AB75, s. 2426 9Section 2426. 146.19 (2) (intro.) of the statutes is amended to read:
AB75,1299,1610 146.19 (2) American Indian health project grants. (intro.) From the
11appropriation account under s. 20.435 (5) (1) (ke), the department shall award grants
12for American Indian health projects in order to address specific problem areas in the
13field of American Indian health. A tribe, tribal agency, or inter-tribal organization
14may apply, in the manner specified by the department, for a grant of up to $10,000
15to conduct an American Indian health project that is designed to do any of the
16following:
AB75, s. 2427 17Section 2427. 146.45 (4) of the statutes is created to read:
AB75,1299,2318 146.45 (4) In each fiscal year, there is transferred from the appropriation
19account under s. 20.435 (4) (jz) to the appropriation account under s. 20.435 (4) (jw)
20an amount, determined by the secretary, that is sufficient for the department to
21administer a contract with an entity to operate the purchasing pool established
22under sub. (2), but not more than 5 percent of the total amount paid by persons to
23purchase prescription drugs as members of the purchasing pool in the fiscal year.
AB75, s. 2428 24Section 2428. 146.65 (1) (intro.) of the statutes is amended to read:
AB75,1300,2
1146.65 (1) (intro.) From the appropriation account under s. 20.435 (5) (1) (dm),
2the department shall distribute moneys as follows:
AB75, s. 2429 3Section 2429. 146.68 (intro.) of the statutes is amended to read:
AB75,1300,9 4146.68 Grant for colposcopies and other services. (intro.) From the
5appropriation account under s. 20.435 (5) (1) (dg), the department shall provide
6$100,000 in fiscal year 2007-08 and $75,000 in each subsequent fiscal year to an
7entity that satisfies the following criteria to provide colposcopic examinations and
8to provide services to medical assistance recipients or persons who are eligible for
9medical assistance:
AB75, s. 2430 10Section 2430. 146.81 (5) of the statutes is amended to read:
AB75,1300,2411 146.81 (5) "Person authorized by the patient" means the parent, guardian, or
12legal custodian of a minor patient, as defined in s. 48.02 (8) and (11), the person
13vested with supervision of the child under s. 938.183 or 938.34 (4d), (4h), (4m), or
14(4n), the guardian of a patient adjudicated incompetent in this state, the personal
15representative or, spouse, or domestic partner under ch. 770 of a deceased patient,
16any person authorized in writing by the patient or a health care agent designated by
17the patient as a principal under ch. 155 if the patient has been found to be
18incapacitated under s. 155.05 (2), except as limited by the power of attorney for
19health care instrument. If no spouse or domestic partner survives a deceased
20patient, "person authorized by the patient" also means an adult member of the
21deceased patient's immediate family, as defined in s. 632.895 (1) (d). A court may
22appoint a temporary guardian for a patient believed incompetent to consent to the
23release of records under this section as the person authorized by the patient to decide
24upon the release of records, if no guardian has been appointed for the patient.
AB75, s. 2431 25Section 2431. 146.82 (2) (a) 8. of the statutes is amended to read:
AB75,1301,3
1146.82 (2) (a) 8. To the department under s. 255.04 and to the persons specified
2under s. 255.04 (3)
. The release of a patient health care record under this subdivision
3shall be limited to the information prescribed by the department under s. 255.04 (2).
