1 | 1 | | 2025 - 2026 LEGISLATURE |
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2 | 2 | | LRB-0487/1 |
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3 | 3 | | EHS:cdc |
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4 | 4 | | 2025 SENATE BILL 70 |
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5 | 5 | | February 26, 2025 - Introduced by Senators CABRAL-GUEVARA, L. JOHNSON, |
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6 | 6 | | KEYESKI and WALL, cosponsored by Representatives TITTL, MURSAU, BARE, |
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7 | 7 | | EMERSON, FITZGERALD, JOHNSON, MCCARVILLE, MIRESSE, PALMERI, ROE, |
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8 | 8 | | SINICKI, SUBECK, TUSLER, UDELL and WITTKE. Referred to Committee on |
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9 | 9 | | Health. |
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10 | 10 | | AN ACT to create 48.374 of the statutes; relating to: a minor[s authority to |
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11 | 11 | | consent to health care. |
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12 | 12 | | Analysis by the Legislative Reference Bureau |
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13 | 13 | | This bill allows a minor who is an unaccompanied youth to consent to, contract |
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14 | 14 | | for, and receive medically necessary care without a parent[s or guardian[s |
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15 | 15 | | permission, authority, or consent under certain circumstances. The bill defines |
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16 | 16 | | Xunaccompanied youthY as the term is defined under federal law, which is a |
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17 | 17 | | homeless youth not in the physical custody of a parent or guardian. The bill defines |
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18 | 18 | | Xmedically necessary careY as a medical service that is required to prevent, identify, |
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19 | 19 | | or treat a recipient[s illness, injury, or disability and that meets a set of standards |
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20 | 20 | | specified in the bill. |
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21 | 21 | | Under the bill, in order to consent to health care, such a minor must be at least |
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22 | 22 | | 14 years of age and must not be under the supervision of a county department of |
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23 | 23 | | human services or social services, a licensed child welfare agency, the Department |
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24 | 24 | | of Children and Families, or the Department of Corrections. Also under the bill, |
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25 | 25 | | one of the following must confirm in writing that the minor is an unaccompanied |
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26 | 26 | | youth: a local educational agency liaison for homeless children and youths |
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27 | 27 | | designated under federal law, a school social worker or counselor, an employee who |
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28 | 28 | | conducts intake at a shelter facility or transitional living program where the minor |
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29 | 29 | | has been admitted as an unaccompanied youth under current law, or the director, or |
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30 | 30 | | his or her designee, of a governmental or nonprofit entity that receives public or |
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32 | 32 | | 2 2025 - 2026 Legislature |
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33 | 33 | | SENATE BILL 70 |
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34 | 34 | | - 2 - LRB-0487/1 |
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35 | 35 | | EHS:cdc |
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36 | 36 | | SECTION 1 |
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37 | 37 | | private funding to provide services to individuals who are homeless or to |
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38 | 38 | | unaccompanied youth. |
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39 | 39 | | Under the bill, a professional who provides medically necessary care to a |
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40 | 40 | | minor based on the minor[s consent given in conformity with the bill may not be |
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41 | 41 | | held liable in a civil or criminal action for providing those services without having |
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42 | 42 | | obtained permission from the minor[s parent or guardian. |
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43 | 43 | | The people of the state of Wisconsin, represented in senate and assembly, do |
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44 | 44 | | enact as follows: |
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45 | 45 | | SECTION 1. 48.374 of the statutes is created to read: |
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46 | 46 | | 48.374 Minor consent for medical care. (1) In this section: |
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47 | 47 | | (a) XMedically necessary careY means a medical service that is required to |
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48 | 48 | | prevent, identify, or treat a recipient[s illness, injury, or disability and that meets |
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49 | 49 | | all of the following standards: |
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50 | 50 | | 1. The medical service is consistent with the recipient[s symptoms or with |
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51 | 51 | | prevention, diagnosis, or treatment of the recipient[s illness, injury, or disability. |
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52 | 52 | | 2. The medical service is provided in a manner that is consistent with |
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53 | 53 | | standards of acceptable quality of care applicable to the type of medical service, the |
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54 | 54 | | type of provider, and the setting in which the medical service is provided. |
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55 | 55 | | 3. The medical service is appropriate with regard to generally accepted |
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56 | 56 | | standards of medical practice. |
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57 | 57 | | 4. The medical service is not medically contraindicated with regard to the |
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58 | 58 | | recipient[s diagnosis, the recipient[s symptoms, or other medical services being |
