AB188: Bill Text

AB188,3 Section 3. 48.78 (2) (a) of the statutes is amended to read:

AB188,,10 48.78 (2) (a) No agency may make available for inspection or disclose the contents of any record kept or information received about an individual who is or was in its care or legal custody, except as provided under sub. (2m) or s. 48.371, 48.38 (5) (b) or (d) or (5m) (d), 48.396 (3) (bm) or (c) 1r., 48.432, 48.433, 48.48 (17) (bm), 48.57 (2m), 48.66 (6), 48.93, 48.981 (7), 250.22, 938.396 (2m) (c) 1r., 938.51, or 938.78 or by order of the court.

AB188,4 Section 4. 48.981 (7) (a) 15. of the statutes is amended to read:

AB188,,12 48.981 (7) (a) 15. A fatality review team established under s. 250.22, a child fatality review team recognized by the county department, or, in a county having a population of 750,000 or more, the department or a licensed child welfare agency under contract with the department.

AB188,5 Section 5. 51.30 (4) (b) 29. of the statutes is created to read:

AB188,,14 51.30 (4) (b) 29. To an authorized member of a fatality review team established under s. 250.22. The recipient of any treatment records under this subdivision shall keep the records confidential in accordance with s. 250.22.

AB188,6 Section 6. 146.82 (2) (d) of the statutes is created to read:

AB188,,16 146.82 (2) (d) Notwithstanding sub. (1), patient health care records may be released, upon request, to a fatality review team, as defined in s. 250.22 (1) (a), acting as a public health authority for the purpose of reviewing a death as described under s. 250.22. Records that may be released under this paragraph for the public health purposes under s. 250.22 may be disclosed to a fatality review team only in accordance with that section, and the recipient of any records released shall keep the records confidential.

AB188,7 Section 7. 250.22 of the statutes is created to read:

AB188,,18 250.22 Fatality review teams. (1) Definitions. In this section:

AB188,,19 (a) “Fatality review team” means a multidisciplinary and multiagency team examining one or more types of reviewable death among children or adults and developing recommendations to prevent future deaths of similar circumstances.

AB188,,20 (b) “Local fatality review team” means a fatality review team that examines reviewable deaths from a specific county or counties. A “local fatality review team” may include a team formed by a collaboration of two or more counties, local health departments, or tribal health departments.

AB188,,21 (c) “State fatality review team” means a fatality review team that examines reviewable deaths of residents across the state.

AB188,,22 (d) “Reviewable death” includes a death for which any of the following has been determined to be the cause of death:

AB188,,23 1. Undetermined.

AB188,,24 2. Unintentional injury.

AB188,,25 3. Suicide.

AB188,,26 4. Homicide.

AB188,,27 5. Motor vehicle incident.

AB188,,28 6. Overdose death.

AB188,,29 7. Child abuse or neglect.

AB188,,30 8. Sudden unexpected death.

AB188,,31 9. Stillbirth.

AB188,,32 10. Fetal death or infant death.

AB188,,33 (2) Department duties and authority. (a) The department shall establish a fatality review program comprised of local fatality review teams established at the option of a county, a local health department, a tribal health department, or a combination of these entities. The department may also establish a state fatality review team.

AB188,,34 (b) In coordination with the department of justice, the department of children and families, or other state agencies, as appropriate, the department shall do all of the following:

AB188,,35 1. Facilitate the development of local fatality review teams under this section.

AB188,,36 2. Identify training needs and make training resources available to local fatality review teams, statewide professional organizations, advocacy groups, and others.

AB188,,37 3. Respond to requests from local fatality review teams and provide any necessary technical assistance and support.

AB188,,38 4. Upon request of a local fatality review team, or if a county does not have a fatality review team, assign review of deaths to a state fatality review team, if established.

AB188,,39 5. Provide information to the legislature, state agencies, and local communities on the need for modifications to law, policy, or practice.

AB188,,40 (c) The department may enter into a contract with an entity to perform any of the department’s duties under this section.

AB188,,41 (d) The department shall promulgate rules to develop and implement a standardized form for use by fatality review teams when reviewing suicide deaths. The department may promulgate rules to develop and implement standardized forms for use by fatality review teams when reviewing other types of reviewable deaths.

AB188,,42 (e) The department may educate the public regarding the incidence and causes of reviewable deaths, including recommendations that identify needed policy changes or action to prevent future deaths.

AB188,,43 (f) The department or its contracted entity shall create and make available to fatality review teams a confidentiality agreement to be used by fatality review team members to ensure confidentiality consistent with this section.

AB188,,44 (g) The department may promulgate rules to implement this section.

AB188,,45 (3) Fatality review teams; purpose, duties, membership, and record access. (a) Fatality review teams shall have the purpose of gathering information concerning reviewable deaths to examine the risk factors and circumstances leading to reviewable deaths and understand how the deaths could have been prevented through all of the following:

AB188,,46 1. Identification of recommendations for cross-sector, system-level policy and practice changes to address the identified risk factors and prevent future reviewable deaths.

AB188,,47 2. Promotion of cooperation and coordination among agencies involved in understanding the causes of reviewable deaths or in providing services to surviving family members.

AB188,,48 (b) 1. If established, each fatality review team shall do all of the following:

AB188,,49 a. Establish and implement a protocol for the fatality review team and, to the extent the department or its contracted entity is involved with the type of review undertaken, consult with the department or its contracted entity regarding the protocol.

