Current law provides a number of additional exceptions to confidentiality of
HIV test results. For example, under certain circumstances HIV test results may be
disclosed without the test subject's consent to a health care provider, a jailer or
corrections employee, a foster parent, and a victim of sexual assault, among others.
Current law specifies that if consent is required for HIV testing, it must be
provided in writing on a form that includes an explanation regarding permitted
disclosure of HIV test results. Authorization for disclosure of test results must also
be provided in writing.
Current law also provides that a health care provider, blood bank, or blood or
plasma center that performs an HIV test, must report positive HIV test results to the
state epidemiologist. Current law allows a health care provider who has a record of
an individual's positive HIV test results to report to the state epidemiologist the
name of any person who had significant exposure to the test subject.
Current law provides a criminal penalty for intentionally violating prohibitions
against disclosing HIV test results without the test subject's consent. Current law
also allows civil damages for violating the prohibitions against disclosure and for
violating consent requirements for HIV testing.
This bill changes the consent provisions for HIV testing. Under the bill, the
following conditions must be satisfied before a health care provider, blood bank,
blood center, or plasma center (test administrator) may perform an HIV test on a
person: 1) the test administrator must notify the person that the person may decline
to have the test performed and that the test will be performed unless the person
declines; 2) the test administrator must offer the person certain information about
HIV, HIV test results, reporting of test results, treatment options for HIV, and AIDS
service organizations and the services they provide; 3) the test administrator must
provide the person an opportunity to ask questions and to decline the test; 4) and the
test administrator must verify that the person understands that a test will be
performed and that the person's decision regarding testing is not coerced or

involuntary. In addition, the bill provides that a health care provider may not deny
treatment or services to a person who declines to have an HIV test performed, and
requires a health care provider that administers HIV tests to notify potential HIV
test subjects of this prohibition against denying treatment or services. The bill
further provides that a health care provider may not require a person to authorize
disclosure of HIV test results as a condition of administering an HIV test to the
person. The bill eliminates the requirement that consent for an HIV test must be in
writing. The bill requires the Department of Health Services to provide test
administrators materials that include the information and notices that test
administrators must provide or offer to potential test subjects.
Other changes in the bill include the following:
1. The bill specifies elements that must be included in an authorization to
disclose HIV test results, including the name and signature of the person who
authorizes the disclosure, specification of what information may be disclosed, the
name of the person to whom the information may be disclosed, and the period in
which disclosure is permitted.
2. The bill eliminates the condition that an individual who is tested for HIV in
a case of significant exposure consent to being informed of his or her or test results
before he or she may be notified of the test results.
3. The bill provides that a good samaritan who renders aid to an accident victim
and has a significant exposure to body fluid of the victim may cause the victim to be
tested for HIV without the victim's consent.
4. The bill specifies that if a minor is at least 14 years of age, the minor, and
not his or her parent, has authority to consent to or decline an HIV test and authorize
disclosure of his or her HIV test results.
5. The bill provides that a physician assistant has the same authority as a
physician and certain nurses to certify that a significant exposure has occurred for
purposes of requiring HIV testing without consent, to disclose to the state
epidemiologist the name of a person who may have had a significant exposure to a
person who has tested positive for HIV, to administer certain court-ordered HIV
tests, and to receive certain HIV test results.
6. The bill provides that when a health care provider, blood bank, or blood or
plasma center reports a positive HIV test result to the state epidemiologist, the
report must include the mode of HIV transmission.
7. The bill increases the criminal fine and civil damages amounts for violating
prohibitions against disclosing HIV test results without consent and increases the
civil damages amounts for violating consent requirements for HIV testing.
8. The bill requires the Department of Heath Services to designate AIDS
service organizations, which are defined in the bill as nonprofit corporations or
public agencies that provide, or arrange for the provision of, comprehensive services
to prevent HIV infection and comprehensive health and social services for persons
who have an HIV infection.
9. The bill eliminates a state law requirement for HIV testing of sperm and ova
that are donated as anatomical gifts. Federal law requires HIV testing of all donated
sperm and ova.

