Wisconsin 2023-2024 Regular Session

Wisconsin Assembly Bill AB666 Compare Versions

Only one version of the bill is available at this time.

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3	3	2023 - 2024 LEGISLATURE
4	4	2023 ASSEMBLY BILL 666
5	5	November 13, 2023 - Introduced by Representatives VANDERMEER, DITTRICH,
6	6	ARMSTRONG, BODDEN, BROOKS, CALLAHAN, GUSTAFSON, JACOBSON, KITCHENS,
7	7	MURSAU, O'CONNOR, PENTERMAN, PLUMER, ROZAR and WITTKE, cosponsored by
8	8	Senators WIMBERGER, HESSELBEIN, FELZKOWSKI, COWLES, L. JOHNSON and
9	9	MARKLEIN. Referred to Committee on Health, Aging and Long-Term Care.
10	10	*AUTHORS SUBJECT TO CHANGE*
11	11	AN ACT to renumber and amend 440.03 (13) (c); to amend 15.405 (6) (a), 15.405
12	12	(6) (b), 36.60 (1) (ae), 45.40 (1g) (a), 77.54 (14) (f) 6., 146.81 (1) (c), 146.997 (1)
13	13	(d) 3., 155.01 (7), 252.14 (1) (ar) 3., 440.03 (9) (a) (intro.), 440.03 (9) (a) 2., 440.03
14	14	(13) (b) (intro.), 440.15, 446.01 (1v) (b), chapter 447 (title), 447.01 (intro.),
15	15	447.01 (8) (bm), 447.01 (13), 447.02 (1) (e), 447.02 (2) (c), 447.02 (2) (d), 447.02
16	16	(2) (e), 447.02 (2) (j), 447.02 (4), 447.02 (5), 447.03 (1) (intro.), 447.03 (2) (intro.),
17	17	447.03 (3) (intro.), 447.06 (1), 447.06 (2) (b), 447.06 (2) (c) (intro.), 447.06 (2) (e)
18	18	(intro.), 447.065 (1) (intro.), 447.065 (2), 447.07 (3) (intro.), 447.07 (3) (f), 447.07
19	19	(3) (j), 447.09, 447.10, 447.12 (1), 448.956 (4), 450.10 (3) (a) 4., 451.02 (1), 462.02
20	20	(2) (d), 462.04, 463.10 (5), 463.12 (5) and 895.48 (1m) (a) (intro.); and to create
21	21	14.875, 440.03 (11m) (c) 1t., 440.03 (13) (c) 1. i., subchapter I (title) of chapter
22	22	447 [precedes 447.01], 447.01 (1t), 447.01 (1u), 447.04 (1) (bm), 447.04 (2) (bm),
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37	37	subchapter II of chapter 447 [precedes 447.50] and 990.01 (6m) of the statutes;
38	38	relating to: ratification of the Dentist and Dental Hygienist Compact.
39	39	Analysis by the Legislative Reference Bureau
40	40	This bill ratifies and enters Wisconsin into the Dentist and Dental Hygienist
41	41	Compact, which provides for the ability of a dentist or dental hygienist to become
42	42	eligible to practice in other compact states. Significant provisions of the compact
43	43	include the following:
44	44	1. The creation of a Dentist and Dental Hygienist Compact Commission, which
45	45	includes one member or administrator of the licensure boards of each member state.
46	46	The commission has various powers and duties granted in the compact, including
47	47	adopting bylaws, promulgating binding rules for the compact, hiring employees,
48	48	electing or appointing officers, and appointing committees. The commission may
49	49	levy on and collect an annual assessment from each member state or impose fees on
50	50	licensees of participating states when a compact privilege is granted to cover the cost
51	51	of the operations and activities of the commission and its staff.
52	52	2. The ability for a dentist or dental hygienist to obtain a “compact privilege,”
53	53	which allows a dentist or dental hygienist to practice in another compact state
54	54	(remote state) if he or she satisfies certain criteria. The compact specifies a number
55	55	of requirements in order for a dentist or dental hygienist to exercise a compact
56	56	privilege, including holding a license in a home state, not having any encumbrances
57	57	against a license, and paying any fees and meeting any jurisprudence requirements
58	58	that may be imposed by a remote state. A dentist or dental hygienist practicing in
59	59	a remote state under a compact privilege functions within the scope of practice
60	60	authorized by the remote state for licensees in that state and is subject to that state's
61	61	regulatory authority. A remote state may, in accordance with that state's laws,
62	62	revoke or remove a dentist's or dental hygienist's compact privilege in the remote
63	63	state for a specific period of time, impose fines, and take any other necessary actions
64	64	to protect the health and safety of its citizens. If a dentist's or dental hygienist's
65	65	license is encumbered, he or she loses the compact privilege in all remote states until
66	66	the license is no longer encumbered and again meets the requirements for a compact
67	67	privilege. If a dentist's or dental hygienist's compact privilege to practice in a remote
68	68	state is removed, he or she loses the compact privilege in any remote state and is not
69	69	eligible for a compact privilege in any remote state until the license is no longer
70	70	encumbered.
71	71	3. The ability of member states to issue subpoenas that are enforceable in other
72	72	states.
73	73	4. The creation of a coordinated database and reporting system containing
74	74	licensure and disciplinary action information on dentists and dental hygienists. A
75	75	member state must submit a uniform data set to the data system on all individuals
76	76	to whom the compact is applicable as required by the rules of the commission.
77	77	5. Provisions regarding resolutions of disputes between member states and
78	78	between member and nonmember states, including a process for termination of a
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84	84	state's membership in the compact if the state defaults on its obligations under the
85	85	compact.
86	86	The compact becomes effective in this state upon its enactment in seven states.
87	87	The compact provides that it may be amended upon the enactment of an amendment
88	88	by all member states. A state may withdraw from the compact by repealing the
89	89	statute authorizing the compact, but the compact provides that a withdrawal does
90	90	not take effect until 180 days after the effective date of that repeal.
91	91	For further information see the state and local fiscal estimate, which will be
92	92	printed as an appendix to this bill.
93	93	The people of the state of Wisconsin, represented in senate and assembly, do
94	94	enact as follows:
95	95	SECTION 1. 14.875 of the statutes is created to read:
96	96	14.875 Dentist and dental hygienist compact. There is created a dentist
97	97	and dental hygienist compact commission as specified in s. 447.50. The
98	98	commissioner on the commission representing this state shall be appointed by the
99	99	dentistry examining board as provided in s. 447.50 (7) (b) 1. and shall be an
100	100	individual described in s. 447.50 (7) (b) 2. The commission has the powers and duties
101	101	granted and imposed under s. 447.50.
102	102	SECTION 2. 15.405 (6) (a) of the statutes is amended to read:
103	103	15.405 (6) (a) Six dentists who are licensed under subch. I of ch. 447.
104	104	SECTION 3. 15.405 (6) (b) of the statutes is amended to read:
105	105	15.405 (6) (b) Three dental hygienists who are licensed under subch. I of ch.
106	106	447. Notwithstanding s. 15.08 (1m) (a), the dental hygienist members may
107	107	participate in the preparation and grading of licensing examinations for dental
108	108	hygienists.
109	109	SECTION 4. 36.60 (1) (ae) of the statutes is amended to read:
110	110	36.60 (1) (ae) “Dentist" means a dentist, as defined in s. 447.01 (7), who is
111	111	licensed under subch. I of ch. 447 and who practices general or pediatric dentistry.
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130	130	SECTION 5 ASSEMBLY BILL 666
131	131	SECTION 5. 45.40 (1g) (a) of the statutes is amended to read:
132	132	45.40 (1g) (a) “Health care provider" means an advanced practice nurse
133	133	prescriber who is certified under s. 441.16 (2), an audiologist who is licensed under
134	134	ch. 459, a dentist who is licensed under subch. I of ch. 447 or who holds a compact
135	135	privilege under subch. II of ch. 447, an optometrist who is licensed under ch. 449, a
136	136	physician who is licensed under s. 448.02, or a podiatrist who is licensed under s.
137	137	448.63.
138	138	SECTION 6. 77.54 (14) (f) 6. of the statutes is amended to read:
139	139	77.54 (14) (f) 6. A dentist who is licensed under subch. I of ch. 447 or who holds
140	140	a compact privilege under subch. II of ch. 447.
141	141	SECTION 7. 146.81 (1) (c) of the statutes is amended to read:
142	142	146.81 (1) (c) A dentist who is licensed under ch. 447 or who holds a compact
143	143	privilege under subch. II of ch. 447.
144	144	SECTION 8. 146.997 (1) (d) 3. of the statutes is amended to read:
145	145	146.997 (1) (d) 3. A dentist who is licensed under ch. 447 or who holds a compact
146	146	privilege under subch. II of ch. 447.
147	147	SECTION 9. 155.01 (7) of the statutes, as affected by 2021 Wisconsin Act 251,
148	148	is amended to read:
149	149	155.01 (7) “Health care provider" means a nurse licensed or permitted under
150	150	ch. 441, a chiropractor licensed under ch. 446, a dentist licensed under subch. I of ch.
151	151	447, a physician, physician assistant, perfusionist, podiatrist, physical therapist,
152	152	physical therapist assistant, occupational therapist, occupational therapy assistant,
153	153	or genetic counselor licensed under ch. 448, a naturopathic doctor licensed under ch.
154	154	466, a person practicing Christian Science treatment, an optometrist licensed under
155	155	ch. 449, a psychologist who is licensed under ch. 455, who is exercising the temporary
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183	183	SECTION 9
184	184	ASSEMBLY BILL 666
185	185	authorization to practice, as defined in s. 455.50 (2) (o), in this state, or who is
186	186	practicing under the authority to practice interjurisdictional telepsychology, as
187	187	defined in s. 455.50 (2) (b), a dentist who holds a compact privilege under subch. II
188	188	of ch. 447, a physical therapist or physical therapist assistant who holds a compact
189	189	privilege under subch. XI of ch. 448, an occupational therapist or occupational
190	190	therapy assistant who holds a compact privilege under subch. XII of ch. 448, a
191	191	partnership thereof, a corporation or limited liability company thereof that provides
192	192	health care services, a cooperative health care association organized under s.
193	193	185.981 that directly provides services through salaried employees in its own facility,
194	194	or a home health agency, as defined in s. 50.49 (1) (a).
195	195	SECTION 10. 252.14 (1) (ar) 3. of the statutes is amended to read:
196	196	252.14 (1) (ar) 3. A dentist who is licensed under subch. I of ch. 447 or who holds
197	197	a compact privilege under subch. II of ch. 447.
198	198	SECTION 11. 440.03 (9) (a) (intro.) of the statutes is amended to read:
199	199	440.03 (9) (a) (intro.) Subject to pars. (b) and (c) and s. 458.33 (2) (b) and (5),
200	200	the department shall, biennially, determine each fee for an initial credential for
201	201	which no examination is required, for a reciprocal credential, and for a credential
202	202	renewal and any fees imposed under ss. 447.51 (2), 448.986 (2), and 448.9875 (2) by
203	203	doing all of the following:
204	204	SECTION 12. 440.03 (9) (a) 2. of the statutes is amended to read:
205	205	440.03 (9) (a) 2. Not later than January 31 of each odd-numbered year,
206	206	adjusting for the succeeding fiscal biennium each fee for an initial credential for
207	207	which an examination is not required, for a reciprocal credential, and, subject to s.
