Method of making an anatomical gift, refusal, amendment, or revocation. The
bill allows persons to authenticate records of anatomical gifts, refusals,
amendments, and revocations of anatomical gifts or refusals with an electronic
signature. The bill permits a person to make an anatomical gift of his or her body
or body parts by affixing a symbol or statement that indicates that the person has
made an anatomical gift, such as an organ donor sticker, on his or her driver's license
or identification card. A person who has a terminal illness or injury may make an
anatomical gift by oral communication to two adults, at least one of whom is a
disinterested witness. Further, a person may make an anatomical gift of his or her
body or body parts by authorizing inclusion of his or her intent to make an anatomical
gift in a donor registry. Under the bill, a parent, health care agent, or guardian who
has authority to make a gift on behalf of another person during the person's lifetime
may do so by signing a record of gift or including the gift in a donor registry. Finally,
the bill allows a person to make a gift on behalf of a deceased or an individual who
is near death by means of an oral communication that is electronically recorded, or
an oral communication that is contemporaneously reduced to a record that is signed
by the person receiving the communication.
The bill permits additional methods of amending and revoking anatomical gifts
or refusals. Under the bill a person may amend an anatomical gift or refusal by
executing a subsequent gift or refusal that is inconsistent with the first. And, a
person may revoke an anatomical gift or refusal that was made in a record by
destroying the record, or that part of the record, in which it is made.
Procurement procedures. The bill codifies federal law requiring hospitals to
enter into agreements with OPOs, tissue banks, and eye banks (procurement
organizations) for the procurement and use of body parts, and requiring hospitals to
notify OPOs of deaths and imminent deaths. The bill also codifies federal law
regarding contacting family members of deceased persons to inform them of their
options to make or refuse to make anatomical gifts.
The bill requires the Department of Transportation to provide information in
its driver's license and identification card files regarding organ donor status to a
procurement organization upon request. Under the bill, when a hospital notifies a
procurement organization of the death or imminent death of a person, unless the
person made an unrevoked refusal, the procurement organization may conduct any
reasonable examination to determine whether the person's body parts are medically
suitable for transplantation, therapy, research, or education, including an
examination of the person's medical or dental records. The bill prohibits the
withholding or withdrawing of measures to ensure the medical suitability of a body

part for donation during such examination, unless the hospital or procurement
organization knows that the person expressed a contrary intent. If a procurement
organization determines that any of the person's body parts are medically suitable
for transplantation, therapy, research, or education, the procurement organization
must search for a person who has authority to make an anatomical gift of the body
parts. Finally, the procurement organization must inform any person or
organization who is to receive a donated body or body part of relevant information
regarding the anatomical gift. A person or organization who receives a donated body
or body part may conduct a reasonable examination, including an examination of the
donor's medical or dental records.
Interaction between anatomical gifts and health care power of attorney or
do-not-resuscitate order.
The bill provides that if a person executed a health care
power of attorney or a do-not-resuscitate order and the person's body parts may be
the subject of an anatomical gift, measures to ensure the medical suitability of body
parts for transplantation may not be withdrawn or withheld from the person unless
the health care power of attorney or do-not-resuscitate order expressly provides to
the contrary.
Receipt and use of donated bodies or body parts. The bill adds tissue banks and
eye banks to the list or persons and organizations who may accept donated body parts
and establishes rules governing who receives donated bodies and body parts. The bill
provides generally, that unless an anatomical gift names a specific person or
organization to receive a donated body or body part, organs, other than eyes, go to
an OPO, tissues go to a tissue bank, and eyes go to an eye bank. Under the bill, if
an anatomical gift of a body part is designated for a specific individual for
transplantation and the body part cannot be transplanted into that individual, the
body part passes to the appropriate OPO, tissue bank, or eye bank. If no recipient
is named in an anatomical gift, and more than one purpose is designated, the donated
body parts must be made available first for transplantation or therapy. If no
recipient and no purpose are identified in an anatomical gift, or if only a general
intent to make a donation is specified, for example by use of an organ donor sticker,
the body parts may be used only for transplantation or therapy. A person may not
accept an anatomical gift of a body or body part if the person has actual knowledge
that the anatomical gift was not validly made or actual knowledge that the
anatomical gift was revoked.
