Embed Size (px)
Citation preview
Wisconsin Department of Safety and Professional Services Division of Policy Development
4822 Madison Yards Way
PO Box 8366 Madison WI 53705-8366
Phone: 608-266-2112
Web: http://dsps.wi.gov
Email: [email protected]
Tony Evers, Governor
Dawn B. Crim, Secretary
DENTISTRY EXAMINING BOARD
Room N208, 4822 Madison Yards Way, Madison
Contact: Christian Albouras (608) 266-2112
July 10, 2019
The following agenda describes the issues that the Board plans to consider at the meeting. At
the time of the meeting, items may be removed from the agenda. Please consult the meeting
minutes for a description of the actions of the Board.
AGENDA
9:00 A.M.
OPEN SESSION – CALL TO ORDER – ROLL CALL
A. Adoption of Agenda
B. Approval of Minutes of May 1, 2019 (5-7)
C. Introductions, Announcements and Recognition
1. New Member
a. Sheheda Govani, Dentist Member
2. Resignations and Replacements
a. Mark Braden, Dentist Member
D. Administrative Matters – Discussion and Consideration
1. Department, Staff, and Board Updates
2. Appointment of Liaisons and Alternates
3. Board Members – Term Expiration Dates
E. Legislative and Administrative Rule Matters – Discussion and Consideration
1. Adopt CR 18-063 Relating to Delegation of Functions to Unlicensed Persons (8-11) 2. Adopt CR 17-068 Relating to Dental Licensure and the Practice of Dental Hygiene
(12-25) 3. DE 9 and 11 Relating to Laboratories and Work Authorizations and Anesthesia
4. Legislation and Pending or Possible Rulemaking Projects
F. Informational Items
1. 2019-2021 Licensure Fees and Credential Schedule (26-32)
G. Discussion and Consideration of Items Added After Preparation of Agenda
1. Introductions, Announcements and Recognition
2. Election of Officers
1
Appointment of Liaisons and Alternates
3. Administrative Matters
4. Education and Examination Matters
5. Credentialing Matters
6. Practice Matters
7. Legislative and Administrative Rule Matters
8. Liaison Report(s)
9. Informational Item(s)
10. Division of Legal Services and Compliance (DLSC) Matters
11. Presentations of Petition(s) for Summary Suspension
12. Petitions for Designation of Hearing Examiner
13. Presentation of Proposed Stipulation(s), Final Decision(s) and Order(s)
14. Presentation of Proposed Final Decision(s) and Order(s)
15. Presentation of Interim Orders
16. Petitions for Re-Hearing
17. Petitions for Assessments
18. Petitions to Vacate Orders
19. Requests for Disciplinary Proceeding Presentations
20. Motions
21. Petitions
22. Appearances from Requests Received or Renewed
23. Speaking Engagement(s), Travel, or Public Relation Request(s)
H. Public Comments
CONVENE TO CLOSED SESSION to deliberate on cases following hearing (Wis. Stat. s.
19.85(1)(a),); to consider licensure or certification of individuals (Wis. Stat s. 19.85(1)(b),
Stats.; to consider closing disciplinary investigations with administrative warnings (Wis.
Stat. s. 19.85 (1)(b), and 440.205,); to consider individual histories or disciplinary data (Wis.
Stat. s. 19.85 (1)(f),); and to confer with legal counsel (Wis. Stat. s. 19.85(1)(g),).
I. Deliberation on Proposed Final Decisions and Orders
1. APPEARANCES: Grant A. Lemke, Respondent; W. Patrick Sullivan and
Ellison F. Hitt, Attorney’s for the Respondent; and Zachary Peters and Alicia
M. Kennedy, Prosecuting Attorney’s – Grant A. Lemke, D.D.S., Respondent –
DHA Case Number SPS18-0015/DLSC Case Number 16 DEN 059 (33-87) 2. James F. Murphy, D.D.S., Respondent – DHA Case Number 18-0036/DLSC Case
Number 17 DEN 080 (88-106)
J. Division of Legal Services and Compliance Matters
1. Proposed Stipulations, Final Decisions and Orders
a. 17 DEN 028 – Joel A. Supita, D.D.S. (107-113)
b. 17 DEN 047 – Sirisha Gogineni, D.D.S. (114-119)
2. Case Closings
a. 17 DEN 046 – H.Z. (120-125)
b. 18 DEN 071 – K.W.K. (126-128)
2
c. 18 DEN 101 – T.S.N. (129-131)
d. 18 DEB 144 – R.J.S. (132-135)
e. 19 DEN 018 – M.M.S. (136-138)
K. Consulting with Legal Counsel
L. Deliberation of Items Received After Preparation of the Agenda
1. Education and Examination Matters
2. Credentialing Matters
3. DLSC Matters
4. Monitoring Matters
5. Professional Assistance Procedure (PAP)
6. Petition(s) for Summary Suspensions
7. Petitions for Designation of Hearing Examiner
8. Proposed Stipulations, Final Decisions and Orders
9. Administrative Warnings
10. Review of Administrative Warning
11. Proposed Final Decisions and Orders
12. Matters Relating to Costs/Orders Fixing Costs
13. Case Closings
14. Proposed Interim Orders
15. Petitions for Assessments and Evaluations
16. Petitions to Vacate Orders
17. Remedial Education Cases
18. Motions
19. Petitions for Re-Hearing
20. Appearances from Requests Received or Renewed
RECONVENE TO OPEN SESSION IMMEDIATELY FOLLOWING CLOSED SESSION
M. Vote on Items Considered or Deliberated Upon in Closed Session, if Voting is Appropriate
N. Open Session Items Noticed Above Not Completed in the Initial Open Session
ADJOURNMENT
NEXT MEETING: SEPTEMBER 4, 2019
******************************************************************************
MEETINGS AND HEARINGS ARE OPEN TO THE PUBLIC, AND MAY BE CANCELLED
WITHOUT NOTICE.
Times listed for meeting items are approximate and depend on the length of discussion and voting. All
meetings are held at 4822 Madison Yards Way, Madison, Wisconsin, unless otherwise noted. In order to
confirm a meeting or to request a complete copy of the board’s agenda, please call the listed contact person.
The board may also consider materials or items filed after the transmission of this notice. Times listed for
the commencement of disciplinary hearings may be changed by the examiner for the convenience of the
3
parties. Interpreters for the hearing impaired provided upon request by contacting the Affirmative Action
Officer, 608-266-2112.
4
DENTISTRY EXAMINING BOARD MEETING MINUTES
MAY 1, 2019
PRESENT: Lisa Bahr, RDH; Debra Beres, RDH; Matthew Bistan, DDS; Mark Braden, DDS; Leonardo Huck, DDS; Herbert Kaske, DDS; Dennis Myers, Wendy Pietz, DDS; Katherine Schrubbe, RDH; and Peter Sheild, DDS
STAFF: Christian Albouras, Executive Director; Sharon Henes, Administrative Rules Coordinator; Kate Stolarzyk, Bureau Assistant; and other Department staff
CALL TO ORDER
Matthew Bistan, Chairperson, called the meeting to order at 9:07 a.m. A quorum of ten (10) members was confirmed.
ADOPTION OF AGENDA
MOTION: Debra Beres moved, seconded by Dennis Myers, to adopt the agenda as published. Motion carried unanimously.
APPROVAL OF MINUTES OF MARCH 6, 2019
MOTION: Peter Sheild moved, seconded by Debra Beres, to approve the minutes of March 6, 2019 as published. Motion carried unanimously.
CLOSED SESSION
MOTION: Mark Braden moved, seconded by Leonardo Huck, to convene to Closed Session to deliberate on cases following hearing (s. 19.85(1)(a), Stats.); to consider licensure or certification of individuals (s. 19.85(1)(b), Stats.); to consider closing disciplinary investigations with administrative warnings (ss. 19.85 (1)(b), and 440.205, Stats.); to consider individual histories or disciplinary data (s. 19.85 (1)(f), Stats.); and to confer with legal counsel (s. 19.85(1)(g), Stats.). The Chair read the language of the motion. The vote of each member was ascertained by voice vote. Roll Call Vote: Lisa Bahr, RDH – yes; Debra Beres, RDH – yes; Matthew Bistan, DDS – yes; Mark Braden, DDS – yes; Leonardo Huck, DDS – yes; Herbert Kaske, DDS – yes; Dennis Myers – yes; Wendy Pietz, DDS – yes; Katherine Schrubbe, RDH – yes; and Peter Sheild, DDS – yes. Motion carried unanimously.
The Board convened into Closed Session at 9:59 a.m.
CREDENTIALING MATTERS
9:30 A.M. APPEARANCE: Nancy Moser – Dental Hygienist Re-registration Application Review
MOTION: Mark Braden moved, seconded by Herbert Kaske, to reject the evidence of education completed by Nancy Moser as insufficient to meet the requirements of DE 2.03(5)(b). Motion carried unanimously.
55
DIVISION OF LEGAL SERVICES AND COMPLIANCE (DLSC) MATTERS
Proposed Stipulations, Final Decisions and Orders
17 DEN 050 – Daniel E. Tache, D.M.D
MOTION: Leonardo Huck moved, seconded by Peter Sheild, to adopt the Finding of Fact, Conclusions of Law and Order in the matter of disciplinary proceedings against Daniel E. Tache, D.M.D., DLSC Case Number 17 DEN 050. Motion carried unanimously.
17 DEN 136 – William R. Kisker, D.M.D.
MOTION: Mark Braden moved, seconded by Debra Beres, to adopt the Finding of Fact, Conclusions of Law and Order in the matter of disciplinary proceedings against William R. Kisker, D.M.D., DLSC Case Number 17 DEN 136. Motion carried unanimously.
