251.11 (1) The local board of health of every multiple county health department established under s. 251.02 (3) and of every city-county health department established under s. 251.02 (1) (1m) shall annually prepare a budget of its proposed expenditures for the ensuing fiscal year and determine the proportionate cost to each participating county and city on the basis of equalized valuation. A certified copy of the budget, which shall include a statement of the amount required from each county and city, shall be delivered to the county board of each participating county and to the mayor or city manager of each participating city. The appropriation to be made by each participating county and city shall be determined by the governing body of the county and city. No part of the cost apportioned to the county shall be levied against any property within the city.
16,3128pr
Section 3128pr. 251.11 (2) of the statutes is amended to read:
251.11 (2) The local board of health of every a multiple county health department established under s. 251.02 (3) and of every city-county health department established under s. 251.02 (1) shall, under this section, determine the compensation for the employees of the multiple county health departments and city-county health departments. The local board of health of a city-county health department established under s. 251.02 (1m) shall, under this section, determine the compensation for the employees of the city-county health department.
16,3128ps
Section 3128ps. 251.15 (2) of the statutes is amended to read:
251.15 (2) A city that had established a local health department prior to deciding to participate in a city-county health department established under s. 251.02 (1) (1m) may withdraw from the city-county health department if the common council of the city gives written notice to the county board of the participating county.
16,3129
Section 3129. 252.12 (title) of the statutes is amended to read:
252.12 (title) Services relating to acquired immunodeficiency syndrome HIV and related infections, including hepatitis C virus infections; services and prevention.
16,3130
Section 3130. 252.12 (2) (a) (intro.) of the statutes is amended to read:
252.12 (2) (a) Acquired immunodeficiency syndrome HIV and related infections, including hepatitis C virus infections; services. (intro.) From the appropriations under s. 20.435 (1) (a) and (5) (am), the department shall distribute funds for the provision of services to individuals with or at risk of contracting acquired immunodeficiency syndrome HIV infection, as follows:
16,3131
Section 3131. 252.12 (2) (a) 1. of the statutes is amended to read:
252.12 (2) (a) 1. `Partner referral and notification.' The department shall contact an individual known to have received an HIV infection and encourage him or her to refer for counseling and, HIV testing
, and, if appropriate, testing for hepatitis C virus infection any person with whom the individual has had sexual relations or has shared intravenous equipment.
16,3132
Section 3132. 252.12 (2) (a) 2. of the statutes is amended to read:
252.12 (2) (a) 2. `Grants to local projects.' The department shall make grants to applying organizations for the provision of acquired immunodeficiency syndrome HIV and related infection prevention information, the establishment of counseling support groups and the provision of direct care to persons with acquired immunodeficiency syndrome HIV infection, including those persons with hepatitis C virus infection.
16,3133
Section 3133. 252.12 (2) (a) 3. (intro.) of the statutes is amended to read:
252.12 (2) (a) 3. `Statewide public education campaign.' (intro.) The department shall promote public awareness of the risk of contracting acquired immunodeficiency syndrome HIV and related infections and measures for acquired immunodeficiency syndrome HIV and related infections protection by development and distribution of information through clinics providing family planning services, as defined in s. 253.07 (1) (b), offices of physicians and clinics for sexually transmitted diseases and by newsletters, public presentations or other releases of information to newspapers, periodicals, radio and television stations and other public information resources. The information would shall be targeted at individuals whose behavior puts them at risk of contracting acquired immunodeficiency syndrome HIV and related infections and would shall encompass the following topics:
16,3134
Section 3134. 252.12 (2) (a) 3. a. of the statutes is amended to read:
252.12 (2) (a) 3. a. Acquired immunodeficiency syndrome and HIV infection and related infections.
16,3135
Section 3135. 252.12 (2) (a) 3. b. of the statutes is amended to read:
252.12 (2) (a) 3. b. Means of identifying whether or not individuals may be at risk of contracting acquired immunodeficiency syndrome HIV and related infections.
16,3136
Section 3136. 252.12 (2) (a) 3. c. of the statutes is amended to read:
252.12 (2) (a) 3. c. Measures individuals may take to protect themselves from contracting acquired immunodeficiency syndrome HIV and related infections.
16,3137
Section 3137. 252.12 (2) (a) 4. of the statutes is amended to read:
252.12 (2) (a) 4. `Information network.' The department shall establish a network to provide information to local health officers and other public officials who are responsible for acquired immunodeficiency syndrome HIV infection and related infection prevention and training.
16,3138
Section 3138. 252.12 (2) (a) 5. of the statutes is amended to read:
252.12 (2) (a) 5. `HIV seroprevalence studies.' The department shall perform tests for the presence of HIV, antigen or nonantigenic products of HIV or an antibody to HIV and, if appropriate, related infections and shall conduct behavioral surveys among population groups determined by the department to be highly at risk of becoming infected with or transmitting HIV and related infections. Information obtained shall be used to develop targeted HIV infection and related infection prevention efforts for these groups and to evaluate the state's prevention strategies.