10. The bill makes numerous changes that modernize and simplify references
to HIV tests and reorganizes provisions relating to HIV testing and disclosure of HIV
test results.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB659, s. 1 1Section 1. 48.371 (1) (a) of the statutes is amended to read:
AB659,5,92 48.371 (1) (a) Results of a an HIV test or a series of tests, as defined in s. 252.01
3(2m),
of the child to determine the presence of HIV, as defined in s. 968.38 (1) (b),
4antigen or nonantigenic products of HIV, or an antibody to HIV
, as provided under
5s. 252.15 (5) (a) 19. (3m) (d) 15., including results included in a court report or
6permanency plan. At the time that the HIV test results are provided, the agency
7shall notify the foster parent, treatment foster parent, relative, or operator of the
8group home or residential care center for children and youth of the confidentiality
9requirements under s. 252.15 (6).
AB659, s. 2 10Section 2. 49.686 (1) (g) of the statutes is repealed.
AB659, s. 3 11Section 3. 59.69 (15) (im) of the statutes is amended to read:
AB659,5,1812 59.69 (15) (im) The fact that an individual with acquired immunodeficiency
13syndrome or a positive HIV test for the presence of HIV, as defined in s. 252.01 (1m),
14antigen or nonantigenic products of HIV or an antibody to HIV
(2m), resides in a
15community living arrangement with a capacity for 8 or fewer persons may not be
16used under par. (i) to assert or prove that the existence of the community living
17arrangement in the municipality poses a threat to the health, safety or welfare of the
18residents of the municipality.
AB659, s. 4 19Section 4. 60.63 (10m) of the statutes is amended to read:
AB659,6,7
160.63 (10m) The fact that an individual with acquired immunodeficiency
2syndrome or a positive HIV test for the presence of HIV, as defined in s. 252.01 (1m),
3antigen or nonantigenic products of HIV or an antibody to HIV
(2m), resides in a
4community living arrangement with a capacity for 8 or fewer persons may not be
5used under sub. (10) to assert or prove that the existence of the community living
6arrangement in the town poses a threat to the health, safety or welfare of the
7residents of the town.
AB659, s. 5 8Section 5. 62.23 (7) (i) 9m. of the statutes is amended to read:
AB659,6,159 62.23 (7) (i) 9m. The fact that an individual with acquired immunodeficiency
10syndrome or a positive HIV test for the presence of HIV, as defined in s. 252.01 (1m),
11antigen or nonantigenic products of HIV or an antibody to HIV
(2m), resides in a
12community living arrangement with a capacity for 8 or fewer persons may not be
13used under subd. 9. to assert or prove that the existence of the community living
14arrangement in the city poses a threat to the health, safety or welfare of the residents
15of the city.
AB659, s. 6 16Section 6. 101.02 (19) (a) of the statutes is amended to read:
AB659,7,217 101.02 (19) (a) The department shall, after consulting with the department of
18health services, develop a report form to document significant exposure to contact
19with
blood or body fluids that constitutes a significant exposure, for use under s.
20252.15 (2) (a) 7. ak (5g) (c). The form shall contain the following language for use by
21a person who may have been significantly exposed had a significant exposure:
22"REMEMBER — WHEN YOU ARE INFORMED OF AN HIV TEST RESULT BY
23USING THIS FORM, IT IS A VIOLATION OF THE LAW FOR YOU TO REVEAL
24TO ANYONE ELSE THE IDENTITY OF THE PERSON WHO IS THE SUBJECT

1OF THAT TEST RESULT. (PENALTY: POSSIBLE JAIL AND UP TO $10,000
2$50,000 FINE)".
AB659, s. 7 3Section 7. 103.15 (title) of the statutes is amended to read:
AB659,7,4 4103.15 (title) Restrictions on use of a an HIV test for HIV.
AB659, s. 8 5Section 8. 103.15 (1) (bm) of the statutes is created to read:
AB659,7,66 103.15 (1) (bm) "HIV test" has the meaning given in s. 252.01 (2m).
AB659, s. 9 7Section 9. 103.15 (2) (a) of the statutes is amended to read:
AB659,7,108 103.15 (2) (a) Solicit or require an HIV test as a condition of employment of any
9employee or prospective employee a test for the presence of HIV, antigen or
10nonantigenic products of HIV or an antibody to HIV
.
