SB546,18,1716 14. Expansion and full reimbursement of evidence-based, home-based
17prenatal care coordination services.
SB546,18,2218 15. Full reimbursement for home visits made by registered nurses who are
19public health nurses or who meet the qualifications of a public health nurse as
20specified in s. 250.06 (1), by social workers as defined in s. 252.15 (1) (er),
21nurse-midwives licensed under s. 441.15 (3), and by persons who receive the training
22established under s. 38.04 (33).
SB546,18,2423 16. Reimbursement of care provided through telehealth visits on the same
24basis that reimbursement is provided for in-person visits.
SB546,19,2
117. Reimbursement of the costs of providing banked human donor milk to
2newborns when medically indicated.
SB546,19,53 (c) The department shall evaluate the programs and services implemented
4under the waiver under par. (a) and develop a plan to implement the effective
5programs and services statewide.
SB546,19,86 (d) The department shall consider prohibiting reimbursement under Medical
7Assistance for elective induction of labor or cesarean sections if either procedure is
8performed before 39 weeks gestation, unless medically indicated.
SB546,26 9Section 26. 49.815 of the statutes is created to read:
SB546,19,11 1049.815 Statewide data management and information system. (1) The
11department of health services shall do all of the following:
SB546,19,1712 (a) Expand the department's electronic application and information system
13that enables an individual to determine his or her eligibility for, and to apply for or
14renew, benefits under the Medical Assistance program or other public assistance
15benefits. The system shall include information regarding all programs designed to
16assist low-income individuals, including housing assistance, rental assistance, and
17temporary child care assistance.
SB546,19,1918 (b) Develop and implement a statewide, electronic data management and
19information system for public assistance programs that does all of the following:
SB546,19,2120 1. Determines an individual's eligibility for multiple public assistance
21programs by means of a single registration or application.
SB546,19,2422 2. Allows administrators of public assistance programs to access data related
23to an individual that was previously collected in connection with a different public
24assistance program.
SB546,20,3
13. Provides a single, automated care plan for an individual that identifies a
2comprehensive array of service activities needed to address the individual's assessed
3risks.
SB546,20,64 4. Provides a scheduling or referral system that matches an individual's service
5needs with available health care, public assistance, or economic assistance
6providers.
SB546,20,10 7(2) The department of health services shall develop a detailed plan to
8implement an expanded system under sub. (1) (a) no later than 12 months after the
9effective date of this subsection .... [LRB inserts date]. The plan shall contain cost
10estimates and a proposed timeline for implementation.
SB546,20,14 11(3) The department of health services shall collaborate with appropriate state
12agencies to expand the system under sub. (1) (a) and to develop and implement the
13system under sub. (1) (b). State agencies shall cooperate with the department of
14health services on these projects.
SB546,27 15Section 27. 50.36 (2m) of the statutes is created to read:
SB546,20,1816 50.36 (2m) The department shall promulgate rules that require hospitals to
17ensure that best practices for postpartum patients and newborns are supported in
18hospitals, including rules that do all of the following:
SB546,20,2019 (a) Require hospitals to develop, for each postpartum patient, an appropriate
20discharge plan that does all of the following:
SB546,20,2521 1. Ensures that, to the extent practicable and in accordance with the
22recommendations established by the American Academy of Pediatrics, an
23appointment with a health care provider has been scheduled for the newborn within
24an appropriate time after discharge to address the nutritional and health needs of
25the newborn.
SB546,21,3
12. Ensures that the postpartum patient is consulted and provided with
2assistance regarding health care resources available to her newborn and regarding
3the safe transportation of her newborn.
SB546,21,54 (b) Require that education is provided, orally and in person, to each postpartum
5patient prior to discharge on all of the following:
SB546,21,66 1. Newborn care, including safe sleeping arrangements.
SB546,21,87 2. Methods to access breastfeeding information and support, including reliable
8information on Internet sites.
SB546,21,99 3. Car seat safety.
SB546,21,1110 (c) Require that health care providers, including physicians, do all of the
11following orally and in person:
SB546,21,1312 1. Recommend and actively support breastfeeding for all newborns for whom
13breastfeeding is not medically contraindicated.
SB546,21,1514 2. Provide parents with complete, up-to-date information to ensure that
15feeding decisions are fully informed.