16,3139
Section 3139. 252.12 (2) (a) 6. of the statutes is amended to read:
252.12 (2) (a) 6. `Grants for targeted populations and intervention services.' The department shall make grants to those applying organizations determined by that the department to be determines are best able to contact individuals who are determined to be highly at risk of contracting acquired immunodeficiency syndrome HIV for the provision of acquired immunodeficiency syndrome HIV and related infection information and intervention services.
16,3140
Section 3140. 252.12 (2) (a) 7. of the statutes is amended to read:
252.12 (2) (a) 7. `Contracts for counseling and laboratory testing services.' The department shall distribute funding in each fiscal year to contract with organizations to provide, at alternate testing sites, anonymous or confidential counseling services for HIV and laboratory testing services for the presence of HIV and, if appropriate, related viruses.
16,3140c
Section 3140c. 252.12 (2) (a) 8. of the statutes is amended to read:
252.12 (2) (a) 8. `Life care and early intervention services.' The department shall award not more than $1,994,900 in each fiscal year 2001-02 and not more than $2,069,900 in each fiscal year thereafter in grants to
applying state-designated HIV service organizations for the provision of needs assessments; assistance in procuring financial, medical, legal, social and pastoral services
and housing assistance ; counseling and therapy; homecare services and supplies; advocacy; and case management services. These services shall include early intervention services. The department shall also award not more than $74,000 in each year from the appropriation under s. 20.435 (7) (md) for the services under this subdivision. The state share of payment for case management services that are provided under s. 49.45 (25) (be) to recipients of medical assistance shall be paid from the appropriation under s. 20.435 (5) (am).
16,3140m
Section 3140m. 252.12 (2) (a) 9. of the statutes is created to read:
252.12 (2) (a) 9. `Grant for family resource center.' The department shall award a grant
in each fiscal year to develop and implement an African-American family resource center in the city of Milwaukee that targets activities toward the prevention and treatment of HIV infection and related infections, including hepatitis C virus infection, of minority group members, as defined in s. 560.036 (1) (f).
16,3141d
Section 3141d. 252.12 (2) (c) 2. of the statutes is amended to read:
252.12 (2) (c) 2. From the appropriation under s. 20.435 (5) (am), the department shall award $75,000 in each fiscal year as grants for services to prevent HIV infection and related infections, including hepatitis C virus infection. Criteria for award of the grants shall include the criteria specified under subd. 1. The department shall award 60% of the funding to applying organizations that receive funding under par. (a) 8. and 40% of the funding to applying community-based organizations that are
operated by minority group members, as defined in s. 560.036 (1) (f) minority businesses certified by the department of commerce under s. 560.036 (2) .
16,3142
Section 3142. 252.12 (2) (c) 3. of the statutes is amended to read:
252.12 (2) (c) 3. From the appropriation under s. 20.435 (5) (am), the department shall award to the African American AIDS task force of the Black Health Coalition of Wisconsin, Inc., $25,000 in each fiscal year as grants for services to prevent HIV infection and related infections, including hepatitis C infection.
16,3142m
Section 3142m. 253.065 of the statutes is created to read:
253.065 Grants for childhood asthma. From the appropriation under s. 20.435 (5) (ca), annually, the department shall award grants to local health departments established under s. 251.02 (2) for case management services for children who have asthma and who are enrolled in the medical assistance program under subch. IV of ch. 49 or the badger care health care program under s. 49.665.
16,3143
Section 3143. 253.13 (2) of the statutes is amended to read:
253.13 (2) Tests; diagnostic, dietary and follow-up counseling program; fees. The department shall contract with the state laboratory of hygiene to perform the tests specified under this section and to furnish materials for use in the tests. The department shall provide necessary diagnostic services, special dietary treatment as prescribed by a physician for a patient with a congenital disorder as identified by tests under sub. (1) or (1m) and follow-up counseling for the patient and his or her family. The state laboratory of hygiene board, on behalf of the department, shall impose a fee for tests performed under this section sufficient to pay for services provided under the contract and. The state laboratory of hygiene board shall include as part of this fee and pay to the department an amount amounts the department determines is are sufficient to fund the provision of diagnostic and counseling services, special dietary treatment, and periodic evaluation of infant screening programs, the costs of consulting with experts under sub. (5), and the costs of administering the congenital disorder program under this section and shall credit these amounts to the appropriations under s. 20.435 (1) (jb) and (5) (ja).
