SB1,512,2318 46.22 (1) (e) 2. A county department of social services may purchase
19development and training services from the department of health and family
20services, the department of workforce development children and families, or the
21department of corrections or from other county agencies if the services are available
22or sell the development and staff training services to another county or state agency
23if the county department of social services has adequate staff to provide the services.
SB1, s. 872 24Section 872. 46.22 (1) (e) 3. a. of the statutes is amended to read:
SB1,513,12
146.22 (1) (e) 3. a. A county department of social services shall develop, under
2the requirements of s. 46.036, plans and contracts for care and services, except under
3ch. 48, subch. III of ch. 49, and s. 301.08 (2), to be purchased. The department of
4health and family services may review the contracts and approve them if they are
5consistent with s. 46.036 and to the extent that state or federal funds are available
6for such purposes. The joint committee on finance may require the department of
7health and family services to submit the contracts to the committee for review and
8approval. The department of health and family services may not make any payments
9to a county for programs included in the contract that is under review by the
10committee. The department of health and family services shall reimburse each
11county for the contracts from the appropriations under s. 20.435 (7) (b) and (o)
12according to s. 46.495.
SB1, s. 873 13Section 873. 46.22 (1) (e) 3. b. of the statutes is amended to read:
SB1,513,2314 46.22 (1) (e) 3. b. A county department of social services shall develop, under
15the requirements of s. 49.34, plans and contracts for care and services under ch. 48
16and
subch. III of ch. 49 to be purchased. The department of workforce development
17children and families may review the contracts and approve them if they are
18consistent with s. 49.34 and to the extent that state or federal funds are available for
19such purposes. The joint committee on finance may require the department of
20workforce development children and families to submit the contracts to the
21committee for review and approval. The department of workforce development
22children and families may not make any payments to a county for programs included
23in the contract that is under review by the committee.
SB1, s. 875 24Section 875. 46.22 (2g) (d) of the statutes is amended to read:
SB1,514,9
146.22 (2g) (d) Prepare, with the assistance of the county social services director
2under sub. (3m) (b) 5., a proposed budget for submission to the county executive or
3county administrator, a final budget for submission to the department of health and
4family services in accordance with s. 46.031 (1) for authorized services, except
5services under ch. 48, subch. III of ch. 49, or s. 301.08 (2), a final budget for
6submission to the department of workforce development children and families in
7accordance with s. 49.325 for authorized services under ch. 48 and subch. III of ch.
849, and a final budget for submission to the department of corrections in accordance
9with s. 301.031 (1) for authorized juvenile delinquency-related services.
SB1, s. 876 10Section 876. 46.22 (3m) (b) 12. of the statutes is amended to read:
SB1,514,1311 46.22 (3m) (b) 12. Establish priorities in addition to those mandated by the
12department of health and family services, by the department of workforce
13development
children and families, or by the department of corrections.
SB1, s. 877 14Section 877. 46.22 (3m) (b) 17. b. of the statutes is amended to read:
SB1,514,1715 46.22 (3m) (b) 17. b. Such other reports as are required by the secretary of
16health and family services, the secretary of workforce development children and
17families
, the secretary of corrections, and the county board of supervisors.
SB1, s. 878 18Section 878. 46.23 (3) (a) of the statutes is amended to read:
SB1,515,319 46.23 (3) (a) Creation. Upon approval by the secretary of health and family
20services, by the secretary of corrections, and by the secretary of workforce
21development
children and families of a feasibility study and a program
22implementation plan, the county board of supervisors of any county with a
23population of less than 500,000, or the county boards of supervisors of 2 or more
24contiguous counties, each of which has a population of less than 500,000, may
25establish by resolution a county department of human services on a single-county

1or multicounty basis to provide the services required under this section. The county
2department of human services shall consist of the county human services board, the
3county human services director and necessary personnel.
SB1, s. 879 4Section 879. 46.23 (3) (am) 4. of the statutes is amended to read:
SB1,515,95 46.23 (3) (am) 4. No funds may be allocated to any multicounty department of
6human services until the counties have drawn up a detailed contractual agreement,
7approved by the secretary of health and family services, by the secretary of
8corrections, and by the secretary of workforce development children and families,
9setting forth the plan for joint sponsorship.
