252.15(7)(b)
(b) If a positive, validated test result is obtained from a test subject, the health care provider, blood bank, blood center or plasma center that maintains a record of the test results under
sub. (4) (c) shall report to the state epidemiologist the following information:
252.15(7)(b)1.
1. The name and address of the health care provider, blood bank, blood center or plasma center reporting.
252.15(7)(b)2.
2. The name and address of the subject's health care provider, if known.
252.15(7)(b)3.
3. The name, address, telephone number, age or date of birth, race and ethnicity, sex and county of residence of the test subject, if known.
252.15(7)(b)6.
6. Any other medical or epidemiological information required by the state epidemiologist for the purpose of exercising surveillance, control and prevention of HIV infections.
252.15(7)(c)
(c) Except as provided in
sub. (7m), a report made under
par. (b) may not include any of the following:
252.15(7)(c)1.
1. Information with respect to the sexual orientation of the test subject.
252.15(7)(c)2.
2. The identity of persons with whom the test subject may have had sexual contact.
252.15(7)(d)
(d) This subsection does not apply to the reporting of information under
s. 252.05 with respect to persons for whom a diagnosis of acquired immunodeficiency syndrome has been made.
252.15(7m)
(7m) Reporting of persons significantly exposed. If a positive, validated test result is obtained from a test subject, the test subject's physician or advanced practice nurse prescriber who maintains a record of the test result under
sub. (4) (c) may report to the state epidemiologist the name of any person known to the physician or advanced practice nurse prescriber to have been significantly exposed to the test subject, only after the physician or advanced practice nurse prescriber has done all of the following:
252.15(7m)(a)
(a) Counseled the test subject to inform any person who has been significantly exposed to the test subject.
252.15(7m)(b)
(b) Notified the test subject that the name of any person known to the physician or advanced practice nurse prescriber to have been significantly exposed to the test subject will be reported to the state epidemiologist.
252.15(8)(a)(a) Any person violating
sub. (2),
(5) (a),
(5m),
(6) or
(7) (c) is liable to the subject of the test for actual damages, costs and reasonable actual attorney fees, plus exemplary damages of up to $1,000 for a negligent violation and up to $25,000 for an intentional violation.
252.15(9)
(9) Penalties. Whoever intentionally discloses the results of a blood test in violation of
sub. (2) (a) 7m.,
(5) (a) or
(5m) and thereby causes bodily harm or psychological harm to the subject of the test may be fined not more than $25,000 or imprisoned not more than 9 months or both. Whoever negligently discloses the results of a blood test in violation of
sub. (2) (a) 7m.,
(5) (a) or
(5m) is subject to a forfeiture of not more than $1,000 for each violation. Whoever intentionally discloses the results of a blood test in violation of
sub. (2) (a) 7m.,
(5) (a) or
(5m), knowing that the information is confidential, and discloses the information for pecuniary gain may be fined not more than $100,000 or imprisoned not more than 3 years and 6 months, or both.
252.15(10)
(10) Discipline of employees. Any employee of the state or a political subdivision of the state who violates this section may be discharged or suspended without pay.
252.15 History
History: 1985 a. 29,
73,
120;
1987 a. 70 ss.
13 to
27,
36;
1987 a. 403 ss.
136,
256;
1989 a. 200;
1989 a. 201 ss.
11 to
25,
36;
1989 a. 298,
359;
1991 a. 269;
1993 a. 16 s.
2567;
1993 a. 27 ss.
332,
334,
337,
340,
342; Stats. 1993 s. 252.15;
1993 a. 32,
183,
190,
252,
395,
491;
1995 a. 27 ss.
6323,
9116 (5),
9126 (19);
1995 a. 77,
275;
1997 a. 54,
80,
156,
188;
1999 a. 9,
32,
79,
151,
162,
188;
2001 a. 38,
59,
69,
74,
103,
105;
2003 a. 271;
2005 a. 155,
187,
266,
344,
387; s. 13.93 (2) (c).
