SB82-SSA1,30,66 Name (print) ....
SB82-SSA1,30,77 Home address .... Home telephone number ....
SB82-SSA1,30,88 Work address .... Work telephone number ....
SB82-SSA1,30,99 Other address (specify) .... Other telephone number ....
SB82-SSA1,30,11 10(4) Revocation of health services form. (a) A parent may revoke a health
11services consent form at any time by doing any of the following:
SB82-SSA1,30,1312 1. Canceling, defacing, obliterating, burning, tearing, or otherwise destroying
13the health services consent form.
SB82-SSA1,30,1514 2. Executing a statement, in writing, that is signed and dated by the parent,
15expressing the parent's intent to revoke the health services consent form.
SB82-SSA1,30,1616 3. Executing a subsequent health services consent form.
SB82-SSA1,30,1917 (b) A health services consent form is not valid if the child no longer resides with
18the caregiver or if the caregiver is no longer providing temporary or permanent care
19and supervision for the child.
SB82-SSA1,30,2320 (c) If a caregiver knows that the instrument that authorized him or her to make
21health services decisions for a child has been revoked or is no longer valid, the
22caregiver shall communicate this fact to any health care provider for the child that
23the caregiver knows has a copy of the health services consent form.
SB82-SSA1,31,224 (d) The child's health care provider shall, upon notification of revocation or
25invalidity of the health services consent form, record in the child's medical record the

1time, date, and place of the notification to the health care provider of the revocation
2or invalidity.
SB82-SSA1,31,6 3(5) Duties and immunities. (a) No health care facility or health care provider
4may be charged with a crime, held civilly liable, or charged with unprofessional
5conduct for any of the following in providing health services under a health services
6consent form:
SB82-SSA1,31,107 1. Complying, in the absence of actual knowledge of a revocation, with the
8terms of a health services consent form that is in compliance with this section or the
9decision of a caregiver that is made under a health services consent form that is in
10compliance with this section.
SB82-SSA1,31,1311 2. Acting contrary to or failing to act on a revocation of a health services consent
12form, unless the health care facility or health care provider has actual knowledge of
13the revocation.
SB82-SSA1,31,1714 3. Acting contrary to or failing to act on the health services decision of a parent
15who is not currently denied periods of physical placement with the child, unless the
16health care facility or health care provider has actual knowledge of the parent's
17health services decision.
SB82-SSA1,31,2118 (b) In the absence of actual notice to the contrary, a health care facility or health
19care provider may presume that a parent was authorized to execute the health
20services consent form under the requirements of this section and that the form is
21valid.
SB82-SSA1,31,2422 (c) No caregiver may be charged with a crime or held civilly liable for making
23a decision in good faith under a health services consent form that is in compliance
24with this section.
SB82-SSA1,32,4
1(6) Penalties. (a) Whoever knowingly falsifies or forges a health services
2consent form with intent to create the false impression that a person other than the
3caregiver has been designated to consent to health services for a child is subject to
4a forfeiture not to exceed $200.
SB82-SSA1,32,115 (b) Whoever gives or attempts to give consent for health services based on a
6health services consent form that the individual knows has been executed without
7the voluntary consent of the parent, that the individual knows has been forged or
8substantially altered without the authorization of the child's parent, or that the
9individual knows has been revoked, with the intent to act contrary to the parent's
10wishes may be fined not more than $500 or imprisoned for not more than 30 days or
11both.
SB82-SSA1, s. 38 12Section 38 . 49.155 (5) of the statutes is renumbered 49.155 (5) (a) and
13amended to read:
SB82-SSA1,32,1614 49.155 (5) (a) An individual is liable for the percentage of the cost of the child
15care specified by the department in a printed copayment schedule except as provided
16in pars. (b), (c), and (d)
.
SB82-SSA1,32,21 17(b) An individual who is under the age of 20 and is attending high school or
18participating in a course of study meeting the standards established under s. 115.29
19(4) for the granting of a declaration of equivalency to high school graduation may not
20be determined liable for more than the minimum copayment amount for the type of
21child care received and the number of children receiving child care.
SB82-SSA1, s. 39 22Section 39 . 49.155 (5) (c) and (d) of the statutes are created to read:
SB82-SSA1,32,2523 49.155 (5) (c) An individual who is eligible to receive payments under s. 48.57
24(3m) or (3n) for providing care and maintenance for a child is not liable for a
25copayment for the child.
SB82-SSA1,33,2
1(d) An individual who the department specifies, by rule, is not liable for a
2copayment.
SB82-SSA1, s. 40 3Section 40 . 880.08 (3) (am) (intro.) of the statutes is amended to read:
SB82-SSA1,33,64 880.08 (3) (am) (intro.) When the proposed ward is a minor, notice shall be
5given as provided in s. 879.05 to all of the following persons, if applicable, except that
6notice required to be given by publication shall be published as a class 1 notice
:
SB82-SSA1, s. 41 7Section 41 . Nonstatutory provisions.
SB82-SSA1,33,138 (1) Guardianship and legal custody of children. The joint legislative council
9is requested to study state laws regarding guardianship and legal custody of children
10and the rights and responsibilities of guardians and legal custodians of children. If
11the joint legislative council conducts the study, the joint legislative council shall
12report its findings, conclusions, and recommendations to the legislature in the
13manner provided under section 13.172 (2) of the statutes by January 1, 2005.
SB82-SSA1,33,1914 (2) Kinship care funding management. The department of health and family
15services shall study methods to manage the funding appropriated for kinship care
16payments in order to minimize the need for waiting lists for kinship care payments.
17The department shall submit a report summarizing the results of the study to the
18appropriate standing committees of the legislature in the manner provided under
19section 13.172 (3) of the statutes by June 30, 2004.
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