AB539: Bill Text

AB539,37,8 3. The substantial failure or neglect of a fiscal agent to fulfill his or her responsibilities.

AB539, s. 88 Section 88. 50.065 (4m) (a) 3. of the statutes is amended to read:

AB539,37,13 50.065 (4m) (a) 3. That a unit of government or a state agency, as defined in s. 16.61 (2) (d), has made a finding that the person has abused or neglected any client or misappropriated the property committed abuse, neglect, or financial exploitation of any client.

AB539, s. 89 Section 89. 50.065 (4m) (b) 3. of the statutes is amended to read:

AB539,37,18 50.065 (4m) (b) 3. That a unit of government or a state agency, as defined in s. 16.61 (2) (d), has made a finding that the person has abused or neglected any client or misappropriated the property committed abuse, neglect, or financial exploitation of any client.

AB539, s. 90 Section 90. 50.065 (7) (c) of the statutes is amended to read:

AB539,37,24 50.065 (7) (c) Conduct throughout the state periodic training sessions that cover criminal background investigations; reporting and investigating misappropriation of property or financial exploitation, abuse, or neglect of a client; and any other material that will better enable entities to comply with the requirements of this section.

AB539, s. 91 Section 91. 50.09 (1) (k) of the statutes is amended to read:

AB539,38,11 50.09 (1) (k) Be free from mental and physical abuse, and as defined in s. 46.90 (1) (a). The resident has a right to be free from chemical and physical restraints except as authorized in writing by a physician for a specified and limited period of time and documented in the resident's medical record. Physical restraints may be used in an emergency when necessary to protect the resident from injury to himself or herself or others or to property. However, authorization for continuing use of the physical restraints shall be secured from a physician within 12 hours. Any use of physical restraints shall be noted in the resident's medical records. "Physical restraints" includes, but is not limited to, any article, device or garment which interferes with the free movement of the resident and which the resident is unable to remove easily, and confinement in a locked room.

AB539, s. 92 Section 92. 51.01 (2g) (b) of the statutes is amended to read:

AB539,38,15 51.01 (2g) (b) "Brain injury" does not include alcoholism, Alzheimer's disease as specified under s. 46.87 (1) (a), or the infirmities of aging as specified under s. 55.01 (3) degenerative brain disorder, as defined in s. 55.01 (1v).

AB539, s. 93 Section 93. 51.01 (3g) of the statutes is amended to read:

AB539,39,2 51.01 (3g) "Chronic mental illness" means a mental illness that which is severe in degree and persistent in duration, which that causes a substantially diminished level of functioning in the primary aspects of daily living and an inability to cope with the ordinary demands of life, which that may lead to an inability to maintain stable adjustment and independent functioning without long-term treatment and support, and which that may be of lifelong duration. "Chronic mental illness" includes schizophrenia as well as a wide spectrum of psychotic and other severely disabling psychiatric diagnostic categories, but does not include infirmities of aging degenerative brain disorder, as defined in s. 55.01 (1v), or a primary diagnosis of mental retardation or of alcohol or drug dependence.

AB539, s. 94 Section 94. 51.01 (5) (a) of the statutes is amended to read:

AB539,39,11 51.01 (5) (a) "Developmental disability" means a disability attributable to brain injury, cerebral palsy, epilepsy, autism, Prader-Willi syndrome, mental retardation, or another neurological condition closely related to mental retardation or requiring treatment similar to that required for mental retardation, which has continued or can be expected to continue indefinitely and constitutes a substantial handicap to the afflicted individual. "Developmental disability" does not include senility which is primarily caused by the process of aging or the infirmities of aging degenerative brain disorder, as defined in s. 55.01 (1v).

AB539, s. 95 Section 95. 51.30 (4) (b) 17. of the statutes is amended to read:

AB539,39,22 51.30 (4) (b) 17. To the county elder-adult-at-risk agency designated under s. 46.90 (2) or other investigating agency under s. 46.90 for the purposes of s. 46.90 (4) (a) and (5), to the county department, as defined in s. 48.02 (2g), or the sheriff or police department for the purposes of s. 48.981 (2) and (3), or to the county protective services adult-at-risk agency designated under s. 55.02 for purposes of s. 55.043. The treatment record holder may release treatment record information by initiating contact with the county protective services elder-adult-at-risk agency, adult-at-risk agency, or county department, as defined in s. 48.02 (2g), without first receiving a request for release of the treatment record from the county protective services elder-adult-at-risk agency, adult-at-risk agency, or county department.

