AB441-SSA1,4,420 5. The vast majority of elective abortions in this state are performed in clinics
21that are devoted solely to providing abortions and family planning services. Women
22who seek elective abortions at these facilities normally do not have a prior
23patient-physician relationship with the physician who is to perform or induce the
24abortion, normally do not return to the facility for post-operative care and normally
25do not continue a patient-physician relationship with the physician who performed

1or induced the abortion. In most instances, the woman's only actual contact with the
2physician occurs simultaneously with the abortion procedure, with little opportunity
3to receive personal counseling by the physician concerning her decision. Because of
4this, certain safeguards are necessary to protect a woman's right to know.
AB441-SSA1,4,75 6. A reasonable waiting period is critical to ensure that a woman has the fullest
6opportunity to give her voluntary and informed consent before she elects to undergo
7an abortion.
AB441-SSA1,4,98 (b) It is the intent of the legislature in enacting this section to further the
9important and compelling state interests in all of the following:
AB441-SSA1,4,1110 1. Protecting the life and health of the woman subject to an elective abortion
11and, to the extent constitutionally permissible, the life of her unborn child.
AB441-SSA1,4,1312 2. Fostering the development of standards of professional conduct in the
13practice of abortion.
AB441-SSA1,4,1814 3. Ensuring that prior to the performance or inducement of an elective abortion,
15the woman considering an elective abortion receive personal counseling by the
16physician and be given a full range of information regarding her pregnancy, her
17unborn child, the abortion, the medical and psychological risks of abortion and
18available alternatives to the abortion.
AB441-SSA1,4,2019 4. Ensuring that a woman who decides to have an elective abortion gives her
20voluntary and informed consent to the abortion procedure.
AB441-SSA1,4,21 21(2) Definitions. In this section:
AB441-SSA1,5,222 (a) "Abortion" means the use of an instrument, medicine, drug or other
23substance or device with intent to terminate the pregnancy of a woman known to be
24pregnant or for whom there is reason to believe that she may be pregnant and with

1intent other than to increase the probability of a live birth, to preserve the life or
2health of the infant after live birth or to remove a dead fetus.
AB441-SSA1,5,43 (b) "Agency" means a private nonprofit organization or a county department
4under s. 46.215, 46.22 or 46.23.
AB441-SSA1,5,85 (c) "Disability" means a physical or mental impairment that substantially
6limits one or more major life activities, a record of having such an impairment or
7being regarded as having such an impairment. "Disability" includes any physical
8disability or developmental disability, as defined in s. 51.01 (5) (a).
AB441-SSA1,5,149 (d) "Medical emergency" means a condition, in a physician's reasonable medical
10judgment, that so complicates the medical condition of a pregnant woman as to
11necessitate the immediate abortion of her pregnancy to avert her death or for which
12a 24-hour delay in performance or inducement of an abortion will create serious risk
13of substantial and irreversible impairment of one or more of the woman's major
14bodily functions.
AB441-SSA1,5,2015 (e) "Probable gestational age of the unborn child" means the number of weeks
16that have elapsed from the probable time of fertilization of a woman's ovum, based
17on the information provided by the woman as to the time of her last menstrual period,
18her medical history, a physical examination performed by the physician who is to
19perform or induce the abortion or by any other qualified physician and any
20appropriate laboratory tests performed on her.
AB441-SSA1,5,2421 (f) "Qualified person assisting the physician" means a social worker certified
22under ch. 457, a registered nurse or a physician assistant to whom a physician who
23is to perform or induce an abortion has delegated the responsibility, as the
24physician's agent, for providing the information required under sub. (3) (c) 2.
AB441-SSA1,6,2
1(g) "Qualified physician" means a physician who by training or experience is
2qualified to provide the information required under sub. (3) (c) 1.
AB441-SSA1,6,33 (h) "Viability" has the meaning given in s. 940.15 (1).
AB441-SSA1,6,8 4(3) Voluntary and informed consent. (a) Generally. An abortion may not be
5performed or induced unless the woman upon whom the abortion is to be performed
6or induced has and, if the woman is a minor and s. 48.375 (4) (a) 2. does not apply,
7the individual who also gives consent under s. 48.375 (4) (a) 1. have given voluntary
8and informed written consent under the requirements of this section.
