SB565-SSA1-SA1,1,11 At the locations indicated, amend the substitute amendment as follows:
SB565-SSA1-SA1,1,2 21. Page 2, line 17: after that line insert:
SB565-SSA1-SA1,1,4 3" Section 2d. 15.07 (1) (b) 24. of the statutes, as created by 2013 Wisconsin Act
4.... (this act), is repealed.".
SB565-SSA1-SA1,1,5 52. Page 3, line 8: after that line insert:
SB565-SSA1-SA1,1,7 6" Section 3d. 15.07 (1) (cm) of the statutes, as affected by 2013 Wisconsin Act
7.... (this act), is amended to read:
SB565-SSA1-SA1,2,88 15.07 (1) (cm) The term of one member of the government accountability board
9shall expire on each May 1. The terms of the 3 members of the land and water
10conservation board appointed under s. 15.135 (4) (b) 2. shall expire on January 1.
11The term of the member of the land and water conservation board appointed under
12s. 15.135 (4) (b) 2m. shall expire on May 1 of an even-numbered year. The terms of

1the appraiser members of the real estate appraisers board and the terms of the
2auctioneer and auction company representative members of the auctioneer board
3shall expire on May 1 in an even-numbered year. The terms of the members of the
4cemetery board shall expire on July 1 in an even-numbered year. The term of the
5student member of the Board of Regents of the University of Wisconsin System who
6is at least 24 years old shall expire on May 1 of every even-numbered year. The terms
7of 6 of the members of the Milwaukee County mental health board appointed under
8s. 15.195 (9) (b) shall expire on May 1 of an even-numbered year.
".
SB565-SSA1-SA1,2,9 93. Page 3, line 12: after that line insert:
SB565-SSA1-SA1,2,11 10" Section 4d. 15.07 (3) (bm) 7. of the statutes, as created by 2013 Wisconsin Act
11.... (this act), is repealed.".
SB565-SSA1-SA1,2,12 124. Page 4, line 20: delete "prescriber".
SB565-SSA1-SA1,2,13 135. Page 5, line 3: delete "nurse prescribers" and substitute "nurses".
SB565-SSA1-SA1,2,14 146. Page 9, line 12: after that line insert:
SB565-SSA1-SA1,2,16 15" Section 5d. 15.195 (9) of the statutes, as created by 2013 Wisconsin Act ....
16(this act), is repealed.".
SB565-SSA1-SA1,2,17 177. Page 10, line 5: after that line insert:
SB565-SSA1-SA1,2,19 18" Section 6d. 17.07 (3r) of the statutes, as created by 2013 Wisconsin Act ....
19(this act), is repealed.
SB565-SSA1-SA1,6j 20Section 6j. 19.42 (7w) (e) of the statutes is created to read:
SB565-SSA1-SA1,2,2221 19.42 (7w) (e) The position of member of the Milwaukee County mental health
22board as created under s. 51.41 (1d).".
SB565-SSA1-SA1,2,23 238. Page 10, line 10: after that line insert:
SB565-SSA1-SA1,3,2
1" Section 7d. 20.435 (5) (kf) of the statutes, as created by 2013 Wisconsin Act
2.... (this act), is repealed.
SB565-SSA1-SA1,7s 3Section 7s. 46.011 (1s) of the statutes is created to read:
SB565-SSA1-SA1,3,54 46.011 (1s) "Milwaukee County mental health board" means the Milwaukee
5County mental health board created under s. 51.41 (1d).".
SB565-SSA1-SA1,3,8 69. Page 26, line 25: after " board." insert "(1d) Milwaukee County mental
7health board; appointments; requirements; vacancies.
(a) Milwaukee County shall
8establish the Milwaukee County mental health board.
SB565-SSA1-SA1,3,119 (b) Subject to par. (d), the board shall consist of the following 11 voting members
10appointed by the Milwaukee County executive for 4-year terms except for the
11members under subds. 10. and 11.:
SB565-SSA1-SA1,3,2012 1. A psychiatrist or psychologist who is suggested by the Milwaukee County
13board of supervisors. The Milwaukee County board of supervisors shall solicit
14suggestions for psychiatrists and psychologists from organizations including the
15Wisconsin Medical Society, the Medical Society of Milwaukee, the Wisconsin
16Psychological Association, the Wisconsin Psychiatric Association, and the Wisconsin
17Association of Family and Children's Agencies for individuals who specialize in a full
18continuum of behavioral health services for children. The Milwaukee County board
19of supervisors shall suggest to the Milwaukee County executive 4 psychiatrists and
20psychologists for this board membership position.
SB565-SSA1-SA1,4,521 2. A psychiatrist or psychologist who is suggested by the Milwaukee County
22board of supervisors. The Milwaukee County board of supervisors shall solicit
23suggestions for psychiatrists and psychologists from organizations including the
24Wisconsin Medical Society, the Medical Society of Milwaukee, the Wisconsin

