SB45, s. 996 8Section 996. 46.03 (7) (g) of the statutes is created to read:
SB45,575,109 46.03 (7) (g) Before July 1, 2006, establish a statewide automated child welfare
10information system.
SB45, s. 997 11Section 997. 46.03 (22) (a) of the statutes is amended to read:
SB45,575,1812 46.03 (22) (a) "Community living arrangement" means any of the following
13facilities licensed or operated, or permitted under the authority of the department:
14child welfare agencies under s. 48.60, group homes for children under s. 48.02 (7) and
15community-based residential facilities under s. 50.01; but does not include adult
16family homes, as defined in s. 50.01, day care centers, nursing homes, general
17hospitals, special hospitals, prisons and jails. "Community living arrangement" also
18includes a youth village program as described in s. 118.42.
SB45, s. 998 19Section 998. 46.034 (3) of the statutes is amended to read:
SB45,576,1720 46.034 (3) With the agreement of the affected county board of supervisors in
21a county with a single-county department or boards of supervisors in counties with
22a multicounty department, effective for the contract period beginning January 1,
231980, the department may approve a county with a single-county department or
24counties participating in a multicounty department to administer a single
25consolidated aid consisting of the state and federal financial aid available to that

1county or those counties from appropriations under s. 20.435 (3) (o) and (7) (b), (kw),
2(kz)
and (o) for services provided and purchased by county departments under ss.
346.215, 46.22, 46.23, 51.42 and 51.437. Under such an agreement, in the interest of
4improved service coordination and effectiveness, the county board of supervisors in
5a county with a single-county department or county boards of supervisors in
6counties with a multicounty department may reallocate among county departments
7under ss. 46.215, 46.22, 46.23, 51.42 and 51.437 funds that otherwise would be
8specified for use by a single county department. The budget under s. 46.031 (1) shall
9be the vehicle for expressing the proposed use of the single consolidated fund by the
10county board of supervisors in a county with a single-county department or county
11boards of supervisors in counties with a multicounty department. Approval by the
12department of this use of the fund shall be in the contract under s. 46.031 (2g).
13Counties that were selected by the department to pilot test consolidated aids for
14contract periods beginning January 1, 1978, may continue or terminate
15consolidation with the agreement of the affected county board of supervisors in a
16county with a single-county department or county boards of supervisors in counties
17with a multicounty department.
SB45, s. 999 18Section 999. 46.036 (4) (a) of the statutes is amended to read:
SB45,577,419 46.036 (4) (a) Except as provided in this paragraph, maintain a uniform double
20entry accounting system and a management information system which are
21compatible with cost accounting and control systems prescribed by the department.
22The department shall establish a simplified double entry bookkeeping system for use
23by family-operated group homes. Each purchaser shall determine whether a
24family-operated group home from which it purchases services shall use the double
25entry accounting system or the simplified system and shall include this

1determination in the purchase of service contract. In this paragraph,
2"family-operated group home" means a group home licensed under s. 48.66 (1) (a) for
3which the licensee is one or more individuals who operate not more than one group
4home.
SB45, s. 1000 5Section 1000. 46.043 of the statutes is created to read:
SB45,577,13 646.043 Additional services of mental health institutes. (1) In addition
7to inpatient and outpatient services provided at mental health institutes under ss.
851.05 and 51.07, the department may authorize mental health institutes to offer
9services other than inpatient mental health services when the department
10determines that community services need to be supplemented. Services that may be
11offered under this section include mental health outpatient treatment and services,
12day programming, consultation and services in residential facilities, including group
13homes, child caring institutions and community-based residential facilities.
SB45,577,23 14(2) Services under this section may be provided only under contract between
15the department and a county department under s. 46. 215, 46.22 or 46.23, a school
16district or another public or private entity within the state to persons referred from
17those entities, at the discretion of the department. The department shall charge the
18referring entity all costs associated with providing the services. Unless a referral is
19made, the department may not offer services under this section to the person who is
20to receive the services or his or her family. The department may not impose a charge
21for services under this section upon the person receiving the services or his or her
22family. The department shall credit any revenues received under this section to the
23appropriation account under s. 20.435 (2) (gk).