Immunity and liability. In addition to the civil and criminal immunity provided
under current law, this bill provides that a person who acts, or attempts in good faith
to act, in accordance with the anatomical gift law of this state or applicable
anatomical gift law of another state or country is immune from liability for the act
in administrative proceedings. The bill also provides that although emergency
service and hospital personnel who are required to search for a record of an
anatomical gift or refusal may not be held criminally or civilly liable for failure to
search for and deliver such records, they may be subject to administrative sanctions
for such a failure.
Penalty for falsifying a record of anatomical gift or refusal. The bill makes it
a crime to intentionally falsify, forge, conceal, deface, or obliterate a record of an

anatomical gift or refusal or an amendment or revocation of such a record. The
maximum penalty for a violation is imprisonment not to exceed six years, a fine not
to exceed $50,000, or both.
Validity of anatomical gifts and choice of law. The bill provides that an
anatomical gift is valid in this state if it is made in accordance with the laws of this
state, the laws of the state or country where it was made, or the laws of the state or
country in which the person who made the gift was domiciled, had a place of
residence, or was a national at the time the gift was made. Under the bill, the laws
of this state apply to the interpretation of any gift that is valid in this state. The bill
specifies that a person may presume that an anatomical gift or amendment is valid
unless the person has actual knowledge that it was not validly made or was revoked.
The bill also specifies that a person may, in determining whether an individual has
authority to make an anatomical gift on behalf of a deceased or someone who is near
death, rely on the representation of the individual as to his or her relation to the
subject of the anatomical gift (other than as a health care agent or guardian).
Donor registry. The bill provides that the Department of Health and Family
Services (DHFS) may establish a donor registry, and if it does, that the Department
of Transportation must cooperate with DHFS in establishing the registry.
Because this bill creates a new crime or revises a penalty for an existing crime,
the Joint Review Committee on Criminal Penalties may be requested to prepare a
report concerning the proposed penalty and the costs or savings that are likely to
result if the bill is enacted.
For further information see the state fiscal estimate, which will be printed as
an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB570, s. 1 1Section 1. 71.05 (10) (i) 1. of the statutes is amended to read:
AB570,7,22 71.05 (10) (i) 1. Subject to the conditions in this paragraph, an individual may
3subtract up to $10,000 from federal adjusted gross income if he or she, or his or her
4dependent who is claimed under section 151 (c) of the Internal Revenue Code, while
5living, donates one or more of his or her human organs all or part of his or her liver,
6pancreas, kidney, intestine, lung, or bone marrow
to another human being for human
7organ
transplantation, as defined in s. 146.345 (1), except that in this paragraph,
8"human organ" means all or part of a liver, pancreas, kidney, intestine, lung, or bone

1marrow
(b). A subtract modification that is claimed under this paragraph may be
2claimed in the taxable year in which the human organ transplantation occurs.
AB570, s. 2 3Section 2. 146.345 (title), (1) (a), (b) and (c) and (2) of the statutes are amended
4to read:
AB570,7,5 5146.345 (title) Sale of human organs parts prohibited.
AB570,7,10 6(1) (a) "Human organ" means a human kidney, liver, heart, lung, pancreas,
7bone marrow, cornea, eye, bone or skin or any other human organ specified by the
8department by rule. "Human organ"
part" has the meaning given for "part" in s.
9157.06 (2) (n), except that "human part"
does not mean human whole blood, blood
10plasma, a blood product or a blood derivative or human semen.
AB570,7,1311 (b) "Human organ transplantation" "Transplantation" means the medical
12procedure by which transfer of a human organ part is made from the body of a person
13to the body of another person.
AB570,7,1814 (c) "Valuable consideration" does not include reasonable payment associated
15with the removal, transportation, implantation, processing, preservation, quality
16control or, storage, or disposal of a human organ part or an expense of travel, housing
17or lost wages incurred by a human organ part donor in connection with donation of
18the human organ part.
AB570,7,20 19(2) No person may knowingly and for valuable consideration acquire, receive
20or otherwise transfer any human organ part for use in human organ transplantation.
AB570, s. 3 21Section 3. 146.82 (2) (a) 19. of the statutes is amended to read:
AB570,7,2522 146.82 (2) (a) 19. To an organ a procurement organization by a hospital
23pursuant to s. 157.06 (5) (b) 1
, as defined in s. 157.06 (2) (p), for the purpose of
24conducting an examination to ensure the medical suitability of a body part that is or
25could be the subject of an anatomical gift under s. 157.06
.
