SB579,8 22Section 8. 448.02 (4) (a) of the statutes is amended to read:
SB579,9,923 448.02 (4) (a) The board may summarily suspend any license, or certificate, or
24limited permit
granted by the board when the board has in its possession evidence
25establishing probable cause to believe that the holder of the license , or certificate, or

1limited permit
has violated the provisions of this subchapter and that it is necessary
2to suspend the license, or certificate , or limited permit immediately to protect the
3public health, safety, or welfare. The holder of the license, or certificate, or limited
4permit
shall be granted an opportunity to be heard during the determination of
5probable cause. The board chair and 2 board members designated by the chair or,
6if the board chair is not available, the board vice-chair and 2 board members
7designated by the vice-chair, shall exercise the authority granted by this paragraph
8to suspend summarily a license, or certificate, or limited permit in the manner
9provided under par. (b).
SB579,9 10Section 9. 448.02 (4) (b) of the statutes is amended to read:
SB579,9,2511 448.02 (4) (b) An order of summary suspension shall be served upon the holder
12of the license, or certificate, or limited permit in the manner provided in s. 801.11 for
13service of summons. The order of summary suspension shall be effective upon service
14or upon actual notice of the summary suspension given to the holder of the license,
15or certificate, or limited permit or to the attorney of the license, permit, or limited
16permit
certificate holder, whichever is sooner. A notice of hearing commencing a
17disciplinary proceeding shall be issued no more than 10 days following the issuance
18of the order of summary suspension. The order of summary suspension remains in
19effect until the effective date of a final decision and order in the disciplinary
20proceeding against the holder or until the order of summary suspension is
21discontinued by the board following a hearing to show cause. The holder of the
22license, or certificate, or limited permit shall have the right to request a hearing to
23show cause why the order of summary suspension should not be continued and the
24order of summary suspension shall notify the holder of the license , or certificate, or
25limited permit
of that right. If a hearing to show cause is requested by the holder

1of the license, or certificate , or limited permit, the hearing shall be scheduled on a
2date within 20 days of receipt by the board of the request for the hearing to show
3cause.
SB579,10 4Section 10. 448.02 (5) of the statutes is amended to read:
SB579,10,105 448.02 (5) Voluntary surrender. The holder of any license, or certificate or
6limited permit
granted by the board may voluntarily surrender the license, or
7certificate or limited permit to the secretary of the board, but the secretary may
8refuse to accept the surrender if the board has received allegations of unprofessional
9conduct against the holder of the license, or certificate or limited permit. The board
10may negotiate stipulations in consideration for accepting the surrender of licenses.
SB579,11 11Section 11. 448.02 (6) of the statutes is amended to read:
SB579,10,1512 448.02 (6) Restoration of license, or certificate or limited permit. The board
13may restore any license, or certificate or limited permit which that has been
14voluntarily surrendered or revoked under any of the provisions of this subchapter,
15on such terms and conditions as it may deem appropriate.
SB579,12 16Section 12. 448.02 (8) (a) of the statutes is amended to read:
SB579,11,617 448.02 (8) (a) After an investigation by the board under sub. (3) (a) or by the
18department under s. 440.03 (3m) or (5), the board may issue a private and
19confidential administrative warning to a holder of a license, or certificate or limited
20permit
if the board determines that there is evidence of misconduct by him or her.
21The board may issue an administrative warning under this paragraph only if the
22board determines that no further action is warranted because the matter involves
23a first occurrence of minor misconduct and the issuance of an administrative
24warning adequately protects the public by putting the holder of the license, or
25certificate or limited permit on notice that any subsequent misconduct may result

