AB575,39,11 9(4) Consent of guardian required. No individual may be transferred under
10this section without the written consent of the individual's guardian except in the
11case of an emergency transfer under sub. (6).
AB575,39,14 12(5) Consent of county department. No individual may be transferred under
13this section without the written consent of the county department except in the case
14of an emergency transfer under sub. (6).
AB575,39,22 15(6) Emergency transfer; petition. If an emergency makes it impossible to file
16a petition as specified in sub. (2) or to obtain the prior written consent of the guardian
17specified in sub. (4), the individual may be transferred without the prior written
18consent of the guardian, without written consent of the county department, and
19without a prior court order. A petition containing all of the allegations in sub. (3) and
20identification of the specific facts and circumstances which made it impossible to
21carry out the transfer under the nonemergency procedures shall be filed immediately
22upon transfer.
AB575,40,2 23(7) Hearing. (a) The court shall order a hearing within 72 hours after an
24individual is transferred under sub. (6) or a petition is filed under sub. (2). At the
25request of the individual or his or her counsel or guardian ad litem, the hearing may

1be postponed, but in no case may the postponement exceed 7 days from the date of
2the emergency transfer.
AB575,40,53 (b) The court shall notify the petitioner, the individual under protective
4placement, the individual's guardian, the individual's attorney, if any, and the county
5department of the time and place of the hearing.
AB575,40,86 (c) A guardian ad litem shall be appointed to represent the individual under
7protective placement at the hearing. If the individual is indigent, the county in
8which the hearing is held shall be liable for guardian ad litem fees.
AB575,40,129 (d) The court shall refer the individual under protective placement for
10appointment of legal counsel as provided under s. 55.105 if the individual, the
11individual's guardian ad litem, or anyone on the individual's behalf requests that
12counsel be appointed for the individual.
AB575,40,1513 (e) The petitioner, the individual under protective placement, the individual's
14guardian, the individual's guardian ad litem, and the individual's attorney, if any,
15have the right to attend the hearing and to present and cross-examine witnesses.
AB575,40,17 16(8) Standard for transfer. In determining whether to approve a proposed or
17emergency transfer the court shall consider all of the following:
AB575,40,1818 (a) Whether there is probable cause to believe the allegations under sub. (3).
AB575,40,2019 (b) Whether the proposed transfer to a dementia crisis unit is in the best
20interests of the individual.
AB575,40,2321 (c) In the case of an emergency transfer, whether there is probable cause to
22believe that specific facts and circumstances specified under sub. (6) made it
23impossible to carry out the transfer under nonemergency procedures.
AB575,40,25 24(9) Order relating to transfer. Following the hearing under sub. (7), the
25court shall do one of the following:
AB575,41,6
1(a) If the court finds that the individual continues to meet the standards for
2protective placement under s. 55.08 (1) and the allegations under sub. (3) and, if
3applicable, sub. (6) are not true, the court shall issue an order prohibiting the
4transfer. The court shall identify in the order the information relied upon as a basis
5for the order and shall make findings based on the allegations under sub. (3) and, if
6applicable, sub. (6) in support of the denial of the transfer.
AB575,41,147 (b) If the court finds that the individual continues to meet the standards for
8protective placement under s. 55.08 (1) and the allegations under sub. (3) and, if
9applicable, sub. (6) are true, the court shall order transfer to a dementia crisis unit
10for a period not to exceed 45 days. The order and any subsequent extension of the
11order under s. 55.67 shall state that the county in which the original order for
12protective placement of the individual was issued shall be responsible for
13transportation of the individual to any facility to which placement of the individual
14is ordered upon discharge of the individual from the dementia crisis unit.
AB575,41,1715 (c) If the court finds that the individual no longer meets the standards for
16protective placement under s. 55.08 (1), the court shall terminate the protective
17placement as provided in s. 55.17.
