2025 - 2026 LEGISLATURE
LRBs0337/1
SWB:cdc
SENATE SUBSTITUTE AMENDMENT 1,
TO SENATE BILL 192
February 3, 2026 - Offered by Senator James.
SB192-SSA1,1,4
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); 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. Analysis by the Legislative Reference Bureau
This bill establishes fatality review teams under state law. 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.
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
Under the bill, the Department of Health Services must establish a fatality review program comprised of local fatality review teams established at the option of a municipality, 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 or its contracted entity 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.
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 overdose, suicide, maternal death occurring during or within a year of a pregnancy, or any unexpected or unintentional death of a child, among others. 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 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, social or 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. 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.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
SB192-SSA1,1
1Section 1. 48.396 (1) of the statutes is amended to read: SB192-SSA1,3,17248.396 (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
1the confidential exchange of information between the police and officials of the 2public or private school attended by the child or other law enforcement or social 3welfare agencies, or to children 10 years of age or older who are subject to the 4jurisdiction of the court of criminal jurisdiction. A public school official who obtains 5information under this subsection shall keep the information confidential as 6required under s. 118.125, and a private school official who obtains information 7under this subsection shall keep the information confidential in the same manner 8as is required of a public school official under s. 118.125. This subsection does not 9apply to the confidential exchange of information between the police and officials of 10the tribal school attended by the child if the police determine that enforceable 11protections are provided by a tribal school policy or tribal law that requires tribal 12school officials to keep the information confidential in a manner at least as 13stringent as is required of a public school official under s. 118.125. A law 14enforcement agency that obtains information under this subsection shall keep the 15information confidential as required under this subsection and s. 938.396 (1) (a). A 16social welfare agency that obtains information under this subsection shall keep the 17information confidential as required under ss. 48.78 and 938.78. SB192-SSA1,218Section 2. 48.396 (2) (a) of the statutes is amended to read: SB192-SSA1,4,21948.396 (2) (a) Records of the court assigned to exercise jurisdiction under this 20chapter and ch. 938 and of courts exercising jurisdiction under s. 48.16 shall be 21entered in books or deposited in files kept for that purpose only. Those records shall 22not be open to inspection or their contents disclosed except by order of the court 23assigned to exercise jurisdiction under this chapter and ch. 938 or as required or
1permitted under this subsection, sub. (3) (b) or (c) 1g., 1m., or 1r. or (6), or s. 48.375 2(7) (e) or 250.22. SB192-SSA1,33Section 3. 48.78 (2) (a) of the statutes is amended to read: SB192-SSA1,4,9448.78 (2) (a) No agency may make available for inspection or disclose the 5contents of any record kept or information received about an individual who is or 6was in its care or legal custody, except as provided under sub. (2m) or s. 48.371, 748.38 (5) (b) or (d) or (5m) (d), 48.396 (3) (bm) or (c) 1r., 48.432, 48.433, 48.48 (17) 8(bm), 48.57 (2m), 48.66 (6), 48.93, 48.981 (7), 250.22, 938.396 (2m) (c) 1r., 938.51, or 9938.78 or by order of the court. SB192-SSA1,410Section 4. 48.981 (7) (a) 15. of the statutes is amended to read: SB192-SSA1,4,141148.981 (7) (a) 15. A fatality review team established under s. 250.22, a child 12fatality review team recognized by the county department, or, in a county having a 13population of 750,000 or more, the department or a licensed child welfare agency 14under contract with the department. SB192-SSA1,515Section 5. 51.30 (4) (b) 29. of the statutes is created to read: SB192-SSA1,4,181651.30 (4) (b) 29. To an authorized member of a fatality review team 17established under s. 250.22. The recipient of any treatment records under this 18subdivision shall keep the records confidential in accordance with s. 250.22. SB192-SSA1,619Section 6. 146.82 (2) (d) of the statutes is created to read: SB192-SSA1,5,320146.82 (2) (d) Notwithstanding sub. (1), patient health care records may be 21released, upon request, to a fatality review team, as defined in s. 250.22 (1) (a), 22acting as a public health authority for the purpose of reviewing a death as described 23under s. 250.22. Records that may be released under this paragraph for the public
1health purposes under s. 250.22 may be disclosed to a fatality review team only in 2accordance with that section, and the recipient of any records released shall keep 3the records confidential. SB192-SSA1,74Section 7. 250.22 of the statutes is created to read: SB192-SSA1,5,55250.22 Fatality review teams. (1) Definitions. In this section: SB192-SSA1,5,86(a) “Fatality review team” means a multidisciplinary and multiagency team 7examining one or more types of reviewable death among children or adults and 8developing recommendations to prevent future deaths of similar circumstances. SB192-SSA1,5,129(b) “Local fatality review team” means a fatality review team that examines 10reviewable deaths from specific municipalities or counties. A “local fatality review 11team” may include a team formed by a collaboration of two or more municipalities, 12counties, local health departments, or tribal health departments. SB192-SSA1,5,1313(c) “Municipality” means a city, village, or town. SB192-SSA1,5,1514(d) “State fatality review team” means a fatality review team that examines 15reviewable deaths of residents across the state. SB192-SSA1,5,1616(e) 1. “Reviewable death” includes any of the following types of deaths: SB192-SSA1,5,1918b. Homicide or death involving domestic violence, intimate partner violence, 19or homicide related to community violence. SB192-SSA1,5,2020c. Motor vehicle incident. SB192-SSA1,5,2121d. Overdose death. SB192-SSA1,5,2222e. Child abuse or neglect. SB192-SSA1,5,2323f. Stillbirth. SB192-SSA1,6,1
1g. Fetal death or infant death. SB192-SSA1,6,22h. A maternal death occurring during or within a year of a pregnancy. SB192-SSA1,6,33i. Any unexpected or unintentional death of a child. SB192-SSA1,6,542. “Reviewable death” does not include a death subject to review under s. 5175.47. SB192-SSA1,6,106(2) Department duties and authority. (a) The department shall establish 7a fatality review program comprised of local fatality review teams established at the 8option of a municipality, a county, a local health department, a tribal health 9department, or a combination of these entities. The department may also establish 10a state fatality review team. SB192-SSA1,6,1311(b) In coordination with the department of justice, the department of children 12and families, or other state agencies, as appropriate, the department shall do all of 13the following: SB192-SSA1,6,14141. Facilitate the development of local fatality review teams under this section.