18 DEN 149 – Cheryl L. Schneider, R.D.H.
MOTION: Peter Sheild moved, seconded by Leonardo Huck, to adopt the Finding of Fact, Conclusions of Law and Order in the matter of disciplinary proceedings against Cheryl L. Schneider, R.D.H., DLSC Case Number 18 DEN 149. Motion carried unanimously.
(Debra Beres recused herself and left the room for deliberation and voting in the matter concerning Cheryl L. Schneider, R.D.H., DLSC Case Number 18 DEN 149.)
Case Closings
17 DEN 126 – S.M.N.
MOTION: Lisa Bahr moved, seconded by Katherine Schrubbe, to close DLSC Case Number 17 DEN 126, against S.M.N., for prosecutorial discretion (P2). Motion carried unanimously.
18 DEN 055 – T.M.D.
MOTION: Peter Sheild moved, seconded by Mark Braden, to close DLSC Case Number 18 DEN 055, against T.M.D., for no violation. Motion carried unanimously.
MOTION: Dennis Myers moved, seconded by Herbert Kaske, to close the DLSC cases for the reasons outlined below:
1. 18 DEN 059 – J.F.M. – Prosecutorial Discretion (P2)2. 18 DEB 089 – R.M.W. – Prosecutorial Discretion (P2)3. 18 DEN 105 – A.M. – No ViolationMotion carried unanimously.
66
RECONVENE TO OPEN SESSION
MOTION: Dennis Myers moved, seconded by Lisa Bahr, to reconvene into Open Session. Motion carried unanimously.
The Board reconvened into Open Session at 11:03 a.m.
VOTE ON ITEMS CONSIDERED OR DELIBERATED UPON IN CLOSED SESSION
MOTION: Dennis Myers moved, seconded by Debra Beres, to affirm all motions made and votes taken in Closed Session. Motion carried unanimously.
(Be advised that any recusals or abstentions reflected in the Closed Session motions stand for the purposes of the affirmation vote.)
OPEN SESSION ITEMS NOTICED ABOVE NOT COMPLETED IN THE INITIAL OPEN SESSION
MOTION: Herbert Kaske moved, seconded by Katherine Schrubbe, to designate Debra Beres to serve on the Central Regional Dental Testing Service (CRDTS) Steering Committee. Motion carried.
ADJOURNMENT
MOTION: Lisa Bahr, seconded by Leonardo Huck, to adjourn the meeting. Motion carried unanimously.
The meeting adjourned at 11:12 a.m.
77
AGENDA REQUEST FORM 1) Name and Title of Person Submitting the Request:
Sharon Henes Administrative Rules Coordinator
2) Date When Request Submitted:
June 26, 2019
Items will be considered late if submitted after 12:00 p.m. on the deadline date which is 8 business days before the meeting
3) Name of Board, Committee, Council, Sections:
Dentistry Examining Board
4) Meeting Date:
10 July 2019
5) Attachments:
Yes
No
6) How should the item be titled on the agenda page?
Legislative and Administrative Rule Matters 1. Adopt CR 18-063 Relating to Delegation of Functions to Unlicensed Persons2. Adopt CR 17-068 Relating to Dental Licensure and the Practice of Dental Hygiene3. DE 9 and 11 Relating to Laboratories and Work Authorizations and Anesthesia4. Legislation and Pending or Possible Rulemaking Projects
7) Place Item in:
Open Session
Closed Session
8) Is an appearance before the Board beingscheduled?
Yes
No
9) Name of Case Advisor(s), if required:
10) Describe the issue and action that should be addressed:
11) Authorization
Sharon Henes 6/26/19 Signature of person making this request Date
Supervisor (if required) Date
Executive Director signature (indicates approval to add post agenda deadline item to agenda) Date
Directions for including supporting documents: 1. This form should be attached to any documents submitted to the agenda.2. Post Agenda Deadline items must be authorized by a Supervisor and the Policy Development Executive Director.3. If necessary, provide original documents needing Board Chairperson signature to the Bureau Assistant prior to the start of ameeting.
88
STATE OF WISCONSIN
DENTISTRY EXAMINING BOARD
---------------------------------------------------------------------------------------------------------------------
IN THE MATTER OF RULE-MAKING : ORDER OF THE
PROCEEDINGS BEFORE THE : DENTISTRY EXAMINING BOARD
DENTISTRY EXAMINING BOARD : ADOPTING RULES
: (CLEARINGHOUSE RULE 18-063)
---------------------------------------------------------------------------------------------------------------------
ORDER
An order of the Dentistry Examining Board to repeal DE 12.04 and to amend DE 12.01 (3) and
12.02, relating to delegation of functions to unlicensed persons.
Analysis prepared by the Department of Safety and Professional Services.
---------------------------------------------------------------------------------------------------------------------
ANALYSIS
Statutes interpreted: s. 447.065, Stats.
Statutory authority: ss. 15.08 (5) (b) and 447.02 (2) (a), Stats.
Explanation of agency authority:
s. 15.08(5)(b) Each Examining Board shall promulgate rules for its own guidance and for the
guidance of the trade or profession to which it pertains and define and enforce professional
conduct and unethical practices not inconsistent with the law relating to the particular trade or
profession.
s. 447.02 (2) (a) The Examining Board shall promulgate rules specifying the conditions for
supervision and the degree of supervision required under ss. 447.03 (3) (a), (b) and (d) 2. and
447.065.
Related statute or rule: N/A
Plain language analysis:
Section 1 clarifies the nondelegated functions to include functions which are intended,
interpreted or represented to be preliminary assessments, dental hygiene treatment planning, oral
screenings and calculus removal (both above and below the gumline).
Section 2 updates the provision to allow a dentist to verify the competency of the person who is
performing the remediable dental procedure or function instead of providing training to a person
who is already trained on the procedure or function.
Section 3 repeals the provision allowing the removal of plaque and material alba with a
mechanical device only if the delegation of the function complies with ss. DE 12.01 and 12.02.
99
This provision is unnecessary as any function that complies with ss. DE 12.01 and 12.02 is
allowed.
Summary of, and comparison with, existing or proposed federal regulation: None
Comparison with rules in adjacent states:
Illinois: Illinois does not allow for the delegation to unlicensed persons.
Iowa: Iowa does not allow for the delegation to unlicensed persons.
Michigan: Michigan does not allow for the delegation to unlicensed persons.
Minnesota: Minnesota allows assistants without a license or permit to do the following:
o Perform all those duties not directly related with performing dental treatment or
services on patients.
o Retract a patient’s cheek, tongue, or other parts of tissue during a dental operation.
o Assist with the placement or removal of a rubber dam and accessories used for its
placement and retention, as directed by an operating dentist during the course of a
dental operation.
o Remove debris by the use of vacuum devices, compressed air, mouthwash, and water
that is normally created or accumulated during the course of treatment rendered by a
licensed dentist.
o Provide any assistance in response to a specific direction by a licensed dentist who is
physically engaged in performing a dental operation and is physically in a position to
give personal supervision to the assistant.
o Aid dental hygienists and licensed dental assistants in the performance of their duties.
o Apply fluoride varnish in a community setting under the authorization and direction of
a licensed practitioner with prescribing authority such as a dentist or physician, as long
as the licensed practitioner authorizing the service or the facility at which the fluoride
varnish is administered maintains appropriate patient records of the treatment.
An unlicensed assistant may not perform any dental treatment tor procedure on patients not
otherwise authorized above.
Summary of factual data and analytical methodologies:
The Dentistry Examining Board reviewed the chapter to ensure it was statutorily compliant and
current with professional standards and practices.
Analysis and supporting documents used to determine effect on small business or in
preparation of economic impact analysis:
The rule was posted for economic comments and none were received.
Fiscal Estimate and Economic Impact Analysis:
1010
The Fiscal Estimate and Economic Impact Analysis is attached.
Effect on small business:
These rules do not have an economic impact on small businesses, as defined in s. 227.114 (1),
Stats. The Department’s Regulatory Review Coordinator may be contacted by email at
[email protected], or by calling (608) 267-2435.
Agency contact person:
Sharon Henes, Administrative Rules Coordinator, Department of Safety and Professional
Services, Division of Policy Development, 4822 Madison Yards Way, P.O. Box 8366, Madison,
Wisconsin 53708; telephone 608-261-2377; email at [email protected].
---------------------------------------------------------------------------------------------------------------------
TEXT OF RULE
SECTION 1. DE 12.01 (3) is amended to read:
DE 12.01 (3) Intended, interpreted, or represented to be preliminary assessments, dental hygiene
treatment planning, oral screenings, oral prophylaxes, scaling or root planning, or dental sealants,
or any portion of an oral prophylaxis other than supragingival rubber cup and air polishing after
or subgingival calculus is removed if necessary removal.
SECTION 2. DE 12.02 is amended to read:
DE 12.02 Training. A dentist who delegates any remediable dental procedure or function to an
unlicensed person shall first provide training to or verify competency of the person in the
performance of the procedure or function.
SECTION 3. DE 12.04 is repealed.
SECTION 4. EFFECTIVE DATE. The rules adopted in this order shall take effect on the first
day of the month following publication in the Wisconsin Administrative Register, pursuant to s.
227.22 (2) (intro.), Stats.
