SB306-AA6,24,2513 619.04 (3) The plan shall operate subject to the supervision and approval of a
14board of governors consisting of 3 representatives of the insurance industry
15appointed by and to serve at the pleasure of the commissioner, a person to be named
16by the State Bar Association, a person to be named by the Wisconsin Academy of Trial
17Lawyers, 2 persons to be named by the Wisconsin Medical Society, a person to be
18named by the Wisconsin Hospital Association, the commissioner or a designated
19representative employed by the office of the commissioner, and 4 public members at
20least one of whom is named by the Wisconsin Nurses Association and at least 2 of
21whom are not attorneys or physicians and are not professionally affiliated with any
22hospital or insurance company, appointed by the governor for staggered 3-year
23terms. The commissioner or the commissioner's representative shall be the
24chairperson of the board of governors. Board members shall be compensated at the
25rate of $50 per diem plus actual and necessary travel expenses.

SB306-AA6,25,83 655.001 (7t) (a) "Health Except as provided in par. (b), "health care
4practitioner" means a health care professional, as defined in s. 180.1901 (1m), who
5is an employee of a health care provider described in s. 655.002 (1) (d), (e), (em), or
6(f) and who has the authority to provide health care services that are not in
7collaboration with a physician under s. 441.15 (2) (b) or under the direction and
8supervision of a physician or nurse anesthetist.

SB306-AA6,25,1511 655.001 (7t) Except as provided in par. (b), "health "Health care practitioner"
12means a health care professional, as defined in s. 180.1901 (1m), who is an employee
13of a health care provider described in s. 655.002 (1) (d), (e), (em), or (f) and who has
14the authority to provide health care services that are not under the direction and
15supervision of a physician or, nurse anesthetist, or nurse-midwife.

SB306-AA6,25,1817 655.001 (7t) (b) "Health care practitioner" does not include a person licensed
18to practice nurse-midwifery under s. 441.15.

SB306-AA6,25,2322 655.001 (9c) "Nurse-midwife" means a person who is licensed to practice
23nurse-midwifery under s. 441.15.

SB306-AA6,26,3

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1655.002 (1) (a) A physician or , a nurse anesthetist, or a nurse-midwife for
2whom this state is a principal place of practice and who practices his or her profession
3in this state more than 240 hours in a fiscal year.

SB306-AA6,26,65 655.002 (1) (b) (intro.) A physician or , a nurse anesthetist, or a nurse-midwife
6for whom Michigan is a principal place of practice, if all of the following apply:

SB306-AA6,26,98 655.002 (1) (b) 1. The physician or, nurse anesthetist, or nurse-midwife is a
9resident of this state.

SB306-AA6,26,1311 655.002 (1) (b) 2. The physician or, nurse anesthetist, or nurse-midwife
12practices his or her profession in this state or in Michigan or a combination of both
13more than 240 hours in a fiscal year.

SB306-AA6,26,1915 655.002 (1) (b) 3. The physician or, nurse anesthetist, or nurse-midwife
16performs more procedures in a Michigan hospital than in any other hospital. In this
17subdivision, "Michigan hospital" means a hospital located in Michigan that is an
18affiliate of a corporation organized under the laws of this state that maintains its
19principal office and a hospital in this state.

SB306-AA6,27,321 655.002 (1) (c) A physician or, nurse anesthetist, or nurse-midwife who is
22exempt under s. 655.003 (1) or (3), or a nurse-midwife who is exempt under s.
23655.003 (4), but who practices his or her profession outside the scope of the exemption
24and who fulfills the requirements under par. (a) in relation to that practice outside
25the scope of the exemption. For a physician or a, nurse anesthetist, or nurse-midwife

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1who is subject to this chapter under this paragraph, this chapter applies only to
2claims arising out of practice that is outside the scope of the exemption under s.
3655.003 (1) or, (3), or (4).

SB306-AA6,27,85 655.002 (1) (d) A partnership comprised of physicians or, nurse anesthetists,
6or nurse-midwives and organized and operated in this state for the primary purpose
7of providing the medical services of physicians or, nurse anesthetists, or
8nurse-midwives.

SB306-AA6,27,1210 655.002 (1) (e) A corporation organized and operated in this state for the
11primary purpose of providing the medical services of physicians or, nurse
12anesthetists, or nurse-midwives.

SB306-AA6,27,1614 655.002 (1) (em) Any organization or enterprise not specified under par. (d) or
15(e) that is organized and operated in this state for the primary purpose of providing
16the medical services of physicians or, nurse anesthetists, or nurse-midwives.