AB575,42,3 18(10) Medication and treatment. When an individual is placed in a dementia
19crisis unit under this section, or remains in a dementia crisis unit pursuant to an
20extension of an order issued under this section, the director and staff of the dementia
21crisis unit may evaluate, diagnose, and treat the individual if the individual
22consents. The individual has a right to refuse medication except as provided in an
23order under s. 55.14 or 55.70, or in a situation in which medication or treatment is
24necessary to prevent serious physical harm to the individual or others. The director
25of the dementia crisis unit or his or her designee shall advise the individual of these

1rights. The court may order the involuntary administration of psychotropic
2medication as an emergency protective service to the individual only as provided
3under s. 55.70.
AB575,42,8 4(11) Rights. When, upon the advice of the treatment staff, the director of a
5dementia crisis unit to which an individual has been transferred under this section
6determines that the grounds for transfer no longer exist, he or she shall notify the
7county department in order to arrange for transfer to a protective placement facility
8under s. 55.12.
AB575,42,15 9(12) Liability. Any individual who acts in accordance with this section,
10including making a determination that an individual has or does not have dementia
11or evidences or does not evidence a substantial probability of harm, is not liable for
12any actions taken in good faith. The good faith of the actor shall be presumed in any
13civil action. Whoever asserts that the individual who acts in accordance with this
14section has not acted in good faith has the burden of proving that assertion by
15evidence that is clear, satisfactory, and convincing.
AB575,32 16Section 32. 55.67 of the statutes is created to read:
AB575,42,20 1755.67 Extension of temporary transfer to a dementia crisis unit. (1)
18Extension authorized. A court may extend for up to 60 days an order for temporary
19transfer to a dementia crisis unit under s. 55.65 (9) if the requirements of this section
20are met.
AB575,43,4 21(2) Petition. (a) Filing; service. Subject to par. (b), an individual under an order
22for temporary transfer to a dementia crisis unit; the individual's guardian; the
23individual's legal counsel or guardian ad litem, if any; the department; the county
24department that placed the individual or provided the protective services under an
25order of the court; an agency with which the county department contracts under s.

155.02 (2); or any interested person may file a petition for extension of the order for
2temporary transfer to a dementia crisis unit. The person filing the petition shall
3have the petition served on the individual, the individual's guardian, the individual's
4legal counsel and guardian ad litem, if any, and the county department.
AB575,43,115 (b) Time limit. Except in an emergency, if the petition described under par. (a)
6is being filed, the person filing the petition for extension of temporary transfer to a
7dementia crisis unit shall file the petition no fewer than 10 days before the date of
8expiration of the period of temporary transfer ordered under s. 55.65 (9). If an
9emergency makes it impossible to file a petition sooner, a petition may be filed up to
1072 hours before the expiration of the period of temporary transfer ordered under s.
1155.65 (9).
AB575,43,1412 (c) Allegations. A person filing the petition under par. (a) shall allege in the
13petition for extension of an order for temporary transfer to a dementia crisis unit that
14all of the following are true:
AB575,43,1615 1. The individual continues to meet the standards for protective placement
16under s. 55.08 (1).
AB575,43,1717 2. The individual has dementia.
AB575,43,2018 3. The individual has engaged in behavior that creates a substantial risk of
19serious physical harm to himself or herself or others, as manifested by recent acts
20or omissions.
AB575,44,221 4. A physician has conducted a physical examination of the individual; has
22determined and documented in writing that there is a reasonable probability that
23the behavior is not caused by a physical condition or illness that could be treated
24safely and appropriately in a setting other than a dementia crisis unit; and

1recommends that the individual continue placement in the dementia crisis unit for
2behavioral or psychiatric evaluation, diagnosis, services, or treatment.
AB575,44,123 5. Unless the individual continues placement in the dementia crisis unit for
4behavioral or psychiatric evaluation, diagnosis, services, or treatment, the
5individual will incur a substantial probability of physical harm, impairment, injury,
6or debilitation or will present a substantial probability of physical harm to others.
7The individual submitting the petition shall allege that substantial probability by
8providing evidence of recent behavior of the individual or of recent acts or attempts
9or a pattern of recent acts or omissions by the individual or by evidence that the
10individual or others are placed at substantial risk of serious physical harm to them
11as evidenced by a recent overt act, attempt, or threat by the individual to do serious
12physical harm to them.