1in disciplinary action. The board shall review the determination if the holder of the
2license, or certificate or limited permit makes a personal appearance before the
3board. Following the review, the board may affirm, rescind or modify the
4administrative warning. A holder of a license, or certificate or limited permit may
5seek judicial review under ch. 227 of an affirmation or modification of an
6administrative warning by the board.
SB579,13 7Section 13. 448.02 (8) (b) of the statutes is amended to read:
SB579,11,118 448.02 (8) (b) An administrative warning issued under par. (a) does not
9constitute an adjudication of guilt or the imposition of discipline and may not be used
10as evidence that the holder of a license, or certificate or limited permit is guilty of
11misconduct.
SB579,14 12Section 14. 448.02 (8) (c) of the statutes is amended to read:
SB579,11,1913 448.02 (8) (c) Notwithstanding par. (b), if the board receives a subsequent
14allegation of misconduct about a holder of a license, or certificate or limited permit
15to whom the board issued an administrative warning under par. (a), the board may
16reopen the matter that resulted in the issuance of the administrative warning or use
17the administrative warning in any subsequent disciplinary hearing under sub. (3)
18(b) as evidence that he or she had actual knowledge that the misconduct that was the
19basis for the administrative warning was contrary to law.
SB579,15 20Section 15. 448.04 (1) (ac) of the statutes is created to read:
SB579,12,421 448.04 (1) (ac) Administrative physician license. The board may grant an
22administrative physician license to an applicant who satisfies the requirements
23under s. 448.05 (2c). The board shall issue a license under this paragraph subject
24to the same terms as a license issued under par. (a), except that, notwithstanding any
25other provision of law that permits a physician to engage in any act that constitutes

1the practice of medicine and surgery, the holder of a license issued under this
2paragraph may not engage in the practice of medicine and surgery except as
3otherwise authorized under s. 448.03 (2) and may not practice as provided in s.
4448.035.
SB579,16 5Section 16. 448.04 (1) (b) 2. of the statutes is repealed.
SB579,17 6Section 17. 448.04 (1) (bg) and (bm) of the statutes are created to read:
SB579,12,107 448.04 (1) (bg) Restricted license to practice medicine and surgery as a visiting
8physician.
1. The board may grant a restricted license to practice medicine and
9surgery as a visiting physician to an applicant who satisfies the requirements under
10s. 448.05 (2) (e).
SB579,12,1511 2. The holder of a license issued under this paragraph may engage in the
12practice of medicine and surgery only at the medical education facility, medical
13research facility, or medical college where the license holder is teaching, researching,
14or practicing, and only in accordance with the terms and restrictions established by
15the board.
SB579,12,1716 3. Subject to subd. 4., a license issued under this paragraph is valid for one year
17and may be renewed at the discretion of the board.
SB579,12,2018 4. A license issued under this paragraph remains valid only while the license
19holder is actively engaged in teaching, researching, or practicing medicine and
20surgery and is lawfully entitled to work in the United States.
SB579,12,2321 (bm) Resident educational license to practice medicine and surgery. 1. The
22board may grant a resident educational license to practice medicine and surgery to
23an applicant who satisfies the requirements under s. 448.05 (2) (d).
SB579,13,3
12. Subject to subd. 3., a license issued under this paragraph is valid for one year
2and may be renewed for additional one-year terms while the license holder is
3enrolled in the postgraduate training program under s. 448.05 (2) (d) 1.
SB579,13,74 3. A license issued under this paragraph remains valid only while the license
5holder is actively engaged in the practice of medicine and surgery in the
6postgraduate training program under s. 448.05 (2) (d) 1. and is lawfully entitled to
7work in the United States.
SB579,13,108 4. The holder of a license issued under this paragraph may engage in the
9practice of medicine and surgery only in connection with his or her duties under the
10postgraduate training program under s. 448.05 (2) (d) 1.
SB579,18 11Section 18. 448.04 (1) (c) of the statutes is repealed.
SB579,19 12Section 19. 448.05 (1) (c) of the statutes is amended to read:
SB579,13,1413 448.05 (1) (c) Achieve a passing grade in the any examinations required in this
14section.
SB579,20 15Section 20. 448.05 (1) (d) of the statutes is amended to read:
SB579,13,1916 448.05 (1) (d) Be found qualified by three-fourths of the members of the board,
17except that an applicant for a temporary license or certificate under s. 448.04 (1) (b)
181. and 3., (e), and (g), or (i) or a resident educational license under s. 448.04 (1) (bm)
19must be found qualified by 2 members of the board.
SB579,21 20Section 21. 448.05 (2) of the statutes is repealed and recreated to read:
SB579,13,2321 448.05 (2) License to practice medicine and surgery. (a) Except as provided
22in pars. (b) to (e), an applicant for any class of license to practice medicine and surgery
23must supply evidence satisfactory to the board of all of the following:
SB579,14,224 1. That the applicant is a graduate of and possesses a diploma from a medical
25or osteopathic college that is accredited by the Liaison Committee on Medical

