1 | 1 | | LRB-0286/1 |
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2 | 2 | | JPC:cdc |
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3 | 3 | | 2023 - 2024 LEGISLATURE |
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4 | 4 | | 2023 ASSEMBLY BILL 609 |
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5 | 5 | | October 31, 2023 - Introduced by Representatives SORTWELL, MURPHY, ROZAR, |
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6 | 6 | | ALLEN, BEHNKE, BODDEN, BRANDTJEN, CALLAHAN, EDMING, MAGNAFICI, |
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7 | 7 | | MICHALSKI, O'CONNOR, PENTERMAN, RETTINGER, SCHRAA and SCHUTT, |
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8 | 8 | | cosponsored by Senators NASS, CABRAL-GUEVARA and STROEBEL. Referred to |
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9 | 9 | | Committee on Health, Aging and Long-Term Care. |
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10 | 10 | | ***AUTHORS SUBJECT TO CHANGE*** |
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11 | 11 | | AN ACT to create 146.50 and 440.208 of the statutes; relating to: prohibiting |
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12 | 12 | | discrimination or retaliation against health care providers by health care |
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13 | 13 | | entities and credentialing boards for ordering or discussing innovative or novel |
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14 | 14 | | therapies. |
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15 | 15 | | Analysis by the Legislative Reference Bureau |
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16 | 16 | | This bill prevents health care entities and credentialing boards from |
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17 | 17 | | discriminating or retaliating against health care providers for ordering innovative |
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18 | 18 | | therapies or novel therapies if certain conditions are met, including: 1) the health |
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19 | 19 | | care provider orders the therapy based on his or her assessment of the patient and |
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20 | 20 | | any available clinical data supporting the therapy; 2) the patient requests the |
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21 | 21 | | innovative therapy or novel therapy; and 3) the ordered therapy, if the therapy is a |
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22 | 22 | | drug, device, or biological product, is either approved or authorized for emergency |
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23 | 23 | | use by the federal Food and Drug Administration. Further, this bill prevents any |
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24 | 24 | | health care entity or credentialing board from restricting any health care provider |
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25 | 25 | | from informing a patient of any innovative or novel therapy that may potentially |
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26 | 26 | | benefit the patient. The protections provided under the bill do not apply to a health |
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27 | 27 | | care provider who orders any drug, device, or biological product that is intended to |
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31 | 31 | | 4 - 2 -2023 - 2024 Legislature LRB-0286/1 |
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32 | 32 | | JPC:cdc |
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33 | 33 | | ASSEMBLY BILL 609 |
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34 | 34 | | delay or suppress pubertal development in a minor for the purpose of assisting the |
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35 | 35 | | minor with a gender transition. |
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36 | 36 | | The people of the state of Wisconsin, represented in senate and assembly, do |
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37 | 37 | | enact as follows: |
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38 | 38 | | SECTION 1. 146.50 of the statutes is created to read: |
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39 | 39 | | 146.50 Novel and innovative therapies. (1) In this section: |
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40 | 40 | | (a) “Biological sex” means the biological indication of male or female in the |
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41 | 41 | | context of reproductive potential or capacity, such as by sex chromosomes, naturally |
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42 | 42 | | occurring sex hormones, gonads, and unambiguous internal and external genitalia |
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43 | 43 | | present at birth, without regard to psychological, chosen, or subjective experience of |
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44 | 44 | | gender. |
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45 | 45 | | (b) “Gender transition” means a process in which an individual goes from |
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46 | 46 | | identifying with and living as a gender that corresponds with the individual's |
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47 | 47 | | biological sex to identifying with and living as a gender different from the |
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48 | 48 | | individual's biological sex. |
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49 | 49 | | (c) “Health care entity” has the meaning given for “health care provider” in s. |
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50 | 50 | | 146.81 (1) (i) to (p). |
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51 | 51 | | (d) “Health care provider” has the meaning given in s. 146.81 (1) (a) to (hp). |
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52 | 52 | | (2) No health care entity may retaliate against, discriminate against, or deny |
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53 | 53 | | privileges to a health care provider for ordering an innovative or novel therapy if all |
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54 | 54 | | of the following apply: |
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55 | 55 | | (a) The health care provider orders the innovative or novel therapy based on |
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56 | 56 | | his or her assessment of the patient and any available clinical data supporting the |
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57 | 57 | | innovative or novel therapy. |
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78 | 78 | | LRB-0286/1 |
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79 | 79 | | JPC:cdc |
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80 | 80 | | SECTION 1 |
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81 | 81 | | ASSEMBLY BILL 609 |
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82 | 82 | | (b) The patient is informed of all reasonable alternative courses of treatment |
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83 | 83 | | and requests the innovative or novel therapy over alternative courses of treatment. |
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84 | 84 | | (c) If the ordered innovative or novel therapy is a drug, device, or biological |
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85 | 85 | | product, the ordered drug, device, or biological product is approved by the federal |
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86 | 86 | | food and drug administration under 21 USC 355 or is authorized for emergency use |
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87 | 87 | | by the federal food and drug administration under 21 USC 360bbb-3. |
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88 | 88 | | (3) A health care entity may not restrict, directly or indirectly, any health care |
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89 | 89 | | provider from informing a patient of any innovative or novel therapy that may |
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90 | 90 | | potentially benefit the patient. |
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91 | 91 | | (4) This section does not apply to a health care provider who orders any drug, |
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92 | 92 | | device, or biological product that is intended to delay or suppress pubertal |
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93 | 93 | | development in a minor for the purpose of assisting the minor with a gender |
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94 | 94 | | transition. |
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95 | 95 | | SECTION 2. 440.208 of the statutes is created to read: |
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96 | 96 | | 440.208 Novel and innovative therapies. (1) In this section, “health care |
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97 | 97 | | provider” has the meaning given in s. 146.81 (1) (a) to (hp). |
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98 | 98 | | (2) No credentialing board may retaliate against, discriminate against, or |
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99 | 99 | | deny, suspend, limit, or revoke a credential to a health care provider for ordering an |
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100 | 100 | | innovative or novel therapy if all of the following apply: |
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101 | 101 | | (a) The health care provider orders the innovative or novel therapy based on |
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102 | 102 | | his or her assessment of the patient and any available clinical data supporting the |
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103 | 103 | | innovative or novel therapy. |
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104 | 104 | | (b) The patient is informed of all reasonable alternative courses of treatment |
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105 | 105 | | and requests the innovative or novel therapy over alternative courses of treatment. |
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129 | 129 | | 24 - 4 -2023 - 2024 Legislature LRB-0286/1 |
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130 | 130 | | JPC:cdc |
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131 | 131 | | SECTION 2 ASSEMBLY BILL 609 |
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132 | 132 | | (c) If the ordered innovative or novel therapy is a drug, device, or biological |
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133 | 133 | | product, the ordered drug, device, or biological product is approved by the federal |
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134 | 134 | | food and drug administration under 21 USC 355 or is authorized for emergency use |
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135 | 135 | | by the federal food and drug administration under 21 USC 360bbb-3. |
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136 | 136 | | (3) No credentialing board may restrict, directly or indirectly, by rule or any |
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137 | 137 | | other official action, any health care provider from informing a patient of any |
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138 | 138 | | innovative or novel therapy that may potentially benefit the patient. |
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139 | 139 | | (4) This section does not apply to a health care provider who orders any drug, |
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140 | 140 | | device, or biological product that is intended to delay or suppress pubertal |
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141 | 141 | | development in a minor for the purpose of assisting the minor with a gender |
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142 | 142 | | transition, as defined in s. 146.50 (1) (b). |
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143 | 143 | | (END) |
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