SB548, s. 68 24Section 68. 146.40 (4r) (b) of the statutes is amended to read:
SB548,20,15
1146.40 (4r) (b) Except as provided in pars. (em) and (er), the department shall
2review and investigate any report received under par. (a) or (am) and, if the
3allegation is substantiated, make specific, documented findings concerning the
4misappropriation of property or the neglect or abuse. The department shall, in
5writing by certified mail, notify the person individual specified in the report that the
6person's individual's name and the department's findings about the person
7individual shall be listed in the registry under sub. (4g) (a) 2. and 3. unless the person
8individual contests the listings in a hearing before the division of hearings and
9appeals created under s. 15.103 (1). The written notification shall describe the
10investigation conducted by the department, enumerate the findings alleging
11misappropriation of property or neglect or abuse of a client and explain the
12consequence to the person individual specified in the report of waiving a hearing to
13contest the findings. The person individual specified in the report shall have 30
14calendar days after receipt of the notification to indicate to the department in writing
15whether he or she intends to contest the listing or to waive the hearing.
SB548, s. 69 16Section 69. 146.40 (4r) (c) of the statutes is amended to read:
SB548,20,2217 146.40 (4r) (c) If the nurse's assistant or home health aide an individual under
18par. (b) notifies the department that he or she waives a hearing to contest the listings
19in the registry under par. (b), or fails to notify the department within 30 calendar
20days after receipt of a notice under par. (b), the department shall enter the name of
21the individual under sub. (4g) (a) 2. and the department's findings about the
22individual under sub. (4g) (a) 3.
SB548, s. 70 23Section 70. 146.40 (4r) (e) of the statutes is amended to read:
SB548,21,224 146.40 (4r) (e) The nurse's assistant or home health aide individual may
25provide the department with a brief statement disputing the department's findings

1under par. (b) or the hearing officer's findings under par. (d) and, if so provided, the
2department shall enter the statement under sub. (4g) (a) 4.
SB548, s. 71 3Section 71. 146.40 (4r) (em) of the statutes is amended to read:
SB548,21,84 146.40 (4r) (em) If the department of health and family services receives a
5report under par. (a) or (am) and determines that a person an individual who is the
6subject of the report holds a credential that is related to the person's individual's
7employment at, or contract with, the entity, the department of health and family
8services
shall refer the report to the department of regulation and licensing.
SB548, s. 72 9Section 72. 146.40 (5) (a) of the statutes is amended to read:
SB548,21,1410 146.40 (5) (a) The department, in consultation with the technical college
11system board,
shall promulgate rules specifying standards for certification approval
12in this state of instructional programs and competency evaluation programs for
13nurse's assistants, home health aides and hospice nurse aides. The standards shall
14include specialized training in providing care to individuals with special needs.
SB548, s. 73 15Section 73. 146.40 (5) (b) (intro.) of the statutes is amended to read:
SB548,21,2216 146.40 (5) (b) (intro.) The department shall promulgate rules specifying
17criteria for acceptance by this state of an instructional program and a competency
18evaluation program or a competency evaluation program that is certified in another
19state, including whether the other state grants nurse's assistant privileges, home
20health aide privileges or hospice
nurse aide privileges to persons who have completed
21instruction in an instructional and competency evaluation program that is certified
22approved under sub. (3) and whether one of the following is true:
SB548, s. 74 23Section 74. 146.40 (5) (b) 1. of the statutes is amended to read:
SB548,22,224 146.40 (5) (b) 1. If the other state certifies instructional programs and
25competency evaluation programs for nurse's assistants, home health aides or hospice

1nurse aides, the state's requirements are substantially similar, as determined by the
2department, to certification requirements in this state.
SB548, s. 75 3Section 75. 146.40 (5) (b) 2. (intro.) of the statutes is amended to read:
SB548,22,64 146.40 (5) (b) 2. (intro.) If the other state certifies nurse's assistants, home
5health aides or hospice
nurse aides, that state's requirements are such that one of
6the following applies:
SB548, s. 76 7Section 76. 146.40 (5) (b) 2. a. of the statutes is amended to read:
SB548,22,118 146.40 (5) (b) 2. a. The instructional and competency evaluation programs
9required for attendance by persons receiving certificates are substantially similar,
10as determined by the department, to instructional and competency evaluation
11programs certified approved under sub. (3).
SB548, s. 77 12Section 77. 155.20 (2) (a) 2. of the statutes is amended to read:
SB548,22,1413 155.20 (2) (a) 2. An intermediate care facility for the mentally retarded persons
14with mental retardation
, as defined in s. 46.278 (1m) (am).
SB548, s. 78 15Section 78. 155.30 (3) of the statutes is amended to read:
SB548,23,316 155.30 (3) The department shall prepare and provide copies of a power of
17attorney for health care instrument and accompanying information for distribution
18in quantities to health care professionals, hospitals, nursing homes, multipurpose
19senior centers, county clerks, and local bar associations and individually to private
20persons. The department shall include, in information accompanying the copy of the
21instrument, at least the statutory definitions of terms used in the instrument,
22statutory restrictions on who may be witnesses to a valid instrument, a statement
23explaining that valid witnesses acting in good faith are statutorily immune from civil
24or criminal liability and a statement explaining that an instrument may, but need
25not, be filed with the register in probate of the principal's county of residence. The