AB575,44,1413 6. Reasonable efforts have been made to locate an appropriate placement for
14the individual in a less restrictive setting.
AB575,44,22 15(3) Examination. (a) Appointment of examiners. Subject to par. (b), if a petition
16is filed under this section, the court shall appoint 2 licensed physicians specializing
17in psychiatry, or one licensed physician and one psychologist, or 2 licensed physicians
18one of whom shall have specialized training in psychiatry, if available, or 2 licensed
19physicians to personally examine the individual. The court shall appoint examiners
20who have the specialized knowledge that the court determines to be appropriate to
21the needs of the individual. The examiners may not be related to the individual by
22blood, marriage, or adoption and may not have any interest in his or her property.
AB575,45,323 (b) Choice of examiner. The individual to be examined may select one of the
24examiners appointed under par. (a) if the individual makes his or her selection
25known to the court within 24 hours after he or she receives the petition for extension

1of the temporary protective placement in the dementia crisis unit. The court may
2deny the individual's selection if the examiner does not meet the requirements of par.
3(a) or the individual's selection is not available.
AB575,45,114 (c) Right to additional examination. If the individual, the individual's attorney,
5or any other interested party with the court's permission requests, the individual has
6a right at his or her own expense to secure an additional medical or psychological
7examination and to offer the evaluator's personal testimony as evidence at the
8hearing. If the individual who is the subject of the petition is indigent, requests an
9additional medical or psychological examination, and has approval of the court
10hearing the petition, the individual's county of residence shall pay a reasonable
11expense for the additional examination.
AB575,45,1912 (d) Notice to examinee; remaining silent. Before the examination, the
13individual who is the subject of the examination shall be informed that his or her
14statements can be used as a basis for an extension of the current temporary
15placement in the dementia crisis unit, that he or she has the right to remain silent
16and that the examiner is required to make a report to the court even if the individual
17remains silent. The issuance of such a warning to the individual prior to each
18examination establishes a presumption that the individual understands that he or
19she need not speak to the examiner.
AB575,46,720 (e) Examiner report; conclusions. The examiners shall personally observe and
21examine the individual at any suitable place and satisfy themselves, if reasonably
22possible, as to the individual's mental condition. Each examiner shall make an
23independent written report and file that report with the court. The individual's
24treatment records shall be available to the examiners. The report and testimony, if
25any, by the examiners shall be based on beliefs to a reasonable degree of medical

1certainty, or professional certainty if an examiner is a psychologist, in regard to the
2existence of the facts alleged in the petition and the appropriateness of various
3treatment modalities or facilities. If the examiners are unable to reach conclusions
4to a reasonable degree of medical or professional certainty, the examiners shall so
5state in their report and testimony, if any. The individual, the individual's attorney,
6and the guardian ad litem shall have access to all psychiatric and other reports at
7least 72 hours in advance of the hearing under sub. (4).
AB575,46,168 (f) Discovery. On motion of either party, all parties shall produce at a
9reasonable time and place designated by the court all physical evidence which each
10party intends to introduce in evidence at the hearing under sub. (4). Any party shall
11be permitted to inspect, copy, photograph, or transcribe such physical evidence in the
12presence of a person designated by the court. The order shall specify the time, place
13and manner of making the inspection, copies, photographs, or transcriptions, and
14may prescribe such terms and conditions as are just. The court may, if the motion
15is made by the individual, delay the hearing for any period necessary for completion
16of discovery.
AB575,46,20 17(4) Hearing. A hearing on the petition for extension shall be held prior to the
18expiration of the order for temporary transfer of the individual to a dementia crisis
19unit under s. 55.65 (9). A trial by a jury shall be held if demanded by the individual
20sought to be protected or his or her attorney or guardian ad litem.
AB575,46,24 21(5) Order. After a hearing under sub. (4) on a petition for extension of an order
22for temporary transfer to a dementia crisis unit, the court shall make one of the
23following orders and shall identify in the order the information relied on as a basis
24for that order:
AB575,47,3
1(a) If the court finds that the allegations under sub. (2) (c) are true, it shall order
2continued temporary transfer to the dementia crisis unit for a period not to exceed
360 days from the date of expiration of the original order under s. 55.65 (9).
