Chapter 448

448.978(2)(h) (h) Is adjudicated mentally incompetent by a court.

448.978(2)(i) (i) Demonstrates gross negligence, incompetence, or misconduct in practice.

448.978(2)(j) (j) Knowingly, recklessly, or negligently divulges a privileged communication or other confidential patient health care information except as required or permitted by state or federal law.

448.978(2)(k) (k) Fails to cooperate with the board, or fails to timely respond to a request for information by the board, in connection with an investigation under this section.

448.978(2)(L) (L) Prescribes, sells, administers, distributes, orders, or provides a controlled substance for a purpose other than a medical purpose.

448.978(2)(m) (m) Demonstrates a lack of physical or mental ability to safely practice as a physician assistant.

448.978(2)(n) (n) Engages in any practice that is outside the scope of his or her experience, education, or training.

448.978(2)(o) (o) Is disciplined or has been disciplined by another state or jurisdiction based upon acts or conduct similar to acts or conduct prohibited under pars. (a) to (n).

448.978 History History: 2021 a. 23; 2023 a. 81 ss. 23, 34 to 39.

448.9785 448.9785 Informed consent. Any physician assistant who treats a patient shall inform the patient about the availability of reasonable alternate medical modes of treatment and about the benefits and risks of these treatments. The reasonable physician assistant standard is the standard for informing a patient under this section. The reasonable physician assistant standard requires disclosure only of information that a reasonable physician assistant in the same or a similar medical specialty would know and disclose under the circumstances. The physician assistant’s duty to inform the patient under this section does not require disclosure of any of the following:

448.9785(1) (1) Detailed technical information that in all probability a patient would not understand.

448.9785(2) (2) Risks apparent or known to the patient.

448.9785(3) (3) Extremely remote possibilities that might falsely or detrimentally alarm the patient.

448.9785(4) (4) Information in emergencies where failure to provide treatment would be more harmful to the patient than treatment.

448.9785(5) (5) Information in cases where the patient is incapable of consenting.

448.9785(6) (6) Information about alternate medical modes of treatment for any condition the physician assistant has not included in his or her diagnosis at the time the physician informs the patient.

448.9785 History History: 2021 a. 23.

448.979 448.979 Penalties. Any person who violates this subchapter is subject to a fine not to exceed $10,000 or imprisonment not to exceed 9 months, or both.

448.979 History History: 2021 a. 23.

448.9793 448.9793 Injunction. If it appears upon complaint to the board by any person or if it is known to the board that any person is violating this subchapter, or rules adopted by the board under this subchapter, the board or the attorney general may investigate and may, in addition to any other remedies, bring action in the name and on behalf of the state against any such person to enjoin such person from such violation. The attorney general shall represent the board in all proceedings.

448.9793 History History: 2021 a. 23.

448.9795 448.9795 Duty to report.

448.9795(1) (1) A physician assistant who has reason to believe any of the following about another physician assistant shall promptly submit a written report to the board that includes facts relating to the conduct of the other physician assistant:

448.9795(1)(a) (a) The other physician assistant is engaging or has engaged in acts that constitute a pattern of unprofessional conduct.

448.9795(1)(b) (b) The other physician assistant is engaging or has engaged in an act that creates an immediate or continuing danger to one or more patients or to the public.

448.9795(1)(c) (c) The other physician assistant is or may be medically incompetent.

448.9795(1)(d) (d) The other physician assistant is or may be mentally or physically unable safely to engage in the practice of a physician assistant.

448.9795(2) (2) No physician assistant who reports to the board under sub. (1) may be held civilly or criminally liable or be found guilty of unprofessional conduct for reporting in good faith.

448.9795 History History: 2021 a. 23.

subch. X of ch. 448 SUBCHAPTER X

INTERSTATE MEDICAL LICENSURE COMPACT

Subch. X of ch. 448 Note NOTE: Subch. X (title) was renumbered from subch. IX (title) by the legislative reference bureau under s. 13.92 (1) (bm) 2.

