AB100-engrossed, s. 2077 17Section 2077. 50.535 of the statutes is created to read:
AB100-engrossed,969,24 1850.535 Reporting. Every 24 months, on a schedule determined by the
19department, a licensed rural medical center shall submit a biennial report in the
20form and containing the information that the department requires, including
21payment of the fee required under s. 50.51 (2) (c). If a complete annual report is not
22timely filed, the department shall issue a warning to the licensee. The department
23may revoke the license for failure to timely and completely report within 60 days
24after the report date established under the schedule determined by the department.
AB100-engrossed, s. 2078 25Section 2078. 50.56 (1) (intro.) of the statutes is amended to read:
AB100-engrossed,970,5
150.56 (1) (intro.) Any of the following facilities or entities is not required to
2obtain licensure or a certificate of approval under the following statutes or to pay
3initial or renewal license fees under the following statutes if all of the services of the
4facility or entity are provided as a part of a rural medical center that holds a current,
5valid license under this subchapter:
AB100-engrossed, s. 2079 6Section 2079. 50.57 of the statutes is created to read:
AB100-engrossed,970,13 750.57 Fees permitted for a workshop or seminar. If the department
8develops and provides a workshop or seminar relating to the provision of services by
9rural medical centers under this subchapter, the department may establish a fee for
10each workshop or seminar and impose the fee on registrants for the workshop or
11seminar. A fee so established and imposed shall be in an amount sufficient to
12reimburse the department for the costs directly associated with developing and
13providing the workshop or seminar.
AB100-engrossed, s. 2080 14Section 2080. 50.92 (2) of the statutes is amended to read:
AB100-engrossed,970,1815 50.92 (2) The department shall issue an initial license or a renewal of a license
16if the department finds that the applicant is fit and qualified and that the hospice
17meets the requirements of this subchapter and the rules promulgated under this
18subchapter.
AB100-engrossed, s. 2081 19Section 2081. 50.92 (4) (a) of the statutes is amended to read:
AB100-engrossed,971,720 50.92 (4) (a) In lieu of inspecting or investigating a hospice under sub. (3) prior
21to issuance of an initial a license, the department may accept evidence that a hospice
22applying for licensure under s. 50.93 has been inspected under and is currently
23certified as meeting the conditions for medicare participation under 42 USC 1395 to
241395ccc. In lieu of inspecting or investigating a hospice under sub. (3) prior to
25issuance of a license renewal, the department shall accept evidence that a hospice

1applying for licensure under s. 50.93 has been inspected under and is currently
2certified as meeting the conditions for medicare participation under 42 USC 1395 to
31395ccc. The department shall inspect or investigate under sub. (3) prior to issuance
4of an initial license or a renewal of a license
If a hospice that fails to meet the
5conditions for medicare participation under 42 USC 1395 to 1395ccc , the department
6shall inspect or investigate the hospice under sub. (3) before initially issuing a license
7for the hospice
.
AB100-engrossed, s. 2082 8Section 2082. 50.92 (4) (b) of the statutes is amended to read:
AB100-engrossed,971,169 50.92 (4) (b) In lieu of inspecting or investigating a hospice under sub. (3) prior
10to issuance of an initial license or a renewal of a license, the department may accept
11evidence that a hospice applying for licensure under s. 50.93 has been inspected
12under and is currently in compliance with the hospice requirements of the joint
13commission for the accreditation of health organizations. A hospice shall provide the
14department with a copy of the report by the joint commission for the accreditation
15of health organizations of each periodic review the association conducts of the
16hospice.
AB100-engrossed, s. 2083 17Section 2083. 50.92 (5) of the statutes is amended to read:
AB100-engrossed,972,218 50.92 (5) The past record of violations of applicable laws or regulations of the
19United States or of state statutes or rules of this or any other state, in the operation
20of any health-related organization, by an operator, managing employe or direct or
21indirect owner of a hospice or of an interest of a hospice is relevant to the issue of the
22fitness of an applicant for receipt of an initial license or the renewal of a license. The
23department or the department's designated representative shall inspect and
24investigate as necessary to determine the conditions existing in each case under this

1subsection and shall prepare and maintain a written report concerning the
2investigation and inspection.
