Amendment AA1-ASA1-AB718

AB718-ASA1-AA1,4,22 4. A psychiatric mental health advanced practice nurse who is suggested by the Milwaukee County board of supervisors. The Milwaukee County board of supervisors shall solicit suggestions from organizations including the Wisconsin Nurses Association for individuals who specialize in a full continuum of behavioral health and medical services including emergency detention, inpatient, residential, transitional, partial hospitalization, intensive outpatient, and wraparound community-based services. The Milwaukee County board of supervisors shall suggest to the Milwaukee County executive 4 psychiatric mental health advanced practice nurses for this board membership position.

AB718-ASA1-AA1,5,4 5. An individual specializing in finance and administration. The Milwaukee County executive shall solicit suggestions from organizations including the Wisconsin Hospital Association, the Wisconsin County Human Services Association, and the Public Policy Forum for at least 4 individuals with experience in analyzing healthcare operating expenses, revenues, and reimbursement, knowledge of public and private funding and systems, and expertise in financial restructuring for sustainability.

AB718-ASA1-AA1,5,9 6. A health care provider with experience in the delivery of substance abuse services. The Milwaukee County executive shall solicit suggestions from organizations including the Wisconsin Nurses Association and the Milwaukee Co-occurring Competency Cadre for at least 4 health care providers specializing in providing substance abuse services.

AB718-ASA1-AA1,5,15 7. An individual with legal expertise. The Milwaukee County executive shall solicit suggestions from organizations including the Legal Aid Society of Milwaukee, Legal Action of Wisconsin, Community Justice Counsel, and Disability Rights Wisconsin for at least 4 individuals who have legal expertise specializing in emergency detention regulatory requirements including policies, procedures, provider responsibilities, and patient rights.

AB718-ASA1-AA1,5,25 8. A health care provider representing community-based mental health service providers who is suggested by the Milwaukee County board of supervisors. The Milwaukee County board of supervisors shall solicit suggestions from organizations including the Wisconsin Nurses Association, the Milwaukee Health Care Partnership, the Milwaukee Mental Health Task Force, and the Milwaukee Co-occurring Competency Cadre for health care providers specializing in community-based, recovery-oriented, mental health systems. The Milwaukee County board of supervisors shall suggest to the Milwaukee County executive 4 health care providers representing community-based mental health service providers for this board membership position.

AB718-ASA1-AA1,6,6 9. An individual who is a consumer or family member representing community-based mental health service providers. The Milwaukee County executive shall solicit suggestions from organizations including the Milwaukee Health Care Partnership, the Milwaukee Mental Health Task Force, and the Milwaukee Co-occurring Competency Cadre for at least 4 consumers and family members representing community-based mental health service providers.

AB718-ASA1-AA1,6,12 10. The chairperson of the county community programs board in Milwaukee County under s. 51.42 (4), or his or her designee who is not an elected official as defined in s. 5.02 (3m). If the chairperson of the county community programs board in Milwaukee County is an elected official, the chairperson shall designate a member of the county community programs board who is not an elected official to be a member under this subdivision.

AB718-ASA1-AA1,6,14 11. The chairperson of the Milwaukee Mental Health Task Force, or his or her designee.

AB718-ASA1-AA1,6,16 (c) Subject to par. (d), the board shall consist of the following 2 nonvoting members appointed by the Milwaukee County executive for 4-year terms:

AB718-ASA1-AA1,7,3 1. A health care provider who is an employee of a higher education institution suggested by the Medical College of Wisconsin. The Milwaukee County executive shall solicit suggestions from the Medical College of Wisconsin for individuals specializing in community-based, recovery-oriented mental health systems, maximizing comprehensive community-based services, prioritizing access to community-based services and reducing reliance on institutional and inpatient care, protecting the personal liberty of individuals experiencing mental illness so that they may be treated in the least restrictive environment to the greatest extent possible, providing early intervention to minimize the length and depth of psychotic and other mental health episodes, diverting people from the corrections system, when appropriate, or maximizing the use of mobile crisis units and crisis intervention training.

