1 | 1 | | 2025 - 2026 LEGISLATURE |
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2 | 2 | | LRB-2236/1 |
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3 | 3 | | JPC:cdc |
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4 | 4 | | 2025 SENATE BILL 214 |
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5 | 5 | | April 16, 2025 - Introduced by Senators STAFSHOLT and QUINN, cosponsored by |
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6 | 6 | | Representatives GUSTAFSON, FRANKLIN, GREEN, GUNDRUM, KNODL, MELOTIK, |
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7 | 7 | | MURPHY, MURSAU, PIWOWARCZYK and WICHGERS. Referred to Committee on |
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8 | 8 | | Health. |
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9 | 9 | | AN ACT to create 440.18 of the statutes; relating to: registration of out-of-state |
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10 | 10 | | health care providers to provide telehealth services. |
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11 | 11 | | Analysis by the Legislative Reference Bureau |
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12 | 12 | | This bill allows an individual who possesses a credential as a health care |
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13 | 13 | | provider in another state to provide health care services by telehealth in this state |
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14 | 14 | | within the scope of practice established under the laws and rules of this state by |
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15 | 15 | | registering with the Department of Safety and Professional Services or an |
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16 | 16 | | applicable credentialing board. In general, under current law, no person may |
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17 | 17 | | provide health care services in this state for which a credential is required unless |
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18 | 18 | | the person possesses a credential issued in this state issued by DSPS or a |
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19 | 19 | | credentialing board. This bill requires DSPS and any applicable credentialing |
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20 | 20 | | board to register an out-of-state health care provider who does not possess a |
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21 | 21 | | credential in this state as a telehealth provider who may provide health care |
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22 | 22 | | services in this state by telehealth if the health care provider meets certain criteria, |
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23 | 23 | | including 1) that the health care provider possesses a credential issued by a |
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24 | 24 | | governmental authority in another state, the District of Columbia, or a possession |
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25 | 25 | | or territory of the United States that is active and unencumbered and that entitles |
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26 | 26 | | the health care provider to perform health care services that are substantially |
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27 | 27 | | similar to health care services that may be performed by a health care provider who |
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28 | 28 | | possesses a credential issued in this state; 2) that the health care provider has not |
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29 | 29 | | been subject to any disciplinary action relating to his or her credential during the |
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31 | 31 | | 2 2025 - 2026 Legislature |
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32 | 32 | | SENATE BILL 214 |
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33 | 33 | | - 2 - LRB-2236/1 |
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34 | 34 | | JPC:cdc |
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35 | 35 | | five-year period immediately preceding submission of the health care provider[s |
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36 | 36 | | application for registration in this state that has resulted in his or her credential |
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37 | 37 | | being limited, suspended, or revoked; and 3) that the health care provider |
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38 | 38 | | designates an agent upon whom service of process may be made in this state. A |
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39 | 39 | | health care provider registered to provide telehealth services under the bill may not |
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40 | 40 | | open an office in this state and may not provide in-person health care services to |
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41 | 41 | | patients located in this state unless the health care provider obtains a credential in |
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42 | 42 | | this state. The bill requires individuals registered to provide telehealth services in |
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43 | 43 | | this state to maintain and have in effect malpractice liability insurance coverage |
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44 | 44 | | that covers services provided to patients in this state if the health care services that |
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45 | 45 | | the individual may provide are substantially similar to services provided by a |
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46 | 46 | | health care provider in this state who is required under law to maintain and have in |
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47 | 47 | | effect malpractice liability insurance. |
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48 | 48 | | The bill requires individuals registered under the bill to provide telehealth |
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49 | 49 | | services in this state to notify DSPS or the applicable credentialing board of any |
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50 | 50 | | restrictions placed on his or her credential in any state or jurisdiction and of any |
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51 | 51 | | disciplinary action taken or pending against him or her in any state or jurisdiction |
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52 | 52 | | within five business days after the restriction is placed or disciplinary action is |
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53 | 53 | | initiated or taken. The bill allows DSPS and applicable credentialing boards to |
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54 | 54 | | take disciplinary action against a health care provider registered to provide |