252.15 Annotation
No claim for a violation of sub. (2) was stated when the defendants neither conducted HIV tests nor were authorized recipients of the test results. Hillman v. Columbia County,
164 Wis. 2d 376,
474 N.W.2d 913 (Ct. App. 1991).
252.15 Annotation
This section does not prevent a court acting in equity from ordering an HIV test where this section does not apply. Syring v. Tucker,
174 Wis. 2d 787,
498 N.W.2d 370 (1993).
252.15 Annotation
This section has no bearing on a case in which a letter from the plaintiff to the defendant pharmacy contained a reference to a drug used only to treat AIDS, but did not disclose the results of an HIV test or directly disclose that the defendant had AIDS. Doe v. American Stores, Co.
74 F. Supp. 2d 855 (1999).
252.15 Annotation
Confidentiality of Medical Records. Meili. Wis. Law. Feb. 1995.
252.15 Annotation
HIV Confidentiality: Who Has the Right to Know? Krimmer. Wis. Law. Feb. 2003.
252.15 Annotation
Balancing Federal and Wisconsin Medical Privacy Laws. Hartin. Wis. Law. June 2003.
252.16
252.16
Health insurance premium subsidies. 252.16(1)(ar)
(ar) "Dependent" means a spouse, an unmarried child under the age of 19 years, an unmarried child who is a full-time student under the age of 21 years and who is financially dependent upon the parent, or an unmarried child of any age who is medically certified as disabled and who is dependent upon the parent.
252.16(1)(b)
(b) "Group health plan" means an insurance policy or a partially or wholly uninsured plan or program, that provides hospital, medical or other health coverage to members of a group, whether or not dependents of the members are also covered. The term includes a medicare supplement policy, as defined in
s. 600.03 (28r), but does not include a medicare replacement policy, as defined in
s. 600.03 (28p), or a long-term care insurance policy, as defined in
s. 600.03 (28g).
252.16(1)(c)
(c) "Individual health policy" means an insurance policy or a partially or wholly uninsured plan or program, that provides hospital, medical or other health coverage to an individual on an individual basis and not as a member of a group, whether or not dependents of the individual are also covered. The term includes a medicare supplement policy, as defined in
s. 600.03 (28r), but does not include a medicare replacement policy, as defined in
s. 600.03 (28p), or a long-term care insurance policy, as defined in
s. 600.03 (28g).
252.16(1)(e)
(e) "Residence" means the concurrence of physical presence with intent to remain in a place of fixed habitation. Physical presence is prima facie evidence of intent to remain.
252.16(2)
(2) Subsidy program. From the appropriation under
s. 20.435 (5) (am), the department shall distribute funding in each fiscal year to subsidize the premium costs under
s. 252.17 (2) and, under this subsection, the premium costs for health insurance coverage available to an individual who has HIV infection and who is unable to continue his or her employment or must reduce his or her hours because of an illness or medical condition arising from or related to HIV infection.
252.16(3)
(3) Eligibility. An individual is eligible to receive a subsidy in an amount determined under
sub. (4), if the department determines that the individual meets all of the following criteria:
252.16(3)(b)
(b) Has a family income, as defined by rule under
sub. (6), that does not exceed 300% of the federal poverty line, as defined under
42 USC 9902 (2), for a family the size of the individual's family.
252.16(3)(c)
(c) Has submitted to the department a certification from a physician, as defined in
s. 448.01 (5), or advanced practice nurse prescriber of all of the following:
252.16(3)(c)1.
1. That the individual has an infection that is an HIV infection.
252.16(3)(c)2.
2. That the individual's employment has terminated or his or her hours have been reduced, because of an illness or medical condition arising from or related to the individual's HIV infection.
252.16(3)(dm)
(dm) Has, or is eligible for, health insurance coverage under a group health plan or an individual health policy.
252.16(3)(e)
(e) Authorizes the department, in writing, to do all of the following:
252.16(3)(e)1.
1. Contact the individual's employer or former employer or health insurer to verify the individual's eligibility for coverage under the group health plan or individual health policy and the premium and any other conditions of coverage, to make premium payments as provided in
sub. (4) and for other purposes related to the administration of this section.
252.16(3)(e)1m.
1m. Contact the individual's employer or former employer to verify that the individual's employment has been terminated or that his or her hours have been reduced and for other purposes related to the administration of this section.
252.16(3)(e)2.
2. Make any necessary disclosure to the individual's employer or former employer or health insurer regarding the individual's HIV status.
