DepartmenT of Health Services
Office of Legal Counsel
F-02318 (12/2018)
STATE OF WISCONSIN
WISCONSIN DEPARTMENT OF HEALTH SERVICES
PROPOSED ORDER TO ADOPT PERMANENT RULES
The Wisconsin Department of Health Services (“the Department”) proposes an order to repeal DHS 12.03 (12) (Note), (17) (a) 2. (Note 2), (22) and (22) (Note), DHS 13.03 (16) and (16) (Note), DHS 36.03 (11m) and (11m) (Note), DHS 65, DHS 98.12 (2), DHS 114, DHS 125.03 (6) and (7), DHS 134.82 (3) (f) (Note), DHS 143, DHS 190, DHS 199.02 (Note), DHS 199.03 (12) and (12) (Note); to amend DHS 12.03 (12), (17) (a) 2., DHS 13.03 (16), DHS 36.03 (10m), DHS 92.04 (11) (a), DHS 97.03 (1) (b), DHS 97.04 (2) (b), DHS 125.02, DHS 125.03 (5m), DHS 125.05 (1), (3) (a) 1., (c) 5. a., and (6), DHS 134.82 (3) (f), DHS 157.96 (8), DHS 199.02, DHS 199.03 (2), (3), (5) and (8), DHS 199.04 (1) (intro.), (d) 2. and (e), DHS 199.05 (2) (a) and (b), (3) (a) 3., (3) (b) (intro.), (3) (b) 1. and 3., (5) (a) 1. and 2., (6) (a) 1. to 3., and (6) (b) 1. To 3., DHS 199.07 (1), (2), and (3) (b) to (d); and to create DHS 125.03 (5g) and (5r), relating to the department’s biennial review of rules under s. 227.29, Stats.
RULE SUMMARY
Statute interpreted
Section 227.29, Stats.
Statutory authority
Section 46.056 (1), Stats.
Section 46.985 (2) (a)
, Stats., and 2015 Wis. Act 55 (which repealed s. 46.985 (2) (a)), Stats.)
Section 48.685 (2) (d), (4), (5) (a), (6) (b) and (c), Stats.

Section 49.45 (30e) (b), Stats.

Section 50.02 (2) and (3), Stats.

Section 51.30 (12),
Stats., and 2001 Wis. Act 16 (which repealed s. 51.30 (4) (b) 14.)
Section 51.37 (9), Stats.

Section 51.42 (7) (b), Stats.

Section 146.40 (4g) and (4r), Stats.

Section 154.19 (3) (a), Stats.

Section 154.27, Stats.

Section 227.11 (2), Stats.

Sections 254.31 to 254.45, Stats.

Sections 255.15 (1m) (c), Stats.

Sections 971.17 (3) (e), Stats.

Sections 980.08 (6m), Stats.

Explanation of agency authority
Under s. 227.29 (1) (a) to (e), Stats., the Department is required to complete an agency review of rules and enactments on a biennial basis and make changes to: unauthorized rules, as defined in s. 227.26 (4) (a), together with a description of the legislation that eliminated the agency's authority to promulgate any such rule; rules for which the authority to promulgate has been restricted, together with a description of the legislation that restricted that authority; rules that are obsolete or that have been rendered unnecessary, together with a description of why those rules are obsolete or have been rendered unnecessary; rules that are duplicative of, superseded by, or in conflict with another rule, a state statute, a federal statute or regulation, or a ruling of a court of competent jurisdiction, together with a citation to or the text of any such statute, regulation, or ruling; or rules that the agency determines are economically burdensome.
Related statute or rule
Sections 227.11 (2) and s. 227.29.
Plain language analysis
The Department has identified needed administrative rule changes under s. 227.29., and based on information provided to the department by the Legislative Reference Bureau. The Department proposes the following rule changes:

1. Chapter DHS 12, relating to caregiver background checks. The proposed rulemaking seeks to remove outdated references to “treatment foster home,” a term which is no longer defined or used in Wisconsin Statutes.