208	208	440.08 (2) (a), for a credential renewal, and any fees imposed under ss. 447.51 (2),
209	209	448.986 (2), and 448.9875 (2), if an adjustment is necessary to reflect the
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237	237	approximate administrative and enforcement costs of the department that are
238	238	attributable to the regulation of the particular occupation or business during the
239	239	period in which the initial or reciprocal credential, credential renewal, or compact
240	240	privilege is in effect and, for purposes of each fee for a credential renewal, to reflect
241	241	an estimate of any additional moneys available for the department's general
242	242	program operations as a result of appropriation transfers that have been or are
243	243	estimated to be made under s. 20.165 (1) (i) during the fiscal biennium in progress
244	244	at the time of the deadline for an adjustment under this subdivision or during the
245	245	fiscal biennium beginning on the July 1 immediately following the deadline for an
246	246	adjustment under this subdivision.
247	247	SECTION 13. 440.03 (11m) (c) 1t. of the statutes is created to read:
248	248	440.03 (11m) (c) 1t. The coordinated database and reporting system under s.
249	249	447.50 (8), if such disclosure is required under the dentist and dental hygienist
250	250	compact under s. 447.50.
251	251	SECTION 14. 440.03 (13) (b) (intro.) of the statutes is amended to read:
252	252	440.03 (13) (b) (intro.) The department may investigate whether an applicant
253	253	for or holder of any of the following credentials has been charged with or convicted
254	254	of a crime only pursuant to rules promulgated by the department under this
255	255	paragraph, including rules that establish the criteria that the department will use
256	256	to determine whether an investigation under this paragraph is necessary, except as
257	257	provided in par. (c) and ss. 441.51 (5) (a) 5., 447.50 (3) (a) 5., 448.980 (5) (b) 3., 448.985
258	258	(3) (a) 4., 448.987 (3) (a) 5. a. and (5) (b) 2. a., and 455.50 (3) (e) 4. and (f) 4.:
259	259	SECTION 15. 440.03 (13) (c) of the statutes is renumbered 440.03 (13) (c) 1.
260	260	(intro.) and amended to read:
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287	287	SECTION 15
288	288	ASSEMBLY BILL 666
289	289	440.03 (13) (c) 1. (intro.) The department shall require an all of the following
290	290	to be photographed and fingerprinted on 2 fingerprint cards, each bearing a complete
291	291	set of the person's fingerprints:
292	292	a. An applicant for a private detective license or a private security permit under
293	293	s. 440.26, an.
294	294	b. An applicant for a juvenile martial arts instructor permit under sub. (17),
295	295	an.
296	296	c. An applicant for a real estate appraiser certification under s. 458.06 or
297	297	license under s. 458.08, an.
298	298	d. An applicant for a multistate license under s. 441.06 (1c) or 441.10 (1c), an.
299	299	e. An applicant for a compact license under s. 448.05 (2) (f), an.
300	300	f. An applicant for a physical therapist license under s. 448.53 or physical
301	301	therapist assistant license under s. 448.535, an.
302	302	g. An applicant for an occupational therapist or occupational therapy assistant
303	303	compact privilege under s. 448.987 (4), and an applicant for an occupational
304	304	therapist or occupational therapy assistant license described in s. 448.987 (5) (b) 2.
305	305	a., an
306	306	h. An applicant for a psychologist license under s. 455.04, and a.
307	307	z. A person for whom the department conducts an investigation under par. (b),
308	308	to be photographed and fingerprinted on 2 fingerprint cards, each bearing a complete
309	309	set of the person's fingerprints.
310	310	2. The department of justice may submit the fingerprint cards, and the
311	311	department of justice shall submit the fingerprint cards of all applicants for a real
312	312	estate appraiser certification under s. 458.06 or license under s. 458.08, of all
313	313	applicants for a multistate license under s. 441.06 (1c) or 441.10 (1c), of all applicants
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340	340	SECTION 15 ASSEMBLY BILL 666
341	341	for a compact license under s. 448.05 (2) (f), of all applicants for a physical therapist
342	342	license under s. 448.53 or a physical therapist assistant license under s. 448.535, and
343	343	of all applicants for a psychologist license under s. 455.04 identified in subd. 1. c. to
344	344	i., to the federal bureau of investigation for the purpose of verifying the identity of
345	345	the persons fingerprinted and obtaining records of their criminal arrests and
346	346	convictions.
347	347	3. Information obtained from the federal bureau of investigation may be shared
348	348	with the department or the appropriate credentialing board, but shall otherwise be
349	349	kept confidential and is not subject to disclosure under s. 19.35.
350	350	SECTION 16. 440.03 (13) (c) 1. i. of the statutes is created to read:
351	351	440.03 (13) (c) 1. i. An applicant for a dentist or dental hygienist license or
352	352	compact privilege under s. 447.04 when required pursuant to the dentist and dental
353	353	hygienist compact under s. 447.50.
354	354	SECTION 17. 440.15 of the statutes is amended to read:
355	355	440.15 No fingerprinting. Except as provided under ss. 440.03 (13) (c),
356	356	441.51 (5) (a) 5., 447.50 (3) (a) 5., 448.980 (5) (b) 3., 448.985 (3) (a) 4., 448.987 (3) (a)
357	357	5. a. and (5) (b) 2. a., 450.071 (3) (c) 9., 450.075 (3) (c) 9., and 455.50 (3) (e) 4. and (f)
358	358	4., the department or a credentialing board may not require that an applicant for a
359	359	credential or a credential holder be fingerprinted or submit fingerprints in
360	360	connection with the department's or the credentialing board's credentialing.
361	361	SECTION 18. 446.01 (1v) (b) of the statutes is amended to read:
362	362	446.01 (1v) (b) Dentistry examining board under subch. I of ch. 447. “Health
363	363	care professional" also includes an individual who holds a compact privilege under
364	364	subch. II of ch. 447.
365	365	SECTION 19. Chapter 447 (title) of the statutes is amended to read:
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393	393	SECTION 19
394	394	ASSEMBLY BILL 666
395	395	CHAPTER 447
396	396	DENTISTRY EXAMINING BOARD
397	397	AND DENTAL HYGIENE
398	398	SECTION 20. Subchapter I (title) of chapter 447 [precedes 447.01] of the statutes
399	399	is created to read:
400	400	CHAPTER 447
401	401	SUBCHAPTER I
402	402	REGULATION OF DENTISTR Y
403	403	AND DENTAL HYGIENE
404	404	SECTION 21. 447.01 (intro.) of the statutes is amended to read:
405	405	447.01 Definitions. (intro.) In this chapter subchapter:
406	406	SECTION 22. 447.01 (1t) of the statutes is created to read:
407	407	447.01 (1t) “Compact" means the dentist and dental hygienist compact under
408	408	s. 447.50.
409	409	SECTION 23. 447.01 (1u) of the statutes is created to read:
410	410	447.01 (1u) “Compact privilege" means a compact privilege, as defined in s.
411	411	447.50 (2) (g), that is granted under the compact to an individual to practice in this
412	412	state.
413	413	SECTION 24. 447.01 (8) (bm) of the statutes is amended to read:
414	414	447.01 (8) (bm) A dentist who is licensed under this chapter subchapter or who
415	415	is exercising the compact privilege in this state may not perform dental services that
416	416	are outside the scope of the dentist's relevant education, training, and experience.
417	417	SECTION 25. 447.01 (13) of the statutes is amended to read:
418	418	447.01 (13) “Written or oral prescription" means specific written or oral
419	419	authorization by a dentist who is licensed to practice dentistry under this chapter to
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446	446	SECTION 25 ASSEMBLY BILL 666
447	447	perform patient procedures according to a clearly defined treatment plan developed
448	448	by the dentist.
449	449	SECTION 26. 447.02 (1) (e) of the statutes is amended to read:
450	450	447.02 (1) (e) Providing for the granting of temporary licenses under this
451	451	chapter subchapter.
452	452	SECTION 27. 447.02 (2) (c) of the statutes is amended to read:
453	453	447.02 (2) (c) Whether an individual is required to be licensed under this
454	454	chapter subchapter to remove plaque or materia alba accretions with mechanical
455	455	devices.
456	456	SECTION 28. 447.02 (2) (d) of the statutes is amended to read:
457	457	447.02 (2) (d) The oral systemic premedications and subgingival sustained
458	458	release chemotherapeutic agents that may be administered by a dental hygienist
459	459	licensed under this chapter under s. 447.06 (2) (e) 1. and 3.
460	460	SECTION 29. 447.02 (2) (e) of the statutes is amended to read:
461	461	447.02 (2) (e) The educational requirements for administration of local
462	462	anesthesia by a dental hygienist licensed under this chapter under s. 447.06 (2) (e)
463	463	2.
464	464	SECTION 30. 447.02 (2) (j) of the statutes is amended to read:
465	465	447.02 (2) (j) The educational requirements for a dental hygienist licensed
466	466	under this chapter to administer nitrous oxide inhalation analgesia under s. 447.06
467	467	(2) (e) 4.
468	468	SECTION 31. 447.02 (4) of the statutes is amended to read:
469	469	447.02 (4) In the course of investigating a violation of this chapter subchapter,
470	470	the examining board may require, by order or subpoena, that a person who manages
471	471	or controls a business that offers dental or dental hygiene services, including
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498	498	MED:emw
499	499	SECTION 31
500	500	ASSEMBLY BILL 666
501	501	management or control of a business through which the person allows another
502	502	person to offer dental or dental hygiene services, produce patient health care records,
503	503	as defined in s. 146.81 (4).
504	504	SECTION 32. 447.02 (5) of the statutes is amended to read:
505	505	447.02 (5) Except as provided in ss. 447.058 and 447.063, nothing in this
506	506	chapter subchapter may be construed as authorizing the examining board to
507	507	regulate business or administrative support functions or services, that do not
508	508	constitute the practice of dentistry or dental hygiene, provided to a business that
509	509	provides dental or dental hygiene services.
510	510	SECTION 33. 447.03 (1) (intro.) of the statutes is amended to read:
511	511	447.03 (1) DENTISTS. (intro.) Except as provided under sub. (3) and ss. 257.03
512	512	and 447.02 (3), no person may do any of the following unless he or she is licensed to
513	513	practice dentistry under this chapter subchapter or holds a compact privilege to
514	514	practice dentistry:
515	515	SECTION 34. 447.03 (2) (intro.) of the statutes is amended to read:
516	516	447.03 (2) DENTAL HYGIENISTS. (intro.) Except as provided under sub. (3) and
517	517	s. 447.02 (3), no person may do any of the following unless he or she is licensed to
518	518	practice dental hygiene under this chapter subchapter or holds a compact privilege
519	519	to practice dental hygiene:
520	520	SECTION 35. 447.03 (3) (intro.) of the statutes is amended to read:
521	521	447.03 (3) EXCEPTIONS. (intro.) No license or certificate under this chapter
522	522	subchapter is required for any of the following:
523	523	SECTION 36. 447.04 (1) (bm) of the statutes is created to read:
524	524	447.04 (1) (bm) The examining board shall grant a compact privilege to practice
525	525	dentistry to an individual who does all of the following:
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552	552	SECTION 36 ASSEMBLY BILL 666
553	553	1. Submits an application for the compact privilege to the department on a form
554	554	provided by the department.
555	555	2. Pays the applicable fee specified in s. 447.51 (2).
556	556	3. Passes an examination administered by the examining board on the statutes
557	557	and rules relating to dentistry.
558	558	4. Satisfies all other applicable requirements under s. 447.50 (4).
