SB565-ASA1,20,20 13(3r) Other powers and duties. The county board of supervisors or, in matters
14of mental health, the Milwaukee County mental health district board
may place
15under the jurisdiction of county entities not specified under this section the
16administrative and executive powers and duties of managing, operating,
17maintaining and improving institutions and departments or other responsibilities
18that are specified in sub. (2), including functions related to the central service
19departments and buildings and land used in connection with any institution under
20sub. (2).
SB565-ASA1,20,24 21(4) Management personnel. The Except as provided in s. 51.41 (9), the director
22may appoint personnel to manage the county department of human services and the
23administrator may appoint personnel to manage the county hospital, in accordance
24with ordinances of the county board of supervisors.
SB565-ASA1,21,8
1(4m) (a) The county hospitals and county sanatoriums of a county with a
2population of 500,000 750,000 or more shall be devoted to hospital service and the
3treatment of patients upon such terms and conditions as the county board of
4supervisors or, in matters of mental health, the Milwaukee County mental health
5district board
establishes. The hospitals and sanatoriums may be utilized for
6instruction of medical students, physicians and nurses and for scientific and clinical
7research that will promote the welfare of the patients and assist the application of
8science to the alleviation of human suffering.
SB565-ASA1,21,129 (b) Professional staff responsible for the care of patients under this subsection
10may submit bills for professional services under policies adopted by the county board
11of supervisors or under mental health policies adopted by the Milwaukee County
12mental health district board
.
SB565-ASA1,21,24 13(6) Reports; expenditures. The director and the administrator shall submit
14annually to the county board of supervisors, or to the Milwaukee County mental
15health district board in matters of mental health,
reports, including itemized
16statements of receipts and disbursements, at the times and in the manner that the
17county board of supervisors or Milwaukee County mental health district board
18specifies and as are required to comply with applicable federal statutes and
19regulations and state statutes and rules. Disbursements shall be made in the
20manner that the county board of supervisors or Milwaukee County mental health
21district board, as applicable,
adopts, consistent with sound accounting and auditing
22procedure and with applicable federal statutes and regulations, state statutes and
23rules and requirements of the county auditor and county department of
24administration.
SB565-ASA1,39 25Section 39. 46.40 (1) (a) of the statutes is amended to read:
SB565-ASA1,22,10
146.40 (1) (a) Within the limits of available federal funds and of the
2appropriations under s. 20.435 (7) (b) and (o), the department shall distribute funds
3for community social, mental health, developmental disabilities, and alcohol and
4other drug abuse services and for services under ss. 46.87, 46.985, and 51.421, except
5for mental health functions, programs, and services in Milwaukee County,
to county
6departments under ss. 46.215, 46.22, 46.23, 51.42, and 51.437 and to county aging
7units, as provided in subs. (2), (2m), and (7) to (9). The department shall distribute
8the amount determined by the Milwaukee County board of supervisors under s.
951.41 (4) (b) for mental health functions, programs, and services to the Milwaukee
10County mental health district.
SB565-ASA1,40 11Section 40. 46.56 (1) (a) of the statutes is amended to read:
SB565-ASA1,22,1412 46.56 (1) (a) "Administering agency" means a department designated by a
13county board of supervisors, by the Milwaukee County mental health district board
14in Milwaukee County,
or by a tribe to administer an initiative.
SB565-ASA1,41 15Section 41. 46.56 (2) (a) of the statutes, as affected by 2013 Wisconsin Act 20,
16is amended to read:
SB565-ASA1,22,2317 46.56 (2) (a) Except as provided in par. (b), if a county board of supervisors or
18the Milwaukee County mental health district board
establishes an initiative under
19s. 59.53 (7) or if a tribe establishes an initiative, the county board , Milwaukee County
20mental health district board,
or tribe shall appoint a coordinating committee and
21designate an administering agency. The initiative may be funded by the county or
22tribe or the county board of supervisors, Milwaukee County mental health district
23board,
or tribe may apply for funding by the state in accordance with sub. (15).
