AB693: Bill Text

AB693,9,9 48.983 (7) (title) Home Evidence-based home visitation program evaluation. (a) (intro.) The department shall conduct or shall select an evaluator to conduct an evaluation of the evidence-based home visitation program. The evaluation shall measure all of the following criteria in families that have participated in the home visitation that program and that are selected for evaluation:

AB693, s. 18 Section 18. 48.983 (7) (ag) of the statutes is amended to read:

AB693,9,15 48.983 (7) (ag) The department shall evaluate the availability of evidence-based home visitation programs in the state and determine whether there are gaps in home visitation services in the state. The department shall cooperate with counties, private agencies, and Indian tribes providing evidence-based home visitation programs to address any gaps in services identified.

AB693, s. 19 Section 19. 48.983 (7) (ar) of the statutes is amended to read:

AB693,9,21 48.983 (7) (ar) Each county, private agency, and Indian tribe providing a an evidence-based home visitation program shall collect and report data to the department, as required by the department. The department shall require each county, private agency, and Indian tribe providing a an evidence-based home visitation program to collect data using forms prescribed by the department.

AB693, s. 20 Section 20. 48.983 (7) (b) of the statutes is amended to read:

AB693,9,25 48.983 (7) (b) In the evaluation, the department shall determine the number of families who remained in the evidence-based home visitation program for the time recommended in the family's case plan.

AB693, s. 21 Section 21. 48.983 (7) (c) of the statutes is amended to read:

AB693,10,10 48.983 (7) (c) Each county, private agency, and Indian tribe providing a an evidence-based home visitation program shall develop a plan for evaluating the effectiveness of its program for approval by the department. The plan shall demonstrate how the county, private agency, or Indian tribe will use the evaluation of its program to improve the quality and outcomes of the program and to ensure continued compliance with the home visitation program criteria under sub. (6) (a). The plan shall demonstrate how the outcomes will be tracked and measured. Under the plan, the extent to which all of the following outcomes are achieved shall be tracked and measured:

AB693,10,13 1. Parents receiving evidence-based home visitation services acquiring knowledge of early learning and child development and interacting with their children in ways that enhance the children's development and early learning.

AB693,10,14 2. Children receiving evidence-based home visitation services being healthy.

AB693,10,16 3. Children receiving evidence-based home visitation services living in a safe environment.

AB693,10,18 4. Families receiving evidence-based home visitation services accessing formal and informal support networks.

AB693,10,20 5. Children receiving evidence-based home visitation services achieving milestones in development and early learning.

AB693,10,22 6. Children receiving evidence-based home visitation services who have developmental delays receiving appropriate intervention services.

AB693, s. 22 Section 22. 48.983 (8) of the statutes is amended to read:

AB693,11,6 48.983 (8) Technical assistance and training. The department shall provide technical assistance and training to counties, private agencies, and Indian tribes that are selected to participate in the program under this section. The training may not be limited to a particular evidence-based home visitation model. The training shall include training in best practices regarding basic skills, uniform administration of screening and assessment tools, the issues and challenges that families face, and supervision and personnel skills for program managers. The training may also include training on data collection and reporting.

AB693, s. 23 Section 23. 48.983 (9) of the statutes is created to read:

AB693,11,11 48.983 (9) Memorandum of understanding. The department shall enter into a memorandum of understanding with the department of health services that provides for collaboration between those departments in carrying out evidence-based home visiting programs under sub. (4) (b) 1.

AB693, s. 24 Section 24. 69.02 (2) (c) of the statutes is created to read:

AB693,11,21 69.02 (2) (c) The department shall promulgate rules establishing designations of race and ethnicity to be used in reporting the race and ethnicity of a registrant under s. 69.14 (1) (i). The designations shall be sufficiently detailed to enable compilation and analysis of data related to births and birth outcomes among all significant racial and ethnic populations in the state and to assist in the design and evaluation of programs and policies designed to improve birth outcomes. The rules shall also establish procedures designed to ensure that the racial and ethnic designations included on each certificate of birth accurately reflect the race and ethnicity of the registrant as directly reported by the registrant's mother.

AB693, s. 25 Section 25. 69.14 (1) (i) of the statutes is created to read:

AB693,11,24 69.14 (1) (i) Registrant's race. A certificate of birth shall include the race and ethnicity of the registrant, as reported by the mother of the registrant.