AB539, s. 96 Section 96. 51.42 (3) (e) of the statutes is amended to read:

AB539,40,12 51.42 (3) (e) Exchange of information. Notwithstanding ss. 46.2895 (9), 48.78 (2) (a), 49.45 (4), 49.83, 51.30, 51.45 (14) (a), 55.06 (17) (c), 146.82, 252.11 (7), 253.07 (3) (c) and 938.78 (2) (a), any subunit of a county department of community programs or tribal agency acting under this section may exchange confidential information about a client, without the informed consent of the client, with any other subunit of the same county department of community programs or tribal agency, with a resource center, a care management organization, or a family care district, or with any person providing services to the client under a purchase of services contract with the county department of community programs or tribal agency or with a resource center, care management organization, or family care district, if necessary to enable an employee or service provider to perform his or her duties, or to enable the county department of community programs or tribal agency to coordinate the delivery of services to the client. Any agency releasing information under this paragraph shall document that a request was received and what information was provided.

AB539, s. 97 Section 97. 51.437 (4r) (b) of the statutes is amended to read:

AB539,41,3 51.437 (4r) (b) Notwithstanding ss. 46.2895 (9), 48.78 (2) (a), 49.45 (4), 49.83, 51.30, 51.45 (14) (a), 55.06 (17) (c), 146.82, 252.11 (7), 253.07 (3) (c) and 938.78 (2) (a), any subunit of the a county department of developmental disabilities services or tribal agency acting under this section may exchange confidential information about a client, without the informed consent of the client, with any other subunit of the same county department of developmental disabilities services or tribal agency, with a resource center, a care management organization , or a family care district, or with any person providing services to the client under a purchase of services contract with the county department of developmental disabilities services or tribal agency or with a resource center, a care management organization , or a family care district, if necessary to enable an employee or service provider to perform his or her duties, or to enable the county department of developmental disabilities services or tribal agency to coordinate the delivery of services to the client. Any agency releasing information under this paragraph shall document that a request was received and what information was provided.

AB539, s. 98 Section 98. 51.62 (1) (ag) of the statutes is repealed and recreated to read:

AB539,41,5 51.62 (1) (ag) "Abuse" has the meaning given in s. 46.90 (1) (a).

AB539, s. 99 Section 99. 51.62 (1) (ar) of the statutes is created to read:

AB539,41,7 51.62 (1) (ar) "Financial exploitation" has the meaning given in s. 46.90 (1) (ed).

AB539, s. 100 Section 100. 51.62 (1) (br) of the statutes is repealed and recreated to read:

AB539,41,9 51.62 (1) (br) "Neglect" has the meaning given in s. 46.90 (1) (f).

AB539, s. 101 Section 101. 51.62 (3) (a) 2m. of the statutes is amended to read:

AB539,41,16 51.62 (3) (a) 2m. Have immediate access to any person individual with mental illness or developmental disability, regardless of age, who has requested services or on whose behalf services have been requested from the protection and advocacy agency or concerning whom the protection and advocacy agency has reasonable cause to believe that abuse, neglect, financial exploitation, or a violation of rights of the individual has occurred.

AB539, s. 102 Section 102. 55.001 of the statutes is amended to read:

AB539,42,6 55.001 Declaration of policy. The legislature recognizes that many citizens of the state, because of the infirmities of aging, chronic mental illness, mental retardation, other degenerative brain disorders, developmental disabilities, or like incapacities incurred at any age, are in need of protective services. Except as provided in s. 49.45 (30m) (a), these services should, to the maximum degree of feasibility under programs, services and resources that the county board of supervisors is reasonably able to provide within the limits of available state and federal funds and of county funds required to be appropriated to match state funds, allow the individual the same rights as other citizens, and at the same time protect the individual from financial exploitation, abuse , and degrading treatment. This chapter is designed to establish those services and assure their availability to all persons individuals when in need of them, and to place the least possible restriction on personal liberty and exercise of constitutional rights consistent with due process and protection from abuse, exploitation and neglect.

AB539, s. 103 Section 103. 55.01 (1) of the statutes is repealed and recreated to read:

AB539,42,8 55.01 (1) "Abuse" has the meaning given in s. 46.90 (1) (a).

AB539, s. 104 Section 104. 55.01 (1e) of the statutes is created to read:

AB539,42,13 55.01 (1e) "Adult at risk" means any adult who has a physical or mental condition that substantially impairs his or her ability to care for his or her needs and who has experienced, is currently experiencing, or is at risk of experiencing abuse, neglect, self-neglect, or financial exploitation.

AB539, s. 105 Section 105. 55.01 (1f) of the statutes is created to read:

AB539,42,17 55.01 (1f) "Adult-at-risk agency" means the agency designated by the county board of supervisors under s. 55.043 (1) to receive, respond to, and investigate reports of abuse, neglect, self-neglect, and financial exploitation under s. 55.043.

