2017 - 2018 LEGISLATURE
November 10, 2017 - Introduced by Representatives Snyder, Skowronski, Tittl,
Novak, Kitchens, Meyers, VanderMeer, Brostoff, Mursau, Katsma, Kulp,
Sinicki, Berceau, Anderson and Bernier, cosponsored by Senators Moulton,
Johnson, Carpenter, Ringhand, Hansen, Bewley, Wirch and Larson.
Referred to Committee on Mental Health.
1An Act to repeal
15.197 (22m) and 146.695 (1) (a), (2), (3) and (5); to
2consolidate, renumber and amend
146.695 (1) (intro.) and (b); and to create
15.197 (22m) and 146.695 of the statutes; relating to: establishing a palliative
Analysis by the Legislative Reference Bureau
This bill establishes a Palliative Care Council within the Department of Health
Services. Under the bill, DHS is required to establish a statewide palliative care
consumer and professional information and education program and must make
available on its Internet site information and resources regarding palliative care.
The bill requires the council to consult with and advise DHS on matters related to
the establishment, maintenance, operation, and outcome evaluation of the program
established by DHS. The council must also consult with and advise DHS regarding
1) the impact palliative care has on families and the experiences of families that have
used or had a family member use palliative care services; 2) establishing a system
for identifying patients or residents who could benefit from palliative care and
determining how to provide information about and facilitate access to appropriate
palliative care services for patients or residents with serious illnesses; and 3) any
other issues relating to palliative care arising through meetings or discussions, as
the council determines appropriate. The bill also requires the council to submit
biennial reports providing its analysis regarding certain issues relating to palliative
care, including the availability of palliative care, barriers to greater access to such
care, policies, practices, and protocols concerning patients' rights related to
palliative care, and the impact of palliative care on families that have experience
with palliative care services. The council and DHS program sunset effective July 1,
For further information see the state 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:
15.197 (22m) of the statutes is created to read:
15.197 (22m) Palliative care council.
(a) There is created in the department 3
of health services a palliative care council. The council shall consist of the following 4
1. Not more than 20 members appointed by the secretary of health services 6
serving for 4-year terms:
a. Four physician members, including 2 who are board certified in hospice and 8
palliative care and one who is a pediatric palliative care specialist.
b. Three palliative care practitioner members, including 2 advanced practice 10
registered nurses who are board certified in hospice and palliative care.
c. Four health care professional members, including a nurse, a social worker, 12
a pharmacist, and a spiritual care professional that have experience providing 13
palliative care to pediatric, youth, or adult populations; expertise in palliative care 14
delivery in an inpatient, outpatient, or community setting; or expertise in 15
interdisciplinary palliative care.
d. Three members with experience as advocates for patients and the patients' 17
family caregivers and who are independent of a hospital or other health care facility, 18
including at least one member who is a representative of an established patient 19
e. One representative from the University of Wisconsin School of Medicine and 2
Public Health with expertise in palliative care.
f. One representative from the Medical College of Wisconsin with expertise in 4
g. One representative from the department of health services with experience 6
in palliative care issues.
h. Two members who serve or have served in hospital administration.
2. One medical student representative appointed by the secretary of health 9
services for a one-year term who is a student specializing in palliative care at the 10
University of Wisconsin School of Medicine and Public Health or the Medical College 11
(b) Any member of the council appointed under par. (a) 1. who meets the 13
required qualifications for more than one category of appointees under par. (a) 1. a. 14
to h. may be appointed to serve as a member fulfilling the requirements for a council 15
member in some or all of those categories, as determined by the secretary of health 16
(c) The council shall meet at least twice each year.
(d) When possible, the council shall seek and the secretary shall appoint 19
members who represent the various geographic areas of the state. The council shall, 20
as often as possible, hold its meetings in different geographic areas of the state, both 21
rural and urban, to better learn about and aid in palliative care access and quality 22
in all communities.
15.197 (22m) of the statutes, as created by 2017 Wisconsin Act .... 24
(this act), is repealed.
146.695 of the statutes is created to read:
1146.695 Palliative care.
In this section:
(a) “Council” means the palliative care council.
(b) “Palliative care” has the meaning given in s. 50.90 (3).
The council shall consult with and advise the department on all of the 5
(a) Matters related to the establishment, maintenance, operation, and outcome 7
evaluation of the palliative care consumer and professional information and 8
education program established under this section.
(b) Understanding and evaluating the impact palliative care has on families 10
and the experiences of families that have used or had a family member use palliative 11
(c) Establishing a system to identify patients or residents who could benefit 13
from palliative care and determining how to provide information about and facilitate 14
access to appropriate palliative care services for patients or residents with serious 15
(d) Any other issues relating to palliative care that arise through council 17
meetings or other discussions, as determined appropriate by the council.
The department, in consultation with the council, shall establish a 19
statewide palliative care consumer and professional information and education 20
program to ensure that comprehensive and accurate information and education 21
about palliative care are available to the public, health care providers, and health 22
The department shall make available electronically on its Internet site 24
information and resources regarding palliative care, including all of the following 25
(a) Links to external resources regarding palliative care.
(b) Continuing education opportunities for health care providers.
(c) Information about palliative care delivery in the home, primary, secondary, 4
and tertiary environments.
(d) Consumer educational materials regarding palliative care, including 6
Beginning January 1, 2019, and biennially thereafter, the council shall 8
submit a report to the appropriate standing committees of the legislature providing 9
the council's analysis on the following issues:
(a) The availability of palliative care in this state for patients in the early stages 11
of serious disease.
(b) Barriers to greater access to palliative care.
(c) The policies, practices, and protocols in this state concerning patients' rights 14
related to palliative care, including all of the following:
1. Whether a palliative care team member may introduce palliative care 16
options to a patient without the consent of the patient's attending physician.
2. The practices and protocols for discussions between a palliative care team 18
member and a patient on life-sustaining treatment or advance directives decisions.
3. The practices and protocols on informed consent and disclosure 20
requirements for palliative care services.
(d) The impact of palliative care on families that have experience with 22
palliative care services.