AB43,1383,76 252.02 (8) The department may establish and maintain a state stockpile of
7personal protective equipment.
AB43,2585 8Section 2585 . 252.07 (8) (a) 2. of the statutes is amended to read:
AB43,1383,129 252.07 (8) (a) 2. The department or local health officer provides to the court a
10written statement from a physician, physician assistant, or advanced practice
11registered nurse prescriber that the individual has infectious tuberculosis or suspect
12tuberculosis.
AB43,2586 13Section 2586 . 252.07 (9) (c) of the statutes is amended to read:
AB43,1383,2014 252.07 (9) (c) If the court orders confinement of an individual under this
15subsection, the individual shall remain confined until the department or local health
16officer, with the concurrence of a treating physician, physician assistant, or advanced
17practice registered nurse prescriber, determines that treatment is complete or that
18the individual is no longer a substantial threat to himself or herself or to the public
19health. If the individual is to be confined for more than 6 months, the court shall
20review the confinement every 6 months.
AB43,2587 21Section 2587 . 252.10 (7) of the statutes is amended to read:
AB43,1384,222 252.10 (7) Drugs necessary for the treatment of mycobacterium tuberculosis
23shall be purchased by the department from the appropriation account under s.
2420.435 (1) (e) and dispensed to patients through the public health dispensaries, local

1health departments, physicians, or advanced practice nurse prescribers registered
2nurses who may issue prescription orders under s. 441.09 (2)
.
AB43,2588 3Section 2588 . 252.11 (2), (4), (5) and (7) of the statutes are amended to read:
AB43,1384,144 252.11 (2) An officer of the department or a local health officer having
5knowledge of any reported or reasonably suspected case or contact of a sexually
6transmitted disease for which no appropriate treatment is being administered, or of
7an actual contact of a reported case or potential contact of a reasonably suspected
8case, shall investigate or cause the case or contact to be investigated as necessary.
9If, following a request of an officer of the department or a local health officer, a person
10reasonably suspected of being infected with a sexually transmitted disease refuses
11or neglects examination by a physician, physician assistant, or advanced practice
12registered nurse prescriber or treatment, an officer of the department or a local
13health officer may proceed to have the person committed under sub. (5) to an
14institution or system of care for examination, treatment, or observation.
AB43,1384,21 15(4) If a person infected with a sexually transmitted disease ceases or refuses
16treatment before reaching what in a physician's, physician assistant's, or advanced
17practice nurse prescriber's registered nurse's opinion is the noncommunicable stage,
18the physician, physician assistant, or advanced practice registered nurse prescriber
19shall notify the department. The department shall without delay take the necessary
20steps to have the person committed for treatment or observation under sub. (5), or
21shall notify the local health officer to take these steps.
AB43,1385,13 22(5) Any court of record may commit a person infected with a sexually
23transmitted disease to any institution or may require the person to undergo a system
24of care for examination, treatment, or observation if the person ceases or refuses
25examination, treatment, or observation under the supervision of a physician,

1physician assistant, or advanced practice registered nurse prescriber. The court
2shall summon the person to appear on a date at least 48 hours, but not more than
396 hours, after service if an officer of the department or a local health officer petitions
4the court and states the facts authorizing commitment. If the person fails to appear
5or fails to accept commitment without reasonable cause, the court may cite the
6person for contempt. The court may issue a warrant and may direct the sheriff, any
7constable, or any police officer of the county immediately to arrest the person and
8bring the person to court if the court finds that a summons will be ineffectual. The
9court shall hear the matter of commitment summarily. Commitment under this
10subsection continues until the disease is no longer communicable or until other
11provisions are made for treatment that satisfy the department. The certificate of the
12petitioning officer is prima facie evidence that the disease is no longer communicable
13or that satisfactory provisions for treatment have been made.
AB43,1385,23 14(7) Reports, examinations and inspections, and all records concerning sexually
15transmitted diseases are confidential and not open to public inspection, and may not
16be divulged except as may be necessary for the preservation of the public health, in
17the course of commitment proceedings under sub. (5), or as provided under s. 938.296
18(4) or 968.38 (4). If a physician, physician assistant, or advanced practice registered
19nurse prescriber has reported a case of sexually transmitted disease to the
20department under sub. (4), information regarding the presence of the disease and
21treatment is not privileged when the patient, physician, physician assistant, or
22advanced practice registered nurse prescriber is called upon to testify to the facts
23before any court of record.