SB1, s. 880 10Section 880. 46.23 (3) (e) of the statutes is amended to read:
SB1,516,211 46.23 (3) (e) Exchange of information; long-term care. Notwithstanding ss.
1246.2895 (9), 48.78 (2) (a), 49.45 (4), 49.83, 51.30, 51.45 (14) (a), 55.22 (3), 146.82,
13252.11 (7), 253.07 (3) (c) and 938.78 (2) (a), a subunit of a county department of
14human services or tribal agency acting under this section may exchange confidential
15information about a client, without the informed consent of the client, with any other
16subunit of the same county department of human services or tribal agency, with a
17resource center, a care management organization, or a family long-term care
18district, with an elder-adult-at-risk agency, an adult-at-risk agency, or any agency
19to which referral for investigation is made under s. 46.90 (5) (a) 1. or 55.043 (1r) (a)
201g., or with a person providing services to the client under a purchase of services
21contract with the county department of human services or tribal agency or with a
22resource center, a care management organization, or a family long-term care
23district, if necessary to enable an employee or service provider to perform his or her
24duties, or to enable the county department of human services or tribal agency to
25coordinate the delivery of services to the client. An agency that releases information

1under this paragraph shall document that a request for information was received
2and what information was provided.
SB1, s. 881 3Section 881. 46.23 (3) (ed) of the statutes is amended to read:
SB1,516,104 46.23 (3) (ed) Exchange of information; statewide automated child welfare
5information system.
Notwithstanding ss. 46.2895 (9), 48.396 (1) and (2) (a), 48.78 (2)
6(a), 48.981 (7), 49.45 (4), 49.83, 51.30, 51.45 (14) (a), 55.06 (17) (c) 55.22 (3), 146.82,
7252.11 (7), 252.15, 253.07 (3) (c), 938.396 (1) and (2) (a) 938.396 (1) and (2), and 938.78
8(2) (a), a county department under this section may enter the content of any record
9kept or information received by that county department into the statewide
10automated child welfare information system established under s. 46.03 48.47 (7g).
SB1, s. 882 11Section 882. 46.23 (5) (a) 1. of the statutes is amended to read:
SB1,516,1812 46.23 (5) (a) 1. Shall determine administrative and program policies, except as
13provided under ch. 48 and subch. III of ch. 49 and except for juvenile
14delinquency-related policies, within limits established by the department of health
15and family services. Policy decisions, except as provided under ch. 48 and subch. III
16of ch. 49 and except for juvenile delinquency-related policies, not reserved by statute
17for the department of health and family services may be delegated by the secretary
18to the county human services board.
SB1, s. 883 19Section 883. 46.23 (5) (a) 2. of the statutes is amended to read:
SB1,516,2520 46.23 (5) (a) 2. Shall determine administrative and program policies under ch.
2148 and
subch. III of ch. 49 within limits established by the department of workforce
22development
children and families. Policy decisions under ch. 48 and subch. III of
23ch. 49 not reserved by statute for the department of workforce development children
24and families
may be delegated by the secretary of workforce development children
25and families
to the county human services board.
SB1, s. 884
1Section 884. 46.23 (5) (b) of the statutes is amended to read:
SB1,517,42 46.23 (5) (b) Shall establish priorities in addition to those mandated by the
3department of health and family services, the department of corrections , or the
4department of workforce development children and families.
SB1, s. 885 5Section 885. 46.23 (5) (c) 1. of the statutes is amended to read:
SB1,517,106 46.23 (5) (c) 1. Shall determine whether state mandated services, except for
7services under ch. 48 and subch. III of ch. 49 and juvenile delinquency-related
8services, are provided or purchased or contracted for with local providers, and
9monitor the performance of such contracts. Purchase of services contracts shall be
10subject to the conditions specified in s. 46.036.
SB1, s. 886 11Section 886. 46.23 (5) (c) 2. of the statutes is amended to read:
SB1,517,1512 46.23 (5) (c) 2. Shall determine whether state mandated services under ch. 48
13and
subch. III of ch. 49 are provided or purchased or contracted for with local
14providers, and monitor the performance of such contracts. Purchase of services
15contracts shall be subject to the conditions specified in s. 49.34.
