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4. The compact requires the commission to develop and maintain a coordinated
database and reporting system that contains information related to licensed
individuals, adverse actions taken, and significant investigatory information on all
licensed individuals. Under the compact, each member state is required to submit
a uniform data set to the coordinated database on all individuals to whom the
compact is applicable.
5. The compact provides that the executive, legislative, and judicial branches
of state government in each member state are responsible for enforcing the compact
and taking action necessary to effectuate its purpose. If the commission determines
that a member state has defaulted in its performance of the compact, the compact
requires the commission to provide written notice to the defaulting state and to
provide remedial training and technical assistance to cure the default. If a state fails
to cure the default, the compact provides that the defaulting state may be terminated
from the compact upon a majority vote of the other member states. If the commission
votes to terminate a defaulting state from the compact, all rights, privileges, and
benefits conferred by the compact are terminated as of the effective date of the
termination. Termination may only be imposed after all other means of securing
compliance have been exhausted.
Finally, this bill implements the compact by allowing the Department of Health
Services to promulgate rules necessary to implement the compact, and incorporates
references to those individuals who have a privilege to practice under the compact
into relevant statutory provisions related to emergency medical services and
personnel.
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:
SB736,1 1Section 1. 14.89 of the statutes is created to read:
SB736,4,2 214.89 Emergency medical services personnel licensure interstate
3compact.
There is created an emergency medical services personnel licensure
4interstate compact commission as specified in s. 256.60. The administrator of the
5commission representing this state shall be the responsible official of the state EMS
6authority, as defined in s. 256.60 (2) (s), or his or her designee as provided in s. 256.60

1(10) (b) 1. The commission has the powers and duties granted and imposed under
2s. 256.60.
SB736,2 3Section 2. 16.25 (1) (am) of the statutes is amended to read:
SB736,4,64 16.25 (1) (am) “Emergency medical responder" means an individual certified
5under s. 256.15 (8) (a) or an individual with a privilege to practice, as defined in s.
6256.60 (2) (L)
.
SB736,3 7Section 3 . 48.195 (1) of the statutes is amended to read:
SB736,5,58 48.195 (1) Taking child into custody. In addition to being taken into custody
9under s. 48.19, a child whom a law enforcement officer, emergency medical services
10practitioner, as defined in s. 256.01 (5), individual with a privilege to practice, as
11defined in s. 256.60 (2) (L),
or hospital staff member reasonably believes to be 72
12hours old or younger may be taken into custody under circumstances in which a
13parent of the child relinquishes custody of the child to the law enforcement officer,
14emergency medical services practitioner, individual with a privilege to practice, or
15hospital staff member and does not express an intent to return for the child. If a
16parent who wishes to relinquish custody of his or her child under this subsection is
17unable to travel to a sheriff's office, police station, fire station, hospital, or other place
18where a law enforcement officer, emergency medical services practitioner, individual
19with a privilege to practice,
or hospital staff member is located, the parent may dial
20the telephone number “911" or, in an area in which the telephone number “911" is not
21available, the number for an emergency medical service provider, and the person
22receiving the call shall dispatch a law enforcement officer or, emergency medical
23services practitioner, or individual with a privilege to practice to meet the parent and
24take the child into custody. A law enforcement officer, emergency medical services
25practitioner, individual with a privilege to practice, or hospital staff member who

1takes a child into custody under this subsection shall take any action necessary to
2protect the health and safety of the child, shall, within 24 hours after taking the child
3into custody, deliver the child to the intake worker under s. 48.20, and shall, within
45 days after taking the child into custody, file a birth record for the child under s.
569.14 (3).
SB736,4 6Section 4. 48.685 (1) (ag) 2. of the statutes is amended to read:
SB736,5,147 48.685 (1) (ag) 2. “Caregiver" does not include a person who is certified as an
8emergency medical services practitioner under s. 256.15 if the person is employed,
9or seeking employment, as an emergency medical services practitioner and does not
10include a person who is certified as an emergency medical responder under s. 256.15
11if the person is employed, or seeking employment, as an emergency medical
12responder. “Caregiver” does not include a person who has a privilege to practice, as
13defined in s. 256.60 (2) (L), if the person is employed, or seeking employment, to
14deliver emergency medical services in this state.
SB736,5 15Section 5. 48.981 (2) (a) 28m. of the statutes is created to read:
SB736,5,1716 48.981 (2) (a) 28m. An individual with a privilege to practice, as defined in s.
17256.60 (2) (L).
SB736,6 18Section 6. 50.065 (1) (ag) 2. of the statutes is amended to read:
SB736,6,219 50.065 (1) (ag) 2. “Caregiver" does not include a person who is certified as an
20emergency medical services practitioner under s. 256.15 if the person is employed,
21or seeking employment, as an emergency medical services practitioner and does not
22include a person who is certified as an emergency medical responder under s. 256.15
23if the person is employed, or seeking employment, as an emergency medical
24responder. “Caregiver” does not include a person who has a privilege to practice, as