448.980 448.980 Interstate medical licensure compact. The following compact is hereby ratified and entered into:

448.980(1) (1) Section 1 — Purpose. In order to strengthen access to health care, and in recognition of the advances in the delivery of health care, the member states of the interstate medical licensure compact have allied in common purpose to develop a comprehensive process that complements the existing licensing and regulatory authority of state medical boards, provides a streamlined process that allows physicians to become licensed in multiple states, thereby enhancing the portability of a medical license and ensuring the safety of patients. The compact creates another pathway for licensure and does not otherwise change a state’s existing medical practice act. The compact also adopts the prevailing standard for licensure and affirms that the practice of medicine occurs where the patient is located at the time of the physician-patient encounter, and therefore, requires the physician to be under the jurisdiction of the state medical board where the patient is located. State medical boards that participate in the compact retain the jurisdiction to impose an adverse action against a license to practice medicine in that state issued to a physician through the procedures in the compact.

448.980(2) (2) Section 2 — Definitions. In this compact:

448.980(2)(a) (a) “Bylaws” means those bylaws established by the interstate commission pursuant to sub. (11) for its governance, or for directing and controlling its actions and conduct.

448.980(2)(b) (b) “Commissioner” means the voting representative appointed by each member board pursuant to sub. (11).

448.980(2)(c) (c) “Conviction” means a finding by a court that an individual is guilty of a criminal offense through adjudication, or entry of a plea of guilt or no contest to the charge by the offender. Evidence of an entry of a conviction of a criminal offense by the court shall be considered final for purposes of disciplinary action by a member board.

448.980(2)(d) (d) “Expedited license” means a full and unrestricted medical license granted by a member state to an eligible physician through the process set forth in the compact.

448.980(2)(e) (e) “Interstate commission” means the interstate commission created pursuant to sub. (11).

448.980(2)(f) (f) “License” means authorization by a state for a physician to engage in the practice of medicine, which would be unlawful without the authorization.

448.980(2)(g) (g) “Medical practice act” means laws and regulations governing the practice of allopathic and osteopathic medicine within a member state.

448.980(2)(h) (h) “Member board” means a state agency in a member state that acts in the sovereign interests of the state by protecting the public through licensure, regulation, and education of physicians as directed by the state government.

448.980(2)(i) (i) “Member state” means a state that has enacted the compact.

448.980(2)(j) (j) “Practice of medicine” means the clinical prevention, diagnosis, or treatment of human disease, injury, or condition requiring a physician to obtain and maintain a license in compliance with the medical practice act of a member state.

448.980(2)(k) (k) “Physician” means any person who:

448.980(2)(k)1. 1. Is a graduate of a medical school accredited by the Liaison Committee on Medical Education, the Commission on Osteopathic College Accreditation, or a medical school listed in the International Medical Education Directory or its equivalent;

448.980(2)(k)2. 2. Passed each component of the United States Medical Licensing Examination (USMLE) or the Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA) within 3 attempts, or any of its predecessor examinations accepted by a state medical board as an equivalent examination for licensure purposes;

448.980(2)(k)3. 3. Successfully completed graduate medical education approved by the Accreditation Council for Graduate Medical Education or the American Osteopathic Association;

448.980(2)(k)4. 4. Holds specialty certification or a time-unlimited specialty certificate recognized by the American Board of Medical Specialties or the American Osteopathic Association’s Bureau of Osteopathic Specialists;

448.980(2)(k)5. 5. Possesses a full and unrestricted license to engage in the practice of medicine issued by a member board;

448.980(2)(k)6. 6. Has never been convicted, received adjudication, deferred adjudication, community supervision, or deferred disposition for any offense by a court of appropriate jurisdiction;

448.980(2)(k)7. 7. Has never held a license authorizing the practice of medicine subjected to discipline by a licensing agency in any state, federal, or foreign jurisdiction, excluding any action related to non-payment of fees related to a license;

448.980(2)(k)8. 8. Has never had a controlled substance license or permit suspended or revoked by a state or the United States drug enforcement administration; and

448.980(2)(k)9. 9. Is not under active investigation by a licensing agency or law enforcement authority in any state, federal, or foreign jurisdiction.

448.980(2)(L) (L) “Offense” means a felony, gross misdemeanor, or crime of moral turpitude.

448.980(2)(m) (m) “Rule” means a written statement by the interstate commission promulgated pursuant to sub. (12) that is of general applicability, implements, interprets, or prescribes a policy or provision of the compact, or an organizational, procedural, or practice requirement of the interstate commission, and has the force and effect of statutory law in a member state, and includes the amendment, repeal, or suspension of an existing rule.

448.980(2)(n) (n) “State” means any state, commonwealth, district, or territory of the United States.

448.980(2)(o) (o) “State of principal license” means a member state where a physician holds a license to practice medicine and which has been designated as such by the physician for purposes of registration and participation in the compact.

