146.40(2)(am)
(am) The individual has completed relevant education, training, instruction, or other experience in connection with any military service, as defined in
s. 111.32 (12g), if the individual or the hospital, nursing home, intermediate care facility, home health agency, or hospice demonstrates to the satisfaction of the department that the education, training, instruction, or other experience is substantially equivalent to an instructional program that is approved under
sub. (3), and the individual has successfully completed a competency evaluation program that is approved under
sub. (3m).
146.40(2)(c)
(c) For hospitals, nursing homes, home health agencies or hospices, whether or not certified providers of medical assistance, and intermediate care facilities persons with an intellectual disability that are certified providers of medical assistance, the individual is enrolled in an instructional program for nurse aides that is approved under
sub. (3) or
(3g) and is employed or under contract as a nurse's assistant, home health aide or hospice aide fewer than 120 calendar days by the hospital, nursing home, home health agency, hospice or intermediate care facility for persons with an intellectual disability. All of the following applies to an individual specified under this paragraph:
146.40(2)(c)1.
1. He or she may perform only services for which he or she has received training and has been found proficient by an instructor under the instructional program.
146.40(2)(c)2.
2. The hospital, nursing home, home health agency, hospice, or intermediate care facility for persons with an intellectual disability may not include the individual in meeting or complying with a requirement for nursing care staff and functions, including a minimum nursing staff requirement.
146.40(2)(d)
(d) For hospitals, nursing homes, home health agencies, or hospices, whether or not certified providers of medical assistance, and intermediate care facilities for persons with an intellectual disability that are certified providers of medical assistance, the individual has successfully completed an instructional program and a competency evaluation program for nurse aides that is certified in another state that meets criteria for acceptance in this state as specified by the department by rule.
146.40(2)(e)
(e) For hospitals, home health agencies, or hospices, whether or not certified providers of medical assistance, nursing homes that are not certified providers of medical assistance and intermediate care facilities for persons with an intellectual disability that are certified providers of medical assistance, the individual is a student nurse who has successfully completed a basic nursing course from a school that is on the accredited list of schools specified under
s. 441.01 (4) or who successfully completes a competency evaluation program for nurse aides that is approved by the department under
sub. (3m).
146.40(2)(em)
(em) For nursing homes that are certified providers of medical assistance, the individual is a student nurse who successfully completes a competency evaluation program for nurse aides that is approved by the department under
sub. (3m).
146.40(2)(g)1.1. For hospitals, nursing homes, home health agencies, or hospices, whether or not certified providers of medical assistance, and intermediate care facilities for persons with an intellectual disability that are certified providers of medical assistance, the individual, if he or she has performed no nursing-related service for monetary compensation for 24 consecutive months after having satisfied the requirement under
par. (a), again successfully completes a competency evaluation program for nurse aides that is approved by the department under
sub. (3m).
146.40(2)(g)2.
2. For hospitals, nursing homes, home health agencies, or hospices, whether or not certified providers of medical assistance, and intermediate care facilities for persons with an intellectual disability that are certified providers of medical assistance, the individual, if he or she has performed no nursing-related service for monetary compensation for 24 consecutive months after having satisfied the requirement under
par. (ac), successfully completes a competency evaluation program for nurse aides that is approved by the department under
sub. (3m).
146.40(2g)(a)(a) An individual who has previously been employed in another state as a nurse aide for 2,088 hours or more within the prior 2-year period and who has successfully completed a competency evaluation program in that other state that is the same as or substantially similar to one approved under
sub. (3m) may apply to the department to be eligible to be employed or contracted as a nurse aide under
sub. (2) (ac). The department shall verify that the individual was employed in that state as a nurse aide for 2,088 hours in the 2-year period prior to the date of application. If the individual is so eligible, the department shall add the individual to the registry under
sub. (4g).
146.40(2g)(b)
(b) An individual who has previously been employed in another state as a nurse aide for 2,088 hours or more within the prior 2-year period but who has not successfully completed a competency evaluation program that is the same as or substantially similar to one approved under
sub. (3m) may apply to the department to be eligible for a waiver from completing instruction in an instructional program for nurse aides under
subs. (3) and
(3g). The department shall verify that the individual was employed in that state as a nurse aide for 2,088 hours in the 2-year period prior to the date of application. If the individual is so eligible, the department shall issue the individual a waiver so that the individual may complete a competency evaluation program under
sub. (3m) without completing instruction in an instructional program for nurse aides under
sub. (3) or
(3g).