559	559	SECTION 37. 447.04 (2) (bm) of the statutes is created to read:
560	560	447.04 (2) (bm) The examining board shall grant a compact privilege to practice
561	561	dental hygiene to an individual who does all of the following:
562	562	1. Submits an application for the compact privilege to the department on a form
563	563	provided by the department.
564	564	2. Pays the applicable fee specified in s. 447.51 (2).
565	565	3. Passes an examination administered by the examining board on the statutes
566	566	and rules relating to dental hygiene.
567	567	4. Satisfies all other applicable requirements under s. 447.50 (4).
568	568	SECTION 38. 447.06 (1) of the statutes is amended to read:
569	569	447.06 (1) No contract of employment entered into between a dentist and any
570	570	other party under which the dentist renders dental services may require the dentist
571	571	to act in a manner which that violates the professional standards for dentistry set
572	572	forth in this chapter subchapter. Nothing in this subsection limits the ability of the
573	573	other party to control the operation of the dental practice in a manner in accordance
574	574	with the professional standards for dentistry set forth in this chapter subchapter.
575	575	SECTION 39. 447.06 (2) (b) of the statutes is amended to read:
576	576	447.06 (2) (b) A dental hygienist may practice dental hygiene or perform
577	577	remediable procedures under par. (a) 1. only as authorized by a dentist who is
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604	604	MED:emw
605	605	SECTION 39
606	606	ASSEMBLY BILL 666
607	607	licensed to practice dentistry under this chapter and who is present in the facility in
608	608	which those practices or procedures are performed, except as provided in par. (c).
609	609	SECTION 40. 447.06 (2) (c) (intro.) of the statutes is amended to read:
610	610	447.06 (2) (c) (intro.) A dental hygienist may practice dental hygiene or perform
611	611	remediable procedures under par. (a) 1. if a dentist who is licensed to practice
612	612	dentistry under this chapter is not present in the facility in which those practices or
613	613	procedures are performed only if all of the following conditions are met:
614	614	SECTION 41. 447.06 (2) (e) (intro.) of the statutes is amended to read:
615	615	447.06 (2) (e) (intro.) Pursuant to a treatment plan approved by a dentist who
616	616	is licensed under this chapter, a dental hygienist licensed under this chapter may
617	617	administer the following upon delegation by the dentist if the dentist remains on the
618	618	premises in which the practices are performed and is available to the patient
619	619	throughout the completion of the appointment:
620	620	SECTION 42. 447.065 (1) (intro.) of the statutes is amended to read:
621	621	447.065 (1) (intro.) A dentist who is licensed to practice dentistry under this
622	622	chapter may delegate to an individual who is not licensed under this chapter
623	623	subchapter only the performance of remediable procedures, and only if all of the
624	624	following conditions are met:
625	625	SECTION 43. 447.065 (2) of the statutes is amended to read:
626	626	447.065 (2) Subject to the requirements under s. 447.06 (2), a dentist who is
627	627	licensed to practice dentistry under this chapter may delegate to a dental hygienist
628	628	who is licensed to practice dental hygiene under this chapter the performance of
629	629	remediable procedures and the administration of oral systemic premedications, local
630	630	anesthesia, nitrous oxide inhalation analgesia, and subgingival sustained release
631	631	chemotherapeutic agents.
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658	658	SECTION 44 ASSEMBLY BILL 666
659	659	SECTION 44. 447.07 (3) (intro.) of the statutes is amended to read:
660	660	447.07 (3) (intro.) Subject to the rules promulgated under s. 440.03 (1), the
661	661	examining board may make investigations and conduct hearings in regard to any
662	662	alleged action of any dentist, dental hygienist, or expanded function dental auxiliary,
663	663	of a mobile dentistry program registrant, or of any other person it has reason to
664	664	believe is engaged in or has engaged in the practice of dentistry or dental hygiene,
665	665	or the operation of a mobile dentistry program, in this state, and may, on its own
666	666	motion, or upon complaint in writing, reprimand any dentist, dental hygienist, or
667	667	expanded function dental auxiliary who is licensed or certified under this chapter
668	668	subchapter or who holds a compact privilege, or any mobile dentistry program
669	669	registrant, or deny, limit, suspend, or revoke his or her license or, certificate, or
670	670	compact privilege, or the registration of the mobile dentistry program registrant, if
671	671	it finds that the dentist, dental hygienist, expanded function dental auxiliary, or
672	672	mobile dentistry program registrant has done any of the following:
673	673	SECTION 45. 447.07 (3) (f) of the statutes is amended to read:
674	674	447.07 (3) (f) Violated this chapter subchapter or any federal or state statute
675	675	or rule that relates to the practice of dentistry, dental hygiene, or an expanded
676	676	function dental auxiliary, or the operation of a mobile dentistry program.
677	677	SECTION 46. 447.07 (3) (j) of the statutes is amended to read:
678	678	447.07 (3) (j) Employed, directly or indirectly, any unlicensed or uncertified
679	679	person to perform any act requiring licensure or certification under this chapter
680	680	subchapter.
681	681	SECTION 47. 447.09 of the statutes is amended to read:
682	682	447.09 Penalties. Any person who violates this chapter subchapter may be
683	683	fined not more than $1,000 or imprisoned for not more than one year in the county
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711	711	SECTION 47
712	712	ASSEMBLY BILL 666
713	713	jail or both for the first offense and is guilty of a Class I felony for the 2nd or
714	714	subsequent conviction within 5 years.
715	715	SECTION 48. 447.10 of the statutes is amended to read:
716	716	447.10 Injunction. If it appears upon the complaint of any person to the
717	717	examining board, or it is believed by the examining board that any person is violating
718	718	this chapter subchapter, the examining board, or the district attorney of the proper
719	719	county, may investigate such alleged violation, and may, in addition to or in lieu of
720	720	any other remedies provided by law, bring action in the name and on behalf of the
721	721	state against any such person to enjoin such violation. Between meetings of the
722	722	examining board, its president and secretary, acting in its behalf, are empowered
723	723	jointly to make such an investigation, and on the basis thereof to seek such relief.
724	724	Investigations conducted by the examining board, or by its president and secretary,
725	725	shall be conducted according to rules promulgated under s. 440.03 (1).
726	726	SECTION 49. 447.12 (1) of the statutes is amended to read:
727	727	447.12 (1) The dentists of any county who are licensed to practice dentistry
728	728	under this chapter subchapter, provided there are at least 5 in the county, may
729	729	organize a county dental society as a component of the Wisconsin Dental Association.
730	730	When so organized it shall be a body corporate, and shall be designated as the dental
731	731	society of the county, and shall have the general powers of a corporation and may take
732	732	by purchase or gift and hold real and personal property. County dental societies now
733	733	existing are continued with the powers and privileges conferred by this chapter
734	734	subchapter. A county or district dental society that was in existence but
735	735	unincorporated on September 29, 1963, is not required to incorporate unless that is
736	736	the express wish of the majority of its members.
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761	761	MED:emw
762	762	SECTION 50 ASSEMBLY BILL 666
763	763	SECTION 50. Subchapter II of chapter 447 [precedes 447.50] of the statutes is
764	764	created to read:
765	765	CHAPTER 447
766	766	SUBCHAPTER II
767	767	DENTIST AND DENT AL
768	768	HYGIENIST COMP ACT
769	769	447.50 Dentist and dental hygienist compact. (1) TITLE AND PURPOSE. This
770	770	statute shall be known and cited as the dentist and dental hygienist compact. The
771	771	purposes of this compact are to facilitate the interstate practice of dentistry and
772	772	dental hygiene and improve public access to dentistry and dental hygiene services
773	773	by providing dentists and dental hygienists licensed in a participating state the
774	774	ability to practice in participating states in which they are not licensed. The compact
775	775	does this by establishing a pathway for a dentists and dental hygienists licensed in
776	776	a participating state to obtain a compact privilege that authorizes them to practice
777	777	in another participating state in which they are not licensed. The compact enables
778	778	participating states to protect the public health and safety with respect to the
779	779	practice of such dentists and dental hygienists, through the state's authority to
780	780	regulate the practice of dentistry and dental hygiene in the state. The compact:
781	781	(a) Enables dentists and dental hygienists who qualify for a compact privilege
782	782	to practice in other participating states without satisfying burdensome and
783	783	duplicative requirements associated with securing a license to practice in those
784	784	States;
785	785	(b) Promotes mobility and addresses workforce shortages through each
786	786	participating state's acceptance of a compact privilege to practice in that state;
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813	813	SECTION 50
814	814	ASSEMBLY BILL 666
815	815	(c) Increases public access to qualified, licensed dentists and dental hygienists
816	816	by creating a responsible, streamlined pathway for licensees to practice in
817	817	participating states.
818	818	(d) Enhances the ability of participating states to protect the public's health
819	819	and safety;
820	820	(e) Does not interfere with licensure requirements established by a
821	821	participating state;
822	822	(f) Facilitates the sharing of licensure and disciplinary information among
823	823	participating states;
824	824	(g) Requires dentists and dental hygienists who practice in a participating
825	825	state pursuant to a compact privilege to practice within the scope of practice
826	826	authorized in that state;
827	827	(h) Extends the authority of a participating state to regulate the practice of
828	828	dentistry and dental hygiene within its borders to dentists and dental hygienists who
829	829	practice in the state through a compact privilege;
830	830	(i) Promotes the cooperation of participating state in regulating the practice of
831	831	dentistry and dental hygiene within those states;
832	832	(j) Facilitates the relocation of military members and their spouses who are
833	833	licensed to practice dentistry or dental hygiene;
834	834	(2) DEFINITIONS. As used in this compact, unless the context requires otherwise,
835	835	the following definitions shall apply:
836	836	(a) “Active military member” means any person with full-time duty status in
837	837	the armed forces of the United States, including members of the national guard and
838	838	reserve.
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864	864	SECTION 50 ASSEMBLY BILL 666
865	865	(b) “Adverse action” means disciplinary action or encumbrance imposed on a
866	866	license or compact privilege by a state licensing authority.
867	867	(c) “Alternative program” means a nondisciplinary monitoring or practice
868	868	remediation process applicable to a dentist or dental hygienist approved by a state
869	869	licensing authority of a participating state in which the dentist or dental hygienist
870	870	is licensed. This includes, but is not limited to, programs to which licensees with
871	871	substance abuse or addiction issues are referred in lieu of adverse action.
872	872	(d) “Clinical assessment” means examination or process, required for licensure
873	873	as a dentist or dental hygienist as applicable, that provides evidence of clinical
874	874	competence in dentistry or dental hygiene.
875	875	(e) “Commissioner” means the individual appointed by a participating state to
876	876	serve as the member of the commission for that participating state.
877	877	(f) “Compact” means this dentist and dental hygienist compact.
878	878	(g) “Compact privilege” means the authorization granted by a remote state to
879	879	allow a licensee from a participating state to practice as a dentist or dental hygienist
880	880	in a remote state.
881	881	(h) “Continuing professional development” means a requirement, as a
882	882	condition of license renewal to provide evidence of successful participation in
883	883	educational or professional activities relevant to practice or area of work.
884	884	(i) “Criminal background check” means the submission of fingerprints or other
885	885	biometric-based information for a license applicant for the purpose of obtaining that
886	886	applicant's criminal history record information, as defined in 28 CFR 20.3 (d) from
887	887	the federal bureau of investigation and the state's criminal history record repository
888	888	as defined in 28 CFR. 20.3 (f).
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915	915	SECTION 50
916	916	ASSEMBLY BILL 666
917	917	(j) “Data system” means the commission's repository of information about
918	918	licensees, including but not limited to examination, licensure, investigative, compact
919	919	privilege, adverse action, and alternative program.