AB718-ASA1-AA1,7,15 2. A health care provider who is an employee of a higher education institution suggested by the University of Wisconsin—Madison. The Milwaukee County executive shall solicit suggestions from the University of Wisconsin—Madison for individuals specializing in community-based, recovery-oriented mental health systems, maximizing comprehensive community-based services, prioritizing access to community-based services and reducing reliance on institutional and inpatient care, protecting the personal liberty of individuals experiencing mental illness so that they may be treated in the least restrictive environment to the greatest extent possible, providing early intervention to minimize the length and depth of psychotic and other mental health episodes, diverting people from the corrections system, when appropriate, or maximizing the use of mobile crisis units and crisis intervention training.

AB718-ASA1-AA1,7,17 (d) 1. The Milwaukee County executive shall ensure that one of the members under par. (b) 1. and 2. is a psychologist.

AB718-ASA1-AA1,7,20 2. A person nominating or suggesting individuals for nomination under par. (b) shall attempt to ensure that individuals suggested are among the most-qualified and experienced in their field.

AB718-ASA1-AA1,7,25 3. a. In this subdivision, "cultural competency" means the ability to understand and act respectfully toward, in a cultural context, the beliefs, interpersonal styles, attitudes, and behaviors of persons and families of various cultures, including persons and families who receive mental health services in Milwaukee County and persons and families who provide mental health services in Milwaukee County.

AB718-ASA1-AA1,8,3 b. Members under par. (b) collectively shall possess cultural competency and shall reflect the population that is serviced by the Milwaukee County mental health system.

AB718-ASA1-AA1,8,5 4. No member of the board may be an employee of Milwaukee County at the time of nomination.

AB718-ASA1-AA1,8,12 5. No member of the board may be a lobbyist, as defined in s. 13.62 (11). No member of the board may directly or indirectly solicit or receive subscriptions or contributions for any partisan political party or any political purpose while appointed to the board. No member of the board may engage in any form of political activity calculated to favor or improve the chances of any political party or any person seeking or attempting to hold partisan office. No member of the board may hold an elected office. Any violation of this subdivision is adequate grounds for dismissal.

AB718-ASA1-AA1,8,20 6. No member under par. (b) may serve more than 2 consecutive terms in a membership position for which suggestions for nomination are made by the same individual or entity, except that a member may serve 3 consecutive terms in a membership position for which suggestions for nomination are made by the same individual or entity if one of those 3 terms is for less than 2 years. An individual who has served 2 consecutive 4-year terms or 3 consecutive terms totalling less than 10 years is eligible to be suggested for nomination as a member under par. (b) after the individual has not served on the board for 12 months.

AB718-ASA1-AA1,9,6 7. Notwithstanding par. (b) 1., 2., 3., 4., and 8. and subject to subd. 6., if the Milwaukee County board of supervisors chooses to suggest a member of the Milwaukee County mental health board for reappointment to his or her position under par. (b) 1., 2., 3., 4., or 8., the Milwaukee County board of supervisors is not required to solicit suggestions from organizations and is not required to submit an additional 3 suggestions to the Milwaukee County executive for that appointment. Notwithstanding par. (b) 5., 6., 7., and 9. and subject to subd. 6., if the Milwaukee County executive chooses to suggest a member of the Milwaukee County mental health board for reappointment to his or her position under par. (b) 5., 6., 7., or 9., the Milwaukee County executive is not required to solicit suggestions from organizations for that appointment.

AB718-ASA1-AA1,9,9 8. Notwithstanding s. 59.17 (2) (c), appointment of members under pars. (b) and (c) to the Milwaukee County mental health board is not subject to approval of the Milwaukee County board of supervisors.

