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AB68,1052 17Section 1052 . 49.686 (3) (d) of the statutes is amended to read:
AB68,758,2318 49.686 (3) (d) Has applied for coverage under and has been denied eligibility
19for medical assistance within 12 months prior to application for reimbursement
20under sub. (2). This paragraph does not apply to an individual who is eligible for
21benefits under the demonstration project for childless adults under s. 49.45 (23) or
22to an individual
who is eligible for benefits under BadgerCare Plus under s. 49.471
23(4) (a) 8. or (11).
AB68,1053 24Section 1053 . 49.79 (1) (b) of the statutes is amended to read:
AB68,759,4
149.79 (1) (b) “Controlled substance" has the meaning given in 21 USC 802 (6),
2except “controlled substance” does not include tetrahydrocannabinols in any form,
3including tetrahydrocannabinols contained in marijuana, obtained from marijuana,
4or chemically synthesized
.
AB68,1054 5Section 1054. 49.79 (7r) (d) of the statutes is created to read:
AB68,759,86 49.79 (7r) (d) The department may expend from the appropriation under s.
720.435 (4) (bt) no more than $425,000 per fiscal year for the pilot program under this
8subsection.
AB68,1055 9Section 1055. 49.79 (9) (a) 1g. of the statutes is amended to read:
AB68,759,1810 49.79 (9) (a) 1g. Except as provided in subds. 2. and 3., beginning October 1,
112019,
the department shall require, to the extent allowed by the federal government,
12all
able-bodied adults without dependents in this state to participate in the
13employment and training program under this subsection, except for able-bodied
14adults without dependents who are employed, as determined by the department.
15The department may require other able individuals who are 18 to 60 years of age, or
16a subset of those individuals to the extent allowed by the federal government, who
17are not participants in a Wisconsin Works employment position to participate in the
18employment and training program under this subsection.
AB68,1056 19Section 1056. 49.79 (9) (d) of the statutes is repealed.
AB68,1057 20Section 1057. 49.79 (9) (f) of the statutes is repealed.
AB68,1058 21Section 1058. 49.791 of the statutes is repealed.
AB68,1059 22Section 1059 . 49.90 (4) of the statutes is amended to read:
AB68,760,2423 49.90 (4) The circuit court shall in a summary way hear the allegations and
24proofs of the parties and by order require maintenance from these relatives, if they
25have sufficient ability, considering their own future maintenance and making

1reasonable allowance for the protection of the property and investments from which
2they derive their living and their care and protection in old age, in the following
3order: First the husband or wife spouse; then the father and the mother parents; and
4then the grandparents in the instances in which sub. (1) (a) 2. applies. The order
5shall specify a sum which that will be sufficient for the support of the dependent
6person under sub. (1) (a) 1. or the maintenance of a child of a dependent person under
7sub. (1) (a) 2., to be paid weekly or monthly, during a period fixed by the order or until
8the further order of the court. If the court is satisfied that any such relative is unable
9wholly to maintain the dependent person or the child, but is able to contribute to the
10person's support or the child's maintenance, the court may direct 2 or more of the
11relatives to maintain the person or the child and prescribe the proportion each shall
12contribute. If the court is satisfied that these relatives are unable together wholly
13to maintain the dependent person or the child, but are able to contribute to the
14person's support or the child's maintenance, the court shall direct a sum to be paid
15weekly or monthly by each relative in proportion to ability. Contributions directed
16by court order, if for less than full support, shall be paid to the department of health
17services or the department of children and families, whichever is appropriate, and
18distributed as required by state and federal law. An order under this subsection that
19relates to maintenance required under sub. (1) (a) 2. shall specifically assign
20responsibility for and direct the manner of payment of the child's health care
21expenses, subject to the limitations under subs. (1) (a) 2. and (11). Upon application
22of any party affected by the order and upon like notice and procedure, the court may
23modify such an order. Obedience to such an order may be enforced by proceedings
24for contempt.
AB68,1060 25Section 1060. 50.379 of the statutes is created to read:
AB68,761,1
150.379 Designated caregivers. (1) Definitions. In this section:
AB68,761,72 (a) “Aftercare assistance” means any assistance provided by a caregiver to a
3patient under this section after the patient's discharge and related to the patient's
4condition at the time of discharge, including assisting with basic activities of daily
5living or instrumental activities of daily living, or carrying out medical or nursing
6tasks, such as managing wound care, assisting in administering medications, or
7operating medical equipment.