SB546,21,1716 3. Provide, upon a parent's request, referrals to lactation specialists or public
17health nurses for home visits.
SB546,28 18Section 28. 50.36 (3i) of the statutes is created to read:
SB546,21,2519 50.36 (3i) A hospital may grant a nurse-midwife licensed under s. 441.15 (3)
20who is covered under the injured patients and families compensation fund under s.
21655.27 any hospital staff privilege that a hospital must, under sub. (3) (a), afford to
22persons licensed to practice medicine and surgery under subch. II of ch. 448 or to
23practice podiatry under subch. IV of ch. 448, including hospital staff privileges to
24admit, treat, and discharge any patient for whom a nurse-midwife is qualified to
25provide care.
SB546,29
1Section 29. 69.02 (2) (c) of the statutes is created to read:
SB546,22,102 69.02 (2) (c) The department shall promulgate rules establishing designations
3of race and ethnicity to be used in reporting the race and ethnicity of a registrant
4under s. 69.14 (1) (i). The designations shall be sufficiently detailed to enable
5compilation and analysis of data related to births and birth outcomes among all
6significant racial and ethnic populations in the state and to assist in the design and
7evaluation of programs and policies designed to improve birth outcomes. The rules
8shall establish procedures designed to ensure that the racial and ethnic designations
9included on each certificate of birth accurately reflect the race and ethnicity of the
10registrant as directly reported by the registrant's mother.
SB546,30 11Section 30. 69.14 (1) (i) of the statutes is created to read:
SB546,22,1312 69.14 (1) (i) Registrant's race. A certificate of birth shall include the race and
13ethnicity of the registrant, as reported by the mother of the registrant.
SB546,31 14Section 31. 71.07 (9e) (aj) (intro.) of the statutes is amended to read:
SB546,22,1915 71.07 (9e) (aj) (intro.) For taxable years beginning after December 31, 2010,
16and subject to par. (h), an individual may credit against the tax imposed under s.
1771.02 an amount equal to one of the following percentages of the federal basic earned
18income credit for which the person is eligible for the taxable year under section 32
19(b) (1) (A) to (C) of the Internal Revenue Code:
SB546,32 20Section 32. 71.07 (9e) (h) of the statutes is created to read:
SB546,23,221 71.07 (9e) (h) Notwithstanding the limitations in par. (aj), a person may claim
22the credit under par. (aj) even if, with regard to the child about whom the claim is
23made, the child does not have the same principal place of abode as the person
24claiming the credit and even if another person claims the credit under section 32 (b)

1(1) (A) to (C) of the Internal Revenue Code and under par. (aj) for that child, if all of
2the following apply:
SB546,23,43 1. The claimant is subject to and in compliance with a child support order under
4s. 767.511 with respect to that child.
SB546,23,65 2. The claimant meets the definition of parent under s. 48.02 (13) with respect
6to that child.
SB546,33 7Section 33. 253.15 (2) of the statutes is amended to read:
SB546,24,58 253.15 (2) Informational materials. The board shall purchase or prepare or
9arrange with a nonprofit organization to prepare printed and audiovisual materials
10relating to shaken baby syndrome and impacted babies. The materials shall include
11information regarding the identification and prevention of shaken baby syndrome
12and impacted babies, the grave effects of shaking or throwing on an infant or young
13child, appropriate ways to manage crying, fussing, or other causes that can lead a
14person to shake or throw an infant or young child, and a discussion of ways to reduce
15the risks that can lead a person to shake or throw an infant or young child. The
16materials shall be prepared in English, Spanish, and other languages spoken by a
17significant number of state residents, as determined by the board. The board shall
18make those written and audiovisual materials available to all hospitals, maternity
19homes, and nurse-midwives licensed under s. 441.15 that are required to provide or
20make available materials to parents under sub. (3) (a) 1., to the department and to
21all county departments and nonprofit organizations that are required to provide the
22materials to child care providers under sub. (4) (d), and to all school boards and
23nonprofit organizations that are permitted to provide the materials to pupils in one
24of grades 5 to 8 and in one of grades 10 to 12 under sub. (5). The board shall also make
25those written materials available to all county departments and Indian tribes that

1are providing evidence-based home visitation services under s. 48.983 (4) (b) 1. and
2to all providers of prenatal, postpartum, and young child care coordination services
3under s. 49.45 (44). The board may make available the materials required under this
4subsection to be made available by making those materials available at no charge on
5the board's Internet site.
