LRB-2580/1
SWB:skw
2023 - 2024 LEGISLATURE
April 20, 2023 - Introduced by Joint Legislative Council. Referred to Committee
on Health, Aging and Long-Term Care.
AB188,1,4 1An Act to amend 48.396 (1), 48.396 (2) (a), 48.78 (2) (a), 48.981 (7) (a) 15.,
2938.396 (1) (a), 938.396 (2) (a) and 938.78 (2) (a); and to create 51.30 (4) (b) 29.,
3146.82 (2) (d), 250.22 and 961.385 (2) (cm) 5. of the statutes; relating to:
4fatality review teams and granting rule-making authority.
Analysis by the Legislative Reference Bureau
This bill is explained in the Notes provided by the Joint Legislative Council in
the bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
Joint Legislative Council prefatory note: This bill was prepared for the Joint
Legislative Council Study Committee on Uniform Death Reporting Standards.
Current law does not address fatality review teams, though several types of such
teams currently exist in Wisconsin based on voluntary efforts primarily organized by
counties, with state-level technical assistance available for certain types of teams. The
bill establishes fatality review teams under state law.
Under the bill, a fatality review team is defined as a multidisciplinary and
multiagency team reviewing one or more types of death among children or adults and
developing recommendations to prevent future deaths of similar circumstances. The bill
generally governs a team's responsibilities, ability to access certain records,
confidentiality requirements, and disclosure of information.

Duties and Authority of the Department of Health Services (DHS)
Under the bill, DHS must establish a fatality review program comprised of local
fatality review teams established at the option of a county, a local health department, or
a tribal health department, or a combination of these entities. The bill also authorizes,
but does not require, DHS to create state fatality review teams.
The bill requires DHS to perform various duties, in consultation with other state
agencies as appropriate, such as: (1) facilitate local team development; (2) identify
training needs and make available training resources; (3) provide technical assistance
and support; (4) in the absence of a local team or upon request, assign review of deaths
to a state fatality review team, if established; (5) educate the public on causes and
recommendations for prevention of reviewable deaths; and (6) provide information to the
legislature, state agencies, and local communities on the need for modifications to law,
policy, or practice. The bill allows DHS to contract with an entity to perform any of its
duties under the bill.
Under the bill, DHS must create and make available to fatality review teams a
confidentiality agreement for use by team members to ensure confidentiality consistent
with the bill's provisions. The bill requires DHS to promulgate administrative rules to
develop and implement a standardized form for review of suicide deaths, and allows DHS
to promulgate rules to develop and implement standardized forms for other types of
reviewable deaths. The bill further grants general rule-making authority to DHS to
implement the bill's provisions.
Fatality Review Teams
The bill contains general provisions governing any type of fatality review team.
The bill identifies examples of the types of deaths that may constitute a reviewable death,
including those caused by unintentional injury, overdose, suicide, and homicide, among
other causes. The bill also provides a non-exhaustive list of potential team members.
Under the bill, a fatality review team has the purpose of gathering information
about reviewable deaths to examine risk factors and understand how deaths may be
prevented, through identifying recommendations for cross-sector, system-level policy
and practice changes, and promoting cooperation and coordination among the agencies
involved in understanding causes of reviewable deaths or in providing services to
surviving family members.
If established, each fatality review team must: (1) establish and implement team
protocols; (2) collect and maintain data; (3) create strategies and track implementation
of prevention recommendations; and (4) evaluate the team's process, interagency
collaboration, and implementation of recommendations. The bill requires teams to
assign, as appropriate for a specific review, a team member to complete any standardized
form developed by DHS, and to enter data regarding each reviewable death into any
secure database designated by DHS or its contracted entity.
Record Access and Confidentiality
The bill authorizes a fatality review team to access records from a variety of
sources, such as certain state agencies, law enforcement, medical examiners and
coroners, health care providers, human service agencies, schools, and the prescription
drug monitoring program, among others, subject to certain restrictions under the bill and
current law.
Information and records provided to or created by a fatality review team are
confidential, subject to limited exceptions provided under the bill, and are not subject to
Wisconsin's public records laws. The bill requires team members, and other individuals
invited to attend a team meeting, to sign a confidentiality agreement before participating
in or attending a fatality review team meeting. The bill prohibits team members, persons
in attendance at team meetings, and others providing records to teams from testifying
in any civil or criminal action as to the information specifically obtained through
participation in the team's meeting.

