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JPC:amn
2021 - 2022 LEGISLATURE
November 18, 2021 - Introduced by Representatives Summerfield, Sinicki,
Edming, Considine, Andraca, Bowen, Doyle, Gundrum, Krug, Milroy,
Moses, Petryk, Snodgrass, Sortwell, Subeck, Thiesfeldt, Vruwink, Knodl,
Murphy and Tusler, cosponsored by Senators Jacque, Agard, Carpenter,
Feyen, Kooyenga, L. Taylor, Testin and Wirch. Referred to Committee on
Health.
AB720,1,3 1An Act to amend 441.06 (4) and 448.61; and to create 440.077, 448.03 (2) (bm)
2and 448.40 (1m) of the statutes; relating to: practice of certain skilled health
3services by military medical personnel and granting rule-making authority.
Analysis by the Legislative Reference Bureau
This bill allows certain persons who have recently served as an army medic, a
navy or coast guard corpsman, or an air force aerospace medical technician in the
U.S. armed forces to practice certain skilled health services as part of a program
facilitated by the Department of Safety and Professional Services without having to
obtain a license. Under current law, with some exceptions, no person may engage in
the practice of medicine and surgery without first receiving a license from the
Medical Examining Board. This bill directs DSPS, in collaboration with the
Department of Veterans Affairs, the Medical Examining Board, and the Board of
Nursing, to establish a program in which military medical personnel may
temporarily practice certain skilled health services in an inpatient or outpatient
health care facility under the direction of a physician, physician assistant, podiatrist,
registered professional nurse, or advanced practice nurse prescriber without having
to obtain a license from the Medical Examining Board, the Podiatry Affiliated
Credentialing Board, the Physician Assistant Affiliated Credentialing Board, or the
Board of Nursing.
In order to participate in the program, the military medical personnel must
complete and sign a memorandum of understanding that details their scope of
practice, and submit the memorandum of understanding to their employer. In

addition, the military medical personnel must establish a reasonable timeline with
their employer under which the military medical personnel will act to acquire a
license from the Medical Examining Board, the Podiatry Affiliated Credentialing
Board, the Physician Assistant Affiliated Credentialing Board, or the Board of
Nursing. The bill provides, however, that the timeline may be extended if unforeseen
circumstances cause the military medical personnel to need more time to acquire a
license. “Military medical personnel” is defined in the bill as a person who has served
as an army medic, a navy or coast guard corpsman, or an air force aerospace medical
technician in the U.S. armed forces and who was discharged or released from such
service in the previous 12 months under honorable or general conditions.
For further information see the state fiscal estimate, which will be printed as
an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB720,1 1Section 1. 440.077 of the statutes is created to read:
AB720,2,2 2440.077 Military medical personnel program. (1) In this section:
AB720,2,43 (a) “Advanced practice nurse prescriber” means an advanced practice nurse
4prescriber certified under s. 441.16 (2).
AB720,2,75 (b) “Disease” means any pain, injury, deformity, physical or mental illness, or
6departure from complete health or the proper condition of the human body or any of
7its parts.
AB720,2,88 (c) “Inpatient health care facility” has the meaning given in s. 50.135 (1).
AB720,2,129 (d) “Military medical personnel” means a person who has served as an army
10medic, a navy or coast guard corpsman, or an air force aerospace medical technician
11in the U.S. armed forces and who was discharged or released from such service in the
12previous 12 months under honorable or general conditions.
AB720,2,1313 (e) “Physician assistant” has the meaning given in s. 448.971 (2).
AB720,2,1414 (f) “Podiatrist” has the meaning given in s. 448.60 (3).
AB720,3,3
1(g) “Registered professional nurse” means a registered nurse who is licensed
2under ch. 441 or who holds a multistate license, as defined in s. 441.51 (2) (h), issued
3in a party state, as defined in s. 441.51 (2) (k).
AB720,3,44 (h) 1. “Skilled health services” means any of the following:
AB720,3,65 a. To examine into the fact, condition, or cause of human health or disease, or
6to treat, operate, prescribe, or advise for the same, by any means or instrumentality.
AB720,3,87 b. To apply principles or techniques of medical sciences in the diagnosis or
8prevention of any of the conditions in subd. 1. a. and par. (b).
AB720,3,99 c. To penetrate, pierce, or sever the tissues of a human being.
AB720,3,1110 d. To offer, undertake, attempt, or hold oneself out in any manner as able to do
11any of the acts described in this paragraph.
AB720,3,1312 2. “Skilled health services” does not include surgical procedures or issuing
13prescription orders.
AB720,3,19 14(2) (a) The department, in collaboration with the department of veterans
15affairs, the medical examining board, and the board of nursing, shall establish a
16program in which military medical personnel may temporarily perform certain
17skilled health services while supervised in an inpatient or outpatient health care
18facility without having to obtain a license under s. 441.06, 441.10, 448.04, 448.61, or
19448.974.
AB720,4,220 (b) Under the program under par. (a), the services that a military medical
21personnel may provide shall reflect the level of training and experience of the
22military medical personnel. Before performing any services under the program
23under par. (a), the military medical personnel shall complete and sign a
24memorandum of understanding on a form prescribed by the medical examining
25board and shall submit the memorandum of understanding to their employer. The

