AB785, s. 58
1Section 58. 51.42 (3) (e) of the statutes is amended to read:
AB785,51,132 51.42 (3) (e) Exchange of information. Notwithstanding ss. 46.2895 (9), 48.78
3(2) (a), 49.45 (4), 49.83, 51.30, 51.45 (14) (a), 55.06 (17) (c) 55.22 (3), 146.82, 252.11
4(7), 253.07 (3) (c) and 938.78 (2) (a), any subunit of a county department of community
5programs acting under this section may exchange confidential information about a
6client, without the informed consent of the client, with any other subunit of the same
7county department of community programs, with a resource center, care
8management organization or family care district, or with any person providing
9services to the client under a purchase of services contract with the county
10department of community programs or with a resource center, care management
11organization or family care district, if necessary to enable an employee or service
12provider to perform his or her duties, or to enable the county department of
13community programs to coordinate the delivery of services to the client.
Note: Changes a cross-reference to access to records in protective placement and
services cases, the provisions of which are renumbered in this bill.
AB785, s. 59 14Section 59 . 51.421 (1) of the statutes is amended to read:
AB785,51,2315 51.421 (1) Purpose. In order to provide the least restrictive and most
16appropriate care and treatment for persons with chronic serious and persistent
17mental illness, community support programs should be available in all parts of the
18state. In order to integrate community support programs with other long-term care
19programs, community support programs shall be coordinated, to the greatest extent
20possible, with the community options program under s. 46.27, with the protective
21services system in a county, with the medical assistance program under subch. IV of
22ch. 49 and with other care and treatment programs for persons with chronic serious
23and persistent
mental illness.
AB785, s. 60
1Section 60. 51.421 (2) of the statutes is amended to read:
AB785,52,152 51.421 (2) Services. If funds are provided, and within the limits of the
3availability of funds provided under s. 51.423 (2), each county department under s.
451.42 shall establish a community support program. Each community support
5program shall use a coordinated case management system and shall provide or
6assure access to services for persons with chronic serious and persistent mental
7illness who reside within the community. Services provided or coordinated through
8a community support program shall include assessment, diagnosis, identification of
9persons in need of services, case management, crisis intervention, psychiatric
10treatment including medication supervision, counseling and psychotherapy,
11activities of daily living, psychosocial rehabilitation which may include services
12provided by day treatment programs, client advocacy including assistance in
13applying for any financial support for which the client may be eligible, residential
14services and recreational activities. Services shall be provided to an individual based
15upon his or her treatment and psychosocial rehabilitation needs.
AB785, s. 61 16Section 61 . 51.421 (3) (c) of the statutes is amended to read:
AB785,52,2217 51.421 (3) (c) Monitor the establishment and the continuing operation of
18community support programs and ensure that community support programs comply
19with the standards promulgated by rule. The department shall ensure that the
20persons monitoring community support programs to determine compliance with the
21standards are persons who are knowledgeable about treatment programs for persons
22with chronic serious and persistent mental illness.
Note: Sections 59 to 61 revise the term "chronic mental illness" to "serious and
persistent mental illness".
AB785, s. 62 23Section 62. 51.437 (4) (c) of the statutes is amended to read:
AB785,53,10
151.437 (4) (c) County liability for care and services purchased through or
2provided by a county department of developmental disabilities services established
3under this section shall be based upon the client's county of residence except for
4emergency services for which liability shall be placed with the county in which the
5individual is found. For the purpose of establishing county liability, "emergency
6services" means those services provided under the authority of s. 55.05 (4), 2003
7stats., or s. 55.06 (11) (a), 2003 stats., or
s. 51.15, 55.05 (4) or 55.06 (11) (a), 55.13, or
855.135
. Nothing in this paragraph prevents recovery of liability under s. 46.10 or any
9other statute creating liability upon the individual receiving a service or any other
10designated responsible party.
Note: Changes cross-references to emergency protective services and emergency
protective placement, the provisions of which are renumbered in this bill.
