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Bills · 2025-2026 Regular Session

SB 646

Died at session end Official bill text Atom feed

Relating to: reports on the competency of involuntarily committed individuals to refuse medication or treatment based upon an examination by an advanced practice registered nurse.

Court — Procedure Mental health — Hospitals and institutes Nurses

  1. Introduced, stopped here
  2. Passes Senate, not reached
  3. Passes Assembly, not reached
  4. Governor signs, not reached
  5. Law, not reached

Unfamiliar terms? Glossary

What this bill does

Plain-language analysis by the nonpartisan Legislative Reference Bureau

Under current law, certain individuals who have been involuntarily committed for treatment have the right to exercise informed consent and refuse medications and treatments unless a situation exists in which medication or treatment is necessary to prevent serious physical harm to the individual or others or unless a court determines that the individual is not competent to refuse medication or treatment. A court makes this determination at a hearing if an interested person files a motion. Currently, the motion must be accompanied by a report that contains a signed statement by a physician that the individual needs medication or treatment and is not competent to refuse medication or treatment based on a physician’s examination. Under the bill, an advanced practice registered nurse who has expertise in psychiatric care may also perform the examination to determine whether or not the individual is competent to refuse medication or treatment.

Sponsors

Introduced by: Cabral-Guevara (R)

7 cosponsors

Allen (R) , Behnke (R) , Dittrich (R) , Keyeski (D) , Knodl (R) , Melotik (R) , Roys (D)

Registered lobbying interests · 5

Organizations that registered lobbying activity on this bill with the Wisconsin Ethics Commission. Registration means interest, not a position for or against. Official record

Votes

Senate: Report adoption of Senate Amendment 1 recommended by Committee on Mental Health, Substance Abuse Prevention, Children and Families, Ayes 5, Noes 0

Passed 5–0 Jan 22, 2026 official source full page

No individual roll call was recorded for this vote. Committee votes and some older sessions record totals only.

Senate: Report passage as amended recommended by Committee on Mental Health, Substance Abuse Prevention, Children and Families, Ayes 5, Noes 0

Passed 5–0 Jan 22, 2026 official source full page

No individual roll call was recorded for this vote. Committee votes and some older sessions record totals only.

Full history

  1. Nov 14, 2025 · Senate

    Introduced by Senator Cabral-Guevara; cosponsored by Representatives Dittrich, Allen, Behnke, Knodl and Melotik

  2. Nov 14, 2025 · Senate

    Read first time and referred to Committee on Mental Health, Substance Abuse Prevention, Children and Families

  3. Nov 17, 2025 · Senate

    Senator Keyeski added as a coauthor

  4. Dec 16, 2025 · Senate

    Public hearing held

  5. Jan 15, 2026 · Senate

    Senate Amendment 1 offered by Senator Cabral-Guevara

  6. Jan 22, 2026 · Senate

    Executive action taken

  7. Jan 22, 2026 · Senate

    Report adoption of Senate Amendment 1 recommended by Committee on Mental Health, Substance Abuse Prevention, Children and Families, Ayes 5, Noes 0

  8. Jan 22, 2026 · Senate

    Report passage as amended recommended by Committee on Mental Health, Substance Abuse Prevention, Children and Families, Ayes 5, Noes 0

  9. Jan 22, 2026 · Senate

    Available for scheduling

  10. Feb 11, 2026 · Senate

    Senator Roys added as a coauthor

  11. Mar 23, 2026 · Senate

    Failed to pass pursuant to Senate Joint Resolution 1