LRB-3396/1
SWB:amn
2015 - 2016 LEGISLATURE
October 9, 2015 - Introduced by Senators Stroebel and Cowles, cosponsored by
Representatives R. Brooks, Knodl, Born, Brandtjen, Edming, Gannon,
Horlacher, Hutton, Jarchow, Kremer, J. Ott, Rohrkaste, Steffen and
Thiesfeldt. Referred to Committee on Health and Human Services.
SB306,1,2 1An Act to amend 251.11 (1) and 251.15 (1) of the statutes; relating to: multiple
2county health departments.
Analysis by the Legislative Reference Bureau
This bill allows counties to form a multiple county health department with a
minimum initial term and, in addition, requires counties participating in a multiple
county health department to determine tax levy contributions from each
participating county on a per capita basis.
Under current law, a county board may, in conjunction with the county board
of one or more other counties, establish a multiple county health department, but
then may withdraw at any time and for any reason by giving written notice to its
county board of health and the county boards of all other participating counties. This
bill allows counties to establish a multiple county health department with an initial
minimum period of up to five years, during which a participating county may
withdraw only if withdrawal is necessary to meet statutory requirements for a Level
I health department.
Under current law, the local health board of every multiple county health
department must annually prepare a budget of its proposed expenditures for the
upcoming fiscal year and determine the proportionate cost to each participating
county on the basis of equalized valuation. This bill changes the basis for the
determination of proportionate costs to participating counties, instead requiring
that the local health board determine the proportionate levy contribution from each
participating county on a per capita basis.

For further information see the state and 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:
SB306,1 1Section 1. 251.11 (1) of the statutes is amended to read:
SB306,2,152 251.11 (1) The local board of health of every multiple county health department
3established under s. 251.02 (3) and of every
city-county health department
4established under s. 251.02 (1m) shall annually prepare a budget of its proposed
5expenditures for the ensuing fiscal year and determine the proportionate cost to each
6participating county and city on the basis of equalized valuation. The local board of
7health of every multiple county health department established under s. 251.02 (3)
8shall annually prepare a budget of its proposed expenditures for the ensuing fiscal
9year and determine the proportionate levy contribution from each participating
10county on a per capita basis.
A certified copy of the budget, which shall include a
11statement of the amount required from each county and city, shall be delivered to the
12county board of each participating county and to the mayor or city manager of each
13participating city. The appropriation to be made by each participating county and
14city shall be determined by the governing body of the county and city. No part of the
15cost apportioned to the county shall be levied against any property within the city.
SB306,2 16Section 2. 251.15 (1) of the statutes is amended to read:
SB306,3,517 251.15 (1) After establishing a multiple county health department under s.
18251.02 (3), any participating county board may withdraw by giving written notice to
19its county board of health and the county boards of all other participating counties,
20except that participating county boards may, in establishing a multiple county
21health department under s. 251.02 (3), establish an initial minimum participation

1period of up to 5 years. If a multiple county health department is established with
2an initial minimum participation period under this subsection, a participating
3county may not withdraw during that initial minimum period unless withdrawal is
4necessary to meet statutory requirements for a Level I health department under s.
5251.05
.
SB306,3,66 (End)
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