AB441-SSA1,6,109 (b) Voluntary consent. Consent under this section to an abortion is voluntary
10only if the consent is given freely and without coercion by any person.
AB441-SSA1,6,1211 (c) Informed consent. Except if a medical emergency exists, a woman's consent
12to an abortion is informed only if all of the following first take place:
AB441-SSA1,6,1513 1. At least 24 hours before the abortion is to be performed or induced, the
14physician who is to perform or induce the abortion or any other qualified physician
15has, in person, orally informed the woman of all of the following:
AB441-SSA1,6,1716 a. Whether or not, according to the reasonable medical judgment of the
17physician, the woman is pregnant.
AB441-SSA1,6,2018 b. The probable gestational age of the unborn child at the time that the
19information is provided. The physician or other qualified physician shall also
20provide this information to the woman in writing at this time.
AB441-SSA1,6,2121 c. The particular medical risks, if any, associated with the woman's pregnancy.
AB441-SSA1,6,2322 d. The probable anatomical and physiological characteristics of the woman's
23unborn child at the time the information is given.
AB441-SSA1,6,2524 e. The details of the medical or surgical method that would be used in
25performing or inducing the abortion.
AB441-SSA1,7,4
1f. The medical risks associated with the particular abortion procedure that
2would be used, including the risks of infection, psychological trauma, hemorrhage,
3endometritis, perforated uterus, incomplete abortion, failed abortion, danger to
4subsequent pregnancies and infertility.
AB441-SSA1,7,95 g. That fetal ultrasound imaging and auscultation of fetal heart tone services
6are available that enable a pregnant woman to view the image or hear the heartbeat
7of her unborn child. In so informing the woman and describing these services, the
8physician shall advise the woman as to how she may obtain these services if she
9desires to do so.
AB441-SSA1,7,1210 h. The recommended general medical instructions for the woman to follow after
11an abortion to enhance her safe recovery and the name and telephone number of a
12physician to call if complications arise after the abortion.
AB441-SSA1,7,1613 i. If, in the reasonable medical judgment of the physician, the woman's unborn
14child has reached viability, that the physician who is to perform or induce the
15abortion is required to take all steps necessary under s. 940.15 to preserve and
16maintain the life and health of the child.
AB441-SSA1,7,1917 j. Any other information that a reasonable patient would consider material and
18relevant to a decision of whether or not to carry a child to birth or to undergo an
19abortion.
AB441-SSA1,7,2120 k. That the woman may withdraw her consent to have an abortion at any time
21before the abortion is performed or induced.
AB441-SSA1,7,2422 L. That the woman is not required to pay any amount for performance or
23inducement of the abortion until at least 24 hours have elapsed after the
24requirements of this paragraph are met.
AB441-SSA1,8,4
12. At least 24 hours before the abortion is to be performed or induced, the
2physician who is to perform or induce the abortion, a qualified person assisting the
3physician or another qualified physician has, in person, orally informed the woman
4of all of the following:
AB441-SSA1,8,65 a. That benefits under the medical assistance program may be available for
6prenatal care, childbirth and neonatal care.
AB441-SSA1,8,87 b. That the father of the unborn child is liable for assistance in the support of
8the woman's child, if born, even if the father has offered to pay for the abortion.
AB441-SSA1,8,149 c. That the woman has a legal right to continue her pregnancy and to keep the
10child; to place the child in a foster home or treatment foster home for 6 months or to
11petition a court for placement of the child in a foster home, treatment foster home
12or group home or with a relative; or to place the child for adoption under a process
13that involves court approval both of the voluntary termination of parental rights and
14of the adoption.
AB441-SSA1,8,2015 d. That the woman has the right to receive and review the printed materials
16described in par. (d). The physician or qualified person assisting the physician shall
17physically give the materials to the woman and shall, in person, orally inform her
18that the materials are free of charge, have been provided by the state and describe
19the unborn child and list agencies that offer alternatives to abortion and shall
20provide her with the current updated copies of the printed materials free of charge.
AB441-SSA1,8,2521 e. If the woman has received a diagnosis of disability for her unborn child, that
22the printed materials described in par. (d) contain information on community-based
23services and financial assistance programs for children with disabilities and their
24families, information on support groups for people with disabilities and parents of
25children with disabilities and information on adoption of children with special needs.
