AB133-ASA1-AA2, s. 2400qf 10Section 2400qf. 251.04 (1) of the statutes is amended to read:
AB133-ASA1-AA2,417,1811 251.04 (1) A city or county board of health shall govern each local health
12department other than a local health department as authorized in s. 251.02 (3m) and
13a city or county board of health or a board of health for a local health department as
14authorized in s. 251.02 (3m) shall
assure the enforcement of state public health
15statutes and public health rules of the department as prescribed for a Level I local
16health department. A local board of health may contract or subcontract to provide
17public health services. The contractor's staff shall meet the appropriate
18qualifications for positions in a Level I local health department.
AB133-ASA1-AA2, s. 2400qg 19Section 2400qg. 251.04 (2) of the statutes is amended to read:
AB133-ASA1-AA2,417,2320 251.04 (2) A city or county board of health or a board of health for a local health
21department as authorized in s. 251.02 (3m)
shall assure that its local health
22department is a Level I, Level II or Level III local health department, as specified in
23s. 251.05 (1).
AB133-ASA1-AA2, s. 2400qh 24Section 2400qh. 251.04 (3) of the statutes is amended to read:
AB133-ASA1-AA2,418,5
1251.04 (3) A city or county board of health or a board of health for a local health
2department as authorized in s. 251.02 (3m)
may adopt those regulations, for its own
3guidance and for the governance of the local health department, that it considers
4necessary to protect and improve public health. The regulations may be no less
5stringent than, and may not conflict with, state statutes and rules of the department.
AB133-ASA1-AA2, s. 2400qi 6Section 2400qi. 251.06 (1) (a) 2. of the statutes is amended to read:
AB133-ASA1-AA2,418,137 251.06 (1) (a) 2. A local health officer of a village or town multiple municipal
8local
health department established under s. 251.02 (3m) shall be either a physician
9or a registered nurse. The local health officer shall be a voting member of the local
10board of health and shall take an oath of office. With respect to the levels of services
11of a Level I local health department, as specified in s. 251.05 (2) (a), the local health
12officer shall be authorized to act by and be directed by the county health officer of the
13county specified under s. 251.02 (3m).
AB133-ASA1-AA2, s. 2400qim 14Section 2400qim. 251.06 (2) (c) (intro.) of the statutes is amended to read:
AB133-ASA1-AA2,418,1715 251.06 (2) (c) (intro.) A local health officer of a multiple municipal local health
16department of a village or town established under s. 251.02 (3m) shall be one of the
17following:
AB133-ASA1-AA2, s. 2400qin 18Section 2400qin. 251.06 (2) (c) 1. of the statutes is amended to read:
AB133-ASA1-AA2,418,2019 251.06 (2) (c) 1. An employe of the multiple municipal local health department
20of the village or town.
AB133-ASA1-AA2, s. 2400qj 21Section 2400qj. 251.06 (4) (c) of the statutes is amended to read:
AB133-ASA1-AA2,418,2422 251.06 (4) (c) A local health officer of a village or town multiple municipal local
23health department established under s. 251.02 (3m) shall be appointed by the local
24board of health.
AB133-ASA1-AA2, s. 2400qk 25Section 2400qk. 251.12 of the statutes is amended to read:
AB133-ASA1-AA2,419,5
1251.12 City health department, how financed. The common council shall
2appropriate funds for the operation of a city health department that is established
3as specified in s. 251.02 (1) and (2) and for the operation of a multiple municipal local
4health department that is established under s. 251.02 (3m) by the governing body of
5a city in concert with the governing body of another city or a village or town
.
AB133-ASA1-AA2, s. 2400qL 6Section 2400qL. 251.125 of the statutes is amended to read:
AB133-ASA1-AA2,419,11 7251.125 Village health department, how financed. If a village health
8department is established under s. 251.02 (2) or (3m) or if a multiple municipal local
9health department is established under s. 251.01 (3m) by the governing body of a
10village in concert with the governing body of another village or a city or town
, the
11village board shall appropriate funds for the operation of the department.
AB133-ASA1-AA2, s. 2400qm 12Section 2400qm. 251.127 of the statutes is amended to read:
AB133-ASA1-AA2,419,17 13251.127 Town health department, how financed. If a town multiple
14municipal local
health department is established under s. 251.02 (3m) by the
15governing body of a town in concert with the governing body of another town or a city
16or village
, the town board shall appropriate funds for the operation of the
17department.".
