Date of enactment: March 22, 2024
2023 Senate Bill 788 Date of publication*: March 23, 2024
2023 WISCONSIN ACT 186
AN ACT to amend 446.026 (1) (a); and to create 446.02 (7) (a) 3. of the statutes; relating to: delegation of adjunctive
services by chiropractors and creating administrative rules related to the delegation of adjunctive services by chiro-
practors.
The people of the state of Wisconsin, represented in
senate and assembly, do enact as follows:
SECTION 1. 446.02 (7) (a) 3. of the statutes is created
to read:
446.02 (7) (a) 3. An individual who has completed a
training program for medical assistants accredited by the
National Commission for Certifying Agencies, a national
or state medical association, or another entity approved
by the examining board.
SECTION 2. 446.026 (1) (a) of the statutes is amended
to read:
446.026 (1) (a) No person may provide adjunctive
services unless the person is a chiropractic technician or
is described under s. 446.02 (7) (a) 3. and is under the
direct, on−premises supervision of a chiropractor
licensed under this chapter, or the person is a health care
professional, subject to s. 446.02 (7).
SECTION 2m. Chir 10.024 of the administrative code
is created to read:
Chir 10.024 Delegation of adjunctive services to
individuals trained as medical assistants. A chiroprac-
tor may delegate the performance of an adjunctive ser-
vice to an individual described under s. 446.02 (7) (a) 3.,
Stats., if all of the following conditions are met:
(1) The individual is qualified, through education,
training, or experience, to perform the adjunctive service.
(2) The chiropractor maintains records or ensures the
chiropractor’s employer maintains records that verify the
individual’s training is current.
(3) The chiropractor exercises direct, on−premises
supervision of the individual performing the delegated
adjunctive service.
(4) The chiropractor retains ultimate responsibility
for the manner and quality of the service.
SECTION 3. 0Effective dates. This act takes effect on
the first day of the 4th month beginning after publication,
except as follows:
(1) ADMINISTRATIVE RULES. The treatment of admin-
istrative rules takes effect as provided in s. 227.265.
* Section 991.11, WISCONSIN STATUTES: Effective date of acts. “Every act and every portion of an act enacted by the legislature over the governor’s
partial veto which does not expressly prescribe the time when it takes effect shall take effect on the day after its date of publication.”