AB75-SSA1,1303,55
PROVISION OF A FEEDING TUBE
AB75-SSA1,1303,106
If I have checked "Yes" to the following, my health care agent may have a
7feeding tube withheld or withdrawn from me, unless my physician has advised that,
8in his or her professional judgment, this will cause me pain or will reduce my comfort.
9If I have checked "No" to the following, my health care agent may not have a feeding
10tube withheld or withdrawn from me.
AB75-SSA1,1303,1311
My health care agent may not have orally ingested nutrition or hydration
12withheld or withdrawn from me unless provision of the nutrition or hydration is
13medically contraindicated.
AB75-SSA1,1303,1414
Withhold or withdraw a feeding tube — Yes.... No....
AB75-SSA1,1303,1615
If I have not checked either "Yes" or "No" immediately above, my health care
16agent may not have a feeding tube withdrawn from me.
AB75-SSA1,1303,1817
HEALTH CARE DECISIONS FOR
18
PREGNANT WOMEN
AB75-SSA1,1303,2219
If I have checked "Yes" to the following, my health care agent may make health
20care decisions for me even if my agent knows I am pregnant. If I have checked "No"
21to the following, my health care agent may not make health care decisions for me if
22my health care agent knows I am pregnant.
AB75-SSA1,1303,2323
Health care decision if I am pregnant — Yes.... No....
AB75-SSA1,1304,3
1If I have not checked either "Yes" or "No" immediately above, my health care
2agent may not make health care decisions for me if my health care agent knows I am
3pregnant.
AB75-SSA1,1304,54
STATEMENT OF DESIRES,
5
SPECIAL PROVISIONS OR LIMITATIONS
AB75-SSA1,1304,96
In exercising authority under this document, my health care agent shall act
7consistently with my following stated desires, if any, and is subject to any special
8provisions or limitations that I specify. The following are specific desires, provisions
9or limitations that I wish to state (add more items if needed):
AB75-SSA1,1304,1513
INSPECTION AND DISCLOSURE OF
14
INFORMATION RELATING TO MY PHYSICAL
15
OR MENTAL HEALTH
AB75-SSA1,1304,1716
Subject to any limitations in this document, my health care agent has the
17authority to do all of the following:
AB75-SSA1,1304,1918
(a) Request, review and receive any information, oral or written, regarding my
19physical or mental health, including medical and hospital records.
AB75-SSA1,1304,2120
(b) Execute on my behalf any documents that may be required in order to obtain
21this information.
AB75-SSA1,1304,2222
(c) Consent to the disclosure of this information.
AB75-SSA1,1304,2323
(The principal and the witnesses all must sign the document at the same time.)
AB75-SSA1,1304,2424
SIGNATURE OF PRINCIPAL
AB75-SSA1,1304,2525
(person creating the power of attorney for health care)
AB75-SSA1,1304,26
1Signature.... Date....
AB75-SSA1,1305,32
(The signing of this document by the principal revokes all previous powers of
3attorney for health care documents.)
AB75-SSA1,1305,44
STATEMENT OF WITNESSES
AB75-SSA1,1305,155
I know the principal personally and I believe him or her to be of sound mind and
6at least 18 years of age. I believe that his or her execution of this power of attorney
7for health care is voluntary. I am at least 18 years of age, am not related to the
8principal by blood, marriage
, or adoption
, am not the domestic partner under ch. 770
9of the principal, and am not directly financially responsible for the principal's health
10care. I am not a health care provider who is serving the principal at this time, an
11employee of the health care provider, other than a chaplain or a social worker, or an
12employee, other than a chaplain or a social worker, of an inpatient health care facility
13in which the declarant is a patient. I am not the principal's health care agent. To
14the best of my knowledge, I am not entitled to and do not have a claim on the
15principal's estate.
AB75-SSA1,1305,1616
Witness No. 1:
AB75-SSA1,1305,1717
(print) Name.... Date....
AB75-SSA1,1305,2020
Witness No. 2:
AB75-SSA1,1305,2121
(print) Name.... Date....