AB43,2589 24Section 2589 . 252.11 (10) of the statutes is amended to read:
AB43,1386,9
1252.11 (10) The state laboratory of hygiene shall examine specimens for the
2diagnosis of sexually transmitted diseases for any physician, naturopathic doctor,
3physician assistant, advanced practice registered nurse prescriber, or local health
4officer in the state, and shall report the positive results of the examinations to the
5local health officer and to the department. All laboratories performing tests for
6sexually transmitted diseases shall report all positive results to the local health
7officer and to the department, with the name of the physician, naturopathic doctor,
8physician assistant, or advanced practice registered nurse prescriber to whom
9reported.
AB43,2590 10Section 2590 . 252.14 (1) (ar) 3. of the statutes is amended to read:
AB43,1386,1111 252.14 (1) (ar) 3. A dentist or dental therapist licensed under ch. 447.
AB43,2591 12Section 2591 . 252.15 (3m) (d) 11. b. and 13., (5g) (c), (5m) (d) 2. and (e) 2. and
133. and (7m) (intro.) and (b) of the statutes are amended to read:
AB43,1386,2114 252.15 (3m) (d) 11. b. The coroner, medical examiner, or appointed assistant
15is investigating the cause of death of the subject of the HIV test and has contact with
16the body fluid of the subject of the HIV test that constitutes a significant exposure,
17if a physician, physician assistant, or advanced practice registered nurse prescriber,
18based on information provided to the physician, physician assistant, or advanced
19practice registered nurse prescriber, determines and certifies in writing that the
20coroner, medical examiner, or appointed assistant has had a contact that constitutes
21a significant exposure and if the certification accompanies the request for disclosure.
AB43,1387,222 13. If the subject of the HIV test has a positive HIV test result and is deceased,
23by the subject's attending physician, physician assistant, or advanced practice
24registered nurse prescriber, to persons, if known to the physician, physician

1assistant, or advanced practice registered nurse prescriber, with whom the subject
2had sexual contact or shared intravenous drug use paraphernalia.
AB43,1387,18 3(5g) (c) A physician, physician assistant, or advanced practice registered nurse
4prescriber, based on information provided to the physician, physician assistant, or
5advanced practice registered nurse prescriber, determines and certifies in writing
6that the person has had contact that constitutes a significant exposure. The
7certification shall accompany the request for HIV testing and disclosure. If the
8person is a physician, physician assistant, or advanced practice registered nurse
9prescriber, he or she may not make this determination or certification. The
10information that is provided to a physician, physician assistant, or advanced practice
11registered nurse prescriber to document the occurrence of the contact that
12constitutes a significant exposure and the physician's, physician assistant's, or
13advanced practice nurse prescriber's registered nurse's certification that the person
14has had contact that constitutes a significant exposure, shall be provided on a report
15form that is developed by the department of safety and professional services under
16s. 101.02 (19) (a) or on a report form that the department of safety and professional
17services determines, under s. 101.02 (19) (b), is substantially equivalent to the report
18form that is developed under s. 101.02 (19) (a).
AB43,1387,24 19(5m) (d) 2. A physician, physician assistant, or advanced practice registered
20nurse prescriber, based on information provided to the physician, physician
21assistant, or advanced practice registered nurse prescriber, determines and certifies
22in writing that the contact under subd. 1. constitutes a significant exposure. A health
23care provider who has a contact under subd. 1. c. may not make the certification
24under this subdivision for himself or herself.
AB43,1388,3
1(e) 2. If the contact occurs as provided under par. (d) 1. b., the attending
2physician, physician assistant, or advanced practice registered nurse prescriber of
3the funeral director, coroner, medical examiner, or appointed assistant.
AB43,1388,64 3. If the contact occurs as provided under par. (d) 1. c., the physician, physician
5assistant, or advanced practice registered nurse prescriber who makes the
6certification under par. (d) 2.
AB43,1388,15 7(7m) Reporting of persons significantly exposed. (intro.) If a positive,
8validated HIV test result is obtained from a test subject, the test subject's physician,
9physician assistant, or advanced practice registered nurse prescriber who maintains
10a record of the HIV test result under sub. (4) (c) may report to the state epidemiologist
11the name of any person known to the physician, physician assistant, or advanced
12practice registered nurse prescriber to have had contact with body fluid of the test
13subject that constitutes a significant exposure, only after the physician, physician
14assistant, or advanced practice registered nurse prescriber has done all of the
15following:
AB43,1388,1916 (b) Notified the HIV test subject that the name of any person known to the
17physician, physician assistant, or advanced practice registered nurse prescriber to
18have had contact with body fluid of the test subject that constitutes a significant
19exposure will be reported to the state epidemiologist.
