Wisconsin 2021-2022 Regular Session Status: Enacted Bipartisan · 8 R · 5 D cosponsors

AB 720 — Relating to: practice of certain skilled health services by military medical personnel and granting rule-making authority. (FE)

Last action — Published 3-9-2022

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Assembly
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced November 18, 2021. Enacted.

Prognosis

Likely to advance 98% · high confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 20 sponsors

    20 primary, 0 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (8 R · 5 D) — cross-party backing.

  • Cleared a recorded vote

    Passed 4 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

What changed in the latest version

155 added · 38 removed

Plain-language change summary

The amendment to Assembly Bill 720 refines the legislative framework that allows military medical personnel to practice certain health services without a license. Significant changes include the removal of provisions related to extending the time limit for emergency rule procedures and an exemption from these procedures. These changes matter because they streamline the implementation process, allowing military personnel to provide services more quickly in healthcare settings, which can improve access to care, especially in areas facing medical professional shortages.

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- 2022 LEGISLATURE LRBa1065/1 JPC:amn ASSEMBLY AMENDMENT 1, TO ASSEMBLY BILL 720 January 5, 2022 - Offered by RepresentativUMMERFIELD .
- 2022 LEGISLATURE LRB-5026/1 JPC:amn ASSEMBLY BILL 720 November 18, 2021 - Introduced by Representatives S UMMERFIELD , SINICK, E DMING, C ONSIDINE, ANDRACA , BOWEN , D OYLE, GUNDRUM , KRUG , MILROY, M OSES, PETRYK, NODGRASS , SORTWELL, SUBECK, THIESFELDT, RUWINK , KNODL, M URPHY and TUSLER , cosponsored by Senators JACQUE, AGARD , CARPENTER, F EYEN, KOOYENGA , L.TAYLOR, TESTINand W IRCH.
At the locations indicated, amend the bill as follows:
Referred to Committee on Health.
A N A CT to amend 441.06 (4) and 448.61;
and to create 440.077, 448.03 (2) (bm) and 448.40 (1m) of the statutes;
relating to:
practice of certain skilled health services 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 - 2022 Legislature - 2 - LRB-5026/1 JPC:amn ASSEMBLY BILL 720 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:
S ECTION 1.
440.077 of the statutes is created to read:
440.077 Military medical personnel program.
(1) In this section:
(a) “Advanced practice nurse prescriber” means an advanced practice nurse prescriber certified under s.
441.16 (2).
(b) “Disease” means any pain, injury, deformity, physical or mental illness, or departure from complete health or the proper condition of the human body or any of its parts.
(c) “Inpatient health care facility” has the meaning given in s.
50.135 (1).
(d) “Military medical personnel” means 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.
(e) “Physician assistant” has the meaning given in s.
448.971 (2).
(f) “Podiatrist” has the meaning given in s.
448.60 (3).
LRB-5026/1 - 2022 Legislature - 3 - JPC:amn SECTION 1 ASSEMBLY BILL 720 (g) “Registered professional nurse” means a registered nurse who is licensed under ch.
441 or who holds a multistate license, as defined in s.
441.51 (2) (h), issued in a party state, as defined in s.
441.51 (2) (k).
(h) 1.
“Skilled health services” means any of the following:
a.
To examine into the fact, condition, or cause of human health or disease, or to treat, operate, prescribe, or advise for the same, by any means or instrumentality.
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b.
To apply principles or techniques of medical sciences in the diagnosis or prevention of any of the conditions in subd.
Page 1, line 3:
a.
after “personnel" insert “, extending the time limit for emergency rule procedures, providing an exemption from emergency rule procedures,".
and par.
(b).
c.
To penetrate, pierce, or sever the tissues of a human being.
d.
To offer, undertake, attempt, or hold oneself out in any manner as able to do any of the acts described in this paragraph.
Page 5, line 2:
“Skilled health services” does not include surgical procedures or issuing prescription orders.
after that line insert:
(2) (a) The department, in collaboration with the department of veterans affairs, the medical examining board, and the board of nursing, shall establish a program in which military medical personnel may temporarily perform certain skilled health services while supervised in an inpatient or outpatient health care facility without having to obtain a license under s.
“(5) The department may promulgate any rules necessary for the administration of this section.”.
441.06, 441.10, 448.04, 448.61, or 448.974.
3.
(b) Under the program under par.
Page 6, line 3:
(a), the services that a military medical personnel may provide shall reflect the level of training and experience of the military medical personnel.
after that line insert:
Before performing any services under the program under par.
“SECTION 6.Nonstatutory provisions.
(a), the military medical personnel shall complete and sign a memorandum of understanding on a form prescribed by the medical examining board and shall submit the memorandum of understanding to their employer.
(1) The department of safety and professional services may promulgate emergency rules under s.
The - 2022 Legislature - 4 - LRB-5026/1 JPC:amn ASSEMBLY BILL 720 S ECTION 1 memorandum of understanding shall detail the military medical personnel's scope of practice.
