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AB529,11,217 448.56 (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.
AB529,34 22Section 34 . 448.56 (1m) (b) of the statutes is amended to read:
AB529,12,323 448.56 (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.
AB529,35 4Section 35. 450.03 (1) (e) of the statutes is amended to read:
AB529,12,115 450.03 (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.
AB529,36 12Section 36. 450.10 (3) (a) 12. of the statutes is created to read:
AB529,12,1413 450.10 (3) (a) 12. A naturopathic doctor or limited-scope naturopathic doctor
14licensed under ch. 466.
AB529,37 15Section 37 . 450.11 (7) (b) of the statutes is amended to read:
AB529,12,1916 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.
AB529,38 20Section 38. 450.11 (8) (g) of the statutes is created to read:
AB529,12,2221 450.11 (8) (g) The naturopathic medicine examining board, insofar as this
22section applies to naturopathic doctors.
AB529,39 23Section 39. 462.04 of the statutes is amended to read:
AB529,13,7 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.
AB529,40 8Section 40. Chapter 466 of the statutes is created to read:
AB529,13,99 chapter 466
AB529,13,1010 naturopathic MEDICINE
AB529,13,11 11466.01 Definitions. In this chapter:
AB529,13,12 12(1) “Board" means the naturopathic medicine examining board.
AB529,13,13 13(2) “Drug” has the meaning given in s. 450.01 (10).
AB529,13,15 14(3) “Limited-scope naturopathic doctor" means an individual licensed under
15s. 466.04 (2).
AB529,13,18 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.
AB529,13,19 19(5) “Naturopathic doctor" means an individual licensed under s. 466.04 (1).
AB529,13,25 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:
AB529,14,3
11. Ordering and performing physical and laboratory examinations, for
2diagnostic purposes, consistent with naturopathic education and training, including
3all of the following:
AB529,14,44 a. Diagnostic or evaluation methods.
AB529,14,55 b. Physical examinations.
AB529,14,66 c. Clinical laboratory tests.
AB529,14,77 d. Diagnostic sonography.
AB529,14,88 e. Electrocardiography.
AB529,14,99 f. Phlebotomy.
AB529,14,1010 2. Ordering diagnostic imaging studies.
AB529,14,1111 3. Dispensing, administering, ordering, or performing any of the following:
AB529,14,1212 a. Health education and health counseling.
AB529,14,1513 b. Food, extracts of food, nutraceuticals, vitamins, amino acids, minerals,
14enzymes, botanical medicines, homeopathic medicines, dietary supplements, and
15nonprescription drug products.
AB529,14,1716 c. Hot or cold hydrotherapy, naturopathic physical medicine, the use of
17therapeutic medical equipment, and therapeutic exercise.
AB529,14,1918 d. Devices, including therapeutic devices, barrier contraception, and durable
19medical equipment.
AB529,14,2120 e. Any other diagnostic, therapeutic, or other procedure authorized by rule
21under s. 466.03 (2) (a).
AB529,14,2222 4. Prescribing, dispensing, and administering drugs, subject to s. 961.397.
AB529,14,2323 5. Performing minor office procedures.
AB529,15,224 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.
AB529,15,33 (b) “Naturopathic medicine” does not include any of the following:
AB529,15,44 1. Performing any surgical procedure other than a minor office procedure.
AB529,15,55 2. Using general or spinal anesthetics.
AB529,15,66 3. Administering ionizing radioactive substances for therapeutic purposes.
AB529,15,87 4. Performing surgical procedures involving the eye, ear, tendons, nerves,
8veins, or arteries that extend beyond superficial tissue.
AB529,15,119 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).
AB529,15,16 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.
AB529,15,1917 (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).
AB529,15,20 20(8) “Nonprescription drug product" has the meaning given in s. 450.01 (13m).
AB529,15,24 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.
AB529,16,10
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).
AB529,16,1411 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).
AB529,16,15 15(2) (a) Subsection (1) (a) does not require a license for any of the following:
AB529,16,1716 1. Any person lawfully practicing within the scope of a license, permit,
17registration, or certification granted by this state or the federal government.
AB529,16,1818 2. The provision of information in connection with the sale of vitamins or herbs.
AB529,16,2019 3. The provision of advice regarding the use of a therapy, including herbal
20medicine, homeopathy, nutrition, or other nondrug or nonsurgical therapy.
AB529,16,2321 4. Any individual acting under an exemption from the requirement to obtain
22a license to practice medicine and surgery under s. 448.03 (2), to the extent that the
23individual's activities also fall within the practice of naturopathic medicine.
AB529,17,3
15. Any person who is providing patient services as directed, supervised, and
2inspected by a naturopathic doctor who has the power to direct, decide, and oversee
3the implementation of the patient services rendered.