AB68,761,118 (b) “Caregiver” means any individual, including a relative, partner, friend,
9neighbor, or other person who has a significant relationship with a patient, who is
10designated as a caregiver under this section to provide aftercare assistance to that
11patient.
AB68,761,1312 (c) “Discharge” means a patient's exit or release from a hospital to the patient's
13residence following an inpatient admission.
AB68,761,1414 (d) “Hospital” has the meaning given in s. 50.33 (2).
AB68,761,1515 (e) “Incapacitated” has the meaning given in s. 50.94 (1) (b).
AB68,761,1816 (f) “Residence” means a dwelling that the patient considers to be his or her
17home. “Residence” does not include any rehabilitation facility, hospital, nursing
18home, assisted living facility, or group home licensed by the department.
AB68,761,23 19(2) Caregiver designation. (a) A hospital shall provide a patient or, if
20applicable, a patient's legal guardian at least one opportunity to designate at least
21one caregiver no later than 24 hours following the patient's admission to a hospital
22and before the patient's discharge or transfer to another hospital or facility licensed
23by the department.
AB68,762,224 (b) If a patient is unconscious or otherwise incapacitated upon admission to the
25hospital, the hospital shall provide the patient or, if applicable, the patient's legal

1guardian with an opportunity to designate a caregiver within 24 hours following the
2patient's recovery of his or her consciousness or capacity.
AB68,762,53 (c) If a patient or a patient's legal guardian declines to designate a caregiver
4under this section, the hospital shall promptly document that information in the
5patient's medical record.
AB68,762,96 (d) If a patient or the patient's legal guardian designates a caregiver under this
7section, the hospital shall promptly record the designation of the caregiver, the
8relationship of the caregiver to the patient, and the name, telephone number, and
9address of the caregiver in the patient's medical record.
AB68,762,1110 (e) Nothing in this section requires a patient or a patient's legal guardian to
11designate a caregiver.
AB68,762,1412 (f) A patient may elect to change a designated caregiver at any time. The
13hospital shall, within 24 hours, record in the patient's medical record any
14designation change and any new information required under par. (d).
AB68,762,1615 (g) Designation of a caregiver under the provisions of this section does not
16obligate any individual to perform aftercare assistance for the patient.
AB68,762,22 17(3) Release of medical information. (a) If a patient or a patient's legal
18guardian designates an individual as a caregiver under this section, the hospital
19shall promptly request the written consent of the patient or the patient's legal
20guardian to release medical information to the patient's designated caregiver
21following the hospital's established procedures for releasing personal health
22information and in accordance with applicable federal and state law.
AB68,763,223 (b) If a patient or the patient's legal guardian declines to consent to the release
24of medical information to the patient's designated caregiver, the hospital is not

1required to provide notice to the caregiver or provide information contained in the
2patient's discharge plan as required under subs. (4) and (5).
AB68,763,5 3(4) Notification and instruction to designated caregiver. Subject to sub. (3),
4if a patient or a patient's legal guardian designates a caregiver under this section,
5a hospital shall do all of the following:
AB68,763,106 (a) Notify the patient's designated caregiver of the patient's discharge or
7transfer to another hospital or facility licensed by the department as soon as possible,
8which may be after the patient's physician issues a discharge order, but not less than
94 hours before the patient's actual discharge or transfer to the other hospital or
10facility.
AB68,763,1411 (b) No less than 24 hours before a patient's discharge from a hospital, consult
12with the designated caregiver along with the patient regarding the caregiver's
13capabilities and limitations and issue a written discharge plan that describes a
14patient's aftercare assistance needs at the patient's residence.
AB68,763,16 15(5) Discharge plan. (a) For purposes of this section, a hospital shall include
16in a discharge plan at least all of the following:
AB68,763,1817 1. The name and contact information of the caregiver designated under this
18section.
AB68,763,2119 2. A description of all aftercare assistance tasks necessary to maintain the
20patient's ability to reside at home, taking into account the capabilities of the
21caregiver.
AB68,763,2422 3. Contact information for any health care, community resources, and
23long-term services and supports necessary to successfully carry out the patient's
24discharge plan.