1department may charge a reasonable fee for the cost of preparation and distribution.
2The power of attorney for health care instrument distributed by the department
3shall include the notice specified in sub. (1) and shall be in the following form:
SB548,23,44 POWER OF ATTORNEY
SB548,23,55 FOR HEALTH CARE
SB548,23,66 Document made this.... day of.... (month),.... (year).
SB548,23,77 CREATION OF POWER OF
SB548,23,88 ATTORNEY FOR HEALTH CARE
SB548,23,169 I,.... (print name, address and date of birth), being of sound mind, intend by this
10document to create a power of attorney for health care. My executing this power of
11attorney for health care is voluntary. Despite the creation of this power of attorney
12for health care, I expect to be fully informed about and allowed to participate in any
13health care decision for me, to the extent that I am able. For the purposes of this
14document, "health care decision" means an informed decision to accept, maintain,
15discontinue or refuse any care, treatment, service or procedure to maintain, diagnose
16or treat my physical or mental condition.
SB548,23,1817 In addition, I may, by this document, specify my wishes with respect to making
18an anatomical gift upon my death.
SB548,23,1919 DESIGNATION OF HEALTH CARE AGENT
SB548,24,920 If I am no longer able to make health care decisions for myself, due to my
21incapacity, I hereby designate.... (print name, address and telephone number) to be
22my health care agent for the purpose of making health care decisions on my behalf.
23If he or she is ever unable or unwilling to do so, I hereby designate.... (print name,
24address and telephone number) to be my alternate health care agent for the purpose
25of making health care decisions on my behalf. Neither my health care agent nor my

1alternate health care agent whom I have designated is my health care provider, an
2employee of my health care provider, an employee of a health care facility in which
3I am a patient or a spouse of any of those persons, unless he or she is also my relative.
4For purposes of this document, "incapacity" exists if 2 physicians or a physician and
5a psychologist who have personally examined me sign a statement that specifically
6expresses their opinion that I have a condition that means that I am unable to receive
7and evaluate information effectively or to communicate decisions to such an extent
8that I lack the capacity to manage my health care decisions. A copy of that statement
9must be attached to this document.
SB548,24,1010 GENERAL STATEMENT OF
SB548,24,1111 AUTHORITY GRANTED
SB548,24,1812 Unless I have specified otherwise in this document, if I ever have incapacity I
13instruct my health care provider to obtain the health care decision of my health care
14agent, if I need treatment, for all of my health care and treatment. I have discussed
15my desires thoroughly with my health care agent and believe that he or she
16understands my philosophy regarding the health care decisions I would make if I
17were able. I desire that my wishes be carried out through the authority given to my
18health care agent under this document.
SB548,25,219 If I am unable, due to my incapacity, to make a health care decision, my health
20care agent is instructed to make the health care decision for me, but my health care
21agent should try to discuss with me any specific proposed health care if I am able to
22communicate in any manner, including by blinking my eyes. If this communication
23cannot be made, my health care agent shall base his or her decision on any health
24care choices that I have expressed prior to the time of the decision. If I have not
25expressed a health care choice about the health care in question and communication

1cannot be made, my health care agent shall base his or her health care decision on
2what he or she believes to be in my best interest.
SB548,25,33 LIMITATIONS ON
SB548,25,44 MENTAL HEALTH TREATMENT
SB548,25,105 My health care agent may not admit or commit me on an inpatient basis to an
6institution for mental diseases, an intermediate care facility for the mentally
7retarded
persons with mental retardation, a state treatment facility or a treatment
8facility. My health care agent may not consent to experimental mental health
9research or psychosurgery, electroconvulsive treatment or drastic mental health
10treatment procedures for me.
SB548,25,1111 ADMISSION TO NURSING HOMES
SB548,25,1212 OR COMMUNITY-BASED RESIDENTIAL FACILITIES
SB548,25,1413 My health care agent may admit me to a nursing home or community-based
14residential facility for short-term stays for recuperative care or respite care.
SB548,25,1715 If I have checked "Yes" to the following, my health care agent may admit me for
16a purpose other than recuperative care or respite care, but if I have checked "No" to
17the following, my health care agent may not so admit me:
SB548,25,1818 1. A nursing home — Yes.... No....
SB548,25,1919 2. A community-based residential facility — Yes.... No....
SB548,25,2120 If I have not checked either "Yes" or "No" immediately above, my health care
21agent may admit me only for short-term stays for recuperative care or respite care.
SB548,25,2222 PROVISION OF A FEEDING TUBE
SB548,26,223 If I have checked "Yes" to the following, my health care agent may have a
24feeding tube withheld or withdrawn from me, unless my physician has advised that,
25in his or her professional judgment, this will cause me pain or will reduce my comfort.

