Amendment SA2-SSA1-SB55

SB55-SSA1-SA2, s. 3128pn Section 3128pn. 251.04 (1) of the statutes is amended to read:

SB55-SSA1-SA2,501,17 251.04 (1) A city or county board of health shall govern each local health department other than a local health department Except as authorized in s. 251.02 (3m) and (3r) and a, 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 or 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 (3m) and (3r) 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.

SB55-SSA1-SA2, s. 3128pp Section 3128pp. 251.08 of the statutes is amended to read:

SB55-SSA1-SA2,502,4 251.08 Jurisdiction of local health department. The jurisdiction of the local health department shall extend to the entire area represented by the governing body of the county, city, village or town that established the local health department, except that the jurisdiction of a single or multiple county health department or of a city-county health department does not extend to cities, villages and towns that have local health departments. Cities, towns and villages having local health departments may by vote of their local boards of health determine to come under the jurisdiction of the county health department. No part of any expense incurred under this section by a county health department may be levied against any property within any city, village or town that has a local health department and that has not determined to come under the jurisdiction of the county health department.

SB55-SSA1-SA2, s. 3128pq Section 3128pq. 251.11 (1) of the statutes is amended to read:

SB55-SSA1-SA2,502,16 251.11 (1) The local board of health of every multiple county health department established under s. 251.02 (3) and of every city-county health department established under s. 251.02 (1) (1m) shall annually prepare a budget of its proposed expenditures for the ensuing fiscal year and determine the proportionate cost to each participating county and city on the basis of equalized valuation. A certified copy of the budget, which shall include a statement of the amount required from each county and city, shall be delivered to the county board of each participating county and to the mayor or city manager of each participating city. The appropriation to be made by each participating county and city shall be determined by the governing body of the county and city. No part of the cost apportioned to the county shall be levied against any property within the city.

SB55-SSA1-SA2, s. 3128pr Section 3128pr. 251.11 (2) of the statutes is amended to read:

SB55-SSA1-SA2,502,24 251.11 (2) The local board of health of every a multiple county health department established under s. 251.02 (3) and of every city-county health department established under s. 251.02 (1) shall, under this section, determine the compensation for the employees of the multiple county health departments and city-county health departments. The local board of health of a city-county health department established under s. 251.02 (1m) shall, under this section, determine the compensation for the employees of the city-county health department.

SB55-SSA1-SA2, s. 3128ps Section 3128ps. 251.15 (2) of the statutes is amended to read:

SB55-SSA1-SA2,503,5 251.15 (2) A city that had established a local health department prior to deciding to participate in a city-county health department established under s. 251.02 (1) (1m) may withdraw from the city-county health department if the common council of the city gives written notice to the county board of the participating county.".

SB55-SSA1-SA2,503,6 1174. Page 1031, line 17: after that line insert:

SB55-SSA1-SA2,503,7 " Section 3128xb. 250.13 of the statutes is created to read:

SB55-SSA1-SA2,503,10 250.13 Community water fluoridation grants. From the appropriation under s. 20.435 (5) (fL), the department shall award grants each year to applying communities for any of the following purposes:

SB55-SSA1-SA2,503,11 (1) Purchase of water fluoridation equipment.

SB55-SSA1-SA2,503,13 (2) Construction of additional building space to house water fluoridation equipment.

SB55-SSA1-SA2,503,15 (3) Payment of salaries of employees who operate water fluoridation equipment.

SB55-SSA1-SA2, s. 14328xc Section 14328xc. 250.15 (1) of the statutes is renumbered 250.15 (1) (intro.) and amended to read:

SB55-SSA1-SA2,503,18 250.15 (1) Definitions. (intro.) In this section, "community:

SB55-SSA1-SA2,503,21 (a) "Community health center" means a health care entity that provides primary health care, health education, and social services to low-income individuals.

SB55-SSA1-SA2, s. 3128xd Section 3128xd. 250.15 (1) (b) of the statutes is created to read:

SB55-SSA1-SA2,504,3 250.15 (1) (b) "Qualified applicant" means an entity that provides, or seeks to provide, dental care services to low-income individuals and that does not receive a federal grant under 42 USC 254b (c), (g), or (h).

