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2023 - 2024 LEGISLATURE
2023 ASSEMBLY BILL 875
January 2, 2024 - Introduced by Representatives GUSTAFSON, MURPHY, BEHNKE,
BODDEN, GREEN, GUNDRUM and MAGNAFICI, cosponsored by Senators
STAFSHOLT and TOMCZYK. Referred to Committee on Health, Aging and
Long-Term Care.
***AUTHORS SUBJECT TO CHANGE***
AN ACT to create 440.18 of the statutes; relating to: registration of out-of-state
health care providers to provide telehealth services and granting rule-making
authority.
Analysis by the Legislative Reference Bureau
This bill allows an individual who possesses a credential as a health care
provider in another state to provide health care services by telehealth in this state
within the scope of practice established under the laws and rules of this state by
registering with the Department of Safety and Professional Services or an applicable
credentialing board. In general, under current law, no person may provide health
care services in this state for which a credential is required unless the person
possesses a credential issued in this state issued by DSPS or a credentialing board.
This bill requires DSPS and any applicable credentialing board to register an
out-of-state health care provider who does not possess a credential in this state as
a telehealth provider who may provide health care services in this state by telehealth
if the health care provider meets certain criteria, including 1) that the health care
provider possesses a credential issued by a governmental authority in another state,
the District of Columbia, or a possession or territory of the United States that is
active and unencumbered and that entitles the health care provider to perform
health care services that are substantially similar to health care services that may
be performed by a health care provider who possesses a credential issued in this
state; 2) that the health care provider has not been subject to any disciplinary action
relating to his or her credential during the five-year period immediately preceding
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submission of the health care provider's application for registration in this state that
has resulted in his or her credential being limited, suspended, or revoked; and 3) that
the health care provider designates an agent upon whom service of process may be
made in this state. A health care provider registered to provide telehealth services
under the bill may not open an office in this state and may not provide in-person
health care services to patients located in this state unless the health care provider
obtains a credential in this state. The bill requires individuals registered to provide
telehealth services in this state to maintain and have in effect malpractice liability
insurance coverage that covers services provided to patients in this state if the health
care services that the individual may provide are substantially similar to services
provided by a health care provider in this state who is required under law to maintain
and have in effect malpractice liability insurance.
The bill requires individuals registered under the bill to provide telehealth
services in this state to notify DSPS or the applicable credentialing board of any
restrictions placed on his or her credential in any state or jurisdiction and of any
disciplinary action taken or pending against him or her in any state or jurisdiction
within 5 business days after the restriction is placed or disciplinary action is initiated
or taken. The bill allows DSPS and applicable credentialing boards to take
disciplinary action against a health care provider registered to provide telehealth
services under the bill if the registrant fails to notify DSPS or the applicable
credentialing board of any adverse actions taken against his or her credential, if the
registrant has restrictions placed on his or her credential, if disciplinary action has
been commenced against the registrant in any state or jurisdiction, if the registrant
violates any provision under the bill, or if the registrant commits any act that
constitutes grounds for disciplinary action applicable to the registrant's health care
practice in this state.
Finally, the bill requires DSPS to publish on its website a list of all health care
providers registered to provide telehealth services under the bill and include, to the
extent applicable, certain information including the registrant's name, the
registrant's health care occupation, a brief explanation of the registrant's training
and education, including completion dates and any certificates or degrees obtained,
the registrant's out-of-state health care license, permit, certificate, or other
approval, including any identification number associated with the registrant's
license, permit, certificate, or other approval, the registrant's specialty, a 5-year
disciplinary history of the registrant, the registrant's medical malpractice insurance
provider and any policy limits under the registrant's medical malpractice insurance
coverage, and the name and address of the registrant's agent designated for service
of process in this state.
For further information see the state fiscal estimate, which will be printed as
an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows: - 3 -2023 - 2024 Legislature
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SECTION 1. 440.18 of the statutes is created to read:
440.18 Registration of out-of-state telehealth providers. (1) An
individual who possesses a license, permit, registration, or other approval as a health
care provider in another state may provide health care services by telehealth to
patients located in this state if the health care provider registers with the
department or any credentialing board, as applicable to the health care provider's
practice, and provides health care services within the scope of practice established
under the laws and rules of this state that apply to the health care provider's practice.
(2) The department or any credentialing board, as applicable, shall register a
health care provider who does not possess a credential in this state as a telehealth
provider under this section if the health care provider satisfies all of the following:
(a) The health care provider submits an application on a form prescribed by the
department and pays the applicable fee under s. 440.05 (2).
(b) The health care provider possesses a license, permit, certificate, or other
approval issued by a governmental authority in another state, the District of
Columbia, or a possession or territory of the United States that is active and
unencumbered and that entitles the health care provider to perform health care
services that are substantially similar to health care services that may be performed
by a health care provider who possesses a credential issued by the department or a
credentialing board in this state.