AB659, s. 10 11Section 10. 103.15 (2) (b) of the statutes is amended to read:
AB659,7,1512 103.15 (2) (b) Affect the terms, conditions or privileges of employment or
13terminate the employment of any employee who obtains a an HIV test for the
14presence of HIV, antigen or nonantigenic products of HIV or an antibody to HIV
, as
15defined in s. 252.01 (2m)
.
AB659, s. 11 16Section 11. 103.15 (3) of the statutes is amended to read:
AB659,7,2117 103.15 (3) Any agreement by an employer or agent of the employer and an
18employee or prospective employee offering employment or any pay or benefit to an
19employee or prospective employee in return for taking a an HIV test for the presence
20of HIV, antigen or nonantigenic products of HIV or an antibody to HIV
is prohibited,
21except as provided under sub. (2) (intro.).
AB659, s. 12 22Section 12. 118.125 (2m) (b) of the statutes is amended to read:
AB659,8,223 118.125 (2m) (b) Any pupil record that concerns the results of a an HIV test
24for the presence of HIV, antigen or nonantigenic products of HIV or an antibody to

1HIV
, as defined in s. 252.01 (2m), shall be treated as provided under s. 252.15. In this
2subsection, "HIV" has the meaning given in s. 252.01 (1m).
AB659, s. 13 3Section 13. 146.81 (4) of the statutes, as affected by 2009 Wisconsin Act 28,
4is amended to read:
AB659,8,185 146.81 (4) "Patient health care records" means all records related to the health
6of a patient prepared by or under the supervision of a health care provider; and all
7records made by an ambulance service provider, as defined in s. 256.01 (3), an
8emergency medical technician, as defined in s. 256.01 (5), or a first responder, as
9defined in s. 256.01 (9), in administering emergency care procedures to and handling
10and transporting sick, disabled, or injured individuals. "Patient health care records"
11includes billing statements and invoices for treatment or services provided by a
12health care provider and includes health summary forms prepared under s. 302.388
13(2). "Patient health care records" does not include those records subject to s. 51.30,
14reports collected under s. 69.186, records of tests administered under s. 252.15 (2)
15(a) 7.
(5g) or (5j), 343.305, 938.296 (4) or (5) or 968.38 (4) or (5), records related to sales
16of pseudoephedrine products, as defined in s. 961.01 (20c), that are maintained by
17pharmacies under s. 961.235, fetal monitor tracings, as defined under s. 146.817 (1),
18or a pupil's physical health records maintained by a school under s. 118.125.
AB659, s. 14 19Section 14. 149.12 (1) (intro.) of the statutes is amended to read:
AB659,9,220 149.12 (1) (intro.) Except as provided in subs. (1m), (2), and (3), the authority
21shall certify as eligible a person who is covered by Medicare because he or she is
22disabled under 42 USC 423, a person who submits evidence that he or she has tested
23positive for the presence of HIV, antigen or nonantigenic products of HIV, or an
24antibody to HIV,
a positive, validated HIV test result, as defined in s. 252.01 (8); a
25person who is an eligible individual,; and any person who receives and submits any

1of the following based wholly or partially on medical underwriting considerations
2within 9 months prior to making application for coverage by the plan:
AB659, s. 15 3Section 15. 252.01 (2m) of the statutes is created to read:
AB659,9,54 252.01 (2m) "HIV test" means a test for the presence of HIV or an antibody to
5HIV.
AB659, s. 16 6Section 16. 252.01 (8) of the statutes is amended to read:
AB659,9,107 252.01 (8) "Validated HIV test result" means a result of a an HIV test for the
8presence of HIV, antigen or nonantigenic products of HIV or an antibody to HIV
that
9meets the validation requirements determined to be necessary by the state
10epidemiologist.
AB659, s. 17 11Section 17. 252.11 (5m) of the statutes is amended to read:
AB659,9,1712 252.11 (5m) A health care professional, as defined in s. 968.38 (1) (a), acting
13under an order of a court under s. 938.296 (4) or (5) or 968.38 (4) or (5) may, without
14first obtaining informed consent to the testing, subject an individual to a test or a
15series of tests to ascertain whether that individual is infected with a sexually
16transmitted disease. No sample used for performance of a test under this subsection
17may disclose the name of the test subject.