1Education, the American Osteopathic Association, or a successor organization and
2that is approved by the board.
SB579,14,33 2. That the applicant satisfies one of the following:
SB579,14,74 a. The applicant has successfully completed and received credit for 24 months
5of postgraduate training in one or more programs accredited by the Accreditation
6Council for Graduate Medical Education, the American Osteopathic Association, or
7a successor organization.
SB579,14,158 b. The applicant is currently enrolled in a postgraduate training program
9accredited by the Accreditation Council for Graduate Medical Education, the
10American Osteopathic Association, or a successor organization; the applicant has
11successfully completed and received credit for 12 consecutive months of
12postgraduate training in that program; and the applicant has received an
13unrestricted endorsement from the postgraduate training program director that
14includes confirmation that the applicant is expected to continue in the program and
15complete at least 24 months of postgraduate training.
SB579,14,1716 3. That the applicant satisfies any other requirement established by the board
17by rule for issuing the license.
SB579,14,2018 (b) Except as provided in pars. (c) to (e), an applicant for a license to practice
19medicine and surgery who is a graduate of a foreign medical college must supply
20evidence satisfactory to the board of all of the following:
SB579,14,2221 1.   That the applicant is a graduate of and possesses a diploma from a foreign
22medical college credentialed by an agency approved by the board.
SB579,14,2423 2.   That the applicant has obtained certification by the Educational Council for
24Foreign Medical Graduates or a successor organization.
SB579,15,3
13.   That the applicant has passed all steps of the United States Medical
2Licensing Examination administered by the National Board of Medical Examiners
3and the Federation of State Medical Boards, or their successor organizations.
SB579,15,84 4. That the applicant has successfully completed and received credit for 24
5months of postgraduate training in one or more programs accredited by the
6Accreditation Council for Graduate Medical Education or the American Osteopathic
7Association or a successor organization, the last 12 months of which were completed
8in a single program.
SB579,15,109 5. That the applicant satisfies any other requirement established by the board
10by rule for issuing the license.
SB579,15,1511 (c) The board may promulgate rules specifying circumstances in which the
12board, in cases of hardship or in cases in which the applicant possesses a medical
13license issued by another jurisdiction, may grant a waiver from any requirement
14under par. (a) or (b). The board may grant such a waiver only in accordance with
15those rules.
SB579,15,1716 (d) An applicant for a resident educational license under s. 448.04 (1) (bm) shall
17provide the board with all of the following:
SB579,15,2018 1. Proof that the applicant has been accepted into a postgraduate training
19program accredited by the Accreditation Council for Graduate Medical Education,
20the American Osteopathic Association, or a successor organization.
SB579,15,2321 2. Written confirmation from the institution sponsoring the postgraduate
22training program into which the applicant has been accepted confirming that the
23applicant has been or will be appointed to a position in the program.
SB579,15,2524 3. Proof that the applicant is a graduate of and possesses a diploma from a
25medical or osteopathic college that is approved by the board.
SB579,16,3
1(e) An applicant for a restricted license to practice medicine and surgery as a
2visiting physician under s. 448.04 (1) (bg) shall provide the board with all of the
3following:
SB579,16,54 1. Proof that the applicant is a graduate of and possesses a diploma from a
5medical or osteopathic college that is approved by the board.
SB579,16,76 2. Proof that the applicant is licensed to practice medicine and surgery outside
7this state.
SB579,16,98 3. Proof that the applicant teaches medicine, engages in medical research, or
9practices medicine and surgery outside this state.
SB579,16,1310 4. Documentation that the applicant intends to teach, research, or practice
11medicine and surgery at a medical education facility, medical research facility, or
12medical college in this state, which must include a signed letter from the dean or
13president of the facility or college.
SB579,16,1514 5. Proof that the applicant satisfies any other requirement established by the
15board by rule for issuing the license.
SB579,22 16Section 22. 448.05 (2c) of the statutes is created to read:
SB579,16,2217 448.05 (2c) Administrative physician license. An applicant for an
18administrative physician license must supply evidence satisfactory to the board that
19he or she satisfies the requirements for a license to practice medicine and surgery
20under sub. (2) (a) or (b), subject to any waiver granted under sub. (2) (c), other than
21any requirement established by the board by rule relating to the active practice of
22medicine and surgery.
SB579,23 23Section 23. 448.05 (6) (a) of the statutes is amended to read:
SB579,17,724 448.05 (6) (a) Except as provided in pars. (am) and, (ar), and (at), the board
25shall examine each applicant it finds eligible under this section in such subject