227.24 to implement s.
(c) Under the program under par.
440.077 (5).
(a), a participating military medical personnel shall be supervised by a physician, physician assistant, podiatrist, registered professional nurse, or advanced practice nurse prescriber.
Notwithstanding s.
The supervising physician, physician assistant, podiatrist, registered professional nurse, or advanced practice nurse prescriber shall retain responsibility for the care of the patient.
227.24 (1) (c) and (2), emergency rules promulgated under this subsection remain in effect until December 1, 2023, or the date on which permanent rules take effect, LRBa1065/1 - 2022 Legislature - 2 - JPC:amn whichever is sooner.
(3) (a) In order to participate in the program under sub.
Notwithstanding s.
(2) (a), a military medical personnel shall establish a reasonable timeline with his or her employer that describes the actions the military medical personnel intends to take to acquire a license under s.
227.24 (1) (a) and (3), the department of safety and professional services is not required to provide evidence that promulgating a rule under this subsection as emergency rules is necessary for the preservation of public peace, health, safety, or welfare and is not required to provide a finding of emergency for a rule promulgated under this subsection.
441.06, 441.10, 448.04, 448.61, or 448.974 including the date by which the military medical personnel agrees to acquire the license.
(2) The medical examining board may promulgate emergency rules under s.
The military medical personnel shall submit the timeline to the department on a form provided by the department.
227.24 to establish minimum standards for military medical personnel under s.
(b) A military medical personnel becomes ineligible to participate in the program under sub.
448.40 (1m).
(2) (a) beginning on the day after the date that the military medical personnel agreed to acquire a license under par.
Notwithstanding s.
(a).
227.24 (1) (c) and (2), emergency rules promulgated under this subsection remain in effect until December 1, 2023, or the date on which permanent rules take effect, whichever is sooner.
(c) The timeline to acquire a license under par.
Notwithstanding s.
(a) may not be longer than is reasonably necessary considering the license the military medical personnel intends to acquire, his or her education and experience, and any other relevant factors.
227.24 (1) (a) and (3), the medical examining board is not required to provide evidence that promulgating a rule under this subsection as emergency rules is necessary for the preservation of public peace, health, safety, or welfare and is not required to provide a finding of emergency for a rule promulgated under this subsection.”.
(d) The medical examining board may extend the timeline under par.
4.
(a) if it appears that, because of unforeseen circumstances, the applicant requires more time to receive a license under s.
Page 6, line 4:
441.06, 441.10, 448.04, 448.61, or 448.974.
delete lines 4 to 6 and substitute:
LRB-5026/1 - 2022 Legislature - 5 - JPC:amn SECTION 1 ASSEMBLY BILL 720 (4) The medical examining board shall oversee the operations of the program under sub.
“SECTION 7.0Effective dates.
(2) (a).
This act takes effect on April 2, 2022, or on the day after publication, whichever is later, except as follows:
SECTION 2.
(1) SECTION 6 of this act takes effect on the day after publication.”.
441.06 (4) of the statutes is amended to read:
441.06 (4) Except as provided in sss.
257.03 and 440.077, no person may practice or attempt to practice professional nursing, nor use the title, letters, or anything else to indicate that he or she is a registered or professional nurse unless he or she is licensed under this section.
Except as provided in s.7.03 and 440.077, no person not so licensed may use in connection with his or her nursing employment or vocation any title or anything else to indicate that he or she is a trained, certified or graduate nurse.
This subsection does not apply to any registered nurse who holds a multistate license, as defined in s.
441.51 (2) (h), issued by a jurisdiction, other than this state, that has adopted the enhanced nurse licensure compact under s.
441.51.
SECTION 3.
448.03 (2) (bm) of the statutes is created to read:
448.03 (2) (bm) The activities of military medical personnel, as defined in s.
440.077 (1) (d), while supervised under s.
440.077.
SECTION 4.
448.40 (1m) of the statutes is created to read:
448.40(1m) The board may promulgate rules to establish minimum standards for military medical personnel, as defined in s.
440.077 (1) (d), who perform skilled health services, as defined in s.
440.077 (1) (g), that are supervised under s.
440.077.
SECTION 5.
448.61 of the statutes is amended to read:
448.61 License required.
Except as provided in ss.
257.03, 440.077, and 448.62, no person may practice podiatry, designate himself or herself as a podiatrist, use or assume the title “doctor of surgical chiropody", “doctor of podiatry"or “doctor of podiatric medicine", or append to the person's name the words or letters “doctor", - 2022 Legislature - 6 - LRB-5026/1 JPC:amn ASSEMBLY BILL 720 SECTION 5 “Dr.", “D.S.C.", “D.P.M.", “foot doctor", “foot specialist" or any other title, letters or designation which represents or may tend to represent the person as a podiatrist unless the person is licensed under this subchapter.
SECTION 6.Effective date.
(1) This act takes effect on April 2, 2022, or on the day after publication, whichever is later.
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Action History

