ÿþ<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=Content-Type content="text/html; charset=unicode"> <meta name=ProgId content=Word.Document> <meta name=Generator content="Microsoft Word 12"> <meta name=Originator content="Microsoft Word 12"> <link rel=File-List href="WI%20Employment%20Law_06_03_10_files/filelist.xml"> <link rel=Edit-Time-Data href="WI%20Employment%20Law_06_03_10_files/editdata.mso"> <!--[if !mso]> <style> v\:* {behavior:url(#default#VML);} o\:* {behavior:url(#default#VML);} w\:* {behavior:url(#default#VML);} .shape {behavior:url(#default#VML);} </style> <![endif]--> <title>Hall Render Killian Heath and Lyman : Health Law Is Our Business</title> <!--[if gte mso 9]><xml> <o:DocumentProperties> <o:Author>Heather Goode</o:Author> <o:LastAuthor>Heather 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</td> </tr> <tr style='mso-yfti-irow:1'> <td style='background:#B5B5A1;padding:2.35pt 2.35pt 2.35pt 2.35pt'> <p class=MsoNormal>&nbsp; &nbsp; &nbsp; <a href="http://www.hallrender.com/?&amp;section=library" title="Hall Render Knowledge Center"><b><span style='font-size:7.0pt; font-family:"Arial","sans-serif";color:white;text-transform:uppercase; text-decoration:none;text-underline:none'>KNOWLEDGE CENTER</span></b></a> &nbsp; <strong><span style='color:#B6121B'>||</span></strong> &nbsp; <a href="mailto:hallrender@hallrender.com" title="Contact Hall Render"><b><span style='font-size:7.0pt;font-family:"Arial","sans-serif";color:white; text-transform:uppercase;text-decoration:none;text-underline:none'>CONTACT</span></b></a> </p> </td> </tr> <tr style='mso-yfti-irow:2'> <td valign=top style='background:white;padding:0in 0in 0in 0in'> <p class=MsoNormal>&nbsp;</p> </td> </tr> <tr style='mso-yfti-irow:3'> <td valign=top style='background:white;padding:0in 0in 0in 0in'> <div align=center> <table class=MsoNormalTable border=0 cellpadding=0 width="90%" style='width:90.0%;mso-cellspacing:1.5pt;mso-yfti-tbllook:1184'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'> <td valign=top style='padding:.75pt .75pt .75pt .75pt'> <div id="previewcell:cell1"> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;mso-cellspacing:0in;background:white; mso-yfti-tbllook:1184;mso-padding-alt:3.75pt 3.75pt 3.75pt 3.75pt'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'> <td style='padding:3.75pt 3.75pt 3.75pt 3.75pt'> <p align=right style='text-align:right'><strong><span style='font-size: 10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast;color:#616459'>June 3, 2010</span></strong><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";mso-fareast-theme-font:minor-fareast;color:#616459'>&nbsp; </span><span style='font-size:10.5pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-theme-font:minor-fareast'><o:p></o:p></span></p> <p><span style='font-size:13.5pt;mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast;color:#B5121B'>2009 WISCONSIN ACT 382: INCREASED OVERSIGHT AND REGULATION BY THE MEDICAL EXAMINING BOARD&nbsp;&nbsp; </span><span style='font-size:10.5pt;font-family: "Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast;color:#616459'><o:p></o:p></span></p> <p style='text-align:justify'><span style='font-size:10.0pt;font-family: "Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast;color:#616459'>On May 18, 2010,&nbsp;Wisconsin Governor Jim Doyle signed Assembly Bill 877 into law as 2009 Wisconsin Act 382 (the &quot;Act&quot;).&nbsp; The new law took effect on June 2, 2010 and makes significant changes to the Medical Examining Board's (&quot;MEB&quot;) regulation of physicians.&nbsp; These changes are codified in Chapter 448 of the Wisconsin Statutes.<o:p></o:p></span></p> <p style='text-align:justify'><span style='font-size:10.0pt;font-family: "Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast;color:#616459'>The most vital change under the recently enacted law is the new physician &quot;peer reporting requirement.&quot;&nbsp; Section 5 of the Act, codified at Wis. Stat. § 448.115, now requires a physician to promptly report, in writing, to the MEB when he or she has reason to believe that any one of the following four circumstances exist regarding another physician:<o:p></o:p></span></p> <div> <ul type=disc> <li class=MsoNormal style='color:#616459;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;text-align:justify;mso-list:l0 level1 lfo1; tab-stops:list .5in'><span style='font-size:10.0pt;font-family: "Arial","sans-serif"'>The other physician is engaging or has engaged in acts that constitute a pattern of unprofessional conduct.<o:p></o:p></span></li> </ul> </div> <div> <ul type=disc> <li class=MsoNormal style='color:#616459;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;text-align:justify;mso-list:l0 level1 lfo1; tab-stops:list .5in'><span style='font-size:10.0pt;font-family: "Arial","sans-serif"'>The other physician is engaging or has engaged in an act that creates an immediate or continuing danger to one or more patients or to the public.<o:p></o:p></span></li> </ul> </div> <div> <ul type=disc> <li class=MsoNormal style='color:#616459;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;text-align:justify;mso-list:l0 level1 lfo1; tab-stops:list .5in'><span style='font-size:10.0pt;font-family: "Arial","sans-serif"'>The other physician is or may be medically incompetent.