SB546,34 6Section 34. 253.15 (6) of the statutes is amended to read:
SB546,24,127 253.15 (6) Information to home visitation or care coordination services
8recipients.
A county department or Indian tribe that is providing evidence-based
9home visitation services under s. 48.983 (4) (b) 1. and a provider of prenatal,
10postpartum, and young child care coordination services under s. 49.45 (44) shall
11provide to a recipient of those services, without cost, a copy of the written materials
12purchased or prepared under sub. (2) and an oral explanation of those materials.
SB546,35 13Section 35. 253.15 (7) (e) of the statutes is amended to read:
SB546,24,1914 253.15 (7) (e) A county department or Indian tribe that is providing
15evidence-based home visitation services under s. 48.983 (4) (b) 1. and a provider of
16prenatal, postpartum, and young child care coordination services under s. 49.45 (44)
17is immune from liability for any damages resulting from any good faith act or
18omission in providing or failing to provide the written materials and oral explanation
19specified in sub. (6).
SB546,36 20Section 36. 253.162 of the statutes is created to read:
SB546,24,22 21253.162 Fetal and infant mortality and birth outcome report. (1) In this
22section:
SB546,24,2323 (a) "Infant" means a child from birth to 12 months of age.
SB546,24,2524 (b) "Low birth weight" means a birth weight that is more than 1,500 grams and
25less than 2,500 grams.
SB546,25,1
1(c) "Very low birth weight" means a birth weight of 1,500 grams or less.
SB546,25,22 (d) "Very premature birth" means a birth at less than 32 weeks gestation.
SB546,25,15 3(2) (a) The department shall annually prepare a report relating to fetal and
4infant mortality and birth outcomes in this state. The department shall include in
5the report data related to births and birth outcomes in this state in the previous
6calendar year and an analysis of that data. The department shall collaborate with
7local health departments, tribes, and other interested parties to determine the data
8and data analysis to be included in the report and the procedures by which the data
9will be collected and reported to the department. The department shall ensure that
10the report, to the greatest extent possible, includes data and analysis that are
11necessary and useful for the development and evaluation of programs to address
12disparities in birth outcomes among racial and ethnic groups in this state and shall
13periodically consult with interested parties to review and update the data and
14analysis to be included in the report, as is needed to ensure that this goal continues
15to be met.
SB546,25,1716 (b) The department shall include, at a minimum, all of the following
17information in the report under par. (a):
SB546,25,1818 1. The number and rate of infant deaths in each county.
SB546,25,1919 2. The causes of infant deaths in each county.
SB546,25,2020 3. The number and rate of very premature births in each county.
SB546,25,2221 4. The number of low birth weight infants born in each county and the rate of
22those births in each county.
SB546,25,2423 5. The number of very low birth weight infants born in each county and the rate
24of those births in each county.
SB546,26,2
16. The race or ethnicity of the infant provided on the birth or death certificate
2for births or deaths identified in subds. 1., 3., 4., and 5.
SB546,26,53 (c) The department, in collaboration with the persons described under par. (a),
4shall consider including in the report data related to the type of prenatal care, if any,
5received by the mother of each infant whose birth data is included in the report.
SB546,26,76 (d) On June 30, 2015, and on every June 30 after that, the department shall
7do all of the following:
SB546,26,98 1. Submit the report to the appropriate standing committees of the legislature
9under s. 13.172 (3).
SB546,26,1010 2. Post the report on its Internet site.
SB546,26,1411 3. Post on its Internet site the raw data collected in the previous calendar year
12for purposes of the annual report. The data shall be presented in a manner that does
13not disclose or enable the identification of any individual infant, mother, or birth
14attendant.
SB546,26,17 15(3)   The department shall explore whether any of the costs of collecting the data
16and creating the report under sub. (2) may be funded by the Medical Assistance
17program.
SB546,37 18Section 37. 253.18 of the statutes is created to read:
SB546,26,22 19253.18 Neonatal intensive care unit report. (1) In this section, "neonatal
20intensive care unit" means a hospital unit on which special equipment and skilled
21medical personnel for the care of high-risk infants requiring immediate or
22continuous attention are concentrated.
