SB532,6,118 48.983 (6) (a) 4. An explanation of how the evidence-based home visitation
9program will build on existing poor birth outcome and child abuse and neglect
10prevention programs, including programs that provide support to families, and how
11the evidence-based home visitation program will coordinate with those programs.
SB532, s. 9 12Section 9. 48.983 (6) (a) 4m. of the statutes is amended to read:
SB532,6,1513 48.983 (6) (a) 4m. An explanation of how the applicant will encourage private
14organizations to provide services under the applicant's evidence-based home
15visitation program.
SB532, s. 10 16Section 10. 48.983 (6) (a) 6. of the statutes is amended to read:
SB532,6,2117 48.983 (6) (a) 6. An identification of how the evidence-based home visitation
18program is comprehensive and incorporates the practice standards and critical
19elements for successful home visitation programs referred to in subd. 1., including
20how services will vary in intensity levels depending on the needs and strengths of the
21participating family.
SB532, s. 11 22Section 11. 48.983 (6) (a) 6m. of the statutes is amended to read:
SB532,6,2523 48.983 (6) (a) 6m. An explanation of how the services to be provided under the
24evidence-based home visitation program, including the risk assessment under sub.
25(4) (b) 1., will be provided in a culturally competent manner.
SB532, s. 12
1Section 12. 48.983 (6) (b) 1. of the statutes is amended to read:
SB532,7,122 48.983 (6) (b) 1. `Flexible fund for evidence-based home visitation programs.'
3The applicant demonstrates in the application that the applicant has established, or
4has plans to establish, if selected, a fund from which payments totaling not less than
5$250 per calendar year may be made for appropriate expenses of each family that is
6participating in the evidence-based home visitation program under sub. (4) (b) 1. or
7that is receiving home visitation services under s. 49.45 (44). The payments shall be
8authorized by an individual designated by the applicant. If an applicant makes a
9payment to or on behalf of a family under this subdivision, one-half of the payment
10shall be from grant moneys received under this section and one-half of the payment
11shall be from moneys provided by the applicant from sources other than grant
12moneys received under this section.
SB532, s. 13 13Section 13. 48.983 (6) (c) of the statutes is amended to read:
SB532,7,1914 48.983 (6) (c) Case management benefit. The applicant states in the grant
15application that it has elected, or, if selected, that it will elect, under s. 49.45 (25) (b),
16to make the case management benefit under s. 49.45 (25) available to the category
17of beneficiaries under s. 49.45 (25) (am) 9. who are children and who are members
18of families receiving evidence-based home visitation program services under sub. (4)
19(b) 1.
SB532, s. 14 20Section 14. 48.983 (6g) (a) and (b) of the statutes are amended to read:
SB532,8,521 48.983 (6g) (a) Except as permitted or required under s. 48.981 (2), no person
22may use or disclose any information concerning any individual who is selected for an
23assessment under sub. (4) (b), including an individual who declines to undergo the
24assessment, or concerning any individual who is offered services under a an
25evidence-based
home visitation program funded under this section, including an

1individual who declines to receive those services, unless the use or disclosure is
2connected with the administration of the evidence-based home visitation program
3or the administration of the Medical Assistance program under ss. 49.43 to 49.497
4or unless the individual has given his or her written informed consent to the use or
5disclosure.
SB532,8,116 (b) A county, private agency, or Indian tribe that is selected to participate in the
7program under this section shall provide or shall designate an individual or entity
8to provide an explanation of the confidentiality requirements under par. (a) to each
9individual who is offered an assessment under sub. (4) (b) or who is offered services
10under the evidence-based home visitation program of the county, private agency, or
11Indian tribe.
SB532, s. 15 12Section 15. 48.983 (6m) of the statutes is amended to read:
SB532,8,2113 48.983 (6m) Notification of parent prior to making abuse or neglect report.