SB45,577,25 24(3) (a) Except as provided in pars. (b) and (c), services under this section are
25governed by all of the following:
SB45,578,1
11. The terms of the contract between the department and the referring entity.
SB45,578,42 2. Subchapter XVI of ch. 48 and ss. 50.03, 50.032, 50.033, 50.034 (1) to (3),
350.035, 50.04, 50.09, 51.04, 51.42 (7) (b) and 51.61. In applying these statutes, the
4services shall be considered to be provided by a private entity.
SB45,578,55 3. Rules promulgated under the statutes specified in subd. 2.
SB45,578,96 (b) In the event of a conflict between par. (a) 1. and 2. or 3., the services shall
7comply with the contractual, statutory or rules provision that is most protective of
8the service recipient's health, safety, welfare or rights, as determined by the mental
9health institute.
SB45,578,1310 (c) Sections 46.03 (18), 46.10, 51.15 (2), 51.20 (13) (c) 1. and 51.42 (3) (as) and
11zoning or other ordinances or regulations of the county, city, town or village in which
12the services are provided or the facility is located do not apply to the services under
13this section.
SB45,578,1514 (d) The department may not be required, by court order or otherwise, to offer
15services under this section.
SB45,578,21 16(4) Services in a residential facility that are authorized by the department
17under this section shall be provided only in a facility that is situated on the grounds
18of a mental health institute. The facility may not be considered to be a hospital, as
19defined in s. 50.33 (2), an inpatient facility, as defined in s. 51.01 (10), a state
20treatment facility, as defined in s. 51.01 (15), or a treatment facility, as defined in s.
2151.01 (19).
SB45, s. 1001 22Section 1001. 46.055 of the statutes is created to read:
SB45,578,25 2346.055 Secure mental health facility for sexually violent persons. The
24department shall establish and operate a secure mental health facility for the
25detention, evaluation and institutional care of persons under ch. 980.
SB45, s. 1002
1Section 1002. 46.057 (2) of the statutes is amended to read:
SB45,579,82 46.057 (2) From the appropriation account under s. 20.410 (3) (hm), the
3department of corrections shall transfer to the appropriation account under s. 20.435
4(2) (kx) $3,125,100 $3,763,200 in fiscal year 1997-99 1999-2000 and $3,236,200
5$3,869,200 in fiscal year 1998-99 2000-01 for services for juveniles placed at the
6Mendota juvenile treatment center. The department of health and family services
7may charge the department of corrections not more than the actual cost of providing
8those services.
SB45, s. 1003 9Section 1003. 46.10 (2) of the statutes is amended to read:
SB45,580,1110 46.10 (2) Except as provided in subs. (2m) and (14) (b) and (c), any person,
11including but not limited to a person admitted, committed or placed under s. 975.01,
121977 stats., s. 975.02, 1977 stats., and s. 975.17, 1977 stats., and ss. 51.10, 51.13,
1351.15, 51.20, 51.35 (3), 51.37 (5), 51.45 (10), (11), (12) and (13), 55.05, 55.06, 971.14
14(2) and (5), 971.17 (1), 975.06 and 980.06, receiving care, maintenance, services and
15supplies provided by any institution in this state including University of Wisconsin
16Hospitals and Clinics, in which the state is chargeable with all or part of the person's
17care, maintenance, services and supplies, any person receiving care and services
18from a county department established under s. 51.42 or 51.437 or from a facility
19established under s. 49.73, and any person receiving treatment and services from a
20public or private agency under s. 971.17 (3) (d) or (4) (e), 980.06 (2) (c) (cv) or 980.08
21(5) (e) and the person's property and estate, including the homestead, and the spouse
22of the person, and the spouse's property and estate, including the homestead, and,
23in the case of a minor child, the parents of the person, and their property and estates,
24including their homestead, and, in the case of a foreign child described in s. 48.839
25(1) who became dependent on public funds for his or her primary support before an

1order granting his or her adoption, the resident of this state appointed guardian of
2the child by a foreign court who brought the child into this state for the purpose of
3adoption, and his or her property and estate, including his or her homestead, shall
4be liable for the cost of the care, maintenance, services and supplies in accordance
5with the fee schedule established by the department under s. 46.03 (18). If a spouse,
6widow or minor, or an incapacitated person may be lawfully dependent upon the
7property for their support, the court shall release all or such part of the property and
8estate from the charges that may be necessary to provide for those persons. The
9department shall make every reasonable effort to notify the liable persons as soon
10as possible after the beginning of the maintenance, but the notice or the receipt
11thereof is not a condition of liability.
