251.02 (2) (a) (intro.) In Except as provided in par. (b), in a county with a population of 500,000 or more, the governing body of each city or village shall establish
do one of the following:
1. Establish a local health department that meets the requirements of this chapter or shall contract.
2. Contract with the local health department of another city or village in the county to have that local health department provide services in the city or village.
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5. 251.02 (2) (b) of the statutes is created to read:
251.02 (2) (b) In a county with a population of 500,000 or more, the governing body of a city or village may establish, jointly with the governing body of another city or village, a multiple municipal local health department that meets the requirements of this chapter.
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6. 251.02 (3t) of the statutes is created to read:
251.02 (3t) The governing body of a city with a city health department, as specified in s. 250.01 (4) (a) 3., may, in concert with the governing body of another city with a city health department, as specified in s. 250.01 (4) (a) 3., in the same county, establish a city-city health department and elect a local health officer consistent with this chapter.
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7. 251.03 (4r) of the statutes is amended to read:
251.03 (4r) Subsections (1) to (4m) do not apply to a city, village or town that establishes a multiple municipal local health department under s. 251.02 (2) (b) or (3r), or to cities that establish a city-city local health department under s. 251.02 (3t). In establishing a multiple municipal local health department as described under s. 251.02 (2) (b) or (3r), the relevant governing bodies shall agree on how many members of the local board of health are appointed by each governing body and how many of each governing body's appointees shall be members who are not elected officials or employees of the governing body. The members shall be appointed by the relevant governing bodies. A local board of health under this subsection shall elect a chairperson and clerk.
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8. 251.04 (1) of the statutes is amended to read:
251.04 (1) Except as authorized in s. 251.02 (2) (b), (3m) and, (3r), and (3t), a city board of health shall govern a city health department, a county board of health shall govern a county health department or multiple county health department, and a city-county board of health shall govern a city-county health department. A city board of health, a county board of health, a city-county board of health, or a board of health for a local health department as authorized in s. 251.02 (2) (b), (3m)
and, (3r), or (3t) shall assure the enforcement of state public health statutes and public health rules of the department as prescribed for a Level I local health department. A local board of health may contract or subcontract with a public or private entity to provide public health services. The contractor's staff shall meet the appropriate qualifications for positions in a Level I local health department.
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9. 251.04 (2) of the statutes is amended to read:
251.04 (2) A city or county board of health or a board of health for a local health department as authorized in s. 251.02 (2) (b), (3m) or, (3r), or (3t) shall assure that its local health department is a Level I, Level II, or Level III local health department, as specified in s. 251.05 (1).
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10. 251.04 (3) of the statutes is amended to read:
251.04 (3) A city or county board of health or a board of health for a local health department as authorized in s. 251.02 (2) (b), (3m) or, (3r), or (3t) may adopt those regulations, for its own guidance and for the governance of the local health department, that it considers necessary to protect and improve public health. The regulations may be no less stringent than, and may not conflict with, state statutes and rules of the department.
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11. 251.06 (4) (c) of the statutes is amended to read:
251.06 (4) (c) A local health officer of a village or town health department established under s. 251.02 (3m) and a local health officer, of a multiple municipal local health department established under s. 251.02 (2) (b) or (3r), or of a city-city local health department established under s. 251.02 (3t) shall be appointed by the local board of health.
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12. 251.12 of the statutes is amended to read:
251.12 City health department, how financed. The common council shall appropriate funds for the operation of a all of the following:
(1) A city health department that is established as specified in s. 251.02 (1) and (2) and (a), for the operation of a .
(2) A multiple municipal local health department that is established under as specified in s. 251.02 (3r) by the governing body of a city in concert with the governing body of another city or a village or town.
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13. 251.12 (3) of the statutes is created to read:
251.12 (3) A multiple municipal local health department that is established as specified in s. 251.02 (2) (b).
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14. 251.12 (4) of the statutes is created to read:
251.12 (4) A city-city local health department that is established as specified in s. 251.02 (3t).
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15. 251.125 of the statutes is amended to read:
251.125 Village health department, how financed. If a village health department is established under s. 251.02 (2) (a) or (3m) or, if a multiple municipal local health department is established under as specified in s. 251.02 (3r) by the governing body of a village in concert with the governing body of another village or a city or town, or if a multiple municipal local health department is established as specified in s. 251.02 (2) (b), the village board shall appropriate funds for the operation of the department.
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16. 251.15 (title) of the statutes is amended to read:
251.15 (title) Withdrawal of counties
and, cities, villages, or towns.
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Section
17. 251.15 (2m) of the statutes is created to read:
251.15 (2m) After establishing a multiple municipal local health department under s. 251.02 (2) (b) or (3r) or a city-city local health department under s. 251.02 (3t), the governing body of any participating city, village, or town participating may withdraw by giving written notice to the local board of health and to the governing bodies of all other participating cities, villages, and towns.
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18. 251.15 (3) of the statutes is amended to read:
251.15 (3) The notice under sub. (1) or
, (2), or (2m) shall be given at least one year prior to commencement of the fiscal year at which the withdrawal takes effect. Whenever the withdrawal of any county or city from a city-county or multiple county health department takes effect, all relevant provisions of law relating to local boards of health and local health officers shall immediately become applicable within the withdrawing county or, city, village, or town.
