EmR0827 Hearing to consider emergency rules to create s. RL 91.01 (3) (k), relating to training and proficiency in the use of automated external defibrillators for certification as a massage therapist or bodyworker.  

  • The federal rules are effective nation-wide and the rules being proposed by the Department are essentially identical to the federal rules so the portions of the proposed rules dealing with the GACT standard should be similar or identical to rules in effect in adjacent states that have similar programs.
    Summary of factual data and analytical methodologies
    Since the Department is proposing rules consistent with federal regulations, and making consistency and clarification changes, the Department did not, with one exception, make use of any factual data or analytical methodologies in the rule development. That exception is the proposed amendment to ch. NR 484 .
    The only exception is the adding of biodiesel as a clean fuel. Based on emission information developed by EPA in "A Comprehensive Analysis of Biodiesel Impacts on Exhaust Emissions" (October 2002, http://www.epa.gov/OMS/ models/biodsl.htm ), emissions from the burning of biodiesel are less than those of distillate fuels, except for Nitrogen Oxides (NO x ). NO x emissions are approximately, 10% higher for a 20% blend of biodiesel and distillate fuels. Normally, biodiesel is not burned independently from other fuel types. By blending the fuels, existing burner design and fuel feed systems do not need to be altered. Emissions of hydrocarbons (21.1), particulate matter (10.1) and carbon monoxide (11.0) were all reduced with a 20% by the amounts shown in the parentheses. Carbon dioxide remained approximately the same.
    Analysis and supporting documents used to determine the effect on small business
    An analysis of the effect of the proposed rules on small business was not performed since most of the changes are identical requirements that are already in effect at a federal level, and the Department is required by statute to adopt federal regulations or to develop similar standards. Preparation of an economic impact report has not been requested. The proposed changes not based on federal regulations, were clarification in nature or updating of old or outdated language in the rules.
    Small Business Impact
    Because the proposed GACT rule changes for permitting sources of hazardous air pollutants may result in a limited number of sources becoming subject to federal operation permit requirements, some small businesses may be required to report their compliance status semi-annually instead of annually.
    The proposed rule is not expected to have a significant economic impact on small businesses nor have a significant economic effect on any entity.
    Fiscal Estimate
    Summary
    It is assumed there will be no direct fiscal effect with these rule changes. The proposed changes are intended to clarify the current rules and update permit requirements for hazardous air pollutants. These changes will result in clarifications and some permit exemptions, but not in substantial dollar savings or expenditures.
    The DNR does not believe the proposed rule changes will have a significant effect on the private sector or on state and local governments. Minor savings may result from a proposed reduction in reporting requirements from semi-annual to annual, affecting both private and government owned facilities. In addition, minor savings could result from a proposed change to consider a switch to burning bio-fuels as a permit revision, and not a permit modification. Where the DNR charges a fee for a permit modification, there are no fees associated with a permit revision.
    State fiscal effect
    None
    Local government fiscal effect
    None
    Long-range fiscal implications
    NA
    Environmental Impact
    The DNR has made a preliminary determination that adoption of the proposed rules would not involve significant adverse environmental effects and would not need an environmental analysis under ch. NR 150 , Wis. Adm. Code. However, based on the comments received, the DNR may prepare an environmental analysis before proceeding. This analysis would summarize the DNR's consideration of the impacts of the proposal and any reasonable alternatives.
    Agency Contact Person
    Robert Eckdale, Bureau of Air Management
    P.O. Box 7921
    Madison, WI 53707
    Phone:   (608) 266-2856.
    Notice of Hearing
    Regulation and Licensing
    NOTICE IS HEREBY GIVEN that pursuant to authority vested in the Department of Regulation and Licensing in s. 227.11 (2) , Stats., and s. 460.04 (2) , Stats., 2007 Wisconsin Act 104 , the Department of Regulation and Licensing will hold a public hearing on an order adopting emergency rules to create section RL 91.01 (3) (k) , relating to training and proficiency in the use of automated external defibrillators for certification as a massage therapist or bodyworker.
