LRB-2190/3
CMH/GMM/CTS:bjk:rs
2009 - 2010 LEGISLATURE
November 20, 2009 - Introduced by Representatives Berceau, Seidel, Roys, Pasch,
Danou, Vruwink, Zepnick
and Sinicki. Referred to Committee on Children
and Families.
AB590,1,7 1An Act to repeal 948.03 (6); and to amend 48.981 (3) (c) 3., 48.981 (3) (c) 4.,
2448.03 (6) and 938.505 (2) (a) 1. of the statutes; relating to: elimination of an
3exception for spiritual treatment of a child in the law criminalizing physical
4abuse of a child and in the laws governing the practice of medicine or surgery,
5the investigation of child abuse or neglect, the administration of psychotropic
6medication to juveniles in correctional custody, the election of Christian Science
7treatment in lieu of medical or surgical treatment, and providing a penalty.
Analysis by the Legislative Reference Bureau
Under current law, physical abuse of a child, including intentional causation of
bodily harm, reckless causation of bodily harm, and failure to act to prevent bodily
harm by persons responsible for a child's welfare, is a felony. However, a person is
not guilty of physical abuse of a child solely because he or she provides certain forms
of spiritual treatment versus medical or surgical treatment. This bill eliminates the
exception.
Under current law, a county department of human services or social services
(county department) that receives a report of suspected or threatened child abuse or
neglect by a caregiver of the child must investigate to determine whether abuse or
neglect has occurred or is likely to occur and whether the child, a member of the
child's family, or the child's guardian or legal custodian is in need of services. Current

law, however, provides that a determination that abuse or neglect has occurred may
not be based solely on the fact that the child's parent, guardian, or legal custodian
in good faith selects and relies on prayer or other religious means for treatment of
disease or for remedial care of the child. This bill eliminates that exception and
instead provides an exception to the requirement that the county department
determine whether the child, a member of the child's family, or the child's guardian
or legal custodian is in need of services. Under that exception, the county
department may not base a determination that those services are needed solely on
the fact that the child's parent, guardian, or legal custodian has cultural or religious
child-rearing beliefs and employs cultural or religious child-rearing practices that
differ from general community standards, unless those beliefs and practices present
a specific danger to the physical or emotional health or safety of the child.
Under current law, the court assigned to exercise jurisdiction under the
Juvenile Justice Code (juvenile court) may grant permission for the Department of
Corrections (DOC) or a county department to administer psychotropic medication to
a juvenile 14 year of age or over who is under the supervision of DOC or the county
department and who wishes to be administered such medication if the consent of the
juvenile's parent or guardian is unreasonably withheld, a physician has determined
that the juvenile is in need of such medication, and the juvenile is competent to
consent to the administration of such medication. Current law, however, provides
that the juvenile court may not determine that a parent's or guardian's consent is
unreasonably withheld solely because the parent or guardian relies on treatment by
spiritual means through prayer for healing in accordance with his or her religious
tradition. This bill eliminates that exception.
Current law provides that a person who elects Christian Science treatment in
lieu of medical or surgical treatment for the cure of disease may not be compelled to
submit to medical or surgical treatment. The bill limits the provision to apply only
to the election of Christian Science treatment by an adult patient.
For further information see the state and local fiscal estimate, which will be
printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB590, s. 1 1Section 1. 48.981 (3) (c) 3. of the statutes is amended to read:
AB590,3,142 48.981 (3) (c) 3. If the county department or, in a county having a population
3of 500,000 or more, the department or a licensed child welfare agency under contract
4with the department determines that a child, any member of the child's family, or the
5child's guardian or legal custodian is in need of services or that the expectant mother
6of an unborn child is in need of services, the county department, department, or

1licensed child welfare agency shall offer to provide appropriate services or to make
2arrangements for the provision of services. A determination that a child, a member
3of the child's family, the child's guardian or legal custodian, or an expectant mother
4of an unborn child is in need of services may not be based solely on the fact that the
5child's parent, guardian, or legal custodian or the expectant mother has cultural or
6religious child-rearing beliefs and employs cultural or religious child-rearing
7practices that differ from general community standards, unless those beliefs and
8practices present a specific danger to the physical or emotional health or safety of the
9child.
If the child's parent, guardian, or legal custodian or the expectant mother
10refuses to accept the services, the county department, department, or licensed child
11welfare agency may request that a petition be filed under s. 48.13 alleging that the
12child who is the subject of the report or any other child in the home is in need of
13protection or services or that a petition be filed under s. 48.133 alleging that the
14unborn child who is the subject of the report is in need of protection or services.
AB590, s. 2 15Section 2. 48.981 (3) (c) 4. of the statutes is amended to read:
AB590,4,516 48.981 (3) (c) 4. The county department or, in a county having a population of
17500,000 or more, the department or a licensed child welfare agency under contract
18with the department shall determine, within 60 days after receipt of a report that the
19county department, department, or licensed child welfare agency investigates under
20subd. 1., whether abuse or neglect has occurred or is likely to occur. The
21determination shall be based on a preponderance of the evidence produced by the
22investigation. A determination that abuse or neglect has occurred may not be based
23solely on the fact that the child's parent, guardian, or legal custodian in good faith
24selects and relies on prayer or other religious means for treatment of disease or for
25remedial care of the child.
In making a determination that emotional damage has

1occurred, the county department or, in a county having a population of 500,000 or
2more, the department or a licensed child welfare agency under contract with the
3department shall give due regard to the culture of the subjects. This subdivision does
4not prohibit a court from ordering medical services for the child if the child's health
5requires it.
AB590, s. 3 6Section 3. 448.03 (6) of the statutes is amended to read:
AB590,4,117 448.03 (6) Practice of Christian Science. No law of this state regulating the
8practice of medicine and surgery may be construed to interfere with the practice of
9Christian Science. A person An adult who elects Christian Science treatment in lieu
10of medical or surgical treatment for the cure of disease may not be compelled to
11submit to medical or surgical treatment.
AB590, s. 4 12Section 4. 938.505 (2) (a) 1. of the statutes is amended to read:
AB590,4,1813 938.505 (2) (a) 1. The parent's or guardian's consent is unreasonably withheld,
14the parent or guardian cannot be found, or there is no parent with legal custody,
15except that the court may not determine that a parent's or guardian's consent is
16unreasonably withheld solely because the parent or guardian relies on treatment by
17spiritual means through prayer for healing in accordance with his or her religious
18tradition
.
AB590, s. 5 19Section 5. 948.03 (6) of the statutes is repealed.
AB590, s. 6 20Section 6. Initial applicability.
AB590,4,2321 (1) Child abuse or neglect investigations. The treatment of section 48.981 (3)
22(c) 3. and 4. of the statutes first applies to abuse or neglect that occurs on the effective
23date of this subsection.
AB590,4,2424 (End)
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