AB75-SSA1,1305,2524
STATEMENT OF HEALTH CARE AGENT AND
25
ALTERNATE HEALTH CARE AGENT
AB75-SSA1,1306,4
1I understand that.... (name of principal) has designated me to be his or her
2health care agent or alternate health care agent if he or she is ever found to have
3incapacity and unable to make health care decisions himself or herself. .... (name of
4principal) has discussed his or her desires regarding health care decisions with me.
AB75-SSA1,1306,55
Agent's signature....
AB75-SSA1,1306,77
Alternate's signature....
AB75-SSA1,1306,119
Failure to execute a power of attorney for health care document under chapter
10155 of the Wisconsin Statutes creates no presumption about the intent of any
11individual with regard to his or her health care decisions.
AB75-SSA1,1306,1312
This power of attorney for health care is executed as provided in chapter 155
13of the Wisconsin Statutes.
AB75-SSA1,1306,1414
ANATOMICAL GIFTS (optional)
AB75-SSA1,1306,1515
Upon my death:
AB75-SSA1,1306,1716
.... I wish to donate only the following organs or parts: .... (specify the organs or
17parts).
AB75-SSA1,1306,1818
.... I wish to donate any needed organ or part.
AB75-SSA1,1306,1919
.... I wish to donate my body for anatomical study if needed.
AB75-SSA1,1306,2220
.... I refuse to make an anatomical gift. (If this revokes a prior commitment that
21I have made to make an anatomical gift to a designated donee, I will attempt to notify
22the donee to which or to whom I agreed to donate.)
AB75-SSA1,1306,2423
Failing to check any of the lines immediately above creates no presumption
24about my desire to make or refuse to make an anatomical gift.
AB75-SSA1,1306,2525
Signature.... Date....
AB75-SSA1,1307,62
155.40
(2) If the health care agent is the principal's spouse
or domestic partner
3under ch. 770 and, subsequent to the execution of a power of attorney for health care
4instrument, the marriage is annulled or divorce from the spouse is obtained
or the
5domestic partnership under ch. 770 is terminated, the power of attorney for health
6care is revoked and the power of attorney for health care instrument is invalid.
AB75-SSA1,1307,14
8157.05 Autopsy. Consent for a licensed physician to conduct an autopsy on
9the body of a deceased person shall be deemed sufficient when given by whichever
10one of the following assumes custody of the body for purposes of burial: Father,
11mother, husband, wife, child, guardian, next of kin
, domestic partner under ch. 770,
12or in the absence of any of the foregoing, a friend, or a person charged by law with
13the responsibility for burial. If 2 or more such persons assume custody of the body,
14the consent of one of them shall be deemed sufficient.
AB75-SSA1,1307,1616
157.06
(9) (a) 2. The spouse
or domestic partner under ch. 770 of the individual.
AB75-SSA1,1307,22
18165.03 Funding for assistant district attorney and public defender
19retention pay. (1) Notwithstanding the purposes for which appropriations are
20made under s. 20.455, in each fiscal year, the attorney general shall transfer to the
21appropriation account under s. 20.455 (3) (kb) a total of $1,000,000 from
22appropriation accounts under s. 20.455 except all of the following:
AB75-SSA1,1307,2323
(a) A sum sufficient appropriation.
AB75-SSA1,1307,2424
(b) An appropriation of federal moneys.
AB75-SSA1,1308,2
1(c) An appropriation from which transfer of moneys under this subsection is
2prohibited under the constitution.
AB75-SSA1,1308,3
3(2) (a) In this subsection:
AB75-SSA1,1308,54
1. "District attorney percentage" means the percentage of total assistant
5attorney positions that are assistant district attorney positions.
AB75-SSA1,1308,76
2. "Public defender percentage" means the percentage of total assistant
7attorney positions that are assistant state public defender positions.
AB75-SSA1,1308,108
3. "Total assistant attorney positions" means the total full-time equivalent
9assistant district attorney positions filled as of June 30th of a fiscal year plus the total
10full-time equivalent assistant state public defender positions filled on that date.