    Hearing Information
    Date:   April 13, 2009
    Time:   9:00 A.M.
    Location:   1400 East Washington Avenue
      (Enter at 55 North Dickinson Street)
      Room 121A
      Madison, Wisconsin
    Appearances at the Hearing and Submission of Written Comments
    Interested persons are invited to present information at the hearing. Persons appearing may make an oral presentation but are urged to submit facts, opinions and argument in writing as well. Facts, opinions and argument may also be submitted in writing without a personal appearance by mail addressed to Pamela Haack, Paralegal, Department of Regulation and Licensing, Office of Legal Counsel, P.O. Box 8935, Madison, Wisconsin 53708-8935, or by email to pamela.haack@drl.state.wi.us . Written comments must be received by April 13, 2009, to be included in the record of rule-making proceedings.
    Analysis Prepared by the Department of Regulation and Licensing
    Statutes interpreted
    Section 460.04 (2) , Stats.
    Statutory authority
    Section 227.11 (2) , Stats., and s. 460.04 (2) , Stats., 2007 Wisconsin Act 104 .
    Explanation of agency authority
    2007 Wisconsin Act 104 amends ch. 460 , Stats., which regulates the profession of massage therapy and bodywork. The effect of the Act requires the Department of Regulation and Licensing to amend administrative rules for application for certification as a massage therapist or bodyworker. As required by 2007 Wisconsin Act 104 , the rule creates the requirement for applicants to be proficient in the use of automated external defibrillators (AEDs) through the completion of an approved instruction program prior to initial certification.
    Related statutes or rules
    Section RL 91.01 , Wis. Adm. Code.
    Plain language analysis
    The massage therapy and bodywork statutes and administrative rules regarding application for certification, reciprocal certification and renewal do not have a requirement for training and proficiency in the use of an AED. This rule implements a provision of 2007 Wisconsin Act 104 , requiring applicants for a credential to be proficient in the use of automated external defibrillators (AEDs) through the completion of an approved instruction program prior to initial certification.
    SECTION 1 creates a requirement for applicants for a credential to be proficient in the use of automated external defibrillators (AEDs) through the completion of an approved instruction program prior to initial certification.
    Comparison with federal regulation s
    There is no existing or proposed federal regulation that is intended to address the activities to be regulated by the rule.
    Comparison with rules in adjacent states
    Minnesota:
    Minnesota does not have regulations or state requirements for massage therapy.
    Michigan:
    Michigan does not have regulations or state requirements for massage therapy.
    Iowa:
    Laws and rules for Iowa do not require automated external defibrillator (AED) training. One of the requirements for Iowa licensure is proof of current CPR and First Aid cards, Chapter 131 , 131.2(6) states: The applicant shall submit proof of completion of a cardiopulmonary resuscitation (CPR) course and a first-aid course that were certified by the American Red Cross, by the American Heart Association, or by the National Safety Council. One of the following shall be required:
    a. Official transcript documenting completion of a CPR class and a first-aid class within one year prior to submitting the application for licensure; or
    b. Copy of the current certification card(s) or renewal card(s).
    Illinois:
    Illinois does not appear to require proficiency and training in the use of AEDs as a requirement for licensure and renewal of massage therapists. Massage Therapists are licensed under Title 68: Professions & Occupations: Chap. VII, Dept. of Financial and Professional Regulation, Subchapter B, Professions and Occupations Part 1284 Massage Licensing Act, ss. 1284.30 Application for Licensure and 1284.60 Renewals
    Summary of factual data and analytical methodologies
    2007 Wisconsin Act 104 created a requirement for applicants for a credential as a massage therapy or bodyworker to be proficient in the use of automated external defibrillators (AEDs) through the completion of an approved instruction program prior to initial certification. This requirement of the Act has been set forth in the newly created rule provision, as directed by the legislature.