SB55-SSA1-SA2, s. 3128xe Section 3128xe. 250.15 (2) (d) of the statutes is created to read:

SB55-SSA1-SA2,504,11 250.15 (2) (d) From the appropriation under s. 20.435 (5) (fh), the department shall distribute to qualified applicants grants totaling $1,600,000 in fiscal year 2002-03 to enable the applicants to provide or expand provision of dental care services. The department shall give preference for grants to qualified applicants that are located in dental health professional shortage areas, as designated under 42 CFR part V, appendix B. Applicants who receive grants under this paragraph shall do all of the following:

SB55-SSA1-SA2,504,15 1. Make every attempt to collect appropriate reimbursement for its costs in providing dental services to persons who are eligible for and receiving badger care health care, medical assistance, or assistance for medical expenses under any other public assistance program or have coverage under a private insurance program.

SB55-SSA1-SA2,504,20 2. Prepare and utilize a fee schedule for the provision of its services consistent with locally prevailing charges that is designed to cover its reasonable costs of operation and prepare a corresponding schedule of discounts to be applied to the payment of such fees. The discounts shall be adjusted on the basis of the patient's ability to pay.

SB55-SSA1-SA2,504,24 3. Establish a governing board that, except in the case of an applicant that is an Indian tribe or band, is composed of individuals who are representative of persons served by the applicant and a majority of whom are being served by the applicant. The board shall be responsible for the following:

SB55-SSA1-SA2,504,25 a. Establishing policies surrounding the entity's program operations.

SB55-SSA1-SA2,505,1 b. Holding regularly scheduled meetings and keeping minutes of the meetings.

SB55-SSA1-SA2,505,3 c. Approving the selection or dismissal of an entity's director or chief executive officer.

SB55-SSA1-SA2,505,6 d. Establishing personnel policies and procedures, including employee selection and dismissal procedures, salary and benefit scales, employee grievance procedures, and equal opportunity practices.

SB55-SSA1-SA2,505,10 e. Adopting policies for financial management practices, including a system to ensure accountability for resources, approval of the annual budget, priorities, eligibility for services, including criteria for the fee schedule under subd. 2., and long-range financial planning.

SB55-SSA1-SA2,505,13 f. Evaluating the entity's activities including service utilization patterns, productivity, patient satisfaction, achievement of objectives, and development of a process for hearing and resolving patient grievances.

SB55-SSA1-SA2,505,15 g. Ensuring that the entity is operated in compliance with applicable federal, state, and local laws.

SB55-SSA1-SA2,505,17 h. Adopting health care policies including scope and availability of services, location, hours of services, and quality of care audit procedures.

SB55-SSA1-SA2,505,19 4. Use any funds provided under this paragraph to supplement, and not supplant, other funds that are or may be available to the entity.

SB55-SSA1-SA2,505,22 5. Implement a patient screening process to determine patient eligibility for medical assistance, badger care health care, and the payment schedule under subd. 2.

SB55-SSA1-SA2,505,25 6. Provide oral health education in programs operated by and affiliated with the department, including the special supplemental food program for women, infants, and children and head start.

SB55-SSA1-SA2,506,3 7. Provide dental screening, risk assessments, and preventive dental treatment to pregnant women; infants; preschoolers; persons with diabetes, heart disease, or lung disease; and persons using psychotropic medication.".

SB55-SSA1-SA2,506,4 1175. Page 1034, line 12: after that line insert:

SB55-SSA1-SA2,506,5 " Section 3140c. 252.12 (2) (a) 9. of the statutes is created to read:

SB55-SSA1-SA2,506,10 252.12 (2) (a) 9. `Grant for family resource center.' The department shall award a grant in each fiscal year to develop and implement an African-American family resource center in the city of Milwaukee that targets activities toward the prevention and treatment of HIV infection and related infections, including hepatitis C virus infection, of minority group members, as defined in s. 560.036 (1) (f).".