1If I have checked "No" to the following, my health care agent may not have a feeding
2tube withheld or withdrawn from me.
SB548,26,53 My health care agent may not have orally ingested nutrition or hydration
4withheld or withdrawn from me unless provision of the nutrition or hydration is
5medically contraindicated.
SB548,26,66 Withhold or withdraw a feeding tube — Yes.... No....
SB548,26,87 If I have not checked either "Yes" or "No" immediately above, my health care
8agent may not have a feeding tube withdrawn from me.
SB548,26,99 HEALTH CARE DECISIONS
SB548,26,1010 FOR PREGNANT WOMEN
SB548,26,1411 If I have checked "Yes" to the following, my health care agent may make health
12care decisions for me even if my agent knows I am pregnant. If I have checked "No"
13to the following, my health care agent may not make health care decisions for me if
14my health care agent knows I am pregnant.
SB548,26,1515 Health care decision if I am pregnant — Yes.... No....
SB548,26,1816 If I have not checked either "Yes" or "No" immediately above, my health care
17agent may not make health care decisions for me if my health care agent knows I am
18pregnant.
SB548,26,1919 STATEMENT OF DESIRES, SPECIAL
SB548,26,2020 PROVISIONS OR LIMITATIONS
SB548,26,2421 In exercising authority under this document, my health care agent shall act
22consistently with my following stated desires, if any, and is subject to any special
23provisions or limitations that I specify. The following are specific desires, provisions
24or limitations that I wish to state (add more items if needed):
SB548,26,2525 1) -
SB548,27,1
12) -
SB548,27,22 3) -
SB548,27,33 INSPECTION AND DISCLOSURE OF INFORMATION
SB548,27,44 RELATING TO MY PHYSICAL OR MENTAL HEALTH
SB548,27,65 Subject to any limitations in this document, my health care agent has the
6authority to do all of the following:
SB548,27,87 (a) Request, review and receive any information, oral or written, regarding my
8physical or mental health, including medical and hospital records.
SB548,27,109 (b) Execute on my behalf any documents that may be required in order to obtain
10this information.
SB548,27,1111 (c) Consent to the disclosure of this information.
SB548,27,1212 (The principal and the witnesses all must sign the document at the same time.)
SB548,27,1313 SIGNATURE OF PRINCIPAL
SB548,27,1414 (person creating the power of attorney for health care)
SB548,27,1515 Signature....                              Date....
SB548,27,1716 (The signing of this document by the principal revokes all previous powers of
17attorney for health care documents.)
SB548,27,1818 STATEMENT OF WITNESSES
SB548,28,319 I know the principal personally and I believe him or her to be of sound mind and
20at least 18 years of age. I believe that his or her execution of this power of attorney
21for health care is voluntary. I am at least 18 years of age, am not related to the
22principal by blood, marriage or adoption and am not directly financially responsible
23for the principal's health care. I am not a health care provider who is serving the
24principal at this time, an employee of the health care provider, other than a chaplain
25or a social worker, or an employee, other than a chaplain or a social worker, of an

1inpatient health care facility in which the declarant is a patient. I am not the
2principal's health care agent. To the best of my knowledge, I am not entitled to and
3do not have a claim on the principal's estate.
SB548,28,44 Witness No. 1:
SB548,28,55 (print) Name....                               Date....
SB548,28,66 Address....
SB548,28,77 Signature....
SB548,28,88 Witness No. 2:
SB548,28,99 (print) Name....                               Date....
SB548,28,1010 Address....
SB548,28,1111 Signature....
SB548,28,1212 STATEMENT OF HEALTH CARE AGENT
SB548,28,1313 AND ALTERNATE HEALTH CARE AGENT
SB548,28,1714 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.
SB548,28,1818 Agent's signature....
SB548,28,1919 Address....
SB548,28,2020 Alternate's signature....
SB548,28,2121 Address....
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