146.34(3)(b)2.
2. That no medically preferable alternatives to a bone marrow transplant exist for the brother or sister.
146.34(3)(c)
(c) A physician other than a physician under
par. (a) or
(b) has determined the following and has provided the determinations to the parent, guardian or legal custodian under
par. (e):
146.34(3)(c)1.
1. The minor is physically able to withstand removal of bone marrow.
146.34(3)(c)2.
2. The medical risks of removing the bone marrow from the minor and the long-term medical risks for the minor are minimal.
146.34(3)(d)
(d) A psychiatrist or psychologist has evaluated the psychological status of the minor, has determined that no significant psychological risks to the minor exist if bone marrow is removed from the minor and has provided that determination to the parent, guardian or legal custodian under
par. (e).
146.34(3)(e)
(e) The parent, guardian or legal custodian, upon receipt of the information and the determinations under
pars. (a) to
(d), has given written consent to donation by the minor of the bone marrow.
146.34(4)
(4) Consent to donation of bone marrow by a minor 12 years of age or over. 146.34(4)(a)(a) A minor who has attained the age of 12 years may, if the medical condition of a brother or sister of the minor requires that the brother or sister receive a bone marrow transplant, give written consent to be a donor if:
146.34(4)(a)1.
1. A psychiatrist or psychologist has evaluated the intellect and psychological status of the minor and has determined that the minor is capable of consenting.
146.34(4)(a)2.
2. The physician who will remove the bone marrow from the minor has first informed the minor of all of the following:
146.34(4)(a)2.b.
b. The benefits and risks to the prospective donor and prospective recipient of performance of the bone marrow transplant.
146.34(4)(a)2.c.
c. The availability of procedures alternative to performance of a bone marrow transplant.
146.34(4)(b)
(b) If the psychiatrist or psychologist has determined under
par. (a) that the minor is incapable of consenting, consent to donation of bone marrow must be obtained under the procedures under
sub. (3).
146.34(5)
(5) Hearing on prohibition of consent or performance. 146.34(5)(a)(a) A relative of the prospective donor or the district attorney or corporation counsel of the county of residence of the prospective donor may file a petition with the court assigned to exercise jurisdiction under
chs. 48 and
938 for an order to prohibit either of the following:
146.34(5)(a)2.
2. If consent under
sub. (3) or
(4) has been given, the performance of the bone marrow transplant for which consent to donate bone marrow has been given.
146.34(5)(am)
(am) Any party filing a petition for an order to prohibit performance under
par. (a) 2. shall file and serve the petition within 3 days after consent has been given under
sub. (3) or
(4).
146.34(5)(b)
(b) Any party filing a petition under
par. (a) shall at the same time file with the court a statement of a physician or psychologist who has recently examined the prospective donor and which avers, if made by a physician, to a reasonable degree of medical certainty or, if made by a psychologist, to a reasonable degree of professional certainty, that the removal of bone marrow presents medical or psychological risks to the prospective donor or to the prospective recipient which outweigh all benefits to the prospective donor or to the prospective recipient.
146.34(5)(c)
(c) Any party filing a petition under
par. (a) and a statement under
par. (b) shall, at the time of filing, provide personal service of notice of the filing and a copy of the statement to the parent, guardian or legal custodian of the prospective donor and, if the prospective donor is a minor who has attained 12 years of age, to the minor.
146.34(5)(d)
(d) Following the filing of a petition under
par. (a) and a statement under
par. (b), the judge shall appoint a guardian ad litem under
s. 48.235 for the prospective donor.
146.34(5)(e)
(e) If a request for hearing is filed by the prospective donor under
sub. (4) or by the parent, guardian or legal custodian within 7 days following the personal service of notice under
par. (c), the court shall conduct a hearing to determine whether the giving of consent under
par. (a) 1. or performance under
par. (a) 2. shall be prohibited and providing the prospective donor under
sub. (4) and the parent, guardian or legal custodian opportunity to rebut the statement under
par. (b).
146.34(5)(f)
(f) If no request for hearing is filed by the prospective donor under
sub. (4) or by the parent, guardian or legal custodian within the time limit specified under
par. (e), the court may do one of the following:
146.34(5)(f)2.