920	920	(k) “Dental hygienist” means an individual who is licensed by a state licensing
921	921	authority to practice dental hygiene.
922	922	(L) “Dentist” means an individual who is licensed by a state licensing authority
923	923	to practice dentistry.
924	924	(m) “Dentist and dental hygienist compact commission” or “commission” means
925	925	a joint government agency established by this compact comprised of each state that
926	926	has enacted the compact and a national administrative body comprised of a
927	927	commissioner from each state that has enacted the compact.
928	928	(n) “Encumbered license” means a license that a state licensing authority has
929	929	limited in any way other than through an alternative program.
930	930	(o) “Executive board” means the chair, vice chair, secretary and treasurer and
931	931	any other commissioners as may be determined by commission rule or bylaw.
932	932	(p) “Jurisprudence requirement” means the assessment of an individual's
933	933	knowledge of the laws and rules governing the practice of dentistry or dental
934	934	hygiene, as applicable, in a state.
935	935	(q) “License” means current authorization by a state, other than authorization
936	936	pursuant to a compact privilege, or other privilege, for an individual to practice as
937	937	a dentist or dental hygienist in that state.
938	938	(r) “Licensee” means an individual who holds an unrestricted license from a
939	939	participating state to practice as a dentist or dental hygienist in that state.
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964	964	SECTION 50 ASSEMBLY BILL 666
965	965	(s) “Model compact” the model for the dentist and dental hygienist compact on
966	966	file with the council of state governments or other entity as designated by the
967	967	commission.
968	968	(t) “Participating state” means a state that has enacted the compact and been
969	969	admitted to the commission in accordance with the provisions herein and
970	970	commission rules.
971	971	(u) “Qualifying license” means a license that is not an encumbered license
972	972	issued by a participating state to practice dentistry or dental hygiene.
973	973	(v) “Remote state” means a participating state where a licensee who is not
974	974	licensed as a dentist or dental hygienist is exercising or seeking to exercise the
975	975	compact privilege.
976	976	(w) “Rule” means a regulation promulgated by an entity that has the force of
977	977	law.
978	978	(x) “Scope of practice” means the procedures, actions, and processes a dentist
979	979	or dental hygienist licensed in a state is permitted to undertake in that state and the
980	980	circumstances under which the licensee is permitted to undertake those procedures,
981	981	actions and processes. Such procedures, actions and processes and the
982	982	circumstances under which they may be undertaken may be established through
983	983	means, including, but not limited to, statute, regulations, case law, and other
984	984	processes available to the state licensing authority or other government agency.
985	985	(y) “Significant investigative information” means information, records, and
986	986	documents received or generated by a state licensing authority pursuant to an
987	987	investigation for which a determination has been made that there is probable cause
988	988	to believe that the licensee has violated a statute or regulation that is considered
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1015	1015	SECTION 50
1016	1016	ASSEMBLY BILL 666
1017	1017	more than a minor infraction for which the state licensing authority could pursue
1018	1018	adverse action against the licensee.
1019	1019	(z) “State” means any state, commonwealth, district, or territory of the United
1020	1020	States of America that regulates the practices of dentistry and dental hygiene.
1021	1021	(za) “State licensing authority” means an agency or other entity of a state that
1022	1022	is responsible for the licensing and regulation of dentists or dental hygienists.
1023	1023	(3) STATE PARTICIPATION IN THE COMPACT. (a) In order to join the Compact and
1024	1024	thereafter continue as a participating state, a state must:
1025	1025	1. Enact a compact that is not materially different from the model compact as
1026	1026	determined in accordance with commission rules;
1027	1027	2. Participate fully in the commission's data system;
1028	1028	3. Have a mechanism in place for receiving and investigating complaints about
1029	1029	its licensees and license applicants;
1030	1030	4. Notify the commission, in compliance with the terms of the compact and
1031	1031	commission rules, of any adverse action or the availability of significant
1032	1032	investigative information regarding a licensee and license applicant;
1033	1033	5. Fully implement a criminal background check requirement, within a time
1034	1034	frame established by commission rule, by receiving the results of a qualifying
1035	1035	criminal background check;
1036	1036	6. Comply with the commission rules applicable to a participating state;
1037	1037	7. Accept the national board examinations of the Joint Commission on National
1038	1038	Dental Examinations or another examination accepted by commission rule as a
1039	1039	licensure examination;
1040	1040	8. Accept for licensure that applicants for a dentist license graduate from a
1041	1041	predoctoral dental education program accredited by the Commission on Dental
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1068	1068	SECTION 50 ASSEMBLY BILL 666
1069	1069	Accreditation or another accrediting agency recognized by the United States
1070	1070	department of education for the accreditation of dentistry and dental hygiene
1071	1071	education programs, leading to the doctor of dental surgery (D.D.S.) or doctor of
1072	1072	dental medicine (D.M.D.) degree;
1073	1073	9. Accept for licensure that applicants for a dental hygienist license graduate
1074	1074	from a dental hygiene education program accredited by the Commission on Dental
1075	1075	Accreditation or another accrediting agency recognized by the United States
1076	1076	department of education for the accreditation of dentistry and dental hygiene
1077	1077	education programs;
1078	1078	10. Require for licensure that applicants successfully complete a clinical
1079	1079	assessment;
1080	1080	11. Have continuing professional development requirements as a condition for
1081	1081	license renewal; and
1082	1082	12. Pay a participation fee to the commission as established by commission
1083	1083	rule.
1084	1084	(b) Providing alternative pathways for an individual to obtain an unrestricted
1085	1085	license does not disqualify a state from participating in the compact.
1086	1086	(c) When conducting a criminal background check the state licensing authority
1087	1087	shall:
1088	1088	1. Consider that information in making a licensure decision;
1089	1089	2. Maintain documentation of completion of the criminal background check and
1090	1090	background check information to the extent allowed by state and federal law; and
1091	1091	3. Report to the commission whether it has completed the criminal background
1092	1092	check and whether the individual was granted or denied a license.
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1119	1119	SECTION 50
1120	1120	ASSEMBLY BILL 666
1121	1121	(d) A licensee of a participating state who has a qualifying license in that state
1122	1122	and does not hold an encumbered license in any other participating state, shall be
1123	1123	issued a compact privilege in a remote state in accordance with the terms of the
1124	1124	compact and commission rules. If a remote state has a jurisprudence requirement
1125	1125	a compact privilege will not be issued to the licensee unless the licensee has satisfied
1126	1126	the jurisprudence requirement.
1127	1127	(4) COMPACT PRIVILEGE. (a) To obtain and exercise the compact privilege under
1128	1128	the terms and provisions of the compact, the licensee shall:
1129	1129	1. Have a qualifying license as a dentist or dental hygienist in a participating
1130	1130	state;
1131	1131	2. Be eligible for a compact privilege in any remote state in accordance with
1132	1132	pars. (d), (g), and (h);
1133	1133	3. Submit to an application process whenever the licensee is seeking a compact
1134	1134	privilege;
1135	1135	4. Pay any applicable commission and remote state fees for a compact privilege
1136	1136	in the remote state;
1137	1137	5. Meet any jurisprudence requirement established by a remote state in which
1138	1138	the licensee is seeking a compact privilege;
1139	1139	6. Have passed a national board examination of the Joint Commission on
1140	1140	National Dental Examinations or another examination accepted by commission
1141	1141	rule;
1142	1142	7. For a dentist, have graduated from a predoctoral dental education program
1143	1143	accredited by the Commission on Dental Accreditation or another accrediting agency
1144	1144	recognized by the United States department of education for the accreditation of
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1170	1170	SECTION 50 ASSEMBLY BILL 666
1171	1171	dentistry and dental hygiene education programs, leading to the doctor of dental
1172	1172	surgery (D.D.S.) or doctor of dental medicine (D.M.D.) degree;
1173	1173	8. For a dental hygienist, have graduated from a dental hygiene education
1174	1174	program accredited by the Commission on Dental Accreditation or another
1175	1175	accrediting agency recognized by the United States department of education for the
1176	1176	accreditation of dentistry and dental hygiene education programs;
1177	1177	9. Have successfully completed a clinical assessment for licensure;
1178	1178	10. Report to the commission adverse action taken by any non-participating
1179	1179	state when applying for a compact privilege and, otherwise, within thirty (30) days
1180	1180	from the date the adverse action is taken;
1181	1181	11. Report to the commission when applying for a compact privilege the address
1182	1182	of the licensee's primary residence and thereafter immediately report to the
1183	1183	commission any change in the address of the licensee's primary residence; and
1184	1184	12. Consent to accept service of process by mail at the licensee's primary
1185	1185	residence on record with the commission with respect to any action brought against
1186	1186	the licensee by the commission or a participating state, and consent to accept service
1187	1187	of a subpoena by mail at the licensee's primary residence on record with the
1188	1188	commission with respect to any action brought or investigation conducted by the
1189	1189	commission or a participating state.
1190	1190	(b) The licensee must comply with the requirements of par. (a) to maintain the
1191	1191	compact privilege in the remote state. If those requirements are met, the compact
1192	1192	privilege will continue as long as the licensee maintains a qualifying license in the
1193	1193	state through which the licensee applied for the compact privilege and pays any
1194	1194	applicable compact privilege renewal fees.
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1221	1221	SECTION 50
1222	1222	ASSEMBLY BILL 666
1223	1223	(c) A licensee providing dentistry or dental hygiene in a remote state under the
1224	1224	compact privilege shall function within the scope of practice authorized by the
1225	1225	remote state for a dentist or dental hygienist licensed in that state.
1226	1226	(d) A licensee providing dentistry or dental hygiene pursuant to a compact
1227	1227	privilege in a remote state is subject to that state's regulatory authority. A remote
1228	1228	state may, in accordance with due process and that state's laws, by adverse action
1229	1229	revoke or remove a licensee's compact privilege in the remote state for a specific
1230	1230	period of time and impose fines or take any other necessary actions to protect the
1231	1231	health and safety of its citizens. If a remote state imposes an adverse action against
1232	1232	a compact privilege that limits the compact privilege, that adverse action applies to
1233	1233	all compact privileges in all remote states. A licensee whose compact privilege in a
1234	1234	remote state is removed for a specified period of time is not eligible for a compact
1235	1235	privilege in any other remote state until the specific time for removal of the compact
1236	1236	privilege has passed and all encumbrance requirements are satisfied.
1237	1237	(e) If a license in a participating state is an encumbered license, the licensee
1238	1238	shall lose the compact privilege in a remote state and shall not be eligible for a
1239	1239	compact privilege in any remote state until the license is no longer encumbered.
1240	1240	(f) Once an encumbered license in a participating state is restored to good
1241	1241	standing, the licensee must meet the requirements of par. (a) to obtain a compact
1242	1242	privilege in a remote state.
1243	1243	(g) If a licensee's compact privilege in a remote state is removed by the remote
1244	1244	state, the individual shall lose or be ineligible for the compact privilege in any remote
1245	1245	state until the following occur:
1246	1246	1. The specific period of time for which the compact privilege was removed has
1247	1247	ended; and
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1274	1274	SECTION 50 ASSEMBLY BILL 666
1275	1275	2. All conditions for removal of the compact privilege have been satisfied.
1276	1276	(h) Once the requirements of par. (g) have been met, the licensee must meet the
1277	1277	requirements in par. (a) to obtain a compact privilege in a remote state.