AB43,2592 20Section 2592 . 252.16 (3) (c) (intro.) of the statutes is amended to read:
AB43,1388,2321 252.16 (3) (c) (intro.) Has submitted to the department a certification from a
22physician, as defined in s. 448.01 (5), physician assistant, or advanced practice
23registered nurse prescriber of all of the following:
AB43,2593 24Section 2593 . 252.17 (3) (c) (intro.) of the statutes is amended to read:
AB43,1389,3
1252.17 (3) (c) (intro.) Has submitted to the department a certification from a
2physician, as defined in s. 448.01 (5), physician assistant, or advanced practice
3registered nurse prescriber of all of the following:
AB43,2594 4Section 2594 . 253.07 (4) (d) of the statutes is amended to read:
AB43,1389,85 253.07 (4) (d) In each fiscal year, $31,500 as grants for employment in
6communities of licensed registered nurses, licensed practical nurses, certified
7nurse-midwives
licensed advanced practice registered nurses, or licensed physician
8assistants who are members of a racial minority.
AB43,2595 9Section 2595 . 253.115 (1) (f) of the statutes is created to read:
AB43,1389,1210 253.115 (1) (f) “Nurse-midwife" means an individual who is licensed as an
11advanced practice registered nurse and possesses a certified nurse-midwife
12specialty designation under s. 441.09.
AB43,2596 13Section 2596 . 253.115 (4) of the statutes is amended to read:
AB43,1389,1814 253.115 (4) Screening required. Except as provided in sub. (6), the physician,
15nurse-midwife licensed under s. 441.15, or certified professional midwife licensed
16under s. 440.982 who attended the birth shall ensure that the infant is screened for
17hearing loss before being discharged from a hospital, or within 30 days of birth if the
18infant was not born in a hospital.
AB43,2597 19Section 2597 . 253.115 (7) (a) (intro.) of the statutes is amended to read:
AB43,1389,2220 253.115 (7) (a) (intro.) The physician, nurse-midwife licensed under s. 441.15,
21or certified professional midwife licensed under s. 440.982 who is required to ensure
22that the infant is screened for hearing loss under sub. (4) shall do all of the following:
AB43,2598 23Section 2598 . 253.13 (1) of the statutes is renumbered 253.13 (1) (b) and
24amended to read:
AB43,1390,7
1253.13 (1) (b) The attending physician or nurse licensed under s. 441.15
2nurse-midwife shall cause every infant born in each hospital or maternity home,
3prior to its discharge therefrom, to be subjected to tests for congenital and metabolic
4disorders, as specified in rules promulgated by the department. If the infant is born
5elsewhere than in a hospital or maternity home, the attending physician, nurse
6licensed under s. 441.15
nurse-midwife, or birth attendant who attended the birth
7shall cause the infant, within one week of birth, to be subjected to these tests.
AB43,2599 8Section 2599 . 253.13 (1) (a) of the statutes is created to read:
AB43,1390,119 253.13 (1) (a) In this subsection, “nurse-midwife" means an individual who is
10licensed as an advanced practice registered nurse and possesses a certified
11nurse-midwife specialty designation under s. 441.09.
AB43,2600 12Section 2600. 253.143 of the statutes is created to read:
AB43,1390,15 13253.143 Maternal and infant mortality prevention and response. From
14the appropriation under s. 20.435 (1) (ex), the department shall do all of the
15following:
AB43,1390,17 16(1) Annually award grants to community organizations whose goal is the
17prevention of maternal and infant mortality.
AB43,1390,21 18(2) Annually award grants to support the expansion of fetal and infant
19mortality review and maternal mortality review teams statewide and expand
20technical assistance and support for existing fetal and infant mortality review and
21child death review teams.
AB43,1390,23 22(3) Provide funding and technical assistance to community-based
23organizations aimed at preventing infant morality.
AB43,1390,25 24(4) Provide funding for grief and bereavement programming for those impacted
25by infant loss.
AB43,2601
1Section 2601. 253.15 (1) (em) of the statutes is created to read:
AB43,1391,42 253.15 (1) (em) “Nurse-midwife" means an individual who is licensed as an
3advanced practice registered nurse and possesses a certified nurse-midwife
4specialty designation under s. 441.09.