1matters as the board deems applicable to the class of license or certificate which the
2applicant seeks to have granted. Examinations may be both written and oral. In lieu
3of its own examinations, in whole or in part, the board may make such use as it deems
4appropriate of examinations prepared, administered, and scored by national
5examining agencies, or by other licensing jurisdictions of the United States or
6Canada. The board shall specify passing grades for any and all examinations
7required.
SB579,24 8Section 24. 448.05 (6) (at) of the statutes is created to read:
SB579,17,139 448.05 (6) (at) When examining an applicant for a license to practice medicine
10and surgery or an administrative physician license under par. (a), the board may only
11use examinations prepared, administered, and scored by national examining
12agencies, except that the board may interview an individual applicant as needed to
13determine information specific to that applicant.
SB579,25 14Section 25. 448.06 (title) of the statutes is amended to read:
SB579,17,15 15448.06 (title) License, or certificate or limited permit granted, denied.
SB579,26 16Section 26. 448.06 (1) of the statutes is amended to read:
SB579,17,2017 448.06 (1) Grant of license, certificate , or limited permit. If Subject to s.
18448.05 (1) (d), if
three-fourths of the members of the board find that an applicant who
19has passed the required examinations is qualified, the board shall so notify the
20applicant and shall grant the license, certificate, or limited permit.
SB579,27 21Section 27 . 448.06 (1) of the statutes, as affected by 2013 Wisconsin Act ....
22(this act), is amended to read:
SB579,18,223 448.06 (1) Grant of license, or certificate, or limited permit. Subject to s.
24448.05 (1) (d), if three-fourths of the members of the board find that an applicant who

1has passed the required examinations is qualified, the board shall so notify the
2applicant and shall grant the license, or certificate, or limited permit.
SB579,28 3Section 28. 448.063 of the statutes is created to read:
SB579,18,10 4448.063 Notification requirements for certain licenses. (1) If the holder
5of a license granted under the authority of s. 448.05 (2) (a) 2. b. subsequently
6discontinues his or her postgraduate training program at any time prior to the
7completion of the program, the program director shall notify the board, providing full
8details of the cause of the discontinuance and the holder's plans, if any, for completion
9of the postgraduate training program. The board shall review the matter and may
10take any appropriate action.
SB579,18,15 11(2) If the holder of a license granted under s. 448.04 (1) (bg) ceases to teach,
12research, or practice medicine and surgery at the medical education facility, medical
13research facility, or medical college where he or she is visiting, the medical education
14facility, medical research facility, or medical college shall notify the board. The board
15shall review the matter and may take any appropriate action.
SB579,29 16Section 29. 448.065 of the statutes is repealed.
SB579,30 17Section 30. 448.07 (1) (d) of the statutes is amended to read:
SB579,19,218 448.07 (1) (d) No registration may be permitted by the secretary of the board
19in the case of any physician or perfusionist who has failed to meet the requirements
20of s. 448.13 or any person whose license, or certificate, or limited permit has been
21suspended or revoked and the registration of any such person shall be deemed
22automatically annulled upon receipt by the secretary of the board of a verified report
23of such suspension or revocation, subject to the licensee's or permittee's person's right
24of appeal. A person whose license, or certificate, or limited permit has been
25suspended or revoked and subsequently restored shall be registered by the board