AB188,,50 b. Collect and maintain data to the extent requested by the department or its contracted entity for the type of review undertaken.

AB188,,51 c. Create strategies and make and track the implementation of recommendations for the prevention and reduction of reviewable deaths in the area served by the fatality review team.

AB188,,52 d. Evaluate the fatality review team’s review process, interagency collaboration, and development and implementation of recommendations to ensure adherence to the purpose described in par. (a).

AB188,,53 2. A fatality review team may address a reviewable death that occurred in the area served by the fatality review team or that relates to a resident of the area served by the fatality review team if the incident or death occurred elsewhere in the state.

AB188,,54 (c) When conducting a fatality review under this section, a fatality review team may be provided with information from the records held by any of the following, if the records pertain to a person or incident within the scope of the review:

AB188,,55 1. The department of health services or a local health department.

AB188,,56 2. The department of children and families.

AB188,,57 3. A law enforcement agency.

AB188,,58 4. A medical examiner or coroner.

AB188,,59 5. A treatment provider for substance use or mental health.

AB188,,60 6. A hospital or health care provider.

AB188,,61 7. Emergency medical services, including a fire department.

AB188,,62 8. A Women, Infants, and Children program under s. 253.06.

AB188,,63 9. The department of corrections.

AB188,,64 10. A district attorney’s office.

AB188,,65 11. A circuit or municipal court.

AB188,,66 12. A social services agency.

AB188,,67 13. Child protective services.

AB188,,68 14. A school or university.

AB188,,69 15. If the fatality review team is an overdose fatality review team or a suicide fatality review team, prescription drug monitoring program records.

AB188,,70 16. Any other agency or organization identified as necessary for the review by a specific fatality review team.

AB188,,71 (d) If established, the members of a fatality review team may include any of the following types of individuals, organizations, agencies, and areas of expertise:

AB188,,72 1. Public health.

AB188,,73 2. Tribal health centers.

AB188,,74 3. Medical examiners and coroners.

AB188,,75 4. Funeral directors.

AB188,,76 5. Law enforcement.

AB188,,77 6. The district attorney with jurisdiction, or his or her designee.

AB188,,78 7. Medical professionals, including physicians, physician assistants, and nurses.

AB188,,79 8. Emergency medical responders, as defined in s. 256.01 (4p), or emergency medical services practitioners, as defined in s. 256.01 (5).

AB188,,80 9. Behavioral health professionals.

AB188,,81 10. Individuals with relevant personal experience.

AB188,,82 11. Education professionals, including school counselors and school representatives.

AB188,,83 12. Any other person requested by members of the team.

AB188,,84 (e) A fatality review team shall enter data regarding each reviewable death under review into any secure database designated by the department or its contracted entity.

AB188,,85 (f) A fatality review team shall assign, as appropriate for the specific type of review, a member of the team to complete any standardized form developed by the department under sub. (2) (d).

AB188,,86 (4) Disclosure of information; immunity. (a) Information and records provided to or created by a fatality review team are confidential, except as otherwise provided in this section, and are not subject to inspection or copying under s. 19.35. Before a member of a fatality review team may participate in the review of a reviewable death, the member must sign a copy of the confidentiality agreement described under sub. (2) (f) and review the purpose and goals of the fatality review team. Any person who is invited to a fatality review team meeting must sign a copy of the confidentiality agreement described under sub. (2) (f) before attending or participating in the meeting.

AB188,,87 (b) Except as otherwise provided in this section, a member of a fatality review team may share information disclosed to the fatality review team regarding a reviewable death with other members of that fatality review team or with another fatality review team conducting a review of the same individual’s death, except that the member may not distribute additional, printed copies of any information or record that is disclosed to him or her to other members of the member’s fatality review team.

AB188,,88 (c) Any person participating in the review of a reviewable death by a fatality review team, including any member of a fatality review team, a person attending a fatality review meeting, or a person who presents information to the fatality review team, and any person providing information or records to the fatality review team for the purpose of reviewing a reviewable death, may not testify in any civil or criminal action as to the information specifically obtained through the person’s participation in the fatality review team’s meeting or to any conclusion of the fatality review team regarding a reviewable death. This paragraph does not prohibit a person from testifying to information that is obtained independently of a fatality review team or that is public information.

AB188,,89 (d) A person who attends a fatality review team meeting or presents information to a fatality review team is not prohibited under par. (a) or (b) from disclosing information or records obtained independently of the review if that disclosure is otherwise permitted under state or federal law.

AB188,,90 (e) 1. A fatality review team may disclose information if the disclosure is made for the purpose of fulfilling a purpose of the fatality review team and if the information meets all of the following criteria:

AB188,,91 a. The information does not contain any information that identifies the names or identifying numbers of individuals and does not contain other information for which there is reasonable basis to believe that the information could be used to identify an individual or entity.

AB188,,92 b. The information does not contain addresses other than zip codes.

AB188,,93 c. The information does not contain dates of birth, death, or incident other than the year.

AB188,,94 d. The information does not contain conclusory information attributing fault, not including findings or judgments by law enforcement agencies, courts, or child welfare agencies.

AB188,,95 2. Any of the following items, if the item does not contain any information that would allow the identity of an individual to be ascertained, may be disclosed or treated as public information:

AB188,,96 a. Statistical or aggregate compilations of data.

AB188,,97 b. Reports from fatality review teams.