    Analysis and supporting documents used to determine effect on small business
    Training for certification and renewal of certification may vary. The Madison Wisconsin Chapter of the American Red Cross (Badger Chapter) offers AED/CPR initial certification for $80.00 and $52.00 for review. Both trainings are valid for one year. Based on these figures, AED certification costs for a certified massage therapist could cost approximately $132.00 for the certification biennium and less so in subsequent bienniums (initial biennium in which AED certification was achieved: $132.00 initial certification plus $52.00 for review).
    As of July 2008, there were 3,162 massage therapists and bodyworkers with active certifications.
    Small Business Impact
    This emergency rule will have no significant economic impact on a substantial number of small businesses, as defined in s. 227.114 (1) , Stats.
    Fiscal Estimate
    The department estimates that this rule will require staff time in the Office of Legal Counsel, Division of Management Services, Office of Exams, and the Division of Professional Credentialing. The total one-time salary and fringe costs are estimated at $3,032.
    Anticipated costs incurred by private sector
    The department finds that this rule has no significant fiscal effect on the private sector.
    Agency Contact Person
    Pamela Haack, Paralegal
    Department of Regulation and Licensing
    Office of Legal Counsel — Room 152
    1400 East Washington Avenue
    P.O. Box 8935
    Madison, Wisconsin 53708
    Telephone: 608-266-0495
    Text of Emergency Rule
    SECTION 1. RL 91.01 (3) (k) is created to read:
    RL 91.01 (3) (k) Has current proficiency in the use of an automated external defibrillator achieved through instruction provided by an individual, organization, or institution of higher education approved under s. 46.03 (38) , Stats., to provide the instruction.
    Finding of Emergency
    Section 41 (2) (b) of the nonstatutory provisions of 2007 Wisconsin Act 104 provides that notwithstanding section 227.24 (1) (a) and (3) of the statutes, the department of regulation and licensing is not required to provide evidence that promulgating a rule as an emergency rule is necessary for the preservation of the public peace, health, safety, or welfare and is not required to provide a finding of emergency for a rule promulgated to implement 2007 Wisconsin Act 104 . Notwithstanding s. 227.24 (1) (c) and (2) of the statutes, these emergency rules will remain in effect until the date on which the final rules take effect.
    This emergency rule was effective on September 10, 2008.
    Notice of Hearing
    Regulation and Licensing
    NOTICE IS HEREBY GIVEN that pursuant to authority vested in the Department of Regulation and Licensing in s. 227.11 (2) , Stats., and s. 460.04 (2) , Stats., 2007 Wisconsin Act 104 , the Department of Regulation and Licensing will hold a public hearing to consider an order to create section RL 91.01 (3) (k) , relating to training and proficiency in the use of automated external defibrillators for certification as a massage therapist or bodyworker.
    Hearing Information
    Date:   April 13, 2009
    Time:   10:00 A.M.
    Location:   1400 East Washington Avenue
      (Enter at 55 North Dickinson Street)
      Room 121A
      Madison, Wisconsin
    Appearances at the Hearing and Submission of Written Comments
    Interested persons are invited to present information at the hearing. Persons appearing may make an oral presentation but are urged to submit facts, opinions and argument in writing as well. Facts, opinions and argument may also be submitted in writing without a personal appearance by mail addressed to Pamela Haack, Paralegal, Department of Regulation and Licensing, Office of Legal Counsel, P.O. Box 8935, Madison, Wisconsin 53708-8935, or by email to pamela.haack@drl.state.wi.us . Written comments must be received by April 13, 2009, to be included in the record of rule-making proceedings.
    Analysis Prepared by the Department of Regulation and Licensing
    Statutes interpreted
    Section 460.04 (2) , Stats.
    Statutory authority
    Section 227.11 (2) , Stats., and s. 460.04 (2) , Stats., 2007 Wisconsin Act 104 .
    Explanation of agency authority
    2007 Wisconsin Act 104 amends ch. 460 , Stats., which regulates the profession of massage therapy and bodywork. The effect of the Act requires the Department of Regulation and Licensing to amend administrative rules for application for certification as a massage therapist or bodyworker. As required by 2007 Wisconsin Act 104 , the proposed rule creates the requirement for applicants to be proficient in the use of automated external defibrillators (AEDs) through the completion of an approved instruction program prior to initial certification.