1defined in s. 256.60 (2) (L), if the person is employed, or seeking employment, to
2deliver emergency medical services in this state.
SB736,7 3Section 7 . 66.0137 (1) (ah) of the statutes is amended to read:
SB736,6,84 66.0137 (1) (ah) “Emergency medical services practitioner” has the meaning
5given in s. 256.01 (5), except that in this section it includes an individual with a
6privilege to practice, as defined in s. 256.60 (2) (L), and
applies only to an individual
7who is employed directly by a political subdivision or by a joint emergency medical
8services department operated jointly by 2 or more political subdivisions.
SB736,8 9Section 8. 97.67 (5m) (a) 6m. of the statutes is created to read:
SB736,6,1110 97.67 (5m) (a) 6m. An individual with a privilege to practice, as defined in s.
11256.60 (2) (L).
SB736,9 12Section 9. 102.03 (1) (c) 2. of the statutes is amended to read:
SB736,7,213 102.03 (1) (c) 2. Any employee going to and from his or her employment in the
14ordinary and usual way, while on the premises of the employer, or while in the
15immediate vicinity of those premises if the injury results from an occurrence on the
16premises; any employee going between an employer's designated parking lot and the
17employer's work premises while on a direct route and in the ordinary and usual way;
18any volunteer fire fighter, emergency medical responder, emergency medical
19services practitioner, individual with a privilege to practice, as defined in s. 256.60
20(2) (L),
rescue squad member, or diving team member while responding to a call for
21assistance, from the time of the call for assistance to the time of his or her return from
22responding to that call, including traveling to and from any place to respond to and
23return from that call, but excluding any deviations for private or personal purposes;
24or any fire fighter or municipal utility employee responding to a call for assistance

1outside the limits of his or her city or village, unless that response is in violation of
2law, is performing service growing out of and incidental to employment.
SB736,10 3Section 10. 103.88 (2) of the statutes is amended to read:
SB736,7,134 103.88 (2) Absence from work permitted. An employer shall permit an
5employee who is a volunteer fire fighter, emergency medical services practitioner,
6emergency medical responder, individual with a privilege to practice, as defined in
7s. 256.60 (2) (L),
or ambulance driver for a volunteer fire department or fire company,
8a public agency, or a nonprofit corporation to be late for or absent from work if the
9lateness or absence is due to the employee responding to an emergency that begins
10before the employee is required to report to work and if the employee complies with
11sub. (3) (a). This subsection does not entitle an employee to receive wages or salary
12for the time the employee is absent from work due to responding to an emergency as
13provided in this subsection.
SB736,11 14Section 11. 103.88 (3) (a) 1. of the statutes is amended to read:
SB736,7,2315 103.88 (3) (a) 1. By no later than 30 days after becoming a member of a
16volunteer fire department or fire company or becoming affiliated with an ambulance
17service provider, submits to the employee's employer a written statement signed by
18the chief of the volunteer fire department or fire company or by the person in charge
19of the ambulance service provider notifying the employer that the employee is a
20volunteer fire fighter, emergency medical services practitioner, emergency medical
21responder, individual with a privilege to practice, as defined in s. 256.60 (2) (L), or
22ambulance driver for a volunteer fire department or fire company, a public agency,
23or a nonprofit corporation.
SB736,12 24Section 12. 108.05 (3) (a) of the statutes is amended to read:
SB736,8,16
1108.05 (3) (a) Except as provided in pars. (c), (d) and (dm) and s. 108.062, if an
2eligible employee earns wages in a given week, the first $30 of the wages shall be
3disregarded and the employee's applicable weekly benefit payment shall be reduced
4by 67 percent of the remaining amount, except that no such employee is eligible for
5benefits if the employee's benefit payment would be less than $5 for any week. For
6purposes of this paragraph, “wages" includes any salary reduction amounts earned
7that are not wages and that are deducted from the salary of a claimant by an
8employer pursuant to a salary reduction agreement under a cafeteria plan, within
9the meaning of 26 USC 125, and any amount that a claimant would have earned in
10available work under s. 108.04 (1) (a) which is treated as wages under s. 108.04 (1)
11(bm), but excludes any amount that a claimant earns for services performed as a
12volunteer fire fighter, volunteer emergency medical services practitioner, or
13volunteer emergency medical responder, including services performed as an
14individual with a privilege to practice, as defined in s. 256.60 (2) (L)
. In applying this
15paragraph, the department shall disregard discrepancies of less than $2 between
16wages reported by employees and employers.
SB736,13 17Section 13 . 109.03 (1) (e) of the statutes is amended to read:
SB736,9,218 109.03 (1) (e) A part-time fire fighter or, a part-time emergency medical
19services practitioner, as defined in s. 256.01 (5), or an individual with a privilege to
20practice, as defined in s. 256.60 (2) (L),
who is a member of a volunteer fire
21department or emergency medical services program maintained by a county, city,
22village, or town or of a volunteer fire company organized under ch. 181 or ch. 213 and
23who, by agreement between the fire fighter or, emergency medical services
24practitioner, or individual with a privilege to practice and the entity employing the