AB659, s. 18 18Section 18. 252.11 (7) of the statutes is amended to read:
AB659,9,2519 252.11 (7) Reports, examinations and inspections and all records concerning
20sexually transmitted diseases are confidential and not open to public inspection, and
21may not be divulged except as may be necessary for the preservation of the public
22health, in the course of commitment proceedings under sub. (5), or as provided under
23s. 938.296 (4) or (5) or 968.38 (4) or (5). If a physician or advanced practice nurse
24prescriber has reported a case of sexually transmitted disease to the department
25under sub. (4), information regarding the presence of the disease and treatment is

1not privileged when the patient, physician, or advanced practice nurse prescriber is
2called upon to testify to the facts before any court of record.
AB659, s. 19 3Section 19. 252.12 (1) (b) of the statutes is created to read:
AB659,10,84 252.12 (1) (b) "AIDS service organizations" means nonprofit corporations or
5public agencies that provide, or arrange for the provision of, comprehensive services
6to prevent HIV infection and comprehensive health and social services for persons
7who have HIV infection, and that are designated as such by the department under
8sub. (4).
AB659, s. 20 9Section 20. 252.12 (2) (a) 3. d. of the statutes is amended to read:
AB659,10,1110 252.12 (2) (a) 3. d. Locations for procuring additional information or obtaining
11HIV testing services.
AB659, s. 21 12Section 21. 252.12 (2) (a) 5. of the statutes is amended to read:
AB659,10,1913 252.12 (2) (a) 5. The department shall perform HIV tests for the presence of
14HIV
and, if appropriate, tests for the presence of related infections and shall conduct
15behavioral surveys among population groups determined by the department to be
16highly at risk of becoming infected with or transmitting HIV and related infections.
17Information obtained shall be used to develop targeted HIV infection and related
18infection prevention efforts for these groups and to evaluate the state's prevention
19strategies.
AB659, s. 22 20Section 22. 252.12 (2) (a) 7. of the statutes is amended to read:
AB659,10,2521 252.12 (2) (a) 7. The department shall distribute funding in each fiscal year to
22contract with organizations to provide, at alternate testing sites, anonymous or
23confidential counseling services for HIV and, laboratory HIV testing services for the
24presence of HIV
, and, if appropriate, laboratory testing services for the presence of
25related viruses.
AB659, s. 23
1Section 23. 252.12 (4) of the statutes is created to read:
AB659,11,42 252.12 (4) Designation of AIDS service organizations. The department shall
3designate AIDS service organizations and specify the geographical area of the state
4in which they are designated to provide services.
AB659, s. 24 5Section 24. 252.13 (title) of the statutes is amended to read:
AB659,11,6 6252.13 (title) Blood HIV tests for HIV.
AB659, s. 25 7Section 25. 252.13 (1m) of the statutes is amended to read:
AB659,11,218 252.13 (1m) Except as provided under sub. (3), any blood bank, blood center
9or plasma center in this state that purchases or receives whole blood, blood plasma,
10a blood product or a blood derivative shall, prior to its distribution or use and in
11accordance
with informed consent under the requirements of conditions under s.
12252.15 (2) (b) (2m) (a), subject that blood, plasma, product or derivative to a an HIV
13test or series of tests that the state epidemiologist finds medically significant and
14sufficiently reliable under sub. (1r) (a) to detect the presence of HIV, antigen or
15nonantigenic products of HIV or an antibody to HIV
. This subsection does not apply
16to a blood bank that purchases or receives whole blood, blood plasma, a blood product
17or a blood derivative from a blood bank, blood center or plasma center in this state
18if the whole blood, blood plasma, blood product or blood derivative has previously
19been subjected to a an HIV test or series of tests that the state epidemiologist finds
20medically significant and sufficiently reliable under sub. (1r) (a) to detect the
21presence of HIV, antigen or nonantigenic products of HIV or an antibody to HIV
.