448.980(3) (3) Section 3 — Eligibility.

448.980(3)(a) (a) A physician must meet the eligibility requirements as defined in sub. (2) (k) to receive an expedited license under the terms and provisions of the compact.

448.980(3)(b) (b) A physician who does not meet the requirements of sub. (2) (k) may obtain a license to practice medicine in a member state if the individual complies with all laws and requirements, other than the compact, relating to the issuance of a license to practice medicine in that state.

448.980(4) (4) Section 4 — Designation of state of principal license.

448.980(4)(a) (a) A physician shall designate a member state as the state of principal license for purposes of registration for expedited licensure through the compact if the physician possesses a full and unrestricted license to practice medicine in that state, and the state is:

448.980(4)(a)1. 1. The state of primary residence for the physician; or

448.980(4)(a)2. 2. The state where at least 25 percent of the practice of medicine occurs, or

448.980(4)(a)3. 3. The location of the physician’s employer; or

448.980(4)(a)4. 4. If no state qualifies under subd. 1., 2., or 3., the state designated as state of residence for purpose of federal income tax.

448.980(4)(b) (b) A physician may redesignate a member state as state of principal license at any time, as long as the state meets the requirements in par. (a).

448.980(4)(c) (c) The interstate commission is authorized to develop rules to facilitate redesignation of another member state as the state of principal license.

448.980(5) (5) Section 5 — Application and issuance of expedited licensure.

448.980(5)(a) (a) A physician seeking licensure through the compact shall file an application for an expedited license with the member board of the state selected by the physician as the state of principal license.

448.980(5)(b) (b)

448.980(5)(b)1. 1. Upon receipt of an application for an expedited license, the member board within the state selected as the state of principal license shall evaluate whether the physician is eligible for expedited licensure and issue a letter of qualification, verifying or denying the physician’s eligibility, to the interstate commission.

448.980(5)(b)2. 2. Static qualifications, which include verification of medical education, graduate medical education, results of any medical or licensing examination, and other qualifications as determined by the interstate commission through rule, shall not be subject to additional primary source verification where already primary source verified by the state of principal license.

448.980(5)(b)3. 3. The member board within the state selected as the state of principal license shall, in the course of verifying eligibility, perform a criminal background check of an applicant, including the use of the results of fingerprint or other biometric data checks compliant with the requirements of the federal bureau of investigation, with the exception of federal employees who have suitability determination in accordance with 5 CFR 731.202.

448.980(5)(b)4. 4. Appeal on the determination of eligibility shall be made to the member state where the application was filed and shall be subject to the law of that state.

448.980(5)(c) (c) Upon verification in par. (b), physicians eligible for an expedited license shall complete the registration process established by the interstate commission to receive a license in a member state selected pursuant to par. (a), including the payment of any applicable fees.

448.980(5)(d) (d) After receiving verification of eligibility under par. (b) and any fees under par. (c), a member board shall issue an expedited license to the physician. This license shall authorize the physician to practice medicine in the issuing state consistent with the medical practice act and all applicable laws and regulations of the issuing member board and member state.

448.980(5)(e) (e) An expedited license shall be valid for a period consistent with the licensure period in the member state and in the same manner as required for other physicians holding a full and unrestricted license within the member state.

448.980(5)(f) (f) An expedited license obtained though the compact shall be terminated if a physician fails to maintain a license in the state of principal licensure for a non-disciplinary reason, without redesignation of a new state of principal licensure.

448.980(5)(g) (g) The interstate commission is authorized to develop rules regarding the application process, including payment of any applicable fees, and the issuance of an expedited license.

448.980(6) (6) Section 6 — Fees for expedited licensure.

448.980(6)(a) (a) A member state issuing an expedited license authorizing the practice of medicine in that state may impose a fee for a license issued or renewed through the compact.

448.980(6)(b) (b) The interstate commission is authorized to develop rules regarding fees for expedited licenses.

448.980(7) (7) Section 7 — Renewal and continued participation.

448.980(7)(a) (a) A physician seeking to renew an expedited license granted in a member state shall complete a renewal process with the interstate commission if the physician:

448.980(7)(a)1. 1. Maintains a full and unrestricted license in a state of principal license;

448.980(7)(a)2. 2. Has not been convicted, received adjudication, deferred adjudication, community supervision, or deferred disposition for any offense by a court of appropriate jurisdiction;