2019 - 2020 LEGISLATURE
March 15, 2019 - Introduced by Senators Feyen,
Bewley, Carpenter, Cowles,
Marklein, Nass, Olsen, Wanggaard and Wirch, cosponsored by
Representatives Horlacher, Meyers, Brooks, Edming, Hutton, Macco,
Murphy, Mursau, Novak, Rodriguez, Skowronski, Snyder, Spiros, Spreitzer,
Steffen, Subeck, C. Taylor, VanderMeer, Wichgers and Tusler. Referred to
Committee on Government Operations, Technology and Consumer
1An Act to amend
subchapter I (title) of chapter 154 [precedes 154.01], 154.03 2
(2) (intro.), 154.13 (title), 154.13 (1), 154.13 (2) (intro.), 154.13 (3), 155.30 (3) 3
(intro.), 155.65 (title), 155.65 (1), 155.65 (2) (intro.) and 155.65 (3); and to
154.015, 154.13 (1m) and 155.65 (1m) of the statutes; relating to:
5authorizing creation and implementation of an advance directive registry and
6granting rule-making authority.
Analysis by the Legislative Reference Bureau
This bill authorizes the Department of Health Services to develop and
implement a registry for power of attorney for health care instruments, declarations
to physicians, do-not-resuscitate orders, authorizations for final disposition, and
any other advance directives included by DHS. If DHS develops a registry, DHS may
promulgate rules to implement the registry.
Also, if a registry is established, DHS may determine whether to incorporate
advance directives previously filed with the county registers in probate. If DHS
decides to incorporate these advance directives, DHS must request the documents
from the registers in probate and the registers in probate must transfer a copy of the
documents to DHS. If DHS requests copies of any previously filed advance
directives, the registers in probate may not accept for filing new advance directives.
For further information see the state and local fiscal estimate, which will be
printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
Subchapter I (title) of chapter 154 [precedes 154.01] of the statutes 2
is amended to read:
154.015 of the statutes is created to read:
8154.015 Advance directive registry.
In this section:
(a) “Advance directive” has the meaning given in 42 CFR 489.100
(b) “Authorization for final disposition” has the meaning given in s. 154.30 (1) 11
(c) “Declaration” has the meaning given in s. 154.02 (1).
(d) “Do-not-resuscitate order” has the meaning given in s. 154.17 (2).
(e) “Power of attorney for health care instrument” means an instrument 15
designating a power of attorney for health care executed under ch. 155.
The department may develop and implement a registry for power of 17
attorney for health care instruments, declarations to physicians, do-not-resuscitate 18
orders, authorizations for final disposition, and any other advance directives 19
included by the department. If the department establishes a registry under this 20
section, the department may incorporate advance directives previously filed with a 21
county register in probate into the registry. If the department determines
incorporation of advance directives is appropriate, the department shall request and 2
the county registers in probate shall complete the transfer of a copy of any advance 3
directives filed under s. 154.13 (1) or 155.65 (1) for inclusion by the department in 4
the registry. The department shall notify the subject of the advance directive within 5
14 days of the transfer of a copy of the advance directive and provide information 6
regarding the registry and access to advance directives included in the registry.
(a) Registration of a document or failure to register a document with a 8
registry maintained by the department under this section does not affect the validity 9
of the document. Failure to notify the department of the revocation of a document 10
included on a registry under this section does not affect the validity of a revocation 11
that otherwise meets the statutory requirements for revocation.
(b) The department is not required to review a document submitted for 13
inclusion on a registry under this section to determine whether the document 14
complies with statutory requirements applicable to that document.
If an individual or a person authorized by that individual has submitted a 16
copy of an advance directive to any registry established by the department under this 17
section, the following persons may have access to that advance directive without first 18
obtaining consent from the individual:
(a) The person authorized by the individual who is the subject of the advance 20
(b) A health care provider who is providing care to the individual.
(c) The court and all parties involved in proceedings in this state for 23
adjudication of incompetency and appointment of a guardian for the individual, for 24
emergency detention under s. 51.15, for involuntary commitment under s. 51.20, or 25
for protective placement or protective services under ch. 55.
(d) Any person under the order of a court for good cause shown.
The department may promulgate rules to implement any registry 3
established under this section.
All data and information submitted to or contained in a registry under this 5
section shall remain confidential and is not subject to public inspection or copying 6
under s. 19.35 (1).
The department and its employees and agents are immune from liability 8
for any act or omission, in good faith, relating to the creation, installation, 9
implementation, operation, maintenance, or use of any registry established by the 10
department under this section. This subsection does not limit immunity otherwise 11
available under s. 893.80 (4).
154.03 (2) (intro.) of the statutes is amended to read:
(intro.) The department shall prepare and provide copies of the 14
declaration and accompanying information for distribution in quantities to health 15
care professionals, hospitals, nursing homes, county clerks,
and local bar 16
associations and individually to private persons. The department shall include, in 17
information accompanying the declaration, at least the statutory definitions of terms 18
used in the declaration, statutory restrictions on who may be witnesses to a valid 19
declaration, a statement explaining that valid witnesses acting in good faith are 20
statutorily immune from civil or criminal liability, an instruction to potential 21
declarants to read and understand the information before completing the 22
and a statement explaining that an instrument may, but need not be, 23
filed with the register in probate of the declarant's county of residence or submitted
24to any registry established by the department under s. 154.015
. The department 25
may charge a reasonable fee for the cost of preparation and distribution. The
declaration distributed by the department of health services shall be easy to read, 2
the type size may be no smaller than 10 point, and the declaration shall be in the 3
following form, setting forth on the first page the wording before the ATTENTION 4
statement and setting forth on the 2nd page the ATTENTION statement and 5
154.13 (title) of the statutes is amended to read:
(title) Filing or registering declaration.
154.13 (1) of the statutes is amended to read:
A declarant or an individual authorized by the declarant may, for 10
a fee, file the declarant's declaration, for safekeeping, with the register in probate of 11
the county in which the declarant resides. If the department establishes an advance
12directive registry under s. 154.015 and determines under s. 154.015 (2) that
13incorporation of advance directives previously filed with the register in probate is
14appropriate, upon request from the department, the register in probate shall
15transfer a copy of any declarations filed under this subsection to the department and
16may not accept for filing any declarations after the request from the department is
154.13 (1m) of the statutes is created to read:
A declarant or an individual authorized by the declarant may 20
submit a copy of the declarant's declaration to any registry established by the 21
department under s. 154.015.
154.13 (2) (intro.) of the statutes is amended to read:
(intro.) If a declarant or authorized individual has filed the 24
declarant's declaration as specified in sub. (1) or submitted a copy of the declaration
1under sub. (1m)
, the following persons may have access to the declaration without 2
first obtaining consent from the declarant:
154.13 (3) of the statutes is amended to read:
Failure to file a declaration under sub. (1) or submit a declaration
5under sub. (1m)
creates no presumption about the intent of an individual with regard 6
to his or her health care decisions.
155.30 (3) (intro.) of the statutes is amended to read:
(intro.) The department shall prepare and provide copies of a power 9
of attorney for health care instrument and accompanying information for 10
distribution in quantities to health care professionals, hospitals, nursing homes, 11
multipurpose senior centers, county clerks, and local bar associations and 12
individually to private persons. The department shall include, in information 13
accompanying the copy of the instrument, at least the statutory definitions of terms 14
used in the instrument, statutory restrictions on who may be witnesses to a valid 15
instrument, a statement explaining that valid witnesses acting in good faith are 16
statutorily immune from civil or criminal liability,
and a statement explaining that 17
an instrument may, but need not, be filed with the register in probate of the 18
principal's county of residence or submitted to any registry established by the
19department under s. 154.015
. The department may charge a reasonable fee for the 20
cost of preparation and distribution. The power of attorney for health care 21
instrument distributed by the department shall include the notice specified in sub. 22
(1) and shall be in the following form:
155.65 (title) of the statutes is amended to read:
(title) Filing or registering power of attorney instrument.