AB133-ASA1-AA2,419,18 18915. Page 1211, line 18: after that line insert:
AB133-ASA1-AA2,419,20 19" Section 2400mf. 252.07 (1) of the statutes is renumbered 252.07 (1m) and
20amended to read:
AB133-ASA1-AA2,420,221 252.07 (1m) Tuberculosis is a communicable disease caused by mycobacterium
22tuberculosis and is
Infectious tuberculosis and suspect tuberculosis are subject to the
23reporting requirements specified in s. 252.05. Any laboratory that performs a test
24receives a specimen for tuberculosis testing shall report all positive results obtained

1by any appropriate procedure, including a procedure performed by an out-of-state
2laboratory,
to the local health officer and to the department.
AB133-ASA1-AA2, s. 2400mg 3Section 2400mg. 252.07 (1g) of the statutes is created to read:
AB133-ASA1-AA2,420,44 252.07 (1g) In this section:
AB133-ASA1-AA2,420,85 (a) "Infectious tuberculosis" means tuberculosis disease of the respiratory
6tract, capable of producing infection or disease in others as demonstrated by the
7presence of acid-fast bacilli in the sputum or bronchial secretions or by chest
8radiograph and clinical findings.
AB133-ASA1-AA2,420,109 (b) "Isolate" means a population of mycobacterium tuberculosis bacteria that
10has been obtained in pure culture medium.
AB133-ASA1-AA2,420,1311 (c) "Isolation" means the separation from other persons of a person with
12infectious tuberculosis in a place and under conditions that prevent the transmission
13of the infection.
AB133-ASA1-AA2,420,1714 (d) "Suspect tuberculosis" means an illness marked by symptoms and
15laboratory tests that may be indicative of tuberculosis, such as a prolonged cough,
16prolonged fever, hemoptysis, compatible roentgenographic findings or other
17appropriate medical imaging findings.
AB133-ASA1-AA2, s. 2400mh 18Section 2400mh. 252.07 (1p) of the statutes is created to read:
AB133-ASA1-AA2,420,2119 252.07 (1p) Any laboratory that performs primary culture for mycobacteria
20shall also perform organism identification for mycobacterium tuberculosis complex
21using an approved rapid testing procedure specified by the department by rule.
AB133-ASA1-AA2, s. 2400mi 22Section 2400mi. 252.07 (1t) of the statutes is created to read:
AB133-ASA1-AA2,421,223 252.07 (1t) Any laboratory that identifies mycobacterium tuberculosis shall
24ensure that antimicrobial drug susceptibility tests are performed on the initial

1isolate. The laboratory shall report the results of these tests to the local health officer
2and the department.
AB133-ASA1-AA2, s. 2400mj 3Section 2400mj. 252.07 (2) of the statutes is amended to read:
AB133-ASA1-AA2,421,94 252.07 (2) The department shall identify groups at risk for contracting or
5transmitting mycobacterium tuberculosis and shall recommend the protocol for
6screening members of those groups. If necessary to prevent or control the
7transmission of mycobacterium tuberculosis, the department may promulgate rules
8that require screening of members of specific groups that are at risk for contracting
9or transmitting mycobacterium tuberculosis.
AB133-ASA1-AA2, s. 2400mk 10Section 2400mk. 252.07 (4) of the statutes is repealed.
AB133-ASA1-AA2, s. 2400mL 11Section 2400mL. 252.07 (5) of the statutes is amended to read:
AB133-ASA1-AA2,421,1612 252.07 (5) Upon report of any person under sub. (1) (1m) or (1t), the local health
13officer shall at once investigate and make and enforce the necessary orders. If any
14person does not voluntarily comply with any order made by the local health officer
15with respect to that person, the local health officer or the department may order a
16medical evaluation, directly observed therapy or home isolation of that person.
AB133-ASA1-AA2, s. 2400mm 17Section 2400mm. 252.07 (7) of the statutes is repealed.
AB133-ASA1-AA2, s. 2400mn 18Section 2400mn. 252.07 (8) of the statutes is created to read:
AB133-ASA1-AA2,421,2119 252.07 (8) (a) The department or a local health officer may order the
20confinement to a facility of an individual who has a confirmed diagnosis of infectious
21tuberculosis or suspect tuberculosis if all of the following conditions are met:
AB133-ASA1-AA2,421,2322 1. The department or local health officer notifies a court in writing of the
23confinement.
AB133-ASA1-AA2,422,3
12. The department or local health officer provides to the court a written
2statement from a physician that the individual has infectious tuberculosis or suspect
3tuberculosis.
AB133-ASA1-AA2,422,74 3. The department or local health officer provides to the court evidence that the
5individual has refused to follow a prescribed treatment regimen or, in the case of an
6individual with suspect tuberculosis, has refused to undergo a medical examination
7to confirm whether the individual has infectious tuberculosis.