14If a person who is providing services under a an evidence-based home visitation
15program under sub. (4) (b) 1. determines that he or she is required or permitted to
16make a report under s. 48.981 (2) about a child in a family to which the person is
17providing those services, the person shall, prior to making the report under s. 48.981
18(2), make a reasonable effort to notify the child's parent that a report under s. 48.981
19(2) will be made and to encourage the parent to contact a county department to
20request assistance. The notification requirements under this subsection do not affect
21the reporting requirements under s. 48.981 (2).
SB532, s. 16 22Section 16. 48.983 (6r) of the statutes is amended to read:
SB532,9,223 48.983 (6r) Home Evidence-based home visitation program informational
24materials.
Any informational materials about a an evidence-based home visitation
25program under sub. (4) (b) 1. that are distributed to a person who is offered or who

1is receiving home visitation program services under that program shall state the
2sources of funding for the program.
SB532, s. 17 3Section 17. 48.983 (7) (title) and (a) (intro.) of the statutes are amended to
4read:
SB532,9,95 48.983 (7) (title) Home Evidence-based home visitation program evaluation.
6(a) (intro.) The department shall conduct or shall select an evaluator to conduct an
7evaluation of the evidence-based home visitation program. The evaluation shall
8measure all of the following criteria in families that have participated in the home
9visitation
that program and that are selected for evaluation:
SB532, s. 18 10Section 18. 48.983 (7) (ag) of the statutes is amended to read:
SB532,9,1511 48.983 (7) (ag) The department shall evaluate the availability of
12evidence-based home visitation programs in the state and determine whether there
13are gaps in home visitation services in the state. The department shall cooperate
14with counties, private agencies, and Indian tribes providing evidence-based home
15visitation programs to address any gaps in services identified.
SB532, s. 19 16Section 19. 48.983 (7) (ar) of the statutes is amended to read:
SB532,9,2117 48.983 (7) (ar) Each county, private agency, and Indian tribe providing a an
18evidence-based
home visitation program shall collect and report data to the
19department, as required by the department. The department shall require each
20county, private agency, and Indian tribe providing a an evidence-based home
21visitation program to collect data using forms prescribed by the department.
SB532, s. 20 22Section 20. 48.983 (7) (b) of the statutes is amended to read:
SB532,9,2523 48.983 (7) (b) In the evaluation, the department shall determine the number
24of families who remained in the evidence-based home visitation program for the time
25recommended in the family's case plan.
SB532, s. 21
1Section 21. 48.983 (7) (c) of the statutes is amended to read:
SB532,10,102 48.983 (7) (c) Each county, private agency, and Indian tribe providing a an
3evidence-based
home visitation program shall develop a plan for evaluating the
4effectiveness of its program for approval by the department. The plan shall
5demonstrate how the county, private agency, or Indian tribe will use the evaluation
6of its program to improve the quality and outcomes of the program and to ensure
7continued compliance with the home visitation program criteria under sub. (6) (a).
8The plan shall demonstrate how the outcomes will be tracked and measured. Under
9the plan, the extent to which all of the following outcomes are achieved shall be
10tracked and measured:
SB532,10,1311 1. Parents receiving evidence-based home visitation services acquiring
12knowledge of early learning and child development and interacting with their
13children in ways that enhance the children's development and early learning.
SB532,10,1414 2. Children receiving evidence-based home visitation services being healthy.
SB532,10,1615 3. Children receiving evidence-based home visitation services living in a safe
16environment.
SB532,10,1817 4. Families receiving evidence-based home visitation services accessing formal
18and informal support networks.
SB532,10,2019 5. Children receiving evidence-based home visitation services achieving
20milestones in development and early learning.
SB532,10,2221 6. Children receiving evidence-based home visitation services who have
22developmental delays receiving appropriate intervention services.