SB45, s. 1004 12Section 1004. 46.10 (2m) of the statutes is amended to read:
SB45,580,1813 46.10 (2m) The liability specified in sub. (2) shall not apply to tuberculosis
14patients receiving care, maintenance, services and supplies under ss. 58.06 and
15252.07 to 252.10, to persons 18 and older receiving care, maintenance, services and
16supplies provided by prisons named in s. 302.01 or to parents of a minor who receives
17care for alcohol or drug abuse under s. 51.47 (1) without consent of the minor's parent
18or guardian.
SB45, s. 1005 19Section 1005. 46.18 (1) of the statutes is amended to read:
SB45,581,220 46.18 (1) Trustees. Every county home, infirmary, hospital, tuberculosis
21hospital or sanatorium,
or similar institution, shall, subject to regulations approved
22by the county board, be managed by a board of trustees, electors of the county, chosen
23by ballot by the county board. At its annual meeting, the county board shall appoint
24an uneven number of trustees, from 3 to 9 at the option of the board, for staggered
253-year terms ending the first Monday in January. Any vacancy shall be filled for the

1unexpired term by the county board; but the chairperson of the county board may
2appoint a trustee to fill the vacancy until the county board acts.
SB45, s. 1006 3Section 1006. 46.20 (1) of the statutes is amended to read:
SB45,581,124 46.20 (1) Any 2 or more counties may jointly, by majority vote of all the
5members of each county board, provide for a county home, infirmary, hospital,
6tuberculosis hospital or sanatorium, or similar institution, or juvenile detention
7home, which shall be established, maintained and operated pursuant to all the
8statutes relating to the establishment, maintenance and operation of similar
9institutions, respectively, by any single county whose population is less than
10250,000, except as otherwise provided in this section; and in all respects, except as
11herein specified, each such institution shall be the county institution of each of the
12counties so joining.
SB45, s. 1007 13Section 1007. 46.20 (3) of the statutes is amended to read:
SB45,581,2114 46.20 (3) Upon approval of the site, plans and specifications, as provided in s.
15252.073 as to tuberculosis sanatoriums and
ss. 46.17 and 301.37, as to other
16institutions, the joint committee shall report to the several county boards the
17estimated cost of the site and buildings, and the amount thereof chargeable to each
18county on the basis set forth in sub. (6) (a), appending to each report a copy of the
19plans and specifications and all matter relating to the site and buildings. If the report
20is approved by each county board, the joint committee shall purchase the site and
21cause the buildings to be erected in accordance with the plans and specifications.
SB45, s. 1008 22Section 1008. 46.20 (8) of the statutes is repealed.
SB45, s. 1009 23Section 1009. 46.20 (10) of the statutes is repealed.
SB45, s. 1010 24Section 1010. 46.21 (2m) (c) of the statutes is amended to read:
SB45,582,11
146.21 (2m) (c) Exchange of information. Notwithstanding ss. 46.2895 (9), 48.78
2(2) (a), 49.45 (4), 49.83, 51.30, 51.45 (14) (a), 55.06 (17) (c), 146.82, 252.11 (7) and
3253.07 (3) (c), any subunit of the county department of human services acting under
4this subsection may exchange confidential information about a client, without the
5informed consent of the client, with any other subunit of the same county department
6of human services, with a resource center, care management organization or family
7care district,
or with any person providing services to the client under a purchase of
8services contract with the county department of human services or with a resource
9center, care management organization or family care district
, if necessary to enable
10an employe or service provider to perform his or her duties, or to enable the county
11department of human services to coordinate the delivery of services to the client.