  1. Published 3-9-2022

  2. Report approved by the Governor on 3-8-2022. 2021 Wisconsin Act 158

  3. Presented to the Governor on 3-3-2022

  4. Report correctly enrolled on 1-31-2022

  5. Received from Senate concurred in

  6. Ordered immediately messaged

  7. Read a third time and concurred in

  8. Rules suspended

  9. Ordered to a third reading

  10. Read a second time

  11. Placed on calendar 1-25-2022 pursuant to Senate Rule 18(1)

  12. Public hearing requirement waived by committee on Senate Organization, pursuant to Senate Rule 18 (1m), Ayes 5, Noes 0

  13. Available for scheduling

  14. Read first time and referred to committee on Senate Organization

  15. Received from Assembly

  16. Ordered immediately messaged

  17. Read a third time and passed

  18. Rules suspended

  19. Ordered to a third reading

  20. Assembly Amendment 2 adopted

  21. Assembly Amendment 1 adopted

  22. Read a second time

  23. Placed on calendar 1-20-2022 by Committee on Rules

  24. Referred to committee on Rules

  25. Report passage as amended recommended by Committee on Health, Ayes 15, Noes 0

  26. Report Assembly Amendment 2 adoption recommended by Committee on Health, Ayes 15, Noes 0

  27. Report Assembly Amendment 1 adoption recommended by Committee on Health, Ayes 15, Noes 0

  28. Representative Cabrera added as a coauthor

  29. Representative Penterman added as a coauthor

  30. Executive action taken

  31. Assembly Amendment 2 offered by Representative Summerfield

  32. Representatives Rozar, Dittrich, Magnafici and Wichgers added as coauthors

  33. Public hearing held

  34. Assembly Amendment 1 offered by Representative Summerfield

  35. Fiscal estimate received

  36. Fiscal estimate received

  37. Read first time and referred to Committee on Health

  38. 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

Sponsors

Sponsorship breakdown

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20 sponsors · 0 co-sponsors · 112 not signed on

Sponsors (20)

Co-sponsors (0)

None.

Not signed on (112)

112 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

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veterans healthcare
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Frequently asked questions

Who sponsors AB 720?
AB 720 is sponsored by Tusler, Ron (Republican), Murphy, David (Republican), Knodl, Daniel (Republican), Vruwink, Thiesfeldt, Subeck, Lisa (Democrat), Sortwell, Shae (Republican), Snodgrass, Lee (Democrat), Petryk, Moses, Clint (Republican), Milroy, Krug, Scott (Republican), Gundrum, Rick (Republican), Doyle, Steve (Democrat), Bowen, Andraca, Deb (Democrat), Considine, Edming, Sinicki, Christine (Democrat), and Summerfield, Rob (Republican).
What is the current status of AB 720?
This bill has been enacted into law. Introduced November 18, 2021. Enacted.
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