146.40(2m)
(2m) A nursing home or intermediate care facility for persons with an intellectual disability, whether or not the nursing home or intermediate care facility is a certified provider of medical assistance, may not employ or contract for the services of an individual as a feeding assistant, regardless of the title under which the individual is employed or contracted for, unless the individual has successfully completed a state-approved training and testing program, as specified by the department by rule. Any relevant education, training, instruction, or other experience that an individual has obtained in connection with any military service, as defined in
s. 111.32 (12g), counts toward satisfying the requirement to complete the state-approved training program under this subsection, if the individual or the nursing home or intermediate care facility demonstrates to the satisfaction of the department that the education, training, instruction, or other experience obtained by the individual is substantially equivalent to the state-approved training program.
146.40(3)
(3) Except as provided in
sub. (4d), the department shall approve instructional programs for nurse aides that apply for, and satisfy standards for, approval that are promulgated by rule by the department. The department shall review the curriculum of each approved instructional program at least once every 24 months following the date of approval to determine whether the program continues to satisfy the standards for approval. Under this subsection, the department may, after providing notice, suspend or revoke the approval of an instructional program or impose a plan of correction on the program if the program fails to satisfy the standards for approval or operates under conditions that are other than those contained in the application approved by the department.
146.40(3g)
(3g) Except as provided in
sub. (4d), the department shall approve instructional programs for nurse aides that apply for approval; that satisfy standards for approval that are promulgated by rule by the department; and that allow an individual who has successfully completed an instructional program for nurse aides in another state to receive instruction in this state that, when combined with the instructional program in the other state, will result in the individual having received substantially the same instruction as an individual who successfully completes an instructional program approved under
sub. (3). Only an individual so described may complete an instructional program for nurse aides that is approved under this subsection. The department shall review the curriculum of each approved instructional program at least once every 24 months following the date of approval to determine whether the program continues to satisfy the requirements of this subsection. Under this subsection, the department may, after providing notice, suspend or revoke the approval of an instructional program or impose a plan of correction on the program if the program fails to satisfy the requirements of this subsection or operates under conditions that are other than those contained in the application approved by the department.
146.40(3m)
(3m) The department shall review competency evaluation programs for nurse aides and, except as provided in
sub. (4d), may approve those competency evaluation programs that satisfy standards for approval that are specified in rules promulgated by the department. The department may approve a competency evaluation program to be taken by an individual who completes an instructional program for nurse aides that is approved under
sub. (3g) only if the competency evaluation program is the same as one to be taken by an individual who completes an instructional program for nurse aides that is approved under
sub. (3). Under this subsection, the department may, after providing notice, suspend or revoke approval of a competency evaluation program or impose a plan of correction on the program if the competency evaluation program fails to satisfy the standards for approval or operates under conditions that are other than those contained in the application approved by the department.
146.40(4)
(4) A competency evaluation program approved under
sub. (3m) shall notify the department to include an individual on the registry under
sub. (4g) (a) 1. after the individual has successfully completed the competency examination.
146.40(4d)(a)(a) Except as provided in
par. (am), the department shall require each applicant to provide the department with his or her social security number, if the applicant is an individual, or the applicant's federal employer identification number, if the applicant is not an individual, as a condition of issuing an approval under
sub. (3),
(3g), or
(3m).
146.40(4d)(am)
(am) If an individual specified under
par. (a) does not have a social security number, the individual, as a condition of obtaining approval, shall submit a statement made or subscribed under oath or affirmation to the department that the applicant does not have a social security number. The form of the statement shall be prescribed by the department of children and families. An approval issued in reliance upon a false statement submitted under this paragraph is invalid.
146.40(4d)(b)
(b) The department may not disclose any information received under
par. (a) to any person except to the department of revenue for the sole purpose of requesting certifications under
s. 73.0301 and to the department of workforce development for the sole purpose of requesting certifications under
s. 108.227.
