AB133-ASA1-CA1,572,109
250.01
(4) (a) 5. A multiple municipal local health department established
10under s. 251.02 (3r).".
AB133-ASA1-CA1,572,1613
250.041
(1) (intro.)
The Except as provided in sub. (1m), the department shall
14require each applicant to provide the department with the applicant's social security
15number, if the applicant is an individual, as a condition of issuing or renewing any
16of the following:
AB133-ASA1-CA1,573,218
250.041
(1m) If an individual who applies for or to renew a registration, license,
19certification, approval, permit or certificate under sub. (1) does not have a social
20security number, the individual, as a condition of obtaining the registration, license,
21certification, approval, permit or certificate, shall submit a statement made or
22subscribed under oath or affirmation to the department that the applicant does not
23have a social security number. The form of the statement shall be prescribed by the
24department of workforce development. A registration, license, certification,
1approval, permit or certificate issued or renewed in reliance upon a false statement
2submitted under this subsection is invalid.
AB133-ASA1-CA1,573,74
250.05
(8m) (a)
The Except as provided in par. (am), the department shall
5require each applicant for registration under this section to provide the department
6with the applicant's social security number as a condition of issuing or renewing the
7registration.
AB133-ASA1-CA1,573,159
250.05
(8m) (am) If an individual who applies for or to renew a registration
10under par. (a) does not have a social security number, the individual, as a condition
11of obtaining registration, shall submit a statement made or subscribed under oath
12or affirmation to the department that the applicant does not have a social security
13number. The form of the statement shall be prescribed by the department of
14workforce development. A registration issued or renewed in reliance upon a false
15statement submitted under this paragraph is invalid.
AB133-ASA1-CA1,573,1917
250.05
(8m) (c)
The Except as provided in par. (am), the department shall deny
18an application for the issuance or renewal of registration under this section if the
19applicant does not provide the information specified in par. (a).".
AB133-ASA1-CA1,573,22
21"
Section 2400mf. 252.07 (1) of the statutes is renumbered 252.07 (1m) and
22amended to read:
AB133-ASA1-CA1,574,423
252.07
(1m) Tuberculosis is a communicable disease caused by mycobacterium
24tuberculosis and is Infectious tuberculosis and suspect tuberculosis are subject to the
1reporting requirements specified in s. 252.05. Any laboratory that
performs a test
2receives a specimen for tuberculosis
testing shall report all positive results
obtained
3by any appropriate procedure, including a procedure performed by an out-of-state
4laboratory, to the local health officer and to the department.
AB133-ASA1-CA1,574,66
252.07
(1g) In this section:
AB133-ASA1-CA1,574,107
(a) "Infectious tuberculosis" means tuberculosis disease of the respiratory
8tract, capable of producing infection or disease in others as demonstrated by the
9presence of acid-fast bacilli in the sputum or bronchial secretions or by chest
10radiograph and clinical findings.
AB133-ASA1-CA1,574,1211
(b) "Isolate" means a population of mycobacterium tuberculosis bacteria that
12has been obtained in pure culture medium.
AB133-ASA1-CA1,574,1513
(c) "Isolation" means the separation from other persons of a person with
14infectious tuberculosis in a place and under conditions that prevent the transmission
15of the infection.
AB133-ASA1-CA1,574,1916
(d) "Suspect tuberculosis" means an illness marked by symptoms and
17laboratory tests that may be indicative of tuberculosis, such as a prolonged cough,
18prolonged fever, hemoptysis, compatible roentgenographic findings or other
19appropriate medical imaging findings.
AB133-ASA1-CA1,574,2321
252.07
(1p) Any laboratory that performs primary culture for mycobacteria
22shall also perform organism identification for mycobacterium tuberculosis complex
23using an approved rapid testing procedure specified by the department by rule.
AB133-ASA1-CA1,575,4
1252.07
(1t) Any laboratory that identifies mycobacterium tuberculosis shall
2ensure that antimicrobial drug susceptibility tests are performed on the initial
3isolate. The laboratory shall report the results of these tests to the local health officer
4and the department.
AB133-ASA1-CA1,575,116
252.07
(2) The department shall identify groups at risk for contracting or
7transmitting mycobacterium tuberculosis and shall recommend the protocol for
8screening members of those groups.
If necessary to prevent or control the
9transmission of mycobacterium tuberculosis, the department may promulgate rules
10that require screening of members of specific groups that are at risk for contracting
11or transmitting mycobacterium tuberculosis.