AB785, s. 63 11Section 63. 51.437 (4r) (b) of the statutes is amended to read:
AB785,54,212 51.437 (4r) (b) Notwithstanding ss. 46.2895 (9), 48.78 (2) (a), 49.45 (4), 49.83,
1351.30, 51.45 (14) (a), 55.06 (17) (c) 55.22 (3), 146.82, 252.11 (7), 253.07 (3) (c) and
14938.78 (2) (a), any subunit of the county department of developmental disabilities
15services acting under this section may exchange confidential information about a
16client, without the informed consent of the client, with any other subunit of the same
17county department of developmental disabilities services, with a resource center,
18care management organization or family care district, or with any person providing
19services to the client under a purchase of services contract with the county
20department of developmental disabilities services or with a resource center, care
21management organization or family care district, if necessary to enable an employee
22or service provider to perform his or her duties, or to enable the county department

1of developmental disabilities services to coordinate the delivery of services to the
2client.
Note: Changes a cross-reference to access to records in protective placement and
services cases, the provisions of which are renumbered in this bill.
AB785, s. 64 3Section 64 . 51.67 (intro.) of the statutes is amended to read:
AB785,54,23 451.67 Alternate procedure; protective services. (intro.) If, after a hearing
5under s. 51.13 (4) or 51.20, the court finds that commitment under this chapter is not
6warranted and that the subject individual is a fit subject for guardianship and
7protective placement or services, the court may, without further notice, appoint a
8temporary guardian for the subject individual and order temporary protective
9placement or services under ch. 55 for a period not to exceed 30 days. Temporary
10protective placement for an individual in a center for the developmentally disabled
11is subject to s. 51.06 (3). Any interested party may then file a petition for permanent
12guardianship or protective placement or services, including medication, under ch.
1355. If the individual is in a treatment facility, the individual may remain in the
14facility during the period of temporary protective placement if no other appropriate
15facility is available. The court may order psychotropic medication as a temporary
16protective service under this section if it finds that there is probable cause to believe
17the individual is not competent to refuse psychotropic medication and that the
18medication ordered will have therapeutic value and will not unreasonably impair the
19ability of the individual to prepare for and participate in subsequent legal
20proceedings. An individual is not competent to refuse psychotropic medication if,
21because of chronic serious and persistent mental illness, and after the advantages
22and disadvantages of and alternatives to accepting the particular psychotropic
23medication have been explained to the individual, one of the following is true:
AB785, s. 65
1Section 65 . 51.67 (2) of the statutes is amended to read:
AB785,55,52 51.67 (2) The individual is substantially incapable of applying an
3understanding of the advantages, disadvantages and alternatives to his or her
4chronic serious and persistent mental illness in order to make an informed choice as
5to whether to accept or refuse psychotropic medication.
Note: Sections 64 and 65 revise the term "chronic mental illness" to "serious and
persistent mental illness".
AB785, s. 66 6Section 66. 55.001 of the statutes is amended to read:
AB785,55,21 755.001 Declaration of policy. The legislature recognizes that many citizens
8of the state, because of the infirmities of aging, chronic serious and persistent mental
9illness, mental retardation, other degenerative brain disorder, developmental
10disabilities, or other like incapacities incurred at any age, are in need of protective
11services or protective placement. Except as provided in s. 49.45 (30m) (a), these the
12protective
services or protective placement should, to the maximum degree of
13feasibility under programs, services and resources that the county board of
14supervisors is reasonably able to provide within the limits of available state and
15federal funds and of county funds required to be appropriated to match state funds,
16allow the individual the same rights as other citizens, and at the same time protect
17the individual from exploitation, abuse, and degrading treatment. This chapter is
18designed to establish those protective services and protective placements, to assure
19their availability to all persons individuals when in need of them, and to place the
20least possible restriction on personal liberty and exercise of constitutional rights
21consistent with due process and protection from abuse, exploitation , and neglect.
Note: Inserts references to both protective services and protective placements.
Also, revises terminology to delete the terms "infirmities of aging" and "mental
retardation"; to insert a new term, "degenerative brain disorder" to replace "infirmities
of aging"; and to replace the word "chronic" with the term "serious and persistent".