1upon tendering a verified report of such restoration of the license, or certificate, or
2limited permit
, together with an application for registration and the registration fee.
SB579,31 3Section 31. 448.08 (1) (a) of the statutes is amended to read:
SB579,19,154 448.08 (1) (a) "Hospital" means an institution providing 24-hour continuous
5service to patients confined therein which is primarily engaged in providing facilities
6for diagnostic and therapeutic services for the surgical and medical diagnosis,
7treatment and care, of injured or sick persons, by or under the supervision of a
8professional staff of physicians and surgeons, and which is not primarily a place of
9rest for the aged, drug addicts or alcoholics, or a nursing home. Such hospitals may
10charge patients directly for the services of their employee nurses, nonphysician
11anesthetists, physical therapists and medical assistants other than physicians or
12dentists, and may engage on a salary basis interns and residents who are
13participating in an accredited training program under the supervision of the medical
14staff, and persons with a resident educational license issued under s. 448.04 (1) (bm)
15or a
temporary educational certificate issued under s. 448.04 (1) (c), 2011 stats.
SB579,32 16Section 32 . 448.08 (1) (a) of the statutes, as affected by 2013 Wisconsin Act ....
17(this act), is amended to read:
SB579,20,418 448.08 (1) (a) "Hospital" means an institution providing 24-hour continuous
19service to patients confined therein which is primarily engaged in providing facilities
20for diagnostic and therapeutic services for the surgical and medical diagnosis,
21treatment and care, of injured or sick persons, by or under the supervision of a
22professional staff of physicians and surgeons, and which is not primarily a place of
23rest for the aged, drug addicts or alcoholics, or a nursing home. Such hospitals may
24charge patients directly for the services of their employee nurses, nonphysician
25anesthetists, physical therapists and medical assistants other than physicians or

1dentists, and may engage on a salary basis interns and residents who are
2participating in an accredited training program under the supervision of the medical
3staff, and persons with a resident educational license issued under s. 448.04 (1) (bm)
4or a temporary educational certificate issued under s. 448.04 (1) (c), 2011 stats.
SB579,33 5Section 33. 448.10 (1), (4) and (5) of the statutes are repealed.
SB579,34 6Section 34. 448.10 (1m), (2m) and (3m) of the statutes are created to read:
SB579,20,127 448.10 (1m) Notwithstanding s. 448.05 (2), a person who, on the effective date
8of this subsection .... [LRB inserts date], possessed a valid license to practice
9medicine and surgery under s. 448.05 (2) or 448.065, 2011 stats., may retain, practice
10under, and continue to renew that license, subject to any other provisions in this
11subchapter or any rules promulgated by the board governing a license to practice
12medicine and surgery.
SB579,20,18 13(2m) A person who, on the effective date of this subsection .... [LRB inserts
14date], possessed a valid temporary license to practice medicine and surgery under
15s. 448.04 (1) (b) 2., 2011 stats., may retain, practice under, and continue to renew that
16license in accordance with s. 448.04 (1) (b) 2., 2011 stats., subject to any other
17provisions in this subchapter or any rules promulgated by the board governing that
18license.
SB579,20,24 19(3m) A person who, on the effective date of this subsection .... [LRB inserts
20date], possessed a valid temporary educational permit to practice medicine and
21surgery under s. 448.04 (1) (c), 2011 stats., may retain, practice under, and continue
22to renew that permit in accordance with s. 448.04 (1) (c), 2011 stats., subject to any
23other provisions in this subchapter or any rules promulgated by the board governing
24that permit, or may apply for a resident educational license under s. 448.04 (1) (bm).
SB579,35
1Section 35. 448.10 (1m) of the statutes, as created by 2013 Wisconsin Act ....
2(this act), is renumbered 448.10.
SB579,36 3Section 36. 448.10 (2m) of the statutes, as created by 2013 Wisconsin Act ....
4(this act), is repealed.
SB579,37 5Section 37. 448.10 (3m) of the statutes, as created by 2013 Wisconsin Act ....
6(this act), is repealed.
SB579,38 7Section 38. 462.01 (4) of the statutes is amended to read:
SB579,21,98 462.01 (4) "Physician" means a person licensed to practice medicine and
9surgery under s. 448.04 (1) (a) or, (b), or (bg).
SB579,39 10Section 39. Nonstatutory provisions.
SB579,21,2111 (1) Using the procedure under section 227.24 of the statutes, the medical
12examining board may promulgate rules under section 448.40 (1) of the statutes that
13are necessary to implement the changes in this act and rules under section 448.05
14(2) (c), as affected by this act, for the period before the effective date of any permanent
15rules promulgated under section 448.40 (1) of the statutes, but not to exceed the
16period authorized under section 227.24 (1) (c) of the statutes, subject to extension
17under section 227.24 (2) of the statutes. Notwithstanding section 227.24 (1) (a), (2)
18(b), and (3) of the statutes, the board is not required to provide evidence that
19promulgating a rule under this subsection as an emergency rule is necessary for the
20preservation of the public peace, health, safety, or welfare and is not required to
21provide a finding of emergency for a rule promulgated under this subsection.
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