---------------------------------------------------------------------------------------------------------------------
(END OF TEXT OF RULE)
---------------------------------------------------------------------------------------------------------------------
Dated _________________ Agency __________________________________
Chairperson
Dentistry Examining Board
1111
STATE OF WISCONSIN DENTISTRY EXAMINING BOARD
------------------------------------------------------------------------------------------------------------ IN THE MATTER OF RULEMAKING : ORDER OF THE PROCEEDINGS BEFORE THE : DENTISTRY EXAMINING BOARD DENTISTRY EXAMINING BOARD : ADOPTING RULES : (CLEARINGHOUSE RULE 17-068) ------------------------------------------------------------------------------------------------------------
ORDER
An order of the Dentistry Examining Board to repeal DE 1.02 (1m), (2) and (4), 2.03 (7), 2.04 (1) (c) and (d), 2.04 (2) (c), 2.04 (2) (f), 2.06, 2.07, 2.08 and 2.09; to amend DE 2.01 (1) (d), (f), and (g), 2.01 (2) (a) and (b), 2.015 (1) (d), 2.03 (5) (title), 2.03 (5) (a) 2., 2.04 (1), 2.04 (1) (e) and (g), 2.04 (2), 2.04 (2) (d), 2.05 and 3.04 (2); to repeal and recreate DE 2.03 (5) (b), 2.03 (6), 2.04 (1) (a), 3.02 and 3.03; and to create DE 2.005, 2.01 (1) (h), 2.01 (1m) (e), 2.01 (2) (c) and (d), 2.013, and 2.015 (1) (f), relating to dental licensure and the practice of dental hygiene. Analysis prepared by the Department of Safety and Professional Services. ------------------------------------------------------------------------------------------------------------
ANALYSIS Statutes interpreted: ss. 447.03 (3) (a) and (b), 447.04, 447.05, and 447.06 (2), Stats. Statutory authority: ss. 15.08 (5) (b), 440.08 (3) (b), 447.02 (1) (a), (d) and (e), 447.02 (2) (a) and (d), 447.04 (1) (a) 6. and (b) 1. and 447.04 (2) (a) 6. and (b) 1., Stats. Explanation of agency authority: Each examining board shall promulgate rules for its own guidance and for the guidance of the profession to which it pertains, and define and enforce professional conduct and unethical practices not inconsistent with the law relating to the particular profession. [s. 15.08 (5) (b), Stats.] The examining board may promulgate rules requiring the holder of a credential who fails to renew the credential within 5 years after its renewal date to complete requirements in order to restore the credential, in addition to the applicable requirements for renewal established under ch. 447, that the examining board determines are necessary to protect the public health, safety or welfare. The rules may not require the holder to complete educational requirements or pass examinations that are more extensive than the educational or examination requirements that must be completed in order to obtain an initial credential from the examining board. [s. 440.08 (3) (b), Stats.]
1212
The examining board may promulgate rules governing the reexamination of an applicant who fails an examination specified in s. 447.04 (1) (a) 5. or (2) (a) 5. The rules may specify additional educational requirements for those applicants and may specify the number of times an applicant may be examined. [s. 447.02 (1) (a) , Stats.] The examining board may promulgate rules specifying practices, in addition to the practices specified under s. 447.01 (3) (a) to (f), that are included within the practice of dental hygiene. [s. 447.02 (1) (d), Stats.] The examining board may promulgate rules providing for the granting of temporary licenses under this chapter. [s. 447.02 (1) (e), Stats.] The examining board shall promulgate rules specifying the conditions for supervision and the degree of supervision required under ss. 447.03 (3) (a), (b) and (d) 2. and 447.065. [s. 447.02 (2) (a), Stats.] The examining board shall promulgate rules specifying the oral systemic premedications and subgingival sustained release chemotherapeutic agents that may be administered by a dental hygienist licensed under this chapter under s. 447.06 (2) (e) 1. and 3. [s. 447.02 (2) (d), Stats.] The examining board shall grant a license to practice dental hygiene to an individual who completes any other requirements established by the examining board by rule and to an individual licensed in another state or territory or another country if the applicant meets the requirements for licensure established by the examining board by rule. [ss. 447.04 (1) (a) 6. and 447.04 (1) (b) 1., Stats.] The examining board shall grant a license to practice dentistry to an individual who completes any other requirements established by the examining board by rule and to an individual licensed in another state or territory or another country if the applicant meets the requirements for licensure established by the examining board by rule. [ss. 447.04 (2) (a) 6. and 447.04 (2) (b) 1., Stats.] Related statute or rule: N/A Plain language analysis: Section 1 repeals the definitions for “active practice of dental hygiene”, “active practice of dentistry” and “clinical and laboratory demonstration” due to those phrases are no longer being used in the code chapters.
1313
Section 2 creates the criteria for approving dental testing services and dental hygiene testing service. The testing service must include testing clinical knowledge and a practical component which uses either live human patients or simulated patients. Section 3 amends the provision to statutes and rules relating to dentistry rather than listing the statutory and code references in order to eliminate the need to update each time the chapter numbers change. The name of the entity which provides verification of the national test scores is updated. It amends the requirement to a board-approved testing service recognizing that there are several testing services. The term “clinical and laboratory demonstrations” is repealed as the phrase is outdated. It also states the exam must be taken within 1 year preceding application to create consistency. It also removes the limitation on the number of times a test can be taken. Sections 4, 5 and 10 update the requirements to include the statutory requirement to provide proof of current cardiopulmonary resuscitation (CPR) training. Section 6 updates the name of the entity which provides verification of the national test scores. It amends the requirement to a board-approved testing service recognizing that there are several testing services. The term “clinical and laboratory demonstrations” is repealed as the phrase is outdated. It also states the exam must be taken within 1 year preceding application to create consistency. Section 7 updates the requirements to include the statutory requirements of graduation from an accredited dental hygiene school and proof of CPR training. Section 8 is created to clarify a dental student or dental hygiene student is required to practice under the supervision of a dentist who is on the premises. Section 9 removes the requirement that an applicant for a faculty license must have an interview with the board to prove competency, but allows the board to interview the applicant as necessary. Section 11 amends the title of the subsection in order to address the requirements for late renewal and reinstatement separately. Section 12 updates the renewal fee statutory reference. Section 13 provides the requirements for renewing a license after 5 years. A person renewing after 5 years is required to pay the renewal fee and late fee, proof of CPR training and then evidence of one of the following to show competency: licensed in another state; passed an examination within the past year; completed a one year general practice residency; completed a clinical education program approved by the board. Section 14 repeals and recreates the requirements for reinstatement of a license after suspension or revocation or unmet disciplinary requirements and a license lapsed more than 5 years. The individual must provide evidence of completion of any disciplinary
1414
requirements and rehabilitation or change in circumstances showing that reinstatement to the practice will not constitute a danger to the public or a patient. In addition, if the license has not been renewed within 5 years the individual is required to complete the renewing after 5 years requirements. Section 15 repeals the requirement that the license must be displayed in a prominent place. This requirement creates an unnecessary burden and is obsolete due to the ease of electronic license verification for the public and registrations are no longer mailed to the licensees. Sections 16 and 20 clarify the license held in another jurisdiction is in good standing and updates the statutory reference. Section 17 updates the foreign dental school requirements for endorsement candidates to match the current requirements for initial licensure. In addition to the foreign education, an applicant is required to have a DDS or DMD degree from an accredited dental school or a diploma, degree or certificate from a full time, undergraduate supplemental dental education program of at least 2 academic years at an accredited dental school to the level of a DDS or DMD degree. Section 18 repeals the requirement for endorsement that the applicant has not failed an examination within the last three years recognizing that the passage of the examination reflects competency. This repeal makes the requirement consistent with non-endorsement applicants. This section also removes the requirement that an endorsement applicant must demonstrate active practice within at least 48 of the last 60 months. This requirement created a burden on applicants and barred those applicants who had a license less than 48 months. Section 19 clarifies the examination requirement for endorsement applicants by requiring the applicant to have passed a test which the board determines is substantially equivalent to a board approved examination. It also amends the CPR requirement to create consistency throughout the rule. Section 21 repeals the requirement for endorsement that the applicant has not failed an examination within the last three years recognizing that the passage of the examination reflects competency. This repeal makes the requirement consistent with non-endorsement applicants. Section 22 clarifies the examination requirement for endorsement applicants by requiring the applicant to have passed a test which the board determines is substantially equivalent to a board approved examination. Section 23 removes the requirement that an endorsement applicant must demonstrate active practice. This requirement created a burden on applicants and barred those applicants who recently obtained a license in another state.
1515
Section 24 simplifies the examination passing score to be the recommended passing score of the exam provider. Section 25 repeals obsolete provisions relating to examinations including unauthorized assistance, examination review, and claim of examination error. It also repeals the limitation an applicant can fail an examination only 3 times without more training or education. The board does not have knowledge of what questions the applicant fails, therefore can’t prescribe further training or education to remediate those areas. Section 26 creates conformity with the statutes regarding the practice of dental hygiene. It also removes the confusing references regarding a dentist being present in the dental facility which is not referenced in statute. The new language also allows for the scope of practice to evolve without a list of items which can be performed by a dental hygienist. Section 27 further defines subgingival sustained release chemotherapeutic agents as antibiotics. Summary of, and comparison with, existing or proposed federal regulation: None. Comparison with rules in adjacent states: Illinois: Illinois accepts the following examinations: North East Regional Board of Dental Examiners (NERB); Central Regional Dental Testing Service (CRDTS); Southern Regional Testing Agency (SRTA), Western Regional Examining Board (WREB) or Council of Interstate Testing Agencies (CITA) completed within the last 5 years if never licensed in another jurisdiction. The examination scores are set by the testing service. Illinois requires Basic Life Support (BLS) certification. Applicants for a faculty license are not required to appear before the Board for an interview. A dentist or dental hygienist renewing after 5 years shall complete 48 hours of continuing education and provide one of the following: active practice in another jurisdiction for 3 of the last 5 years; military service; or pass one of the licensing examinations. A dental hygienist may not perform procedures that require the professional judgment and skill of a dentist or those procedures that constitute the practice of dentistry. Iowa: Iowa accepts the following regional examinations: CRDTS, WREB, SRTA, Commission on Dental Competency Assessments (CDCA) [NOTE: CDCA was formerly known as NERB], CITA within the previous 5 years. A passing grade of at least 75% is required. Iowa requires CPR certification. Applicants based upon licensure in another state shall have passed a regional examination within the previous 5 year period or 3 consecutive years immediately prior to the filing of the application been in active practice of dentistry. Applicants for a faculty license are not required to appear before the Board for an interview. Renewal of a lapsed license requires evidence of completion of a total of 15 hours of continuing education per each lapsed year up to a maximum of 75 hours or evidence of licensure in another state in good standing.
