered an agent of the department, as provided in s. 165.25 (6) (b).

SB70-AA1,1005 Section 1005. 655.005 (2) (a) of the statutes is amended to read:

SB70-AA1,444,16 655.005 (2) (a) An employee of a health care provider if the employee is a physician or a nurse anesthetist an advanced practice registered nurse or is a health care practitioner who is providing health care services that are not in collaboration with a physician under s. 441.15 (2) (b) or under the direction and supervision of a physician or nurse anesthetist advanced practice registered nurse.

SB70-AA1,1006 Section 1006. 655.005 (2) (b) of the statutes is amended to read:

SB70-AA1,445,2 655.005 (2) (b) A service corporation organized under s. 180.1903 by health care professionals, as defined under s. 180.1901 (1m), if the board of governors determines that it is not the primary purpose of the service corporation to provide the medical services of physicians or nurse anesthetists advanced practice registered nurses. The board of governors may not determine under this paragraph that it is not the primary purpose of a service corporation to provide the medical services of physicians or nurse anesthetists advanced practice registered nurses unless more than 50 percent of the shareholders of the service corporation are neither physicians nor nurse anesthetists advanced practice registered nurses.

SB70-AA1,1007 Section 1007. 655.23 (5m) of the statutes is amended to read:

SB70-AA1,445,7 655.23 (5m) The limits set forth in sub. (4) shall apply to any joint liability of a physician or nurse anesthetist an advanced practice registered nurse and his or her corporation, partnership, or other organization or enterprise under s. 655.002 (1) (d), (e), or (em).

SB70-AA1,1008 Section 1008. 655.27 (3) (a) 4. of the statutes is amended to read:

SB70-AA1,445,12 655.27 (3) (a) 4. For a health care provider described in s. 655.002 (1) (d), (e), (em), or (f), risk factors and past and prospective loss and expense experience attributable to employees of that health care provider other than employees licensed as a physician or nurse anesthetist an advanced practice registered nurse.

SB70-AA1,1009 Section 1009. 655.27 (3) (b) 2m. of the statutes is amended to read:

SB70-AA1,445,19 655.27 (3) (b) 2m. In addition to the fees and payment classifications described under subds. 1. and 2., the commissioner, after approval by the board of governors, may establish a separate payment classification for physicians satisfying s. 655.002 (1) (b) and a separate fee for nurse anesthetists advanced practice registered nurses satisfying s. 655.002 (1) (b) which take into account the loss experience of health care providers for whom Michigan is a principal place of practice.

SB70-AA1,1010 Section 1010. 655.275 (2) of the statutes is amended to read:

SB70-AA1,446,6 655.275 (2) Appointment. The board of governors shall appoint the members of the council. Section 15.09, except s. 15.09 (4) and (8), does not apply to the council. The board of governors shall designate the chairperson, who shall be a physician, the vice chairperson, and the secretary of the council and the terms to be served by council members. The council shall consist of 5 or 7 persons, not more than 3 of whom are physicians who are licensed and in good standing to practice medicine in this state and one of whom is a nurse anesthetist an advanced practice registered nurse who is licensed and in good standing to practice nursing in this state. The chairperson or another peer review council member designated by the chairperson shall serve as an ex officio nonvoting member of the medical examining board and may attend meetings of the medical examining board, as appropriate.

SB70-AA1,1011 Section 1011. 655.275 (5) (b) 2. of the statutes is amended to read:

SB70-AA1,446,10 655.275 (5) (b) 2. If a claim was paid for damages arising out of the rendering of care by a nurse anesthetist an advanced practice registered nurse, with at least one nurse anesthetist advanced practice registered nurse.

SB70-AA1,1012 Section 1012. 710.02 (1) of the statutes is renumbered 710.02 (1r) and amended to read:

SB70-AA1,446,16 710.02 (1r) Limitation. The following persons may not acquire, own, or hold any interest, directly or indirectly, except an interest used to secure repayment of a debt incurred in good faith, in more than 640 acres of land in this state in excess of the following amounts:

SB70-AA1,446,18 (a) Aliens Except as provided in par. (d), aliens not residents of a state of the United States, not more than 640 acres.

SB70-AA1,446,20 (b) Corporations Except as provided in par. (d), corporations not created under the laws of the United States or a state of the United States, not more than 640 acres.

SB70-AA1,446,24 (c) 1. Corporations Except as provided in par. (d), corporations, limited liability companies, partnerships, or associations having more than 20 percent of their stock, securities, or other indicia of ownership held or owned by persons under par. (a) or (b), not more than 640 acres.

SB70-AA1,447,3 2. Trusts Except as provided in par. (d), trusts having more than 20 percent of the value of their assets held for the benefit of persons under par. (a) or (b), not more than 640 acres.

SB70-AA1,1013 Section 1013. 710.02 (1g) of the statutes is created to read:

SB70-AA1,447,9 710.02 (1g) Definition. In this section, “foreign adversary” means a foreign government or nongovernment person determined by the federal secretary of commerce to have engaged in a long-term pattern or serious instances of conduct significantly adverse to the national security of the United States or security and safety of U.S. persons.

SB70-AA1,1014 Section 1014. 710.02 (1r) (d) of the statutes is created to read:

SB70-AA1,447,12 710.02 (1r) (d) Foreign adversaries may not acquire, own, or hold any land in this state.

