AB1078: Bill Text

AB1078,16,19 (2) No provider, health care facility, professional organization, or association shall subject a provider to discharge, demotion, censure, discipline, suspension, loss of license, loss of privileges, loss of membership, discrimination, or any other penalty for providing medical aid in dying in accordance with the medical standard of care and in good faith under this chapter, except if a provider acts in violation of a health care facility's valid prohibition or prohibitions as set forth under s. 156.23.

AB1078,17,2 (3) No provider, health care facility, professional organization, or association shall subject a provider to discharge, demotion, censure, discipline, suspension, loss of license, loss of privileges, loss of membership, discrimination, or any other penalty for providing medical aid in dying in accordance with the medical standard of care and in good faith under this chapter while engaged in the outside practice of medicine and off the facility premises or for providing scientific and accurate information about medical aid in dying to an individual when discussing end-of-life care options.

AB1078,17,9 (4) An individual is not subject to civil or criminal liability or professional discipline if, at the request of a qualified individual, the individual is present outside the scope of the individual's employment contract and off the facility premises when the qualified individual self-administers medication under this chapter or at the time of death. An individual who is present may, without civil or criminal liability, assist the qualified individual by preparing the medication prescribed under this chapter.

AB1078,17,12 (5) A request by an individual for and the provision of medication under this chapter alone does not constitute neglect or elder abuse for any purpose of law, nor shall it be the sole basis for appointment of a guardian or conservator.

AB1078,17,14 (6) This chapter does not limit civil liability for intentional or negligent misconduct.

AB1078,17,18 156.27 Reporting requirements. (1) The department shall create a checklist form and a follow up form for attending providers to facilitate collection of the information described in this chapter and post these forms to the department's Internet site.

AB1078,17,21 (2) Within 30 calendar days of providing a prescription for medication under this chapter, an attending provider shall submit to the department a completed checklist form, as provided under sub. (1), with all of the following information:

AB1078,17,22 (a) The qualified individual's name and date of birth.

AB1078,17,23 (b) The qualified individual's terminal diagnosis and prognosis.

AB1078,17,24 (c) Notice that the requirements under this chapter have been completed.

AB1078,17,25 (d) Notice that medication has been prescribed under this chapter.

AB1078,18,4 (3) Within 60 calendar days of notification of a qualified individual's death from self-administration of medication prescribed under this chapter, the attending provider shall submit to the department a follow up form, as provided under sub. (1), with all of the following information:

AB1078,18,5 (a) The qualified individual's name and date of birth.

AB1078,18,6 (b) The date of the qualified individual's death.

AB1078,18,8 (c) A notation of whether or not the qualified individual was enrolled in hospice services at the time of the qualified individual's death.

AB1078,18,12 (4) The department shall annually review a sample of records related to requests under this chapter to ensure compliance and issue a public statistical report of nonidentifying information. The report shall be limited to the following statistical information:

AB1078,18,13 (a) The number of prescriptions for medication written under this chapter.

AB1078,18,15 (b) The number of providers who wrote prescriptions for medication under this chapter.

AB1078,18,17 (c) The number of qualified individuals who died following self-administration of medication prescribed and dispensed under this chapter.

AB1078,18,20 (5) Except as otherwise required by law, the information collected by the department that is related to requests under this chapter is not a public record and is not available for public inspection under s. 19.35.

AB1078,18,22 (6) Willful failure or refusal to timely submit records required under this chapter nullifies protections under s. 156.25.

AB1078,19,2 156.29 Effect on construction of will, contracts, and statutes. (1) No provision in a contract, will, or other agreement, whether written or oral, that would determine whether an individual may make or rescind a request under this chapter is valid.

AB1078,19,4 (2) No obligation owing under any existing contract may be conditioned or affected by an individual's act of making or rescinding a request under this chapter.

AB1078,19,8 (3) It is unlawful for an insurer to deny or alter health care benefits otherwise available to an individual with a terminal disease based on the availability of medical aid in dying or to otherwise attempt to coerce an individual with a terminal disease to make a request for medical aid-in-dying medication.