AB575,47,74 (b) If the court finds that the allegations under sub. (2) (c) are true, but that the
5individual would be better served in a different dementia crisis unit, it shall order
6transfer of the individual to that dementia crisis unit and temporary placement in
7that dementia crisis unit for no longer than 60 days.
AB575,47,118 (c) If the court finds that the allegations under sub. (2) (c) 2. to 6. are not true,
9but the individual continues to meet the standards for protective placement under
10s. 55.08 (1), the court shall order transfer of the individual to a facility for permanent
11protective placement.
AB575,47,1412 (d) If the court finds the individual no longer meets the standards for protective
13placement under s. 55.08 (1), it shall terminate the protective placement as provided
14in s. 55.17.
AB575,48,2 15(6) Subsequent extensions. The court may extend an order under (5) (a) or (b)
16in increments of no more than 60 days. For each such extension, a person described
17under sub. (2) (a) shall file a petition alleging that the individual meets the standards
18under sub. (2) (c) no later than 10 days prior to the expiration of the most-recently
19issued order for temporary transfer to a dementia crisis unit. If an emergency makes
20it impossible to file a petition sooner, a petition may be filed up to 72 hours prior to
21expiration of the period of temporary transfer ordered under sub. (5). The petition
22shall be served on the individual, the individual's guardian, the individual's legal
23counsel and guardian ad litem, if any, and the county department. Examination shall
24be conducted as provided in sub. (3). A hearing shall be held prior to the expiration
25of the most-recently issued order for temporary placement. A trial by a jury shall

1be held if demanded by the individual or his or her attorney or guardian ad litem.
2After the hearing, the court shall issue an order as provided in sub. (5).
AB575,33 3Section 33. 55.70 of the statutes is created to read:
AB575,48,5 455.70 Emergency involuntary administration of psychotropic
5medications.
(1) In this section:
AB575,48,76 (a) "Involuntary administration of psychotropic medication" has the meaning
7given in s. 55.14 (1) (a).
AB575,48,128 (b) "Not competent to refuse psychotropic medication" means that, as a result
9of dementia, serious and persistent mental illness, or other like incapacities, and
10after the advantages and disadvantages of and alternatives to accepting the
11particular psychotropic medication have been explained to an individual, any of the
12following are true:
AB575,48,1513 1. The individual is incapable of expressing an understanding of the
14advantages and disadvantages of accepting treatment and the alternatives to
15accepting treatment.
AB575,48,1916 2. The individual is substantially incapable of applying an understanding of
17the advantages and disadvantages of accepting treatment and the alternatives to
18accepting treatment to his or her condition in order to make an informed choice as
19to whether to accept or refuse psychotropic medication.
AB575,48,2020 (c) "Protest" has the meaning given in s. 55.14 (1) (c).
AB575,48,2121 (d) "Psychotropic medication" has the meaning given in s. 55.14 (1) (d).
AB575,48,25 22(2) Involuntary administration of psychotropic medication may be provided as
23an emergency protective service to an individual who has or, based on observation
24and currently available information, appears to have dementia, if all of the following
25are true:
AB575,49,1
1(a) A physician has prescribed the psychotropic medication for the individual.
AB575,49,22 (b) The individual is not competent to refuse psychotropic medication.
AB575,49,63 (c) The individual's condition or symptoms for which psychotropic medication
4has been prescribed are likely to be improved or alleviated by administration of
5psychotropic medication and the individual is likely to respond positively to
6psychotropic medication.
AB575,49,97 (d) Unless psychotropic medication is administered involuntarily, the
8individual will incur a substantial probability of physical harm, impairment, injury,
9or debilitation or will present a substantial probability of physical harm to others.
AB575,49,1310 (e) For an individual who is not currently placed in a dementia crisis unit, there
11is a substantial likelihood that unless psychotropic medication is administered
12involuntarily, the individual will be subject to involuntary placement in a dementia
13crisis unit under s. 55.59.