252.16(4)(a)(a) Except as provided in
pars. (b) and
(d), if an individual satisfies
sub. (3), the department shall pay the full amount of each premium payment for the individual's health insurance coverage under the group health plan or individual health policy under
sub. (3) (dm), on or after the date on which the individual becomes eligible for a subsidy under
sub. (3). Except as provided in
pars. (b) and
(d), the department shall pay the full amount of each premium payment regardless of whether the individual's health insurance coverage under
sub. (3) (dm) includes coverage of the individual's dependents. Except as provided in
par. (b), the department shall terminate the payments under this section when the individual's health insurance coverage ceases or when the individual no longer satisfies
sub. (3), whichever occurs first. The department may not make payments under this section for premiums for medicare.
252.16(4)(b)
(b) The obligation of the department to make payments under this section is subject to the availability of funds in the appropriation under
s. 20.435 (5) (am).
252.16(4)(d)
(d) For an individual who satisfies
sub. (3) and who has a family income, as defined by rule under
sub. (6) (a), that exceeds 200% but does not exceed 300% of the federal poverty line, as defined under
42 USC 9902 (2), for a family the size of the individual's family, the department shall pay a portion of the amount of each premium payment for the individual's health insurance coverage. The portion that the department pays shall be determined according to a schedule established by the department by rule under
sub. (6) (c). The department shall pay the portion of the premium determined according to the schedule regardless of whether the individual's health insurance coverage under
sub. (3) (dm) includes coverage of the individual's dependents.
252.16(5)
(5) Application process. The department may establish, by rule, a procedure under which an individual who does not satisfy
sub. (3) (b),
(c) 2. or
(dm) may submit to the department an application for a premium subsidy under this section that the department shall hold until the individual satisfies each requirement of
sub. (3), if the department determines that the procedure will assist the department to make premium payments in a timely manner once the individual satisfies each requirement of
sub. (3). If an application is submitted by an employed individual under a procedure established by rule under this subsection, the department may not contact the individual's employer or health insurer unless the individual authorizes the department, in writing, to make that contact and to make any necessary disclosure to the individual's employer or health insurer regarding the individual's HIV status.
252.16(6)
(6) Rules. The department shall promulgate rules that do all of the following:
252.16(6)(b)
(b) Establish a procedure for making payments under this section that ensures that the payments are actually used to pay premiums for health insurance coverage available to individuals who satisfy
sub. (3).
252.16(6)(c)
(c) Establish a premium contribution schedule for individuals who have a family income, as defined by rule under
par. (a), that exceeds 200% but does not exceed 300% of the federal poverty line, as defined under
42 USC 9902 (2), for a family the size of the individual's family. In establishing the schedule under this paragraph, the department shall take into consideration both income level and family size.
252.16 Cross-reference
Cross Reference: See also ch.
HFS 138, Wis. adm. code.
252.17
252.17
Medical leave premium subsidies. 252.17(2)
(2) Subsidy program. The department shall establish and administer a program to subsidize, from the appropriation under
s. 20.435 (5) (am), as provided in
s. 252.16 (2), the premium costs for coverage under a group health plan that are paid by an individual who has HIV infection and who is on unpaid medical leave from his or her employment because of an illness or medical condition arising from or related to HIV infection.
252.17(3)
(3) Eligibility. An individual is eligible to receive a subsidy in an amount determined under
sub. (4), if the department determines that the individual meets all of the following criteria:
252.17(3)(b)
(b) Has a family income, as defined by rule under
sub. (6), that does not exceed 300% of the federal poverty line, as defined under
42 USC 9902 (2), for a family the size of the individual's family.
252.17(3)(c)
(c) Has submitted to the department a certification from a physician, as defined in
s. 448.01 (5), or advanced practice nurse prescriber of all of the following:
252.17(3)(c)1.
1. That the individual has an infection that is an HIV infection.
252.17(3)(c)2.
2. That the individual is on unpaid medical leave from his or her employment because of an illness or medical condition arising from or related to the individual's HIV infection or because of medical treatment or supervision for such an illness or medical condition.
252.17(3)(d)
(d) Is covered under a group health plan through his or her employment and pays part or all of the premium for that coverage, including any premium for coverage of the individual's spouse and dependents.