AB75, s. 2432 4Section 2432. 146.82 (2) (a) 18m. of the statutes is amended to read:
AB75,1301,245 146.82 (2) (a) 18m. If the subject of the patient health care records is a child
6or juvenile who has been placed in a foster home, treatment foster home, group home,
7residential care center for children and youth, or juvenile correctional facility,
8including a placement under s. 48.205, 48.21, 938.205, or 938.21, or for whom
9placement in a foster home, treatment foster home, group home, residential care
10center for children and youth, or juvenile correctional facility is recommended under
11s. 48.33 (4), 48.425 (1) (g), 48.837 (4) (c), or 938.33 (3) or (4), to an agency directed by
12a court to prepare a court report under s. 48.33 (1), 48.424 (4) (b), 48.425 (3), 48.831
13(2), 48.837 (4) (c), or 938.33 (1), to an agency responsible for preparing a court report
14under s. 48.365 (2g), 48.425 (1), 48.831 (2), 48.837 (4) (c), or 938.365 (2g), to an agency
15responsible for preparing a permanency plan under s. 48.355 (2e), 48.38, 48.43 (1)
16(c) or (5) (c), 48.63 (4) or (5) (c), 48.831 (4) (e), 938.355 (2e), or 938.38 regarding the
17child or juvenile, or to an agency that placed the child or juvenile or arranged for the
18placement of the child or juvenile in any of those placements and, by any of those
19agencies, to any other of those agencies and, by the agency that placed the child or
20juvenile or arranged for the placement of the child or juvenile in any of those
21placements, to the foster parent or treatment foster parent of the child or juvenile
22or the operator of the group home, residential care center for children and youth, or
23juvenile correctional facility in which the child or juvenile is placed, as provided in
24s. 48.371 or 938.371.
AB75, s. 2433 25Section 2433. 146.82 (2) (c) of the statutes is amended to read:
AB75,1302,4
1146.82 (2) (c) Notwithstanding sub. (1), patient health care records shall be
2released to appropriate examiners, investigators, and facilities in accordance with
3s. 971.17 (2) (e), (4) (c), and (7) (c). The recipient of any information from the records
4shall keep the information confidential except as necessary to comply with s. 971.17.
AB75, s. 2434 5Section 2434. 149.12 (2) (f) 2. h. of the statutes is created to read:
AB75,1302,66 149.12 (2) (f) 2. h. Benefits under BadgerCare Plus under s. 49.471 (11).
AB75, s. 2435 7Section 2435. 150.345 (1) (a) of the statutes is repealed.
AB75, s. 2436 8Section 2436. 150.345 (1) (b) of the statutes is repealed.
AB75, s. 2437 9Section 2437. 155.01 (12) of the statutes is repealed and recreated to read:
AB75,1302,1410 155.01 (12) "Relative" means an individual related by blood within the 3rd
11degree of kinship as computed under s. 990.001 (16); a spouse, domestic partner
12under ch. 770, or an individual related to a spouse or domestic partner within the 3rd
13degree as so computed; and includes an individual in an adoptive relationship within
14the 3rd degree.
AB75, s. 2438 15Section 2438. 155.10 (2) (a) of the statutes is amended to read:
AB75,1302,1716 155.10 (2) (a) Related to the principal by blood, marriage, or adoption, or the
17domestic partner under ch. 770 of the individual
.
AB75, s. 2439 18Section 2439. 155.30 (1) (form) of the statutes is amended to read:
AB75,1302,1919 155.30 (1) (form)
AB75,1302,20 20"NOTICE TO PERSON
AB75,1302,2121 MAKING THIS DOCUMENT
AB75,1302,2522 YOU HAVE THE RIGHT TO MAKE DECISIONS ABOUT YOUR HEALTH
23CARE. NO HEALTH CARE MAY BE GIVEN TO YOU OVER YOUR OBJECTION,
24AND NECESSARY HEALTH CARE MAY NOT BE STOPPED OR WITHHELD IF
25YOU OBJECT.
AB75,1303,6
1BECAUSE YOUR HEALTH CARE PROVIDERS IN SOME CASES MAY NOT
2HAVE HAD THE OPPORTUNITY TO ESTABLISH A LONG-TERM
3RELATIONSHIP WITH YOU, THEY ARE OFTEN UNFAMILIAR WITH YOUR
4BELIEFS AND VALUES AND THE DETAILS OF YOUR FAMILY
5RELATIONSHIPS. THIS POSES A PROBLEM IF YOU BECOME PHYSICALLY
6OR MENTALLY UNABLE TO MAKE DECISIONS ABOUT YOUR HEALTH CARE.