1fire fighter or, emergency medical services practitioner, or individual with a privilege
2to practice
is paid at regular intervals, but no less often than annually.
SB736,14 3Section 14. 111.91 (2) (gu) of the statutes is amended to read:
SB736,9,104 111.91 (2) (gu) The right of a public safety employee, who is an employee, as
5defined in s. 103.88 (1) (d), and who is a fire fighter, emergency medical services
6practitioner, emergency medical responder, individual with a privilege to practice,
7as defined in s. 256.60 (2) (L),
or ambulance driver for a volunteer fire department
8or fire company, a public agency, as defined in s. 256.15 (1) (n), or a nonprofit
9corporation, as defined in s. 256.01 (12), to respond to an emergency as provided
10under s. 103.88 (2).
SB736,15 11Section 15. 118.29 (1) (c) of the statutes is amended to read:
SB736,9,1612 118.29 (1) (c) “Health care professional" means a person licensed as an
13emergency medical services practitioner under s. 256.15, a person certified as an
14emergency medical responder under s. 256.15 (8), a person with a privilege to
15practice, as defined in s. 256.60 (2) (L),
or any person licensed, certified, permitted
16or registered under chs. 441 or 446 to 449.
SB736,16 17Section 16. 146.37 (1) (a) of the statutes is amended to read:
SB736,9,2118 146.37 (1) (a) “Health care provider" includes an ambulance service provider,
19as defined in s. 256.01 (3), and an emergency medical services practitioner, as defined
20in s. 256.01 (5), an individual with a privilege to practice, as defined in s. 256.60 (2)
21(L),
and an emergency medical responder, as defined in s. 256.01 (4p).
SB736,17 22Section 17 . 146.37 (1) (a) of the statutes is amended to read:
SB736,9,2423 146.37 (1) (a) “Health care provider" includes an ambulance service provider,
24as defined in s. 256.01 (3), and an emergency medical services practitioner, as defined