SB55-SSA1-SA2,506,11 1176. Page 1034, line 13: delete lines 13 to 21 and substitute:

SB55-SSA1-SA2,506,12 " Section 3141d. 252.12 (2) (c) 2. of the statutes is amended to read:

SB55-SSA1-SA2,506,21 252.12 (2) (c) 2. From the appropriation under s. 20.435 (5) (am), the department shall award $75,000 in each fiscal year as grants for services to prevent HIV infection and related infections, including hepatitis C virus infection. Criteria for award of the grants shall include the criteria specified under subd. 1. The department shall award 60% of the funding to applying organizations that receive funding under par. (a) 8. and 40% of the funding to applying community-based organizations that are operated by minority group members, as defined in s. 560.036 (1) (f) minority businesses certified by the department of commerce under s. 560.036 (2).".

SB55-SSA1-SA2,506,22 1177. Page 1043, line 12: after that line insert:

SB55-SSA1-SA2,506,23 " Section 3160q. 280.25 of the statutes is created to read:

SB55-SSA1-SA2,507,4 280.25 Air filtration for residential wells. The owner of a residential well, other than a driven well, that has a casing shall filter air that enters the well to prevent airborne bacteria from contaminating the well water if any of the following applies:

SB55-SSA1-SA2,507,6 (1) The construction of the well begins after the effective date of this subsection .... [revisor inserts date].

SB55-SSA1-SA2,507,7 (2) The water from the well tests positive for bacteria.".

SB55-SSA1-SA2,507,9 1178. Page 1049, line 21: delete the material beginning with that line and ending with page 1050, line 3.

SB55-SSA1-SA2,507,10 1179. Page 1055, line 6: after that line insert:

SB55-SSA1-SA2,507,11 " Section 3207v. 281.74 of the statutes is created to read:

SB55-SSA1-SA2,507,16 281.74 Land spreading reduction pilot program. If the Elcho Sanitary District charges not more than $30 per thousand gallons to accept septic tank waste for treatment and not more than $6 per thousand gallons to accept holding tank waste for treatment, the department shall provide the funds available under s. 20.370 (6) (dc) to the Elcho Sanitary District.".

SB55-SSA1-SA2,507,17 1180. Page 1055, line 6: after that line insert:

SB55-SSA1-SA2,507,18 " Section 3207p. 281.73 of the statutes is created to read:

SB55-SSA1-SA2,507,23 281.73 Wastewater and drinking water grant. The department of natural resources shall provide a grant from the appropriation under s. 20.370 (6) (bk) to the Town of Swiss, Burnett County, and the St. Croix Band of Chippewa for design, engineering, and construction of wastewater and drinking water treatment facilities.".

SB55-SSA1-SA2,507,24 1181. Page 1055, line 7: delete lines 7 and 8.

SB55-SSA1-SA2,508,1 1182. Page 1056, line 23: delete lines 23 to 25.

SB55-SSA1-SA2,508,2 1183. Page 1057, line 1: delete lines 1 and 2.

SB55-SSA1-SA2,508,3 1184. Page 1057, line 8: delete lines 8 to 16.

SB55-SSA1-SA2,508,4 1185. Page 1057, line 21: after that line insert:

SB55-SSA1-SA2,508,5 " Section 3222e. 287.03 (1) (e) and (f) of the statutes are created to read:

SB55-SSA1-SA2,508,6 287.03 (1) (e) Promulgate rules to implement s. 287.07 (7) (a).

SB55-SSA1-SA2,508,8 (f) Promulgate rules, for the purposes of s. 287.235 (1) (b), that specify the minimum elements of coordinated program delivery, including all of the following:

SB55-SSA1-SA2,508,11 1. The joint provision of, a single program operated by the responsible unit for, or a single contract for, the collection of materials from single-family residences that are separated for recycling under an effective recycling program.

SB55-SSA1-SA2,508,14 2. The joint provision of, a single program operated by the responsible unit for, or a single contract for, the processing and marketing of recyclable materials collected under an effective recycling program.

SB55-SSA1-SA2,508,16 3. The joint or coordinated planning of solid waste management services within the responsible unit.

SB55-SSA1-SA2, s. 3222f Section 3222f. 287.07 (7) (a) of the statutes is amended to read:

SB55-SSA1-SA2,508,24 287.07 (7) (a) The prohibitions in subs. (3) and (4) do not apply with respect to solid waste, except medical waste, as defined in par. (c) 1. cg., that is generated in a region that has an effective recycling program, as determined under s. 287.11, if the solid waste contains an incidental amount of materials specified in subs. (3) and (4), as provided by the department by rule. This paragraph does not apply to solid waste that is separated for recycling as part of an effective recycling program under s. 287.11.