1616
Michigan: Michigan accepts the NERB examination or one that is substantially equivalent. The Board adopts the score recommended by NERB but not less than a converted score of 75 on each component of the examination. Applicants for a faculty license are not required to appear before the Board for an interview. Applicants based upon license in another state are required to demonstrate practicing in another state of a minimum of 5 years immediately preceding the application or successful completion of a regional examination. Renewal of a license which has lapsed more than 5 years may be renewed by meeting initial licensure requirements or evidence held a license in another state within 3 years immediately preceding renewal. The license shall be displayed in the principal place of practice. A dentist may not delegate the following: the diagnosing or prescribing for disease, pain, deformity, deficiency, injury or physical condition; the cutting of hard and soft tissue; the removal of accretions, stains, or calculus deposits; deep scaling; root planing; any intra-oral restorative procedures (some procedures allowed under direct supervision); administration of local anesthesia, nitrous oxide analgesia (may perform if certain qualifications are met) or acupuncture; irrigation and medication of root canals, try-in of cones or points, filing or filling of root canals; taking impressions for any purpose other than study or opposing models; or permanent cementation of any restorative or appliance. Minnesota: Minnesota requires passage of a board approved clinical examination. Applicants for a faculty license are not required to appear before the Board for an interview. An application based upon licensure in another state requires at least 2,000 hours of active practice within 36 months of application. Renewal of a lapsed license after 2 years requires a jurisprudence exam, physical examination attesting to the applicant’s physical and mental condition and optical examination; and successfully pass an examination or completion of board approved education. A dental hygienist may perform various procedures based upon direct or indirect supervision and whether a dentist is present on the premises. Summary of factual data and analytical methodologies: The Board conducted a comprehensive review of chapters DE 2 and 3 to ensure the chapters are statutorily compliant, current with professional standards and practices and remove obsolete provisions. Analysis and supporting documents used to determine effect on small business or in preparation of economic impact report: The rule was posted for economic impact comments and none were received. Fiscal Estimate and Economic Impact Analysis: The Fiscal Estimate and Economic Impact Analysis is attached. Effect on small business:
1717
These rules do not have an economic impact on small businesses, as defined in s. 227.114 (1), Stats. The Department’s Regulatory Review Coordinator may be contacted by email at [email protected], or by calling (608) 267-2435 Agency contact person: Sharon Henes, Department of Safety and Professional Services, Division of Policy Development, 4822 Madison Yards Way, P.O. Box 8366, Madison, Wisconsin 53708; telephone 608-261-2377; email at [email protected]. ------------------------------------------------------------------------------------------------------------
TEXT OF RULE ------------------------------------------------------------------------------------------------------------ SECTION 1. DE 1.02 (1m), (2), and (4) are repealed. SECTION 2. DE 2.005 is created to read: DE 2.005 Dental testing service and dental hygiene testing service requirements. A dental testing service or dental hygiene testing service may be approved if all the testing service’s exams meet all of the following requirements: (1) Test clinical knowledge. (2) Practical component on application of the basic principles utilizing live human patients or simulated patients. SECTION 3. DE 2.01 (1) (d), (f), and (g) are amended to read: DE 2.01 (1) (d) Evidence of successful completion of an examination on provisions in ch. 447, Stats, and chs. DE 1 to 9 the statutes and rules relating to dentistry. (f) Verification from the commission on national examinations of the American dental association Joint Commission on National Dental Examinations or other board-approved professional testing services of successful completion of an examination. (g) Verification from the central regional dental testing service or other a board-approved testing services service of successful completion of an examination in clinical and laboratory demonstrations taken within the 5 one year period immediately preceding application. In this paragraph, “successful completion” means an applicant has passed all parts of the examination in no more than 3 attempts on any one part, as required in s. DE 2.09. SECTION 4. DE 2.01 (1) (h) is created to read: DE 2.01 (1) (h) Evidence satisfactory to the board the applicant has current proficiency in cardiopulmonary resuscitation, including the use of an automated external defibrillator achieved through instruction provided by an individual, organization, or institution of higher education approved by the Wisconsin department of health services. SECTION 5. DE 2.01 (1m) (e) is created to read:
1818
DE 2.01 (1m) (e) Evidence satisfactory to the board the applicant has current proficiency in cardiopulmonary resuscitation, including the use of an automated external defibrillator achieved through instruction provided by an individual, organization, or institution of higher education approved by the Wisconsin department of health services. SECTION 6. DE 2.01 (2) (a) and (b) are amended to read: DE 2.01 (2) (a) Verification from the commission on national examinations of the American dental association Joint Commission on National Dental Examinations or other board-approved professional testing service of successful completion of an examination on the basic principles of the practice of dental hygiene; and. (b) Verification from the central regional dental hygiene testing service or other a board-approved testing service of successful completion of an examination in clinical and laboratory demonstrations taken within the 5 one year period immediately preceding application. SECTION 7. DE 2.01 (2) (c) and (d) are created to read: DE 2.01 (2) (c) Evidence satisfactory to the board of having graduated from an accredited dental hygiene school. (d) Evidence satisfactory to the board the applicant has current proficiency in cardiopulmonary resuscitation, including the use of an automated external defibrillator achieved through instruction provided by an individual, organization, or institution of higher education approved by the Wisconsin department of health services. SECTION 8. DE 2.013 is created to read: DE 2.013 Student supervision. A dental student under s. 447.03 (a), Stats., or a dental hygiene student under s. 447.03 (b), Stats. is required to practice under the supervision of a dentist who is present in the facility in which the practice occurs. SECTION 9. DE 2.015 (1) (d) is amended to read: DE 2.015 (1) (d) Submits to an initial interview and any other interview that the board may require that demonstrates, to the board’s satisfaction, that the applicant is competent to practice dentistry. SECTION 10. DE 2.015 (1) (f) is created to read: DE 2.015 (1) (f) Submits evidence satisfactory to the board the applicant has current proficiency in cardiopulmonary resuscitation, including the use of an automated external defibrillator achieved through instruction provided by an individual, organization, or institution of higher education approved by the Wisconsin department of health services.
1919
SECTION 11. DE 2.03 (5) (title) is amended to read: DE 2.03 (5) REQUIREMENTS FOR LATE RENEWAL; REINSTATEMENT. SECTION 12. DE 2.03 (5) (a) 2. is amended to read: DE 2.03 (5) (a) 2. The fee authorized by s. 440.08 (2) as determined by the department under s. 440.03 (9) (a), Stats., plus the applicable late renewal fee authorized by s. 440.08 (3), Stats. SECTION 13. DE 2.03 (5) (b) is repealed and recreated to read: DE 2.03 (5) (b). This paragraph does not apply to dentists or dental hygienists who have unmet disciplinary requirements. A dentist or dental hygienist renewing the license after 5 years shall do all of the following: 1. Pay the renewal fee as determined by the department under s. 440.03 (9) (a),
Stats., and the renewal late fee. 2. Submit evidence satisfactory to the board the applicant has current proficiency
in cardiopulmonary resuscitation, including the use of an automated external defibrillator achieved through instruction provided by an individual, organization, or institution of higher education approved by the Wisconsin department of health services.
3. Provide evidence of one of the following: a. An active license in good standing in another state. b. If a dentist, successful completion of a board approved testing service
examination within one year of renewal. c. If a dental hygienist, successful completion of a board approved testing
service examination within one year of renewal. d. Completion of a one year general practice residency within one year of
renewal. e. Completion of a clinical education program approved by the board. SECTION 14. DE 2.03 (6) is repealed and recreated to read: DE 2.03 (6) REINSTATEMENT. A dentist or dental hygienist who has unmet disciplinary requirements and failed to renew the license within 5 years or whose license has been denied at renewal, surrendered or revoked may apply to have the license reinstated following submission of all of the following:
(a) Evidence of completion of the requirements in DE 2.03 (5) (b) if the license has not been active within 5 years. (b) Evidence of completion of the disciplinary requirements, if applicable. (c) Evidence of rehabilitation or change in circumstances that indicates reinstatement to practice will not constitute a danger to the public or a patient.
SECTION 15. DE 2.03 (7) is repealed.
2020
SECTION 16. DE 2.04 (1) (intro.) is amended to read: DE 2.04 (1) The board may grant a license as a dentist to an applicant who holds a valid license in good standing issued by the proper authorities of any other jurisdiction of the United States or Canada upon payment of the fee authorized by s. 440.05 (2) as determined by the department under s. 440.03 (9) (a), Stats., and submission of evidence satisfactory to the board that all of the following conditions are met: SECTION 17. DE 2.04 (1) (a) is repealed and recreated to read: DE 2.04 (1) (a) The applicant has graduated from an accredited school of dentistry or the applicant has graduated from a foreign dental school and holds one of the following:
1. A DDS or DMD degree from an accredited dental school. 2. A dental diploma, degree or certificate from a full time, undergraduate
supplemental dental education program of at least 2 academic years at an accredited dental school. The program shall provide didactic and clinical education to the level of a DDS or DMD degree.