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55 | 55 | | telehealth services under the bill if the registrant fails to notify DSPS or the |
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56 | 56 | | applicable credentialing board of any adverse actions taken against his or her |
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57 | 57 | | credential, if the registrant has restrictions placed on his or her credential, if |
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58 | 58 | | disciplinary action has been commenced against the registrant in any state or |
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59 | 59 | | jurisdiction, if the registrant violates any provision under the bill, or if the |
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60 | 60 | | registrant commits any act that constitutes grounds for disciplinary action |
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61 | 61 | | applicable to the registrant[s health care practice in this state. |
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62 | 62 | | Finally, the bill requires DSPS to publish on its website a list of all health care |
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63 | 63 | | providers registered to provide telehealth services under the bill and include, to the |
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64 | 64 | | extent applicable, certain information including the registrant[s name, the |
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65 | 65 | | registrant[s health care occupation, a brief explanation of the registrant[s training |
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66 | 66 | | and education, including completion dates and any certificates or degrees obtained, |
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67 | 67 | | the registrant[s out-of-state health care license, permit, certificate, or other |
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68 | 68 | | approval, including any identification number associated with the registrant[s |
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69 | 69 | | license, permit, certificate, or other approval, the registrant[s specialty, a five-year |
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70 | 70 | | disciplinary history of the registrant, the registrant[s medical malpractice |
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71 | 71 | | insurance provider and any policy limits under the registrant[s medical malpractice |
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72 | 72 | | insurance coverage, and the name and address of the registrant[s agent designated |
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73 | 73 | | for service of process in this state. |
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74 | 74 | | For further information see the state fiscal estimate, which will be printed as |
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75 | 75 | | an appendix to this bill. 2025 - 2026 Legislature |
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76 | 76 | | SENATE BILL 214 |
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77 | 77 | | - 3 - LRB-2236/1 |
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78 | 78 | | JPC:cdc |
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79 | 79 | | SECTION 1 |
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80 | 80 | | The people of the state of Wisconsin, represented in senate and assembly, do |
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81 | 81 | | enact as follows: |
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82 | 82 | | SECTION 1. 440.18 of the statutes is created to read: |
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83 | 83 | | 440.18 Registration of out-of-state telehealth providers. (1) An |
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84 | 84 | | individual who possesses a license, permit, registration, or other approval as a |
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85 | 85 | | health care provider in another state may provide health care services by telehealth |
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86 | 86 | | to patients located in this state if the health care provider registers with the |
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87 | 87 | | department or any credentialing board, as applicable to the health care provider[s |
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88 | 88 | | practice, and provides health care services within the scope of practice established |
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89 | 89 | | under the laws and rules of this state that apply to the health care provider[s |
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90 | 90 | | practice. |
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91 | 91 | | (2) The department or any credentialing board, as applicable, shall register a |
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92 | 92 | | health care provider who does not possess a credential in this state as a telehealth |
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93 | 93 | | provider under this section if the health care provider satisfies all of the following: |
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94 | 94 | | (a) The health care provider submits an application on a form prescribed by |
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95 | 95 | | the department and pays the applicable fee under s. 440.05 (2). |
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96 | 96 | | (b) The health care provider possesses a license, permit, certificate, or other |
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97 | 97 | | approval issued by a governmental authority in another state, the District of |
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98 | 98 | | Columbia, or a possession or territory of the United States that is active and |
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99 | 99 | | unencumbered and that entitles the health care provider to perform health care |
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100 | 100 | | services that are substantially similar to health care services that may be |
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101 | 101 | | performed by a health care provider who possesses a credential issued by the |
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102 | 102 | | department or a credentialing board in this state. |
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103 | 103 | | (c) The health care provider has not been subject to any disciplinary action |
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125 | 125 | | 22 2025 - 2026 Legislature |
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126 | 126 | | SENATE BILL 214 |
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127 | 127 | | - 4 - LRB-2236/1 |
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128 | 128 | | JPC:cdc |
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129 | 129 | | SECTION 1 |