AB133-ASA1-CA1,575,1814
252.07
(5) Upon report of any person under sub.
(1) (1m) or (1t), the local health
15officer shall at once investigate and make and enforce the necessary orders.
If any
16person does not voluntarily comply with any order made by the local health officer
17with respect to that person, the local health officer or the department may order a
18medical evaluation, directly observed therapy or home isolation of that person.
AB133-ASA1-CA1,575,2321
252.07
(8) (a) The department or a local health officer may order the
22confinement to a facility of an individual who has a confirmed diagnosis of infectious
23tuberculosis or suspect tuberculosis if all of the following conditions are met:
AB133-ASA1-CA1,575,2524
1. The department or local health officer notifies a court in writing of the
25confinement.
AB133-ASA1-CA1,576,3
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-CA1,576,74
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-CA1,576,128
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-CA1,576,1713
(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-CA1,576,2018
(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-CA1,577,222
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-CA1,577,53
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-CA1,577,86
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-CA1,577,119
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-CA1,577,1312
4. That the individual poses an imminent and substantial threat to himself or
13herself or to the public health.
AB133-ASA1-CA1,577,1614
(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-CA1,577,1717
1. The date, time and place of the hearing.
AB133-ASA1-CA1,577,1918
2. The grounds, and underlying facts, upon which confinement of the individual
19is being sought.
AB133-ASA1-CA1,577,2020
3. An explanation of the individual's rights specified under par. (d).
AB133-ASA1-CA1,577,2121
4. The proposed actions to be taken and the reasons for each action.
AB133-ASA1-CA1,578,222
(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-CA1,578,133
(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-CA1,578,1614
(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-CA1,578,2218
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-CA1,579,104
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-CA1,579,17
16"(c) From the appropriation under s. 20.435 (5) (fh), the department shall
17award $25,000 in each fiscal year as a grant to HealthNet of Janesville, Inc.".
AB133-ASA1-CA1,580,320
251.02
(1) In counties with a population of less than 500,000, the county board
21shall establish a county health department that meets the requirements of this
22chapter. The county health department shall serve all areas of the county that are
23not served by a city health department that was established prior to January 1, 1994,
24or by a town or village health department established under sub. (3m)
or by a
1multiple local health department established under sub. (3r). No city health
2department may be established after
that date January 1, 1994, but a city-county
3health department may be established after that date.
AB133-ASA1-CA1,580,95
251.02
(3r) In a county described in sub. (3m), in addition to the local health
6department required to be established under sub. (3m), the governing body of a city,
7village or town in that county may, in concert with the governing body of another city,
8village or town in that county, establish a multiple municipal local health
9department and elect a local health officer consistent with this chapter.
AB133-ASA1-CA1,580,1911
251.03
(4r) Subsections (1) to (4m) do not apply to a city, village or town that
12establishes a multiple municipal local health department under s. 251.02 (3r). In
13establishing a multiple municipal local health department as described under s.
14251.02 (3r), the relevant governing bodies shall agree on how many members of the
15local board of health are appointed by each governing body and how many of each
16governing body's appointees shall be members who are not elected officials or
17employes of the governing body. The members shall be appointed by the relevant
18governing bodies. A local board of health under this subsection shall elect a
19chairperson and clerk.
AB133-ASA1-CA1,581,321
251.04
(1) A city or county board of health shall govern each local health
22department
other than a local health department as authorized in s. 251.02 (3m) and
23(3r) and a city or county board of health
or a board of health for a local health
24department as authorized in s. 251.02 (3m) and (3r) shall assure the enforcement of
25state public health statutes and public health rules of the department as prescribed
1for a Level I local health department. A local board of health may contract or
2subcontract to provide public health services. The contractor's staff shall meet the
3appropriate qualifications for positions in a Level I local health department.
AB133-ASA1-CA1,581,85
251.04
(2) A city or county board of health
or a board of health for a local health
6department as authorized in s. 251.02 (3m) or (3r) shall assure that its local health
7department is a Level I, Level II or Level III local health department, as specified in
8s. 251.05 (1).
AB133-ASA1-CA1,581,1510
251.04
(3) A city or county board of health
or a board of health for a local health
11department as authorized in s. 251.02 (3m) or (3r) may adopt those regulations, for
12its own guidance and for the governance of the local health department, that it
13considers necessary to protect and improve public health. The regulations may be
14no less stringent than, and may not conflict with, state statutes and rules of the
15department.