AB785, s. 67
1Section 67. 55.01 (1d) of the statutes is created to read:
AB785,56,32 55.01 (1d) "Activated power of attorney for health care" means a power of
3attorney for health care that has taken effect in the manner specified in s. 155.05 (2).
Note: Creates a definition of "activated power of attorney for health care", a term
which is used in this bill.
AB785, s. 68 4Section 68 . 55.01 (1v) of the statutes is created to read:
AB785,56,75 55.01 (1v) "Degenerative brain disorder" means the loss or dysfunction of brain
6cells to the extent that an individual is substantially impaired in his or her ability
7to provide adequately for his or her own care or custody.
Note: Creates a definition of "degenerative brain disorder", which is a new term
created in this bill to replace the outdated term "infirmities of aging".
AB785, s. 69 8Section 69. 55.01 (2) of the statutes is amended to read:
AB785,56,179 55.01 (2) "Developmentally disabled person" means any individual having a
10disability attributable to mental retardation, cerebral palsy, epilepsy, autism or
11another neurological condition closely related to mental retardation or requiring
12treatment similar to that required for mentally retarded individuals, which has
13continued or can be expected to continue indefinitely, substantially impairs the an
14individual from adequately providing for his or her own care or custody, and
15constitutes a substantial handicap to the afflicted individual. The term does not
16include a person affected by senility which that is primarily caused by the process
17of aging or the infirmities of aging degenerative brain disorder.
Note: Revises the term "infirmities of aging" to "degenerative brain disorder".
AB785, s. 70 18Section 70. 55.01 (3) of the statutes is repealed.
Note: Section 68 creates a new definition of "degenerative brain disorder", which
is created to replace the repealed definition "infirmities of aging".
AB785, s. 71 19Section 71. 55.01 (4) of the statutes is renumbered 55.01 (4) (intro.) and
20amended to read:
AB785,57,1
155.01 (4) (intro.) "Interested person" means any adult of the following:
AB785,57,3 2(a) An adult relative or friend of a person an individual sought to be protected
3under this subchapter; or any chapter.
AB785,57,5 4(b) Any official or representative of a public or private agency, corporation or
5association concerned with the person's individual's welfare.
Note: Revises the term "interested person".
AB785, s. 72 6Section 72. 55.01 (4) (c) of the statutes is created to read:
AB785,57,77 55.01 (4) (c) A health care agent, as defined in s. 155.01 (4).
Note: Includes a health care agent in the definition of "interested person".
AB785, s. 73 8Section 73. 55.01 (4g) of the statutes is amended to read:
AB785,57,99 55.01 (4g) "Intermediate facility" has the meaning given in s. 46.279 (1) (a) (b).
AB785, s. 74 10Section 74. 55.01 (4t) of the statutes is amended to read:
AB785,57,1111 55.01 (4t) "Nursing facility" has the meaning given in s. 46.279 (1) (b) (c).
AB785, s. 75 12Section 75. 55.01 (6), (6m), (6p) and (6r) of the statutes are created to read:
AB785,57,1413 55.01 (6) "Protective placement" means a placement that is made to provide for
14the care and custody of an individual.
AB785,57,17 15(6m) "Protective placement facility" means a facility to which a court may
16under s. 55.12 order an individual to be provided protective placement for the
17primary purpose of residential care and custody.
AB785,57,19 18(6p) "Protective placement unit" means a ward, wing, or other designated part
19of a placement facility.
AB785,57,20 20(6r) "Protective services" includes any of the following:
AB785,57,2121 (a) Outreach.
AB785,57,2222 (b) Identification of individuals in need of services.
AB785,57,2323 (c) Counseling and referral for services.
AB785,58,1
1(d) Coordination of services for individuals.
AB785,58,22 (e) Tracking and follow-up.
AB785,58,33 (f) Social services.
AB785,58,44 (g) Case management.
AB785,58,55 (h) Legal counseling or referral.
AB785,58,66 (i) Guardianship referral.
AB785,58,77 (j) Diagnostic evaluation.