252.17(3)(e)
(e) Authorizes the department, in writing, to do all of the following:
252.17(3)(e)1.
1. Contact the individual's employer or the administrator of the group health plan under which the individual is covered, to verify the individual's medical leave, group health plan coverage and the premium and any other conditions of coverage, to make premium payments as provided in
sub. (4) and for other purposes related to the administration of this section.
252.17(3)(e)2.
2. Make any necessary disclosure to the individual's employer or the administrator of the group health plan under which the individual is covered regarding the individual's HIV status.
252.17(3)(f)
(f) Is not covered by a group health plan other than any of the following:
252.17(3)(f)2.
2. A group health plan that offers a substantial reduction in covered health care services from the group health plan under
subd. 1.
252.17(3)(g)
(g) Is not covered by an individual health insurance policy other than an individual health insurance policy that offers a substantial reduction in covered health care services from the group health plan under
par. (d).
252.17(3)(i)
(i) Does not have escrowed under
s. 103.10 (9) (c) an amount sufficient to pay the individual's required contribution to his or her premium payments.
252.17(4)(a)(a) Except as provided in
pars. (b),
(c) and
(d), if an individual satisfies
sub. (3), the department shall pay the amount of each premium payment for coverage under the group health plan under
sub. (3) (d) that is due from the individual on or after the date on which the individual becomes eligible for a subsidy under
sub. (3). The department may not refuse to pay the full amount of the individual's contribution to each premium payment because the coverage that is provided to the individual who satisfies
sub. (3) includes coverage of the individual's spouse and dependents. Except as provided in
par. (b), the department shall terminate the payments under this section when the individual's unpaid medical leave ends, when the individual no longer satisfies
sub. (3) or upon the expiration of 29 months after the unpaid medical leave began, whichever occurs first.
252.17(4)(b)
(b) The obligation of the department to make payments under this section is subject to the availability of funds in the appropriation under
s. 20.435 (5) (am).
252.17(4)(c)
(c) If an individual who satisfies
sub. (3) has an amount escrowed under
s. 103.10 (9) (c) that is insufficient to pay the individual's required contribution to his or her premium payments, the amount paid under
par. (a) may not exceed the individual's required contribution for the duration of the payments under this section as determined under
par. (a) minus the amount escrowed.
252.17(4)(d)
(d) For an individual who satisfies
sub. (3) and who has a family income, as defined by rule under
sub. (6) (a), that exceeds 200% but does not exceed 300% of the federal poverty line, as defined under
42 USC 9902 (2), for a family the size of the individual's family, the department shall pay a portion of the amount of each premium payment for the individual's coverage under the group health plan under
sub. (3) (d). The portion that the department pays shall be determined according to a schedule established by the department by rule under
sub. (6) (c). The department shall pay the portion of the premium determined according to the schedule regardless of whether the individual's coverage under the group health plan under
sub. (3) (d) includes coverage of the individual's spouse and dependents.
252.17(5)
(5) Application process. The department may establish, by rule, a procedure under which an individual who does not satisfy
sub. (3) (b) or
(c) 2. may submit to the department an application for a premium subsidy under this section that the department shall hold until the individual satisfies each requirement of
sub. (3), if the department determines that the procedure will assist the department to make premium payments in a timely manner once the individual satisfies each requirement of
sub. (3). If an application is submitted by an individual under a procedure established by rule under this subsection, the department may not contact the individual's employer or the administrator of the group health plan under which the individual is covered, unless the individual authorizes the department, in writing, to make that contact and to make any necessary disclosure to the individual's employer or the administrator of the group health plan under which the individual is covered regarding the individual's HIV status.
252.17(6)
(6) Rules. The department shall promulgate rules that do all of the following:
252.17(6)(b)
(b) Establish a procedure for making payments under this section that ensures that the payments are actually used to pay premiums for group health plan coverage available to individuals who satisfy
sub. (3).
252.17(6)(c)
(c) Establish a premium contribution schedule for individuals who have a family income, as defined by rule under
par. (a), that exceeds 200% but does not exceed 300% of the federal poverty line, as defined under
42 USC 9902 (2), for a family the size of the individual's family. In establishing the schedule under this paragraph, the department shall take into consideration both income level and family size.