SB532, s. 22 23Section 22. 48.983 (8) of the statutes is amended to read:
SB532,11,624 48.983 (8) Technical assistance and training. The department shall provide
25technical assistance and training to counties, private agencies, and Indian tribes

1that are selected to participate in the program under this section. The training may
2not be limited to a particular evidence-based home visitation model. The training
3shall include training in best practices regarding basic skills, uniform
4administration of screening and assessment tools, the issues and challenges that
5families face, and supervision and personnel skills for program managers. The
6training may also include training on data collection and reporting.
SB532, s. 23 7Section 23. 48.983 (9) of the statutes is created to read:
SB532,11,118 48.983 (9) Memorandum of understanding. The department shall enter into
9a memorandum of understanding with the department of health services that
10provides for collaboration between those departments in carrying out
11evidence-based home visiting programs under sub. (4) (b) 1.
SB532, s. 24 12Section 24. 69.02 (2) (c) of the statutes is created to read:
SB532,11,2113 69.02 (2) (c) The department shall promulgate rules establishing designations
14of race and ethnicity to be used in reporting the race and ethnicity of a registrant
15under s. 69.14 (1) (i). The designations shall be sufficiently detailed to enable
16compilation and analysis of data related to births and birth outcomes among all
17significant racial and ethnic populations in the state and to assist in the design and
18evaluation of programs and policies designed to improve birth outcomes. The rules
19shall also establish procedures designed to ensure that the racial and ethnic
20designations included on each certificate of birth accurately reflect the race and
21ethnicity of the registrant as directly reported by the registrant's mother.
SB532, s. 25 22Section 25. 69.14 (1) (i) of the statutes is created to read:
SB532,11,2423 69.14 (1) (i) Registrant's race. A certificate of birth shall include the race and
24ethnicity of the registrant, as reported by the mother of the registrant.
SB532, s. 26 25Section 26. 253.15 (2) of the statutes is amended to read:
SB532,12,23
1253.15 (2) Informational materials. The board shall purchase or prepare or
2arrange with a nonprofit organization to prepare printed and audiovisual materials
3relating to shaken baby syndrome and impacted babies. The materials shall include
4information regarding the identification and prevention of shaken baby syndrome
5and impacted babies, the grave effects of shaking or throwing on an infant or young
6child, appropriate ways to manage crying, fussing, or other causes that can lead a
7person to shake or throw an infant or young child, and a discussion of ways to reduce
8the risks that can lead a person to shake or throw an infant or young child. The
9materials shall be prepared in English, Spanish, and other languages spoken by a
10significant number of state residents, as determined by the board. The board shall
11make those written and audiovisual materials available to all hospitals, maternity
12homes, and nurse-midwives licensed under s. 441.15 that are required to provide or
13make available materials to parents under sub. (3) (a) 1., to the department and to
14all county departments and nonprofit organizations that are required to provide the
15materials to child care providers under sub. (4) (d), and to all school boards and
16nonprofit organizations that are permitted to provide the materials to pupils in one
17of grades 5 to 8 and in one of grades 10 to 12 under sub. (5). The board shall also make
18those written materials available to all county departments and Indian tribes that
19are providing evidence-based home visitation services under s. 48.983 (4) (b) 1. and
20to all providers of prenatal, postpartum, and young child care coordination services
21under s. 49.45 (44). The board may make available the materials required under this
22subsection to be made available by making those materials available at no charge on
23the board's Internet site.
SB532, s. 27 24Section 27. 253.15 (6) of the statutes is amended to read:
SB532,13,6
1253.15 (6) Information to home visitation or care coordination services
2recipients.
A county department or Indian tribe that is providing evidence-based
3home visitation services under s. 48.983 (4) (b) 1. and a provider of prenatal,
4postpartum, and young child care coordination services under s. 49.45 (44) shall
5provide to a recipient of those services, without cost, a copy of the written materials
6purchased or prepared under sub. (2) and an oral explanation of those materials.