AB100-engrossed, s. 2084 3Section 2084. 50.93 (1) (intro.) of the statutes is amended to read:
AB100-engrossed,972,54 50.93 (1) Application. (intro.) The application for an initial license, for renewal
5of a license or for a provisional license shall:
AB100-engrossed, s. 2085 6Section 2085. 50.93 (1) (c) of the statutes is amended to read:
AB100-engrossed,973,27 50.93 (1) (c) Include licensing fee payment, unless the licensing fee is waived
8by the department on a case-by-case basis under criteria for determining financial
9hardship established in rules promulgated by the department. An initial licensing
10fee is $300, except that, for a hospice that is a nonprofit corporation and that is served
11entirely by uncompensated volunteers or employs persons in not more than 1.5
12positions at 40 hours of employment per week, the initial licensing fee is $25. The
13renewal annual fee thereafter is an amount equal to 0.15% of the net annual income
14of the hospice, based on the most recent annual report of the hospice under par. (d)
15sub. (3m), or, if that amount is less than $200, the renewal fee is $200, whichever is
16greater,
and if that the amount equal to 0.15% of the net annual income of the hospice
17is greater than $1,000, the renewal fee is $1,000, except that for a hospice that is a
18nonprofit corporation and that is served entirely by uncompensated volunteers or
19employs persons in not more than 1.5 positions at 40 hours of employment per week
20the renewal annual fee is $10. The amount of the provisional licensing fee shall be
21established under s. 50.95 (2). The initial licensing fee for an initial license a hospice,
22including the initial licensing fee for a hospice that is a nonprofit corporation and
23that is served entirely by uncompensated volunteers or employs persons in not more
24than 1.5 positions at 40 hours of employment per week, issued after September 1

1shall may be prorated according to the number of full months remaining in the
2license period
.
AB100-engrossed, s. 2086 3Section 2086. 50.93 (1) (d) of the statutes is repealed.
AB100-engrossed, s. 2087 4Section 2087. 50.93 (2) (title) of the statutes is amended to read:
AB100-engrossed,973,55 50.93 (2) (title) Issuance of initial license or license renewal.
AB100-engrossed, s. 2088 6Section 2088. 50.93 (2) (a) of the statutes is amended to read:
AB100-engrossed,973,97 50.93 (2) (a) Unless sooner revoked or suspended, an initial A hospice license
8or renewal of a license issued to a hospice is valid for 12 months from the date of
9issuance
until suspended or revoked.
AB100-engrossed, s. 2089 10Section 2089. 50.93 (2) (b) of the statutes is repealed.
AB100-engrossed, s. 2090 11Section 2090. 50.93 (2) (d) of the statutes is amended to read:
AB100-engrossed,973,1412 50.93 (2) (d) Any initial license or renewal of a license shall state any additional
13information or
granted under special limitations prescribed by the department shall
14state the limitations
.
AB100-engrossed, s. 2092 15Section 2092. 50.93 (3m) of the statutes is created to read:
AB100-engrossed,973,2516 50.93 (3m) Reporting. Every 12 months, on a schedule determined by the
17department, a licensed hospice shall submit an annual report in the form and
18containing the information that the department requires, including payment of the
19fee required under sub. (1) (c), evidence of current certification as meeting the
20conditions for medicare participation under 42 USC 1395 to 1395ccc and evidence of
21current compliance with the hospice requirements of the joint commission for the
22accreditation of health organizations. If a complete annual report is not timely filed,
23the department shall issue a warning to the licensee. The department may revoke
24the license for failure to timely and completely report within 60 days after the report
25date established under the schedule determined by the department.
AB100-engrossed, s. 2093
1Section 2093. 50.93 (4) (title) of the statutes is amended to read:
AB100-engrossed,974,22 50.93 (4) (title) Suspension, nonrenewal and revocation.