146.40(4d)(c)
(c) Except as provided in
par. (am), the department shall deny an application for the issuance of an approval specified in
par. (a) if the applicant does not provide the information specified in
par. (a).
146.40(4d)(d)
(d) The department shall deny an application for the issuance of an approval specified in
par. (a) or shall revoke an approval if the department of revenue certifies under
s. 73.0301 that the applicant for or holder of approval is liable for delinquent taxes or if the department of workforce development certifies under
s. 108.227 that the applicant for or holder of approval is liable for delinquent unemployment insurance contributions.
146.40(4g)(a)(a) The department shall establish and maintain a registry that contains all of the following:
146.40(4g)(a)1.
1. A listing of all individuals who are added to the registry as required under
sub. (2g) and all individuals about whom the department is notified under
sub. (4).
146.40(4g)(a)2.
2. A listing of all individuals about whom the department is notified under
sub. (4r) (a) or
(am), for whom the department makes findings under
sub. (4r) (b) and to whom any of the following applies:
146.40(4g)(a)2.b.
b. A hearing officer finds reasonable cause to believe that the individual performed an action alleged under
sub. (4r) (a) or
(am).
146.40(4g)(a)3.
3. Findings of the department under
sub. (4r) (b) or of the hearing officer under
sub. (4r) (d) concerning the misappropriation of property or the neglect or abuse of a client by an individual listed under
subd. 2.
146.40(4g)(a)4.
4. A brief statement, if any, of an individual about whom the department is notified under
sub. (4) and who disputes the department's findings under
sub. (4r) (b) or the hearing officer's findings under
sub. (4r) (d).
146.40(4g)(b)
(b) The department shall provide, upon receipt of a specific, written request, information requested that is contained in the registry under
par. (a).
146.40(4m)
(4m) An instructional program under
sub. (3) or
(3g) for which the department has suspended or revoked approval or imposed a plan of correction or a competency evaluation program under
sub. (3m) for which the department has suspended or revoked approval or imposed a plan of correction may contest the department's action by sending, within 10 days after receipt of notice of the contested action, a written request for hearing under
s. 227.44 to the division of hearings and appeals created under
s. 15.103 (1). The administrator of the division may designate a hearing examiner to preside over the case and recommend a decision to the administrator under
s. 227.46. The decision of the administrator of the division shall be the final administrative decision. The division shall commence the hearing within 30 days after receipt of the request for hearing and shall issue a final decision within 15 days after the close of the hearing. Proceedings before the division are governed by
ch. 227. In any petition for judicial review of a decision by the division, the party, other than the petitioner, who was in the proceeding before the division shall be the named respondent. This subsection does not apply to a revocation of approval under
sub. (4d) (d).
146.40(4r)(a)(a) Any individual may report to the department that he or she believes that any person employed by or under contract with an entity has neglected or abused a client or misappropriated the client's property.
146.40(4r)(am)1.1. An entity shall report to the department any allegation of misappropriation of the property of a client or of neglect or abuse of a client by any individual employed by or under contract with the entity if the individual is under the control of the entity.
146.40(4r)(am)3.
3. An entity that intentionally fails to report an allegation of misappropriation of the property of a client or of neglect or abuse of a client may be required to forfeit not more than $1,000 and may be subject to other sanctions specified by the department by rule.
146.40(4r)(b)
(b) Except as provided in
pars. (em) and
(er), the department shall review and investigate any report received under
par. (a) or
(am) and, if the allegation is substantiated, make specific, documented findings concerning the misappropriation of property or the neglect or abuse. The department shall, in writing, notify the individual specified in the report that the individual's name and the department's findings about the individual shall be listed in the registry under
sub. (4g) (a) 2. and
3. unless the individual contests the listings in a hearing before the division of hearings and appeals created under
s. 15.103 (1). The written notification shall describe the investigation conducted by the department, enumerate the findings alleging misappropriation of property or neglect or abuse of a client and explain the consequence to the individual specified in the report of waiving a hearing to contest the findings. The individual specified in the report shall have 30 calendar days after receipt of the notification to indicate to the department in writing whether he or she intends to contest the listing or to waive the hearing.