AB43,2602 5Section 2602 . 253.15 (2) of the statutes is amended to read:
AB43,1392,36 253.15 (2) Informational materials. The board shall purchase or prepare or
7arrange with a nonprofit organization to prepare printed and audiovisual materials
8relating to shaken baby syndrome and impacted babies. The materials shall include
9information regarding the identification and prevention of shaken baby syndrome
10and impacted babies, the grave effects of shaking or throwing on an infant or young
11child, appropriate ways to manage crying, fussing, or other causes that can lead a
12person to shake or throw an infant or young child, and a discussion of ways to reduce
13the risks that can lead a person to shake or throw an infant or young child. The
14materials shall be prepared in English, Spanish, and other languages spoken by a
15significant number of state residents, as determined by the board. The board shall
16make those written and audiovisual materials available to all hospitals, maternity
17homes, and nurse-midwives licensed under s. 441.15 that are required to provide or
18make available materials to parents under sub. (3) (a) 1., to the department and to
19all county departments and nonprofit organizations that are required to provide the
20materials to child care providers under sub. (4) (d), and to all school boards and
21nonprofit organizations that are permitted to provide the materials to pupils in one
22of grades 5 to 8 and in one of grades 10 to 12 under sub. (5). The board shall also make
23those written materials available to all county departments and Indian tribes that
24are providing home visitation services under s. 48.983 (4) (b) 1. and to all providers
25of prenatal, postpartum, and young child care coordination services under s. 49.45

1(44). The board may make available the materials required under this subsection
2to be made available by making those materials available at no charge on the board's
3Internet site.
AB43,2603 4Section 2603. 253.19 of the statutes is created to read:
AB43,1392,12 5253.19 Grants to free-standing pediatric teaching hospitals. From the
6appropriation under s. 20.435 (1) (b), the department shall award grants to
7free-standing pediatric teaching hospitals to fund programming related to
8parenting, educational needs of and supports for chronically ill children, and case
9management for children with asthma. A free-standing pediatric teaching hospital
10is eligible for a grant under this section only if the percentage of Medical Assistance
11recipient inpatient days at the free-standing pediatric teaching hospital calculated
12under s. 49.45 (3m) (b) 1. a. is greater than 45 percent.
AB43,2604 13Section 2604. 254.11 (5m) of the statutes is repealed.
AB43,2605 14Section 2605. 254.11 (9) of the statutes is amended to read:
AB43,1392,1615 254.11 (9) “Lead poisoning or lead exposure" means a level of lead in the blood
16of 5 3.5 or more micrograms per 100 milliliters of blood.
AB43,2606 17Section 2606. 254.166 (1) of the statutes is amended to read:
AB43,1393,1518 254.166 (1) The department may shall, after being notified that an occupant
19of a dwelling or premises who is under 6 years of age has blood lead poisoning or lead
20exposure, present official credentials to the owner or occupant of the dwelling or
21premises, or to a representative of the owner, and request admission to conduct a lead
22investigation of the dwelling or premises. If the department is notified that an
23occupant of a dwelling or premises who is a child under 6 years of age has an elevated
24blood lead level
blood lead poisoning or lead exposure, the department shall conduct
25a lead investigation of the dwelling or premises or ensure that a lead investigation

1of the dwelling or premises is conducted. The lead investigation shall be conducted
2during business hours, unless the owner or occupant of the dwelling or premises
3consents to an investigation during nonbusiness hours or unless the department
4determines that the dwelling or premises presents an imminent lead hazard. The
5department shall use reasonable efforts to provide prior notice of the lead
6investigation to the owner of the dwelling or premises. The department may remove
7samples or objects necessary for laboratory analysis to determine the presence of a
8lead hazard in the dwelling or premises. The department shall prepare and file
9written reports of all lead investigations conducted under this section and shall make
10the contents of these reports available for inspection by the public, except for medical
11information, which may be disclosed only to the extent that patient health care
12records may be disclosed under ss. 146.82 to 146.835. If the owner or occupant
13refuses admission, the department may seek a warrant to investigate the dwelling
14or premises. The warrant shall advise the owner or occupant of the scope of the lead
15investigation.