AB575,49,1714 (f) If the individual resides in a nursing home, as defined in s. 50.01 (3), a
15community-based residential facility, as defined in s. 50.01 (1g), an adult family
16home, as defined in s. 50.01 (1), or a residential care apartment complex, as defined
17in s. 50.01 (6d), all of the following are true:
AB575,49,2118 1. A physician has conducted a physical examination of the individual and a
19physician has determined and documented in writing that there is a reasonable
20probability that the behavior is not caused by a physical condition or illness that
21could be treated successfully by means other than psychotropic medication.
AB575,49,2522 2. The facility has made reasonable efforts to address or accommodate the
23behavior or condition for which involuntary administration of psychotropic
24medication is requested and these efforts are documented in the individual's plan of
25care.
AB575,50,3
13. The facility has prepared detailed documentation of the behaviors or
2condition of the individual for which involuntary administration of psychotropic
3medication is sought.
AB575,50,54 (g) The individual meets the standards for protective services under s. 55.08
5(2).
AB575,50,17 6(3) Any county department or agency with which the county department
7contracts under s. 55.02 (2) that provides involuntary administration of psychotropic
8medication as an emergency protective service to an individual under sub. (2) shall
9immediately file with the court a petition for involuntary administration of
10psychotropic medication to the individual under s. 55.14. The petition shall be served
11on the individual, the individual's guardian, the individual's legal counsel, and
12guardian ad litem, if any, and the county department. The court shall hold a
13preliminary hearing shall be held within 72 hours after the first dose of medication
14is administered under sub. (2), excluding Saturdays, Sundays, and legal holidays, to
15establish probable cause that the criteria under s. 55.14 are present. The county
16department or agency shall provide the individual with written notice of, and orally
17inform the individual of, the time and place of the preliminary hearing.
AB575,50,20 18(4) If the individual is not under guardianship, a petition for guardianship
19shall accompany the petition for involuntary administration of psychotropic
20medication under sub. (3).
AB575,51,2 21(5) Upon finding probable cause under sub. (3) and finding that the medication
22will not unreasonably impair the ability of the individual to prepare for and
23participate in subsequent legal proceedings, the court may order involuntary
24administration of psychotropic medication to continue to be provided as an
25emergency protective service to the individual for up to 30 days after the date of the

1order, pending the hearing under s. 55.14. If the individual is not under
2guardianship, the court shall appoint a temporary guardian.
AB575,51,5 3(6) If the individual is under guardianship, a good faith effort shall be made
4to obtain the consent of the guardian before involuntary administration of
5psychotropic medication is provided as an emergency protective service.
AB575,34 6Section 34. 55.73 of the statutes is created to read:
AB575,51,14 755.73 County reports. (1) Before the first day of the 13th month beginning
8after the effective date of this subsection .... [LRB inserts date], the county
9department shall prepare and submit a report to the department that identifies any
10dementia crisis unit that it has designated under s. 55.55 and the capacity of each
11designated unit. The county shall include in the report a description of the process
12used to solicit information and advice from the public and a summary of the
13information and advice received. The county shall update the report whenever the
14county makes a new designation or revokes a designation from a unit.
AB575,51,18 15(2) The county department shall annually prepare and submit a report to the
16department that states the total number of petitions filed in the county under 55.59
17and 55.65 and the total number of those petitions that resulted in a placement in a
18dementia crisis unit.
AB575,35 19Section 35. 55.74 of the statutes is created to read:
AB575,51,22 2055.74 Department reports to the legislature. By June 30 of each
21even-numbered year, the department shall submit to the legislature under s. 13.172
22(2) a report that includes all of the following:
AB575,51,25 23(1) Identification of the dementia crisis units designated by counties under s.
2455.55 and the capacity of those units, as provided in reports submitted by counties
25under s. 55.73 (1).
AB575,52,3
1(2) A summary of the procedures used by counties to solicit information and
2advice from the public when making dementia crisis unit designations under s.
355.55, as provided in reports submitted under s. 55.73 (1).
AB575,52,5 4(3) A summary of the information provided to the department by counties
5under s. 55.73 (2).
AB575,52,66 (End)
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