AB441-SSA1,9,5
1f. If the woman asserts that her pregnancy is the result of sexual assault or
2incest, that the printed materials described in par. (d) contain information on
3counseling services and support groups for victims of sexual assault and incest and
4legal protections available to the woman and her child if she wishes to oppose
5establishment of paternity or to terminate the father's parental rights.
AB441-SSA1,9,86 g. The availability of public and private agencies and services to provide the
7woman with birth control information, including natural family planning
8information.
AB441-SSA1,9,149 3. The information that is required under subds. 1. and 2. is provided to the
10woman in an individual setting that protects her privacy, maintains the
11confidentiality of her decision and ensures that the information she receives focuses
12on her individual circumstances. This subdivision may not be construed to prevent
13the woman from having a family member, or any other person of her choice, present
14during her private counseling.
AB441-SSA1,9,1915 4. Whoever provides the information that is required under subd. 1. or 2., or
16both, provides adequate opportunity for the woman to ask questions, including
17questions concerning the pregnancy, her unborn child, abortion, foster care and
18adoption, and provides the information that is requested or indicates to the woman
19where she can obtain the information.
AB441-SSA1,9,2520 5. The woman certifies in writing on a form that the department shall provide,
21prior to performance or inducement of the abortion, that the information that is
22required under subds. 1. and 2. has been provided to her in the manner specified in
23subd. 3., that she has been offered the information described in par. (d) and that all
24of her questions, as specified under subd. 4., have been answered in a satisfactory
25manner. The physician who is to perform or induce the abortion or the qualified

1person assisting the physician shall write on the certification form the name of the
2physician who is to perform or induce the abortion. The woman shall indicate on the
3certification form who provided the information to her and when it was provided.
AB441-SSA1,10,94 6. Prior to the performance or the inducement of the abortion, the physician
5who is to perform or induce the abortion or the qualified person assisting the
6physician receives the written certification that is required under subd. 5. The
7physician or qualified person assisting the physician shall place the certification in
8the woman's medical record and shall provide the woman with a copy of the
9certification.
AB441-SSA1,10,1610 7. If the woman considering an abortion is a minor, unless s. 48.375 (4) (a) 2.
11applies, the requirements to provide information to the woman under subds. 1. to 6.
12apply to also require provision of the information to the individual whose consent is
13also required under s. 48.375 (4) (a) 1. If the woman considering an abortion has been
14adjudicated incompetent under ch. 880, the requirements to provide information to
15the woman under subds. 1. to 6. apply to also require provision of the information to
16the person appointed as the woman's guardian.
AB441-SSA1,10,2317 (cm) List upon request. Upon request of the woman receiving information
18under par. (c), the physician who is to perform or induce the abortion, a qualified
19person assisting the physician or another qualified physician shall provide the
20woman with the list distributed under s. 46.245 (2) by a county department. The list
21shall specify public and private agencies and services that are available to provide
22the woman with birth control information, including natural family planning
23information.
AB441-SSA1,11,924 (d) Printed information. By the date that is 60 days after the effective date of
25this paragraph .... [revisor inserts date], the department shall cause to be published

1in English, Spanish, and other languages spoken by a significant number of state
2residents, as determined by the department, materials that are in an easily
3comprehensible format and are printed in type of not less than 12-point size. The
4department shall distribute a reasonably adequate number of the materials to
5county departments as specified under s. 46.245 (1) and upon request, annually
6review the materials for accuracy and exercise reasonable diligence in providing
7materials that are accurate and current. The department may charge a fee not to
8exceed the actual cost of the preparation and distribution of the materials. The
9materials shall be all of the following:
AB441-SSA1,12,1610 1. Geographically indexed materials that are designed to inform a woman
11about public and private agencies, including adoption agencies, and services that are
12available to provide ultrasound imaging services, to assist her if she has received a
13diagnosis that her unborn child has a disability or if her pregnancy is the result of
14sexual assault or incest and to assist her through pregnancy, upon childbirth and
15while the child is dependent. The materials shall include a comprehensive list of the
16agencies available, a description of the services that they offer and a description of
17the manner in which they may be contacted, including telephone numbers and
18addresses, or, at the option of the department, the materials shall include a toll-free,
1924-hour telephone number that may be called to obtain an oral listing of available