SB546,26,24 23(2) (a) Beginning on July 1, 2014, the department shall collect all of the
24following information from a hospital that has a neonatal intensive care unit:
SB546,26,2525 1. The daily census of the neonatal intensive care unit.
SB546,27,1
12. The criteria for admission to the neonatal intensive care unit.
SB546,27,52 (b) On June 30, 2015, and on every June 30 after that, the department shall
3annually prepare a report that includes all of the information in par. (a) from the
4previous calendar year. The department shall make the report available to the public
5and post the report on the department's Internet site.
SB546,38 6Section 38. 441.15 (1) (a) of the statutes is repealed.
SB546,39 7Section 39. 441.15 (1) (am) of the statutes is created to read:
SB546,27,98 441.15 (1) (am) "Nurse-midwife" means a person licensed under this section
9to engage in the practice of nurse-midwifery.
SB546,40 10Section 40. 441.15 (1) (c) of the statutes is created to read:
SB546,27,1311 441.15 (1) (c) "Qualified health care professional" means a health care
12professional, as defined in s. 180.1901 (1m), who is performing services within his
13or her scope of practice.
SB546,41 14Section 41. 441.15 (2) (b) of the statutes is amended to read:
SB546,27,1715 441.15 (2) (b) The practice occurs in a health care facility approved by the board
16by rule under sub. (3) (c), in collaboration with a physician with postgraduate
17training in obstetrics, and pursuant to a written agreement with that physician
.
SB546,42 18Section 42. 441.15 (3) (c) of the statutes is amended to read:
SB546,27,2419 441.15 (3) (c) The board shall promulgate rules necessary to administer this
20section, including the establishment of appropriate limitations on the scope of the
21practice of nurse-midwifery, the facilities in which such practice may occur, the
22definition of "elective" for purposes of the prohibition in sub. (4m),
and the granting
23of temporary permits to practice nurse-midwifery pending qualification for
24certification.
SB546,43 25Section 43. 441.15 (4) of the statutes is amended to read:
SB546,28,5
1441.15 (4) A nurse-midwife who discovers evidence that any aspect of care
2involves any complication which jeopardizes the health or life of a newborn or mother
3shall consult with the collaborating physician under sub. (2) (b) or the physician's
4designee, or make a referral as specified in a written agreement under sub. (2) (b)
a
5qualified health care professional or make a referral
.
SB546,44 6Section 44. 441.15 (4m) of the statutes is created to read:
SB546,28,137 441.15 (4m) No nurse-midwife may perform an elective procedure intended
8to induce labor in a pregnant woman before the completion of a gestational period
9of 39 weeks unless the nurse-midwife has first obtained the informed consent of the
10woman. A woman's consent is informed for purposes of this subsection only if she
11receives timely information orally and in person from the nurse-midwife regarding
12potential negative effects to the fetus of early delivery, including long-term learning
13and behavioral problems.
SB546,45 14Section 45. 448.02 (3) (a) of the statutes is amended to read:
SB546,29,815 448.02 (3) (a) The board shall investigate allegations of unprofessional conduct
16and negligence in treatment by persons holding a license, certificate , or limited
17permit granted by the board. An allegation that a physician has violated s. 253.10
18(3), 448.30, 448.35, or 450.13 (2); or has failed to mail or present a medical
19certification required under s. 69.18 (2) within 21 days after the pronouncement of
20death of the person who is the subject of the required certificate ; or that a physician
21has failed at least 6 times within a 6-month period to mail or present a medical
22certificate required under s. 69.18 (2) within 6 days after the pronouncement of death
23of the person who is the subject of the required certificate is an allegation of
24unprofessional conduct. Information contained in reports filed with the board under
25s. 49.45 (2) (a) 12r., 50.36 (3) (b), 609.17, or 632.715, or under 42 CFR 1001.2005, shall

1be investigated by the board. Information contained in a report filed with the board
2under s. 655.045 (1), as created by 1985 Wisconsin Act 29, which is not a finding of
3negligence or in a report filed with the board under s. 50.36 (3) (c) may, within the
4discretion of the board, be used as the basis of an investigation of a person named in
5the report. The board may require a person holding a license, certificate, or limited
6permit to undergo, and may consider the results of , one or more physical, mental, or
7professional competency examinations if the board believes that the results of any
8such examinations may be useful to the board in conducting its investigation.
SB546,46 9Section 46. 448.35 of the statutes is created to read:
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