AB718-ASA1-AA1,9,12 (f) At its first meeting in each year, the Milwaukee County mental health board shall elect a chairperson, vice chairperson, and secretary each of whom may be reelected for successive terms.

AB718-ASA1-AA1,9,15 (g) A majority of the membership of a board constitutes a quorum to do business, and unless a more restrictive provision is adopted by the board, a majority of a quorum may act in any matter within the jurisdiction of the board.

AB718-ASA1-AA1,9,18 (h) The members of the Milwaukee County mental health board shall be reimbursed for their actual and necessary expenses incurred in the performance of their duties. The members shall receive no compensation for their services.

AB718-ASA1-AA1,9,20 (i) 1. Notwithstanding s. 17.10, a member of the Milwaukee County mental health board may be removed by all of the following:

AB718-ASA1-AA1,9,22 a. If the Milwaukee County executive solicited suggestions for nomination, the Milwaukee County executive, for cause.

AB718-ASA1-AA1,9,24 b. If the Milwaukee County board of supervisors suggested the member for nomination, the Milwaukee County board of supervisors, for cause.

AB718-ASA1-AA1,10,3 2. A member of the Milwaukee County mental health board shall be removed by the Milwaukee County executive for engaging in an activity that disqualifies an individual from board membership under this subsection.".

AB718-ASA1-AA1,10,4 10. Page 27, line 1: delete "(1)" and substitute "(1s)".

AB718-ASA1-AA1,10,5 11. Page 27, line 6: before "budget" insert "mental health".

AB718-ASA1-AA1,10,6 12. Page 27, line 6: delete "amount set" and substitute "as defined".

AB718-ASA1-AA1,10,7 13. Page 27, line 6: after "(a)" insert "2".

AB718-ASA1-AA1,10,8 14. Page 28, line 6: delete "(a)".

AB718-ASA1-AA1,10,9 15. Page 28, line 12: delete lines 12 to 19.

AB718-ASA1-AA1,10,11 16. Page 34, line 17: after "functions" insert "and to ensure there is no interruption of mental health services".

AB718-ASA1-AA1,10,12 17. Page 35, line 8: after that line insert:

AB718-ASA1-AA1,10,14 " Section 35m. 51.41 (3) and (5) (a) and (b) of the statutes, as created by 2013 Wisconsin Act .... (this act), are amended to read:

AB718-ASA1-AA1,10,19 51.41 (3) Public hearing; meetings. The Milwaukee County mental health board shall meet 6 times each year and may meet at other times on the call of the chairperson or a majority of the board's members. Annually, the Milwaukee County mental health board shall hold a public hearing in Milwaukee County as one of its required meetings.

AB718-ASA1-AA1,11,4 (5) (a) The Milwaukee County board of supervisors has no jurisdiction over any mental health policy, functions, programs, or services. The Milwaukee County board of supervisors may not create new mental health functions, programs, or services that are under the jurisdiction of the board of supervisors. Any dispute between the Milwaukee County board of supervisors and the Milwaukee County mental health board over whether a function, program, or service is a mental health function, program, or service under the jurisdiction of the Milwaukee County mental health board shall be resolved by the secretary of health services.

AB718-ASA1-AA1,11,11 (b) The Milwaukee County mental health board may transfer jurisdiction over a Milwaukee County function, service, or program to itself that pertains to mental health or is highly integrated with mental health services and that is not under its jurisdiction by statute or by agreement with the Milwaukee County board of supervisors, by an affirmative vote of 8 of the voting a majority of the Milwaukee County mental health board and a majority of the Milwaukee County board of supervisors.

AB718-ASA1-AA1,35p Section 35p. 51.41 (6) of the statutes, as created by 2013 Wisconsin Act .... (this act), is repealed.".

AB718-ASA1-AA1,11,14 18. Page 44, line 19: after that line insert:

AB718-ASA1-AA1,11,15 "(c) This subsection does not apply after December 31, 2014.