AB539, s. 106 Section 106. 55.01 (1m) of the statutes is amended to read:

AB539,42,19 55.01 (1m) "Bodily harm" has the meaning given in s. 939.22 (4) 46.90 (1) (aj).

AB539, s. 107 Section 107. 55.01 (1p) of the statutes is repealed and recreated to read:

AB539,42,21 55.01 (1p) "Caregiver" has the meaning given in s. 46.90 (1) (an).

AB539, s. 108 Section 108. 55.01 (1t) of the statutes is repealed.

AB539, s. 109 Section 109. 55.01 (1v) of the statutes is created to read:

AB539,43,3 55.01 (1v) "Degenerative brain disorder" means the loss or dysfunction of an individual's brain cells to the extent that he or she is substantially impaired in his or her ability to provide adequately for his or her own care or custody.

AB539, s. 110 Section 110. 55.01 (2) of the statutes is amended to read:

AB539,43,13 55.01 (2) "Developmentally disabled person" means any individual having a disability attributable to mental retardation, cerebral palsy, epilepsy, autism or another neurological condition closely related to mental retardation or requiring treatment similar to that required for mentally retarded individuals, which has continued or can be expected to continue indefinitely, substantially impairs the individual from adequately providing for his or her own care or custody, and constitutes a substantial handicap to the afflicted individual. The term does not include a person an individual affected by senility which is primarily caused by the process of aging or the infirmities of aging degenerative brain disorder.

AB539, s. 111 Section 111. 55.01 (2s) of the statutes is created to read:

AB539,43,15 55.01 (2s) "Financial exploitation" has the meaning given in s. 46.90 (1) (ed).

AB539, s. 112 Section 112. 55.01 (3) of the statutes is repealed.

AB539, s. 113 Section 113. 55.01 (4g) of the statutes is created to read:

AB539,43,18 55.01 (4g) "Investigative agency" has the meaning given in s. 46.90 (1) (er).

AB539, s. 114 Section 114. 55.01 (4p) of the statutes is repealed.

AB539, s. 115 Section 115. 55.01 (4r) of the statutes is repealed and recreated to read:

AB539,43,21 55.01 (4r) "Neglect" has the meaning given in s. 46.90 (1) (f).

AB539, s. 116 Section 116. 55.01 (6) of the statutes is created to read:

AB539,43,23 55.01 (6) "Self-neglect" has the meaning given in s. 46.90 (1) (g).

AB539, s. 117 Section 117. 55.01 (6d) of the statutes is created to read:

AB539,44,2 55.01 (6d) "State governmental agency" has the meaning given for "agency" in s. 16.417 (1) (a).

AB539, s. 118 Section 118. 55.01 (6g) of the statutes is created to read:

AB539,44,4 55.01 (6g) "State official" has the meaning given in s. 46.90 (1) (gr).

AB539, s. 119 Section 119. 55.01 (7) of the statutes is repealed.

AB539, s. 120 Section 120. 55.02 of the statutes is amended to read:

AB539,45,2 55.02 Protective service system; establishment. The department shall develop a statewide system of protective service for mentally retarded and other developmentally disabled persons, for aged infirm persons, for chronically mentally ill persons, and for persons with other like incapacities degenerative brain disorders incurred at any age in accordance with rules promulgated by the department. The protective service system shall be designed to encourage independent living and to avoid protective placement whenever possible. The system shall use the planning and advice of agencies, including the county department under s. 46.215, 46.22, 46.23, 51.42, or 51.437. The chairperson of each county board of supervisors shall designate a county department under s. 46.215, 46.22, 51.42, or 51.437 that is providing services in his or her county or a joint mechanism of these county departments to have the responsibility for local planning for the protective service system. The chairperson of the Milwaukee County board of supervisors Each county board shall designate the county department under s. 46.215 an agency to serve as the county protective services adult-at-risk agency for purposes of s. 55.043. The department and these county departments shall cooperate in developing a coordinated system of services. The department shall provide direct services and enter into contracts with any responsible public or private agency for provision of protective services. In each county, the county department designated under this section shall determine the reporting requirements applicable to the county under s. 880.38 (3).

AB539, s. 121 Section 121. 55.043 (title) of the statutes is amended to read:

AB539,45,4 55.043 (title) County protective services Adult-at-risk agency.

AB539, s. 122 Section 122. 55.043 (1) (title) of the statutes is repealed.