AB100-engrossed, s. 2094 3Section 2094. 50.93 (4) (a) of the statutes is amended to read:
AB100-engrossed,974,94 50.93 (4) (a) The department, after notice to the applicant or licensee, may
5suspend, or revoke or refuse to renew a license in any case in which the department
6finds that there has been a substantial failure to comply with the requirements of
7this subchapter or the rules promulgated under this subchapter. No state or federal
8funds passing through the state treasury may be paid to a hospice not having a valid
9license issued under this section.
AB100-engrossed, s. 2095 10Section 2095. 50.93 (4) (b) of the statutes is amended to read:
AB100-engrossed,974,1411 50.93 (4) (b) Notice under this subsection shall include a clear and concise
12statement of the violations on which the nonrenewal or revocation is based, the
13statute or rule violated and notice of the opportunity for an evidentiary hearing
14under par. (c).
AB100-engrossed, s. 2096 15Section 2096. 50.93 (4) (c) of the statutes is amended to read:
AB100-engrossed,974,1816 50.93 (4) (c) If a hospice desires to contest the nonrenewal or revocation of a
17license, the hospice shall, within 10 days after receipt of notice under par. (b), notify
18the department in writing of its request for a hearing under s. 227.44.
AB100-engrossed, s. 2097 19Section 2097. 50.93 (4) (d) 2. of the statutes is repealed.
AB100-engrossed, s. 2098 20Section 2098. 50.93 (4) (d) 3. of the statutes is amended to read:
AB100-engrossed,974,2321 50.93 (4) (d) 3. The department may extend the effective date of license
22revocation or expiration in any case in order to permit orderly removal and relocation
23of individuals served by the hospice.
AB100-engrossed, s. 2100 24Section 2100. 50.95 (5) of the statutes is amended to read:
AB100-engrossed,975,2
150.95 (5) Criteria for determining that the applicant for initial licensure or
2license renewal
is fit and qualified.
AB100-engrossed, s. 2101 3Section 2101. 50.981 of the statutes is created to read:
AB100-engrossed,975,10 450.981 Fees permitted for a workshop or seminar. If the department
5develops and provides a workshop or seminar relating to the provision of services by
6hospices under this subchapter, the department may establish a fee for each
7workshop or seminar and impose the fee on registrants for the workshop or seminar.
8A fee so established and imposed shall be in an amount sufficient to reimburse the
9department for the costs directly associated with developing and providing the
10workshop or seminar.
AB100-engrossed, s. 2106b 11Section 2106b. 51.05 (3g) of the statutes is amended to read:
AB100-engrossed,975,1812 51.05 (3g) Beginning October 1, 1994, the The department shall annually
13increase rates charged for the various types of services provided by the mental health
14institutes by amounts that equal an average of at least a 10% total increase in rates

15reduce by $500,000 the amount by which accumulated expenses of providing care to
16patients of the mental health institutes exceed the accumulated revenues from
17providing that care
, until the accumulated revenues of the mental health institutes
18are in balance with the accumulated expenses of the mental health institutes.
AB100-engrossed, s. 2107 19Section 2107. 51.05 (3m) of the statutes is amended to read:
AB100-engrossed,976,1120 51.05 (3m) Notwithstanding s. 20.903 (1), the department shall implement a
21plan that is approved by the department of administration to assure that, before July
221, 1999,
there are sufficient revenues, as projected by the department of health and
23family services, to cover anticipated expenditures by that date under the
24appropriation under s. 20.435 (2) (gk) for the purpose of reimbursing the provision
25of care to patients of the Mendota mental health institute or the Winnebago mental

1health institute and to ensure that the department complies with sub. (3g). The
2department of health and family services shall make reports to the department of
3administration every 3 months, beginning on October 1, 1993, and ending on July
41, 1999,
concerning the implementation of this plan. The department of health and
5family services shall make reports to the joint committee on finance by December 31
6of each year that identify the change, during the preceding fiscal year, in the amount
7by which the accumulated expenses of providing care to patients of the mental health
8institutes exceed the accumulated revenues from providing that care; describe the
9actions taken by the department during the preceding fiscal year to reduce that
10amount; and describe the actions that the department is taking during the current
11year to reduce that amount.
AB100-engrossed, s. 2108 12Section 2108. 51.05 (5) of the statutes is amended to read:
AB100-engrossed,976,2113 51.05 (5) School activities. If an individual over the age of 2 and under the
14age of 22 and eligible for schooling under ss. 115.76 (2) and 115.85 is committed,
15admitted or transferred to or is a resident of the Mendota mental health institute or
16Winnebago mental health institute, the individual shall attend a school program
17operated by the applicable mental health institute or a school outside the applicable
18mental health institute which is approved by the department of education public
19instruction
. A school program operated by the Mendota mental health institute or
20Winnebago mental health institute shall be under the supervision of the department
21of education public instruction and shall meet standards prescribed by that agency.
AB100-engrossed, s. 2109m 22Section 2109m. 51.06 (title) of the statutes is amended to read:
AB100-engrossed,976,23 2351.06 (title) Centers Center for the developmentally disabled.
AB100-engrossed, s. 2109p 24Section 2109p. 51.06 (1) (intro.) of the statutes is amended to read:
AB100-engrossed,977,7
151.06 (1) Purpose. (intro.) The purpose of the northern any center for the
2developmentally disabled, central center for developmentally disabled and southern
3center for developmentally disabled
is to provide services needed by developmentally
4disabled citizens of this state which are otherwise unavailable to them, and to return
5such those persons to the community when their needs can be met at the local level.
6Services to be provided by the department at such centers a center for the
7developmentally disabled
shall include all of the following:
AB100-engrossed, s. 2109r 8Section 2109r. 51.06 (1) (d) of the statutes is amended to read:
AB100-engrossed,977,139 51.06 (1) (d) At the southern center for developmentally disabled, services
10Services for up to 10 22 individuals with developmental disability who are also
11diagnosed as mentally ill or who exhibit extremely aggressive and challenging
12behaviors and at the northern center for developmentally disabled, services for up
13to 12 such individuals
.
AB100-engrossed, s. 2110 14Section 2110. 51.06 (2) of the statutes is amended to read:
AB100-engrossed,977,2115 51.06 (2) School activities. If an individual over the age of 2 years and under
16the age of 22 years and eligible for schooling under ss. 115.76 (2) and 115.85 is
17admitted to, is placed in or is a resident of a center, the individual shall attend a
18school program operated by the center or a school outside the center which is
19approved by the department of education public instruction. A school program
20operated by the center shall be under the supervision of the department of education
21public instruction and shall meet standards prescribed by that agency.
AB100-engrossed, s. 2110d 22Section 2110d. 51.06 (3) of the statutes is amended to read:
AB100-engrossed,978,323 51.06 (3) Admission. Individuals An individual under the age of 22 years shall
24may be placed only at the central a center for the developmentally disabled unless
25that the department authorizes has authorized for the placement of the individual

1at the northern or southern center for the developmentally disabled
individuals
2under the age of 22 years generally or at a center for the developmentally disabled
3that the department has authorized for the placement of that individual specifically
.
AB100-engrossed, s. 2111 4Section 2111. 51.07 (3) of the statutes is amended to read:
AB100-engrossed,978,145 51.07 (3) The department may provide outpatient services only to patients
6contracted for with county departments under ss. 51.42 and 51.437 in accordance
7with s. 46.03 (18), except for those patients whom the department finds to be
8nonresidents of this state and those patients specified in sub. (4) (a). The full and
9actual cost less applicable collections of such services contracted for with county
10departments under s. 51.42 or 51.437
shall be charged to the respective county
11department under s. 51.42 or 51.437. The state shall provide the services required
12for patient care only if no such outpatient services are funded by the department in
13the county or group of counties served by the respective county department under s.
1451.42 or 51.437.
AB100-engrossed, s. 2112 15Section 2112. 51.07 (4) of the statutes is created to read:
AB100-engrossed,978,2016 51.07 (4) (a) The department may provide outpatient services at the
17Winnebago Mental Health Institute to a patient who is a pupil of a school district that
18contracts with the department for the provision of those services. The department
19shall charge the full and actual cost of those services contracted for to the school
20district in which the patient is enrolled.