SB306-AA6,27,2118 655.002 (2) (a) A physician or, nurse anesthetist, or nurse-midwife for whom
19this state is a principal place of practice but who practices his or her profession fewer
20than 241 hours in a fiscal year, for a fiscal year, or a portion of a fiscal year, during
21which he or she practices his or her profession.

SB306-AA6,28,423 655.002 (2) (b) Except as provided in sub. (1) (b), a physician or, nurse
24anesthetist, or nurse-midwife for whom this state is not a principal place of practice,
25for a fiscal year, or a portion of a fiscal year, during which he or she practices his or

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1her profession in this state. For a health care provider who elects to be subject to this
2chapter under this paragraph, this chapter applies only to claims arising out of
3practice that is in this state and that is outside the scope of an exemption under s.
4655.003 (1) or (3) or (4).

SB306-AA6,28,96 655.003 (1) A physician or, a nurse anesthetist, or a nurse-midwife who is a
7state, county, or municipal employee, or federal employee or contractor covered
8under the federal tort claims act, as amended, and who is acting within the scope of
9his or her employment or contractual duties.

SB306-AA6,28,1511 655.003 (3) A physician or, a nurse anesthetist, or a nurse-midwife who
12provides professional services under the conditions described in s. 146.89 or 257.03
13(1), with respect to those professional services provided by the physician or, nurse
14anesthetist, or nurse-midwife for which he or she is covered by s. 165.25 and
15considered an agent of the department, as provided in s. 165.25 (6) (b).

SB306-AA6,28,1817 655.003 (4) A nurse-midwife who is considered to be an employee of the federal
18public health service under 42 USC 233 (g).

SB306-AA6,28,2320 655.005 (2) (a) An employee of a health care provider if the employee is a
21physician or a nurse anesthetist or is a health care practitioner who is providing
22health care services that are not in collaboration with a physician under s. 441.15 (2)
23(b) or under the direction and supervision of a physician or nurse anesthetist.

SB306-AA6,29,4

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1655.005 (2) (a) An employee of a health care provider if the employee is a
2physician or a, nurse anesthetist, or nurse-midwife or is a health care practitioner
3who is providing health care services that are not under the direction and
4supervision of a physician or, nurse anesthetist, or nurse-midwife.

SB306-AA6,29,146 655.005 (2) (b) A service corporation organized under s. 180.1903 by health care
7professionals, as defined under s. 180.1901 (1m), if the board of governors determines
8that it is not the primary purpose of the service corporation to provide the medical
9services of physicians or, nurse anesthetists, or nurse-midwives. The board of
10governors may not determine under this paragraph that it is not the primary purpose
11of a service corporation to provide the medical services of physicians or, nurse
12anesthetists, or nurse-midwives unless more than 50% of the shareholders of the
13service corporation are neither not physicians nor, nurse anesthetists, or
14nurse-midwives.

SB306-AA6,29,1816 655.23 (5m) The limits set forth in sub. (4) shall apply to any joint liability of
17a physician or, nurse anesthetist, or nurse-midwife and his or her corporation,
18partnership, or other organization or enterprise under s. 655.002 (1) (d), (e), or (em).

SB306-AA6,29,2320 655.27 (3) (a) 4. For a health care provider described in s. 655.002 (1) (d), (e),
21(em), or (f), risk factors and past and prospective loss and expense experience
22attributable to employees of that health care provider other than employees licensed
23as a physician or, nurse anesthetist , or nurse-midwife.

SB306-AA6,30,5

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1655.27 (3) (b) 2f. With respect to fees paid by nurse-midwives, the rule may
2provide for a separate payment classification or for a payment classification that is
3combined with one or more other categories of health care providers, as the
4commissioner, after approval by the board of governors, determines is appropriate
5for pooling risks under the fund.

SB306-AA6,30,137 655.27 (3) (b) 2m. In addition to the fees and payment classifications described
8under subds. 1. and 2. to 2f., the commissioner, after approval by the board of
9governors, may by rule establish a separate payment classification for physicians
10satisfying s. 655.002 (1) (b) and, a separate fee for nurse anesthetists satisfying s.
11655.002 (1) (b), and a separate fee for nurse-midwives satisfying s. 655.002 (1) (b)
12which take into account the loss experience of health care providers for whom
13Michigan is a principal place of practice.

SB306-AA6,30,1615 655.275 (5) (b) 3. If a claim was paid for damages arising out of the rendering
16of care by a nurse-midwife, with at least one nurse-midwife.".