1278	1278	(5) ACTIVE MILITARY MEMBER OR THEIR SPOUSES. An active military member and
1279	1279	their spouse shall not be required to pay to the commission for a compact privilege
1280	1280	the fee otherwise charged by the commission. If a remote state chooses to charge a
1281	1281	fee for a compact privilege, it may choose to charge a reduced fee or no fee to an active
1282	1282	military member and their spouse for a compact privilege.
1283	1283	(6) ADVERSE ACTIONS. (a) A participating state in which a licensee is licensed
1284	1284	shall have exclusive authority to impose adverse action against the qualifying
1285	1285	license issued by that participating state.
1286	1286	(b) A participating state may take adverse action based on the significant
1287	1287	investigative information of a remote state, so long as the participating state follows
1288	1288	its own procedures for imposing adverse action.
1289	1289	(c) Nothing in this compact shall override a participating state's decision that
1290	1290	participation in an alternative program may be used in lieu of adverse action and
1291	1291	that such participation shall remain nonpublic if required by the participating
1292	1292	state's laws. Participating states must require licensees who enter any alternative
1293	1293	program in lieu of discipline to agree not to practice pursuant to a compact privilege
1294	1294	in any other participating state during the term of the alternative program without
1295	1295	prior authorization from such other participating state.
1296	1296	(d) Any participating state in which a licensee is applying to practice or is
1297	1297	practicing pursuant to a compact privilege may investigate actual or alleged
1298	1298	violations of the statutes and regulations authorizing the practice of dentistry or
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1325	1325	SECTION 50
1326	1326	ASSEMBLY BILL 666
1327	1327	dental hygiene in any other participating state in which the dentist or dental
1328	1328	hygienist holds a license or compact privilege.
1329	1329	(e) A remote state shall have the authority to:
1330	1330	1. Take adverse actions as set forth in sub. (4) (d) against a licensee's compact
1331	1331	privilege in the state;
1332	1332	2. In furtherance of its rights and responsibilities under the compact and the
1333	1333	commission's rules issue subpoenas for both hearings and investigations that
1334	1334	require the attendance and testimony of witnesses, and the production of evidence.
1335	1335	Subpoenas issued by a state licensing authority in a participating state for the
1336	1336	attendance and testimony of witnesses, or the production of evidence from another
1337	1337	participating state, shall be enforced in the latter state by any court of competent
1338	1338	jurisdiction, according to the practice and procedure of that court applicable to
1339	1339	subpoenas issued in proceedings pending before it. The issuing authority shall pay
1340	1340	any witness fees, travel expenses, mileage, and other fees required by the service
1341	1341	statutes of the state where the witnesses or evidence are located; and
1342	1342	3. If otherwise permitted by state law, recover from the licensee the costs of
1343	1343	investigations and disposition of cases resulting from any adverse action taken
1344	1344	against that licensee.
1345	1345	(f) Joint investigations. 1. In addition to the authority granted to a
1346	1346	participating state by its dentist or dental hygienist licensure act or other applicable
1347	1347	state law, a participating state may jointly investigate licensees with other
1348	1348	participating states.
1349	1349	2. Participating states shall share any significant investigative information,
1350	1350	litigation, or compliance materials in furtherance of any joint or individual
1351	1351	investigation initiated under the compact.
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1378	1378	SECTION 50 ASSEMBLY BILL 666
1379	1379	(g) Authority to continue investigation. 1. After a licensee's compact privilege
1380	1380	in a remote state is terminated, the remote state may continue an investigation of
1381	1381	the licensee that began when the licensee had a compact privilege in that remote
1382	1382	state.
1383	1383	2. If the investigation yields what would be significant investigative
1384	1384	information had the licensee continued to have a compact privilege in that remote
1385	1385	state, the remote state shall report the presence of such information to the data
1386	1386	system as required by sub. (8) (b) 6. as if it was significant investigative information.
1387	1387	(7) ESTABLISHMENT AND OPERATION OF THE COMMISSION. (a) The compact
1388	1388	participating states hereby create and establish a joint government agency whose
1389	1389	membership consists of all participating states that have enacted the compact. The
1390	1390	commission is an instrumentality of the participating states acting jointly and not
1391	1391	an instrumentality of any one state. The commission shall come into existence on
1392	1392	or after the effective date of the compact as set forth in sub. (11) (a).
1393	1393	(b) Participation, voting, and meetings. 1. Each participating state shall have
1394	1394	and be limited to one (1) commissioner selected by that participating state's state
1395	1395	licensing authority or, if the state has more than one state licensing authority,
1396	1396	selected collectively by the state licensing authorities.
1397	1397	2. The commissioner shall be a member or designee of such authority or
1398	1398	authorities.
1399	1399	3. The commission may by rule or bylaw establish a term of office for
1400	1400	commissioners and may by rule or bylaw establish term limits.
1401	1401	4. The commission may recommend to a state licensing authority or
1402	1402	authorities, as applicable, removal or suspension of an individual as the state's
1403	1403	commissioner.
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1431	1431	SECTION 50
1432	1432	ASSEMBLY BILL 666
1433	1433	5. A participating state's state licensing authority, or authorities, as applicable,
1434	1434	shall fill any vacancy of its commissioner on the commission within sixty (60) days
1435	1435	of the vacancy.
1436	1436	6. Each commissioner shall be entitled to one vote on all matters that are voted
1437	1437	upon by the commission.
1438	1438	7. The commission shall meet at least once during each calendar year.
1439	1439	Additional meetings may be held as set forth in the bylaws. The commission may
1440	1440	meet by telecommunication, video conference or other similar electronic means.
1441	1441	(c) The commission shall have the following powers:
1442	1442	1. Establish the fiscal year of the commission;
1443	1443	2. Establish a code of conduct and conflict of interest policies;
1444	1444	3. Adopt rules and bylaws;
1445	1445	4. Maintain its financial records in accordance with the bylaws;
1446	1446	5. Meet and take such actions as are consistent with the provisions of this
1447	1447	compact, the commission's rules, and the bylaws;
1448	1448	6. Initiate and conclude legal proceedings or actions in the name of the
1449	1449	commission, provided that the standing of any state licensing authority to sue or be
1450	1450	sued under applicable law shall not be affected;
1451	1451	7. Maintain and certify records and information provided to a participating
1452	1452	state as the authenticated business records of the commission, and designate a
1453	1453	person to do so on the commission's behalf;
1454	1454	8. Purchase and maintain insurance and bonds;
1455	1455	9. Borrow, accept, or contract for services of personnel, including, but not
1456	1456	limited to, employees of a participating state;
1457	1457	10. Conduct an annual financial review;
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1484	1484	SECTION 50 ASSEMBLY BILL 666
1485	1485	11. Hire employees, elect or appoint officers, fix compensation, define duties,
1486	1486	grant such individuals appropriate authority to carry out the purposes of the
1487	1487	compact, and establish the commission's personnel policies and programs relating
1488	1488	to conflicts of interest, qualifications of personnel, and other related personnel
1489	1489	matters;
1490	1490	12. As set forth in the commission rules, charge a fee to a licensee for the grant
1491	1491	of a compact privilege in a remote state and thereafter, as may be established by
1492	1492	commission rule, charge the licensee a compact privilege renewal fee for each
1493	1493	renewal period in which that licensee exercises or intends to exercise the compact
1494	1494	privilege in that remote state. Nothing herein shall be construed to prevent a remote
1495	1495	state from charging a licensee a fee for a compact privilege or renewals of a compact
1496	1496	privilege, or a fee for the jurisprudence requirement if the remote state imposes such
1497	1497	a requirement for the grant of a compact privilege;
1498	1498	13. Accept any and all appropriate gifts, donations, grants of money, other
1499	1499	sources of revenue, equipment, supplies, materials, and services, and receive, utilize,
1500	1500	and dispose of the same; provided that at all times the commission shall avoid any
1501	1501	appearance of impropriety and/or conflict of interest;
1502	1502	14. Lease, purchase, retain, own, hold, improve, or use any property, real,
1503	1503	personal, or mixed, or any undivided interest therein;
1504	1504	15. Sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise
1505	1505	dispose of any property real, personal, or mixed;
1506	1506	16. Establish a budget and make expenditures;
1507	1507	17. Borrow money;
1508	1508	18. Appoint committees, including standing committees, which may be
1509	1509	composed of members, state regulators, state legislators or their representatives,
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1537	1537	SECTION 50
1538	1538	ASSEMBLY BILL 666
1539	1539	and consumer representatives, and such other interested persons as may be
1540	1540	designated in this compact and the bylaws;
1541	1541	19. Provide and receive information from, and cooperate with, law enforcement
1542	1542	agencies;
1543	1543	20. Elect a chair, vice chair, secretary and treasurer and such other officers of
1544	1544	the commission as provided in the commission's bylaws;
1545	1545	21. Establish and elect an executive board;
1546	1546	22. Adopt and provide to the participating states an annual report;
1547	1547	23. Determine whether a state's enacted compact is materially different from
1548	1548	the model compact language such that the state would not qualify for participation
1549	1549	in the compact; and
1550	1550	24. Perform such other functions as may be necessary or appropriate to achieve
1551	1551	the purposes of this compact.
1552	1552	(d) Meetings of the commission. 1. All meetings of the commission that are not
1553	1553	closed pursuant to this paragraph shall be open to the public. Notice of public
1554	1554	meetings shall be posted on the commission's website at least thirty (30) days prior
1555	1555	to the public meeting.
1556	1556	2. Notwithstanding subd. 1., the commission may convene an emergency public
1557	1557	meeting by providing at least twenty-four (24) hours prior notice on the commission's
1558	1558	website, and any other means as provided in the commission's rules, for any of the
1559	1559	reasons it may dispense with notice of proposed rule making under sub. (9) (L). The
1560	1560	commission's legal counsel shall certify that one of the reasons justifying an
1561	1561	emergency public meeting has been met.
1562	1562	3. Notice of all commission meetings shall provide the time, date, and location
1563	1563	of the meeting, and if the meeting is to be held or accessible via telecommunication,
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1590	1590	SECTION 50 ASSEMBLY BILL 666
1591	1591	video conference, or other electronic means, the notice shall include the mechanism
1592	1592	for access to the meeting through such means.
1593	1593	4. The commission may convene in a closed, nonpublic meeting for the
1594	1594	commission to receive legal advice or to discuss:
1595	1595	a. Noncompliance of a participating state with its obligations under the
1596	1596	compact;
1597	1597	b. The employment, compensation, discipline or other matters, practices or
1598	1598	procedures related to specific employees or other matters related to the commission's
1599	1599	internal personnel practices and procedures;
1600	1600	c. Current or threatened discipline of a licensee or compact privilege holder by
1601	1601	the commission or by a participating state's licensing authority;
1602	1602	d. Current, threatened, or reasonably anticipated litigation;
1603	1603	e. Negotiation of contracts for the purchase, lease, or sale of goods, services, or
1604	1604	real estate;
1605	1605	f. Accusing any person of a crime or formally censuring any person;
1606	1606	g. Trade secrets or commercial or financial information that is privileged or
1607	1607	confidential;
1608	1608	h. Information of a personal nature where disclosure would constitute a clearly
1609	1609	unwarranted invasion of personal privacy;
1610	1610	i. Investigative records compiled for law enforcement purposes;
1611	1611	j. Information related to any investigative reports prepared by or on behalf of
1612	1612	or for use of the commission or other committee charged with responsibility of
1613	1613	investigation or determination of compliance issues pursuant to the compact;
1614	1614	k. Legal advice;
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1640	1640	MED:emw
1641	1641	SECTION 50
1642	1642	ASSEMBLY BILL 666
1643	1643	L. Matters specifically exempted from disclosure to the public by federal or
1644	1644	participating state law; and
1645	1645	m. Other matters as promulgated by the commission by rule.