SECTION 18. DE 2.04 (1) (c) and (d) are repealed. SECTION 19. DE 2.04 (1) (e) and (g) are amended to read: DE 2.04 (1) (e) The applicant has successfully completed a clinical and laboratory demonstration licensing examination on a human subject which, in the board’s judgment, is substantially equivalent to the clinical and laboratory demonstration examination administered by the central regional dental testing service an examination administered by a board approved testing service, or, alternatively, has successfully completed a board specialty certification examination in a dental specialty recognized by the American Dental Association. (g) The applicant possesses a current certificate of current proficiency in cardiopulmonary resuscitation, from a course provider including the use of an automated external defibrillator, achieved through instruction provided by an individual, organization, or institution of higher education approved by the Wisconsin department of health services. SECTION 20. DE 2.04 (2) (intro.) is amended to read: DE 2.04 (2) The board may grant a license as a dental hygienist to an applicant who holds a license in good standing issued by the proper authorities of any other jurisdiction of the United States or Canada upon payment of the fee authorized by s. 440.05 (2) as determined by the department under s. 440.03 (9) (a), Stats., and submission of evidence satisfactory to the board that all of the following conditions are met: SECTION 21. DE 2.04 (2) (c) is repealed.
2121
SECTION 22. DE 2.04 (2) (d) is amended to read: DE 2.04 (2) (d) The applicant has successfully completed a clinical and laboratory demonstration an examination on a human subject which, in the board’s judgment, is substantially equivalent to the clinical and laboratory demonstration an examination administered by the central regional dental testing service a board approved testing service. SECTION 23. DE 2.04 (2) (f) is repealed. SECTION 24. DE 2.05 is amended to read: DE 2.05 Examination passing score. The score required to pass an examination shall be based on the board’s determination of the level of examination performance required for minimum acceptable competence in the profession. The board shall make the determination after consultation with subject matter experts who have reviewed a representative sample of the examination questions and available candidate performance statistics, and shall set the passing score for the examination at that point which represents minimum acceptable competence in the profession the recommended passing score of the examination provider. SECTION 25. DE 2.06, 2.07, 2.08, and 2.09 are repealed. SECTION 26. DE 3.02 and 3.03 are repealed and recreated to read: DE 3.02 Practice of dental hygiene. (1) (a) This subsection applies to a dental hygienist who is practicing dental hygiene or performing remediable procedures as an employee or as an independent contractor in a dental office. (b) A dental hygienist may practice dental hygiene or perform remediable
procedures only as authorized by a licensed dentist who is present in the facility in which those practices or procedures are performed, except as provided in par. (c).
(c) A dental hygienist may practice dental hygiene or perform remediable procedures if a licensed dentist is not present in the facility in which those practices or procedures are performed only if all of the following conditions are met:
1. The dental hygiene practices or remediable procedures are performed under a written or oral prescription. 2. The dentist who made the written or oral prescription has examined the patient at least once during the 12-month period immediately preceding all of the following:
a. The date on which the written or oral prescription was made. b. The date on which the dental hygiene practices or remediable
procedures are performed.
2222
3. The written or oral prescription specifies the practices and procedures that the dental hygienist may perform with the informed consent of the patient or, if applicable, the patient’s parent or legal guardian.
(2) (a) This subsection applies to a dental hygienist who is practicing dental hygiene or performing remediable procedures as an employee or as an independent contractor as follows: 1. For a school board, a governing body of a private school, as defined in
s. 115.001(3d), Stats., or a governing body of a tribal school, as defined in s. 115.001 (15m), Stats.
2. For a school for the education of dentists or dental hygienists. 3. For a state or federal prison, county jail or other federal, state, county
or municipal correctional or detention facility, or a facility established to provide care for terminally ill patients.
4. For a local health department, as defined in s. 250.01(4), Stats. 5. For a charitable institution open to the general public or to members of
a religious sect or order. 6. For a nonprofit home health care agency. 7. For a nonprofit dental care program serving primarily indigent,
economically disadvantaged or migrant worker populations. 8. At a facility, as defined in s. 50.01 (1m) , Stats., an adult family home
certified under s. 50.032, Stats. or licensed under s. 50.033, Stats., an adult day care center, as defined in s. 49.45 (47) (a) , Stats., a community rehabilitation program, a hospital, as defined in s. 50.33 (2) , Stats., or a facility that is primarily operated to provide outpatient medical services.
(b) A dental hygienist may only practice dental hygiene as defined in s. 447.01 (3), Stats., or perform remediable procedures as defined by s. 447.01 (12), Stats.
3.03 Prohibited practices. A dental hygienist may not do any of the following: (1) Diagnose a dental disease or ailment. (2) Determine any treatment or any regimen of any treatment outside of the scope of dental hygiene. (3) Prescribe or order medication or radiograph. (4) Perform any procedure that involves the intentional cutting of soft or hard tissue of the mouth by any means. (5) Administer nitrous oxide inhalation, except as provided in ch. DE 15. (6) Administer local anesthesia, except as provided in ch. DE 7. SECTION 27. DE 3.04 (2) is amended to read: DE 3.04 (2) “Subgingival sustained release chemotherapeutic agents” means medications antibiotics that are applied under the gum tissue in periodontal pockets to treat periodontal or gum disease.
SECTION 28. EFFECTIVE DATE. The rules adopted in this order shall take effect on the first day of the month following publication in the Wisconsin Administrative Register, pursuant to s. 227.22 (2) (intro.), Stats.
2323
(END OF TEXT OF RULE)
------------------------------------------------------------------------------------------------------------ Dated _________________ Agency __________________________________ Chairperson Dentistry Examining Board
2424
AGENDA REQUEST FORM 1) Name and Title of Person Submitting the Request:
Kimberly Wood, Program Assistant Supervisor-Adv. On behalf of Executive Directors Christian Albouras or Debra Sybell
2) Date When Request Submitted:
5/15/2019
Items will be considered late if submitted after 12:00 p.m. on the deadline date which is 8 business days before the meeting
3) Name of Board, Committee, Council, Sections:
All Boards and Councils
4) Meeting Date:
5) Attachments:
Yes
No
6) How should the item be titled on the agenda page?
Informational Item 1. 2019-2021 Fee and Credential Schedule
7) Place Item in:
Open Session
Closed Session
8) Is an appearance before the Board being scheduled?
Yes
No
9) Name of Case Advisor(s), if required:
N/A
10) Describe the issue and action that should be addressed:
Informational Only
11) Authorization
Kimberly Wood 5/15/2019
Signature of person making this request Date
Supervisor (if required) Date
Executive Director signature (indicates approval to add post agenda deadline item to agenda) Date
Directions for including supporting documents: 1. This form should be attached to any documents submitted to the agenda. 2. Post Agenda Deadline items must be authorized by a Supervisor and the Policy Development Executive Director. 3. If necessary, provide original documents needing Board Chairperson signature to the Bureau Assistant prior to the start of a meeting.
2525
Wisconsin Department of Safety and Professional Services Office of the Secretary
4822 Madison Yards Way
PO Box 8363 Madison WI 53708-8368
Phone: 608-266-1352
Web: http://dsps.wi.gov
Email: [email protected]
Tony Evers, Governor
Dawn B. Crim, Secretary
Dear State of Wisconsin Boards, Councils and Committee Member,
As you may already know, operation of the Department of Safety and Professional Services (DSPS) is self-funded
by the fees associated with the occupation or business credentials it issues and regulates under
chapters 440 to 480 of Wisconsin Statutes.
Wisconsin State Statute § 440.03(9)(a) requires DSPS to conduct a professional licensure fee study every two
years to adjust fees for the succeeding fiscal biennium. The purpose of the fee study is to reflect the approximate
administrative and enforcement costs of the department that are attributable to the regulation of the referenced
credentials.
On February 20, 2019, the Joint Finance Committee approved the FY 2019-2021 professional licensure fee study
conducted by the DSPS. I am pleased to provide you with the new fee schedule that will take effect on July 1,
2019.
The new fees are based on actual operating costs and revenues for DSPS for fiscal years 2017 and 2018 (July 1,
2016 to June 30, 2018). A detailed explanation how the fees were recalculated, including licensure/credential
participation rates, complaints and investigations, and adjustments for inflation can be found in the Frequently
Asked Questions document.
For all regulated professional and medical licenses and credentials (except the renewal fee for one profession
noted in the enclosed fee schedule), initial application and renewal fees will be reduced or maintained at the
current level, including the following:
• Maintaining initial and renewal fees for 43 licenses/credentials (approximately 25 percent)
• Reducing initial fees for 82 licenses/credentials (approx. 48 percent) with an average reduction of $26.78
• Reducing renewal fees for 121 licenses/credentials (approx. 71 percent) with an average reduction of
$57.42
• Reducing both the initial and renewal fees for 80 licenses/credentials (approx. 47 percent)
• Providing a fee reduction to at least one of the fees (initial and/or renewal) for 127 licenses/credentials
(approx. 75 percent)
• Establishing equal fees for both initial applications and renewals with a maximum fee of $75 for163
licenses/credentials (approx. 96 percent) (exceptions per state statute for fees related to Appraisal
Management Companies and Transportation Network Companies; exception per administrative code for
fees related to Unarmed Combat Sports)
• Providing a reduced fee to an estimated 361,000 Wisconsin licensure/credential applicants over the next
biennium, (approx. 96 percent of all applicants)
The new fee schedule will take effect beginning with initial license applications received in the Department and/or
postmarked on or after July 1, 2019, and for license renewals that have an effective date of July 1, 2019 or later. It
should be noted that if a license holder receives a notice of renewal prior to July 1, 2019, for a renew-by date of
after July 1, 2019, the new fees will apply regardless of when the notice is received or when payment is made. If a
license holder’s renewal-by date is before July 1, 2019, and the payment is made after July 1, 2019, the fee noted
on the notice of renewal will still apply. If the license holder’s renew-by date is on or after July 1, 2019, the new
fees will apply.