1memorandum of understanding shall detail the military medical personnel's scope
2of practice.
AB720,4,83 (c) Under the program under par. (a), a participating military medical
4personnel shall be supervised by a physician, physician assistant, podiatrist,
5registered professional nurse, or advanced practice nurse prescriber. The
6supervising physician, physician assistant, podiatrist, registered professional
7nurse, or advanced practice nurse prescriber shall retain responsibility for the care
8of the patient.
AB720,4,15 9(3) (a) In order to participate in the program under sub. (2) (a), a military
10medical personnel shall establish a reasonable timeline with his or her employer that
11describes the actions the military medical personnel intends to take to acquire a
12license under s. 441.06, 441.10, 448.04, 448.61, or 448.974 including the date by
13which the military medical personnel agrees to acquire the license. The military
14medical personnel shall submit the timeline to the department on a form provided
15by the department.
AB720,4,1816 (b) A military medical personnel becomes ineligible to participate in the
17program under sub. (2) (a) beginning on the day after the date that the military
18medical personnel agreed to acquire a license under par. (a).
AB720,4,2119 (c) The timeline to acquire a license under par. (a) may not be longer than is
20reasonably necessary considering the license the military medical personnel intends
21to acquire, his or her education and experience, and any other relevant factors.
AB720,4,2422 (d) The medical examining board may extend the timeline under par. (a) if it
23appears that, because of unforeseen circumstances, the applicant requires more time
24to receive a license under s. 441.06, 441.10, 448.04, 448.61, or 448.974.
AB720,5,2
1(4) The medical examining board shall oversee the operations of the program
2under sub. (2) (a).
AB720,2 3Section 2. 441.06 (4) of the statutes is amended to read:
AB720,5,134 441.06 (4) Except as provided in s. ss. 257.03 and 440.077, no person may
5practice or attempt to practice professional nursing, nor use the title, letters, or
6anything else to indicate that he or she is a registered or professional nurse unless
7he or she is licensed under this section. Except as provided in s. ss. 257.03 and
8440.077
, no person not so licensed may use in connection with his or her nursing
9employment or vocation any title or anything else to indicate that he or she is a
10trained, certified or graduate nurse. This subsection does not apply to any registered
11nurse who holds a multistate license, as defined in s. 441.51 (2) (h), issued by a
12jurisdiction, other than this state, that has adopted the enhanced nurse licensure
13compact under s. 441.51.
AB720,3 14Section 3. 448.03 (2) (bm) of the statutes is created to read:
AB720,5,1615 448.03 (2) (bm) The activities of military medical personnel, as defined in s.
16440.077 (1) (d), while supervised under s. 440.077.
AB720,4 17Section 4. 448.40 (1m) of the statutes is created to read:
AB720,5,2018 448.40 (1m) The board may promulgate rules to establish minimum standards
19for military medical personnel, as defined in s. 440.077 (1) (d), who perform skilled
20health services, as defined in s. 440.077 (1) (g), that are supervised under s. 440.077.
AB720,5 21Section 5. 448.61 of the statutes is amended to read:
AB720,6,3 22448.61 License required. Except as provided in ss. 257.03, 440.077, and
23448.62, no person may practice podiatry, designate himself or herself as a podiatrist,
24use or assume the title “doctor of surgical chiropody", “doctor of podiatry"or “doctor
25of podiatric medicine", or append to the person's name the words or letters “doctor",

1“Dr.", “D.S.C.", “D.P.M.", “foot doctor", “ foot specialist" or any other title, letters or
2designation which represents or may tend to represent the person as a podiatrist
3unless the person is licensed under this subchapter.
AB720,6 4Section 6. Effective date.
AB720,6,65 (1) This act takes effect on April 2, 2022, or on the day after publication,
6whichever is later.
AB720,6,77 (End)
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