1in s. 256.01 (5), and an emergency medical responder, as defined in s. 256.01 (4p), and
2an individual with a privilege to practice, as defined in s. 256.60 (2) (L)
.
SB736,18 3Section 18 . 146.38 (1) (b) 1. of the statutes is amended to read:
SB736,10,44 146.38 (1) (b) 1. A person specified in s. 146.81 (1) (a) to (hp), (r), or (s), or (t).
SB736,19 5Section 19. 146.81 (1) (t) of the statutes is created to read:
SB736,10,76 146.81 (1) (t) An individual with a privilege to practice, as defined in s. 256.60
7(2) (L).
SB736,20 8Section 20. 146.81 (4) of the statutes is amended to read:
SB736,10,249 146.81 (4) “Patient health care records" means all records related to the health
10of a patient prepared by or under the supervision of a health care provider; and all
11records made by an ambulance service provider, as defined in s. 256.01 (3), an
12emergency medical services practitioner, as defined in s. 256.01 (5), or an emergency
13medical responder, as defined in s. 256.01 (4p), or an individual with a privilege to
14practice, as defined in s. 256.60 (2) (L),
in administering emergency care procedures
15to and handling and transporting sick, disabled, or injured individuals. “ Patient
16health care records" includes billing statements and invoices for treatment or
17services provided by a health care provider and includes health summary forms
18prepared under s. 302.388 (2). “Patient health care records" does not include those
19records subject to s. 51.30, reports collected under s. 69.186, records of tests
20administered under s. 252.15 (5g) or (5j), 343.305, 938.296 (4) or (5) or 968.38 (4) or
21(5), records related to sales of pseudoephedrine products, as defined in s. 961.01 (20c),
22that are maintained by pharmacies under s. 961.235, fetal monitor tracings, as
23defined under s. 146.817 (1), or a pupil's physical health records maintained by a
24school under s. 118.125.
SB736,21 25Section 21. 146.997 (1) (d) 14. of the statutes is amended to read:
SB736,11,3
1146.997 (1) (d) 14. An emergency medical services practitioner licensed under
2s. 256.15 (5) or, an emergency medical responder, or an individual with a privilege
3to practice, as defined in s. 256.60 (2) (L)
.
SB736,22 4Section 22 . 154.19 (3) (a) of the statutes is amended to read:
SB736,11,105 154.19 (3) (a) Except as provided in par. (b), emergency medical services
6practitioners, as defined in s. 256.01 (5), emergency medical responders, as defined
7in s. 256.01 (4p), individuals with a privilege to practice, as defined in s. 256.60 (2)
8(L),
and emergency health care facilities personnel shall follow do-not-resuscitate
9orders. The procedures used in following a do-not-resuscitate order shall be in
10accordance with any procedures established by the department by rule.
SB736,23 11Section 23 . 154.19 (3) (b) 3. of the statutes is amended to read:
SB736,11,1412 154.19 (3) (b) 3. The emergency medical services practitioner, emergency
13medical responder, individual with a privilege to practice, or member of the
14emergency health care facility knows that the patient is pregnant.
SB736,24 15Section 24 . 154.21 (1) (a) of the statutes is amended to read:
SB736,11,2216 154.21 (1) (a) The patient expresses to an emergency medical services
17practitioner, to an emergency medical responder, to an individual with a privilege to
18practice, as defined in s. 256.60 (2) (L),
or to a person who serves as a member of an
19emergency health care facility's personnel the desire to be resuscitated. The
20emergency medical services practitioner, emergency medical responder, individual
21with a privilege to practice,
or the member of the emergency health care facility shall
22promptly remove the do-not-resuscitate bracelet.
SB736,25 23Section 25 . 154.225 (2) (a) of the statutes is amended to read:
SB736,12,524 154.225 (2) (a) The guardian or health care agent directs an emergency medical
25services practitioner, an emergency medical responder, an individual with a

1privilege to practice, as defined in s. 256.60 (2) (L),
or a person who serves as a
2member of an emergency health care facility's personnel to resuscitate the patient.
3The emergency medical services practitioner, the emergency medical responder,
4individual with a privilege to practice, or the member of the emergency health care
5facility shall promptly remove the do-not-resuscitate bracelet.
SB736,26 6Section 26 . 154.25 (6) of the statutes is amended to read:
SB736,12,127 154.25 (6) Valid do-not-resuscitate bracelet. A do-not-resuscitate bracelet
8that has not been removed, altered, or tampered with in any way shall be presumed
9valid, unless the patient, the patient's guardian, or the patient's health care agent
10expresses to the emergency medical services practitioner, emergency medical
11responder, individual with a privilege to practice, as defined in s. 256.60 (2) (L), or
12emergency health care facility personnel the patient's desire to be resuscitated.
SB736,27 13Section 27. 157.06 (12) (a) 1. of the statutes is amended to read:
SB736,12,1614 157.06 (12) (a) 1. A law enforcement officer, fire fighter, emergency medical
15services practitioner, emergency medical responder, individual with a privilege to
16practice, as defined in s. 256.60 (2) (L),
or ambulance service provider.
SB736,28 17Section 28. 252.14 (1) (ar) 16. of the statutes is created to read:
SB736,12,1918 252.14 (1) (ar) 16. An individual with a privilege to practice, as defined in s.
19256.60 (2) (L).
SB736,29 20Section 29. 252.15 (5g) (a) 1. of the statutes is amended to read:
SB736,13,321 252.15 (5g) (a) 1. The person is an emergency medical services practitioner;
22emergency medical responder; individual with a privilege to practice, as defined in
23s. 256.60 (2) (L);
fire fighter; peace officer; correctional officer; person who is
24employed at a juvenile correctional facility, as defined in s. 938.02 (10p), or a secured
25residential care center for children and youth, as defined in s. 938.02 (15g); state