SB1, s. 887 16Section 887. 46.23 (5) (n) 1. of the statutes is amended to read:
SB1,517,2317 46.23 (5) (n) 1. Shall submit a final budget in accordance with s. 46.031 (1) for
18authorized services, except for services under ch. 48 and subch. III of ch. 49 and
19juvenile delinquency-related services. Notwithstanding the categorization of or
20limits specified for funds allocated under s. 46.495 or 51.423 (2), with the approval
21of the department of health and family services the county human services board
22may expend these funds consistent with any service provided under s. 46.495 or
2351.42.
SB1, s. 888 24Section 888. 46.23 (5) (n) 2. of the statutes is amended to read:
SB1,518,5
146.23 (5) (n) 2. Shall submit a final budget in accordance with s. 49.325 (1) for
2authorized services under ch. 48 and subch. III of ch. 49. Notwithstanding the
3categorization of or limits specified for funds allocated under s. 48.569, with the
4approval of the department of children and families the county human services board
5may expend these funds consistent with any service provided under s. 48.569.
SB1, s. 889 6Section 889. 46.23 (5m) (c) of the statutes is amended to read:
SB1,518,167 46.23 (5m) (c) Prepare, with the assistance of the county human services
8director under sub. (6m) (e), a proposed budget for submission to the county executive
9or county administrator, a final budget for submission to the department of health
10and family services in accordance with s. 46.031 (1) for authorized services, except
11services under ch. 48 and subch. III of ch. 49 and juvenile delinquency-related
12services, a final budget for submission to the department of workforce development
13children and families in accordance with s. 49.325 for authorized services under ch.
1448 and
subch. III of ch. 49, and a final budget for submission to the department of
15corrections in accordance with s. 301.031 for authorized juvenile
16delinquency-related services.
SB1, s. 890 17Section 890. 46.23 (6) (a) (intro.) of the statutes is amended to read:
SB1,519,418 46.23 (6) (a) (intro.) A county human services director appointed under sub. (5)
19(f) shall have all of the administrative and executive powers and duties of managing,
20operating, maintaining, and improving the programs of the county department of
21human services, subject to the rules promulgated by the department of health and
22family services for programs, except services or programs under ch. 48 and subch.
23III of ch. 49 and juvenile delinquency-related services or programs, subject to the
24rules promulgated by the department of workforce development children and
25families
for services or programs under ch. 48 and subch. III of ch. 49, and subject

1to the rules promulgated by the department of corrections for juvenile
2delinquency-related services or programs. In consultation with the county human
3services board under sub. (5) and subject to its approval, the county human services
4director shall prepare:
SB1, s. 891 5Section 891. 46.23 (6) (a) 3. of the statutes is amended to read:
SB1,519,106 46.23 (6) (a) 3. Such other reports as are required by the secretary of health and
7family services, by the secretary of corrections, or by the secretary of workforce
8development
children and families and the county board of supervisors in a county
9with a single-county department of human services or the county boards of
10supervisors in counties with a multicounty department of human services.
SB1, s. 892 11Section 892. 46.24 of the statutes is renumbered 48.375 (9) and amended to
12read:
SB1,519,1913 48.375 (9) Assistance to minors concerning parental consent for abortion.
14If a minor who is contemplating an abortion requests assistance from a county
15department under s. 46.215, 46.22 or 46.23 in seeking the consent of the minor's
16parent, guardian, or legal custodian, or in seeking the consent of an adult family
17member, as defined in s. 48.375 (2) (b), for the contemplated abortion or in seeking
18a waiver from the circuit court, the county department shall provide assistance,
19including, if so requested, accompanying the minor as appropriate.
SB1, s. 893 20Section 893. 46.247 of the statutes is renumbered 49.345 (14) (g) and amended
21to read:
SB1,520,422 49.345 (14) (g) Application of child support standard for certain children. For
23purposes of determining child support under s. 46.10 (14) par. (b), the department
24shall promulgate rules related to the application of the standard established by the
25department of workforce development under s. 49.22 (9) to a child support obligation

1for the care and maintenance of a child who is placed by a court order under s. 48.355
2or 48.357 in a residential, nonmedical facility. The rules shall take into account the
3needs of any person, including dependent children other than the child, whom either
4parent is legally obligated to support.