SB45, s. 1011 12Section 1011. 46.215 (1) (j) of the statutes is amended to read:
SB45,582,1613 46.215 (1) (j) To make payments in such manner as the department of
14workforce development may determine for training of recipients, former recipients
15and potential recipients of aid in programs established under ss. s. 49.193, 1997
16stats.,
and s. 49.26 (1).
SB45, s. 1012 17Section 1012. 46.215 (1) (r) of the statutes is created to read:
SB45,582,2118 46.215 (1) (r) If authorized under s. 46.283 (1) (a) 1., to apply to the department
19of health and family services to operate a resource center under s. 46.283 and, if the
20department contracts with the county under s. 46.283 (2), to operate the resource
21center.
SB45, s. 1013 22Section 1013. 46.215 (1) (s) of the statutes is created to read:
SB45,583,223 46.215 (1) (s) If authorized under s. 46.284 (1) (a) 1., to apply to the department
24of health and family services to operate a care management organization under s.
2546.284 and, if the department contracts with the county under s. 46.284 (2), to

1operate the care management organization and, if appropriate, place funds in a risk
2reserve.
SB45, s. 1014 3Section 1014. 46.215 (1g) of the statutes is renumbered 46.215 (1g) (intro.) and
4amended to read:
SB45,583,95 46.215 (1g) Administration of food stamps for participants in by a Wisconsin
6works
agency. (intro.) The Wisconsin works agency, as defined in s. 49.001 (9), shall,
7to the extent permitted by federal law,
certify eligibility for and distribute, if
8determined eligible, issue
food coupons under s. 49.143 (2) (e) to eligible participants
9to all of the following:
SB45,583,10 10(a) Participants in the Wisconsin works program under subch. III of ch. 49.
SB45, s. 1015 11Section 1015. 46.215 (1g) (b) of the statutes is created to read:
SB45,583,1512 46.215 (1g) (b) Persons who may be required to participate in the food stamp
13employment and training program under s. 49.124 (1m), if the department of
14workforce development has contracted with the Wisconsin works agency to
15administer the food stamp employment and training program under s. 49.124 (1m).
SB45, s. 1016 16Section 1016. 46.215 (1g) (c) of the statutes is created to read:
SB45,583,1817 46.215 (1g) (c) Other persons who are under the age of 61 and who are not
18disabled, as defined by the department.
SB45, s. 1017 19Section 1017. 46.215 (1m) of the statutes is amended to read:
SB45,584,620 46.215 (1m) Exchange of information. Notwithstanding ss. 46.2895 (9), 48.78
21(2) (a), 49.45 (4), 49.83, 51.30, 51.45 (14) (a), 55.06 (17) (c), 146.82, 252.11 (7), 253.07
22(3) (c) and 938.78 (2) (a), any subunit of the county department of social services
23acting under this section may exchange confidential information about a client,
24without the informed consent of the client, with any other subunit of the same county
25department of social services, with a resource center, care management organization

1or family care district,
or with any person providing services to the client under a
2purchase of services contract with the county department of social services or with
3a resource center, care management organization or family care district
, if necessary
4to enable an employe or service provider to perform his or her duties, or to enable the
5county department of social services to coordinate the delivery of services to the
6client.
SB45, s. 1018 7Section 1018. 46.215 (2) (c) 1. of the statutes is amended to read:
SB45,584,198 46.215 (2) (c) 1. A county department of social services shall develop, under the
9requirements of s. 46.036, plans and contracts for care and services to be purchased,
10except for care and services under subch. III of ch. 49 or s. 301.08 (2). The department
11of health and family services may review the contracts and approve them if they are
12consistent with s. 46.036 and if state or federal funds are available for such purposes.