AB570, s. 4
1Section 4. 155.20 (8) of the statutes is amended to read:
AB570,8,52 155.20 (8) A health care agent may make an anatomical gift under s. 157.06
3(3) (a) 7.
of all or a part of the principal's body after the principal's death unless the
4principal made an unrevoked refusal to make that anatomical gift
as provided under
5s. 157.06 (4) (b) or (9) (a) 1
.
AB570, s. 5 6Section 5. 155.30 (1) (form) of the statutes is amended to read:
AB570,8,77 155.30 (1) (form)
AB570,8,8 8"NOTICE TO PERSON
AB570,8,99 MAKING THIS DOCUMENT
AB570,8,1310 YOU HAVE THE RIGHT TO MAKE DECISIONS ABOUT YOUR HEALTH
11CARE. NO HEALTH CARE MAY BE GIVEN TO YOU OVER YOUR OBJECTION,
12AND NECESSARY HEALTH CARE MAY NOT BE STOPPED OR WITHHELD IF
13YOU OBJECT.
AB570,8,1914 BECAUSE YOUR HEALTH CARE PROVIDERS IN SOME CASES MAY NOT
15HAVE HAD THE OPPORTUNITY TO ESTABLISH A LONG-TERM
16RELATIONSHIP WITH YOU, THEY ARE OFTEN UNFAMILIAR WITH YOUR
17BELIEFS AND VALUES AND THE DETAILS OF YOUR FAMILY
18RELATIONSHIPS. THIS POSES A PROBLEM IF YOU BECOME PHYSICALLY
19OR MENTALLY UNABLE TO MAKE DECISIONS ABOUT YOUR HEALTH CARE.
AB570,9,720 IN ORDER TO AVOID THIS PROBLEM, YOU MAY SIGN THIS LEGAL
21DOCUMENT TO SPECIFY THE PERSON WHOM YOU WANT TO MAKE
22HEALTH CARE DECISIONS FOR YOU IF YOU ARE UNABLE TO MAKE THOSE
23DECISIONS PERSONALLY. THAT PERSON IS KNOWN AS YOUR HEALTH
24CARE AGENT. YOU SHOULD TAKE SOME TIME TO DISCUSS YOUR
25THOUGHTS AND BELIEFS ABOUT MEDICAL TREATMENT WITH THE

1PERSON OR PERSONS WHOM YOU HAVE SPECIFIED. YOU MAY STATE IN
2THIS DOCUMENT ANY TYPES OF HEALTH CARE THAT YOU DO OR DO NOT
3DESIRE, AND YOU MAY LIMIT THE AUTHORITY OF YOUR HEALTH CARE
4AGENT. IF YOUR HEALTH CARE AGENT IS UNAWARE OF YOUR DESIRES
5WITH RESPECT TO A PARTICULAR HEALTH CARE DECISION, HE OR SHE IS
6REQUIRED TO DETERMINE WHAT WOULD BE IN YOUR BEST INTERESTS IN
7MAKING THE DECISION.
AB570,9,208 THIS IS AN IMPORTANT LEGAL DOCUMENT. IT GIVES YOUR AGENT
9BROAD POWERS TO MAKE HEALTH CARE DECISIONS FOR YOU. IT
10REVOKES ANY PRIOR POWER OF ATTORNEY FOR HEALTH CARE THAT YOU
11MAY HAVE MADE. IF YOU WISH TO CHANGE YOUR POWER OF ATTORNEY
12FOR HEALTH CARE, YOU MAY REVOKE THIS DOCUMENT AT ANY TIME BY
13DESTROYING IT, BY DIRECTING ANOTHER PERSON TO DESTROY IT IN
14YOUR PRESENCE, BY SIGNING A WRITTEN AND DATED STATEMENT OR BY
15STATING THAT IT IS REVOKED IN THE PRESENCE OF TWO WITNESSES. IF
16YOU REVOKE, YOU SHOULD NOTIFY YOUR AGENT, YOUR HEALTH CARE
17PROVIDERS AND ANY OTHER PERSON TO WHOM YOU HAVE GIVEN A COPY.
18IF YOUR AGENT IS YOUR SPOUSE AND YOUR MARRIAGE IS ANNULLED OR
19YOU ARE DIVORCED AFTER SIGNING THIS DOCUMENT, THE DOCUMENT
20IS INVALID.