AB539, s. 123 Section 123. 55.043 (1) (a) (intro.) of the statutes is renumbered 55.043 (1r) (a) 1g. and amended to read:

AB539,46,4 55.043 (1r) (a) 1g. If a county protective services Except as otherwise provided, if an adult-at-risk agency has probable cause reason to believe that there is misappropriation of property or an adult at risk has been the subject of abuse, financial exploitation, neglect, or abuse of a vulnerable adult, the county protective services self-neglect, the adult-at-risk agency may conduct an investigation in Milwaukee County respond, including by conducting an investigation, to determine if the vulnerable adult in question whether the adult at risk is in need of protective services. The county protective services agency shall conduct the investigation in accordance with standards established by the department for conducting the investigations. The investigation shall include at least one of the following: If an adult-at-risk agency has reason to believe that there is abuse, financial exploitation, neglect, or self-neglect of an adult at risk who is a client, as defined in s. 50.065 (1) (b), of an entity, as defined in s. 50.065 (1) (c), and if the person suspected of perpetrating the alleged abuse, financial exploitation, or neglect is a caregiver or nonclient resident of the entity, the adult-at-risk agency shall refer the report within 24 hours after the report is received to the department for investigation. The department shall coordinate its investigatory efforts with other investigative agencies or authorities as appropriate. An adult-at-risk agency's response to or another investigative agency's investigation of a report of abuse, financial exploitation, neglect, or self-neglect that is not referred to the department shall be commenced within 24 hours after a report is received, excluding Saturdays, Sundays, and legal holidays.

AB539, s. 124 Section 124. 55.043 (1) (a) 1. of the statutes is renumbered 55.043 (1r) (b) 2. and amended to read:

AB539,46,9 55.043 (1r) (b) 2. Observation of or an interview with the vulnerable adult, in private to the extent practicable, and the adult at risk, with or without consent of his or her guardian or agent under an activated power of attorney for health care, if any.

AB539, s. 125 Section 125. 55.043 (1) (a) 2. of the statutes is renumbered 55.043 (1r) (b) 1. and amended to read:

AB539,46,12 55.043 (1r) (b) 1. A visit to the residence of the vulnerable adult at risk.

AB539, s. 126 Section 126. 55.043 (1) (a) 3. of the statutes is renumbered 55.043 (1r) (b) 4. and amended to read:

AB539,46,17 55.043 (1r) (b) 4. An interview with the guardian or agent under an activated power of attorney for health care, if any, and with the caretaker, if any, any caregiver of the vulnerable adult at risk.

AB539, s. 127 Section 127. 55.043 (1) (a) 4. of the statutes is renumbered 55.043 (1r) (b) 5. and amended to read:

AB539,46,21 55.043 (1r) (b) 5. A review of the treatment and patient health care records of the vulnerable adult at risk.

AB539, s. 128 Section 128. 55.043 (1) (a) 5. of the statutes is renumbered 55.043 (1r) (b) 6. (intro.) and amended to read:

AB539,47,5 55.043 (1r) (b) 6. (intro.) A review of those any financial records, if any, of the vulnerable adult at risk that are maintained by the caretaker or landlord a financial institution, as defined in s. 705.01 (3); by an entity, as defined in s. 50.065 (1) (c); by any caregiver of the vulnerable adult at risk; or by a member of the immediate family of the vulnerable adult, at risk or the caretaker or the landlord. caregiver. The records shall be released without informed consent in either of the following circumstances:

AB539, s. 129 Section 129. 55.043 (1) (b) (intro.) of the statutes is renumbered 55.043 (1r) (c) (intro.) and amended to read:

AB539,47,10 55.043 (1r) (c) (intro.) The county protective services adult-at-risk agency or other investigative agency may transport the vulnerable adult at risk for performance of a medical examination by a physician if any of the following applies:

AB539, s. 130 Section 130. 55.043 (1) (b) 1. of the statutes is renumbered 55.043 (1r) (c) 1. and amended to read:

AB539,47,15 55.043 (1r) (c) 1. The vulnerable adult at risk or his or her guardian or agent under an activated power of attorney for health care, if any, consents to the examination.

AB539, s. 131 Section 131. 55.043 (1) (b) 2. (intro.) of the statutes is renumbered 55.043 (1r) (c) 2. (intro.) and amended to read:

AB539,47,19 55.043 (1r) (c) 2. (intro.) The vulnerable adult at risk is incapable of consenting to the examination and one of the following applies:

AB539, s. 132 Section 132. 55.043 (1) (b) 2. a. of the statutes is renumbered 55.043 (1r) (c) 2. a. and amended to read:

AB539,47,23 55.043 (1r) (c) 2. a. The vulnerable adult at risk has no guardian or agent under an activated power of attorney for health care.

AB539, s. 133 Section 133. 55.043 (1) (b) 2. b. of the statutes is renumbered 55.043 (1r) (c) 2. c. and amended to read:

AB539,48,2 55.043 (1r) (c) 2. c. The vulnerable adult's guardian refuses to consent to the examination, but the examination is authorized by order of a court.

AB539, s. 134 Section 134. 55.043 (1d) of the statutes is created to read: