146.55(7)
(7) Insurance. A physician who participates in an emergency medical services program under this section or as required under
s. 146.50 shall purchase health care liability insurance in compliance with
subch. III of ch. 655, except for those acts or omissions of a physician who, as a medical director, reviews the performance of emergency medical technicians or ambulance service providers, as specified under
s. 146.37 (1g).
146.55(8)
(8) Exception to treatment. This section and the rules promulgated under this section may not be construed to authorize the provision of services or treatment to any individual who objects for reasons of religion to the treatment or services, but may be construed to authorize the transportation of such an individual to a facility of the individual's choice within the jurisdiction of the emergency medical service.
146.56
146.56
Statewide trauma care system. 146.56(1)
(1) Not later than July 1, 2001, the department shall develop and implement a statewide trauma care system. The department shall seek the advice of the statewide trauma advisory council under
s. 15.197 (25) in developing and implementing the system.
146.56(2)
(2) The department shall promulgate rules to develop and implement the system. The rules shall include a method by which to classify all hospitals as to their respective emergency care capabilities. The classification rule shall be based on standards developed by the American College of Surgeons. Within 180 days after promulgation of the classification rule, and every 4 years thereafter, each hospital shall certify to the department the classification level of trauma care services that is provided by the hospital, based on the rule. The department may require a hospital to document the basis for its certification. The department may not direct a hospital to establish a certain level of certification.
146.56 History
History: 1997 a. 154.
146.57
146.57
Statewide poison control program. 146.57(3)(a)(a) The department shall implement a statewide poison control program. From the appropriation under
s. 20.435 (5) (ds), the department shall, if the requirement under
par. (b) is met, distribute total funding of not more than $375,000 in each fiscal year to supplement the operation of the program and to provide for the statewide collection and reporting of poison control data. The department may, but need not, distribute all of the funds in each fiscal year to a single poison control center.
146.57(3)(b)
(b) No poison control center may receive funds under
par. (a) unless the poison control center provides a matching contribution of at least 50% of the state funding for the center. Private funds and in-kind contributions may be used to meet this requirement.
146.57(4)
(4) Rule making. The department shall promulgate rules that specify the information that shall be reported to the department under the statewide poison control program.
146.58
146.58
Emergency medical services board. The emergency medical services board shall do all of the following:
146.58(1)
(1) Appoint an advisory committee of physicians with expertise in the emergency medical services area to advise the department on the criteria for selection of the state medical director for emergency medical services and on the performance of the director and to advise the director on appropriate medical issues.
146.58(4)
(4) Periodically review all emergency medical services statutes and rules for surface, water and air transportation and recommend to the department and the department of transportation changes in those statutes and rules to provide different personnel and equipment requirements, where appropriate, for emergency response, nonemergency response and interfacility transportation of patients.
146.58(5)
(5) Seek involvement in its deliberations by appropriate personnel from the department, the technical college system board and the department of transportation.
146.58(6)
(6) Seek involvement in its deliberations by ambulance service provider personnel, emergency medical technicians, first responders, persons who train emergency medical services personnel and other interested persons.
146.58(7)
(7) Advise, make recommendations to and consult with the department concerning the funding under
s. 146.55 (4) and
(5).
146.59
146.59
University of Wisconsin Hospitals and Clinics Board. 146.59(1)(a)
(a) "Authority" means the University of Wisconsin Hospitals and Clinics Authority.
146.59(1)(b)
(b) "Board" means the University of Wisconsin Hospitals and Clinics Board.
146.59(2)(b)
(b) If a contractual services agreement is terminated under
s. 233.04 (4m) (b), the University of Wisconsin Hospitals and Clinics Board may negotiate and enter into a contractual services agreement with the University of Wisconsin Hospitals and Clinics Authority or the board of regents of the University of Wisconsin System under
s. 233.04 (4m) (b).
146.59(3)(a)(a) Any contractual services agreement under
sub. (2) may include a provision that authorizes the authority to perform specified duties for the board with respect to employes of the board. This authorization may include duties related to supervising employes, taking disciplinary action or recommending new hires or layoffs, or with respect to collective bargaining, claims, complaints, or benefits and records administration.
146.59(3)(b)
(b) Any authorization under
par. (a) shall comply with all applicable provisions of
subch. V of ch. 111 and
ch. 230, any delegation of authority by the department of employment relations to the board, and any collective bargaining agreement with respect to employes of the board.
146.59 History
History: 1995 a. 27,
216.
146.60
146.60
Notice of release of genetically engineered organisms into the environment. 146.60(1)(a)
(a) "Confidential information" means information entitled to confidential treatment under
sub. (6) (a) 1. or
2.
