Wisconsin 2025-2026 Regular Session

Wisconsin Assembly Bill AB49 Compare Versions

Only one version of the bill is available at this time.
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44 2025 ASSEMBLY BILL 49
55 February 17, 2025 - Introduced by Representatives TITTL, MURSAU, BARE,
66 EMERSON, FITZGERALD, JOHNSON, MCCARVILLE, MIRESSE, PALMERI, ROE,
77 SINICKI, SUBECK, TUSLER, UDELL and WITTKE, cosponsored by Senators
88 CABRAL-GUEVARA, L. JOHNSON, KEYESKI and WALL. Referred to Committee on
99 Health, Aging and Long-Term Care.
1010
1111 ***AUTHORS SUBJECT TO CHANGE***
1212 AN ACT to create 48.374 of the statutes; relating to: a minor[s authority to
1313 consent to health care.
1414 Analysis by the Legislative Reference Bureau
1515 This bill allows a minor who is an unaccompanied youth to consent to, contract
1616 for, and receive medically necessary care without a parent[s or guardian[s
1717 permission, authority, or consent under certain circumstances. The bill defines
1818 Xunaccompanied youthY as the term is defined under federal law, which is a
1919 homeless youth not in the physical custody of a parent or guardian. The bill defines
2020 Xmedically necessary careY as a medical service that is required to prevent, identify,
2121 or treat a recipient[s illness, injury, or disability and that meets a set of standards
2222 specified in the bill.
2323 Under the bill, in order to consent to health care, such a minor must be at least
2424 14 years of age and must not be under the supervision of a county department of
2525 human services or social services, a licensed child welfare agency, the Department
2626 of Children and Families, or the Department of Corrections. Also under the bill,
2727 one of the following must confirm in writing that the minor is an unaccompanied
2828 youth: a local educational agency liaison for homeless children and youths
2929 designated under federal law, a school social worker or counselor, an employee who
3030 conducts intake at a shelter facility or transitional living program where the minor
3131 has been admitted as an unaccompanied youth under current law, or the director, or
3232 his or her designee, of a governmental or nonprofit entity that receives public or
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3838 private funding to provide services to individuals who are homeless or to
3939 unaccompanied youth.
4040 Under the bill, a professional who provides medically necessary care to a
4141 minor based on the minor[s consent given in conformity with the bill may not be
4242 held liable in a civil or criminal action for providing those services without having
4343 obtained permission from the minor[s parent or guardian.
4444 The people of the state of Wisconsin, represented in senate and assembly, do
4545 enact as follows:
4646 SECTION 1. 48.374 of the statutes is created to read:
4747 48.374 Minor consent for medical care. (1) In this section:
4848 (a) XMedically necessary careY means a medical service that is required to
4949 prevent, identify, or treat a recipient[s illness, injury, or disability and that meets
5050 all of the following standards:
5151 1. The medical service is consistent with the recipient[s symptoms or with
5252 prevention, diagnosis, or treatment of the recipient[s illness, injury, or disability.
5353 2. The medical service is provided in a manner that is consistent with
5454 standards of acceptable quality of care applicable to the type of medical service, the
5555 type of provider, and the setting in which the medical service is provided.
5656 3. The medical service is appropriate with regard to generally accepted
5757 standards of medical practice.
5858 4. The medical service is not medically contraindicated with regard to the
5959 recipient[s diagnosis, the recipient[s symptoms, or other medical services being
6060 provided to the recipient.
6161 5. The medical service is of proven medical value or usefulness and is not
6262 experimental in nature.
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8383 SECTION 1
8484 6. The medical service is not duplicative with respect to other medical services
8585 being provided to the recipient.
8686 7. The medical service is not provided solely for the convenience of the
8787 recipient, the recipient[s family, or a provider.
8888 8. With respect to prior authorization of a medical service and to other
8989 prospective coverage determinations made by the department, the medical service
9090 is cost-effective compared to an alternative medical service that is reasonably
9191 accessible to the recipient.
9292 9. The medical service is the most appropriate supply or level of service that
9393 can safely and effectively be provided to the recipient.
9494 (b) XUnaccompanied youthY has the meaning given in 42 USC 11434a (6).
9595 (2) Except as provided under s. 48.375, a minor may consent to, contract for,
9696 and receive medically necessary care without a parent[s or guardian[s permission,
9797 authority, or consent if all of the following apply:
9898 (a) The minor is 14 years of age or older.
9999 (b) The minor is not under the supervision of a county department, a licensed
100100 child welfare agency, the department, or the department of corrections under this
101101 chapter or ch. 938 or under the jurisdiction of the court.
102102 (c) One of the following, who has obtained the minor[s consent to disclose the
103103 minor[s status as an unaccompanied youth, confirms in writing that the minor is an
104104 unaccompanied youth:
105105 1. A local educational agency liaison for homeless children and youth
106106 designated under 42 USC 11432 (g) (1) (J) (ii).
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133133 SECTION 1
134134 2. A school social worker or counselor.
135135 3. An employee who conducts intake at a shelter facility or transitional living
136136 program where the minor has been admitted under s. 48.9875.
137137 4. The director, or his or her designee, of a governmental or nonprofit entity
138138 that receives public or private funding to provide services to individuals who are
139139 homeless or to unaccompanied youth.
140140 5. An attorney representing the minor in any legal matter.
141141 (3) (a) A physician or other qualified professional licensed to practice in this
142142 state who provides medically necessary care to a minor based on consent given by
143143 the minor in conformity with this section may not be held liable in a civil or criminal
144144 action for providing those services without having obtained permission from the
145145 minor[s parent or guardian.
146146 (b) This section does not relieve a physician or other qualified professional
147147 licensed in this state from liability for negligence in the diagnosis or treatment of a
148148 minor.
149149 (4) (a) Identification of a minor as an unaccompanied youth does not by itself
150150 establish that the minor has been abused or neglected.
151151 (b) This section does not supersede the mandatory reporting requirements
152152 under s. 48.981.
153153 (c) This section does not affect any rights a minor has to consent to treatment
154154 under ch. 51.
155155 (END)
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