AB133-ASA1-AA2,422,128 4. In the case of an individual with a confirmed diagnosis of infectious
9tuberculosis, the department or local health officer determines that the individual
10poses an imminent and substantial threat to himself or herself or to the public
11health. The department or local health officer shall provide to the court a written
12statement of that determination.
AB133-ASA1-AA2,422,1713 (b) If the department or local health officer orders the confinement of an
14individual under this subsection, a law enforcement officer, or other person
15authorized by the local public health officer, shall transport the individual, if
16necessary, to a facility that the department or local health officer determines will
17meet the individual's need for medical evaluation, isolation and treatment.
AB133-ASA1-AA2,422,2018 (c) No individual may be confined under this subsection for more than 72 hours,
19excluding Saturdays, Sundays and legal holidays, without a court hearing under
20sub. (9) to determine whether the confinement should continue.
AB133-ASA1-AA2, s. 2400mo 21Section 2400mo. 252.07 (9) of the statutes is created to read:
AB133-ASA1-AA2,423,222 252.07 (9) (a) The department or a local health officer may petition any court
23for a hearing to determine whether an individual with infectious or suspect
24tuberculosis should be confined for longer than 72 hours in a facility where proper
25care and treatment will be provided and spread of the disease will be prevented. The

1department or local health officer shall include in the petition documentation that
2demonstrates all of the following:
AB133-ASA1-AA2,423,53 1. That the individual named in the petition has infectious tuberculosis; that
4the individual has noninfectious tuberculosis but is at high risk of developing
5infectious tuberculosis; or that the individual has suspect tuberculosis.
AB133-ASA1-AA2,423,86 2. That the individual has failed to comply with the prescribed treatment
7regimen or with any rules promulgated by the department under sub. (11); or that
8the disease is resistant to the medication prescribed to the individual.
AB133-ASA1-AA2,423,119 3. That all other reasonable means of achieving voluntary compliance with
10treatment have been exhausted and no less restrictive alternative exists; or that no
11other medication to treat the resistant disease is available.
AB133-ASA1-AA2,423,1312 4. That the individual poses an imminent and substantial threat to himself or
13herself or to the public health.
AB133-ASA1-AA2,423,1614 (b) The department or local health officer shall give the individual written
15notice of a hearing at least 48 hours before a scheduled hearing is to be held. Notice
16of the hearing shall include all of the following information:
AB133-ASA1-AA2,423,1717 1. The date, time and place of the hearing.
AB133-ASA1-AA2,423,1918 2. The grounds, and underlying facts, upon which confinement of the individual
19is being sought.
AB133-ASA1-AA2,423,2020 3. An explanation of the individual's rights specified under par. (d).
AB133-ASA1-AA2,423,2121 4. The proposed actions to be taken and the reasons for each action.
AB133-ASA1-AA2,424,222 (c) If the court orders confinement of an individual under this subsection, the
23individual shall remain confined until the department or local health officer, with the
24concurrence of a treating physician, determines that treatment is complete or that
25the individual is no longer a substantial threat to himself or herself or to the public

1health. If the individual is to be confined for more than 6 months, the court shall
2review the confinement every 6 months.
AB133-ASA1-AA2,424,133 (d) An individual who is the subject of a petition for a hearing under this
4subsection has the right to appear at the hearing, the right to present evidence and
5cross-examine witnesses and the right to be represented by adversary counsel. At
6the time of the filing of the petition the court shall assure that the individual who is
7the subject of the petition is represented by adversary counsel. If the individual
8claims or appears to be indigent, the court shall refer the individual to the authority
9for indigency determinations specified under s. 977.07 (1). If the individual is a child,
10the court shall refer that child to the state public defender who shall appoint counsel
11for the child without a determination of indigency, as provided in s. 48.23 (4). Unless
12good cause is shown, a hearing under this subsection may be conducted by telephone
13or live audiovisual means, if available.
AB133-ASA1-AA2,424,1614 (e) An order issued by the court under this subsection may be appealed as a
15matter of right. An appeal shall be heard within 30 days after the appeal is filed.
16An appeal does not stay the order.
AB133-ASA1-AA2, s. 2400mp 17Section 2400mp. 252.07 (11) of the statutes is created to read:
AB133-ASA1-AA2,424,2218 252.07 (11) The department may promulgate any rules necessary for the
19administration and enforcement of this section, including, if necessary to prevent or
20control the transmission of mycobacterium tuberculosis, rules that require screening
21of members of specific groups that are at risk for contracting or transmitting
22mycobacterium tuberculosis.
AB133-ASA1-AA2, s. 2400mq 23Section 2400mq. 252.073 of the statutes is repealed.
AB133-ASA1-AA2, s. 2400mr 24Section 2400mr. 252.076 of the statutes is repealed.