AB1078,19,12 156.31 Insurance or annuity policies. (1) The sale, procurement, or issuance of a life, health, or accident insurance policy, or an annuity policy, or the rate charged for a policy may not be conditioned upon or affected by an individual's act of making or rescinding a request for medication under this chapter.

AB1078,19,15 (2) A qualified individual's act of self-administering medication under this chapter does not invalidate any part of a life, health, or accident insurance policy, or an annuity policy.

AB1078,19,21 (3) An insurance plan, including the Medical Assistance program under subch. IV of ch. 49, may not deny or alter benefits to an individual with a terminal disease who is a covered beneficiary of an insurance plan based on the availability of medical aid in dying, the individual's request for medication under this chapter, or the absence of a request for medication under this chapter. Failure to meet this requirement shall constitute a violation of the insurance code of this state.

AB1078,19,25 156.33 Death certificate. (1) Unless otherwise prohibited by law, an attending provider or a hospice medical director may sign the death certificate of a qualified individual who obtained and self-administered a prescription for medication under this chapter.

AB1078,20,2 (2) When a death has occurred in accordance with this chapter, the death shall be attributed to the underlying terminal disease.

AB1078,20,4 (3) A death following self-administering medication under this chapter does not alone constitute grounds for post-mortem inquiry.

AB1078,20,6 (4) A death in accordance with this chapter may not be designated as suicide or homicide.

AB1078,20,8 (5) A qualified individual's act of self-administering medication prescribed under this chapter may not be indicated on the individual's death certificate.

AB1078,20,10 (6) A coroner may conduct a preliminary investigation to determine whether an individual received a prescription for medication under this chapter.

AB1078,20,14 156.35 Liabilities and penalties. (1) Intentionally or knowingly altering or forging an individual's request for medication under this chapter or concealing or destroying a rescission of a request for medication under this chapter is a Class F felony.

AB1078,20,17 (2) Intentionally or knowingly coercing or exerting undue influence on an individual with a terminal disease to request or use medication under this chapter is a Class F felony.

AB1078,20,20 (3) Nothing in this chapter limits civil liability nor damages arising from negligent conduct or intentional misconduct, including failure to obtain informed consent by any person, provider, or health care facility.

AB1078,20,22 (4) The penalties specified in this chapter do not preclude criminal penalties applicable under other laws for conduct inconsistent with this chapter.

AB1078,20,24 (5) For purposes of this chapter, “intentionally” and “knowingly” have the meaning under s. 939.23.

AB1078,21,5 156.37 Claims by governmental entity for costs incurred. Any governmental entity that incurs costs resulting from self-administration of medication prescribed under this chapter in a public place has a claim against the estate of the qualified individual to recover those costs and, notwithstanding s. 814.04 (1), reasonable attorney fees and costs incurred in enforcing the claim.

AB1078,21,9 156.39 Construction. (1) Nothing in this chapter authorizes a provider or any other person, including a qualified individual, to end the qualified individual's life by intravenous or other parenteral injection or infusion, mercy killing, homicide, murder, manslaughter, euthanasia, or any other criminal act.

AB1078,21,13 (2) Actions taken in accordance with this chapter do not, for any purposes, constitute suicide, assisted suicide, euthanasia, mercy killing, homicide, murder, manslaughter, elder abuse or neglect, or any other civil or criminal violation under the law.

AB1078,2 Section 2 . 979.01 (1j) of the statutes is created to read:

AB1078,21,17 979.01 (1j) Subsection (1) does not apply to a death that results from taking medication under a fulfilled request for medication that meets the requirements of ch. 156.

AB1078,3 Section 3. Nonstatutory provisions.

AB1078,21,21 (1) No later than 45 days after the effective date of this subsection, the department of health services shall create the checklist form and the follow up form required under s. 156.27 (1).

AB1078,4 Section 4. Effective date.

AB1078,21,24 (1) This act takes effect on April 1, 2022, or the first day of the first month beginning after publication, whichever is later.

AB1078,21,25 (End)