AB659, s. 26 22Section 26. 252.13 (1r) (intro.) of the statutes is amended to read:
AB659,12,223 252.13 (1r) (intro.) For the purposes of this section, the state epidemiologist
24shall make separate findings of medical significance and sufficient reliability for a
25an HIV test or a series of HIV tests to detect the presence of HIV, antigen or

1nonantigenic products of HIV or an antibody to HIV
for each of the following
2purposes:
AB659, s. 27 3Section 27. 252.13 (3) of the statutes is amended to read:
AB659,12,74 252.13 (3) If a medical emergency, including a threat to the preservation of life
5of a potential donee, exists under which whole blood, blood plasma, a blood product,
6or a blood derivative that has been subjected to HIV testing under sub. (1m) is
7unavailable, the requirement of sub. (1m) shall not apply.
AB659, s. 28 8Section 28. 252.13 (4) of the statutes is amended to read:
AB659,12,119 252.13 (4) Subsections (1m) and (2) do not apply to the extent that federal law
10or regulations require that a blood bank, blood center, or plasma center administer
11an HIV
test to whole blood, blood plasma, a blood product, or a blood derivative.
AB659, s. 29 12Section 29. 252.13 (5) of the statutes is amended to read:
AB659,12,2113 252.13 (5) Whole blood, blood plasma, a blood product , or a blood derivative
14described under sub. (2) that is voluntarily donated solely for the purpose of an
15autologous transfusion may be distributed to or used by the person who has donated
16the whole blood, blood plasma, blood product, or blood derivative. No person other
17than the person who has donated the whole blood, blood plasma, blood product, or
18blood derivative may receive or use the whole blood, blood plasma, blood product, or
19blood derivative unless it has been subjected to a an HIV test under sub. (1m) and
20performance of the test has yielded a negative, validated HIV test result for the
21presence of HIV, antigen or nonantigenic products of HIV or an antibody to HIV
.
AB659, s. 30 22Section 30. 252.133 (title) of the statutes is created to read:
AB659,12,23 23252.133 (title) HIV testing for anatomical gifts.
AB659, s. 31 24Section 31. 252.14 (2) (intro.) of the statutes is amended to read:
AB659,13,9
1252.14 (2) (intro.) No health care provider, peace officer, fire fighter,
2correctional officer, state patrol officer, jailer or keeper of a jail or person designated
3with custodial authority by the jailer or keeper, home health agency, inpatient health
4care facility, or person who has access to a validated HIV test result may do any of
5the following with respect to an individual who has acquired immunodeficiency
6syndrome or has a positive, validated HIV test for the presence of HIV, antigen or
7nonantigenic products of HIV or an antibody to HIV
result, solely because the
8individual has HIV infection or an illness or medical condition that is caused by,
9arises from, or is related to HIV infection:
AB659, s. 32 10Section 32. 252.14 (2m) of the statutes is created to read:
AB659,13,1311 252.14 (2m) If a person declines to be subjected to an HIV test, a health care
12provider may not use the fact that the person declined an HIV test as a basis for
13denying services or treatment, other than an HIV test, to the person.
AB659, s. 33 14Section 33. 252.14 (3) of the statutes is amended to read:
AB659,13,2215 252.14 (3) A health care provider, home health agency, or inpatient health care
16facility that tests an individual for HIV infection shall provide counseling about HIV
17and referral for appropriate health care and support services as necessary.
A health
18care provider, home health agency, or inpatient health care facility that treats an
19individual who has an HIV infection or acquired immunodeficiency syndrome shall
20develop and follow procedures that shall ensure continuity of care for the individual
21in the event that his or her condition exceeds the scope of licensure or certification
22of the provider, agency, or facility.
AB659, s. 34 23Section 34. 252.14 (4) of the statutes is amended to read:
AB659,14,324 252.14 (4) Any person violating sub. (2) is liable to the patient for actual
25damages and costs, plus exemplary damages of up to $5,000 $10,000 for an

1intentional violation. In determining the amount of exemplary damages, a court
2shall consider the ability of a health care provider who is an individual to pay
3exemplary damages.
AB659, s. 35 4Section 35. 252.15 (title) of the statutes is amended to read:
AB659,14,5 5252.15 (title) Restrictions on use of a an HIV test for HIV.
AB659, s. 36 6Section 36. 252.15 (1) (ab) of the statutes is repealed.
AB659, s. 37 7Section 37. 252.15 (1) (ac) of the statutes is created to read:
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