13The joint committee on finance may require the department of health and family
14services to submit the contracts to the committee for review and approval. The
15department of health and family services may not make any payments to a county
16for programs included in a contract under review by the committee. The department
17of health and family services shall reimburse each county for the contracts from the
18appropriations under s. 20.435 (3) (o) and (7) (b) , (kw), (kz) and (o), as appropriate,
19under s. 46.495.
SB45, s. 1019 20Section 1019. 46.22 (1) (b) 1. j. of the statutes is created to read:
SB45,584,2421 46.22 (1) (b) 1. j. If authorized under s. 46.283 (1) (a) 1., to apply to the
22department of health and family services to operate a resource center under s. 46.283
23and, if the department contracts with the county under s. 46.283 (2), to operate the
24resource center.
SB45, s. 1020 25Section 1020. 46.22 (1) (b) 1. k. of the statutes is created to read:
SB45,585,5
146.22 (1) (b) 1. k. If authorized under s. 46.284 (1) (a) 1., to apply to the
2department of health and family services to operate a care management organization
3under s. 46.284 and, if the department contracts with the county under s. 46.284 (2),
4to operate the care management organization and, if appropriate, place funds in a
5risk reserve.
SB45, s. 1021 6Section 1021. 46.22 (1) (b) 2. a. of the statutes is repealed.
SB45, s. 1022 7Section 1022. 46.22 (1) (b) 2. e. of the statutes is amended to read:
SB45,585,118 46.22 (1) (b) 2. e. To make payments in such manner as the department of
9workforce development may determine for training of recipients, former recipients
10and potential recipients of aid in programs established under ss. 49.193, 1997 stats.,
11and 49.26 (1).
SB45, s. 1023 12Section 1023. 46.22 (1) (c) 8. f. of the statutes is created to read:
SB45,585,1513 46.22 (1) (c) 8. f. Before July 1, 2006, the county department of social services
14shall implement the statewide automated child welfare information system
15established by the department under s. 46.03 (7) (g).
SB45, s. 1024 16Section 1024. 46.22 (1) (dm) of the statutes is amended to read:
SB45,586,317 46.22 (1) (dm) Exchange of information. Notwithstanding ss. 46.2895 (9), 48.78
18(2) (a), 49.45 (4), 49.83, 51.30, 51.45 (14) (a), 55.06 (17) (c), 146.82, 252.11 (7), 253.07
19(3) (c) and 938.78 (2) (a), any subunit of the county department of social services
20acting under this subsection may exchange confidential information about a client,
21without the informed consent of the client, with any other subunit of the same county
22department of social services, with a resource center, care management organization
23or family care district,
or with any person providing services to the client under a
24purchase of services contract with the county department of social services or with
25a resource center, care management organization or family care district
, if necessary

1to enable an employe or service provider to perform his or her duties, or to enable the
2county department of social services to coordinate the delivery of services to the
3client.
SB45, s. 1025 4Section 1025. 46.22 (1) (e) 3. a. of the statutes is amended to read:
SB45,586,165 46.22 (1) (e) 3. a. A county department of social services shall develop, under
6the requirements of s. 46.036, plans and contracts for care and services, except under
7subch. III of ch. 49 and s. 301.08 (2), to be purchased. The department of health and
8family services may review the contracts and approve them if they are consistent
9with s. 46.036 and to the extent that state or federal funds are available for such
10purposes. The joint committee on finance may require the department of health and
11family services to submit the contracts to the committee for review and approval.
12The department of health and family services may not make any payments to a
13county for programs included in the contract that is under review by the committee.
14The department of health and family services shall reimburse each county for the
15contracts from the appropriations under s. 20.435 (3) (o) and (7) (b), (kw), (kz) and
16(o) according to s. 46.495.