2. Chapter DHS 13, relating to reporting and investigation of caregiver misconduct. The proposed rulemaking seeks to remove, in the definition of “nurse aide,” references to a version of DHS 129 that was subsequently repealed and replaced, and replace it with a citation that is consistent with the current version of DHS 129.

3. Chapter DHS 36, relating to comprehensive community services for persons with mental disorders and substance-use disorders. The proposed rulemaking seeks to remove references to “infirmities of aging,” a term which was defined in s. 55.01 (3) and repealed by 2005 Wis. Act 388.

4. Chapter DHS 65, relating to supportive services for families with disabled children. The proposed rulemaking seeks to repeal ch. DHS 65 in its entirety because it is an unauthorized rule. Section 46.985, Stats., was the authorizing statute, and it was repealed by 2015 Wis. Act 55.

5. Chapter DHS 92, relating to confidentiality of treatment records. The proposed rulemaking seeks to remove a provision permitting access to records under s. 51.30 (4) (b) 14., Stats., which was repealed by 2001 Wis. Act 16.

6. Chapter DHS 97, relating to complaint procedures of inmates of the Wisconsin Resource Center. The proposed rulemaking seeks to revise outdate provisions that refer to the department’s “division of mental health and substance abuse services,” which has been replaced with the “division of care and treatment services.

7. Chapter DHS 98, relating to field supervision of clients. The proposed rulemaking seeks to remove a repeal a provision which refers to s. DOC 331.03 (4), which was repealed.

8. Chapter DHS 114, relating to neonatal intensive care unit training grants. The proposed rulemaking seeks to repeal ch. DHS 114 in its entirety because the program no longer exists. The program was based on an appropriation under s. 20.435 (5) (er), which was repealed effective July 1, 2000 by 1997 Wis. Act 237 s. 9422 (3ty).

9. Chapter DHS 125, relating to do-not resuscitate orders directed at emergency health care personnel. The proposed rulemaking seeks to revise naming conventions for emergency medical services levels based on 2017 Wis. Act 12.

10. Chapter DHS 134, relating to facilities serving people with developmental disabilities. The proposed rulemaking seeks to remove references to s. 101.123 (4), Stats, which was repealed effective July 5, 2020.

11. Chapter DHS 143, relating to heating impaired children. The proposed rulemaking seeks to repeal ch. DHS 143 in its entirety because it is obsolete. The rule chapter was previously based on the children with special health care needs (CSHCN) program, which was replaced with the children and youth with special health care needs (CYSHCN) program based on the federal Omnibus Budget Reconciliation Act of 1989. The federal act shifted service provision away from the direct-service model provided in ch. DHS 143 to the currently-utilized community-based service system for children and youth with special needs.

12. Chapter DHS 157, relating to radiation protection. The proposed rulemaking seeks to remove a reference to s. NR 809.81, which was repealed effective November 1, 2002.

13. Chapter DHS 190, relating to institution sanitation. The proposed rulemaking seeks to repeal ch. DHS 190 in its entirety because the rule chapter is outdated and obsolete. The rule chapter was created to establish safety and hygiene standards for residents of private institutions under s. 58.01, Stats. All of those entities are currently regulated by the Department of Children and Families or the Department of Corrections, which have separate rules providing specific safety and hygiene standards.