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130 | 130 | | relating to his or her license, permit, certificate, or other approval during the 5-year |
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131 | 131 | | period immediately preceding submission of the health care provider[s application |
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132 | 132 | | under par. (a) that has resulted in his or her license, permit, certificate, or other |
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133 | 133 | | approval being limited, suspended, or revoked. |
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134 | 134 | | (d) The health care provider designates an agent upon whom service of |
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135 | 135 | | process may be made in this state on a form prescribed by the department. |
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136 | 136 | | (e) The health care provider demonstrates to the department or any |
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137 | 137 | | credentialing board, as applicable, that the health care provider is in compliance |
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138 | 138 | | with sub. (5). |
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139 | 139 | | (3) A health care provider registered to provide telehealth services in this |
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140 | 140 | | state under sub. (2) shall be issued a unique telehealth provider identification |
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141 | 141 | | number. |
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142 | 142 | | (4) A health care provider registered to provide telehealth services under this |
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143 | 143 | | section shall notify the department or credentialing board, as applicable, of |
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144 | 144 | | restrictions placed on his or her license, permit, certificate, or other approval in any |
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145 | 145 | | state or jurisdiction and of any disciplinary action taken or pending against him or |
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146 | 146 | | her in any state or jurisdiction. Notification under this subsection shall be provided |
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147 | 147 | | within 5 business days after the restriction is placed or disciplinary action is |
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148 | 148 | | initiated or taken. |
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149 | 149 | | (5) If a health care provider registered under this section possesses a license, |
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150 | 150 | | permit, certificate, or other approval issued by a governmental authority in another |
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151 | 151 | | state, the District of Columbia, or a possession or territory of the United States that |
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152 | 152 | | entitles the health care provider to perform health care services that are |
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175 | 175 | | 23 2025 - 2026 Legislature |
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176 | 176 | | SENATE BILL 214 |
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177 | 177 | | - 5 - LRB-2236/1 |
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178 | 178 | | JPC:cdc |
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179 | 179 | | SECTION 1 |
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180 | 180 | | substantially similar to health care services that may be performed by a health care |
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181 | 181 | | provider who possesses a credential issued by the department or a credentialing |
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182 | 182 | | board in this state and who is required under law to maintain and have in effect |
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183 | 183 | | malpractice liability insurance, the health care provider registered under this |
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184 | 184 | | section shall maintain and have in effect malpractice liability insurance coverage |
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185 | 185 | | that covers services provided to patients in this state evidenced by one of the |
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186 | 186 | | following: |
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187 | 187 | | (a) Personal liability coverage in the amounts specified under s. 655.23 (4). |
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188 | 188 | | (b) Coverage under a group liability policy providing individual coverage for |
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189 | 189 | | the health care provider in the amounts specified under s. 655.23 (4). |
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190 | 190 | | (6) A health care provider registered to provide telehealth services under this |
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191 | 191 | | section may not open an office in this state and may not provide in-person health |
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192 | 192 | | care services to patients located in this state unless the health care provider obtains |
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193 | 193 | | a credential in this state and provides in-person health care services only within |
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194 | 194 | | the scope of that credential. |
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195 | 195 | | (7) The department shall publish on its website a list of all health care |
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196 | 196 | | providers registered to provide telehealth services under this section and include, |
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197 | 197 | | to the extent applicable, all of the following: |
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198 | 198 | | (a) The registrant[s name. |
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199 | 199 | | (b) The registrant[s health care occupation. |
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200 | 200 | | (c) A brief explanation of the registrant[s training and education, including |
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201 | 201 | | completion dates and any certificates or degrees obtained. |
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202 | 202 | | (d) The registrant[s out-of-state health care license, permit, certificate, or |
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225 | 225 | | 23 2025 - 2026 Legislature |
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226 | 226 | | SENATE BILL 214 |
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227 | 227 | | - 6 - LRB-2236/1 |
