SB210: Bill Text

— Guide the development of CSTs working with the child and the child's family to ensure compliance with the basic principles of the CST initiative's core values.

— Review plans of care.

— Assist the coordinating committee and family teams in establishing consistent measures for initiative development, implementation, evaluation, and monitoring of the project and outcomes.

— Facilitate public education and awareness of issues and programming for families and children.

— Ensure ongoing support and training related to the CST process to families, service coordinators, and providers.

— Provide support to service providers in developing strategies to enhance existing programs, to increase resources, and to establish new resources.

— Ensure that local and state agencies submit data and reports in an accurate and timely manner.

• Increases the annual appropriation to the department of health services to provide grants to counties for CST initiatives by $1,466,000 in general purpose revenue.

SB210, s. 1 Section 1. 20.435 (7) (co) of the statutes is amended to read:

SB210,4,5 20.435 (7) (co) Integrated service programs for children with severe disabilities Initiatives for coordinated services. The amounts in the schedule to fund county integrated service programs for children with severe disabilities and tribal initiatives under s. 46.56 to provide coordinated services.

Note: Modifies the integrated service program appropriation to provide funding for coordinated services for both county and tribal initiatives.

SB210, s. 2 Section 2. 38.14 (12) of the statutes is amended to read:

SB210,4,13 38.14 (12) Integrated service programs for children with severe disabilities Initiatives to provide coordinated services. If the county board of supervisors establishes an integrated service program for children with severe disabilities initiative to provide coordinated services under s. 59.53 (7), the district board may participate in an integrated service program for children with severe disabilities under s. 59.53 (7) the initiative and may enter into written interagency agreements or contracts under the program initiative.

Note: Modifies the powers of technical college district boards.

SB210, s. 3 Section 3. 46.215 (1) (q) of the statutes is amended to read:

SB210,5,5 46.215 (1) (q) If the county board of supervisors establishes an integrated service program for children with severe disabilities initiative to provide coordinated services under s. 59.53 (7), to participate in and administer an integrated service program for children with severe disabilities under s. 59.53 (7) the initiative, including entering into any written interagency agreements or contracts.

Note: Modifies the duties of the county department of social services in Milwaukee County.

SB210, s. 4 Section 4. 46.22 (1) (b) 1. i. of the statutes is amended to read:

SB210,5,11 46.22 (1) (b) 1. i. If the county board of supervisors establishes an integrated service program for children with severe disabilities initiative to provide coordinated services under s. 59.53 (7), to participate in and administer an integrated service program for children with severe disabilities under s. 59.53 (7) the initiative, including entering into any written interagency agreements or contracts.

Note: Modifies the duties of the county department of social services in counties other than Milwaukee County.

SB210, s. 5 Section 5 . 46.56 (title) of the statutes is amended to read:

SB210,5,14 46.56 (title) Integrated service programs Initiatives to provide coordinated services for children with severe disabilities and families.

SB210, s. 6 Section 6. 46.56 (1) (a) of the statutes is amended to read:

SB210,5,18 46.56 (1) (a) "Administering agency" means a county department designated by the a county board of supervisors or by a tribe to administer the program an initiative.

Note: Modifies the current definition of "administering agency" to include tribes.

SB210, s. 7 Section 7. 46.56 (1) (ar) of the statutes is created to read:

SB210,5,20 46.56 (1) (ar) "Advocacy" means all of the following:

SB210,6,4 1. Actively supporting a child who is involved in 2 or more systems of care and his or her family under an initiative to enable their receipt of the full benefits of the initiative by ensuring that the coordinated services team approach to providing services and principles are followed.

SB210,6,7 2. Helping families of a child who is involved in 2 or more systems of care gain access to and a voice in the decision making that establishes the child's and family's plan of care.

SB210,6,10 3. Fostering strong working relationships among families, systems of care, and providers, with the goal of improving the lives of children who are involved in 2 or more systems of care and their families.

Note: Creates a definition of "advocacy".

SB210, s. 8 Section 8. 46.56 (1) (b) of the statutes is amended to read:

SB210,6,14 46.56 (1) (b) "Agency" means a public, tribal, or private nonprofit organization that provides treatment services for children with severe disabilities and their families services and other resources for children and families.

Note: Modifies the definition of "agency" to include public and tribal organizations and to broaden the description of services and resources provided.