2. On its own motion conduct a hearing to determine whether the giving of consent under
par. (a) 1. or performance under
par. (a) 2. shall be prohibited.
146.34(5)(g)
(g) If the court on its own motion conducts a hearing under
par. (f) 2., the court shall provide personal service of notice of the hearing to all parties and may request submission of relevant evidence.
146.34(5)(h)
(h) Any person aggrieved by a final judgment or final order of the court under
par. (e) or
(f) may appeal within the time period specified in
s. 808.04 (3) or
(4).
146.345
146.345
Sale of human organs prohibited. 146.345(1)(a)
(a) "Human organ" means a human kidney, liver, heart, lung, pancreas, bone marrow, cornea, eye, bone or skin or any other human organ specified by the department by rule. "Human organ" does not mean human whole blood, blood plasma, a blood product or a blood derivative or human semen.
146.345(1)(b)
(b) "Human organ transplantation" means the medical procedure by which transfer of a human organ is made from the body of a person to the body of another person.
146.345(1)(c)
(c) "Valuable consideration" does not include reasonable payment associated with the removal, transportation, implantation, processing, preservation, quality control or storage of a human organ or an expense of travel, housing or lost wages incurred by a human organ donor in connection with donation of the human organ.
146.345(2)
(2) No person may knowingly and for valuable consideration acquire, receive or otherwise transfer any human organ for use in human organ transplantation.
146.345(3)
(3) Any person who violates this section may be fined not more than $50,000 or imprisoned for not more than 5 years or both.
Effective date note
NOTE: Sub. (3) is amended eff. 12-31-99 by
1997 Wis. Act 283 to read:
Effective date text
(3) Any person who violates this section may be fined not more than $50,000 or imprisoned for not more than 7 years and 6 months or both.
146.345 History
History: 1987 a. 97;
1997 a. 283.
146.35
146.35
Female genital mutilation prohibited. 146.35(1)
(1) In this section, "infibulate" means to clasp together with buckles or stitches.
146.35(2)
(2) Except as provided in
sub. (3), no person may circumcise, excise or infibulate the labia majora, labia minora or clitoris of a female minor.
146.35(3)
(3) Subsection (2) does not apply if the circumcision, excision or infibulation is performed by a physician, as defined in
s. 448.01 (5), and is necessary for the health of the female minor or is necessary to correct an anatomical abnormality.
146.35(4)
(4) None of the following may be asserted as a defense to prosecution for a violation of
sub. (2):
146.35(4)(a)
(a) Consent by the female minor or by a parent of the female minor to the circumcision, excision or infibulation.
146.35(4)(b)
(b) The circumcision, excision or infibulation is required as a matter of custom or ritual.
146.35(5)
(5) Whoever violates
sub. (2) may be fined not more than $10,000 or imprisoned for not more than 5 years or both.
Effective date note
NOTE: Sub. (5) is amended eff. 12-31-99 by
1997 Wis. Act 283 to read:
Effective date text
(5) Whoever violates sub. (2) may be fined not more than $10,000 or imprisoned for not more than 7 years and 6 months or both.
146.35 History
History: 1995 a. 365;
1997 a. 283.
146.36
146.36
Council on health care fraud and abuse. 146.36(1)(b)
(b) "Council" means the council on health care fraud and abuse.
146.36(1)(d)
(d) "Insurer" means an insurer, as defined in
s. 600.03 (27), that is authorized to do business in this state in one or more lines of insurance that includes health insurance.
146.36(2)
(2) The council may do all of the following:
146.36(2)(a)
(a) Study all aspects of health care fraud and abuse.
146.36(2)(b)
(b) Develop strategies to combat health care fraud and abuse by health care consumers, health care providers and insurers.
146.36(2)(c)
(c) Examine problems that relate to electronic claims for payment.
146.36(2)(d)
(d) Survey efforts of other states to reduce health care fraud and abuse.
146.36(2)(e)
(e) Collect information relevant to preparation of the report specified under
sub. (3), from health care providers, insurers, employe benefit plan administrators, law enforcement agencies and other sources.
146.36(2)(f)
(f) Conduct public hearings concerning health care fraud and abuse.
