2013 - 2014 LEGISLATURE
October 22, 2013 - Introduced by Senators Darling,
Vukmir, Moulton, Cowles,
Erpenbach, Harris, Harsdorf, Lassa, L. Taylor and Carpenter, cosponsored
by Representatives Steineke, Krug, Kolste, Severson, Ballweg, Berceau,
Bernard Schaber, Bernier, Bies, Billings, Czaja, Danou, Hebl, Hulsey,
Jagler, Johnson, Murphy, A. Ott, Pasch, Riemer, Sanfelippo, Strachota,
Tittl, Tranel, Wachs, Wright and Zepnick. Referred to Committee on Health
and Human Services.
1An Act to repeal
20.435 (5) (bw); and to create
20.435 (5) (bw) and 51.442 of the 2
statutes; relating to: child psychiatry consultation program and making an
Analysis by the Legislative Reference Bureau
This bill requires the Department of Health Services (DHS) to create and
administer a child psychiatry consultation program (consultation program) to assist
participating clinicians in providing enhanced care to pediatric patients with mild
to moderate health care needs, to provide referral support for those patients who
need care beyond the scope of primary practice, and to provide additional services.
The consultation program is not an emergency referral service. Before January 1,
2015, DHS must review proposals submitted by organizations seeking to provide
consultation services through this consultation program (consultation providers)
and must designate one urban and one rural regional program hub based on
organizations' submitted proposals. Beginning on January 1, 2016, DHS must
create additional regional program hubs to expand the consultation program
Under the bill, DHS must select qualified providers to provide consultation
program services. To be a qualified consultation provider, an organization must
demonstrate it meets certain criteria as specified in the bill. While required to have
the capability to provide consultation services by telephone, a consultation provider
may provide services by certain other means of communication including in-person
conference. A consultation provider may also provide the following services, which
are eligible for funding from DHS: certain second opinion diagnostic and medication
management evaluations and certain in-person or Internet site-based educational
seminars and refresher courses provided to any participating clinician who uses the
consultation program. Beginning on January 1, 2016, a consultation provider must
report annually to DHS all of the following: a record of each request for consultation
services including certain information specified in the bill; consultation service
response times, the total number of requests for consultation services, the total
number of cases for which consultation services are provided, and the total number
of individuals and practices requesting consultation services; and a description of the
recruitment and educational efforts conducted by the consultation provider.
The bill also requires the department to conduct annual surveys of
participating clinicians who use the consultation program and conduct interviews of
participating clinicians who use the consultation program.
For further information see the state fiscal estimate, which will be printed as
an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
20.005 (3) (schedule) of the statutes: at the appropriate place, insert 2
the following amounts for the purposes indicated:
- See PDF for table
20.435 (5) (bw) of the statutes is created to read:
(bw) Child psychiatry consultation program.
Biennially, the 6
amounts in the schedule for operating the child psychiatry consultation program 7
under s. 51.442.
20.435 (5) (bw) of the statutes is repealed.
51.442 of the statutes is created to read:
251.442 Child psychiatry consultation program. (1)
In this section, 3
"participating clinicians" include pediatricians, family physicians, nurse 4
practitioners, and physician assistants.
The department shall create and administer a child psychiatry consultation 6
program to assist participating clinicians in providing enhanced care to pediatric 7
patients with mild to moderate mental health care needs, to provide referral support 8
for those pediatric patients who need care that is beyond the scope of primary care 9
practice, and to provide additional services described in this section. The 10
consultation program created under this section is not an emergency referral service.
(a) In the period before January 1, 2015, the department shall review 12
proposals submitted by organizations seeking to provide consultation services 13
through the consultation program under this section and shall designate one urban 14
and one rural regional program hub based on the submitted proposals. The 15
department shall select and provide moneys to organizations to provide consultation 16
services through the consultation program in a manner that maximizes medically 17
appropriate access and services as described under sub. (4).
(b) Beginning on January 1, 2016, the department shall create additional 19
regional program hubs in order to provide consultation services statewide.
The department shall select qualified organizations to provide consultation 21
program services through the regional hubs. Each regional hub shall make available 22
its own qualified provider or consortium of providers. To be a qualified provider in 23
the program under this section, an organization shall successfully demonstrate it 24
meets all of the following criteria:
(a) The organization has the required infrastructure to be located within the 2
geographic service area of the proposed regional hub.
(b) Any individual who would be providing consulting services through the 4
program is located on-site at the organization's facility.
(c) The organization enters into a contract with the department agreeing to 6
satisfy all of the following criteria as a condition of providing services through the 7
1. The organization has at the time of participation in the program and 9
maintains all of the following staffing at adequate levels:
a. A psychiatrist, who is either eligible for certification or certified by the 11
American Board of Psychiatry and Neurology, Inc., for either adult psychiatry or 12
child and adolescent psychiatry or both.
b. A social worker or psychologist.
c. A care coordinator.
d. Appropriate administrative support.
2. The organization operates during the normal business hours of Monday to 17
Friday between 8 a.m. and 5 p.m., excluding weekends and holidays.
3. The organization shall be able to provide consultation services as promptly 19
as is practicable.
4. The organization shall provide all of the following services:
a. Support for participating clinicians to assist in the management of children 22
and adolescents with mild to moderate mental health problems and to provide 23
referral support for those patients who are considered beyond the scope of primary 24
b. A triage-level assessment to determine the most appropriate response to 2
each request, including appropriate referrals to other mental health professionals.
c. When medically appropriate, diagnostic and therapeutic feedback.
d. Recruitment of other practices in the regional hub's service territory to the 5
5. The organization shall have the capability to provide consultation services 7
by telephone, at a minimum.
(a) An organization providing consultation services through the 9
consultation program under this section may provide services by teleconference, 10
video conference, voice over Internet protocol, electronic mail, pager, or in-person 11
(b) The organization providing consultation services through the consultation 13
program under this section may provide any of the following services, which are 14
eligible for funding from the department:
1. Second opinion diagnostic and medication management evaluations 16
conducted either by a psychiatrist or by a social worker or psychologist either by 17
in-person conference or by teleconference, video conference, or voice over Internet 18
2. In-person or Internet site-based educational seminars and refresher 20
courses provided to any participating clinician who uses the consultation program 21
on a medically appropriate topic within child psychiatry.