16,3143m
Section 3143m. 254.11 (13) of the statutes is amended to read:
254.11 (13) "Third-party payer" means a disability insurance policy that is required to provide coverage for a blood lead test under s. 632.895 (10) (a); a health maintenance organization or preferred provider plan under ch. 609; a health care coverage plan offered by the state under s. 40.51 (6); a self-insured health plan offered by a city or village under s. 66.0137 (4), a political subdivision under s. 66.0137 (4m), a town under s. 60.23 (25), a county under s. 59.52 (11) (c), or a school district under s. 120.13 (2) (b); or a sickness care plan operated by a cooperative association under s. 185.981.
16,3144
Section 3144. 254.31 (10) of the statutes is amended to read:
254.31 (10) "Source material" means any material except special nuclear material, which contains by weight 0.05 per cent or more of uranium, thorium, or any combination thereof in any physical or chemical form, or ores that contain by weight 0.05% or more of uranium, thorium, or any combination thereof. "Source material" does not include special nuclear material.
16,3145
Section 3145. 254.34 (1) (a) of the statutes is amended to read:
254.34
(1) (a) Promulgate and enforce rules, including registration and licensing of sources of ionizing radiation, as may be necessary to prohibit and prevent unnecessary radiation exposure. The rules may incorporate by reference the recommended standards of nationally recognized bodies in the field of radiation protection and other fields of atomic energy, under the procedure established by s. 227.21 (2). The rules for by-product material, source material and special nuclear material
may be no less stringent than shall be in accordance with the requirements of 42 USC 2021 (o) and shall otherwise be compatible with the requirements under
42 USC 2011 to
2114 and regulations adopted under
42 USC 2011 to
2114.
16,3146
Section 3146. 254.34 (2) (c) of the statutes is created to read:
254.34 (2) (c) Develop requirements for qualification, certification, training, and experience of an individual who does any of the following:
1. Operates radiation generating equipment.
2. Utilizes, stores, transfers, transports, or possesses radioactive materials.
3. Acts as a radiation safety consultant to any person who possesses a license or registration issued by the department under this subchapter.
16,3147
Section 3147. 254.34 (2) (d) of the statutes is created to read:
254.34 (2) (d) Recognize certification by another state or by a nationally recognized certifying organization of an individual to perform acts under par. (c) 1. to 3. if the standards for the other state's certification or the organization's certification are substantially equivalent to the standards of the department for certification of individuals under par. (c).
16,3147w
Section 3147w. 254.47 (1) of the statutes is amended to read:
254.47 (1) Except as provided in sub. (1g) and ss. 250.041 and 254.115, the department or a local health department granted agent status under s. 254.69 (2) shall issue permits to and regulate campgrounds and camping resorts, recreational and educational camps and public swimming pools. No person or state or local government who has not been issued a permit under this section may conduct, maintain, manage or operate a campground and camping resort, recreational camp and educational camp or public swimming pool, as defined by departmental rule.
16,3147x
Section 3147x. 254.47 (1g) of the statutes is created to read:
254.47 (1g) A campground permit is not required for camping at county or district fairs at which 4-H Club members exhibit, for the 4 days preceding the county or district fair, the duration of the county or district fair, and the 4 days following the county or district fair.
16,3148
Section 3148. 254.47 (1m) of the statutes is created to read:
254.47 (1m) The department or a local health department granted agent status under s. 254.69 (2) may not, without a preinspection, grant a permit to a person intending to operate a new public swimming pool, campground, or recreational or educational camp or to a person intending to be the new operator of an existing public swimming pool, campground, or recreational or educational camp.
16,3149
Section 3149. 254.47 (2) of the statutes is amended to read:
254.47 (2) A separate permit is required for each campground, camping resort, recreational and or educational camp and public swimming pool. No permit issued under this section is transferable from one premises to another or from one person, state or local government to another, except that the permit may be transferred from an individual to an immediate family member, as defined in s. 254.64 (4) (a), if the individual is transferring operation of the campground, camping resort, recreational and or educational camp or public swimming pool to the immediate family member.
16,3150
Section 3150. 254.47 (4) of the statutes is amended to read:
254.47 (4) Permits issued under this section expire on June 30, except that permits initially issued during the period beginning on April 1 and ending on June 30 expire on June 30 of the following year. Except as provided in s. 254.69 (2) (d) and (e), the department shall promulgate rules that establish, for permits issued under this section, amounts of permit fees, preinspection fees, reinspection fees, fees for operating without a license, and late fees for untimely permit renewal.
16,3151
Section 3151. 254.64 (1) (b) of the statutes is amended to read:
254.64 (1) (b) No person may maintain, manage or operate a bed and breakfast establishment for more than 10 nights in a year without having first obtained a biennial an annual permit from the department.
16,3152
Section 3152. 254.64 (4) (b) of the statutes is amended to read:
254.64 (4) (b) Except as provided in pars. (c) and par. (d), no permit is transferable from one premises to another or from one person to another.