146.60(1)(b)
(b) "Coordinated framework" means the coordinated framework for regulation of biotechnology set forth in 51 Fed. Reg. 23302 to 23350 (June 26, 1986), as amended by 52 Fed. Reg. 22892 to 22915 (June 16, 1987), and subsequent amendments to the coordinated framework for regulation of biotechnology.
146.60(1)(c)
(c) "Departments" means the department of agriculture, trade and consumer protection and the department of natural resources.
146.60(1)(d)
(d) "Federal regulator" means a federal agency or a designee of a federal agency which is responsible for regulating a release into the environment under the coordinated framework.
146.60(1)(e)
(e) "Regulated release" means a release into the environment for which the coordinated framework requires that the person proposing to commence the release into the environment do any of the following:
146.60(1)(e)1.
1. Notify a federal regulator of the release into the environment.
146.60(1)(e)2.
2. Secure the approval of or a permit or license from a federal regulator as a condition of commencing the release into the environment.
146.60(1)(e)3.
3. Secure a determination by a federal regulator of the need for notification, approval, licensing or permitting by the federal regulator, if the determination is part of a procedure specified in the coordinated framework.
146.60(1)(f)
(f) "Release into the environment" means the introduction or use in this state of an organism or pathogen anywhere except within an indoor facility which is designed to physically contain the organism or pathogen, including a laboratory, greenhouse, growth chamber or fermenter.
146.60(1)(g)
(g) "Reviewing department" means the department designated in
sub. (2) to review a regulated release.
146.60(2)(a)(a) The department of natural resources shall be the reviewing department for any regulated release subject to
15 USC 2601 to
2629.
146.60(2)(b)
(b) The department of agriculture, trade and consumer protection shall be the reviewing department for any regulated release subject to any federal requirement in the coordinated framework, except a requirement under
15 USC 2601 to
2629.
146.60(2)(c)
(c) If a regulated release is subject to
15 USC 2601 to
2629 and to any other federal requirement in the coordinated framework, both departments shall be reviewing departments and shall enter into a memorandum of understanding designating one of them to be the lead reviewing department.
146.60(3)(a)(a) Except as provided under
sub. (7), no person may commence a regulated release unless the person provides to the reviewing department for that regulated release all of the following information within 7 days after the person submits or should have submitted the information specified in
subd. 1. to a federal regulator, whichever is sooner:
146.60(3)(a)1.
1. A copy of all information which the person is required to submit to the federal regulator and which is not confidential information.
146.60(3)(a)2.
2. A summary of any confidential information which the person submits or is required to submit to a federal regulator. The summary shall be sufficient enough to enable the reviewing department to prepare the comment authorized under
sub. (4) and to provide information to the public and shall have minimal extraneous and irrelevant information.
146.60(3)(b)
(b) A reviewing department may request that a person submit to it part or all of any of the confidential information that is the subject of the summary submitted to that reviewing department under
par. (a) 2. That person shall submit the information to the reviewing department no later than 3 working days after receiving the request.
146.60(3)(c)1.
1. If the department of natural resources receives information under this subsection or
sub. (4) (c), it shall provide the department of agriculture, trade and consumer protection with a copy of the information.
146.60(3)(c)2.
2. If the department of agriculture, trade and consumer protection receives information under this subsection or
sub. (4) (c), it shall provide the department of natural resources with a copy of the information.
146.60(3m)
(3m) Public notice. No later than 5 working days after receiving information under
sub. (3), the reviewing department shall send written notice of receipt of the information to the county board chairperson in a county without a county executive or county administrator or the county executive or county administrator and to the town board chairperson, village president or mayor of any town, village or city in which the release is proposed. No later than 5 working days after sending notice under this subsection, the reviewing department shall cause publication of a class 1 notice under
ch. 985 in the county to which the notice is sent.
146.60(4)
(4) Comment. The reviewing department may prepare a formal comment on the regulated release for submission to the federal regulator for that regulated release. The reviewing department shall submit that comment within the time established by the federal regulator for that regulated release. The comment shall address the criteria for notification or the granting of approval, a permit or a license under the applicable requirement in the coordinated framework and for the protection of the public health and the environment. To assist in the preparation of a comment, the reviewing department may do any of the following:
146.60(4)(a)
(a) Hold an informational meeting on the proposed regulated release.
146.60(4)(b)
(b) Provide an opportunity for the public to comment on the proposed regulated release.
146.60(4)(c)
(c) Request information on the proposed regulated release from the person providing the information under
sub. (3), in addition to the information provided under
sub. (3). That person is not required to submit that information to the reviewing department.