AB570,9,2521 YOU MAY ALSO USE THIS DOCUMENT TO MAKE OR REFUSE TO MAKE
22AN ANATOMICAL GIFT UPON YOUR DEATH. IF YOU USE THIS DOCUMENT
23TO MAKE OR REFUSE TO MAKE AN ANATOMICAL GIFT, THIS DOCUMENT
24REVOKES ANY PRIOR DOCUMENT RECORD OF GIFT THAT YOU MAY HAVE
25MADE. YOU MAY REVOKE OR CHANGE ANY ANATOMICAL GIFT THAT YOU

1MAKE BY THIS DOCUMENT BY CROSSING OUT THE ANATOMICAL GIFTS
2PROVISION IN THIS DOCUMENT.
AB570,10,43 DO NOT SIGN THIS DOCUMENT UNLESS YOU CLEARLY UNDERSTAND
4IT.
AB570,10,65 IT IS SUGGESTED THAT YOU KEEP THE ORIGINAL OF THIS
6DOCUMENT ON FILE WITH YOUR PHYSICIAN."
AB570, s. 6 7Section 6. 157.06 of the statutes is repealed and recreated to read:
AB570,10,8 8157.06 Anatomical gifts. (2) Definitions. In this section:
AB570,10,119 (a) "Agent" means a health care agent, as defined in s. 155.01 (4), or an
10individual who is expressly authorized in a record that is signed by a principal to
11make an anatomical gift of the principal's body or part.
AB570,10,1412 (b) "Anatomical gift" means a donation of all or part of a human body to take
13effect after the donor's death for the purpose of transplantation, therapy, research,
14or education.
AB570,10,1515 (c) "Decedent" means a deceased individual.
AB570,10,1616 (d) "Disinterested witness" means a witness who is not any of the following:
AB570,10,1817 1. The spouse, child, parent, sibling, grandchild, grandparent, or guardian of
18the individual who makes, amends, revokes, or refuses to make an anatomical gift.
AB570,10,2119 2. A person who exhibits special care and concern, except as a compensated
20health care provider, for the individual who makes, amends, revokes, or refuses to
21make an anatomical gift.
AB570,10,2222 3. Any other person to whom the anatomical gift could pass under sub. (11).
AB570,10,2423 (e) "Donor" means an individual whose body or part is the subject of an
24anatomical gift.
AB570,11,2
1(f) "Donor registry" means a database that contains records of anatomical gifts
2and amendments to or revocations of anatomical gifts.
AB570,11,53 (g) "Driver's license" means a license or permit to operate a vehicle, whether
4or not conditions are attached to the license or permit, that is issued by the
5department of transportation under ch. 343.
AB570,11,86 (h) "Eye bank" means a person that is licensed, accredited, or regulated under
7federal or state law to engage in the recovery, screening, testing, processing, storage,
8or distribution of human eyes or portions of human eyes.
AB570,11,119 (i) "Guardian" means a person appointed by a court to make decisions
10regarding the support, care, education, health, or welfare of an individual, and does
11not include a guardian ad litem.
AB570,11,1412 (j) "Hospital" means a facility approved as a hospital under s. 50.35 or a facility
13operated as a hospital by the federal government, a state, or a political subdivision
14of a state.
AB570,11,1615 (k) "Identification card" means an identification card issued by the department
16of transportation under s. 343.50.
AB570,11,1917 (L) "Organ procurement organization" means a person designated by the
18Secretary of the U.S. Department of Health and Human Services as an organ
19procurement organization.
AB570,11,2020 (m) "Parent" has the meaning given under s. 48.02 (13).
AB570,11,2221 (n) "Part" means a vascularized organ, eye, or tissue of a human being. "Part"
22does not mean a whole human body.
AB570,11,2423 (o) "Physician" means an individual authorized to practice medicine or
24osteopathy under the laws of any state.
AB570,12,2
1(p) "Procurement organization" means an eye bank, organ procurement
2organization, or tissue bank.
AB570,12,73 (q) "Prospective donor" means an individual who is dead or near death and has
4been determined by a procurement organization to have a part that could be
5medically suitable for transplantation, therapy, research, or education. An
6individual who has refused to make an anatomical gift as provided under sub. (7) is
7not a prospective donor.
AB570,12,118 (r) "Reasonably available" means able to be contacted by a procurement
9organization without undue effort and willing and able to act in a timely manner
10consistent with existing medical criteria necessary for the making of an anatomical
11gift.
AB570,12,1312 (s) "Record" means information that is inscribed on a tangible medium or that
13is stored in an electronic or other medium and is retrievable in a perceivable form.