The bill authorizes disclosure of information if such disclosure serves a team's
purpose and certain other conditions are met, such as the information does not allow for
identification of individuals and does not contain conclusory information attributing
fault. The bill further specifies that a team's information and records are not subject to
discovery or subpoena, or admissible as evidence, in a civil or criminal action, unless
obtained independently from a team's review. The bill also provides that a person
participating in a fatality review team is immune from civil or criminal liability for any
good faith act or omission in connection with providing information or recommendations.
The bill exempts fatality review team meetings from Wisconsin's open meetings
law. However, the bill allows for public meetings to share summary findings and
recommendations, but limits the types of information that may be disclosed in public
meetings.
AB188,1 1Section 1. 48.396 (1) of the statutes is amended to read:
AB188,4,82 48.396 (1) Law enforcement officers' records of children shall be kept separate
3from records of adults. Law enforcement officers' records of the adult expectant
4mothers of unborn children shall be kept separate from records of other adults. Law
5enforcement officers' records of children and the adult expectant mothers of unborn
6children shall not be open to inspection or their contents disclosed except under sub.
7(1b), (1d), (5), or (6) or s. 48.293 or, 250.22, or 938.396 (2m) (c) 1p. or by order of the
8court. This subsection does not apply to the representatives of newspapers or other
9reporters of news who wish to obtain information for the purpose of reporting news
10without revealing the identity of the child or adult expectant mother involved, to the
11confidential exchange of information between the police and officials of the public or
12private school attended by the child or other law enforcement or social welfare
13agencies, or to children 10 years of age or older who are subject to the jurisdiction of
14the court of criminal jurisdiction. A public school official who obtains information
15under this subsection shall keep the information confidential as required under s.
16118.125, and a private school official who obtains information under this subsection
17shall keep the information confidential in the same manner as is required of a public
18school official under s. 118.125. This subsection does not apply to the confidential
19exchange of information between the police and officials of the tribal school attended

1by the child if the police determine that enforceable protections are provided by a
2tribal school policy or tribal law that requires tribal school officials to keep the
3information confidential in a manner at least as stringent as is required of a public
4school official under s. 118.125. A law enforcement agency that obtains information
5under this subsection shall keep the information confidential as required under this
6subsection and s. 938.396 (1) (a). A social welfare agency that obtains information
7under this subsection shall keep the information confidential as required under ss.
848.78 and 938.78.
AB188,2 9Section 2. 48.396 (2) (a) of the statutes is amended to read:
AB188,4,1610 48.396 (2) (a) Records of the court assigned to exercise jurisdiction under this
11chapter and ch. 938 and of courts exercising jurisdiction under s. 48.16 shall be
12entered in books or deposited in files kept for that purpose only. Those records shall
13not be open to inspection or their contents disclosed except by order of the court
14assigned to exercise jurisdiction under this chapter and ch. 938 or as required or
15permitted under this subsection, sub. (3) (b) or (c) 1g., 1m., or 1r. or (6), or s. 48.375
16(7) (e) or 250.22.
AB188,3 17Section 3. 48.78 (2) (a) of the statutes is amended to read:
AB188,4,2318 48.78 (2) (a) No agency may make available for inspection or disclose the
19contents of any record kept or information received about an individual who is or was
20in its care or legal custody, except as provided under sub. (2m) or s. 48.371, 48.38 (5)
21(b) or (d) or (5m) (d), 48.396 (3) (bm) or (c) 1r., 48.432, 48.433, 48.48 (17) (bm), 48.57
22(2m), 48.66 (6), 48.93, 48.981 (7), 250.22, 938.396 (2m) (c) 1r., 938.51, or 938.78 or by
23order of the court.
AB188,4 24Section 4. 48.981 (7) (a) 15. of the statutes is amended to read:
AB188,5,4
148.981 (7) (a) 15. A fatality review team established under s. 250.22, a child
2fatality review team recognized by the county department, or, in a county having a
3population of 750,000 or more, the department or a licensed child welfare agency
4under contract with the department.
AB188,5 5Section 5. 51.30 (4) (b) 29. of the statutes is created to read:
AB188,5,86 51.30 (4) (b) 29. To an authorized member of a fatality review team established
7under s. 250.22. The recipient of any treatment records under this subdivision shall
8keep the records confidential in accordance with s. 250.22.