AB100-engrossed,978,2521 (b) If the Winnebago Mental Health Institute has provided a pupil of a school
22district with the services contracted for under par. (a), the department shall
23regularly bill the school district for the services provided and, subject to the
24provisions of the contract, the school district shall pay the amount due within 60 days
25after the billing date.
AB100-engrossed,979,2
1(c) The department shall credit any revenues received under this subsection
2to the appropriation account under s. 20.435 (2) (gk).
AB100-engrossed, s. 2112b 3Section 2112b. 51.13 (1) (a) of the statutes is amended to read:
AB100-engrossed,979,94 51.13 (1) (a) Except as provided in s. 51.45 (2m), the application for voluntary
5admission of a minor who is under 14 years of age to an approved inpatient treatment
6facility shall be executed by a parent who has legal custody of the minor or the
7minor's guardian. Any statement or conduct by a minor under the age of 14
8indicating that the minor does not agree to admission to the facility shall be noted
9on the face of the application and shall be noted in the petition required by sub. (4).
AB100-engrossed, s. 2112c 10Section 2112c. 51.13 (1) (b) of the statutes is repealed.
AB100-engrossed, s. 2112d 11Section 2112d. 51.13 (1) (d) of the statutes is amended to read:
AB100-engrossed,979,1712 51.13 (1) (d) A minor against whom a petition or statement has been filed under
13s. 51.15, 51.20 or 51.45 (12) or (13) may be admitted under this section. The court
14may permit the minor to become a voluntary patient pursuant to this section upon
15approval by the court of an application executed pursuant to par. (a), (b) or (c), and
16the judge shall then dismiss the proceedings under s. 51.15, 51.20 or 51.45. If a
17hearing is held under this subsection, no hearing under sub. (4) is required.
AB100-engrossed, s. 2112e 18Section 2112e. 51.13 (1) (e) of the statutes is amended to read:
AB100-engrossed,980,419 51.13 (1) (e) A minor may be admitted immediately upon the approval of the
20application executed under par. (a) or (b) by the treatment director of the facility or
21his or her designee or, in the case of a center for the developmentally disabled, the
22director of the center or his or her designee, and the director of the appropriate county
23department under s. 51.42 or 51.437 if such county department is to be responsible
24for the cost of the minor's therapy and treatment. Approval shall be based upon an
25informed professional opinion that the minor is in need of psychiatric services or

1services for developmental disability, alcoholism or drug abuse, that the treatment
2facility offers inpatient therapy or treatment which is appropriate for the minor's
3needs and that inpatient care in the facility is the least restrictive therapy or
4treatment consistent with the minor's needs.
AB100-engrossed, s. 2112f 5Section 2112f. 51.13 (2) (a) of the statutes is amended to read:
AB100-engrossed,980,126 51.13 (2) (a) A minor may be admitted to an inpatient treatment facility
7without complying with the requirements of this section if the admission does not
8involve the department or a county department under s. 51.42 or 51.437, or a contract
9between a treatment facility and the department or between a treatment facility and
10a county department. The application for voluntary admission of a minor who is 14
11years of age or over
shall be executed by the minor and a parent who has legal custody
12of the minor or the minor's guardian.
AB100-engrossed, s. 2112g 13Section 2112g. 51.13 (2) (b) of the statutes is repealed.
AB100-engrossed, s. 2112h 14Section 2112h. 51.13 (2) (d) of the statutes is repealed.
AB100-engrossed, s. 2112i 15Section 2112i. 51.13 (3) (b) of the statutes is repealed.
AB100-engrossed, s. 2112j 16Section 2112j. 51.13 (3) (c) of the statutes is amended to read:
AB100-engrossed,980,2017 51.13 (3) (c) A minor under 14 years of age and his or her parent or guardian
18shall also be informed by the director or his or her designee, both orally and in
19writing, in easily understandable language, of the minor's right to a hearing to
20determine continued appropriateness of the admission as provided in sub. (7).