SB45, s. 1026 17Section 1026. 46.22 (1g) of the statutes is renumbered 46.22 (1g) (intro.) and
18amended to read:
SB45,586,2319 46.22 (1g) Administration of food stamps for participants in by a Wisconsin
20works
agency. (intro.) The Wisconsin works agency, as defined in s. 49.001 (9), shall,
21to the extent permitted by federal law,
certify eligibility for and distribute, if
22determined eligible, issue
food coupons under s. 49.143 (2) (e) to eligible participants
23to all of the following:
SB45,586,24 24(a) Participants in the Wisconsin works program under subch. III of ch. 49.
SB45, s. 1027 25Section 1027. 46.22 (1g) (b) of the statutes is created to read:
SB45,587,4
146.22 (1g) (b) Persons who may be required to participate in the food stamp
2employment and training program under s. 49.124 (1m), if the department of
3workforce development has contracted with the Wisconsin works agency to
4administer the food stamp employment and training program under s. 49.124 (1m).
SB45, s. 1028 5Section 1028. 46.22 (1g) (c) of the statutes is created to read:
SB45,587,76 46.22 (1g) (c) Other persons who are under the age of 61 and who are not
7disabled, as defined by the department.
SB45, s. 1029 8Section 1029. 46.23 (3) (e) of the statutes is amended to read:
SB45,587,209 46.23 (3) (e) Exchange of information. Notwithstanding ss. 46.2895 (9), 48.78
10(2) (a), 49.45 (4), 49.83, 51.30, 51.45 (14) (a), 55.06 (17) (c), 146.82, 252.11 (7), 253.07
11(3) (c) and 938.78 (2) (a), any subunit of a county department of human services
12acting under this section may exchange confidential information about a client,
13without the informed consent of the client, with any other subunit of the same county
14department of human services, with a resource center, care management
15organization or family care district,
or with any person providing services to the
16client under a purchase of services contract with the county department of human
17services or with a resource center, care management organization or family care
18district
, if necessary to enable an employe or service provider to perform his or her
19duties, or to enable the county department of human services to coordinate the
20delivery of services to the client.
SB45, s. 1030 21Section 1030. 46.266 (1) (d) of the statutes is created to read:
SB45,587,2322 46.266 (1) (d) A person in the facility who has been determined under s. 49.45
23(6c) (b) to require active treatment for mental illness.
SB45, s. 1031 24Section 1031. 46.27 (1) (bm) of the statutes is amended to read:
SB45,588,5
146.27 (1) (bm) "Private nonprofit agency" means a nonprofit corporation, as
2defined in s. 181.0103 (17), which provides comprehensive health care services to
3elderly persons
a program of all-inclusive care for persons aged 65 or older
4authorized under 42 USC 1395 to 1395ggg
and which participates in the On Lok
5replication initiative.
SB45, s. 1032 6Section 1032. 46.27 (2) (k) of the statutes is created to read:
SB45,588,97 46.27 (2) (k) Review and approve or disapprove the terms of risk reserve escrow
8accounts created under sub. (7) (fr) and approve or disapprove disbursements for
9administrative or staff costs from the risk reserve escrow accounts.
SB45, s. 1033 10Section 1033. 46.27 (4) (c) (intro.) of the statutes is amended to read:
SB45,588,1211 46.27 (4) (c) (intro.) The planning committee shall develop do all of the
12following:
SB45,588,14 131. Develop a community options plan for participation in the program. The
14plan shall include:
SB45, s. 1034 15Section 1034. 46.27 (4) (c) 1. to 7. of the statutes are renumbered 46.27 (4) (c)
161. a. to g.
SB45, s. 1035 17Section 1035. 46.27 (4) (c) 2. of the statutes is created to read:
SB45,588,2118 46.27 (4) (c) 2. Advise the county board of supervisors and, if applicable, the
19county administrator or county executive on whether to apply to the department for
20a contract to operate a resource center or a care management organization and
21whether to create a family care district to apply to the department for such a contract.
SB45, s. 1036 22Section 1036. 46.27 (4) (c) 3. of the statutes is created to read:
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