    Related statutes or rules
    Section 91.01 , Wis. Admin. Code.
    Plain language analysis
    The massage therapy and bodywork statutes and administrative rules regarding application for certification, reciprocal certification and renewal do not have a requirement for training and proficiency in the use of an AED. This proposed rule-making implements a provision of 2007 Wisconsin Act 104 , requiring applicants for a credential to be proficient in the use of automated external defibrillators (AEDs) through the completion of an approved instruction program prior to initial certification.
    SECTION 1 creates a requirement for applicants for a credential to be proficient in the use of automated external defibrillators (AEDs) through the completion of an approved instruction program prior to initial certification.
    Comparison with federal regulation s
    There is no existing or proposed federal regulation that is intended to address the activities to be regulated by the rule.
    Comparison with rules in adjacent states
    Minnesota:
    Minnesota does not have regulations or state requirements for massage therapy.
    Michigan:
    Michigan does not have regulations or state requirements for massage therapy.
    Iowa:
    Laws and rules for Iowa do not require automated external defibrillator (AED) training. One of the requirements for Iowa licensure is proof of current CPR and First Aid cards, Chapter 131 , 131.2(6) states: The applicant shall submit proof of completion of a cardiopulmonary resuscitation (CPR) course and a first-aid course that were certified by the American Red Cross, by the American Heart Association, or by the National Safety Council. One of the following shall be required:
    a. Official transcript documenting completion of a CPR class and a first-aid class within one year prior to submitting the application for licensure; or
    b. Copy of the current certification card(s) or renewal card(s).
    Illinois:
    Illinois does not appear to require proficiency and training in the use of AEDs as a requirement for licensure and renewal of massage therapists. Massage Therapists are licensed under Title 68: Professions & Occupations: Chap. VII, Dept. of Financial and Professional Regulation, Subchapter B, Professions and Occupations Part 1284 Massage Licensing Act, ss. 1284.30 Application for Licensure and 1284.60 Renewals
    Summary of factual data and analytical methodologies
    2007 Wisconsin Act 104 created a requirement for applicants for a credential as a massage therapist or bodyworker to be proficient in the use of automated external defibrillators (AEDs) through the completion of an approved instruction program prior to initial certification. This requirement of the Act has been set forth in the newly created rule provision, as directed by the legislature.
    Analysis and supporting documents used to determine effect on small business
    Training for certification and renewal of certification may vary. The Madison Wisconsin Chapter of the American Red Cross (Badger Chapter) offers AED/CPR initial certification for $80.00 and $52.00 for review. Both trainings are valid for one year. Based on these figures, AED certification costs for a certified massage therapist could cost approximately $132.00 for the certification biennium and less so in subsequent bienniums (initial biennium in which AED certification was achieved: $132.00 initial certification plus $52.00 for review).
    As of July 2008, there were 3,162 massage therapists and bodyworkers with active certifications.
    Small Business Impact
    These proposed rules will have no significant economic impact on a substantial number of small businesses, as defined in s. 227.114 (1) , Stats.
    Fiscal Estimate
    The department estimates that this rule will require staff time in the Office of Legal Counsel, Division of Management Services, Office of Exams, and the Division of Professional Credentialing. The total one-time salary and fringe costs are estimated at $3,032.
    Anticipated costs incurred by private sector
    The department finds that this rule has no significant fiscal effect on the private sector.
    Text of Proposed Permanent Rule
    SECTION 1. RL 91.01 (3) (k) is created to read:
    RL 91.01 (3) (k) Has current proficiency in the use of an automated external defibrillator achieved through instruction provided by an individual, organization, or institution of higher education approved under s. 46.03 (38) , Stats., to provide the instruction.
    Agency Contact Person
    Pamela Haack, Paralegal
    Department of Regulation and Licensing
    Office of Legal Counsel — Room 152
    1400 East Washington Avenue
    P.O. Box 8935
    Madison, Wisconsin 53708
    Telephone: 608-266-0495