AB529,17,44 (b) Subsection (1) (a) and (b) does not require a license for any of the following:
AB529,17,75 1. The practice of naturopathic medicine by an individual employed by the
6federal government while the individual is engaged in the performance of duties
7prescribed by federal law.
AB529,17,108 2. A person who is licensed to practice naturopathic medicine in another state
9or country and is providing consultation to or with or a demonstration to or with a
10naturopathic doctor who is licensed under this chapter.
AB529,17,1511 3. The practice of naturopathic medicine by a student enrolled in an approved
12naturopathic medical program that qualifies under s. 466.04 (1) (d) 1., provided that
13the performance of services is pursuant to a course of instruction or assignments
14from an instructor and is under the supervision of the instructor. The student shall
15use the title “ND candidate” with the intended year of graduation.
AB529,17,17 16(3) The board may, by rule, establish additional exemptions from the
17requirements under sub. (1).
AB529,17,19 18466.03 Duties and powers of examining board. (1) The board shall
19promulgate rules that establish all of the following:
AB529,17,2120 (a) Standards of practice for and a code of ethics governing the professional
21conduct of naturopathic doctors and limited-scope naturopathic doctors.
AB529,17,2422 (b) Continuing education requirements for applicants seeking renewal of a
23license under this chapter. The board shall establish separate continuing education
24requirements for naturopathic doctors and limited-scope naturopathic doctors.
AB529,18,3
1(c) Examination standards and requirements for purposes of examinations
2required under s. 466.04 (1) (e), including required passing scores for examinations
3and the times when examinations are offered.
AB529,18,4 4(2) The board may promulgate rules to do any of the following:
AB529,18,105 (a) Further define the scope of practice of naturopathic medicine. The board
6may expressly authorize diagnostic, therapeutic, or other practices that may be used
7by naturopathic doctors. The board may not authorize a naturopathic doctor to
8engage in any practice excluded from the definition of naturopathic medicine under
9s. 466.01 (6) (b). The board may expressly prohibit diagnostic, therapeutic, or other
10practices.
AB529,18,1311 (b) Establish character and fitness requirements for initial licensure or
12renewal of a license under this chapter and evidence required to demonstrate
13satisfaction of such requirements.
AB529,18,1614 (c) Establish physical and mental competency requirements for initial
15licensure or renewal of a license under this chapter and evidence required to
16demonstrate satisfaction of such requirements.
AB529,18,1917 (d) Establish evidence of professional competency requirements for initial
18licensure or renewal of a license under this chapter, including evidence relating to
19an applicant's licensure status in other states.
AB529,18,2120 (e) Establish additional clinical, practical, or residency requirements for initial
21licensure under this chapter.
AB529,18,2322 (f) Adopt minimum malpractice insurance requirements for naturopathic
23doctors.
AB529,19,3
1(3) The board may, for purposes of s. 466.04 (1) (d) 1. e., 2. d., 3. d., and 4. e.,
2disqualify any naturopathic medical program if the board determines the program
3does not adequately prepare students to practice naturopathic medicine.
AB529,19,5 4466.04 License; renewal. (1) Naturopathic doctor license. The board shall
5grant a naturopathic doctor license to a person who does all of the following:
AB529,19,76 (a) Submits an application for the license to the department on a form provided
7by the department.
AB529,19,88 (b) Pays the fee specified in s. 440.05 (1).
AB529,19,109 (c) Subject to ss. 111.321, 111.322, and 111.335, submits evidence satisfactory
10to the board that the applicant does not have an arrest or a conviction record.
AB529,19,1211 (d) Submits evidence satisfactory to the board that he or she has completed one
12of the following:
AB529,19,1413 1. A naturopathic medical education program offered in the United States that
14satisfies all of the following:
AB529,19,1615 a. The program provides the degree of doctor of naturopathy or doctor of
16naturopathic medicine.
AB529,19,1817 b. The program offers graduate-level, full-time, didactic and supervised
18clinical training.
AB529,19,2119 c. The program is accredited, or has achieved candidacy status for such
20accreditation, by the Council on Naturopathic Medical Education or an equivalent
21federally recognized accrediting body for naturopathic medical programs.
AB529,19,2522 d. The program is offered by an institution of higher education or part of an
23institution of higher education that is accredited, or is a candidate for such
24accreditation, by a regional accrediting organization or a national institutional
25accrediting agency recognized by the federal department of education.
AB529,20,2
1e. The program has not been disqualified by the board as an approved
2naturopathic medical educational program under s. 466.03 (3).
AB529,20,43 2. A program at a diploma-granting, degree-equivalent institution of higher
4education located in Canada that satisfies all of the following:
AB529,20,65 a. The program offers graduate-level, full-time didactic and supervised
6clinical training.
AB529,20,97 b. The program is accredited, or has achieved candidacy status for such
8accreditation, by the Council on Naturopathic Medical Education or an equivalent
9federally recognized accrediting body for naturopathic medical programs.
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