SB532, s. 28 7Section 28. 253.15 (7) (e) of the statutes is amended to read:
SB532,13,138 253.15 (7) (e) A county department or Indian tribe that is providing
9evidence-based home visitation services under s. 48.983 (4) (b) 1. and a provider of
10prenatal, postpartum, and young child care coordination services under s. 49.45 (44)
11is immune from liability for any damages resulting from any good faith act or
12omission in providing or failing to provide the written materials and oral explanation
13specified in sub. (6).
SB532, s. 29 14Section 29. 441.15 (1) (am) of the statutes is created to read:
SB532,13,1615 441.15 (1) (am) "Nurse-midwife" means a person licensed under this section
16to engage in the practice of nurse-midwifery.
SB532, s. 30 17Section 30. 441.15 (3) (c) of the statutes is amended to read:
SB532,13,2318 441.15 (3) (c) The board shall promulgate rules necessary to administer this
19section, including the establishment of appropriate limitations on the scope of the
20practice of nurse-midwifery, the facilities in which such practice may occur, the
21definition of "elective" for purposes of the prohibition in sub. (4m),
and the granting
22of temporary permits to practice nurse-midwifery pending qualification for
23certification.
SB532, s. 31 24Section 31. 441.15 (4m) of the statutes is created to read:
SB532,14,7
1441.15 (4m) No nurse-midwife may perform an elective procedure intended
2to induce labor in a pregnant woman before the completion of a gestational period
3of 39 weeks unless the nurse-midwife has first obtained the informed consent of the
4woman. A woman's consent is informed for purposes of this subsection only if she
5receives timely information orally and in person from the nurse-midwife regarding
6potential negative effects to the fetus of early delivery, including long-term learning
7and behavioral problems.
SB532, s. 32 8Section 32. 448.02 (3) (a) of the statutes is amended to read:
SB532,15,29 448.02 (3) (a) The board shall investigate allegations of unprofessional conduct
10and negligence in treatment by persons holding a license, certificate , or limited
11permit granted by the board. An allegation that a physician has violated s. 253.10
12(3), 448.30, 448.35, or 450.13 (2); or has failed to mail or present a medical
13certification required under s. 69.18 (2) within 21 days after the pronouncement of
14death of the person who is the subject of the required certificate ; or that a physician
15has failed at least 6 times within a 6-month period to mail or present a medical
16certificate required under s. 69.18 (2) within 6 days after the pronouncement of death
17of the person who is the subject of the required certificate is an allegation of
18unprofessional conduct. Information contained in reports filed with the board under
19s. 49.45 (2) (a) 12r., 50.36 (3) (b), 609.17, or 632.715, or under 42 CFR 1001.2005, shall
20be investigated by the board. Information contained in a report filed with the board
21under s. 655.045 (1), as created by 1985 Wisconsin Act 29, which is not a finding of
22negligence or in a report filed with the board under s. 50.36 (3) (c) may, within the
23discretion of the board, be used as the basis of an investigation of a person named in
24the report. The board may require a person holding a license, certificate, or limited
25permit to undergo, and may consider the results of , one or more physical, mental, or

1professional competency examinations if the board believes that the results of any
2such examinations may be useful to the board in conducting its investigation.
SB532, s. 33 3Section 33. 448.35 of the statutes is created to read:
SB532,15,11 4448.35 Informed consent for certain elective procedures. No physician
5may perform an elective Caesarean section or an elective procedure intended to
6induce labor in a pregnant woman before the completion of a gestational period of 39
7weeks unless the physician has first obtained the informed consent of the woman.
8A woman's consent is informed for purposes of this section only if she receives timely
9information orally and in person from the physician regarding potential negative
10effects to the fetus of early delivery, including long-term learning and behavioral
11problems.
SB532, s. 34 12Section 34. 448.40 (2) (am) of the statutes is created to read:
SB532,15,1413 448.40 (2) (am) Defining "elective" for purposes of s. 448.35 and implementing
14that section.
SB532,15,1515 (End)
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