AB75,1303,197 IN ORDER TO AVOID THIS PROBLEM, YOU MAY SIGN THIS LEGAL
8DOCUMENT TO SPECIFY THE PERSON WHOM YOU WANT TO MAKE
9HEALTH CARE DECISIONS FOR YOU IF YOU ARE UNABLE TO MAKE THOSE
10DECISIONS PERSONALLY. THAT PERSON IS KNOWN AS YOUR HEALTH
11CARE AGENT. YOU SHOULD TAKE SOME TIME TO DISCUSS YOUR
12THOUGHTS AND BELIEFS ABOUT MEDICAL TREATMENT WITH THE
13PERSON OR PERSONS WHOM YOU HAVE SPECIFIED. YOU MAY STATE IN
14THIS DOCUMENT ANY TYPES OF HEALTH CARE THAT YOU DO OR DO NOT
15DESIRE, AND YOU MAY LIMIT THE AUTHORITY OF YOUR HEALTH CARE
16AGENT. IF YOUR HEALTH CARE AGENT IS UNAWARE OF YOUR DESIRES
17WITH RESPECT TO A PARTICULAR HEALTH CARE DECISION, HE OR SHE IS
18REQUIRED TO DETERMINE WHAT WOULD BE IN YOUR BEST INTERESTS IN
19MAKING THE DECISION.
AB75,1304,820 THIS IS AN IMPORTANT LEGAL DOCUMENT. IT GIVES YOUR AGENT
21BROAD POWERS TO MAKE HEALTH CARE DECISIONS FOR YOU. IT
22REVOKES ANY PRIOR POWER OF ATTORNEY FOR HEALTH CARE THAT YOU
23MAY HAVE MADE. IF YOU WISH TO CHANGE YOUR POWER OF ATTORNEY
24FOR HEALTH CARE, YOU MAY REVOKE THIS DOCUMENT AT ANY TIME BY
25DESTROYING IT, BY DIRECTING ANOTHER PERSON TO DESTROY IT IN

1YOUR PRESENCE, BY SIGNING A WRITTEN AND DATED STATEMENT OR BY
2STATING THAT IT IS REVOKED IN THE PRESENCE OF TWO WITNESSES. IF
3YOU REVOKE, YOU SHOULD NOTIFY YOUR AGENT, YOUR HEALTH CARE
4PROVIDERS AND ANY OTHER PERSON TO WHOM YOU HAVE GIVEN A COPY.
5IF YOUR AGENT IS YOUR SPOUSE OR DOMESTIC PARTNER AND YOUR
6MARRIAGE IS ANNULLED OR YOU ARE DIVORCED OR THE DOMESTIC
7PARTNERSHIP IS TERMINATED
AFTER SIGNING THIS DOCUMENT, THE
8DOCUMENT IS INVALID.
AB75,1304,159 YOU MAY ALSO USE THIS DOCUMENT TO MAKE OR REFUSE TO MAKE
10AN ANATOMICAL GIFT UPON YOUR DEATH. IF YOU USE THIS DOCUMENT
11TO MAKE OR REFUSE TO MAKE AN ANATOMICAL GIFT, THIS DOCUMENT
12REVOKES ANY PRIOR RECORD OF GIFT THAT YOU MAY HAVE MADE. YOU
13MAY REVOKE OR CHANGE ANY ANATOMICAL GIFT THAT YOU MAKE BY
14THIS DOCUMENT BY CROSSING OUT THE ANATOMICAL GIFTS PROVISION
15IN THIS DOCUMENT.
AB75,1304,1716 DO NOT SIGN THIS DOCUMENT UNLESS YOU CLEARLY UNDERSTAND
17IT.
AB75,1304,1918 IT IS SUGGESTED THAT YOU KEEP THE ORIGINAL OF THIS
19DOCUMENT ON FILE WITH YOUR PHYSICIAN."
AB75, s. 2440 20Section 2440. 155.30 (3) (form) of the statutes is amended to read:
AB75,1304,2121 155.30 (3) (form)
AB75,1304,2222 POWER OF ATTORNEY FOR HEALTH CARE
AB75,1304,2323 Document made this.... day of.... (month),.... (year).