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59 | 59 | | provided to the recipient. |
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60 | 60 | | 5. The medical service is of proven medical value or usefulness and is not |
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61 | 61 | | experimental in nature. |
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78 | 78 | | 17 2025 - 2026 Legislature |
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79 | 79 | | SENATE BILL 70 |
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80 | 80 | | - 3 - LRB-0487/1 |
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81 | 81 | | EHS:cdc |
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82 | 82 | | SECTION 1 |
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83 | 83 | | 6. The medical service is not duplicative with respect to other medical services |
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84 | 84 | | being provided to the recipient. |
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85 | 85 | | 7. The medical service is not provided solely for the convenience of the |
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86 | 86 | | recipient, the recipient[s family, or a provider. |
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87 | 87 | | 8. With respect to prior authorization of a medical service and to other |
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88 | 88 | | prospective coverage determinations made by the department, the medical service |
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89 | 89 | | is cost-effective compared to an alternative medical service that is reasonably |
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90 | 90 | | accessible to the recipient. |
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91 | 91 | | 9. The medical service is the most appropriate supply or level of service that |
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92 | 92 | | can safely and effectively be provided to the recipient. |
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93 | 93 | | (b) XUnaccompanied youthY has the meaning given in 42 USC 11434a (6). |
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94 | 94 | | (2) Except as provided under s. 48.375, a minor may consent to, contract for, |
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95 | 95 | | and receive medically necessary care without a parent[s or guardian[s permission, |
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96 | 96 | | authority, or consent if all of the following apply: |
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97 | 97 | | (a) The minor is 14 years of age or older. |
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98 | 98 | | (b) The minor is not under the supervision of a county department, a licensed |
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99 | 99 | | child welfare agency, the department, or the department of corrections under this |
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100 | 100 | | chapter or ch. 938 or under the jurisdiction of the court. |
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101 | 101 | | (c) One of the following, who has obtained the minor[s consent to disclose the |
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102 | 102 | | minor[s status as an unaccompanied youth, confirms in writing that the minor is an |
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103 | 103 | | unaccompanied youth: |
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104 | 104 | | 1. A local educational agency liaison for homeless children and youth |
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105 | 105 | | designated under 42 USC 11432 (g) (1) (J) (ii). |
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128 | 128 | | 23 2025 - 2026 Legislature |
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129 | 129 | | SENATE BILL 70 |
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130 | 130 | | - 4 - LRB-0487/1 |
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131 | 131 | | EHS:cdc |
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132 | 132 | | SECTION 1 |
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133 | 133 | | 2. A school social worker or counselor. |
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134 | 134 | | 3. An employee who conducts intake at a shelter facility or transitional living |
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135 | 135 | | program where the minor has been admitted under s. 48.9875. |
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136 | 136 | | 4. The director, or his or her designee, of a governmental or nonprofit entity |
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137 | 137 | | that receives public or private funding to provide services to individuals who are |
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138 | 138 | | homeless or to unaccompanied youth. |
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139 | 139 | | 5. An attorney representing the minor in any legal matter. |
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140 | 140 | | (3) (a) A physician or other qualified professional licensed to practice in this |
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141 | 141 | | state who provides medically necessary care to a minor based on consent given by |
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142 | 142 | | the minor in conformity with this section may not be held liable in a civil or criminal |
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143 | 143 | | action for providing those services without having obtained permission from the |
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144 | 144 | | minor[s parent or guardian. |
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145 | 145 | | (b) This section does not relieve a physician or other qualified professional |
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146 | 146 | | licensed in this state from liability for negligence in the diagnosis or treatment of a |
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147 | 147 | | minor. |
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148 | 148 | | (4) (a) Identification of a minor as an unaccompanied youth does not by itself |
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149 | 149 | | establish that the minor has been abused or neglected. |
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150 | 150 | | (b) This section does not supersede the mandatory reporting requirements |
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151 | 151 | | under s. 48.981. |
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152 | 152 | | (c) This section does not affect any rights a minor has to consent to treatment |
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153 | 153 | | under ch. 51. |
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154 | 154 | | (END) |
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