AB68,764,3
1(b) A hospital issuing a discharge plan under this section shall provide
2caregivers with instruction in all aftercare assistance tasks described in the
3discharge plan, and must include at least all of the following:
AB68,764,84 1. A live demonstration of the tasks performed by a hospital employee or
5individual with whom the hospital has a contractual relationship authorized to
6perform the aftercare assistance task, provided in a culturally competent manner
7and in accordance with the hospital's requirements to provide language access
8services under state and federal law.
AB68,764,109 2. An opportunity for the caregiver and patient to ask questions about the
10aftercare assistance tasks.
AB68,764,1311 3. Answers to the caregiver's and patient's questions provided in a culturally
12competent manner and in accordance with the hospital's requirements to provide
13language access services under state and federal law.
AB68,764,16 14(6) No interference with authorized decision making. Nothing in this section
15shall be construed to interfere with the rights of a person authorized by law to make
16health care decisions on behalf of a patient.
AB68,764,19 17(7) No right of action. Nothing in this section shall be construed to create a
18private right of action against a hospital, a hospital employee, or any authorized
19agent of the hospital, or to otherwise supercede or replace existing rights or remedies.
AB68,1061 20Section 1061. 51.035 of the statutes is created to read:
AB68,764,25 2151.035 Crisis response system; grants. (1) From the appropriation under
22s. 20.435 (5) (ch), the department shall award grants under this section to entities
23to provide a continuum of crisis response services, including mental health crisis
24urgent care and observation centers, crisis stabilization and inpatient psychiatric
25beds, and crisis stabilization facilities.
AB68,765,3
1(2) From the appropriation under s. 20.435 (5) (ch), the department shall award
2no more than 5 grants to fund services at facilities providing crisis stabilization
3services, based on criteria established by the department.
AB68,1062 4Section 1062. 51.036 of the statutes is created to read:
AB68,765,6 551.036 Crisis urgent care and observation centers. (1) In this section,
6“crisis” has the meaning given in s. 51.042 (1) (a).
AB68,765,13 7(2) The department may certify crisis urgent care and observation centers and
8may establish criteria by rule for the certification of crisis urgent care and
9observation centers. If the department establishes a certification process for crisis
10urgent care and observation centers, no person may operate a crisis urgent care and
11observation center without having a certification. The department may limit the
12number of certifications it grants to operate crisis urgent care and observation
13centers.
AB68,1063 14Section 1063. 51.045 of the statutes is amended to read:
AB68,766,2 1551.045 Availability of inpatient psychiatric and other beds. From the
16appropriation under s. 20.435 (2) (cm), the department shall award a grant in the
17amount of $80,000 $100,000 in fiscal year 2015-16 2021-22 and $30,000 $50,000 in
18each fiscal year thereafter to the entity under contract under s. 153.05 (2m) (a) to
19develop and operate an Internet site and system to show the availability of inpatient
20psychiatric beds, peer run respite beds, and crisis stabilization beds statewide. To
21receive the grant, the entity shall use a password protected Internet site to allow an
22inpatient psychiatric unit or hospital or a facility, center, or program that has
23inpatient psychiatric, peer run respite, or crisis stabilization beds
to enter all of the
24following information and to enable any hospital emergency department , county

1department, or other entity involved in identifying placement options
in the state to
2view all of the following information reported to the system:
AB68,766,6 3(1) The number of available child, adolescent, adult, and geriatric inpatient
4psychiatric
beds, as applicable, that are inpatient psychiatric, peer run respite, or
5crisis stabilization beds and that are
currently available at the hospital, unit, facility,
6center, or program
at the time of reporting by the hospital or unit.
AB68,766,8 7(2) Any special information that the hospital or, unit, facility, center, or
8program
reports regarding the available beds under sub. (1).
AB68,766,10 9(3) The date the hospital or, unit, facility, center, or program reports the
10information under subs. (1) and (2).
AB68,766,12 11(4) The location of the hospital or , unit, facility, center, or program that is
12reporting.
AB68,766,14 13(5) The contact information for admission coordination for the hospital or, unit,
14facility, center, or program
.
AB68,1064 15Section 1064. 51.44 (5) (bm) of the statutes is created to read:
AB68,766,1816 51.44 (5) (bm) Ensure that any child with a level of lead in his or her blood that
17is 5 or more micrograms per 100 milliliters of blood, as confirmed by one venous blood
18test, is eligible for services under the program under this section.