SB1, s. 894 5Section 894. 46.261 (title) of the statutes is renumbered 48.645 (title).
SB1, s. 895 6Section 895. 46.261 (1) of the statutes is renumbered 48.645 (1).
SB1, s. 896 7Section 896. 46.261 (2) (title) of the statutes is renumbered 48.645 (2) (title).
SB1, s. 897 8Section 897. 46.261 (2) (a) (intro.) of the statutes is renumbered 48.645 (2) (a)
9(intro.).
SB1, s. 898 10Section 898. 46.261 (2) (a) 1. of the statutes is renumbered 48.645 (2) (a) 1. and
11amended to read:
SB1,521,212 48.645 (2) (a) 1. A nonrelative who cares for the dependent child in a foster
13home or treatment foster home having a license under s. 48.62, in a foster home or
14treatment foster home located within the boundaries of a federally recognized
15American Indian reservation in this state and licensed by the tribal governing body
16of the reservation or in a group home licensed under s. 48.625, a subsidized guardian
17or interim caretaker under s. 48.62 (5) who cares for the dependent child, or a minor
18custodial parent who cares for the dependent child, regardless of the cause or
19prospective period of dependency. The state shall reimburse counties pursuant to the
20procedure under s. 46.495 48.569 (2) and the percentage rate of participation set
21forth in s. 46.495 48.569 (1) (d) for aid granted under this section except that if the
22child does not have legal settlement in the granting county, state reimbursement
23shall be at 100%. The county department under s. 46.215 or , 46.22, or 46.23 or the
24department under s. 48.48 (17) shall determine the legal settlement of the child. A

1child under one year of age shall be eligible for aid under this subsection irrespective
2of any other residence requirement for eligibility within this section.
SB1, s. 899 3Section 899. 46.261 (2) (a) 2. of the statutes is renumbered 48.645 (2) (a) 2. and
4amended to read:
SB1,521,135 48.645 (2) (a) 2. A county or, in a county having a population of 500,000 or more,
6the department, on behalf of a child in the legal custody of a county department under
7s. 46.215, 46.22, or 46.23 or the department under s. 48.48 (17) or on behalf of a child
8who was removed from the home of a relative, as defined under s. 48.02 (15), as a
9result of a judicial determination that continuance in the home of a relative would
10be contrary to the child's welfare for any reason when such the child is placed in a
11licensed child caring institution residential care center for children and youth by the
12county department or the department. Reimbursement shall be made by the state
13pursuant to as provided in subd. 1.
SB1, s. 900 14Section 900. 46.261 (2) (a) 3. of the statutes is renumbered 48.645 (2) (a) 3. and
15amended to read:
SB1,522,216 48.645 (2) (a) 3. A county or, in a county having a population of 500,000 or more,
17the department, when the child is placed in a licensed foster home, treatment foster
18home, group home, or residential care center for children and youth or in a subsidized
19guardianship home by a licensed child welfare agency or by a federally recognized
20American Indian tribal governing body in this state or by its designee, if the child is
21in the legal custody of the county department under s. 46.215, 46.22, or 46.23 or the
22department under s. 48.48 (17) or if the child was removed from the home of a
23relative, as defined under s. 48.02 (15), as a result of a judicial determination that
24continuance in the home of the relative would be contrary to the child's welfare for

1any reason and the placement is made pursuant to under an agreement with the
2county department or the department.
SB1, s. 901 3Section 901. 46.261 (2) (a) 4. of the statutes is renumbered 48.645 (2) (a) 4. and
4amended to read:
SB1,522,135 48.645 (2) (a) 4. A licensed foster home, treatment foster home, group home,
6or residential care center for children and youth or a subsidized guardianship home
7when the child is in the custody or guardianship of the state, when the child is a ward
8of an American Indian tribal court in this state and the placement is made under an
9agreement between the department and the tribal governing body, or when the child
10was part of the state's direct service case load and was removed from the home of a
11relative, as defined under s. 48.02 (15), as a result of a judicial determination that
12continuance in the home of a relative would be contrary to the child's welfare for any
13reason and the child is placed by the department.
SB1, s. 902 14Section 902. 46.261 (2) (b) of the statutes is renumbered 48.645 (2) (b).