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228 | 228 | | JPC:cdc |
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229 | 229 | | SECTION 1 |
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230 | 230 | | other approval, including any identification number associated with the |
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231 | 231 | | registrant[s license, permit, certificate, or other approval. |
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232 | 232 | | (e) The registrant[s telehealth provider identification number issued under |
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233 | 233 | | sub. (3). |
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234 | 234 | | (f) The registrant[s specialty. |
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235 | 235 | | (g) Whether the registrant is board certified and by which board the |
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236 | 236 | | registrant is board certified. |
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237 | 237 | | (h) A 5-year disciplinary history of the registrant. |
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238 | 238 | | (i) The registrant[s medical malpractice insurance provider and any policy |
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239 | 239 | | limits under the registrant[s medical malpractice insurance coverage. |
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240 | 240 | | (j) The name and address of the registrant[s agent designated for service of |
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241 | 241 | | process in this state under sub. (2) (d). |
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242 | 242 | | (8) (a) The department or the applicable credentialing board may take |
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243 | 243 | | disciplinary action against a health care provider registered to provide telehealth |
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244 | 244 | | services under this section if any of the following applies to the registrant: |
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245 | 245 | | 1. The registrant fails to notify the department or the applicable credentialing |
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246 | 246 | | board of any adverse actions taken against his or her license, permit, certificate, or |
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247 | 247 | | other approval as required under sub. (4). |
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248 | 248 | | 2. The registrant has restrictions placed on his or her license, permit, |
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249 | 249 | | certificate, or other approval or disciplinary action has been commenced against the |
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250 | 250 | | registrant in any state or jurisdiction. |
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251 | 251 | | 3. The registrant violates any of the requirements under this section. |
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274 | 274 | | SENATE BILL 214 |
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275 | 275 | | - 7 - LRB-2236/1 |
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276 | 276 | | JPC:cdc |
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277 | 277 | | SECTION 1 |
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278 | 278 | | 4. The registrant commits any act that constitutes grounds for disciplinary |
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279 | 279 | | action applicable to the registrant[s health care practice in this state. |
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280 | 280 | | (b) Disciplinary action taken by the department or the applicable |
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281 | 281 | | credentialing board against a health care provider registered to provide telehealth |
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282 | 282 | | services under this section may include suspension or revocation of the registrant[s |
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283 | 283 | | registration under this section. A suspension of the registration of a health care |
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284 | 284 | | provider registered to provide telehealth services under this section may be |
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285 | 285 | | accompanied by a corrective action plan as determined by the department or the |
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286 | 286 | | applicable credentialing board, the completion of which may lead to the suspended |
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287 | 287 | | registration being reinstated. |
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288 | 288 | | (9) This section does not apply to a health care provider who provides services |
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289 | 289 | | through telehealth as provided in s. 440.094 (3). |
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290 | 290 | | (10) (a) Registration to provide telehealth services in this state under this |
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291 | 291 | | section expires on the renewal date specified in s. 440.08 (2) (a) that is applicable to |
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292 | 292 | | the health care provider[s practice. The department or credentialing board, as |
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293 | 293 | | appropriate, shall inform a health care provider registered under this section of the |
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294 | 294 | | applicable renewal date upon registration. |
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295 | 295 | | (b) The department or credentialing board, as appropriate, shall renew a |
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296 | 296 | | registration under this section for an applicant who satisfies the requirements for |
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297 | 297 | | registration under sub. (2). |
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298 | 298 | | SECTION 2. Effective date. |
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319 | 319 | | 21 2025 - 2026 Legislature |
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320 | 320 | | SENATE BILL 214 |
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321 | 321 | | - 8 - LRB-2236/1 |
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322 | 322 | | JPC:cdc |
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323 | 323 | | SECTION 2 |
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324 | 324 | | (1) This act takes effect on the first day of the 7th month beginning after |
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325 | 325 | | publication. |
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326 | 326 | | (END) |
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