AB75-SSA1,1308,1411
(b) On June 30th of each fiscal year, the attorney general shall transfer from
12the appropriation account under s. 20.455 (3) (kb) to the appropriation account under
13s. 20.475 (1) (kb) an amount equal to $1,000,000 multiplied by the district attorney
14percentage.
AB75-SSA1,1308,1815
(c) On June 30th of each state fiscal year, the attorney general shall transfer
16from the appropriation account under s. 20.455 (3) (kb) to the appropriation account
17under s. 20.550 (1) (kb) an amount equal to $1,000,000 multiplied by the public
18defender percentage.
AB75-SSA1,1309,221
165.25
(4) (ar) The department of justice shall furnish all legal services
22required by the department of agriculture, trade and consumer protection relating
23to the enforcement of ss.
91.68, 93.73, 100.171, 100.173, 100.174, 100.175, 100.177,
24100.18, 100.182, 100.195, 100.20, 100.205, 100.207, 100.209, 100.21, 100.28, 100.37,
1100.42, 100.50, 100.51, 100.55, and 846.45 and chs. 126, 136, 344, 704, 707, and 779,
2together with any other services as are necessarily connected to the legal services.
AB75-SSA1,1309,74
165.755
(1) (a) Except as provided in par. (b), a court shall impose under ch. 814
5a crime laboratories and drug law enforcement surcharge of
$8 $13 if the court
6imposes a sentence, places a person on probation, or imposes a forfeiture for a
7violation of state law or for a violation of a municipal or county ordinance.
AB75-SSA1,1309,13
9165.785 Crime alert network. (1) In addition to its duties under ss. 165.50
10and 165.78, the department may develop, administer, and maintain an integrated
11crime alert network to provide information regarding known or suspected criminal
12activity, crime prevention, and missing or endangered children or adults to state
13agencies, law enforcement officers, and members of the private sector.
AB75-SSA1,1309,15
14(2) The department may charge a fee to members of the private sector who
15receive information under sub. (1).
AB75-SSA1, s. 2448
16Section
2448. 165.82 (1) (a) and (ag) of the statutes are consolidated,
17renumbered 165.82 (1) (a) and amended to read:
AB75-SSA1,1309,2018
165.82
(1) (a) For each record check, except a fingerprint card record check,
19requested by a nonprofit organization,
$2. (ag) For each record check, except a
20fingerprint card record check, requested or by a governmental agency,
$5 $7.
AB75-SSA1, s. 2448d
21Section 2448d. 165.82 (1) (a) of the statutes, as affected by 2009 Wisconsin Act
22.... (this act), is amended to read:
AB75-SSA1,1309,2423
165.82
(1) (a) For each record check, except a fingerprint card record check,
24requested by a nonprofit organization,
or by a governmental agency, $7 $2.
AB75-SSA1,1310,2
1165.82
(1) (am) For each record check, except a fingerprint card record check,
2requested by a governmental agency, $7.
AB75-SSA1, s. 2450
3Section
2450. 165.85 (4) (b) 1d. f. of the statutes is created to read:
AB75-SSA1,1310,104
165.85
(4) (b) 1d. f. Training concerning cultural diversity, including sensitivity
5toward racial and ethnic differences. The training shall be designed to prevent the
6use of race, racial profiling, racial stereotyping, or other race-based discrimination
7or selection as a basis for detaining, searching, or arresting a person or for otherwise
8treating a person differently from persons of other races and shall emphasize the fact
9that the primary purposes of enforcement of traffic regulations are safety and equal
10and uniform enforcement under the law.
AB75-SSA1,1310,1212
167.10
(1) (p) A novelty device that spins or moves on the ground.
AB75-SSA1,1310,1514
167.10
(2) Sale. (intro.) No person may sell or possess with intent to sell
15fireworks,
except unless any of the following apply:
AB75-SSA1,1310,1817
167.10
(2) (a)
To a The person
sells the fireworks, or possesses the fireworks
18with intent to sell them, to a person holding a permit under sub. (3) (c)
;.