SB70-AA1,1015 Section 1015. 710.02 (2) (intro.) of the statutes is amended to read:

SB70-AA1,447,15 710.02 (2) Exceptions. (intro.) Except as provided in sub. (3), sub. (1) (1r) does not apply to:

SB70-AA1,1016 Section 1016. 710.02 (3) of the statutes is amended to read:

SB70-AA1,447,25 710.02 (3) Use of land restricted. Land in excess of 640 acres, acquired by a A person listed under sub. (1) (1r), other than a person listed under sub. (2) (a), (b), or (c), that acquires land in excess of the amount allowed under sub. (1r) for an activity listed under sub. (2) (d), (e), (f), or (g), may not be used directly or indirectly by that person use the land for any activity not listed under sub. (2) (d), (e), (f), or (g). Pending the conversion and development of the land for a purpose permitted allowed under sub. (2) (d), (e), (f), or (g), it the person may be used use the land for agriculture or forestry purposes under a lease to a person not subject to sub. (1) (1r). Products of the land may be sold by the lessee to the owner of the land.

SB70-AA1,1017 Section 1017. 710.02 (5) (a) (intro.) of the statutes is amended to read:

SB70-AA1,448,4 710.02 (5) (a) (intro.) Interests exceeding 640 acres the amounts allowed under sub. (1r) that are acquired by persons under sub. (1) (1r) shall be divested at the discretion of the holder to comply with sub. (1) (1r) within 4 years after:

SB70-AA1,1018 Section 1018. 710.02 (5) (a) 1. of the statutes is amended to read:

SB70-AA1,448,7 710.02 (5) (a) 1. Acquiring the interest, if the interest is described under sub. (2) (a) and the person is subject to sub. (1) (1r) (a) or (b).

SB70-AA1,1019 Section 1019. 710.02 (5) (a) 2. of the statutes is amended to read:

SB70-AA1,448,10 710.02 (5) (a) 2. Acquiring the interest or becoming subject to sub. (1) (1r) (c), whichever is later, if the person is subject to sub. (1) (1r) (c).

SB70-AA1,1020 Section 1020. 710.02 (6) of the statutes is amended to read:

SB70-AA1,448,15 710.02 (6) Forfeitures. Interests in lands in excess of 640 acres the amounts allowed under sub. (1r) that are acquired or held in violation of this section are forfeited to the state. The holder of the interest shall determine which lands are to be forfeited to comply with sub. (1) (1r).

SB70-AA1,1021 Section 1021. 710.02 (9) of the statutes is renumbered 710.02 (9) (a) and amended to read:

SB70-AA1,448,20 710.02 (9) (a) This Except as provided in par. (b), this section applies to interests in land acquired after July 1, 1982. No interest acquired before July 1, 1982, is subject to divestiture or forfeiture under this section.

SB70-AA1,1022 Section 1022. 710.02 (9) (b) of the statutes is created to read:

SB70-AA1,449,3 710.02 (9) (b) Subsection (1r) (d) applies to interests in land acquired by a foreign adversary on or after the first day of the first month beginning after the effective date of this paragraph .... [LRB inserts date], or the date on which the federal secretary of commerce determines the person is a foreign adversary, whichever occurs later. No interest acquired by the foreign adversary before the date on which sub. (1r) (d) first applies, as specified in this paragraph, is subject to divestiture or forfeiture under this section.

SB70-AA1,1023 Section 1023. 895.48 (1m) (a) (intro.) of the statutes is amended to read:

SB70-AA1,449,16 895.48 (1m) (a) (intro.) Except as provided in par. (b), any physician, naturopathic doctor, physician assistant, podiatrist, or athletic trainer licensed under ch. 448, chiropractor licensed under ch. 446, dentist or dental therapist licensed under ch. 447, emergency medical services practitioner licensed under s. 256.15, emergency medical responder certified under s. 256.15 (8), registered nurse licensed under ch. 441, or a massage therapist or bodywork therapist licensed under ch. 460 who renders voluntary health care to a participant in an athletic event or contest sponsored by a nonprofit corporation, as defined in s. 66.0129 (6) (b), a private school, as defined in s. 115.001 (3r), a tribal school, as defined in s. 115.001 (15m), a public agency, as defined in s. 46.856 (1) (b), or a school, as defined in s. 609.655 (1) (c), is immune from civil liability for his or her acts or omissions in rendering that care if all of the following conditions exist:

SB70-AA1,1024 Section 1024. 895.48 (1m) (a) 2. of the statutes is amended to read:

SB70-AA1,449,23 895.48 (1m) (a) 2. The physician, naturopathic doctor, podiatrist, athletic trainer, chiropractor, dentist, dental therapist, emergency medical services practitioner, as defined in s. 256.01 (5), emergency medical responder, as defined in s. 256.01 (4p), physician assistant, registered nurse, massage therapist or bodywork therapist does not receive compensation for the health care, other than reimbursement for expenses.

SB70-AA1,1025 Section 1025. 941.315 (5) of the statutes is amended to read:

SB70-AA1,450,4 941.315 (5) (a) Subsection (2) does not apply to a person to whom nitrous oxide is administered for the purpose of providing medical or dental care, if the nitrous oxide is administered by a physician or, dentist, or dental therapist or at the direction or under the supervision of a physician or, dentist, or dental therapist.

SB70-AA1,450,8 (b) Subsection (3) does not apply to the administration of nitrous oxide by a physician or, dentist, or dental therapist, or by another person at the direction or under the supervision of a physician or, dentist, or dental therapist, for the purpose of providing medical or dental care.