AB75,1304,2524 CREATION OF POWER OF ATTORNEY
25 FOR HEALTH CARE
AB75,1305,8
1I,.... (print name, address and date of birth), being of sound mind, intend by this
2document to create a power of attorney for health care. My executing this power of
3attorney for health care is voluntary. Despite the creation of this power of attorney
4for health care, I expect to be fully informed about and allowed to participate in any
5health care decision for me, to the extent that I am able. For the purposes of this
6document, "health care decision" means an informed decision to accept, maintain,
7discontinue or refuse any care, treatment, service or procedure to maintain, diagnose
8or treat my physical or mental condition.
AB75,1305,109 In addition, I may, by this document, specify my wishes with respect to making
10an anatomical gift upon my death.
AB75,1305,1111 DESIGNATION OF HEALTH CARE AGENT
AB75,1306,212 If I am no longer able to make health care decisions for myself, due to my
13incapacity, I hereby designate.... (print name, address and telephone number) to be
14my health care agent for the purpose of making health care decisions on my behalf.
15If he or she is ever unable or unwilling to do so, I hereby designate.... (print name,
16address and telephone number) to be my alternate health care agent for the purpose
17of making health care decisions on my behalf. Neither my health care agent nor my
18alternate health care agent whom I have designated is my health care provider, an
19employee of my health care provider, an employee of a health care facility in which
20I am a patient or a spouse of any of those persons, unless he or she is also my relative.
21For purposes of this document, "incapacity" exists if 2 physicians or a physician and
22a psychologist who have personally examined me sign a statement that specifically
23expresses their opinion that I have a condition that means that I am unable to receive
24and evaluate information effectively or to communicate decisions to such an extent

1that I lack the capacity to manage my health care decisions. A copy of that statement
2must be attached to this document.
AB75,1306,33 GENERAL STATEMENT OF AUTHORITY GRANTED
AB75,1306,104 Unless I have specified otherwise in this document, if I ever have incapacity I
5instruct my health care provider to obtain the health care decision of my health care
6agent, if I need treatment, for all of my health care and treatment. I have discussed
7my desires thoroughly with my health care agent and believe that he or she
8understands my philosophy regarding the health care decisions I would make if I
9were able. I desire that my wishes be carried out through the authority given to my
10health care agent under this document.
AB75,1306,1911 If I am unable, due to my incapacity, to make a health care decision, my health
12care agent is instructed to make the health care decision for me, but my health care
13agent should try to discuss with me any specific proposed health care if I am able to
14communicate in any manner, including by blinking my eyes. If this communication
15cannot be made, my health care agent shall base his or her decision on any health
16care choices that I have expressed prior to the time of the decision. If I have not
17expressed a health care choice about the health care in question and communication
18cannot be made, my health care agent shall base his or her health care decision on
19what he or she believes to be in my best interest.
AB75,1306,2020 LIMITATIONS ON MENTAL HEALTH TREATMENT
AB75,1306,2521 My health care agent may not admit or commit me on an inpatient basis to an
22institution for mental diseases, an intermediate care facility for persons with mental
23retardation, a state treatment facility or a treatment facility. My health care agent
24may not consent to experimental mental health research or psychosurgery,
25electroconvulsive treatment or drastic mental health treatment procedures for me.
AB75,1307,2
1ADMISSION TO NURSING HOMES OR
2 COMMUNITY-BASED RESIDENTIAL FACILITIES
AB75,1307,43 My health care agent may admit me to a nursing home or community-based
4residential facility for short-term stays for recuperative care or respite care.
AB75,1307,75 If I have checked "Yes" to the following, my health care agent may admit me for
6a purpose other than recuperative care or respite care, but if I have checked "No" to
7the following, my health care agent may not so admit me:
AB75,1307,88 1. A nursing home — Yes.... No....
AB75,1307,99 2. A community-based residential facility — Yes.... No....