14. Chapter DHS 199, relating to tobacco control activities. The proposed rulemaking seeks to remove all provisions that reference the tobacco control board, and replace them with the department. The tobacco control board was created under s. 15.195 (1),Stats. 2003 Wis. Act 33 repealed s. 15.195 (1), and transferred tobacco control activities to the department.
Summary of, and comparison with, existing or proposed federal regulations
There appears to be no existing or proposed federal regulations that would affect these administrative rule changes.
Comparison with rules in adjacent states
Illinois:
Not applicable - the proposed rule order is based on the requirements in s. 227.29, Stats.
Iowa:
Not applicable - the proposed rule order is based on the requirements in s. 227.29, Stats.
Michigan:
Not applicable - the proposed rule order is based on the requirements in s. 227.29, Stats.
Minnesota:
Not applicable - the proposed rule order is based on the requirements in s. 227.29, Stats.
Summary of factual data and analytical methodologies
The Department relied upon requirements under s. 227.29, Stats., and information provided to the department by the legislative reference bureau.
Analysis and supporting documents used to determine effect on small business
The Department’s fiscal estimate and economic impact analysis determined that the proposed rules would not have any effect on small businesses.
Effect on small business
The proposed rules are not anticipated to have an impact on small businesses.
Agency contact person
Mark R. Thompson
Attorney, Office of Legal Counsel
Mark.Thompson1@dhs.wisconsin.gov
608-267-1279
Statement on quality of agency data
See “summary of factual data and analytical methodologies” section above.
Place where comments are to be submitted and deadline for submission
Comments may be submitted to the agency contact person that is listed above until the deadline given in the upcoming notice of public hearing. The notice of public hearing and deadline for submitting comments will be published in the Wisconsin Administrative Register and to the department’s website, at https://www.dhs.wisconsin.gov/rules/permanent.htm. Comments may also be submitted through the Wisconsin Administrative Rules Website, at: https://docs.legis.wisconsin.gov/code/chr/active.
RULE TEXT
SECTION 1. DHS 12.03 (12) is amended to read:

DHS 12.03 (12) “Foster home” means any facility operated by a person required to be licensed under s. 48.62 (1), Stats., in which care and maintenance are provided for no more than 4 foster children, or, if all are siblings, for no more than 6 children, and also includes a treatment foster home that also provides structured professional treatment by trained individuals, and a home licensed for placement of children for adoption under s. 48.833, Stats., for whom adoption assistance will be provided under s. 48.975, Stats.
SECTION 2. DHS 12.03 (12) (Note) is repealed.
SECTION 3. DHS 12.03 (17) (a) 2. is amended to read:
DHS 12.03 (17) (a) 2. Issuance or renewal by a county department or child−placing agency of a foster home or treatment foster home license under s. 48.62 or 48.75, Stats., including a home licensed for placement of children for adoption under s. 48.833, Stats., for whom adoption assistance will be provided under s. 48.975, Stats., and includes approval of pre−adoptive applicants who contract for a home study with a licensed private child placing agency for approval of a placement of a child for adoption.
SECTION 4. DHS 12.03 (17) (a) 2. (Note 2), and DHS 12.03 (22) and (22) (Note) are repealed.
SECTION 5. DHS 13.03 (16) is amended to read:
DHS 13.03 (16)“Nurse aide" means a nurse's assistant as defined in s. DHS 129.03 (14), a home health aide, as defined in s. DHS 129.03 (11) or a hospice aide, as defined in s. DHS 129.03 (11r). has the meaning given in s. DHS 129.03 (30).
SECTION 7. Section DHS 36.03 (10m) is amended to read:
DHS 36.03 (10m) “Elder” means a person who is age 60 or older or who is subject to the infirmities of aging.
SECTION 8. DHS 36.03 (11m) and (11m) (Note) are repealed.
SECTION 9. DHS 65 is repealed.
SECTION 10. DHS 92.04 (11) (a) is amended to read:
DHS 92.04 (11) (a) Treatment records or portions of treatment records may be made accessible to the patient’s counsel or guardian ad litem only as authorized under s. 51.30 (4) (b) 11., Stats., and this section, to the counsel for the interest of the public only as authorized under s. 51.30 (4) (b) 14., Stats., and this section and to the court appointed examiner only as authorized under s. 51.20 (9) (a), Stats., and this section.
SECTION 11. DHS 97.03 (1) (b) and DHS 97.04 (2) (b) are amended to read:
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