SB55-SSA1-SA2, s. 3222g Section 3222g. 287.07 (9) of the statutes is created to read:

SB55-SSA1-SA2,509,7 287.07 (9) Acceptance by solid waste facility. (a) Except as provided under par. (b), no person operating a solid waste facility may accept solid waste from a building containing 5 or more dwelling units or a commercial, retail, industrial, or governmental facility that does not provide for the collection of materials that are subject to subs. (3) and (4) and that are separated from other solid waste by users or occupants of the building or facility.

SB55-SSA1-SA2, s. 3222p Section 3222p. 287.23 (2) of the statutes is renumbered 287.23 (2) (intro.) and amended to read:

SB55-SSA1-SA2,509,17 287.23 (2) Department powers and duties. (intro.) The department shall develop, implement, and administer a program to provide financial assistance to responsible units. The department shall develop criteria for reporting on and evaluating the program. Each year the department, in cooperation with the University of Wisconsin-Extension, shall audit review the recycling programs of at least 5% of the recipients of grants in the previous year to ensure that programs and activities funded by grants under this section meet the requirements of this section. do all of the following:

SB55-SSA1-SA2, s. 3222q Section 3222q. 287.23 (2) (a) to (c) of the statutes are created to read:

SB55-SSA1-SA2,509,19 287.23 (2) (a) Ensure compliance with s. 287.07 (1m), (2), (3), and (4).

SB55-SSA1-SA2,509,20 (b) Ensure compliance with s. 287.11 and rules promulgated under that section.

SB55-SSA1-SA2,509,22 (c) Identify activities, methods, or procedures that would enable the responsible unit to make its recycling program more efficient or effective.".

SB55-SSA1-SA2,509,23 1186. Page 1057, line 21: after that line insert:

SB55-SSA1-SA2,509,24 " Section 3222c. 285.69 (2) (a) 11. of the statutes is amended to read:

SB55-SSA1-SA2,510,5 285.69 (2) (a) 11. That no provision is used that would increase the fee per unit of pollutant emitted in order to compensate for decreases in overall amounts of emissions, but that for fees billed in each year after 2001 the fee per unit of pollutant emitted is increased by the percentage by which the consumer price index, as defined in 42 USC 7661a (b) (3) (B) (v), increased in the preceding year.".

SB55-SSA1-SA2,510,6 1187. Page 1058, line 2: after that line insert:

SB55-SSA1-SA2,510,8 " Section 3225c. 287.23 (5b) (title) and (intro.) of the statutes are amended to read:

SB55-SSA1-SA2,510,13 287.23 (5b) (title) Grant award for 2000 and 2001. (intro.) The For 2000 and 2001, the department shall award a grant under this subsection to each eligible responsible unit that submits a complete grant application under sub. (4) for expenses allowable under sub. (3) (b). The department shall determine the amount of the grants under this subsection as follows:

SB55-SSA1-SA2, s. 3225f Section 3225f. 287.23 (5d) of the statutes is created to read:

SB55-SSA1-SA2,510,18 287.23 (5d) Grant amount for years after 2001. (a) Beginning with grants for the year 2002, the department shall award a grant under this subsection to each eligible responsible unit that submits a complete grant application under sub. (4) for expenses allowable under sub. (3) (b).

SB55-SSA1-SA2,510,21 (b) Except as provided in pars. (c), (d), (e), (f), and (g) and sub. (5p), the department shall award an eligible responsible unit a grant under this subsection equal to $11.80 times the population of the responsible unit.

SB55-SSA1-SA2,510,24 (c) A grant under this subsection may not exceed the allowable expenses under sub. (3) (b) that the responsible unit incurred in the year 2 years before the year for which the grant is made.

SB55-SSA1-SA2,511,4 (d) For a county that is the responsible unit for at least 75% of the population of the county, the department shall award a grant under this subsection equal to $100,000 or the amount determined under par. (a), but not more than the allowable expenses under sub. (3) (b).

SB55-SSA1-SA2,511,7 (e) For grants for the year 2002, the department shall award a grant to a responsible unit that received an award in 2001 that is equal to at least 80% of the amount received in 2001.