SB1, s. 903 15Section 903. 46.261 (3) of the statutes is renumbered 48.645 (3).
SB1, s. 904 16Section 904. 46.27 (4) (am) of the statutes is amended to read:
SB1,522,2017 46.27 (4) (am) If a local long-term care council in a county the governing board
18of a resource center
assumes under s. 46.282 (3) (b) 46.283 (6) (b) 10. the duties of the
19county long-term support planning committee under this subsection, the county
20long-term support planning committee for the county is dissolved.
SB1, s. 905 21Section 905. 46.27 (4) (c) (intro.) of the statutes is amended to read:
SB1,523,222 46.27 (4) (c) (intro.) The planning committee shall develop, or, if a local
23long-term care council
the governing board of a resource center has under s. 46.282
24(3) (b)
46.283 (6) (b) 10. assumed the duties of the planning committee, the local

1long-term care council
governing board of the resource center shall recommend a
2community options plan for participation in the program. The plan shall include:
SB1, s. 906 3Section 906. 46.27 (4) (c) 5. of the statutes is amended to read:
SB1,523,84 46.27 (4) (c) 5. A description of the method to be used by the committee or, if
5 a local long-term care council the governing board of a resource center has under
6s. 46.282 (3) (b) 46.283 (6) (b) 10. assumed the duties of the planning committee, the
7local long-term care council governing board of the resource center to monitor the
8implementation of the program.
SB1, s. 907 9Section 907. 46.27 (4) (c) 8. of the statutes is amended to read:
SB1,523,1210 46.27 (4) (c) 8. If a contract with an entity under s. 46.281 (1) (e) 1. 46.284 (2)
11is established in the county, a description of how the activities of the entity relate to
12and are coordinated with the county's proposed program.
SB1, s. 908 13Section 908. 46.27 (5) (am) of the statutes is amended to read:
SB1,524,214 46.27 (5) (am) Organize assessment activities specified in sub. (6). The county
15department or aging unit shall utilize persons for each assessment who can
16determine the needs of the person being assessed and who know the availability
17within the county of services alternative to placement in a nursing home. If any
18hospital patient is referred to a nursing home for admission, these persons shall work
19with the hospital discharge planner in performing the activities specified in sub. (6).
20The county department or aging unit shall coordinate the involvement of
21representatives from the county departments under ss. 46.215, 46.22, 51.42 and
2251.437, health service providers and the county commission on aging in the
23assessment activities specified in sub. (6), as well as the person being assessed and
24members of the person's family or the person's guardian. This paragraph does not

1apply to a county department or aging unit in a county in which the department has
2contracted with an entity under s. 46.281 (1) (e) 1 46.284 (2).
SB1, s. 909 3Section 909. 46.27 (5) (j) of the statutes is created to read:
SB1,524,74 46.27 (5) (j) Within the time period specified by the department, offer
5counseling, that is specified by the department, concerning public and private
6benefit programs to prospective residents of community-based residential facilities
7who are referred to the county department or aging unit under s. 50.035 (4n).
SB1, s. 910 8Section 910. 46.27 (6) (a) 3. of the statutes is amended to read:
SB1,524,179 46.27 (6) (a) 3. In each participating county, except in counties in which the
10department has contracted with an entity under s. 46.281 (1) (e) 1. 46.284 (2),
11assessments shall be conducted for those persons and in accordance with the
12procedures described in the county's community options plan. The county may elect
13to establish assessment priorities for persons in target groups identified by the
14county in its plan regarding gradual implementation. If a person who is already
15admitted to a nursing home requests an assessment and if funds allocated for
16assessments under sub. (7) (am) are available, the county shall conduct the
17assessment.
SB1, s. 911 18Section 911. 46.27 (6g) (intro.) of the statutes is amended to read:
SB1,524,2319 46.27 (6g) Fiscal responsibility. (intro.) Except as provided in s. 51.40, and
20within the limitations under sub. (7) (b), the fiscal responsibility of a county for an
21assessment, unless the assessment is performed by an entity under a contract as
22specified under s. 46.281 (1) (e) 1. 46.284 (2), case plan, or services provided to a
23person under this section is as follows:
SB1, s. 912 24Section 912. 46.27 (6u) (c) 1. a. of the statutes is amended to read:
SB1,525,2
146.27 (6u) (c) 1. a. Eligible for medical assistance under s. 49.46, 49.468 or,
249.47, or 49.471 (4) (a).