1646	1646	5. If a meeting, or portion of a meeting, is closed, the presiding officer shall state
1647	1647	that the meeting will be closed and reference each relevant exempting provision, and
1648	1648	such reference shall be recorded in the minutes.
1649	1649	6. The commission shall keep minutes that fully and clearly describe all
1650	1650	matters discussed in a meeting and shall provide a full and accurate summary of
1651	1651	actions taken, and the reasons therefore, including a description of the views
1652	1652	expressed. All documents considered in connection with an action shall be identified
1653	1653	in such minutes. All minutes and documents of a closed meeting shall remain under
1654	1654	seal, subject to release only by a majority vote of the commission or order of a court
1655	1655	of competent jurisdiction.
1656	1656	(e) Financing of the commission. 1. The commission shall pay, or provide for
1657	1657	the payment of, the reasonable expenses of its establishment, organization, and
1658	1658	ongoing activities.
1659	1659	2. The commission may accept any and all appropriate sources of revenue,
1660	1660	donations, and grants of money, equipment, supplies, materials, and services.
1661	1661	3. The commission may levy on and collect an annual assessment from each
1662	1662	participating state and impose fees on licensees of participating states when a
1663	1663	compact privilege is granted, to cover the cost of the operations and activities of the
1664	1664	commission and its staff, which must be in a total amount sufficient to cover its
1665	1665	annual budget as approved each fiscal year for which sufficient revenue is not
1666	1666	provided by other sources. The aggregate annual assessment amount for
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1691	1691	MED:emw
1692	1692	SECTION 50 ASSEMBLY BILL 666
1693	1693	participating states shall be allocated based upon a formula that the commission
1694	1694	shall promulgate by rule.
1695	1695	4. The commission shall not incur obligations of any kind prior to securing the
1696	1696	funds adequate to meet the same; nor shall the commission pledge the credit of any
1697	1697	participating state, except by and with the authority of the participating state.
1698	1698	5. The commission shall keep accurate accounts of all receipts and
1699	1699	disbursements. The receipts and disbursements of the commission shall be subject
1700	1700	to the financial review and accounting procedures established under its bylaws. All
1701	1701	receipts and disbursements of funds handled by the commission shall be subject to
1702	1702	an annual financial review by a certified or licensed public accountant, and the
1703	1703	report of the financial review shall be included in and become part of the annual
1704	1704	report of the commission.
1705	1705	(f) The executive board. 1. The executive board shall have the power to act on
1706	1706	behalf of the commission according to the terms of this compact. The powers, duties,
1707	1707	and responsibilities of the executive board shall include:
1708	1708	a. Overseeing the day-to-day activities of the administration of the compact
1709	1709	including compliance with the provisions of the compact, the commission's rules and
1710	1710	bylaws;
1711	1711	b. Recommending to the commission changes to the rules or bylaws, changes
1712	1712	to this compact legislation, fees charged to compact participating states, fees charged
1713	1713	to licensees, and other fees;
1714	1714	c. Ensuring compact administration services are appropriately provided,
1715	1715	including by contract;
1716	1716	d. Preparing and recommending the budget;
1717	1717	e. Maintaining financial records on behalf of the commission;
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1744	1744	MED:emw
1745	1745	SECTION 50
1746	1746	ASSEMBLY BILL 666
1747	1747	f. Monitoring compact compliance of participating states and providing
1748	1748	compliance reports to the commission;
1749	1749	g. Establishing additional committees as necessary;
1750	1750	h. Exercising the powers and duties of the commission during the interim
1751	1751	between commission meetings, except for adopting or amending rules, adopting or
1752	1752	amending bylaws, and exercising any other powers and duties expressly reserved to
1753	1753	the commission by rule or bylaw; and
1754	1754	i. Other duties as provided in the rules or bylaws of the commission.
1755	1755	2. The executive board shall be composed of up to seven (7) members:
1756	1756	a. The chair, vice chair, secretary and treasurer of the commission and any
1757	1757	other members of the commission who serve on the executive board shall be voting
1758	1758	members of the executive board; and
1759	1759	b. Other than the chair, vice chair, secretary, and treasurer, the commission
1760	1760	may elect up to three (3) voting members from the current membership of the
1761	1761	commission.
1762	1762	3. The commission may remove any member of the executive board as provided
1763	1763	in the commission's bylaws.
1764	1764	4. The executive board shall meet at least annually.
1765	1765	a. An executive board meeting at which it takes or intends to take formal action
1766	1766	on a matter shall be open to the public, except that the executive board may meet in
1767	1767	a closed, nonpublic session of a public meeting when dealing with any of the matters
1768	1768	covered under par (d) 4.
1769	1769	b. The executive board shall give five (5) business days' notice of its public
1770	1770	meetings, posted on its website and as it may otherwise determine to provide notice
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1796	1796	SECTION 50 ASSEMBLY BILL 666
1797	1797	to persons with an interest in the public matters the executive board intends to
1798	1798	address at those meetings.
1799	1799	5. The executive board may hold an emergency meeting when acting for the
1800	1800	commission to:
1801	1801	a. Meet an imminent threat to public health, safety, or welfare;
1802	1802	b. Prevent a loss of commission or participating state funds; or
1803	1803	c. Protect public health and safety.
1804	1804	(g) Qualified immunity, defense, and indemnification. 1. The members,
1805	1805	officers, executive director, employees and representatives of the commission shall
1806	1806	be immune from suit and liability, both personally and in their official capacity, for
1807	1807	any claim for damage to or loss of property or personal injury or other civil liability
1808	1808	caused by or arising out of any actual or alleged act, error, or omission that occurred,
1809	1809	or that the person against whom the claim is made had a reasonable basis for
1810	1810	believing occurred within the scope of commission employment, duties or
1811	1811	responsibilities; provided that nothing in this subdivision shall be construed to
1812	1812	protect any such person from suit or liability for any damage, loss, injury, or liability
1813	1813	caused by the intentional or willful or wanton misconduct of that person. The
1814	1814	procurement of insurance of any type by the commission shall not in any way
1815	1815	compromise or limit the immunity granted hereunder.
1816	1816	2. The commission shall defend any member, officer, executive director,
1817	1817	employee, and representative of the commission in any civil action seeking to impose
1818	1818	liability arising out of any actual or alleged act, error, or omission that occurred
1819	1819	within the scope of commission employment, duties, or responsibilities, or as
1820	1820	determined by the commission that the person against whom the claim is made had
1821	1821	a reasonable basis for believing occurred within the scope of commission
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1848	1848	MED:emw
1849	1849	SECTION 50
1850	1850	ASSEMBLY BILL 666
1851	1851	employment, duties, or responsibilities; provided that nothing herein shall be
1852	1852	construed to prohibit that person from retaining their own counsel at their own
1853	1853	expense; and provided further, that the actual or alleged act, error, or omission did
1854	1854	not result from that person's intentional or willful or wanton misconduct.
1855	1855	3. Notwithstanding subd. 1., should any member, officer, executive director,
1856	1856	employee, or representative of the commission be held liable for the amount of any
1857	1857	settlement or judgment arising out of any actual or alleged act, error, or omission that
1858	1858	occurred within the scope of that individual's employment, duties, or responsibilities
1859	1859	for the commission, or that the person to whom that individual is liable had a
1860	1860	reasonable basis for believing occurred within the scope of the individual's
1861	1861	employment, duties, or responsibilities for the commission, the commission shall
1862	1862	indemnify and hold harmless such individual, provided that the actual or alleged act,
1863	1863	error, or omission did not result from the intentional or willful or wanton misconduct
1864	1864	of the individual.
1865	1865	4. Nothing herein shall be construed as a limitation on the liability of any
1866	1866	licensee for professional malpractice or misconduct, which shall be governed solely
1867	1867	by any other applicable state laws.
1868	1868	5. Nothing in this compact shall be interpreted to waive or otherwise abrogate
1869	1869	a participating state's state action immunity or state action affirmative defense with
1870	1870	respect to antitrust claims under the Sherman Act, Clayton Act, or any other state
1871	1871	or federal antitrust or anticompetitive law or regulation.
1872	1872	6. Nothing in this compact shall be construed to be a waiver of sovereign
1873	1873	immunity by the participating states or by the commission.
1874	1874	(8) DATA SYSTEM. (a) The commission shall provide for the development,
1875	1875	maintenance, operation, and utilization of a coordinated database and reporting
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1901	1901	MED:emw
1902	1902	SECTION 50 ASSEMBLY BILL 666
1903	1903	system containing licensure, adverse action, and the presence of significant
1904	1904	investigative information on all licensees and applicants for a license in
1905	1905	participating states.
1906	1906	(b) Notwithstanding any other provision of state law to the contrary, a
1907	1907	participating state shall submit a uniform data set to the data system on all
1908	1908	individuals to whom this compact is applicable as required by the rules of the
1909	1909	commission, including:
1910	1910	1. Identifying information;
1911	1911	2. Licensure data;
1912	1912	3. Adverse actions against a licensee, license applicant or compact privilege
1913	1913	and information related thereto;
1914	1914	4. Nonconfidential information related to alternative program participation,
1915	1915	the beginning and ending dates of such participation, and other information related
1916	1916	to such participation;
1917	1917	5. Any denial of an application for licensure, and the reason(s) for such denial,
1918	1918	(excluding the reporting of any criminal history record information where prohibited
1919	1919	by law);
1920	1920	6. The presence of significant investigative information; and
1921	1921	7. Other information that may facilitate the administration of this compact or
1922	1922	the protection of the public, as determined by the rules of the commission.
1923	1923	(c) The records and information provided to a participating state pursuant to
1924	1924	this compact or through the data system, when certified by the commission or an
1925	1925	agent thereof, shall constitute the authenticated business records of the commission,
1926	1926	and shall be entitled to any associated hearsay exception in any relevant judicial,
1927	1927	quasi-judicial or administrative proceedings in a participating state.
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1954	1954	MED:emw
1955	1955	SECTION 50
1956	1956	ASSEMBLY BILL 666
1957	1957	(d) Significant investigative information pertaining to a licensee in any
1958	1958	participating state will only be available to other participating states.
1959	1959	(e) It is the responsibility of the participating states to monitor the database
1960	1960	to determine whether adverse action has been taken against a licensee or license
1961	1961	applicant. Adverse action information pertaining to a licensee or license applicant
1962	1962	in any participating state will be available to any other participating state.
1963	1963	(f) Participating states contributing information to the data system may
1964	1964	designate information that may not be shared with the public without the express
1965	1965	permission of the contributing state.
1966	1966	(g) Any information submitted to the data system that is subsequently
1967	1967	expunged pursuant to federal law or the laws of the participating state contributing
1968	1968	the information shall be removed from the data system.
1969	1969	(9) RULE MAKING. (a) The commission shall promulgate reasonable rules in
1970	1970	order to effectively and efficiently implement and administer the purposes and
1971	1971	provisions of the compact. A commission rule shall be invalid and have no force or
1972	1972	effect only if a court of competent jurisdiction holds that the rule is invalid because
1973	1973	the commission exercised its rule-making authority in a manner that is beyond the
1974	1974	scope and purposes of the compact, or the powers granted hereunder, or based upon
1975	1975	another applicable standard of review.
1976	1976	(b) The rules of the commission shall have the force of law in each participating
1977	1977	state, provided however that where the rules of the commission conflict with the laws
1978	1978	of the participating state that establish the participating state's scope of practice as
1979	1979	held by a court of competent jurisdiction, the rules of the commission shall be
1980	1980	ineffective in that state to the extent of the conflict.
