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Witness No. 2:
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(print) Name....
Date....
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Address....
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Signature....
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STATEMENT OF HEALTH CARE AGENT
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AND ALTERNATE HEALTH CARE AGENT
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I understand that.... (name of principal) has designated me to be his or her
15health care agent or alternate health care agent if he or she is ever found to have
16incapacity and unable to make health care decisions himself or herself. .... (name of
17principal) has discussed his or her desires regarding health care decisions with me.
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Agent's signature....
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Address....
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Alternate's signature....
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Address....
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Failure to execute a power of attorney for health care document under chapter
23155 of the Wisconsin Statutes creates no presumption about the intent of any
24individual with regard to his or her health care decisions.
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1This power of attorney for health care is executed as provided in chapter 155
2of the Wisconsin Statutes.
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ANATOMICAL GIFTS (optional)
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Upon my death:
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.... I wish to donate only the following organs or parts: .... (specify the organs or
6parts).
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.... I wish to donate any needed organ or part.
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.... I wish to donate my body for anatomical study if needed.
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.... I refuse to make an anatomical gift. (If this revokes a prior commitment that
10I have made to make an anatomical gift to a designated donee, I will attempt to notify
11the donee to which or to whom I agreed to donate.)
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Failing to check any of the lines immediately above creates no presumption
13about my desire to make or refuse to make an anatomical gift.
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Signature....
Date....
SB548, s. 79
15Section
79. 250.042 (4) (a) 3. of the statutes is amended to read:
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250.042
(4) (a) 3. "Health care provider" means an individual who, at any time
17within 10 years before a state of emergency is declared under s. 166.03 (1) (b) 1. or
18166.23, has met requirements for a
nurse's assistant
nurse aide under s. 146.40 (2)
19(a),
(b), (bm), (c), (e), (em),
(f), or (g), has been licensed as a physician, a physician
20assistant, or a podiatrist under ch. 448, licensed as a registered nurse, licensed
21practical nurse, or nurse-midwife under ch. 441, licensed as a dentist under ch. 447,
22licensed as a pharmacist under ch. 450, licensed as a veterinarian under ch. 453, or
23has been certified as a respiratory care practitioner under ch. 448.
SB548, s. 80
24Section
80. 250.042 (4) (b) of the statutes is amended to read:
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1250.042
(4) (b) A behavioral health provider, health care provider, pupil
2services provider, or substance abuse prevention provider who, during a state of
3emergency declared under s. 166.03 (1) (b) 1. or 166.23, provides behavioral health
4services, health care services, pupil services, or substance abuse prevention services
5for which the behavioral health provider, health care provider, pupil services
6provider, or substance abuse prevention provider has been licensed or certified or, as
7a
nurse's assistant nurse aide, has met requirements
under s. 146.40, is, for the
8provision of these services a state agent of the department for purposes of ss. 165.25
9(6), 893.82, and 895.46 and is an employee of the state for purposes of worker's
10compensation benefits. The behavioral health services, health care services, pupil
11services, or substance abuse prevention services shall be provided on behalf of a
12health care facility on a voluntary, unpaid basis, except that the behavioral health
13provider, health care provider, pupil services provider, or substance abuse
14prevention provider may accept reimbursement for travel, lodging, and meals.
SB548, s. 81
15Section
81. 250.042 (4) (c) 12. of the statutes is amended to read:
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250.042
(4) (c) 12. A
nurse's assistant nurse aide whose name is listed under
17s. 146.40 (4g) (a) 2.
, 2005 stats., or a nurse aide whose name is listed under s. 146.40
18(4g) (a) 2.
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19Section
82. 440.03 (3q) of the statutes is amended to read:
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440.03
(3q) Notwithstanding sub. (3m), the department of regulation and
21licensing shall investigate any report that it receives under s. 146.40 (4r)
(am) 2. or 22(em).
SB548, s. 83
23Section
83. 632.895 (1) (b) 2. of the statutes is amended to read:
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632.895
(1) (b) 2. Part-time or intermittent home health
aide services
which 25that are medically necessary as part of the home care plan, under the supervision of
1a registered nurse or medical social worker, which consist solely of caring for the
2patient.
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3Section
84. 632.895 (2) (d) of the statutes is amended to read:
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632.895
(2) (d) Each visit by a person providing services under a home care plan
5or evaluating the need for or developing a plan shall be considered as one home care
6visit. The policy may contain a limit on the number of home care visits, but not less
7than 40 visits in any 12-month period, for each person covered under the policy. Up
8to 4 consecutive hours in a 24-hour period of home health
aide service shall be
9considered as one home care visit.
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(1)
This act takes effect on January 1, 2009.