20agencies and services in the locality of the caller and a description of the services that
21the agencies offer and the manner in which they may be contacted. The materials
22shall provide information on the availability of governmentally funded programs
23that serve pregnant women and children. Services identified for the woman shall
24include aid to families with dependent children under s. 49.19, medical assistance
25for pregnant women and children under s. 49.47 (4) (am), the job opportunities and

1basic skills program under s. 49.193, the availability of family or medical leave under
2s. 103.10, child care services, child support laws and programs and the credit for
3expenses for household and dependent care and services necessary for gainful
4employment under section 21 of the internal revenue code. The materials shall state
5that it is unlawful to perform an abortion for which consent has been coerced, that
6any physician who performs or induces an abortion without obtaining the woman's
7voluntary and informed consent is liable to her for damages in a civil action and is
8subject to a civil penalty, that the father of a child is liable for assistance in the
9support of the child, even in instances in which the father has offered to pay for an
10abortion, and that adoptive parents may pay the costs of prenatal care, childbirth
11and neonatal care. The materials shall include information, for a woman whose
12pregnancy is the result of sexual assault or incest, on legal protections available to
13the woman and her child if she wishes to oppose establishment of paternity or to
14terminate the father's parental rights. The materials shall state that fetal
15ultrasound imaging and auscultation of fetal heart tone services are obtainable by
16pregnant women who wish to use them and shall describe the services.
AB441-SSA1,13,817 2. Materials, including photographs, pictures or drawings, that are designed
18to inform the woman of the probable anatomical and physiological characteristics of
19the unborn child at 2-week gestational increments for the first 16 weeks of her
20pregnancy and at 4-week gestational increments from the 17th week of the
21pregnancy to full term, including any relevant information regarding the time at
22which the unborn child could possibly be viable. The pictures or drawings must
23contain the dimensions of the unborn child and must be realistic and appropriate for
24the stage of pregnancy depicted. The materials shall be objective, nonjudgmental
25and designed to convey only accurate scientific information about the unborn child

1at the various gestational ages, including appearance, mobility, brain and heart
2activity and function, tactile sensitivity and the presence of internal organs and
3external members. The materials shall also contain objective, accurate information
4describing the methods of abortion procedures commonly employed, the medical and
5psychological risks commonly associated with each such procedure, including the
6risks of infection, psychological trauma, hemorrhage, endometritis, perforated
7uterus, incomplete abortion, failed abortion, danger to subsequent pregnancies and
8infertility, and the medical risks commonly associated with carrying a child to birth.
AB441-SSA1,13,109 3. A certification form for use under par. (c) 5. that lists, in a check-off format,
10all of the information required to be provided under that subdivision.
AB441-SSA1,13,1611 (e) Requirement to obtain materials. A physician who intends to perform or
12induce an abortion or another qualified physician, who reasonably believes that he
13or she might have a patient for whom the information under par. (d) is required to
14be given, shall request a reasonably adequate number of the materials that are
15described under par. (d) from the department under par. (d) or from a county
16department as specified under s. 46.245 (1).
AB441-SSA1,14,217 (f) Medical emergency. If a medical emergency exists, the physician who is to
18perform or induce the abortion necessitated by the medical emergency shall inform
19the woman, prior to the abortion if possible, of the medical indications supporting the
20physician's reasonable medical judgment that an immediate abortion is necessary
21to avert her death or that a 24-hour delay in performance or inducement of an
22abortion will create a serious risk of substantial and irreversible impairment of one
23or more of the woman's major bodily functions. If possible, the physician shall obtain
24the woman's written consent prior to the abortion. The physician shall certify these

1medical indications in writing and place the certification in the woman's medical
2record.
AB441-SSA1,14,103 (g) Presumptions. Satisfaction of the conditions required under par. (c) creates
4a rebuttable presumption that the woman's consent and, if the woman is a minor and
5if s. 48.375 (4) (a) 2. does not apply, the consent of the individual who also gives
6consent under s. 48.375 (4) (a) 1. to an abortion is informed. The presumption of
7informed consent may be overcome by a preponderance of evidence that establishes
8that the consent was obtained through fraud, negligence, deception,
9misrepresentation or omission of a material fact. There is no presumption that
10consent to an abortion is voluntary.
AB441-SSA1,14,12 11(4) Hotline. The department may maintain a toll-free telephone number that
12is available 24 hours each day, to provide the materials specified in sub. (3) (d) 1.
AB441-SSA1,14,14 13(5) Penalty. Any person who violates sub. (3) shall be required to forfeit not
14less than $5,000 nor more than $10,000.
AB441-SSA1,14,18 15(6) Civil remedies. (a) A person who violates sub. (3) is liable to the woman
16on or for whom the abortion was performed or induced for damages arising out of the
17performance or inducement of the abortion, including damages for personal injury
18and emotional and psychological distress.
AB441-SSA1,14,2219 (b) A person who has been awarded damages under par. (a) shall, in addition
20to any damages awarded under par. (a), be entitled to not less than $5,000 nor more
21than $10,000 in punitive damages for a violation that satisfies a standard under s.
22895.85 (3).
AB441-SSA1,14,2423 (c) A conviction under sub. (5) is not a condition precedent to bringing an action,
24obtaining a judgment or collecting the judgment under this subsection.
AB441-SSA1,15,3
1(d) Notwithstanding s. 814.04 (1), a person who recovers damages under par.
2(a) or (b) may also recover reasonable attorney fees incurred in connection with the
3action.
AB441-SSA1,15,44 (e) A contract is not a defense to an action under this subsection.
AB441-SSA1,15,65 (f) Nothing in this subsection limits the common law rights of a person that are
6not in conflict with sub. (3).
AB441-SSA1,15,14 7(7) Affirmative defense. No person is liable under sub. (5) or (6) or under s.
8441.07 (1) (f) or 457.26 (2) (gm) for failure under sub. (3) (c) 2. d. to provide the printed
9materials described in sub. (3) (d) to a woman or for failure under sub. (3) (c) 2. d.,
10e. or f. to describe the contents of the printed materials if the person has made a
11reasonably diligent effort to obtain the printed materials under sub. (3) (e) and s.
1246.245 (1) and the department and the county department under s. 46.215, 46.22 or
1346.23 have not made the printed materials available at the time that the person is
14required to give them to the woman.
AB441-SSA1,15,17 15(8) Construction. Nothing in this section may be construed as creating or
16recognizing a right to abortion or as making lawful an abortion that is otherwise
17unlawful.
AB441-SSA1, s. 5 18Section 5. 441.07 (1) (f) of the statutes is created to read:
AB441-SSA1,15,2019 441.07 (1) (f) A violation of the requirements of s. 253.10 (3) (c) 2., 3., 4., 5., 6.
20or 7.
AB441-SSA1, s. 6 21Section 6. 448.02 (3) (a) of the statutes is amended to read:
AB441-SSA1,16,1622 448.02 (3) (a) The board shall investigate allegations of unprofessional conduct
23and negligence in treatment by persons holding a license, certificate or limited
24permit granted by the board. An allegation that a physician has violated s. 253.10
25(3),
448.30 or 450.13 (2) or has failed to mail or present a medical certification

1required under s. 69.18 (2) within 21 days after the pronouncement of death of the
2person who is the subject of the required certificate or that a physician has failed at
3least 6 times within a 6-month period to mail or present a medical certificate
4required under s. 69.18 (2) within 6 days after the pronouncement of death of the
5person who is the subject of the required certificate is an allegation of unprofessional
6conduct. Information contained in reports filed with the board under s. 49.45 (2) (a)
712r., 50.36 (3) (b), 609.17 or 632.715 or under 42 CFR 1001.109 (e) and 42 CFR
81001.124
(a) (3) and (b) shall be investigated by the board. Information contained
9in a report filed with the board under s. 655.045 (1), as created by 1985 Wisconsin
10Act 29
, which is not a finding of negligence or in a report filed with the board under
11s. 50.36 (3) (c) may, within the discretion of the board, be used as the basis of an
12investigation of the persons named in the reports. The board may require a person
13holding a license, certificate or limited permit to undergo and may consider the
14results of one or more physical, mental or professional competency examinations if
15the board believes that the results of any such examinations may be useful to the
16board in conducting its investigation.
AB441-SSA1, s. 7 17Section 7. 457.26 (2) (gm) of the statutes is created to read:
AB441-SSA1,16,1918 457.26 (2) (gm) Violated the requirements of s. 253.10 (3) (c) 2., 3., 4., 5., 6. or
197.
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