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2005	2005	MED:emw
2006	2006	SECTION 50 ASSEMBLY BILL 666
2007	2007	(c) The commission shall exercise its rule-making powers pursuant to the
2008	2008	criteria set forth in this subsection and the rules adopted thereunder. Rules shall
2009	2009	become binding as of the date specified by the commission for each rule.
2010	2010	(d) If a majority of the legislatures of the participating states rejects a
2011	2011	commission rule or portion of a commission rule, by enactment of a statute or
2012	2012	resolution in the same manner used to adopt the compact, within four (4) years of the
2013	2013	date of adoption of the rule, then such rule shall have no further force and effect in
2014	2014	any participating state or to any state applying to participate in the compact.
2015	2015	(e) Rules shall be adopted at a regular or special meeting of the commission.
2016	2016	(f) Prior to adoption of a proposed rule, the commission shall hold a public
2017	2017	hearing and allow persons to provide oral and written comments, data, facts,
2018	2018	opinions, and arguments.
2019	2019	(g) Prior to adoption of a proposed rule by the commission, and at least thirty
2020	2020	(30) days in advance of the meeting at which the commission will hold a public
2021	2021	hearing on the proposed rule, the commission shall provide a notice of proposed rule
2022	2022	making:
2023	2023	1. On the website of the commission or other publicly accessible platform;
2024	2024	2. To persons who have requested notice of the commission's notices of proposed
2025	2025	rule making, and
2026	2026	3. In such other way(s) as the commission may by rule specify.
2027	2027	(h) The notice of proposed rule making shall include:
2028	2028	1. The time, date, and location of the public hearing at which the commission
2029	2029	will hear public comments on the proposed rule and, if different, the time, date, and
2030	2030	location of the meeting where the commission will consider and vote on the proposed
2031	2031	rule;
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2058	2058	MED:emw
2059	2059	SECTION 50
2060	2060	ASSEMBLY BILL 666
2061	2061	2. If the hearing is held via telecommunication, video conference, or other
2062	2062	electronic means, the commission shall include the mechanism for access to the
2063	2063	hearing in the notice of proposed rule making;
2064	2064	3. The text of the proposed rule and the reason therefor;
2065	2065	4. A request for comments on the proposed rule from any interested person; and
2066	2066	5. The manner in which interested persons may submit written comments.
2067	2067	(i) All hearings will be recorded. A copy of the recording and all written
2068	2068	comments and documents received by the commission in response to the proposed
2069	2069	rule shall be available to the public.
2070	2070	(j) Nothing in this subsection shall be construed as requiring a separate
2071	2071	hearing on each commission rule. Rules may be grouped for the convenience of the
2072	2072	commission at hearings required by this subsection.
2073	2073	(k) The commission shall, by majority vote of all commissioners, take final
2074	2074	action on the proposed rule based on the rule-making record.
2075	2075	1. The commission may adopt changes to the proposed rule provided the
2076	2076	changes do not enlarge the original purpose of the proposed rule.
2077	2077	2. The commission shall provide an explanation of the reasons for substantive
2078	2078	changes made to the proposed rule as well as reasons for substantive changes not
2079	2079	made that were recommended by commenters.
2080	2080	3. The commission shall determine a reasonable effective date for the rule.
2081	2081	Except for an emergency as provided in par. (L), the effective date of the rule shall
2082	2082	be no sooner than thirty (30) days after the commission issuing the notice that it
2083	2083	adopted or amended the rule.
2084	2084	(L) Upon determination that an emergency exists, the commission may
2085	2085	consider and adopt an emergency rule with 24 hours' notice, with opportunity to
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2111	2111	MED:emw
2112	2112	SECTION 50 ASSEMBLY BILL 666
2113	2113	comment, provided that the usual rule-making procedures provided in the compact
2114	2114	and in this subsection shall be retroactively applied to the rule as soon as reasonably
2115	2115	possible, in no event later than ninety (90) days after the effective date of the rule.
2116	2116	For the purposes of this provision, an emergency rule is one that must be adopted
2117	2117	immediately in order to:
2118	2118	1. Meet an imminent threat to public health, safety, or welfare;
2119	2119	2. Prevent a loss of commission or participating state funds;
2120	2120	3. Meet a deadline for the promulgation of a rule that is established by federal
2121	2121	law or rule; or
2122	2122	4. Protect public health and safety.
2123	2123	(m) The commission or an authorized committee of the commission may direct
2124	2124	revisions to a previously adopted rule for purposes of correcting typographical errors,
2125	2125	errors in format, errors in consistency, or grammatical errors. Public notice of any
2126	2126	revisions shall be posted on the website of the commission. The revision shall be
2127	2127	subject to challenge by any person for a period of thirty (30) days after posting. The
2128	2128	revision may be challenged only on grounds that the revision results in a material
2129	2129	change to a rule. A challenge shall be made in writing and delivered to the
2130	2130	commission prior to the end of the notice period. If no challenge is made, the revision
2131	2131	will take effect without further action. If the revision is challenged, the revision may
2132	2132	not take effect without the approval of the commission.
2133	2133	(n) No participating state's rule-making requirements shall apply under this
2134	2134	compact.
2135	2135	(10) OVERSIGHT, DISPUTE RESOLUTION, AND ENFORCEMENT. (a) Oversight. 1. The
2136	2136	executive and judicial branches of state government in each participating state shall
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2163	2163	SECTION 50
2164	2164	ASSEMBLY BILL 666
2165	2165	enforce this compact and take all actions necessary and appropriate to implement
2166	2166	the compact.
2167	2167	2. Venue is proper and judicial proceedings by or against the commission shall
2168	2168	be brought solely and exclusively in a court of competent jurisdiction where the
2169	2169	principal office of the commission is located. The commission may waive venue and
2170	2170	jurisdictional defenses to the extent it adopts or consents to participate in alternative
2171	2171	dispute resolution proceedings. Nothing herein shall affect or limit the selection or
2172	2172	propriety of venue in any action against a licensee for professional malpractice,
2173	2173	misconduct or any such similar matter.
2174	2174	3. The commission shall be entitled to receive service of process in any
2175	2175	proceeding regarding the enforcement or interpretation of the compact or
2176	2176	commission rule and shall have standing to intervene in such a proceeding for all
2177	2177	purposes. Failure to provide the commission service of process shall render a
2178	2178	judgment or order void as to the commission, this compact, or promulgated rules.
2179	2179	(b) Default, technical assistance, and termination. 1. If the commission
2180	2180	determines that a participating state has defaulted in the performance of its
2181	2181	obligations or responsibilities under this compact or the promulgated rules, the
2182	2182	commission shall provide written notice to the defaulting state. The notice of default
2183	2183	shall describe the default, the proposed means of curing the default, and any other
2184	2184	action that the commission may take, and shall offer training and specific technical
2185	2185	assistance regarding the default.
2186	2186	2. The commission shall provide a copy of the notice of default to the other
2187	2187	participating states.
2188	2188	(c) If a state in default fails to cure the default, the defaulting state may be
2189	2189	terminated from the compact upon an affirmative vote of a majority of the
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2216	2216	SECTION 50 ASSEMBLY BILL 666
2217	2217	commissioners, and all rights, privileges and benefits conferred on that state by this
2218	2218	compact may be terminated on the effective date of termination. A cure of the default
2219	2219	does not relieve the offending state of obligations or liabilities incurred during the
2220	2220	period of default.
2221	2221	(d) Termination of participation in the compact shall be imposed only after all
2222	2222	other means of securing compliance have been exhausted. Notice of intent to
2223	2223	suspend or terminate shall be given by the commission to the governor, the majority
2224	2224	and minority leaders of the defaulting state's legislature, the defaulting state's state
2225	2225	licensing authority or authorities, as applicable, and each of the participating states'
2226	2226	state licensing authority or authorities, as applicable.
2227	2227	(e) A state that has been terminated is responsible for all assessments,
2228	2228	obligations, and liabilities incurred through the effective date of termination,
2229	2229	including obligations that extend beyond the effective date of termination.
2230	2230	(f) Upon the termination of a state's participation in this compact, that state
2231	2231	shall immediately provide notice to all licensees of the state, including licensees of
2232	2232	other participating states issued a compact privilege to practice within that state, of
2233	2233	such termination. The terminated state shall continue to recognize all compact
2234	2234	privileges then in effect in that state for a minimum of one hundred eighty (180) days
2235	2235	after the date of said notice of termination.
2236	2236	(g) The commission shall not bear any costs related to a state that is found to
2237	2237	be in default or that has been terminated from the compact, unless agreed upon in
2238	2238	writing between the commission and the defaulting state.
2239	2239	(h) The defaulting state may appeal the action of the commission by petitioning
2240	2240	the U.S. District Court for the District of Columbia or the federal district where the
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2267	2267	SECTION 50
2268	2268	ASSEMBLY BILL 666
2269	2269	commission has its principal offices. The prevailing party shall be awarded all costs
2270	2270	of such litigation, including reasonable attorney's fees.
2271	2271	(i) Dispute resolution. 1. Upon request by a participating state, the commission
2272	2272	shall attempt to resolve disputes related to the compact that arise among
2273	2273	participating states and between participating states and non-participating states.
2274	2274	2. The commission shall promulgate a rule providing for both mediation and
2275	2275	binding dispute resolution for disputes as appropriate.
2276	2276	(j) Enforcement. 1. The commission, in the reasonable exercise of its discretion,
2277	2277	shall enforce the provisions of this compact and the commission's rules.
2278	2278	2. By majority vote, the commission may initiate legal action against a
2279	2279	participating state in default in the United States District Court for the District of
2280	2280	Columbia or the federal district where the commission has its principal offices to
2281	2281	enforce compliance with the provisions of the compact and its promulgated rules.
2282	2282	The relief sought may include both injunctive relief and damages. In the event
2283	2283	judicial enforcement is necessary, the prevailing party shall be awarded all costs of
2284	2284	such litigation, including reasonable attorney's fees. The remedies herein shall not
2285	2285	be the exclusive remedies of the commission. The commission may pursue any other
2286	2286	remedies available under federal or the defaulting participating state's law.
2287	2287	3. A participating state may initiate legal action against the commission in the
2288	2288	U.S. District Court for the District of Columbia or the federal district where the
2289	2289	commission has its principal offices to enforce compliance with the provisions of the
2290	2290	compact and its promulgated rules. The relief sought may include both injunctive
2291	2291	relief and damages. In the event judicial enforcement is necessary, the prevailing
2292	2292	party shall be awarded all costs of such litigation, including reasonable attorney's
2293	2293	fees.
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2320	2320	SECTION 50 ASSEMBLY BILL 666
2321	2321	4. No individual or entity other than a participating state may enforce this
2322	2322	compact against the commission.
2323	2323	(11) EFFECTIVE DATE, WITHDRAWAL, AND AMENDMENT. (a) The compact shall come
2324	2324	into effect on the date on which the compact statute is enacted into law in the seventh
2325	2325	participating state.
2326	2326	1. On or after the effective date of the compact, the commission shall convene
2327	2327	and review the enactment of each of the states that enacted the compact prior to the
2328	2328	commission convening (“charter participating states”) to determine if the statute
2329	2329	enacted by each such charter participating state is materially different than the
2330	2330	model compact.
2331	2331	a. A charter participating state whose enactment is found to be materially
2332	2332	different from the model compact shall be entitled to the default process set forth in
2333	2333	sub. (10).