AB43,2607 16Section 2607 . Subchapter IX (title) of chapter 254 [precedes 254.911] of the
17statutes is amended to read:
AB43,1393,1818 CHAPTER 254
AB43,1393,1919 SUBCHAPTER IX
AB43,1393,2020 SALE OR GIFT OF CIGARETTES,
AB43,1393,21 21NICOTINE PRODUCTS, VAPOR
AB43,1393,22 22PRODUCTS, OR TOBACCO
AB43,1393,2323 PRODUCTS TO MINORS
AB43,2608 24Section 2608 . 254.911 (11) of the statutes is created to read:
AB43,1393,2525 254.911 (11) “Vapor product” has the meaning given in s. 139.75 (14).
AB43,2609
1Section 2609. 254.916 (2) (intro.) of the statutes is amended to read:
AB43,1394,52 254.916 (2) (intro.) With the permission of his or her parent or guardian, a A
3person under 18 21 years of age, but not under 15 years of age, may buy, attempt to
4buy, or possess any cigarette, nicotine product, or tobacco product, or vapor product
5if all of the following are true:
AB43,2610 6Section 2610. 254.916 (2) (d) of the statutes is created to read:
AB43,1394,87 254.916 (2) (d) If the person is under 18 years of age, he or she has obtained
8permission from his or her parent or guardian to participate in the investigation.
AB43,2611 9Section 2611. 254.916 (3) (a), (b), (c) and (d) of the statutes are amended to
10read:
AB43,1394,1211 254.916 (3) (a) If questioned about his or her age during the course of an
12investigation, the minor person under 21 years of age shall state his or her true age.
AB43,1394,1413 (b) A minor person under 21 years of age may not be used for the purposes of
14an investigation at a retail outlet at which the minor person is a regular customer.
AB43,1394,1615 (c) The appearance of a minor person under 21 years of age may not be
16materially altered so as to indicate greater age.
AB43,1394,2117 (d) A photograph or videotape of the minor person under 21 years of age shall
18be made before or after the investigation or series of investigations on the day of the
19investigation or series of investigations. If a prosecution results from an
20investigation, the photograph or videotape shall be retained until the final
21disposition of the case.
AB43,2612 22Section 2612. 254.916 (3) (f) 2. of the statutes is amended to read:
AB43,1394,2323 254.916 (3) (f) 2. The age of the minor person under 21 years of age.
AB43,2613 24Section 2613. 254.916 (11) of the statutes is amended to read:
AB43,1395,14
1254.916 (11) A person conducting an investigation under this section may not
2have a financial interest in a regulated cigarette and tobacco product retailer, a vapor
3product retailer,
a tobacco vending machine operator, a tobacco vending machine
4premises, or a tobacco vending machine that may interfere with his or her ability to
5properly conduct that investigation. A person who is investigated under this section
6may request the local health department or local law enforcement agency that
7contracted for the investigation to conduct a review under ch. 68 to determine
8whether the person conducting the investigation is in compliance with this
9subsection or, if applicable, may request the state agency or state law enforcement
10agency that contracted for the investigation to conduct a contested case hearing
11under ch. 227 to make that determination. The results of an investigation that is
12conducted by a person who is not in compliance with this subsection may not be used
13to prosecute a violation of s. 134.66 (2) (a) or (am) or a local ordinance adopted under
14s. 134.66 (5).
AB43,2614 15Section 2614 . 254.92 (title) of the statutes is amended to read:
AB43,1395,17 16254.92 (title) Purchase or possession of cigarettes or, tobacco products,
17nicotine products, or vapor products
by person under 18 21 prohibited.
AB43,2615 18Section 2615 . 254.92 (1) of the statutes is amended to read:
AB43,1395,2119 254.92 (1) No person under 18 21 years of age may falsely represent his or her
20age for the purpose of receiving any cigarette, nicotine product, or tobacco product,
21or vapor product
.
AB43,2616 22Section 2616 . 254.92 (2) of the statutes is amended to read:
AB43,1395,2523 254.92 (2) No person under 18 21 years of age may purchase, attempt to
24purchase, or possess any cigarette, nicotine product, or tobacco product, or vapor
25product
except as follows:
AB43,1396,4
1(a) A person under 18 21 years of age may purchase or possess cigarettes,
2nicotine products, or tobacco products, or vapor products for the sole purpose of resale
3in the course of employment during his or her working hours if employed by a
4retailer.
AB43,1396,85 (b) A person under 18 21 years of age, but not under 15 years of age, may
6purchase, attempt to purchase or possess cigarettes, nicotine products, or tobacco
7products, or vapor products in the course of his or her participation in an
8investigation under s. 254.916 that is conducted in accordance with s. 254.916 (3).
AB43,2617 9Section 2617 . 254.92 (2m) (intro.) of the statutes is amended to read:
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