<o:p></o:p></span></li> </ul> </div> <div> <ul type=disc> <li class=MsoNormal style='color:#616459;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;text-align:justify;mso-list:l0 level1 lfo1; tab-stops:list .5in'><span style='font-size:10.0pt;font-family: "Arial","sans-serif"'>The other physician is or may be mentally or physically unable safely to engage in the practice of medicine or surgery.<o:p></o:p></span></li> </ul> </div> <p style='text-align:justify'><span style='font-size:10.0pt;font-family: "Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast;color:#616459'>To encourage reporting and also protect reporting physicians, the new law prohibits the reporting physician from being held civilly or criminally liable or be found guilty of unprofessional conduct for reporting another physician.<o:p></o:p></span></p> <p style='text-align:justify'><span style='font-size:10.0pt;font-family: "Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast;color:#616459'>Under the new law, the failure of a physician to comply with his or her duty to report another physician is now considered unprofessional conduct.&nbsp; Specifically, Section 1 of the Act, codified at Wis. Stat. § 448.015(4), amends the definition of &quot;unprofessional conduct&quot; and subjects the non-reporting physician to disciplinary action for unprofessional conduct when he or she does not promptly report to the MEB.&nbsp;&nbsp; <o:p></o:p></span></p> <p style='text-align:justify'><span style='font-size:10.0pt;font-family: "Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast;color:#616459'>The intent of the new law is to protect the public from physicians who may pose a threat to their patients.&nbsp; Because the law applies to all licensed physicians without exclusion, Dr. Sujatha Kailas, Chair of the MEB, has already notified Wisconsin physicians of the new law and the potential conflict that the new law may create for some physicians, particularly those engaged in medical management/peer review, as well as those physicians treating other physicians for psychiatric and substance abuse problems.&nbsp; Dr. Kailas has indicated that complete guidance will be forthcoming on these issues.&nbsp;&nbsp; <o:p></o:p></span></p> <p style='text-align:justify'><span style='font-size:10.0pt;font-family: "Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast;color:#616459'>Clearly, the new law will have a significant impact on how physicians, hospitals and clinics deal with physician conduct.&nbsp; Wisconsin law is now regulating behavior that until&nbsp;today was, for the most part, policed by the medical profession itself.&nbsp; The new mandatory reporting requirement will challenge the current culture of physician reporting and create new challenges for hospital medical staff and physician leaders.&nbsp;&nbsp; <o:p></o:p></span></p> <p style='text-align:justify'><span style='font-size:10.0pt;font-family: "Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast;color:#616459'>In addition to the new reporting requirement, the new law also provides the MEB with broader discretion to issue orders of summary suspension of the licenses of physicians, physician assistants, perfusionists and the certificates of respiratory care practitioners.&nbsp;&nbsp; Under the law, the MEB may suspend a license, certificate, or other permit if the&nbsp;MEB has probable cause to believe that a credential holder has violated the law and that suspending the credential is necessary to protect the public health, safety, or welfare.&nbsp; The summary suspension begins when the credential holder is served with notice of the summary suspension.&nbsp; Section 3 of the Act, codified at Wis. Stat. § 448.02(4), clarifies the procedure for issuing an order of summary suspension and removes the thirty (30) day time limitation on the issuance of a summary suspension and allows the suspension to remain in effect until the effective date of a final decision and order, or until the order of summary suspension is discontinued by the MEB, following a hearing to show cause.&nbsp; The license or certificate holder has the right to request a hearing to show why the summary suspension should not be continued and the MEB must notify the license or certificate holder of that right.&nbsp; If a hearing to show cause is requested, it must be scheduled within twenty (20) days of receipt by the MEB of the request.&nbsp; <o:p></o:p></span></p> <p style='text-align:justify'><span style='font-size:10.0pt;font-family: "Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast;color:#616459'>The Act made two additional changes to Chapter 448.&nbsp; First, Wis. Stat. § 448.04(1)(c) removes the prohibition on prescribing narcotics by physicians holding a temporary education permit to practice medicine and surgery.&nbsp; Second, Wis. Stat. § 448.13(1)(a)2 amends the existing continuing education requirements, which now requires a physician to not only submit proof of continuing education, but also, &quot;professional development, and maintenance of certification or performance improvement or continuing medical education programs or courses of study required by the board by rule under s. 448.40(1).