2334	2334	b. If any participating state is later found to be in default, or is terminated or
2335	2335	withdraws from the compact, the commission shall remain in existence and the
2336	2336	compact shall remain in effect even if the number of participating states should be
2337	2337	less than seven (7).
2338	2338	2. Participating states enacting the compact subsequent to the charter
2339	2339	participating states shall be subject to the process set forth in sub. (7) (c) 23. to
2340	2340	determine if their enactments are materially different from the model compact and
2341	2341	whether they qualify for participation in the compact.
2342	2342	3. All actions taken for the benefit of the commission or in furtherance of the
2343	2343	purposes of the administration of the compact prior to the effective date of the
2344	2344	compact or the commission coming into existence shall be considered to be actions
2345	2345	of the commission unless specifically repudiated by the commission.
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2373	2373	SECTION 50
2374	2374	ASSEMBLY BILL 666
2375	2375	4. Any state that joins the compact subsequent to the commission's initial
2376	2376	adoption of the rules and bylaws shall be subject to the commission's rules and
2377	2377	bylaws as they exist on the date on which the compact becomes law in that state. Any
2378	2378	rule that has been previously adopted by the commission shall have the full force and
2379	2379	effect of law on the day the compact becomes law in that state.
2380	2380	(b) Any participating state may withdraw from this compact by enacting a
2381	2381	statute repealing that state's enactment of the compact.
2382	2382	1. A participating state's withdrawal shall not take effect until one hundred
2383	2383	eighty (180) days after enactment of the repealing statute.
2384	2384	2. Withdrawal shall not affect the continuing requirement of the withdrawing
2385	2385	state's licensing authority or authorities to comply with the investigative and
2386	2386	adverse action reporting requirements of this compact prior to the effective date of
2387	2387	withdrawal.
2388	2388	3. Upon the enactment of a statute withdrawing from this compact, the state
2389	2389	shall immediately provide notice of such withdrawal to all licensees within that
2390	2390	state. Notwithstanding any subsequent statutory enactment to the contrary, such
2391	2391	withdrawing state shall continue to recognize all compact privileges to practice
2392	2392	within that state granted pursuant to this compact for a minimum of one hundred
2393	2393	eighty (180) days after the date of such notice of withdrawal.
2394	2394	(c) Nothing contained in this compact shall be construed to invalidate or
2395	2395	prevent any licensure agreement or other cooperative arrangement between a
2396	2396	participating state and a non-participating state that does not conflict with the
2397	2397	provisions of this compact.
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2422	2422	SECTION 50 ASSEMBLY BILL 666
2423	2423	(d) This compact may be amended by the participating states. No amendment
2424	2424	to this compact shall become effective and binding upon any participating state until
2425	2425	it is enacted into the laws of all participating states.
2426	2426	(12) CONSTRUCTION AND SEVERABILITY. (a) This compact and the commission's
2427	2427	rule-making authority shall be liberally construed so as to effectuate the purposes,
2428	2428	and the implementation and administration of the compact. Provisions of the
2429	2429	compact expressly authorizing or requiring the promulgation of rules shall not be
2430	2430	construed to limit the commission's rule-making authority solely for those purposes.
2431	2431	(b) The provisions of this compact shall be severable and if any phrase, clause,
2432	2432	sentence or provision of this compact is held by a court of competent jurisdiction to
2433	2433	be contrary to the constitution of any participating state, a state seeking
2434	2434	participation in the compact, or of the United States, or the applicability thereof to
2435	2435	any government, agency, person or circumstance is held to be unconstitutional by a
2436	2436	court of competent jurisdiction, the validity of the remainder of this compact and the
2437	2437	applicability thereof to any other government, agency, person or circumstance shall
2438	2438	not be affected thereby.
2439	2439	(c) Notwithstanding par. (b), the commission may deny a state's participation
2440	2440	in the compact or, in accordance with the requirements of sub. (10) (b), terminate a
2441	2441	participating state's participation in the compact, if it determines that a
2442	2442	constitutional requirement of a participating state is a material departure from the
2443	2443	compact. Otherwise, if this compact shall be held to be contrary to the constitution
2444	2444	of any participating state, the compact shall remain in full force and effect as to the
2445	2445	remaining participating states and in full force and effect as to the participating state
2446	2446	affected as to all severable matters.
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2473	2473	SECTION 50
2474	2474	ASSEMBLY BILL 666
2475	2475	(13) CONSISTENT EFFECT AND CONFLICT WITH OTHER STATE LAWS. (a) Nothing
2476	2476	herein shall prevent or inhibit the enforcement of any other law of a participating
2477	2477	state that is not inconsistent with the compact.
2478	2478	(b) Any laws, statutes, regulations, or other legal requirements in a
2479	2479	participating state in conflict with the compact are superseded to the extent of the
2480	2480	conflict.
2481	2481	(c) All permissible agreements between the commission and the participating
2482	2482	states are binding in accordance with their terms.
2483	2483	447.51 Implementation of the dentist and dental hygienist compact.
2484	2484	(1) In this section, “compact privilege” has the meaning given in s. 447.50 (2) (g).
2485	2485	(2) The department may impose a fee for an individual to receive a compact
2486	2486	privilege as provided in s. 447.50 (4) (a) 4.
2487	2487	(3) (a) An individual who is exercising the compact privilege in this state shall
2488	2488	comply with s. 440.03 (13) (am).
2489	2489	(b) Subject to s. 447.50 and any rules promulgated thereunder, ss. 440.20 to
2490	2490	440.22 and the rules promulgated under s. 440.03 (1) shall apply to an individual who
2491	2491	is exercising the compact privilege in this state in the same manner that they apply
2492	2492	to holders of licenses issued under subch. I.
2493	2493	SECTION 51. 448.956 (4) of the statutes, as affected by 2021 Wisconsin Act 251,
2494	2494	is amended to read:
2495	2495	448.956 (4) If a licensee determines that a patient's medical condition is beyond
2496	2496	the scope of practice of the licensee, the licensee shall, in accordance with the protocol
2497	2497	established under sub. (1) (a), refer the patient to a health care practitioner who is
2498	2498	licensed under ch. 446 or 447 or subch. II, III or IV of ch. 448; or who holds a compact
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2524	2524	SECTION 51 ASSEMBLY BILL 666
2525	2525	privilege under subch. II of ch. 447 or subch. XI of ch. 448 and who can provide
2526	2526	appropriate treatment to the patient.
2527	2527	SECTION 52. 450.10 (3) (a) 4. of the statutes is amended to read:
2528	2528	450.10 (3) (a) 4. A dentist who is licensed under subch. I of ch. 447 or who holds
2529	2529	a compact privilege under subch. II of ch. 447.
2530	2530	SECTION 53. 451.02 (1) of the statutes, as affected by 2021 Wisconsin Act 251,
2531	2531	is amended to read:
2532	2532	451.02 (1) An individual holding a license, permit or certificate under ch. 441,
2533	2533	446, 447, 448, or 449 or a compact privilege under subch. II of ch. 447 or subch. XI
2534	2534	or XII of ch. 448 who engages in a practice of acupuncture that is also included within
2535	2535	the scope of his or her license, permit, certificate, or privilege.
2536	2536	SECTION 54. 462.02 (2) (d) of the statutes is amended to read:
2537	2537	462.02 (2) (d) A dentist licensed under s. 447.04 (1), a dental hygienist licensed
2538	2538	under s. 447.04 (2), a person certified as an expanded function dental auxiliary under
2539	2539	s. 447.04 (3), a dentist or dental hygienist who holds a compact privilege under subch.
2540	2540	II of ch. 447, or a person under the direct supervision of a dentist.
2541	2541	SECTION 55. 462.04 of the statutes, as affected by 2021 Wisconsin Act 251, is
2542	2542	amended to read:
2543	2543	462.04 Prescription or order required. A person who holds a license or
2544	2544	limited X-ray machine operator permit under this chapter may not use diagnostic
2545	2545	X-ray equipment on humans for diagnostic purposes unless authorized to do so by
2546	2546	prescription or order of a physician licensed under s. 448.04 (1) (a), a naturopathic
2547	2547	doctor licensed under s. 466.04 (1), a dentist who is licensed under s. 447.04 (1) or who
2548	2548	holds a compact privilege under subch. II of ch. 447, a podiatrist licensed under s.
2549	2549	448.63, a chiropractor licensed under s. 446.02, an advanced practice nurse certified
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2577	2577	SECTION 55
2578	2578	ASSEMBLY BILL 666
2579	2579	under s. 441.16 (2), a physician assistant licensed under s. 448.974, or, subject to s.
2580	2580	448.56 (7) (a), a physical therapist who is licensed under s. 448.53 or who holds a
2581	2581	compact privilege under subch. XI of ch. 448.
2582	2582	SECTION 56. 463.10 (5) of the statutes is amended to read:
2583	2583	463.10 (5) EXCEPTION. Subsections (2) to (4m) do not apply to a dentist who is
2584	2584	licensed under s. 447.03 (1) or to a physician who tattoos or offers to tattoo a person
2585	2585	in the course of the dentist's or physician's professional practice.
2586	2586	SECTION 57. 463.12 (5) of the statutes is amended to read:
2587	2587	463.12 (5) EXCEPTION. Subsections (2) to (4m) do not apply to a dentist who is
2588	2588	licensed under s. 447.03 (1) or to a physician who pierces the body of or offers to pierce
2589	2589	the body of a person in the course of the dentist's or physician's professional practice.
2590	2590	SECTION 58. 895.48 (1m) (a) (intro.) of the statutes is amended to read:
2591	2591	895.48 (1m) (a) (intro.) Except as provided in par. (b), any physician,
2592	2592	naturopathic doctor, physician assistant, podiatrist, or athletic trainer licensed
2593	2593	under ch. 448, naturopathic doctor licensed under ch. 466, chiropractor licensed
2594	2594	under ch. 446, dentist who is licensed under subch. I of ch. 447 or who holds a compact
2595	2595	privilege under subch. II of ch. 447, emergency medical services practitioner licensed
2596	2596	under s. 256.15, emergency medical responder certified under s. 256.15 (8),
2597	2597	registered nurse licensed under ch. 441, or a massage therapist or bodywork
2598	2598	therapist licensed under ch. 460 who renders voluntary health care to a participant
2599	2599	in an athletic event or contest sponsored by a nonprofit corporation, as defined in s.
2600	2600	66.0129 (6) (b), a private school, as defined in s. 115.001 (3r), a tribal school, as
2601	2601	defined in s. 115.001 (15m), a public agency, as defined in s. 46.856 (1) (b), or a school,
2602	2602	as defined in s. 609.655 (1) (c), is immune from civil liability for his or her acts or
2603	2603	omissions in rendering that care if all of the following conditions exist:
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2618	2618	15
2619	2619	16
2620	2620	17
2621	2621	18
2622	2622	19
2623	2623	20
2624	2624	21
2625	2625	22
2626	2626	23
2627	2627	24
2628	2628	25 - 52 -2023 - 2024 Legislature LRB-4117/1
2629	2629	MED:emw
2630	2630	SECTION 59 ASSEMBLY BILL 666
2631	2631	SECTION 59. 990.01 (6m) of the statutes is created to read:
2632	2632	990.01 (6m) DENTIST. “Dentist” means a person who is licensed as a dentist
2633	2633	under subch. I of ch. 447 or who holds a dentist compact privilege under subch. II of
2634	2634	ch. 447.
2635	2635	(END)
2636	2636	1
2637	2637	2
2638	2638	3
2639	2639	4
2640	2640	5