16,3153
Section 3153. 254.64 (4) (c) of the statutes is repealed.
16,3154
Section 3154. 254.68 of the statutes is amended to read:
254.68 Fees. Except as provided in s. 254.69 (2) (d) and (e), the department shall promulgate rules that establish, for permits issued under s. 254.64, permit fees, preinspection fees and, reinspection fees, fees for operating without a permit, late fees for untimely permit renewal, fees for comparable compliance or variance requests, and fees for pre-permit review of restaurant plans.
16,3155
Section 3155. 254.69 (2) (am) of the statutes is amended to read:
254.69 (2) (am) In the administration of this subchapter or s. 254.47, the department may enter into a written agreement with a local health department with a jurisdictional area that has a population greater than 5,000, which designates the local health department as the department's agent in issuing permits to and making investigations or inspections of hotels, restaurants, temporary restaurants, tourist rooming houses, bed and breakfast establishments, campgrounds and camping resorts, recreational and educational camps and public swimming pools. In a jurisdictional area of a local health department without agent status, the department of health and family services may issue permits, collect permit fees established by rule under s. 254.68 and make investigations or inspections of hotels, restaurants, temporary restaurants, tourist rooming houses, bed and breakfast establishments, campgrounds and camping resorts, recreational and educational camps and public swimming pools. If the department designates a local health department as its agent, the department or local health department may require no permit for the same operations other than the permit issued by the local health department under this subsection. The department shall coordinate the designation of agents under this subsection with the department of agriculture, trade and consumer protection to ensure that, to the extent feasible, the same local health department is granted agent status under this subsection and under s. 97.41. Except as otherwise provided by the department, a local health department granted agent status shall regulate all types of establishments for which this subchapter permits the department of health and family services to delegate regulatory authority.
16,3155z
Section 3155z. 255.06 of the statutes is repealed and recreated to read:
255.06 Well-woman program. (1) Definitions. In this section:
(a) "Hospital" has the meaning given in s. 50.33 (2).
(b) "Mammography" means the making of a record of a breast by passing X rays through a body to act on specially sensitized film.
(c) "Medicare" has the meaning given in s. 49.498 (1) (f).
(d) "Nurse practitioner" means a registered nurse licensed under ch. 441 or in a party state, as defined in s. 441.50 (2) (j), whose practice of professional nursing under s. 441.11 (4) includes performance of delegated medical services under the supervision of a physician, dentist, or podiatrist.
(e) "Poverty line" means the nonfarm federal poverty line for the continental United States, as defined by the federal department of labor under
42 USC 9902 (2).
(2) Well-woman program. From the appropriation under s. 20.435 (5) (cb), the department shall administer a well-woman program to provide reimbursement for health care screenings, referrals, follow-ups, and patient education provided to low-income, underinsured, and uninsured women. Reimbursement to service providers under this section shall be at the rate of reimbursement for identical services provided under medicare, except that, if projected costs under this section exceed the amounts appropriated under s. 20.435 (5) (cb), the department shall modify services or reimbursement accordingly. Within this limitation, the department shall implement the well-woman program to do all of the following:
(a) Breast cancer screening services. Provide not more than $422,600 in each fiscal year as reimbursement for the provision of breast cancer screening services to women who are aged 40 years or older, by a hospital or organization that has a mammography unit available for use and that is selected by the department under procedures established by the department. Recipients of services under this paragraph are subject to a copayment, payable to the service provider, for which the department shall reduce reimbursement to the service provider, as follows:
1. For a woman for whom 3rd-party coverage for services is obtainable, payment by the source of the 3rd-party coverage at full reasonable charge.
2. For a woman for whom 3rd-party coverage for services is not obtainable and whose income is above 150% of the poverty line, a copayment for the provided service that is based on a sliding scale, as developed by the department, according to the woman's income.
3. For a woman for whom 3rd-party coverage is not obtainable and whose income is at or below 150% of the poverty line, no copayment.
(b) Media announcements and educational materials. Allocate and expend at least $20,000 in each fiscal year to develop and provide media announcements and educational materials to promote breast cancer screening services that are available under pars. (a) and (c) and to promote health care screening services for women that are available under par. (e).
(c) Breast cancer screenings using mobile mammography van. Reimburse the city of Milwaukee public health department for up to $115,200 in each fiscal year for the performance of breast cancer screening activities with the use of a mobile mammography van.
(d) Specialized training to for rural colposcopic examinations and activities. Provide not more than $25,000 in each fiscal year as reimbursement for the provision of specialized training of nurse practitioners to perform, in rural areas, colposcopic examinations and follow-up activities for the treatment of cervical cancer.
(e) Health care screening, referral, follow-up, and patient education. Reimburse service providers for the provision of health care screening, referral, follow-up, and patient education to low-income, underinsured, and uninsured women.