146.40(4r)(c)
(c) If an individual under
par. (b) notifies the department that he or she waives a hearing to contest the listings in the registry under
par. (b), or fails to notify the department within 30 calendar days after receipt of a notice under
par. (b), the department shall enter the name of the individual under
sub. (4g) (a) 2. and the department's findings about the individual under
sub. (4g) (a) 3.
146.40(4r)(d)
(d) If the person specified in the report received under
par. (a) or
(am) timely notifies the division of hearings and appeals created under
s. 15.103 (1) that he or she contests the listings in the registry under
par. (b), the division of hearings and appeals shall hold a hearing under the requirements of
ch. 227. If after presentation of evidence a hearing officer finds that there is no reasonable cause to believe that the person specified in the report received under
par. (a) or
(am) performed an action alleged under
par. (a) or
(am), the hearing officer shall dismiss the proceeding. If after presentation of evidence a hearing officer finds that there is reasonable cause to believe that the person specified in the report received under
par. (a) or
(am) performed an action alleged under
par. (a) or
(am), the hearing officer shall so find and shall cause the name of the person specified in the report received under
par. (a) or
(am) to be entered under
sub. (4g) (a) 2. and the hearing officer's findings about the person specified in the report received under
par. (a) or
(am) to be entered under
sub. (4g) (a) 3.
146.40(4r)(e)
(e) The individual may provide the department with a brief statement disputing the department's findings under
par. (b) or the hearing officer's findings under
par. (d) and, if so provided, the department shall enter the statement under
sub. (4g) (a) 4.
146.40(4r)(em)
(em) If the department receives a report under
par. (a) or
(am) and determines that an individual who is the subject of the report holds a credential that is related to the individual's employment at, or contract with, the entity, the department shall refer the report to the department of safety and professional services.
146.40(4r)(er)
(er) The department may contract with private field investigators to conduct investigations of reports received by the department under
par. (a) or
(am).
146.40(5)(a)(a) The department shall promulgate rules specifying standards for approval in this state of instructional programs and competency evaluation programs for nurse aides. The standards shall include specialized training in providing care to individuals with special needs.
146.40(5)(b)
(b) The department shall promulgate rules specifying criteria for acceptance by this state of an instructional program and a competency evaluation program that is certified in another state, including whether the other state grants nurse aide privileges to persons who have completed instruction in an instructional program that is approved under
sub. (3) and whether one of the following is true:
146.40(5)(b)1.
1. If the other state certifies instructional programs and competency evaluation programs for nurse aides, the state's requirements are substantially similar, as determined by the department, to certification requirements in this state.
146.40(5)(b)2.
2. If the other state certifies nurse aides, that state's requirements are such that one of the following applies:
146.40(5)(b)2.a.
a. The instructional programs required for attendance by persons receiving certificates are substantially similar, as determined by the department, to instructional programs approved under
sub. (3).
146.40(5)(b)2.b.
b. The competency evaluation programs required for successful completion by persons receiving certificates are substantially similar, as determined by the department, to competency evaluation programs approved under
sub. (3m).
146.40(6)
(6) Any person who violates
sub. (2) shall forfeit not more than $1,000.
146.40(7)
(7) This section does not apply to a hospice that receives no federal or state moneys for any purpose.
146.40 History
History: 1987 a. 128;
1989 a. 31,
84,
336;
1991 a. 39;
1993 a. 27,
399;
1995 a. 27;
1997 a. 27,
35,
156,
237,
252;
1999 a. 9,
22,
32;
2001 a. 74;
2007 a. 20 ss.
2862,
9121 (6) (a);
2007 a. 45,
153;
2011 a. 32,
120,
126;
2013 a. 36,
165,
357; s. 35.17 correction in sub. (2g) (b).
146.40 Cross-reference
Cross-reference: See also chs.
DHS 13 and
129, Wis. adm. code.
146.40 Annotation
Sub. (4r) provides for a hearing examiner to make a determination of abuse. That determination is the final agency determination. Kennedy v. DHSS,
199 Wis. 2d 442,
544 N.W.2d 917 (Ct. App. 1996),
95-1072.
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.