AB100-engrossed, s. 2112k 21Section 2112k. 51.13 (3) (e) of the statutes is amended to read:
AB100-engrossed,980,2522 51.13 (3) (e) Writing materials for use in requesting a hearing or discharge
23under this section shall be made available to minors at all times by every inpatient
24treatment facility. The staff of each such facility shall assist minors in preparing and
25submitting requests for discharge or hearing hearings.
AB100-engrossed, s. 2112L
1Section 2112L. 51.13 (4) (a) (intro.) of the statutes is amended to read:
AB100-engrossed,981,92 51.13 (4) (a) (intro.) Within 3 days of after the admission of a minor under sub.
3(1), or within 3 days of after application for admission of the minor, whichever occurs
4first, the treatment director of the facility to which the minor is admitted or, in the
5case of a center for the developmentally disabled, the director of the center, shall file
6a verified petition for review of the admission in the court assigned to exercise
7jurisdiction under chs. 48 and 938 in the county in which the facility is located. A
8copy of the application for admission and of any relevant professional evaluations
9shall be attached to the petition. The petition shall contain all of the following:
AB100-engrossed, s. 2112m 10Section 2112m. 51.13 (4) (c) of the statutes is amended to read:
AB100-engrossed,981,1211 51.13 (4) (c) A copy of the petition shall be provided by the petitioner to the
12minor and his or her parents or guardian within 5 days of after admission.
AB100-engrossed, s. 2112n 13Section 2112n. 51.13 (4) (d) of the statutes is amended to read:
AB100-engrossed,982,1014 51.13 (4) (d) Within 5 days of after the filing of the petition, the court assigned
15to exercise jurisdiction under chs. 48 and 938 shall determine, based on the
16allegations of the petition and accompanying documents, whether the admission is
17voluntary on the part of the minor if the minor is 14 years of age or older and
whether
18there is a prima facie showing that the minor is in need of psychiatric services, or
19services for developmental disability, alcoholism or drug abuse, that the treatment
20facility offers inpatient therapy or treatment which is appropriate to the minor's
21needs, and that inpatient care in the treatment facility is the least restrictive therapy
22or treatment consistent with the needs of the minor. If such a showing is made, the
23court shall permit voluntary admission. If the court is unable to make such those
24determinations based on the petition and accompanying documents, it shall the
25court may
dismiss the petition as provided in par. (h); or order additional information

1to be produced as it deems necessary for the court to make such review, and make
2such
those determinations within 14 days of after admission or application for
3admission, whichever is sooner; or it may hold a hearing within 14 days of after
4admission or application for admission, whichever is sooner. If a notation of the
5minor's unwillingness appears on the face of the petition, or if a hearing has been
6requested by the minor, the minor's counsel, parent or guardian, the court shall hold
7a hearing to review the admission within 14 days of after admission or application
8for admission, whichever is sooner, and shall appoint counsel to represent the minor
9if the minor is unrepresented. If the court deems considers it necessary, it the court
10shall also appoint a guardian ad litem to represent the minor.
AB100-engrossed, s. 2112p 11Section 2112p. 51.13 (4) (g) (intro.) of the statutes is amended to read:
AB100-engrossed,983,312 51.13 (4) (g) (intro.) If the court finds that the minor is in need of psychiatric
13services, or services for developmental disability, alcoholism or drug abuse in an
14inpatient facility, and that the inpatient facility to which the minor is admitted offers
15therapy or treatment which that is appropriate for the minor's needs and which that
16is the least restrictive therapy or treatment consistent with the minor's needs and,
17in the case of a minor aged 14 or older, the application is voluntary on the part of the
18minor, it
, the court shall permit voluntary admission. If the court finds that the
19therapy or treatment in the inpatient facility to which the minor is admitted is not
20appropriate or is not the least restrictive therapy or treatment consistent with the
21minor's needs, the court may order placement in or transfer to another more
22appropriate or less restrictive inpatient facility, except that the court may not permit
23or order placement in or transfer to the northern or southern centers a center for the
24developmentally disabled of a minor unless the department gives approval for the
25placement or transfer
has authorized that center for the developmentally disabled

1for the placement or transfer of minors generally or for the placement or transfer of
2that minor specifically
, and if the order of the court is approved by all of the following
3if applicable:
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