SB1, s. 913 3Section 913. 46.27 (6u) (d) (intro.) of the statutes is amended to read:
SB1,525,94 46.27 (6u) (d) (intro.) In determining financial eligibility under par. (c) 1. and
5in calculating the amount under par. (c) 2., the county department or aging unit shall
6include as the assets for any person, except those persons who are eligible for medical
7assistance under s. 49.46, 49.468 or, 49.47, or 49.471 (4) (a), any portion of assets that
8the person or the person's spouse has, after August 12, 1993, transferred to another
9as specified in par. (b), unless one of the following conditions applies:
SB1, s. 914 10Section 914. 46.27 (7) (am) of the statutes is amended to read:
SB1,525,1911 46.27 (7) (am) From the appropriation under s. 20.435 (7) (bd), the department
12shall allocate funds to each county or private nonprofit agency with which the
13department contracts to pay assessment and case plan costs under sub. (6) not
14otherwise paid by fee or under s. 49.45 or 49.78 (2). The department shall reimburse
15counties for the cost of assessing persons eligible for medical assistance under s.
1649.46, 49.468, or 49.47, or 49.471 (4) (a) as part of the administrative services of
17medical assistance, payable under s. 49.45 (3) (a). Counties may use unspent funds
18allocated under this paragraph to pay the cost of long-term community support
19services and for a risk reserve under par. (fr).
SB1, s. 915 20Section 915. 46.27 (7) (b) of the statutes is amended to read:
SB1,526,921 46.27 (7) (b) From the appropriations under s. 20.435 (7) (bd) and (im), the
22department shall allocate funds to each county to pay the cost of providing long-term
23community support services under sub. (5) (b) not otherwise paid under s. 49.45 to
24persons eligible for medical assistance under s. 49.46 or , 49.47, or 49.471 (4) (a) or
25to persons whom the county department or aging unit administering the program

1finds likely to become medically indigent within 6 months by spending excess income
2or assets for medical or remedial care. The average per person reimbursement under
3this paragraph may not exceed the state share of the average per person payment
4rate the department expects under s. 49.45 (6m). The county department or aging
5unit administering the program may spend funds received under this paragraph
6only in accordance with the case plan and service contract created for each person
7receiving long-term community support services. Counties may use unspent funds
8allocated under this paragraph from the appropriation under s. 20.435 (7) (bd) for a
9risk reserve under par. (fr).
SB1, s. 916 10Section 916. 46.27 (7) (cj) 3. a. of the statutes is repealed.
SB1, s. 917 11Section 917. 46.27 (7) (fr) 3. c. of the statutes is amended to read:
SB1,526,1312 46.27 (7) (fr) 3. c. If approved by a resolution of the county board of supervisors,
13to transfer funds to a family long-term care district.
SB1, s. 918 14Section 918. 46.27 (9) (a) of the statutes is amended to read:
SB1,526,2315 46.27 (9) (a) The department may select up to 5 counties that volunteer to
16participate in a pilot project under which they will receive certain funds allocated for
17long-term care. The department shall allocate a level of funds to these counties
18equal to the amount that would otherwise be paid under s. 20.435 (4) (b), (gp), or (w),
19or (xd) to nursing homes for providing care because of increased utilization of nursing
20home services, as estimated by the department. In estimating these levels, the
21department shall exclude any increased utilization of services provided by state
22centers for the developmentally disabled. The department shall calculate these
23amounts on a calendar year basis under sub. (10).
SB1, s. 919 24Section 919. 46.27 (9) (c) of the statutes is amended to read:
SB1,527,6
146.27 (9) (c) All long-term community support services provided under this
2pilot project in lieu of nursing home care shall be consistent with those services
3described in the participating county's community options plan under sub. (4) (c) 1.
4and provided under sub. (5) (b). Unless the department has contracted under s.
546.281 (1) (e) 1. 46.284 (2) with an entity other than the county department, each
6county participating in the pilot project shall assess persons under sub. (6).
SB1, s. 920 7Section 920. 46.27 (10) (a) 1. of the statutes is amended to read:
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