May 2019
26
License and Credential Fees
May 2019
Page 2
If you have any questions regarding the information provided, please do not hesitate to contact Yolanda
McGowan, Division Administrator, Division of Policy Development.
Sincerely,
Dawn B. Crim
Secretary-designee, Department of Safety and Professional Services
Enclosure
27
FY2017-FY2018 Licensure Fee Study Wisconsin Department of Safety and Professional Services Proposed Fees for FY2020-FY2021
Board/Admin. License/Credential Name Project
Current
Initial Fee
Current
Renewal
Fee
Proposed
Initial Fee
Proposed
Renewal Fee
Initial Fee
Change
Renewal
Fee Change
Accounting Exam Bd Accountant CPA 16500P1ACBD001 $75.00 $82.00 $43.00 $43.00 -$32.00 -$39.00
Accounting Exam Bd Accounting Firm 16500P1ACBD003 $75.00 $82.00 $43.00 $43.00 -$32.00 -$39.00
Acupuncturist Acupunturist 16500P1ADLD055 $75.00 $107.00 $75.00 $75.00 $0.00 -$32.00
Architect/Engineer Joint Exam Bd Architect 16500P1ARCD005 $75.00 $82.00 $68.00 $68.00 -$7.00 -$14.00
Architect/Engineer Joint Exam Bd Architectural or Engineer Corp 16500P1ARCD011 $75.00 $82.00 $68.00 $68.00 -$7.00 -$14.00
Architect/Engineer Joint Exam Bd Designer Engineering Systems 16500P1DSND007 $75.00 $82.00 $68.00 $68.00 -$7.00 -$14.00
Architect/Engineer Joint Exam Bd Engineer Professional 16500P1ENGD006 $75.00 $82.00 $68.00 $68.00 -$7.00 -$14.00
Architect/Engineer Joint Exam Bd Engineer Training 16500P1ENGD500 $75.00 $0.00 $68.00 $0.00 -$7.00 $0.00
Architect/Engineer Joint Exam Bd Landscape Architect 16500P1LSAD014 $75.00 $82.00 $68.00 $68.00 -$7.00 -$14.00
Architect/Engineer Joint Exam Bd Land Surveyor Professional 16500P1LSRD008 $75.00 $82.00 $68.00 $68.00 -$7.00 -$14.00
Real Estate Appraiser Bd Appraiser Licensed 16500P1APPD004 $75.00 $170.00 $16.00 $16.00 -$59.00 -$154.00
Real Estate Appraiser Bd Appraiser Residential Cert 16500P1APPD009 $75.00 $170.00 $16.00 $16.00 -$59.00 -$154.00
Real Estate Appraiser Bd Appraiser General Cert 16500P1APPD010 $75.00 $170.00 $16.00 $16.00 -$59.00 -$154.00
Real Estate Appraiser Bd Appraisal Management Company 16500P1APPD900 $4,000.00 $2,000.00 $4,000.00 $2,000.00 $0.00 $0.00
Athletic Agent Athletic Agent 16500P1ATHD097 $75.00 $107.00 $38.00 $38.00 -$37.00 -$69.00
Auctioneer Bd Auctioneer 16500P1AUBD052 $75.00 $170.00 $47.00 $47.00 -$28.00 -$123.00
Auctioneer Bd Auction Company 16500P1AUBD053 $75.00 $170.00 $47.00 $47.00 -$28.00 -$123.00
Barbering Advisory Committee Barber Establishment 16500P1BRBD180 $75.00 $82.00 $63.00 $63.00 -$12.00 -$19.00
Barbering Advisory Committee Barber 16500P1BRBD182 $75.00 $82.00 $63.00 $63.00 -$12.00 -$19.00
Barbering Advisory Committee Barber Instructor 16500P1BRBD183 $75.00 $82.00 $63.00 $63.00 -$12.00 -$19.00
Barbering Advisory Committee Barber School 16500P1BRBD187 $75.00 $82.00 $63.00 $63.00 -$12.00 -$19.00
Barbering Advisory Committee Barber Apprentice 16500P1BRBD601 $10.00 $0.00 $10.00 $0.00 $0.00 $0.00
Unarmed Combat Sports Boxing Contestant 16500P1BXMA263 $40.00 $40.00 $40.00 $40.00 $0.00 $0.00
Unarmed Combat Sports Boxing Contest Professional 16500P1BXMA264 $300.00 $300.00 $300.00 $300.00 $0.00 $0.00
Unarmed Combat Sports Second 16500P1BXMA265 $40.00 $40.00 $40.00 $40.00 $0.00 $0.00
Unarmed Combat Sports Boxing Promoter Professional 16500P1BXMA266 $500.00 $500.00 $500.00 $500.00 $0.00 $0.00
Unarmed Combat Sports Mix Martial Arts Judge 16500P1BXMA267 $15.00 $15.00 $15.00 $15.00 $0.00 $0.00
Unarmed Combat Sports Mix Martial Arts Referee 16500P1BXMA268 $15.00 $15.00 $15.00 $15.00 $0.00 $0.00
Unarmed Combat Sports Matchmaker 16500P1BXMA270 $10.00 $10.00 $10.00 $10.00 $0.00 $0.00
Unarmed Combat Sports Physician Ringside 16500P1BXMA271 $10.00 $10.00 $10.00 $10.00 $0.00 $0.00
Unarmed Combat Sports Timekeeper 16500P1BXMA272 $10.00 $10.00 $10.00 $10.00 $0.00 $0.00
Unarmed Combat Sports Boxing Judge 16500P1BXMA274 $15.00 $15.00 $15.00 $15.00 $0.00 $0.00
Unarmed Combat Sports Boxing Referee 16500P1BXMA275 $15.00 $15.00 $15.00 $15.00 $0.00 $0.00
Unarmed Combat Sports Mix Martial Arts Amateur Conte 16500P1BXMA276 $40.00 $40.00 $40.00 $40.00 $0.00 $0.00
Unarmed Combat Sports Mix Martial Arts Contestant Pr 16500P1BXMA277 $40.00 $40.00 $40.00 $40.00 $0.00 $0.00
Unarmed Combat Sports Mix Martial Arts Prof Club 16500P1BXMA278 $500.00 $500.00 $500.00 $500.00 $0.00 $0.00
Page 1 of 5 Submitted to Joint Committee on Finance: January 31, 201928
FY2017-FY2018 Licensure Fee Study Wisconsin Department of Safety and Professional Services Proposed Fees for FY2020-FY2021
Board/Admin. License/Credential Name Project
Current
Initial Fee
Current
Renewal
Fee
Proposed
Initial Fee
Proposed
Renewal Fee
Initial Fee
Change
Renewal
Fee Change
Unarmed Combat Sports Mix Martial Arts Contest Prof 16500P1BXMA279 $300.00 $300.00 $300.00 $300.00 $0.00 $0.00
Unarmed Combat Sports Mix Martial Arts Promoter Prof 16500P1BXMA280 $500.00 $500.00 $500.00 $500.00 $0.00 $0.00
Unarmed Combat Sports Unarmed Combat Promoter 16500P1BXMA281 $500.00 $500.00 $500.00 $500.00 $0.00 $0.00
Unarmed Combat Sports Unarmed Combat Contest 16500P1BXMA282 $300.00 $300.00 $300.00 $300.00 $0.00 $0.00
Unarmed Combat Sports Kickboxing Contestant Amateur 16500P1BXMA283 $40.00 $40.00 $40.00 $40.00 $0.00 $0.00
Unarmed Combat Sports Kickboxing Contestant Prof 16500P1BXMA284 $40.00 $40.00 $40.00 $40.00 $0.00 $0.00
Unarmed Combat Sports Muay Thai Contestant Amateur 16500P1BXMA285 $40.00 $40.00 $40.00 $40.00 $0.00 $0.00
Unarmed Combat Sports Kickboxing Judge 16500P1BXMA287 $15.00 $15.00 $15.00 $15.00 $0.00 $0.00
Unarmed Combat Sports Muay Thai Judge 16500P1BXMA288 $15.00 $15.00 $15.00 $15.00 $0.00 $0.00
Unarmed Combat Sports Kickboxing Referee 16500P1BXMA289 $15.00 $15.00 $15.00 $15.00 $0.00 $0.00
Unarmed Combat Sports Muay Thai Referee 16500P1BXMA290 $15.00 $15.00 $15.00 $15.00 $0.00 $0.00
Crematory Authority Crematory Authority 16500P1CACD098 $75.00 $170.00 $75.00 $75.00 $0.00 -$95.00
Cemetery Bd Cemetery Authority Licensed 16500P1CEMD095 $75.00 $170.00 $75.00 $75.00 $0.00 -$95.00
Cemetery Bd Cemetery Salesperson 16500P1CEMD096 $75.00 $170.00 $75.00 $75.00 $0.00 -$95.00
Cemetery Bd Cemetery Preneed Seller 16500P1CEMD101 $75.00 $170.00 $75.00 $75.00 $0.00 -$95.00
Cemetery Bd Cemetery Authority Religious 16500P1CEMD102 $75.00 $0.00 $75.00 $0.00 $0.00 $0.00
Cemetery Bd Cemetery Authority Registered 16500P1CEMD195 $10.00 $10.00 $10.00 $10.00 $0.00 $0.00
Chiropractic Exam Bd Chiropractor 16500P1CHID012 $75.00 $170.00 $75.00 $75.00 $0.00 -$95.00
Chiropractic Exam Bd Chiropractic Radiological Tech 16500P1CHID113 $53.00 $44.00 $53.00 $53.00 $0.00 $9.00