(c) The health care provider has not been subject to any disciplinary action
relating to his or her license, permit, certificate, or other approval during the 5-year
period immediately preceding submission of the health care provider's application
under par. (a) that has resulted in his or her license, permit, certificate, or other
approval being limited, suspended, or revoked.
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(d) The health care provider designates an agent upon whom service of process
may be made in this state on a form prescribed by the department.
(e) The health care provider demonstrates to the department or any
credentialing board, as applicable, that the health care provider is in compliance
with sub. (5).
(3) A health care provider registered to provide telehealth services in this state
under sub. (2) shall be issued a unique telehealth provider identification number.
(4) A health care provider registered to provide telehealth services under this
section shall notify the department or credentialing board, as applicable, of
restrictions placed on his or her license, permit, certificate, or other approval in any
state or jurisdiction and of any disciplinary action taken or pending against him or
her in any state or jurisdiction. Notification under this subsection shall be provided
within 5 business days after the restriction is placed or disciplinary action is initiated
or taken.
(5) If a health care provider registered under this section possesses a license,
permit, certificate, or other approval issued by a governmental authority in another
state, the District of Columbia, or a possession or territory of the United States that
entitles the health care provider to perform health care services that are
substantially similar to health care services that may be performed by a health care
provider who possesses a credential issued by the department or a credentialing
board in this state and who is required under law to maintain and have in effect
malpractice liability insurance, the health care provider registered under this
section shall maintain and have in effect malpractice liability insurance coverage
that covers services provided to patients in this state evidenced by one of the
following:
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(a) Personal liability coverage in the amounts specified under s. 655.23 (4).
(b) Coverage under a group liability policy providing individual coverage for the
health care provider in the amounts specified under s. 655.23 (4).
(6) A health care provider registered to provide telehealth services under this
section may not open an office in this state and may not provide in-person health care
services to patients located in this state unless the health care provider obtains a
credential in this state and provides in-person health care services only within the
scope of that credential.
(7) The department shall publish on its website a list of all health care
providers registered to provide telehealth services under this section and include, to
the extent applicable, all of the following:
(a) The registrant's name.
(b) The registrant's health care occupation.
(c) A brief explanation of the registrant's training and education, including
completion dates and any certificates or degrees obtained.
(d) The registrant's out-of-state health care license, permit, certificate, or
other approval, including any identification number associated with the registrant's
license, permit, certificate, or other approval.
(e) The registrant's telehealth provider identification number issued under
sub. (3).
(f) The registrant's specialty.
(g) Whether the registrant is board certified and by which board the registrant
is board certified.
(h) A 5-year disciplinary history of the registrant.
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(i) The registrant's medical malpractice insurance provider and any policy
limits under the registrant's medical malpractice insurance coverage.
(j) The name and address of the registrant's agent designated for service of
process in this state under sub. (2) (d).
(8) (a) The department or the applicable credentialing board may take
disciplinary action against a health care provider registered to provide telehealth
services under this section if any of the following applies to the registrant:
1. The registrant fails to notify the department or the applicable credentialing
board of any adverse actions taken against his or her license, permit, certificate, or
other approval as required under sub. (4).
2. The registrant has restrictions placed on his or her license, permit,
certificate, or other approval or disciplinary action has been commenced against the
registrant in any state or jurisdiction.
3. The registrant violates any of the requirements under this section.
4. The registrant commits any act that constitutes grounds for disciplinary
action applicable to the registrant's health care practice in this state.
(b) Disciplinary action taken by the department or the applicable credentialing
board against a health care provider registered to provide telehealth services under
this section may include suspension or revocation of the registrant's registration
under this section. A suspension of the registration of a health care provider
registered to provide telehealth services under this section may be accompanied by
a corrective action plan as determined by the department or the applicable
credentialing board, the completion of which may lead to the suspended registration
being reinstated.
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(9) This section does not apply to a health care provider who provides services
through telehealth as provided in s. 440.094 (3).
(10) (a) Registration to provide telehealth services in this state under this
section expires on the renewal date specified in s. 440.08 (2) (a) that is applicable to
the health care provider's practice. The department or credentialing board, as
appropriate, shall inform a health care provider registered under this section of the
applicable renewal date upon registration.
(b) The department or credentialing board, as appropriate, shall renew a
registration under this section for an applicant who satisfies the requirements for
registration under sub. (2).
(11) The department may promulgate rules necessary to administer this
section. Any credentialing board that regulates health care providers and to which
this section applies may promulgate rules necessary to administer this section.
SECTION 2.0Effective date.
(1) This act takes effect on the first day of the 7th month beginning after
publication.
(END)
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