146.301(1)
(1) In this section "hospital providing emergency services" means a hospital which the department has identified as providing some category of emergency service.
146.301(2)
(2) No hospital providing emergency services may refuse emergency treatment to any sick or injured person.
146.301(3)
(3) No hospital providing emergency services may delay emergency treatment to a sick or injured person until credit checks, financial information forms or promissory notes have been initiated, completed or signed if, in the opinion of one of the following, who is an employee, agent or staff member of the hospital, the delay is likely to cause increased medical complications, permanent disability or death:
146.301(3)(a)
(a) A physician, registered nurse or emergency medical technician – paramedic.
146.301(3)(b)
(b) A licensed practical nurse under the specific direction of a physician or registered nurse.
146.301(3)(c)
(c) A physician assistant or any other person under the specific direction of a physician.
146.301(3m)
(3m) Hospitals shall establish written procedures to be followed by emergency services personnel in carrying out
sub. (3).
146.301(4)
(4) No hospital may be expected to provide emergency services beyond its capabilities as identified by the department.
146.301(5)
(5) Each hospital providing emergency services shall create a plan for referrals of emergency patients when the hospital cannot provide treatment for such patients.
146.301(6)
(6) The department shall identify the emergency services capabilities of all hospitals in this state and shall prepare a list of such services. The list shall be updated annually.
146.301(7)
(7) A hospital which violates this section may be fined not more than $1,000 for each offense.
146.31
146.31
Blood or tissue transfer services. 146.31(1)
(1) It is unlawful to operate a blood bank for commercial profit.
146.31(2)
(2) The procurement, processing, distribution or use of whole blood, plasma, blood products, blood derivatives and other human tissues such as corneas, bones or organs for the purpose of injecting, transfusing or transplanting any of them into the human body is declared to be, for all purposes except as provided under
s. 146.345, the rendition of a service by every person participating therein and, whether or not any remuneration is paid therefor, not to be a sale of the whole blood, plasma, blood products, blood derivatives or other tissues. No person involved in the procurement, processing, distribution or use of whole blood, plasma, blood products or blood derivatives for the purpose of injecting or transfusing any of them into the human body shall be liable for damages resulting from these activities except for his or her own negligence or wilful misconduct.
146.31(3)
(3) No hospital, nonprofit tissue bank, physician, nurse or other medical personnel acting under the supervision and direction of a physician involved in the procurement, processing, distribution or use of human tissues such as corneas, bones or organs for the purpose of transplanting any of them into the human body shall be liable for damages resulting from those activities except for negligence or wilful misconduct by that hospital, nonprofit tissue bank, physician, nurse or other medical personnel.
146.31 History
History: 1975 c. 75,
76;
1987 a. 97.
146.31 Annotation
Sub. (1) is an unconstitutional violation of the commerce clause, art. I, sec. 8, and the supremacy clause, art. VI, of the U.S. Constitution. State v. Interstate Blood Bank, Inc.
65 Wis. 2d 482,
222 N.W.2d 912.
146.33
146.33
Blood donors. Any person 17 years old or older may donate blood in any voluntary and noncompensatory blood program.
146.33 History
History: 1971 c. 228;
1983 a. 21.
146.34
146.34
Donation of bone marrow by a minor. 146.34(1)(a)
(a) "Bone marrow" means the soft material that fills human bone cavities.
146.34(1)(b)
(b) "Bone marrow transplant" means the medical procedure by which transfer of bone marrow is made from the body of a person to the body of another person.
146.34(1)(c)
(c) "Donor" means a minor whose bone marrow is transplanted from his or her body to the body of the minor's brother or sister.
146.34(1)(d)
(d) "Guardian" means the person named by the court under
ch. 48 or
880 having the duty and authority of guardianship.
146.34(1)(e)
(e) "Legal custodian" means a person other than a parent or guardian or an agency to whom the legal custody of a minor has been transferred by a court under
ch. 48 or
938, but does not include a person who has only physical custody of a minor.
146.34(1)(f)
(f) "Parent" means a biological parent, a husband who has consented to the artificial insemination of his wife under
s. 891.40 or a parent by adoption. If the minor is a nonmarital child who is not adopted or whose parents do not subsequently intermarry under
s. 767.60, "parent" includes a person adjudged in a judicial proceeding under
ch. 48 to be the biological father of the minor. "Parent" does not include any person whose parental rights have been terminated.
146.34(1)(g)
(g) "Physician" means a person licensed to practice medicine and surgery under
ch. 448.
146.34(1)(h)
(h) "Psychiatrist" means a physician specializing in psychiatry.
146.34(1)(i)
(i) "Psychologist" means a person licensed to practice psychology under
ch. 455.
146.34(1)(j)
(j) "Relative" means a parent, grandparent, stepparent, brother, sister, first cousin, nephew or niece; or uncle or aunt within the 3rd degree of kinship as computed under
s. 990.001 (16). This relationship may be by blood, marriage or adoption.
146.34 Note
NOTE: Par. (j) is shown as affected by two acts of the 1999 legislature and as merged by the revisor under s. 13.93 (2) (c).
146.34(2)
(2) Prohibition on donation of bone marrow by a minor. Unless the conditions under
sub. (3) or
(4) have been met, no minor may be a bone marrow donor in this state.
146.34(3)
(3) Consent to donation of bone marrow by a minor under 12 years of age. If the medical condition of a brother or a sister of a minor who is under 12 years of age requires that the brother or sister receive a bone marrow transplant, the minor is deemed to have given consent to be a donor if all of the following conditions are met:
146.34(3)(a)
(a) The physician who will remove the bone marrow from the minor has informed the parent, guardian or legal custodian of the minor of all of the following:
146.34(3)(a)2.
2. The benefits and risks to the prospective donor and prospective recipient of performance of the bone marrow transplant.
146.34(3)(a)3.
3. The availability of procedures alternative to performance of a bone marrow transplant.
146.34(3)(b)
(b) The physician of the brother or sister of the minor has determined all of the following, has confirmed those determinations through consultation with and under recommendation from a physician other than the physician under
par. (a) and has provided the determinations to the parent, guardian or legal custodian under
par. (e):
146.34(3)(b)1.
1. That the minor is the most acceptable donor who is available.
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).
146.34 History
History: 1985 a. 50;
1995 a. 77;
1997 a. 188;
1999 a. 32,
162; s. 13.93 (2) (c).
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 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 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.