AB718-ASA1-AA1,12,3 (2d) County-based Milwaukee County mental health board; transfer of board member appointments. Notwithstanding section 51.41 (1d) of the statutes, as created by this act, on January 1, 2015, the Milwaukee County executive shall appoint the individuals who are appointed to the state-based Milwaukee County mental health board under section 15.195 (9) of the statutes, as created by this act, as of December 31, 2014, to the county-based Milwaukee County mental health board as created in section 51.41 (1d) of the statutes, as created by this act, to serve the remainder of their terms as specified under subsection (1). Beginning January 1, 2015, the Milwaukee County executive shall make appointments to the Milwaukee County mental health board in accordance with section 51.41 (1d) of the statutes, as created by this act, to fill board vacancies and to fill positions when the term of a board member expires.".

AB718-ASA1-AA1,12,17 19. Page 45, line 6: after "programs." insert "The audit shall include recommendations for the state assuming oversight responsibility for emergency detention services and the psychiatric hospital of the Milwaukee County Mental Health Complex, developing a plan for closing the Milwaukee County Mental Health Complex, and developing a plan for state oversight of a regional facility for the delivery of institutional, inpatient, crisis services, and behavioral health services using similar state-operated regional facilities as a model. In addition, the audit shall provide details and specifications on how, after the transitioning of the county-run institutional model to a state-based regionalized model, the state-based Milwaukee County mental health board will transition to a county-based board, the positions on the Milwaukee County mental health board will transition to a community-based focus, the funding for inpatient services and community-based services will continue, and mental health services will be delivered in a manner that reflects all of the following principles:

AB718-ASA1-AA1,12,19 1. Community-based, person-centered, recovery-oriented mental health systems.

AB718-ASA1-AA1,12,20 2. Maximizing comprehensive community-based services.

AB718-ASA1-AA1,12,22 3. Prioritizing access to community-based services and reducing reliance on institutional and inpatient care.

AB718-ASA1-AA1,13,3 4. Protecting the personal liberty of individuals experiencing mental illness so that they may be treated in the least restrictive environment to the greatest extent possible.

AB718-ASA1-AA1,13,5 5. Providing early intervention to minimize the length and depth of psychotic and other mental health episodes.

AB718-ASA1-AA1,13,7 6. Diverting people experiencing mental illness from the corrections system when appropriate.

AB718-ASA1-AA1,13,8 7. Maximizing use of mobile crisis units and crisis intervention training.".

AB718-ASA1-AA1,13,9 20. Page 45, line 6: before "The department" insert "(b)".

AB718-ASA1-AA1,13,10 21. Page 45, line 7: after "audit" insert "under paragraph (a)".

AB718-ASA1-AA1,13,12 22. Page 45, line 9: delete "audit shall" and substitute "audit under paragraph (a) shall".

AB718-ASA1-AA1,13,14 23. Page 45, line 9: delete "audit, including" and substitute "audit under paragraph (a), including".

AB718-ASA1-AA1,13,15 24. Page 45, line 15: delete "(b)" and substitute "(c)".

AB718-ASA1-AA1,13,16 25. Page 45, line 20: after that line insert:

AB718-ASA1-AA1,13,18 " Section 54m. Effective dates. This act takes effect on the day after publication, except as follows:

AB718-ASA1-AA1,13,23 (1) Transition to county-based Milwaukee County mental health board. The treatment of sections 15.07 (1) (cm) (by Section 3d), 19.42 (7w) (e), 46.011 (1s), and 51.41 (1d), (3) (by Section 35m), and (5) (a) and (b) (by Section 35m) of the statutes and the repeal of sections 15.07 (1) (b) 24. and (3) (bm) 7., 15.195 (9), 17.07 (3r), 20.435 (5) (kf), and 51.41 (6) of the statutes take effect on January 1, 2015.".

AB718-ASA1-AA1,13,24 (End)