LRB-3379/1
DAK:kjf:rs
2003 - 2004 LEGISLATURE
November 13, 2003 - Introduced by Representatives Kaufert, McCormick,
Krawczyk, Hahn, Jeskewitz, LeMahieu, Ott, Stone
and Townsend,
cosponsored by Senators Roessler, Cowles and A. Lasee. Referred to
Committee on Urban and Local Affairs.
AB664,1,4 1An Act to amend 250.01 (4) (a) 5., 251.02 (1), 251.03 (4r), 251.04 (1), 251.04 (2),
2251.04 (3), 251.06 (4) (c), 251.12, 251.125, 251.15 (title) and 251.15 (3); and to
3create
251.02 (3t) and 251.15 (2m) of the statutes; relating to: multiple
4municipal local health departments in Winnebago County.
Analysis by the Legislative Reference Bureau
Under current law, in a county with a population of less than 500,000 (all
counties except Milwaukee County), a local health department may be a city health
department that was established before January 1, 1994, a county health
department, or a city-county health department. In Racine County only, a local
health department may be a village or town health department or may be a multiple
municipal local health department that is established by a city, village, or town in
concert with another city, village, or town. In addition, counties may establish
multiple county health departments. In Milwaukee County, a local health
department may be a city or village health department.
This bill authorizes the governing body of a city or village in Winnebago County
to establish, in concert with the governing body of another city or village in that
county, a multiple municipal local health department in a manner that is similar to
the establishment of multiple municipal local health departments in Racine County
under current law. All the powers and duties of current law for local health
departments apply to a multiple municipal local health department that is
established under the authorization created in this bill.

For further information see the local 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:
AB664, s. 1 1Section 1. 250.01 (4) (a) 5. of the statutes is amended to read:
AB664,2,32 250.01 (4) (a) 5. A multiple municipal local health department established
3under s. 251.02 (3r) or (3t).
AB664, s. 2 4Section 2. 251.02 (1) of the statutes is amended to read:
AB664,2,145 251.02 (1) In counties with a population of less than 500,000, unless a county
6board establishes a city-county health department under sub. (1m) jointly with the
7governing body of a city or establishes a multiple county health department under
8sub. (3) in conjunction with another county, the county board shall establish a single
9county health department, which shall meet the requirements of this chapter. The
10county health department shall serve all areas of the county that are not served by
11a city health department that was established prior to January 1, 1994, by a town
12or village health department established under sub. (3m), or by a multiple municipal
13local health department established under sub. (3r) or (3t). No governing body of a
14city may establish a city health department after January 1, 1994.
AB664, s. 3 15Section 3. 251.02 (3t) of the statutes is created to read:
AB664,2,1916 251.02 (3t) In Winnebago county, the governing body of a city or village may,
17in concert with the governing body of another city or village in that county, establish
18a multiple municipal local health department and elect a local health officer
19consistent with this chapter.
AB664, s. 4 20Section 4. 251.03 (4r) of the statutes is amended to read:
AB664,3,10
1251.03 (4r) Subsections (1) to (4m) do not apply to a city, village or town that
2establishes a multiple municipal local health department under s. 251.02 (3r) or to
3a city or village that establishes a multiple local health department under s. 251.02
4(3t)
. In establishing a multiple municipal local health department as described
5under s. 251.02 (3r) or (3t), the relevant governing bodies shall agree on how many
6members of the local board of health are appointed by each governing body and how
7many of each governing body's appointees shall be members who are not elected
8officials or employees of the governing body. The members shall be appointed by the
9relevant governing bodies. A local board of health under this subsection shall elect
10a chairperson and clerk.
AB664, s. 5 11Section 5. 251.04 (1) of the statutes is amended to read:
AB664,3,2212 251.04 (1) Except as authorized in s. 251.02 (3m) and, (3r), and (3t), a city board
13of health shall govern a city health department, a county board of health shall govern
14a county health department or multiple county health department, and a
15city-county board of health shall govern a city-county health department. A city
16board of health, a county board of health, a city-county board of health, or a board
17of health for a local health department as authorized in s. 251.02 (3m) and, (3r), and
18(3t)
shall assure the enforcement of state public health statutes and public health
19rules of the department as prescribed for a Level I local health department. A local
20board of health may contract or subcontract with a public or private entity to provide
21public health services. The contractor's staff shall meet the appropriate
22qualifications for positions in a Level I local health department.
AB664, s. 6 23Section 6. 251.04 (2) of the statutes is amended to read:
AB664,4,224 251.04 (2) A city or county board of health or a board of health for a local health
25department as authorized in s. 251.02 (3m) or, (3r), or (3t) shall assure that its local

1health department is a Level I, Level II, or Level III local health department, as
2specified in s. 251.05 (1).
AB664, s. 7 3Section 7. 251.04 (3) of the statutes is amended to read:
AB664,4,94 251.04 (3) A city or county board of health or a board of health for a local health
5department as authorized in s. 251.02 (3m) or, (3r), or (3t) may adopt those
6regulations, for its own guidance and for the governance of the local health
7department, that it considers necessary to protect and improve public health. The
8regulations may be no less stringent than, and may not conflict with, state statutes
9and rules of the department.
AB664, s. 8 10Section 8. 251.06 (4) (c) of the statutes is amended to read:
AB664,4,1411 251.06 (4) (c) A local health officer of a village or town health department
12established under s. 251.02 (3m) and a local health officer of a multiple municipal
13local health department established under s. 251.02 (3r) or (3t) shall be appointed
14by the local board of health.
AB664, s. 9 15Section 9. 251.12 of the statutes is amended to read:
AB664,4,20 16251.12 City health department, how financed. The common council shall
17appropriate funds for the operation of a city health department that is established
18as specified in s. 251.02 (1) and (2) and for the operation of a multiple municipal local
19health department that is established under s. 251.02 (3r) or (3t) by the governing
20body of a city in concert with the governing body of another city or a village or town.
AB664, s. 10 21Section 10. 251.125 of the statutes is amended to read:
AB664,5,2 22251.125 Village health department, how financed. If a village health
23department is established under s. 251.02 (2) or (3m) or if a multiple municipal local
24health department is established under s. 251.02 (3r) or (3t) by the governing body

1of a village in concert with the governing body of another village or a city or town the
2village board shall appropriate funds for the operation of the department.
AB664, s. 11 3Section 11. 251.15 (title) of the statutes is amended to read:
AB664,5,4 4251.15 (title) Withdrawal of counties and, cities, villages, or towns .
AB664, s. 12 5Section 12. 251.15 (2m) of the statutes is created to read:
AB664,5,106 251.15 (2m) After establishing a multiple municipal local health department
7under s. 251.02 (3r) or (3t), the governing body of any city, village, or town
8participating in the multiple municipal local health department may withdraw by
9giving written notice to the local board of health and to the governing bodies of all
10other participating cities, villages, and towns.
AB664, s. 13 11Section 13. 251.15 (3) of the statutes is amended to read:
AB664,5,1712 251.15 (3) The notice under sub. (1) or , (2), or (2m) shall be given at least one
13year prior to commencement of the fiscal year at which the withdrawal takes effect.
14Whenever the withdrawal of any county or city from a city-county or multiple county
15health department
takes effect, all relevant provisions of law relating to local boards
16of health and local health officers shall immediately become applicable within the
17withdrawing county or, city, village, or town.
AB664,5,1818 (End)
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