&quot;&nbsp; The MEB is further charged with promulgating rules requiring the completion of continuing education, professional development, and maintenance of certification or performance improvement or continuing medical education programs.<o:p></o:p></span></p> <p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-theme-font:minor-fareast; color:#616459'>The full text of the Act is available at <a href="http://www.legis.state.wi.us/2009/data/acts/09Act382.pdf">http://www.legis.state.wi.us/2009/data/acts/09Act382.pdf</a>.<o:p></o:p></span></p> <p style='text-align:justify'><span style='font-size:10.0pt;font-family: "Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast;color:#616459'>If you have any questions regarding the heightened requirements under Chapter 448, please contact your regular Hall Render attorney, Katherine A. Kuchan or Robin M. Sheridan via e-mail at <a href="mailto:kkuchan@hallrender.com">kkuchan@hallrender.com</a>, <a href="mailto:rsheridan@hallrender.com">rsheridan@hallrender.com</a> or by telephone at 414-721-0442.<o:p></o:p></span></p> </td> </tr> </table> </div> </td> </tr> </table> </div> </td> </tr> <tr style='mso-yfti-irow:4'> <td valign=top style='background:white;padding:0in 0in 0in 0in'> <p class=MsoNormal>&nbsp;</p> </td> </tr> <tr style='mso-yfti-irow:5'> <td valign=top style='padding:0in 0in 0in 0in'> <p class=MsoNormal align=center style='text-align:center'><span style='mso-no-proof:yes'><img border=0 width=554 height=70 id="_x0000_i1025" src="http://www.hallrender.com/email/img/health-law-separator.jpg" alt="http://www.hallrender.com/email/img/health-law-separator.jpg"></span></p> </td> </tr> <tr style='mso-yfti-irow:6'> <td valign=top style='background:white;padding:0in 0in 0in 0in'> <p class=MsoNormal>&nbsp;</p> </td> </tr> <tr style='mso-yfti-irow:7'> <td valign=top style='background:white;padding:0in 0in 0in 0in'> <div align=center> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="80%" style='width:80.0%;mso-cellspacing:0in;mso-yfti-tbllook:1184;mso-padding-alt: 0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'> <td width="35%" valign=top style='width:35.0%;padding:0in 0in 0in 3.95pt'> <p class=MsoNormal><strong><span style='font-size:8.0pt;color:#616459'>Indiana Offices</span></strong><span style='font-size:8.0pt;color:#616459'><br> Suite 2000, Box 82064<br> One American Square<br> Indianapolis, IN 46282 <br> (317) 633-4884<o:p></o:p></span></p> </td> <td width="33%" valign=top style='width:33.0%;padding:0in 0in 0in 0in'> <p class=MsoNormal><strong><span style='font-size:8.0pt;color:#616459'>Michigan Offices</span></strong><span style='font-size:8.0pt;color:#616459'><br> Columbia Center, Suite 1200<br> 201 West Big Beaver Road<br> Troy, MI 48084<br> (248) 740-7505<o:p></o:p></span></p> </td> <td width="32%" valign=top style='width:32.0%;padding:0in 0in 0in 0in'> <p class=MsoNormal><strong><span style='font-size:8.0pt;color:#616459'>Kentucky</span></strong><span style='font-size:8.0pt;color:#616459'><br> 614 West Main Street<br> Suite 4000<br> Louisville, KY 40202<br> (502) 568-1890<o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:1'> <td colspan=3 style='padding:0in 0in 0in 0in'> <p class=MsoNormal>&nbsp;</p> </td> </tr> <tr style='mso-yfti-irow:2;mso-yfti-lastrow:yes'> <td width="35%" valign=top style='width:35.0%;padding:0in 0in 0in 3.95pt'> <p class=MsoNormal><span style='font-size:8.0pt;color:#616459'><br> 8402 Harcourt Road<br> Suite 820<br> Indianapolis, IN 46260<br> (317) 871-6222<o:p></o:p></span></p> </td> <td valign=top style='padding:0in 0in 0in 0in'> <p class=MsoNormal><span style='font-size:8.0pt;color:#616459'><br> 2390 Woodlake Drive <br> Suite 380 <br> Okemos, MI 48864<br> (517) 706-0920<o:p></o:p></span></p> </td> <td valign=top style='padding:0in 0in 0in 0in'> <p class=MsoNormal><strong><span style='font-size:8.0pt;color:#616459'>Wisconsin</span></strong><span style='font-size:8.0pt;color:#616459'><br> 111 East Kilbourn Avenue<br> Suite 1300 <br> Milwaukee, WI 53202<br> (414) 721-0442<o:p></o:p></span></p> </td> </tr> </table> </div> </td> </tr> <tr style='mso-yfti-irow:8'> <td valign=top style='background:white;padding:0in 0in 0in 0in'> <p class=MsoNormal>&nbsp;</p> </td> </tr> <tr style='mso-yfti-irow:9'> <td valign=top style='background:white;padding:0in 7.9pt 0in 0in'> <p class=MsoNormal align=right style='text-align:right'><a href="http://www.hallrender.com/" target="_blank"><b><span style='color:#B6121B;text-decoration:none;text-underline:none'>hallrender.com</span></b></a>&nbsp;</p> </td> </tr> <tr style='mso-yfti-irow:10'> <td valign=top style='background:white;padding:0in 0in 0in 0in'> <p class=MsoNormal>&nbsp;</p> </td> </tr> <tr style='mso-yfti-irow:11'> <td valign=top style='padding:0in 3.95pt 0in 15.8pt'> <p class=MsoNormal><span style='font-size:8.0pt;color:#616459'>This publication is intended for general information purposes only and does not and is not intended to constitute legal advice. 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