1patrol officer; jailer, keeper of a jail, or person designated with custodial authority
2by the jailer or keeper and the contact occurred during the course of the person
3providing care or services to the individual.
SB736,30 4Section 30. Subchapter I (title) of chapter 256 [precedes 256.01] of the statutes
5is created to read:
SB736,13,66 chapter 256
SB736,13,77 SUBCHAPTER I
SB736,13,98 EMERGENCY MEDICAL SERVICES
9 IN GENERAL
SB736,31 10Section 31. 256.01 (intro.) of the statutes is amended to read:
SB736,13,11 11256.01 Definitions. (intro.) In this chapter subchapter:
SB736,32 12Section 32 . 256.12 (2) (a) of the statutes is amended to read:
SB736,14,1113 256.12 (2) (a) Any county, city, town, village, hospital, ambulance service
14provider, or combination thereof may, after submission of a plan approved by the
15department, conduct an emergency medical services program using emergency
16medical services practitioners or individuals with a privilege to practice, as defined
17in s. 256.60 (2) (L),
for the delivery of emergency medical care to sick, disabled, or
18injured individuals at the scene of an emergency and during transport to a hospital,
19while in the hospital emergency department until responsibility for care is assumed
20by the regular hospital staff, and during transfer of a patient between health care
21facilities. An ambulance service provider may, after submission of a plan approved
22by the department, conduct an emergency medical services program using
23emergency medical services practitioners or individuals with a privilege to practice
24for the delivery of emergency medical care to sick, disabled, or injured individuals
25during transfer of the individuals between health care facilities. Nothing in this

1section prohibits an emergency medical services program from using community
2paramedics and community emergency medical services practitioners for services
3described in ss. 256.205 (6) and 256.21 (6) or from providing nonemergency services
4in accordance with s. 256.15 (6p). Nothing in this section shall be construed to
5prohibit the operation of fire department, police department, for-profit ambulance
6service provider, or other emergency vehicles using the services of emergency
7medical services practitioners or individuals with a privilege to practice in
8conjunction with a program approved by the department. Hospitals that offer
9approved training courses for emergency medical services practitioners should, if
10feasible, serve as the base of operation for approved programs using emergency
11medical services practitioners.
SB736,33 12Section 33. Subchapter II of chapter 256 [precedes 256.60] of the statutes is
13created to read:
SB736,14,1414 chapter 256
SB736,14,1515 SUBCHAPTER II
SB736,14,1816 EMERGENCY MEDICAL SERVICES
17 PERSONNEL LICENSURE
18 INTERSTATE COMPACT
SB736,15,7 19256.60 Emergency medical services personnel licensure interstate
20compact. (1)
Purpose. (a) In order to protect the public through verification of
21competency and ensure accountability for patient care related activities, all states
22license emergency medical services personnel, such as emergency medical
23technicians, advanced emergency medical technicians, and paramedics. This
24compact is intended to facilitate the day-to-day movement of emergency medical
25services personnel across state boundaries in the performance of their emergency

1medical services duties as assigned by an appropriate authority and authorize state
2emergency medical services offices to afford immediate legal recognition to
3emergency medical services personnel licensed in a member state. This compact
4recognizes that states have a vested interest in protecting the public's health and
5safety through their licensing and regulation of emergency medical services
6personnel and that such state regulation shared among the member states will best
7protect public health and safety.
SB736,15,88 (b) This compact is designed to achieve the following purposes and objectives:
SB736,15,99 1. Increase public access to emergency medical services personnel.
SB736,15,1110 2. Enhance the states' ability to protect the public's health and safety, especially
11patient safety.
SB736,15,1312 3. Encourage the cooperation of member states in the areas of emergency
13medical services personnel licensure and regulation.
SB736,15,1514 4. Support licensing of military members who are separating from an active
15duty tour and their spouses.
SB736,15,1816 5. Facilitate the exchange of information between member states regarding
17emergency medical services personnel licensure, adverse action, and significant
18investigatory information.
SB736,15,2019 6. Promote compliance with the laws governing emergency medical services
20personnel practice in each member state.
SB736,15,2321 7. Invest all member states with the authority to hold emergency medical
22services personnel accountable through the mutual recognition of member state
23licenses.
SB736,15,24 24(2) Definitions. In this section:
SB736,16,4
1(a) “Advanced emergency medical technician” or “AEMT” means an individual
2licensed with cognitive knowledge and a scope of practice that corresponds to that
3level in the National Emergency Medical Services Education Standards and
4National Emergency Medical Services Scope of Practice Model.
SB736,16,115 (b) “Adverse action” means any administrative, civil, equitable, or criminal
6action permitted by a state's laws that may be imposed against licensed emergency
7medical services personnel by a state EMS authority or state court, including, but
8not limited to, actions against an individual's license such as revocation, suspension,
9probation, consent agreement, monitoring or other limitation or encumbrance on the
10individual's practice, letters of reprimand or admonition, fines, criminal convictions,
11and state court judgments enforcing adverse actions by the state EMS authority.
SB736,16,1312 (c) “Alternative program” means a voluntary, nondisciplinary substance abuse
13recovery program approved by a state EMS authority.
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