AB785,58,128 (k) Any services that, when provided to an individual with developmental
9disabilities, degenerative brain disorder, serious and persistent mental illness, or
10other like incapacity, keep the individual safe from abuse, neglect, or
11misappropriation of property or prevent the individual from experiencing
12deterioration or from inflicting harm on himself or herself or another person.
Note: Creates a definition of protective placement. This definition is derived from
the first sentence of s. 55.06 (1). Creates a definition of protective services. This definition
incorporates the noninclusive list of possible services from current s. 55.04 (1) (a), and
specifies that "protective services" includes any services that are intended to keep
specified individuals safe from abuse, neglect, or misappropriation of property, or prevent
the individual from inflicting harm on himself or herself or another person.
AB785, s. 76 13Section 76. 55.01 (6t) of the statutes is created to read:
AB785,58,1614 55.01 (6t) "Residence" means the voluntary concurrence of an individual's
15physical presence with his or her intent to remain in a place of fixed habitation.
16Physical presence is prima facie evidence of intent to remain.
Note: Creates a definition of "residence" for use in ch. 55. This definition is based
on the definition of "residence" in s. 49.001.
AB785, s. 77 17Section 77. 55.01 (6v) of the statutes is created to read:
AB785,58,1918 55.01 (6v) "Serious and persistent mental illness" has the meaning given in s.
1951.01 (14t).
Note: Creates a definition of "serious and persistent mental illness", which is used
in this bill and replaces the outdated term "chronic mental illness".
AB785, s. 78
1Section 78. 55.01 (6x) of the statutes is created to read:
AB785,59,22 55.01 (6x) "Treatment facility" has the meaning given in s. 51.01 (19).
Note: Provides that in ch. 55, "treatment facility" has the same definition as in ch.
51: "any publicly or privately operated facility or unit thereof providing treatment of
alcoholic, drug dependent, mentally ill or developmentally disabled persons, including
but not limited to inpatient and outpatient treatment programs, community support
programs and rehabilitation programs".
AB785, s. 79 3Section 79. 55.01 (6y) of the statutes is created to read:
AB785,59,54 55.01 (6y) "Voluntary" means according to an individual's free choice, if
5competent, or by choice of a guardian, if adjudicated incompetent.
Note: Creates a definition of "voluntary", a term which is used in this bill.
AB785, s. 80 6Section 80. 55.02 of the statutes is repealed and recreated to read:
AB785,59,8 755.02 Protective services and protective placement: duties. (1)
8Department duties. (a) The department shall do all of the following:
AB785,59,109 1. Cooperate with county departments to develop and operate a coordinated,
10statewide system for protective services and protective placement.
AB785,59,1211 2. Monitor and supervise the implementation and operation of the protective
12services and protective placement system.
AB785,59,1413 3. Provide technical assistance to county departments providing protective
14services and protective placement.
AB785,59,1515 4. Evaluate the protective services and protective placement system.
AB785,59,1716 (b) The department may provide protective services and protective placement
17directly or contract for the provision of protective services or protective placement.
AB785,60,4 18(2) County department duties. (a) The chairperson of each county board of
19supervisors shall designate a county department under s. 46.215, 46.22, 46.23, 51.42,
20or 51.437 that is providing services in the county on its own or through a joint
21mechanism with another county department or county to have the responsibility for

1planning for the provision of protective services and protective placement and for
2directly providing protective services, protective placement, or both, or entering into
3a contract under s. 46.036 with a responsible agency for the provision of protective
4services, protective placement, or both.
AB785,60,65 (b) In addition to the responsibilities specified in par. (a), the county
6department shall:
AB785,60,77 1. Monitor and evaluate protective services and protective placements.
AB785,60,98 2. Prepare and submit reports required by the department, or by a court if
9protective services or protective placement are ordered by a court.
AB785,60,1110 3. Develop requirements for submittal by guardians of the person of reports to
11the county department under s. 880.38 (3).
AB785,60,1412 4. Designate at least one appropriate medical facility or protective placement
13facility as an intake facility for the purpose of emergency protective placements
14under s. 55.135.
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