146.60(4)(d)
(d) Conduct a technical review of the proposed regulated release.
146.60(4)(e)
(e) Seek the assistance of the university of Wisconsin system faculty and academic staff or the department of health and family services in reviewing the proposed regulated release.
146.60(5)
(5) Memorandum of understanding. Within 6 months after June 13, 1989, the department of natural resources shall enter into a memorandum of understanding with the department of agriculture, trade and consumer protection setting forth the procedures and responsibilities of the departments in the administration of this section. The memorandum shall establish procedures that minimize the duplication of effort between the departments and for the person providing information under
sub. (3).
146.60(6)
(6) Confidential treatment of records. 146.60(6)(a)(a) Except as provided in
pars. (b) and
(c), the departments shall keep confidential any information received under this section if the person submitting the information notifies the departments that any of the following applies to that information:
146.60(6)(a)1.
1. The federal regulator to which the information has been submitted has determined that the information is entitled to confidential treatment and is not subject to public disclosure under
5 USC 552 or under the coordinated framework.
146.60(6)(a)2.
2. The person submitting the information to the departments has submitted a claim to the federal regulator that the information is entitled to confidential treatment under
5 USC 552 or under the coordinated framework, and the federal regulator has not made a determination on the claim.
146.60(6)(b)
(b) Paragraph (a) shall not prevent the departments from exchanging information under
sub. (3) (c) or
(4) (c) or from using the information for the purposes of
sub. (4) (d) or
(e), subject to the requirements under
par. (d). Any person receiving such information is subject to the penalty specified under
sub. (9) (b) for the unauthorized release of that information.
146.60(6)(c)
(c) The departments shall allow public access to any information which has been granted confidentiality under
par. (a) if any of the following occurs:
146.60(6)(c)1.
1. The person providing the information to the departments expressly agrees to the public access to the information.
146.60(6)(c)2.
2. After information has been granted confidentiality under
par. (a) 2., the federal regulator makes a determination that the information is not entitled to confidential treatment under
5 USC 552 or under the coordinated framework.
146.60(6)(c)3.a.
a. The person providing the information to the departments has not submitted that information under
par. (a) or a claim under
par. (a) 2. to the federal regulator; or
146.60(6)(c)3.b.
b. The federal regulator to which the information has been submitted has determined that the information is not entitled to confidential treatment and is subject to public disclosure under
5 USC 552 or under the coordinated framework.
146.60(6)(d)1.1. The departments shall establish procedures to protect information required to be kept confidential under
par. (a). Under the procedure, the departments may not submit any information under
sub. (4) (d) or
(e) to any person who is not an employe of either of the departments unless that person has signed an agreement which satisfies the requirements of
subd. 2.
146.60(6)(d)2.
2. The agreement required under
subd. 1. shall provide that information which is the subject of the agreement is subject to confidential treatment, shall prohibit the release or sharing of the information with any other person except at the direction of the reviewing department and in compliance with this section, shall acknowledge the penalties in
sub. (9),
s. 134.90 and any other applicable state law identified by the departments for the unauthorized disclosure of the information and shall contain a statement that the person receiving the information, any member of his or her immediate family or any organization with which he or she is associated has no substantial financial interest in the regulated release which is the subject of the information. Any person submitting the information under
sub. (3) or
(4) may waive any of the requirements under this subdivision.
146.60(7)(b)
(b) A reviewing department may waive part or all of the requirements under
sub. (3) for a specified regulated release if the reviewing department determines that the satisfaction of that requirement is not necessary to protect the public health or the environment.
146.60(7)(c)
(c) A reviewing department may exempt a class of regulated releases from part or all of any requirement under
sub. (3) if the department determines that the satisfaction of that requirement or part of a requirement is not necessary to protect the public health or the environment.
146.60(8)
(8) Enforcement. The attorney general shall enforce
subs. (3) and
(6). The circuit court for Dane county or for the county where a violation occurred in whole or in part has jurisdiction to enforce this section by injunctive and other relief appropriate for enforcement. In an enforcement action under this section, if it is determined that a person commenced a regulated release and did not comply with
sub. (3), the court shall issue an injunction directing the person to prevent or terminate the regulated release.
146.60(9)(a)(a) Any person who fails to submit the information required under
sub. (3) and has not commenced a regulated release shall forfeit not more than $100 for each violation. Any person who commences or continues a regulated release without having submitted the information required under
sub. (3) shall forfeit not less than $10 nor more than $25,000 for each violation. Each day of continued violation under this paragraph is a separate offense.