SB210, s. 9 Section 9. 46.56 (1) (bm) of the statutes is created to read:

SB210,6,16 46.56 (1) (bm) "Child" means an individual under the age of 18.

Note: Creates a definition of "child".

SB210, s. 10 Section 10. 46.56 (1) (c) of the statutes is renumbered 46.56 (1) (om), and 46.56 (1) (om) (intro.), 3. and 4., as renumbered, are amended to read:

SB210,7,2 46.56 (1) (om) (intro.) "Child with severe disabilities Severe disability" means an individual who has not attained 18 years of age and whose a mental, physical, sensory, behavioral, emotional, or developmental disabilities disability, including severe emotional disturbance, or whose a combination of multiple these disabilities, that meets all of the following conditions:

SB210,7,5 3. Causes substantial limitations in the a child's ability to function in the his or her family, the school, or the community and with the child's his or her ability to cope with the ordinary demands of life.

SB210,7,7 4. Causes the a child to need services or other resources from 2 or more service systems of care.

Note: Modifies the current definition of "child with severe disabilities" to instead define "severe disability".

SB210, s. 11 Section 11. 46.56 (1) (de), (dm) and (ds) of the statutes are created to read:

SB210,7,10 46.56 (1) (de) "Family" means a child's primary caregiver or caregivers and the child's siblings.

SB210,7,13 (dm) "Family resources" means housing, environment, institutions, sources of income, services, education, a child's extended family and community relationships, and other resources families need to raise their children.

SB210,7,16 (ds) "Initiative" means a system that is based on the strengths of children and their families for providing coordinated services to children who are involved in 2 or more systems of care and their families.

Note: Creates definitions of "family", "family resources", and "initiative".

SB210, s. 12 Section 12. 46.56 (1) (e) of the statutes is amended to read:

SB210,8,2 46.56 (1) (e) "Intake" means the process by which the a service coordination agency or individuals designated by the coordinating committee under sub. (3) initially screens screen a child with severe disabilities who is involved in 2 or more systems of care and the child's his or her family to see if a complete assessment is needed determine eligibility for an initiative and the process by which the service coordination agency determines the need for a comprehensive clinical mental health assessment.

Note: Modifies the definition of "intake".

SB210, s. 13 Section 13 . 46.56 (1) (f) of the statutes is renumbered 46.56 (1) (ce) and amended to read:

SB210,8,8 46.56 (1) (ce) "Integrated Coordinated services" means treatment, education, care and support, services, and other resources provided, in a coordinated manner, for a child with severe disabilities who is involved in 2 or more systems of care and his or her family.

SB210, s. 14 Section 14 . 46.56 (1) (g) of the statutes is renumbered 46.56 (1) (cm) and amended to read:

SB210,8,14 46.56 (1) (cm) "Integrated service plan Coordinated services plan of care" means the a plan for treatment, education and support services under sub. (8) (h) for an eligible a child with severe disabilities who is involved in 2 or more systems of care and the child's his or her family under sub. (8) (h).

Note: Sections 13 and 14 modify the current definitions of "integrated services" and "integrated service plan" to instead define "coordinated services" and "coordinated services plan of care" and modify those definitions.

SB210, s. 15 Section 15 . 46.56 (1) (h) of the statutes is amended to read:

SB210,8,20 46.56 (1) (h) "Interagency agreement" means a written document of understanding among service providers and other partner agencies that are represented on a coordinating committee under sub. (3) that identifies mutual responsibilities for implementing integrated coordinated services for children with severe disabilities who are involved in 2 or more systems of care and their families.

Note: Modifies the definition of "interagency agreement".

SB210, s. 16 Section 16. 46.56 (1) (i) (intro.) and 4. of the statutes are consolidated, renumbered 46.56 (1) (cs) and amended to read:

SB210,9,10 46.56 (1) (cs) "Interdisciplinary team Coordinated services team" means a group of professionals, assembled by the service coordinator, from various service systems who meet all of the following criteria: 4. Are providing treatment, education or support services to the child with severe disabilities or the child's family, if the child or the child's family is receiving any treatment, education or support services individuals, including family members, service providers, and informal resource persons, who work together to respond to service needs of a child who is involved in 2 or more systems of care and his or her family.

Note: Modifies the current definition of "interdisciplinary team" to instead define "coordinated services team" and modifies the definition.