SB565-ASA1,42 24Section 42. 46.56 (2) (b) of the statutes, as created by 2013 Wisconsin Act 20,
25is amended to read:
SB565-ASA1,23,12
146.56 (2) (b) A county may enter into an agreement with one or more other
2counties or tribes to establish an initiative and a tribe may enter into an agreement
3with one or more counties or tribes to establish an initiative. The parties to the
4agreement shall designate in the agreement a single lead administrative county or
5lead administrative tribe. The county board of the lead administrative county, the
6Milwaukee County mental health district board, if Milwaukee County is the lead
7administrative county,
or the lead administrative tribe shall appoint a coordinating
8committee and designate an administering agency. The initiative may be funded by
9the participating entities, or the county board of supervisors of the lead
10administrative county, the Milwaukee County mental health district board, if
11Milwaukee County is the lead administrative county,
or the lead administrative tribe
12may apply for funding by the state in accordance with sub. (15).
SB565-ASA1,43 13Section 43. 46.56 (3) (b) 11. of the statutes is amended to read:
SB565-ASA1,23,1614 46.56 (3) (b) 11. Representatives of the county board or, in Milwaukee County,
15the Milwaukee County mental health district board
or, for an initiative established
16by a tribe, representatives of the elected governing body of the tribe.
SB565-ASA1,44 17Section 44. 46.56 (4) (d) of the statutes, as affected by 2013 Wisconsin Act 20,
18is amended to read:
SB565-ASA1,23,2219 46.56 (4) (d) If the county board of supervisors, Milwaukee County mental
20health district board,
or tribe or a multi-entity initiative decides to seek state
21funding under sub. (15), develop the application in cooperation with the coordinating
22committee.
SB565-ASA1,45 23Section 45. 46.56 (15) (b) (intro.) of the statutes, as affected by 2013 Wisconsin
24Act 20
, is amended to read:
SB565-ASA1,24,5
146.56 (15) (b) (intro.) In order to apply for funds under this subsection, the
2county board of supervisors, Milwaukee County mental health district board, or tribe
3or, for a multi-entity initiative, the county board of the lead administrative county,
4the Milwaukee County mental health district board, if Milwaukee County is the lead
5administrative county,
or the lead administrative tribe shall do all of the following:
SB565-ASA1,46 6Section 46. 51.08 of the statutes is amended to read:
SB565-ASA1,24,17 751.08 Milwaukee County Mental Health Complex. Any county having a
8population of 500,000 or more may, pursuant to s. 46.17, establish and maintain a
9county mental health complex. The county mental health complex shall be a hospital
10devoted to the detention and care of drug addicts, alcoholics, chronic patients and
11mentally ill persons whose mental illness is acute. Such hospital shall be governed
12pursuant to s. 46.21. Treatment of alcoholics at the county mental health complex
13is subject to approval by the department under s. 51.45 (8). The county mental health
14complex established pursuant to this section is subject to rules promulgated by the
15department concerning hospital standards. The county board may not sell the
16County mental health district complex under this section without approval of the
17Milwaukee County mental health district board.
SB565-ASA1,47 18Section 47. 51.20 (18) (a) of the statutes is amended to read:
SB565-ASA1,24,2319 51.20 (18) (a) Unless previously fixed by the county board of supervisors or the
20Milwaukee County mental health district board
in the county in which the
21examination is held, the examiners shall receive a fee as fixed by the court for
22participation in commitment proceedings, and reasonable reimbursement for travel
23expenses.
SB565-ASA1,48 24Section 48. 51.406 of the statutes is created to read:
SB565-ASA1,25,2
151.406 Milwaukee County mental health district; definitions. In ss.
251.407 to 51.413:
SB565-ASA1,25,4 3(1) "District" means the Milwaukee County mental health district created
4under s. 51.407.
SB565-ASA1,25,6 5(2) "District board" means the governing board of the Milwaukee County
6mental health district.
SB565-ASA1,25,8 7(3) "Supermajority" means not less than 60 percent of the members of the
8district board.
SB565-ASA1,49 9Section 49. 51.407 of the statutes is created to read:
SB565-ASA1,25,14 1051.407 Milwaukee County mental health district; creation;
11organization; dissolution.