AB570,12,1614 (t) "Record of gift" means a donor card or other record used to make an
15anatomical gift, including a statement or symbol on a driver's license or
16identification card or in a donor registry.
AB570,12,1917 (u) "Record of refusal" means a record created under sub. (7) that expressly
18states an intent to bar other persons from making an anatomical gift of an
19individual's body or part.
AB570,12,2120 (v) "Sign" means to do any of the following with present intent to authenticate
21or adopt a record:
AB570,12,2222 1. Execute or adopt a signature or tangible symbol.
AB570,12,2423 2. Attach to or logically associate with the record an electronic symbol, sound,
24or process.
AB570,13,3
1(w) "Technician" means an individual determined to be qualified to remove or
2process parts by an appropriate organization that is licensed, accredited, or
3regulated under federal or state law and includes an enucleator.
AB570,13,64 (x) "Tissue" means a portion of the human body other than a vascularized organ
5or eye and does not include blood unless the blood is donated for the purpose of
6research or education.
AB570,13,97 (y) "Tissue bank" means a person that is licensed, accredited, or regulated
8under federal or state law to engage in the recovery, screening, testing, processing,
9storage, or distribution of tissue.
AB570,13,1210 (z) "Transplant hospital" means a hospital that furnishes organ transplants
11and other medical and surgical specialty services required for the care of transplant
12patients.
AB570,13,1513 (zm) "Vascularized organ" means a heart, lung, liver, pancreas, kidney,
14intestine, or other organ that requires the continuous circulation of blood to remain
15useful for purposes of transplantation.
AB570,13,20 16(2m) Signing for a person who is physically unable. If an individual who is
17physically unable to sign a record under sub. (5) (a) 4. or (b) 1., (6) (a) 1., (b) 1., (c) 1.,
18or (d) 1., or (7) (a) 1. or (b) 1. directs another to sign the record on his or her behalf,
19the signature of the other individual authenticates the record as long as all of the
20following conditions are satisfied:
AB570,13,2221 (a) The signature of the other individual is witnessed by at least two adults, at
22least one of whom is a disinterested witness.
AB570,13,2423 (b) The witnesses sign the record at the request of the individual who is
24physically unable to sign.
AB570,14,2
1(c) The record includes a statement that it was signed and witnessed at the
2request of the individual who is physically unable to sign.
AB570,14,5 3(4) Who may make an anatomical gift before donor's death. Except as
4provided in subs. (7) and (8), any of the following may during the life of a donor make
5an anatomical gift of the donor's body or part in the manner provided in sub. (5):
AB570,14,76 (a) The donor, if he or she is at least 15 and one-half years of age or is an
7emancipated minor.
AB570,14,108 (b) An agent of the donor, unless the donor's power of attorney for health care
9instrument under ch. 155 or some other record prohibits the agent from making an
10anatomical gift.
AB570,14,1211 (c) A parent of the donor, if the donor is an unemancipated minor and does not
12object to the making of the anatomical gift.
AB570,14,1413 (d) A guardian of the donor unless a health care agent under ch. 155 has
14authority to make an anatomical gift of the donor's body or part.
AB570,14,16 15(5) Manner of making an anatomical gift before donor's death. (a) A donor
16under sub. (4) (a) may make an anatomical gift by doing any of the following:
AB570,14,1917 1. Affixing to, or authorizing a person to imprint on, the donor's driver's license
18or identification card a statement or symbol that indicates that the donor has made
19an anatomical gift.
AB570,14,2020 2. Including an anatomical gift in his or her will.
AB570,14,2321 3. If the donor has a terminal illness or injury, communicating the anatomical
22gift by any means to at least two adults, at least one of whom is a disinterested
23witness.
AB570,15,3
14. Signing a donor card or other record that includes an anatomical gift or, if
2physically unable to sign a record, by directing another individual to sign the record
3as provided in sub. (2m).
AB570,15,54 5. Authorizing a person to include in a donor registry a statement or symbol
5that indicates that the donor has made an anatomical gift.
AB570,15,76 (b) A person under sub. (4) (b) to (d) may make an anatomical gift of a donor's
7body or part during the donor's life by doing any of the following:
AB570,15,108 1. Signing a donor card or other record that includes an anatomical gift or, if
9physically unable to sign a record, by directing another to sign the record as provided
10in sub. (2m).
AB570,15,1211 2. Authorizing another to include in a donor registry a statement or symbol that
12indicates that the person has made an anatomical gift of the donor's body or part.
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