AB75,1307,1110 If I have not checked either "Yes" or "No" immediately above, my health care
11agent may admit me only for short-term stays for recuperative care or respite care.
AB75,1307,1212 PROVISION OF A FEEDING TUBE
AB75,1307,1713 If I have checked "Yes" to the following, my health care agent may have a
14feeding tube withheld or withdrawn from me, unless my physician has advised that,
15in his or her professional judgment, this will cause me pain or will reduce my comfort.
16If I have checked "No" to the following, my health care agent may not have a feeding
17tube withheld or withdrawn from me.
AB75,1307,2018 My health care agent may not have orally ingested nutrition or hydration
19withheld or withdrawn from me unless provision of the nutrition or hydration is
20medically contraindicated.
AB75,1307,2121 Withhold or withdraw a feeding tube — Yes.... No....
AB75,1307,2322 If I have not checked either "Yes" or "No" immediately above, my health care
23agent may not have a feeding tube withdrawn from me.
AB75,1307,2524 HEALTH CARE DECISIONS FOR
25 PREGNANT WOMEN
AB75,1308,4
1If I have checked "Yes" to the following, my health care agent may make health
2care decisions for me even if my agent knows I am pregnant. If I have checked "No"
3to the following, my health care agent may not make health care decisions for me if
4my health care agent knows I am pregnant.
AB75,1308,55 Health care decision if I am pregnant — Yes.... No....
AB75,1308,86 If I have not checked either "Yes" or "No" immediately above, my health care
7agent may not make health care decisions for me if my health care agent knows I am
8pregnant.
AB75,1308,109 STATEMENT OF DESIRES,
10 SPECIAL PROVISIONS OR LIMITATIONS
AB75,1308,1411 In exercising authority under this document, my health care agent shall act
12consistently with my following stated desires, if any, and is subject to any special
13provisions or limitations that I specify. The following are specific desires, provisions
14or limitations that I wish to state (add more items if needed):
AB75,1308,1515 1) -
AB75,1308,1616 2) -
AB75,1308,1717 3) -
AB75,1308,2018 INSPECTION AND DISCLOSURE OF
19 INFORMATION RELATING TO MY PHYSICAL
20 OR MENTAL HEALTH
AB75,1308,2221 Subject to any limitations in this document, my health care agent has the
22authority to do all of the following:
AB75,1308,2423 (a) Request, review and receive any information, oral or written, regarding my
24physical or mental health, including medical and hospital records.
AB75,1309,2
1(b) Execute on my behalf any documents that may be required in order to obtain
2this information.
AB75,1309,33 (c) Consent to the disclosure of this information.
AB75,1309,44 (The principal and the witnesses all must sign the document at the same time.)
AB75,1309,55 SIGNATURE OF PRINCIPAL
AB75,1309,66 (person creating the power of attorney for health care)
AB75,1309,77 Signature....  Date....
AB75,1309,98 (The signing of this document by the principal revokes all previous powers of
9attorney for health care documents.)
AB75,1309,1010 STATEMENT OF WITNESSES
AB75,1309,2111 I know the principal personally and I believe him or her to be of sound mind and
12at least 18 years of age. I believe that his or her execution of this power of attorney
13for health care is voluntary. I am at least 18 years of age, am not related to the
14principal by blood, marriage, or adoption, am not the domestic partner under ch. 770
15of the principal,
and am not directly financially responsible for the principal's health
16care. I am not a health care provider who is serving the principal at this time, an
17employee of the health care provider, other than a chaplain or a social worker, or an
18employee, other than a chaplain or a social worker, of an inpatient health care facility
19in which the declarant is a patient. I am not the principal's health care agent. To
20the best of my knowledge, I am not entitled to and do not have a claim on the
21principal's estate.
AB75,1309,2222 Witness No. 1:
AB75,1309,2323 (print) Name.... Date....
AB75,1309,2424 Address....
AB75,1309,2525 Signature....
AB75,1310,1
1Witness No. 2:
AB75,1310,22 (print) Name.... Date....
AB75,1310,33 Address....
AB75,1310,44 Signature....
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