(1) There is created a special district that is a local
12governmental unit, that is a body corporate and politic, that is separate and distinct
13from, and independent of, the state, that has the powers under ss. 51.407 to 51.413
14and the name of which is "Milwaukee County mental health district".
SB565-ASA1,25,17 15(2) The district is governed by its district board. The district board may adopt
16bylaws to govern the district's activities, subject to this chapter. The district board
17shall consist of the members described under s. 51.408.
SB565-ASA1,25,22 18(3) The district board shall elect from its membership a chairperson, a vice
19chairperson, a secretary, and a treasurer. A majority of the current membership of
20the district board constitutes a quorum to do business. The district may take action
21based on the affirmative vote of a majority of those directors who are present at a
22meeting of the district board.
SB565-ASA1,26,2 23(4) The members of the district board shall be reimbursed for their actual and
24necessary expenses incurred in the performance of their duties. The members of the

1district board shall earn an annual salary of $1,000. The district board may vote to
2change the salaries of its members.
SB565-ASA1,26,5 3(5) Upon the election and qualification of a majority of the members of a district
4board, the district board may exercise the powers and duties of a district board under
5this chapter.
SB565-ASA1,26,9 6(6) Subject to providing for the performance of its contractual obligations, the
7district may be dissolved by the action of the district board. If the district is dissolved,
8the property of the district shall be transferred to Milwaukee County in the
9jurisdiction.
SB565-ASA1,50 10Section 50. 51.408 of the statutes is created to read:
SB565-ASA1,26,14 1151.408 Milwaukee County mental health district board members;
12election.
(1) The district board shall consist of the following members who are
13elected by the electors of Milwaukee County at a spring election, as defined in s. 5.02
14(21), beginning in 2016:
SB565-ASA1,26,1715 (a) Four individuals, at least 2 of whom have a masters or doctorate degree in
16a mental health discipline, who reside in the city of Milwaukee and in aldermanic
17districts 1, 2, 3, 4, 5, 6, 7, 9, 10, or 15.
SB565-ASA1,26,2018 (b) Two individuals, at least one of whom has a masters or doctorate degree in
19a mental health discipline, who reside in the city of Milwaukee and in aldermanic
20districts 8, 11, 12, 13, or 14.
SB565-ASA1,26,2221 (c) Four individuals who reside in Milwaukee County, but not in the city of
22Milwaukee.
SB565-ASA1,26,2423 (d) One individual who has a masters or doctorate degree in a mental health
24discipline.
SB565-ASA1,27,3
1(2) Each board member shall hold office for a 4-year term and until a successor
2is elected and qualified. Any board member elected for a regular or unexpired term
3shall take office after filing the official oath on the 4th Monday in April.
SB565-ASA1,51 4Section 51. 51.409 of the statutes is created to read:
SB565-ASA1,27,6 551.409 Milwaukee County mental health district; jurisdiction; powers.
6(1) Jurisdiction. The district's jurisdiction is Milwaukee County.
SB565-ASA1,27,10 7(2) Powers. The district has all of the powers necessary or convenient to carry
8out the purposes and provisions of ss. 51.407 to 51.413 and other assigned duties.
9In addition to all other powers granted by the statutes, a district may do all of the
10following:
SB565-ASA1,27,1111 (a) Adopt and alter an official seal.
SB565-ASA1,27,1212 (b) Sue and be sued in its own name, plead and be impleaded.
SB565-ASA1,27,1313 (c) Maintain an office.
SB565-ASA1,27,1714 (d) Employ personnel, and fix and regulate their compensation; and provide,
15either directly or subject to an agreement under s. 66.0301 as a participant in a
16benefit plan of another governmental entity, any employee benefits, including an
17employee pension plan.
SB565-ASA1,27,2018 (e) Purchase insurance, establish and administer a plan of self-insurance or,
19subject to an agreement with another governmental entity under s. 66.0301,
20participate in a governmental plan of insurance or self-insurance.
SB565-ASA1,27,2121 (f) Mortgage, pledge or otherwise encumber the district's property or funds.
SB565-ASA1,27,2322 (g) Maintain funds and invest the funds in any investment that the district
23board considers appropriate.