Chiropractic Exam Bd Chiropractic Tech 16500P1CHID114 $53.00 $44.00 $53.00 $53.00 $0.00 $9.00
Cosmetology Exam Bd Aesthetics Establishment 16500P1COSD069 $75.00 $82.00 $11.00 $11.00 -$64.00 -$71.00
Cosmetology Exam Bd Electrology Establishment 16500P1COSD070 $75.00 $82.00 $11.00 $11.00 -$64.00 -$71.00
Cosmetology Exam Bd Manicuring Establishment 16500P1COSD071 $75.00 $82.00 $11.00 $11.00 -$64.00 -$71.00
Cosmetology Exam Bd Aesthetics Instructor 16500P1COSD072 $75.00 $82.00 $11.00 $11.00 -$64.00 -$71.00
Cosmetology Exam Bd Electrology Instructor 16500P1COSD073 $75.00 $82.00 $11.00 $11.00 -$64.00 -$71.00
Cosmetology Exam Bd Manicuring Instructor 16500P1COSD074 $75.00 $82.00 $11.00 $11.00 -$64.00 -$71.00
Cosmetology Exam Bd Cosmetology Establishment 16500P1COSD080 $75.00 $82.00 $11.00 $11.00 -$64.00 -$71.00
Cosmetology Exam Bd Cosmetologist 16500P1COSD082 $75.00 $82.00 $11.00 $11.00 -$64.00 -$71.00
Cosmetology Exam Bd Cosmetology Instructor 16500P1COSD083 $75.00 $82.00 $11.00 $11.00 -$64.00 -$71.00
Cosmetology Exam Bd Electrologist 16500P1COSD084 $75.00 $82.00 $11.00 $11.00 -$64.00 -$71.00
Cosmetology Exam Bd Manicurist 16500P1COSD085 $75.00 $82.00 $11.00 $11.00 -$64.00 -$71.00
Cosmetology Exam Bd Aesthetician 16500P1COSD086 $75.00 $82.00 $11.00 $11.00 -$64.00 -$71.00
Cosmetology Exam Bd Cosmetology School 16500P1COSD087 $75.00 $82.00 $11.00 $11.00 -$64.00 -$71.00
Cosmetology Exam Bd Electrology School 16500P1COSD088 $75.00 $82.00 $11.00 $11.00 -$64.00 -$71.00
Cosmetology Exam Bd Manicuring School 16500P1COSD089 $75.00 $82.00 $11.00 $11.00 -$64.00 -$71.00
Cosmetology Exam Bd Cosmetology Apprentice 16500P1COSD600 $10.00 $0.00 $10.00 $0.00 $0.00 $0.00
Page 2 of 5 Submitted to Joint Committee on Finance: January 31, 201929
FY2017-FY2018 Licensure Fee Study Wisconsin Department of Safety and Professional Services Proposed Fees for FY2020-FY2021
Board/Admin. License/Credential Name Project
Current
Initial Fee
Current
Renewal
Fee
Proposed
Initial Fee
Proposed
Renewal Fee
Initial Fee
Change
Renewal
Fee Change
Dentistry Exam Bd Dentist 16500P1DEND015 $75.00 $123.00 $74.00 $74.00 -$1.00 -$49.00
Dentistry Exam Bd Dental Hygienist 16500P1DEND016 $75.00 $123.00 $74.00 $74.00 -$1.00 -$49.00
Dentistry Exam Bd Dentistry Mobile Progr Registr 16500P1DEND115 $75.00 $123.00 $74.00 $74.00 -$1.00 -$49.00
DSPS Direct Licensing DSPS Licensed Midwife 16500P1DSPS049 $75.00 $107.00 $59.00 $59.00 -$16.00 -$48.00
DSPS Direct Licensing DSPS Firearms Certifier 16500P1DSPS064 $0.00 $8.00 $0.00 $0.00 $0.00 -$8.00
DSPS Direct Licensing DSPS WI Regis Interior Design 16500P1DSPS109 $75.00 $107.00 $59.00 $59.00 -$16.00 -$48.00
DSPS Direct Licensing Juvenile Martial Arts Instruct 16500P1DSPS118 $75.00 $75.00 $59.00 $59.00 -$16.00 -$16.00
DSPS Direct Licensing DSPS Behavior Analyst 16500P1DSPS140 $75.00 $75.00 $59.00 $59.00 -$16.00 -$16.00
DSPS Direct Licensing DSPS Transportation Network Co 16500P1DSPS184 $5,000.00 $5,000.00 $5,000.00 $5,000.00 $0.00 $0.00
DSPS Direct Licensing DSPS Temp Educ Training Permit 16500P1DSPS850 $10.00 $0.00 $10.00 $0.00 $0.00 $0.00
DSPS Direct Licensing DSPS Special License 16500P1DSPS876 $75.00 $0.00 $59.00 $0.00 -$16.00 $0.00
DSPS Direct Licensing Home Med Oxygen Provider 16500P1HMOP048 $75.00 $128.00 $59.00 $59.00 -$16.00 -$69.00
DSPS Direct Licensing Special Licenses DSPS Special License $75.00 $0.00 $59.00 $0.00 -$16.00 $0.00
Funeral Dir Exam Bd Funeral Dir Excl Embalm 16500P1FDRD075 $75.00 $170.00 $75.00 $75.00 $0.00 -$95.00
Funeral Dir Exam Bd Funeral Dir Good Standing 16500P1FDRD076 $75.00 $170.00 $75.00 $75.00 $0.00 -$95.00
Funeral Dir Exam Bd Funeral Director 16500P1FDRD077 $75.00 $170.00 $75.00 $75.00 $0.00 -$95.00
Funeral Dir Exam Bd Funeral Establishment 16500P1FDRD078 $75.00 $170.00 $75.00 $75.00 $0.00 -$95.00
Funeral Dir Exam Bd Agent Burial Agreements 16500P1FDRD107 $75.00 $0.00 $75.00 $0.00 $0.00 $0.00
Funeral Dir Exam Bd Funeral Dir Apprentice 16500P1FDRD700 $10.00 $10.00 $10.00 $10.00 $0.00 $0.00
Geo./Hydro./Soil Sci. Exam Bd Geologist Professional 16500P1GEOD013 $75.00 $170.00 $56.00 $56.00 -$19.00 -$114.00
Geo./Hydro./Soil Sci. Exam Bd Geology Firm 16500P1GEOD201 $75.00 $170.00 $56.00 $56.00 -$19.00 -$114.00
Geo./Hydro./Soil Sci. Exam Bd Hydrologist Professional 16500P1HYDD111 $75.00 $170.00 $56.00 $56.00 -$19.00 -$114.00
Geo./Hydro./Soil Sci. Exam Bd Hydrology Firm 16500P1HYDD202 $75.00 $170.00 $56.00 $56.00 -$19.00 -$114.00
Geo./Hydro./Soil Sci. Exam Bd Soil Scientist Professional 16500P1SSCD112 $75.00 $170.00 $56.00 $56.00 -$19.00 -$114.00
Geo./Hydro./Soil Sci. Exam Bd Soil Scientist Firm 16500P1SSCD203 $75.00 $170.00 $56.00 $56.00 -$19.00 -$114.00
Hearing Speech Examing Bd Hearing Instrument Spec 16500P1HADD060 $75.00 $170.00 $75.00 $75.00 $0.00 -$95.00
Hearing Speech Examing Bd Speech Language Pathologist 16500P1HADD154 $75.00 $170.00 $75.00 $75.00 $0.00 -$95.00
Hearing Speech Examing Bd Audiologist 16500P1HADD156 $75.00 $170.00 $75.00 $75.00 $0.00 -$95.00
Music Art Dance Therapists Art Therapist 16500P1MADD036 $75.00 $107.00 $68.00 $68.00 -$7.00 -$39.00
Music Art Dance Therapists Dance Therapist 16500P1MADD037 $75.00 $107.00 $68.00 $68.00 -$7.00 -$39.00
Music Art Dance Therapists Music Therapist 16500P1MADD038 $75.00 $107.00 $68.00 $68.00 -$7.00 -$39.00
MFT, PC, & SW Exam Bd Counselor Professional Licen 16500P1CPCD125 $75.00 $91.00 $62.00 $62.00 -$13.00 -$29.00
MFT, PC, & SW Exam Bd Counselor Professional Trn 16500P1CPCD226 $75.00 $0.00 $62.00 $0.00 -$13.00 $0.00
MFT, PC, & SW Exam Bd Marriage Family Therapist 16500P1MFTD124 $75.00 $85.00 $62.00 $62.00 -$13.00 -$23.00
MFT, PC, & SW Exam Bd Marriage Family Therapist Trn 16500P1MFTD228 $75.00 $0.00 $62.00 $0.00 -$13.00 $0.00
MFT, PC, & SW Exam Bd Social Worker 16500P1SOCD120 $75.00 $85.00 $62.00 $62.00 -$13.00 -$23.00
Page 3 of 5 Submitted to Joint Committee on Finance: January 31, 201930
FY2017-FY2018 Licensure Fee Study Wisconsin Department of Safety and Professional Services Proposed Fees for FY2020-FY2021
Board/Admin. License/Credential Name Project
Current
Initial Fee
Current
Renewal
Fee
Proposed
Initial Fee
Proposed
Renewal Fee
Initial Fee
Change
Renewal
Fee Change
MFT, PC, & SW Exam Bd Social Worker Adv Practice 16500P1SOCD121 $75.00 $85.00 $62.00 $62.00 -$13.00 -$23.00
MFT, PC, & SW Exam Bd Social Worker Independent 16500P1SOCD122 $75.00 $85.00 $62.00 $62.00 -$13.00 -$23.00
MFT, PC, & SW Exam Bd Social Worker Lic Clinical 16500P1SOCD123 $75.00 $85.00 $62.00 $62.00 -$13.00 -$23.00