AB188,6 9Section 6. 146.82 (2) (d) of the statutes is created to read:
AB188,5,1610 146.82 (2) (d) Notwithstanding sub. (1), patient health care records may be
11released, upon request, to a fatality review team, as defined in s. 250.22 (1) (a), acting
12as a public health authority for the purpose of reviewing a death as described under
13s. 250.22. Records that may be released under this paragraph for the public health
14purposes under s. 250.22 may be disclosed to a fatality review team only in
15accordance with that section, and the recipient of any records released shall keep the
16records confidential.
AB188,7 17Section 7. 250.22 of the statutes is created to read:
AB188,5,18 18250.22 Fatality review teams. (1) Definitions. In this section:
AB188,5,2119 (a) “Fatality review team” means a multidisciplinary and multiagency team
20examining one or more types of reviewable death among children or adults and
21developing recommendations to prevent future deaths of similar circumstances.
AB188,5,2522 (b) “Local fatality review team” means a fatality review team that examines
23reviewable deaths from a specific county or counties. A “local fatality review team”
24may include a team formed by a collaboration of two or more counties, local health
25departments, or tribal health departments.
AB188,6,2
1(c) “State fatality review team” means a fatality review team that examines
2reviewable deaths of residents across the state.
AB188,6,43 (d) “Reviewable death” includes a death for which any of the following has been
4determined to be the cause of death:
AB188,6,55 1. Undetermined.
AB188,6,66 2. Unintentional injury.
AB188,6,77 3. Suicide.
AB188,6,88 4. Homicide.
AB188,6,99 5. Motor vehicle incident.
AB188,6,1010 6. Overdose death.
AB188,6,1111 7. Child abuse or neglect.
AB188,6,1212 8. Sudden unexpected death.
AB188,6,1313 9. Stillbirth.
AB188,6,1414 10. Fetal death or infant death.
AB188,6,19 15(2) Department duties and authority. (a) The department shall establish a
16fatality review program comprised of local fatality review teams established at the
17option of a county, a local health department, a tribal health department, or a
18combination of these entities. The department may also establish a state fatality
19review team.
AB188,6,2220 (b) In coordination with the department of justice, the department of children
21and families, or other state agencies, as appropriate, the department shall do all of
22the following:
AB188,6,2323 1. Facilitate the development of local fatality review teams under this section.
AB188,7,3
12. Identify training needs and make training resources available to local
2fatality review teams, statewide professional organizations, advocacy groups, and
3others.
AB188,7,54 3. Respond to requests from local fatality review teams and provide any
5necessary technical assistance and support.
AB188,7,86 4. Upon request of a local fatality review team, or if a county does not have a
7fatality review team, assign review of deaths to a state fatality review team, if
8established.
AB188,7,109 5. Provide information to the legislature, state agencies, and local communities
10on the need for modifications to law, policy, or practice.
AB188,7,1211 (c) The department may enter into a contract with an entity to perform any of
12the department's duties under this section.
AB188,7,1713 (d) The department shall promulgate rules to develop and implement a
14standardized form for use by fatality review teams when reviewing suicide deaths.
15The department may promulgate rules to develop and implement standardized
16forms for use by fatality review teams when reviewing other types of reviewable
17deaths.
AB188,7,2018 (e) The department may educate the public regarding the incidence and causes
19of reviewable deaths, including recommendations that identify needed policy
20changes or action to prevent future deaths.
AB188,7,2321 (f) The department or its contracted entity shall create and make available to
22fatality review teams a confidentiality agreement to be used by fatality review team
23members to ensure confidentiality consistent with this section.
AB188,7,2424 (g) The department may promulgate rules to implement this section.
AB188,8,5
1(3) Fatality review teams; purpose, duties, membership, and record access. (a)
2Fatality review teams shall have the purpose of gathering information concerning
3reviewable deaths to examine the risk factors and circumstances leading to
4reviewable deaths and understand how the deaths could have been prevented
5through all of the following:
AB188,8,86 1. Identification of recommendations for cross-sector, system-level policy and
7practice changes to address the identified risk factors and prevent future reviewable
8deaths.
AB188,8,119 2. Promotion of cooperation and coordination among agencies involved in
10understanding the causes of reviewable deaths or in providing services to surviving
11family members.
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