SB565-ASA1,27,2524 (h) Promote, advertise, and publicize its mental health functions, services, and
25programs and related activities.
SB565-ASA1,28,2
1(i) Establish and collect fees, and establish shared revenue arrangements or
2other charges for the use services rendered by the district.
SB565-ASA1,28,43 (j) Enter into partnerships, joint ventures, common ownership, or other
4arrangements with other persons to further the district's purposes.
SB565-ASA1,28,105 (k) By vote of a supermajority, annually levy the taxes imposed under ch. 70
6on the full value of the taxable property located in Milwaukee County for the
7purposes described under s. 51.413 (1). If the district board levies the tax under this
8paragraph, it shall notify the taxation district of the amount of the levy by October
931, or 10 days after receiving the equalized valuations from the department of
10revenue, whichever is later.
SB565-ASA1,28,1111 (L) Accept gifts, loans and other aid.
SB565-ASA1,28,1212 (m) Administer the receipt of revenues by the district.
SB565-ASA1,52 13Section 52. 51.41 of the statutes is created to read:
SB565-ASA1,28,16 1451.41 Milwaukee County mental health; Milwaukee County mental
15health district board.
(1) Duties of the board. The Milwaukee County mental
16health district board shall do all of the following:
SB565-ASA1,28,1817 (a) Oversee the provision of mental health programs and services in Milwaukee
18County.
SB565-ASA1,28,2019 (b) Allocate moneys for mental health functions, programs, and services in
20Milwaukee County within the district's budget.
SB565-ASA1,28,2121 (c) Make the final determination on mental health policy in Milwaukee County.
SB565-ASA1,28,2322 (d) Replace the Milwaukee County board of supervisors in all mental health
23functions that are typically performed by a county board of supervisors.
SB565-ASA1,28,2524 (e) Facilitate delivery of mental health services in an efficient and effective
25manner by making a commitment to all of the following:
SB565-ASA1,29,2
11. Community-based, person-centered, recovery-oriented, mental health
2systems.
SB565-ASA1,29,33 2. Maximizing comprehensive community-based services.
SB565-ASA1,29,54 3. Prioritizing access to community-based services and reducing reliance on
5institutional and inpatient care.
SB565-ASA1,29,86 4. Protecting the personal liberty of individuals experiencing mental illness so
7that they may be treated in the least restrictive environment to the greatest extent
8possible.
SB565-ASA1,29,109 5. Providing early intervention to minimize the length and depth of psychotic
10and other mental health episodes.
SB565-ASA1,29,1211 6. Diverting people experiencing mental illness from the corrections system
12when appropriate.
SB565-ASA1,29,1313 7. Maximizing use of mobile crisis units and crisis intervention training.
SB565-ASA1,29,1514 (f) Attempt to achieve costs savings in the provision of mental health programs
15and services in Milwaukee County.
SB565-ASA1,29,1816 (g) Cooperate and consult with the department on recommendations for and
17establishing policy for inpatient mental health treatment facilities and related
18programs in Milwaukee County.
SB565-ASA1,29,24 19(2) Powers of the board; limitations. The Milwaukee County mental health
20district board may request information from the Milwaukee Mental Health
21Complex, a county department under s. 46.21 or 51.42 or any other Milwaukee
22County governmental unit that possesses mental health information in order to
23fulfill its duties of overseeing mental health functions, programs, and services in
24Milwaukee County.
SB565-ASA1,30,3
1(4) Milwaukee County mental health budget. (a) In this subsection, "mental
2health budget" means the part of the budget for Milwaukee County for a fiscal year
3that covers mental health functions, programs, and services in Milwaukee County.
SB565-ASA1,30,114 (b) The county board of supervisors shall determine an amount to allocate to
5mental health functions, programs, and services an amount from the county's
6community aids allocation received under s. 46.40 that maintains or increases the
7expenditures for mental health functions, programs, and services paid from the
8county's community aids allocation in the previous fiscal year to the extent of the
9availability of community aids funds from the state. The county board of supervisors
10shall report the amount determined to the department for distribution under s. 46.40
11to the district.