146.36(2)(g)
(g) Engage in public information programs concerning health care fraud and abuse.
146.36(2)(h)
(h) Receive, for deposit in the council's account under
s. 20.505 (4) (gm), gifts, grants or bequests to fund its operating expenses.
146.36(3)
(3) Annually, the council shall submit to the governor and, under
s. 13.172 (2), to the legislature a report that does all of the following:
146.36(3)(a)
(a) Identifies different types of fraud and abuse in health care.
146.36(3)(b)
(b) Analyzes issues relating to health care fraud and abuse, such as self-interested referrals.
146.36(3)(c)
(c) Lists successful prosecutions of health care fraud and activities to combat health care abuse that have been conducted in courts in this state or as contested cases under
subch. III of ch. 227.
146.36(3)(d)
(d) Specifies activities conducted by the council to combat health care fraud and abuse.
146.36(3)(e)
(e) Recommends specific proposed changes to state statutes or administrative rules to define terms and to combat health care fraud and abuse.
146.36(4)
(4) A council member shall be immune from civil liability and criminal prosecution for any act or omission done in good faith within the scope of his or her powers and duties under this section.
146.36(5)
(5) This section does not apply after December 30, 2000.
146.36 History
History: 1995 a. 442.
146.37
146.37
Health care services review; civil immunity. 146.37(1g)
(1g) Except as provided in
s. 153.85, no person acting in good faith who participates in the review or evaluation of the services of health care providers or facilities or the charges for such services conducted in connection with any program organized and operated to help improve the quality of health care, to avoid improper utilization of the services of health care providers or facilities or to determine the reasonable charges for such services, or who participates in the obtaining of health care information under
ch. 153, is liable for any civil damages as a result of any act or omission by such person in the course of such review or evaluation. Acts and omissions to which this subsection applies include, but are not limited to, acts or omissions by peer review committees or hospital governing bodies in censuring, reprimanding, limiting or revoking hospital staff privileges or notifying the medical examining board or podiatrists affiliated credentialing board under
s. 50.36 or taking any other disciplinary action against a health care provider or facility and acts or omissions by a medical director, as defined in
s. 146.50 (1) (j), in reviewing the performance of emergency medical technicians or ambulance service providers.
146.37(1m)
(1m) The good faith of any person specified in
subs. (1g) and
(3) shall be presumed in any civil action. Any person who asserts that such a person has not acted in good faith has the burden of proving that assertion by clear and convincing evidence.
146.37(2)
(2) In determining whether a member of the reviewing or evaluating organization or the medical director has acted in good faith under
sub. (1g), the court shall consider whether the member or medical director has sought to prevent the health care provider or facility and its counsel from examining the documents and records used in the review or evaluation, from presenting witnesses, establishing pertinent facts and circumstances, questioning or refuting testimony and evidence, confronting and cross-examining adverse witnesses or from receiving a copy of the final report or recommendation of the reviewing organization or medical director.
146.37(3)
(3) This section applies to any person acting in good faith who participates in the review or evaluation of the services of a psychiatrist, or facilities or charges for services of a psychiatrist, conducted in connection with any organization, association or program organized or operated to help improve the quality of psychiatric services, avoid improper utilization of psychiatric services or determine reasonable charges for psychiatric services. This immunity includes, but is not limited to, acts such as censuring, reprimanding or taking other disciplinary action against a psychiatrist for unethical or improper conduct.
146.37 Annotation
Anyone who has the good faith belief that they are participating in a valid peer review procedure of a health care provider is entitled to the presumption of good faith under sub. (1g) and is immune from liability unless the presumption is overcome. Limjoco v. Schenck, 169 W (2d) 703, 486 NW (2d) 567 (Ct. App. 1992).
146.37 Annotation
Person reviewing peer can be found to have acted in bad faith even if procedural rights under (2) were not denied, but whether procedural rights were denied is factor which must be considered in determination of "good faith". Qasem v. Kozarek, 716 F (2d) 1172 (1983).
146.38
146.38
Health care services review; confidentiality of information. 146.38(1)(a)
(a) "Evaluator" means a medical director or a registered nurse who coordinates review of an emergency medical services program of a health care provider.