AB133-ASA1-AA2, s. 2400ms 25Section 2400ms. 252.08 (1) of the statutes is repealed.
AB133-ASA1-AA2, s. 2400mt
1Section 2400mt. 252.08 (2) of the statutes is repealed.
AB133-ASA1-AA2, s. 2400mu 2Section 2400mu. 252.08 (3) of the statutes is renumbered 252.07 (10) and
3amended to read:
AB133-ASA1-AA2,425,104 252.07 (10) Inpatient care for isolated pulmonary tuberculosis patients, and
5inpatient care exceeding 30 days for other pulmonary tuberculosis patients, who are
6not eligible for federal medicare benefits, for medical assistance under subch. V IV
7of ch. 49 or for health care services funded by a relief block grant under subch. II of
8ch. 49 may be reimbursed if provided by a facility contracted by the department. If
9the patient has private health insurance, the state shall pay the difference between
10health insurance payments and total charges.
AB133-ASA1-AA2, s. 2400mv 11Section 2400mv. 252.08 (4) of the statutes is repealed.
AB133-ASA1-AA2, s. 2400mw 12Section 2400mw. 252.08 (5) of the statutes is repealed.
AB133-ASA1-AA2, s. 2400mx 13Section 2400mx. 252.08 (6) of the statutes is repealed.
AB133-ASA1-AA2, s. 2400my 14Section 2400my. 252.09 of the statutes is repealed.".
AB133-ASA1-AA2,425,15 15916. Page 1213, line 22: after that line insert:
AB133-ASA1-AA2,425,17 16" Section 2430L. 252.10 (7) of the statutes, as affected by 1997 Wisconsin Act
17156
, is amended to read:
AB133-ASA1-AA2,426,318 252.10 (7) Drugs necessary for the treatment of mycobacterium tuberculosis
19shall be purchased by the department from the appropriation under s. 20.435 (5) (e)
20and dispensed to patients through the public health dispensaries or through health
21care providers, as defined in s. 146.81 (1), other than massage therapists or
22bodyworkers issued a license of registration under subch. X of ch. 440, social workers,
23marriage and family therapists or professional counselors certified under ch. 457,
24speech-language pathologists or audiologists licensed under subch. II of ch. 459,

1speech and language pathologists licensed by the department of public instruction
2or dietitians certified under subch. V of ch. 448
, local health departments, physicians
3or advanced practice nurse prescribers
.".
AB133-ASA1-AA2,426,4 4917. Page 1214, line 4: after that line insert:
AB133-ASA1-AA2,426,5 5" Section 2432d. 252.12 (2) (a) 3. (intro.) of the statutes is amended to read:
AB133-ASA1-AA2,426,156 252.12 (2) (a) 3. `Statewide public education campaign.' (intro.) The
7department shall promote public awareness of the risk of contracting acquired
8immunodeficiency syndrome and measures for acquired immunodeficiency
9syndrome protection by development and distribution of information through clinics
10providing family planning services, as defined in s. 253.07 (1) (b) 49.001 (1s), offices
11of physicians and clinics for sexually transmitted diseases and by newsletters, public
12presentations or other releases of information to newspapers, periodicals, radio and
13television stations and other public information resources. The information would
14be targeted at individuals whose behavior puts them at risk of contracting acquired
15immunodeficiency syndrome and would encompass the following topics:".
AB133-ASA1-AA2,426,16 16918. Page 1214, line 7: delete "$1,994,900" and substitute "$1,933,600".
AB133-ASA1-AA2,426,17 17919. Page 1215, line 4: after that line insert:
AB133-ASA1-AA2,426,18 18" Section 2432r. 252.14 (1) (ar) 4q. of the statutes is created to read:
AB133-ASA1-AA2,426,1919 252.14 (1) (ar) 4q. An athletic trainer licensed under subch. VI of ch. 448.".
AB133-ASA1-AA2,426,20 20920. Page 1215, line 4: after that line insert:
AB133-ASA1-AA2,426,21 21" Section 2435d. 253.02 (2) (a) of the statutes is repealed.
AB133-ASA1-AA2, s. 2435e 22Section 2435e. 253.02 (2) (g) of the statutes is amended to read:
AB133-ASA1-AA2,427,3
1253.02 (2) (g) Maternal and child health system coordination services that
2promote coordination of public and private sector activities in areas of the maternal
3and child health program described in pars. (a) (b) to (f).".
AB133-ASA1-AA2,427,4 4921. Page 1215, line 4: after that line insert:
AB133-ASA1-AA2,427,5 5" Section 2434d. 252.15 (1) (ab) of the statutes is amended to read:
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