AB693, s. 26 Section 26. 253.15 (2) of the statutes is amended to read:

AB693,12,23 253.15 (2) Informational materials. The board shall purchase or prepare or arrange with a nonprofit organization to prepare printed and audiovisual materials relating to shaken baby syndrome and impacted babies. The materials shall include information regarding the identification and prevention of shaken baby syndrome and impacted babies, the grave effects of shaking or throwing on an infant or young child, appropriate ways to manage crying, fussing, or other causes that can lead a person to shake or throw an infant or young child, and a discussion of ways to reduce the risks that can lead a person to shake or throw an infant or young child. The materials shall be prepared in English, Spanish, and other languages spoken by a significant number of state residents, as determined by the board. The board shall make those written and audiovisual materials available to all hospitals, maternity homes, and nurse-midwives licensed under s. 441.15 that are required to provide or make available materials to parents under sub. (3) (a) 1., to the department and to all county departments and nonprofit organizations that are required to provide the materials to child care providers under sub. (4) (d), and to all school boards and nonprofit organizations that are permitted to provide the materials to pupils in one of grades 5 to 8 and in one of grades 10 to 12 under sub. (5). The board shall also make those written materials available to all county departments and Indian tribes that are providing evidence-based home visitation services under s. 48.983 (4) (b) 1. and to all providers of prenatal, postpartum, and young child care coordination services under s. 49.45 (44). The board may make available the materials required under this subsection to be made available by making those materials available at no charge on the board's Internet site.

AB693, s. 27 Section 27. 253.15 (6) of the statutes is amended to read:

AB693,13,6 253.15 (6) Information to home visitation or care coordination services recipients. A county department or Indian tribe that is providing evidence-based home visitation services under s. 48.983 (4) (b) 1. and a provider of prenatal, postpartum, and young child care coordination services under s. 49.45 (44) shall provide to a recipient of those services, without cost, a copy of the written materials purchased or prepared under sub. (2) and an oral explanation of those materials.

AB693, s. 28 Section 28. 253.15 (7) (e) of the statutes is amended to read:

AB693,13,13 253.15 (7) (e) A county department or Indian tribe that is providing evidence-based home visitation services under s. 48.983 (4) (b) 1. and a provider of prenatal, postpartum, and young child care coordination services under s. 49.45 (44) is immune from liability for any damages resulting from any good faith act or omission in providing or failing to provide the written materials and oral explanation specified in sub. (6).

AB693, s. 29 Section 29. 441.15 (1) (am) of the statutes is created to read:

AB693,13,16 441.15 (1) (am) "Nurse-midwife" means a person licensed under this section to engage in the practice of nurse-midwifery.

AB693, s. 30 Section 30. 441.15 (3) (c) of the statutes is amended to read:

AB693,13,23 441.15 (3) (c) The board shall promulgate rules necessary to administer this section, including the establishment of appropriate limitations on the scope of the practice of nurse-midwifery, the facilities in which such practice may occur, the definition of "elective" for purposes of the prohibition in sub. (4m), and the granting of temporary permits to practice nurse-midwifery pending qualification for certification.

AB693, s. 31 Section 31. 441.15 (4m) of the statutes is created to read:

AB693,14,7 441.15 (4m) No nurse-midwife may perform an elective procedure intended to induce labor in a pregnant woman before the completion of a gestational period of 39 weeks unless the nurse-midwife has first obtained the informed consent of the woman. A woman's consent is informed for purposes of this subsection only if she receives timely information orally and in person from the nurse-midwife regarding potential negative effects to the fetus of early delivery, including long-term learning and behavioral problems.

AB693, s. 32 Section 32. 448.02 (3) (a) of the statutes is amended to read:

AB693,15,2 448.02 (3) (a) The board shall investigate allegations of unprofessional conduct and negligence in treatment by persons holding a license, certificate , or limited permit granted by the board. An allegation that a physician has violated s. 253.10 (3), 448.30, 448.35, or 450.13 (2); or has failed to mail or present a medical certification required under s. 69.18 (2) within 21 days after the pronouncement of death of the person who is the subject of the required certificate ; or that a physician has failed at least 6 times within a 6-month period to mail or present a medical certificate required under s. 69.18 (2) within 6 days after the pronouncement of death of the person who is the subject of the required certificate is an allegation of unprofessional conduct. Information contained in reports filed with the board under s. 49.45 (2) (a) 12r., 50.36 (3) (b), 609.17, or 632.715, or under 42 CFR 1001.2005, shall be investigated by the board. Information contained in a report filed with the board under s. 655.045 (1), as created by 1985 Wisconsin Act 29, which is not a finding of negligence or in a report filed with the board under s. 50.36 (3) (c) may, within the discretion of the board, be used as the basis of an investigation of a person named in the report. The board may require a person holding a license, certificate, or limited permit to undergo, and may consider the results of , one or more physical, mental, or professional competency examinations if the board believes that the results of any such examinations may be useful to the board in conducting its investigation.

AB693, s. 33 Section 33. 448.35 of the statutes is created to read:

AB693,15,11 448.35 Informed consent for certain elective procedures. No physician may perform an elective Caesarean section or an elective procedure intended to induce labor in a pregnant woman before the completion of a gestational period of 39 weeks unless the physician has first obtained the informed consent of the woman. A woman's consent is informed for purposes of this section only if she receives timely information orally and in person from the physician regarding potential negative effects to the fetus of early delivery, including long-term learning and behavioral problems.

AB693, s. 34 Section 34. 448.40 (2) (am) of the statutes is created to read:

AB693,15,14 448.40 (2) (am) Defining "elective" for purposes of s. 448.35 and implementing that section.

AB693,15,15 (End)