AB68,1065 19Section 1065 . 54.01 (36) (a) of the statutes is amended to read:
AB68,766,2420 54.01 (36) (a) An individual who obtains or consents to a final decree or
21judgment of divorce from the decedent or an annulment of their marriage, if the
22decree or judgment is not recognized as valid in this state, unless the 2 subsequently
23participated in a marriage ceremony purporting to marry each other or they
24subsequently held themselves out as husband and wife married to each other.
AB68,1066 25Section 1066 . 54.15 (8) (a) (intro.) of the statutes is amended to read:
AB68,767,2
154.15 (8) (a) (intro.) At least 96 hours before the hearing under s. 54.44, the
2proposed guardian shall submit to the court a all of the following:
AB68,767,3 31m. A sworn and notarized statement as to whether any of the following is true:
AB68,1067 4Section 1067 . 54.15 (8) (a) 1. to 4. of the statutes are renumbered 54.15 (8) (a)
51m. a. to d.
AB68,1068 6Section 1068 . 54.15 (8) (a) 2m. of the statutes is created to read:
AB68,767,97 54.15 (8) (a) 2m. A sworn and notarized statement that the proposed guardian
8has completed the training requirements under s. 54.26 (1), unless exempted under
9s. 54.26 (2) (c), (d), or (e).
AB68,1069 10Section 1069 . 54.15 (8) (b) of the statutes is amended to read:
AB68,767,1411 54.15 (8) (b) If par. (a) 1., 2., 3., or 4. 1m. a., b., c., or d. applies to the proposed
12guardian, he or she shall include in the sworn and notarized statement a description
13of the circumstances surrounding the applicable event under par. (a) 1., 2., 3., or 4.
141m. a., b., c., or d.
AB68,1070 15Section 1070. 54.26 of the statutes is created to read:
AB68,767,18 1654.26 Guardian training requirements. (1) Required training topics. (a)
17Every guardian of the person, unless exempted under sub. (2) (c), (d), or (e), shall
18complete training on all of the following topics:
AB68,767,2019 1. The duties and responsibilities of a guardian of the person under the law and
20limits of the guardian's decision-making authority.
AB68,767,2221 2. Alternatives to guardianship, including supported decision-making
22agreements and powers of attorney.
AB68,767,2323 3. Rights retained by a ward.
AB68,768,3
14. Best practices for a guardian to solicit and understand the wishes and
2preferences of a ward, to involve a ward in decision making, and to take a ward's
3wishes and preferences into account in decisions made by the guardian.
AB68,768,44 5. Restoration of a ward's rights and the process for removal of guardianship.
AB68,768,65 6. Future planning and identification of a potential standby or successor
6guardian.
AB68,768,77 7. Resources and technical support for guardians.
AB68,768,98 (b) Every guardian of the estate shall complete training on all of the following
9topics:
AB68,768,1110 1. The duties and responsibilities of a guardian of the estate under the law and
11limits of the guardian's decision-making authority.
AB68,768,1212 2. Inventory and accounting requirements.
AB68,768,15 13(2) Initial training requirements. (a) Before the final hearing for a permanent
14guardianship, any person nominated for appointment or seeking appointment as a
15guardian of the person is required to receive the training required under sub. (1) (a).
AB68,768,1816 (b) Before the final hearing for permanent guardianship, any person
17nominated for appointment or seeking appointment as a guardian of the estate is
18required to receive at least the training required under sub. (1) (b).
AB68,768,2019 (c) A guardian under s. 54.15 (7) who is regulated by the department is exempt
20from pars. (a) and (b).
AB68,768,2221 (d) A volunteer guardian who has completed the training requirements under
22sub. (1) is exempt from pars. (a) and (b) with regard to subsequent wards.
AB68,768,2423 (e) A guardian of the person or a guardian of the estate, or both, for a minor
24under s. 54.10 (1) is exempt from pars. (a) and (b).
AB68,1071 25Section 1071 . 54.960 (1) of the statutes is amended to read:
AB68,769,7
154.960 (1) Beneficial interests in a custodial trust created for multiple
2beneficiaries are deemed to be separate custodial trusts of equal undivided interests
3for each beneficiary. Except in a transfer or declaration for use and benefit of
4husband and wife 2 individuals who are married to each other, for whom
5survivorship is presumed, a right of survivorship does not exist unless the
6instrument creating the custodial trust specifically provides for survivorship or
7survivorship is required as to marital property.
AB68,1072 8Section 1072. 59.10 (intro.) of the statutes is amended to read:
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