MFT, PC, & SW Exam Bd Social Worker Training 16500P1SOCD127 $75.00 $0.00 $62.00 $0.00 -$13.00 $0.00
Nursing Home Admin Exam Bd Nursing Home Administrator 16500P1NHAD065 $75.00 $170.00 $75.00 $75.00 $0.00 -$95.00
Board of Nursing Nurse Registered 16500P1NURD030 $75.00 $82.00 $73.00 $73.00 -$2.00 -$9.00
Board of Nursing Nurse Licensed Practical 16500P1NURD031 $75.00 $82.00 $73.00 $73.00 -$2.00 -$9.00
Board of Nursing Nurse Midwife 16500P1NURD032 $75.00 $82.00 $73.00 $73.00 -$2.00 -$9.00
Board of Nursing Nurse Adv Practice Prescriber 16500P1NURD033 $75.00 $82.00 $73.00 $73.00 -$2.00 -$9.00
Optometry Board Optometrist 16500P1OPTD035 $75.00 $170.00 $75.00 $75.00 $0.00 -$95.00
Private Detective Private Detective Agency 16500P1PDET062 $75.00 $107.00 $8.00 $8.00 -$67.00 -$99.00
Private Detective Private Detective 16500P1PDET063 $75.00 $107.00 $8.00 $8.00 -$67.00 -$99.00
Pharmacy Exam Bd Pharmacist 16500P1PHMD040 $75.00 $128.00 $74.00 $74.00 -$1.00 -$54.00
Pharmacy Exam Bd Pharmacy In State 16500P1PHMD042 $75.00 $128.00 $74.00 $74.00 -$1.00 -$54.00
Pharmacy Exam Bd Pharmacy Out of State 16500P1PHMD043 $75.00 $128.00 $74.00 $74.00 -$1.00 -$54.00
Pharmacy Exam Bd Drug Device Manufacturer 16500P1PHMD044 $75.00 $128.00 $74.00 $74.00 -$1.00 -$54.00
Pharmacy Exam Bd Wholesale Distrib Presc Drugs 16500P1PHMD045 $75.00 $128.00 $74.00 $74.00 -$1.00 -$54.00
Physical Therapy Exam Bd Physical Therapist Assistant 16500P1PHTD019 $75.00 $75.00 $68.00 $68.00 -$7.00 -$7.00
Physical Therapy Exam Bd Physical Therapist 16500P1PHTD024 $75.00 $75.00 $68.00 $68.00 -$7.00 -$7.00
Private Security Person Private Security Person 16500P1PSEC108 $75.00 $107.00 $27.00 $27.00 -$48.00 -$80.00
Psychology Exam Bd Psychologist 16500P1PSYD057 $75.00 $170.00 $66.00 $66.00 -$9.00 -$104.00
Psychology Exam Bd School Psychologist Priv Prac 16500P1PSYD058 $75.00 $170.00 $66.00 $66.00 -$9.00 -$104.00
Radiography Exam Bd Radiographer Licensed 16500P1RADD142 $75.00 $82.00 $65.00 $65.00 -$10.00 -$17.00
Radiography Exam Bd Ltd Xray Machine Oper Permit 16500P1RADD144 $75.00 $82.00 $65.00 $65.00 -$10.00 -$17.00
Real Estate Exam Bd Real Estate Broker 16500P1REBD090 $75.00 $82.00 $75.00 $75.00 $0.00 -$7.00
Real Estate Exam Bd Real Estate Business Entity 16500P1REBD091 $75.00 $82.00 $75.00 $75.00 $0.00 -$7.00
Real Estate Exam Bd Timeshare Salesperson 16500P1REBD093 $75.00 $82.00 $75.00 $75.00 $0.00 -$7.00
Real Estate Exam Bd Real Estate Salesperson 16500P1REBD094 $75.00 $82.00 $75.00 $75.00 $0.00 -$7.00
Home Inspector Home Inspector 16500P1RHID106 $75.00 $107.00 $51.00 $51.00 -$24.00 -$56.00
Substance Abuse Counselors Subst Abuse Counselor Training 16500P1SAAC130 $75.00 $107.00 $75.00 $75.00 $0.00 -$32.00
Substance Abuse Counselors Subst Abuse Counselor 16500P1SAAC131 $75.00 $107.00 $75.00 $75.00 $0.00 -$32.00
Substance Abuse Counselors Subst Abuse Counselor Clinical 16500P1SAAC132 $75.00 $107.00 $75.00 $75.00 $0.00 -$32.00
Substance Abuse Counselors Subst Abuse Clin Sup Training 16500P1SAAC133 $75.00 $107.00 $75.00 $75.00 $0.00 -$32.00
Substance Abuse Counselors Subst Abuse Intermed Clin Sup 16500P1SAAC134 $75.00 $107.00 $75.00 $75.00 $0.00 -$32.00
Substance Abuse Counselors Subst Abuse Indep Clin Sup 16500P1SAAC135 $75.00 $107.00 $75.00 $75.00 $0.00 -$32.00
Substance Abuse Counselors Subst Abuse Prev Specialist Tr 16500P1SAAC136 $75.00 $107.00 $75.00 $75.00 $0.00 -$32.00
Page 4 of 5 Submitted to Joint Committee on Finance: January 31, 201931
FY2017-FY2018 Licensure Fee Study Wisconsin Department of Safety and Professional Services Proposed Fees for FY2020-FY2021
Board/Admin. License/Credential Name Project
Current
Initial Fee
Current
Renewal
Fee
Proposed
Initial Fee
Proposed
Renewal Fee
Initial Fee
Change
Renewal
Fee Change
Substance Abuse Counselors Subst Abuse Prevent Specialist 16500P1SAAC137 $75.00 $107.00 $75.00 $75.00 $0.00 -$32.00
Sanitarians Registered Sanitarians Registered 16500P1SAND197 $75.00 $107.00 $75.00 $75.00 $0.00 -$32.00
Sign Language Interpeters Council Sign Language Interp 16500P1SLID150 $75.00 $75.00 $75.00 $75.00 $0.00 $0.00
Sign Language Interpeters Council Sign Lanugage Interpr Restric 16500P1SLID151 $75.00 $75.00 $75.00 $75.00 $0.00 $0.00
Tanning Tanning Establishments 16500P1TANE401 $10.00 $10.00 $10.00 $10.00 $0.00 $0.00
Tattoo Body Art Piercing Tattoo Body Art Piercing Estab 16500P1TBAP402 $135.00 $220.00 $19.00 $19.00 -$116.00 -$201.00
Tattoo Body Art Piercing Tattoo Body Art Piercing Pract 16500P1TBAP403 $60.00 $60.00 $19.00 $19.00 -$41.00 -$41.00
Tattoo Body Art Piercing Body Piercing 16500P1TBAP404 $60.00 $60.00 $19.00 $19.00 -$41.00 -$41.00
Medical Bd Affiliates Anesthesiology Assist 16500P1ANSD017 $75.00 $82.00 $75.00 $75.00 $0.00 -$7.00
Medical Bd Affiliates Athletic Trainer 16500P1ATBD039 $75.00 $75.00 $75.00 $75.00 $0.00 $0.00
Medical Bd Affiliates Dietician Certified 16500P1DABD029 $75.00 $75.00 $75.00 $75.00 $0.00 $0.00
Medical Bd Affiliates DSPS Resident Educ License 16500P1DSPS851 $10.00 $0.00 $10.00 $0.00 $0.00 $0.00
Medical Bd Affiliates DSPS Special Permit 16500P1DSPS875 $75.00 $0.00 $75.00 $0.00 $0.00 $0.00
Medical Bd Affiliates Medicine Surgery MD 16500P1MEDD020 $75.00 $141.00 $75.00 $75.00 $0.00 -$66.00
Medical Bd Affiliates Medicine Surgery DO 16500P1MEDD021 $75.00 $141.00 $75.00 $75.00 $0.00 -$66.00
Medical Bd Affiliates Administrative Physician MD 16500P1MEDD220 $75.00 $141.00 $75.00 $75.00 $0.00 -$66.00
Medical Bd Affiliates Administrative Physician DO 16500P1MEDD221 $75.00 $141.00 $75.00 $75.00 $0.00 -$66.00
Medical Bd Affiliates Medicine Surgery MD Compact 16500P1MEDD320 $75.00 $141.00 $75.00 $75.00 $0.00 -$66.00
Medical Bd Affiliates Medicine Surgery DO Compact 16500P1MEDD321 $75.00 $141.00 $75.00 $75.00 $0.00 -$66.00
Medical Bd Affiliates Massage Therapy Bodyworker 16500P1MTBD146 $75.00 $82.00 $75.00 $75.00 $0.00 -$7.00
Medical Bd Affiliates Occupational Therapist 16500P1OTBD026 $75.00 $75.00 $75.00 $75.00 $0.00 $0.00
Medical Bd Affiliates Occupational Therapist Assist 16500P1OTBD027 $75.00 $75.00 $75.00 $75.00 $0.00 $0.00
Medical Bd Affiliates Physician Assistant 16500P1PHAD023 $75.00 $141.00 $75.00 $75.00 $0.00 -$66.00
Medical Bd Affiliates Podiatrist 16500P1PODD025 $75.00 $91.00 $75.00 $75.00 $0.00 -$16.00
Medical Bd Affiliates Perfusionist 16500P1PRFD018 $75.00 $141.00 $75.00 $75.00 $0.00 -$66.00
Medical Bd Affiliates Respiratory Care Practitioner 16500P1RSPD028 $75.00 $141.00 $75.00 $75.00 $0.00 -$66.00
Page 5 of 5 Submitted to Joint Committee on Finance: January 31, 201932