SB565-ASA1,30,1412 (c) The Milwaukee County board of supervisors and the Milwaukee County
13executive may not in a fiscal year include in the Milwaukee County budget an
14amount for the mental health budget.
SB565-ASA1,30,23 15(5) Jurisdiction of Milwaukee County board. (a) The Milwaukee County
16board of supervisors has no jurisdiction over any mental health policy, functions,
17programs, or services. The Milwaukee County board of supervisors may not create
18new mental health functions, programs, or services that are under the jurisdiction
19of the board of supervisors. Any dispute between the Milwaukee County board of
20supervisors and the Milwaukee County mental health district board over whether
21a function, program, or service is a mental health function, program, or service under
22the jurisdiction of the Milwaukee County mental health district board shall be
23resolved by the Milwaukee County executive.
SB565-ASA1,31,524 (b) The Milwaukee County mental health district board may transfer
25jurisdiction over a Milwaukee County function, service, or program to itself that

1pertains to mental health or is highly integrated with mental health services and
2that is not under its jurisdiction by statute or by agreement with the Milwaukee
3County board of supervisors, by an affirmative vote of 8 of the voting Milwaukee
4County mental health district board members if the Milwaukee County executive
5approves the transfer.
SB565-ASA1,31,9 6(7) County department requirements. (a) A county department under s. 46.21
7or 51.42 in Milwaukee County may not impede the Milwaukee County mental health
8district board in performing its duties under this section or exercising its powers
9under this section.
SB565-ASA1,31,1210 (b) A county department under s. 46.21 or 51.42 in Milwaukee County shall
11respond to any requests for information from the Milwaukee County mental health
12district board.
SB565-ASA1,31,20 13(8) Reports; studies. (a) By March 1, 2015, and annually by March 1
14thereafter, the Milwaukee County mental health district board shall submit to the
15Milwaukee County executive, the Milwaukee County board of supervisors, and the
16department a report including a description of the funding allocations for Milwaukee
17County's mental health functions, services, and programs and a description of any
18improvements and efficiencies in those mental health functions, programs, and
19services. Milwaukee County shall provide access to the report under this subsection
20to the public including posting the report on the Milwaukee County's Internet site.
SB565-ASA1,32,321 (b) The Milwaukee County mental health district board shall arrange for a
22study to be conducted on alternate funding sources for mental health services and
23programs including fee-for-service models, managed care models that integrate
24mental health services into the contracts with an increased offset through basic
25county allocation reduction, and other funding models. By March 1, 2016, the

1Milwaukee County mental health district board shall submit to the Milwaukee
2County board of supervisors, the Milwaukee County executive, and the department
3a report of the results of the study.
SB565-ASA1,32,13 4(9) Administrator. (a) The Milwaukee County executive shall nominate an
5individual to be the administrator of any division or branch of the department under
6s. 46.21 that administers behavioral health for Milwaukee County. The nominated
7individual may be hired as the administrator only upon approval of the Milwaukee
8County mental health district board. If the county executive does not nominate an
9individual by June 1, 2015, the Milwaukee County mental health district board may
10hire an individual to be the administrator. Upon a vacancy in the position of
11administrator, if the county executive does not nominate an individual within 12
12months of the date the position becomes vacant, the Milwaukee County mental
13health district board may hire an individual to be the administrator.
SB565-ASA1,32,1714 (b) The Milwaukee County executive shall determine the salary and benefits
15and the job duties of the administrator. The county executive may not assign the
16administrator any duties that are not related to mental health functions, programs,
17and services in Milwaukee County.
SB565-ASA1,32,1918 (c) 1. The administrator under this subsection may be removed by the
19Milwaukee County mental health district board by a vote of 8 members of that board.
SB565-ASA1,32,2420 2. The Milwaukee County executive may recommend removal of the
21administrator under this subsection to the Milwaukee County mental health district
22board. If the county executive recommends removal under this subdivision, the
23Milwaukee County mental health district board may remove the administrator upon
24a vote of 6 members of that board.
SB565-ASA1,33,3
1(d) The Milwaukee County board of supervisors may not hire, remove, or
2discipline; set the salary or benefits of, or assign or remove any job duties of the
3administrator under this subsection.
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