SB210, s. 17 Section 17. 46.56 (1) (i) 1. to 3. of the statutes are repealed.

Note: Repeals a portion of the definition of "interdisciplinary team".

SB210, s. 18 Section 18. 46.56 (1) (k) of the statutes is repealed.

Note: Repeals the definition of "program".

SB210, s. 19 Section 19. 46.56 (1) (L) of the statutes is amended to read:

SB210,9,22 46.56 (1) (L) "Service coordination" means a case management service that coordinates the coordination of multiple service providers who and family resources that are serving a particular child with severe disabilities who is involved in 2 or more systems of care and the child's his or her family. The term includes arrangement for coordination of the assessment process, development of an integrated service plan a coordinated services plan of care based on the strengths and needs identified in the assessment, advocacy for the needs of the child and the child's family, monitoring of the child's progress of the child or his or her family, facilitation of periodic reviews of the integrated service plan coordinated services plan of care, and coordination and maintenance of clear lines of communication among all service family resources providers and, the child, and the child's his or her family.

Note: Modifies the definition of "service coordination".

SB210, s. 20 Section 20 . 46.56 (1) (m) of the statutes is amended to read:

SB210,10,9 46.56 (1) (m) "Service coordination agency" means a county department, tribe, agency, school district, cooperative educational service agency, or county children with disabilities education board designated in an interagency agreement by a coordinating committee under sub. (3) to provide intake and service coordination for one or more target groups of eligible children with severe disabilities who are involved in 2 or more systems of care and their families.

Note: Modifies the definition of "service coordination agency".

SB210, s. 21 Section 21. 46.56 (1) (n) of the statutes is amended to read:

SB210,10,16 46.56 (1) (n) "Service coordinator" means an individual who is qualified by specialized training and clinical experience with children with severe disabilities who are involved in 2 or more systems of care and their families and who is appointed by the service coordination agency to provide service coordination of treatment, education and support services for eligible children with severe disabilities and their families.

Note: Modifies the definition of "service coordinator".

SB210, s. 22 Section 22. 46.56 (1) (nm) of the statutes is created to read:

SB210,10,19 46.56 (1) (nm) "Service provider" means a professional from a system of care who meets one or more of the following criteria:

SB210,10,22 1. Is skilled in providing treatment services, education, and other family resources for children who are involved in 2 or more systems of care and their families.

SB210,11,2 2. Conducts comprehensive evaluations of the needs of children who are involved in 2 or more systems of care and their families for family resources.

SB210,11,5 3. Possesses skills appropriate for and knowledge of the specific types of needs or dysfunctions presented by a child who is involved in 2 or more systems of care and is undergoing an assessment.

SB210,11,7 4. Is currently providing treatment, education, or other family resources for a child who is involved in 2 or more systems of care, a family of such a child, or both.

Note: Creates a definition of "service provider".

SB210, s. 23 Section 23 . 46.56 (1) (o) of the statutes is renumbered 46.56 (1) (or) and amended to read:

SB210,11,14 46.56 (1) (or) "Service system System of care" means the a public and or private organizations organization that provide provides specialized services for children with mental, physical, sensory, behavioral, emotional, or developmental disabilities or that provide provides child welfare, juvenile justice, educational, economic support, alcohol or other drug abuse, or health care services for children.

Note: Modifies the current definition of "service system" to instead define "system of care" and modifies the definition.

SB210, s. 24 Section 24. 46.56 (1) (op) of the statutes is created to read:

SB210,11,17 46.56 (1) (op) "Severely emotionally disturbed child" has the meaning given in s. 49.45 (25) (a).

Note: Defines "severely emotionally disturbed child" using the definition for medical assistance case management services. Under that definition, a severely emotionally disturbed child is an individual under 21 years of age who has emotional and behavioral problems that: (a) are severe in degree; (b) are expected to persist for at least one year; (c) substantially interfere with the individual's functioning in his or her family, school or community and with his or her ability to cope with the ordinary demands of life; and (d) cause the individual to need services from 2 or more agencies or organizations that provide social services or services or treatment for mental health, juvenile justice, child welfare, special education or health.

SB210, s. 25 Section 25. 46.56 (1) (p) of the statutes is amended to read:

SB210,12,3 46.56 (1) (p) "Treatment services" means the individualized social, emotional, behavioral and medical services designed to bring about habilitation, rehabilitation and appropriate developmental growth of a child with severe disabilities.