1Psychological Association, the Wisconsin Psychiatric Association, and the
2Milwaukee Co-occurring Competency Cadre for individuals who specialize in a full
3continuum of behavioral health services for adults. The Milwaukee County board
4of supervisors shall suggest to the Milwaukee County executive 4 psychiatrists and
5psychologists for this board membership position.
SB565-SSA1-SA1,4,136 3. A representative of the community who is a consumer of mental health
7services and who is suggested by the Milwaukee County board of supervisors. The
8Milwaukee County board of supervisors shall solicit suggestions for individuals who
9have experienced mental illness or substance abuse from organizations including
10Warmline, the Milwaukee Mental Health Task Force, and the Milwaukee
11Co-occurring Competency Cadre. The Milwaukee County board of supervisors shall
12suggest to the Milwaukee County executive 4 representatives of the community for
13this board membership position.
SB565-SSA1-SA1,4,2214 4. A psychiatric mental health advanced practice nurse who is suggested by the
15Milwaukee County board of supervisors. The Milwaukee County board of
16supervisors shall solicit suggestions from organizations including the Wisconsin
17Nurses Association for individuals who specialize in a full continuum of behavioral
18health and medical services including emergency detention, inpatient, residential,
19transitional, partial hospitalization, intensive outpatient, and wraparound
20community-based services. The Milwaukee County board of supervisors shall
21suggest to the Milwaukee County executive 4 psychiatric mental health advanced
22practice nurses for this board membership position.
SB565-SSA1-SA1,5,423 5. An individual specializing in finance and administration. The Milwaukee
24County executive shall solicit suggestions from organizations including the
25Wisconsin Hospital Association, the Wisconsin County Human Services Association,

1and the Public Policy Forum for at least 4 individuals with experience in analyzing
2healthcare operating expenses, revenues, and reimbursement, knowledge of public
3and private funding and systems, and expertise in financial restructuring for
4sustainability.
SB565-SSA1-SA1,5,95 6. A health care provider with experience in the delivery of substance abuse
6services. The Milwaukee County executive shall solicit suggestions from
7organizations including the Wisconsin Nurses Association and the Milwaukee
8Co-occurring Competency Cadre for at least 4 health care providers specializing in
9providing substance abuse services.
SB565-SSA1-SA1,5,1510 7. An individual with legal expertise. The Milwaukee County executive shall
11solicit suggestions from organizations including the Legal Aid Society of Milwaukee,
12Legal Action of Wisconsin, Community Justice Counsel, and Disability Rights
13Wisconsin for at least 4 individuals who have legal expertise specializing in
14emergency detention regulatory requirements including policies, procedures,
15provider responsibilities, and patient rights.
SB565-SSA1-SA1,5,2516 8. A health care provider representing community-based mental health
17service providers who is suggested by the Milwaukee County board of supervisors.
18The Milwaukee County board of supervisors shall solicit suggestions from
19organizations including the Wisconsin Nurses Association, the Milwaukee Health
20Care Partnership, the Milwaukee Mental Health Task Force, and the Milwaukee
21Co-occurring Competency Cadre for health care providers specializing in
22community-based, recovery-oriented, mental health systems. The Milwaukee
23County board of supervisors shall suggest to the Milwaukee County executive 4
24health care providers representing community-based mental health service
25providers for this board membership position.
SB565-SSA1-SA1,6,6
19. An individual who is a consumer or family member representing
2community-based mental health service providers. The Milwaukee County
3executive shall solicit suggestions from organizations including the Milwaukee
4Health Care Partnership, the Milwaukee Mental Health Task Force, and the
5Milwaukee Co-occurring Competency Cadre for at least 4 consumers and family
6members representing community-based mental health service providers.
SB565-SSA1-SA1,6,127 10. The chairperson of the county community programs board in Milwaukee
8County under s. 51.42 (4), or his or her designee who is not an elected official as
9defined in s. 5.02 (3m). If the chairperson of the county community programs board
10in Milwaukee County is an elected official, the chairperson shall designate a member
11of the county community programs board who is not an elected official to be a member
12under this subdivision.
SB565-SSA1-SA1,6,1413 11. The chairperson of the Milwaukee Mental Health Task Force, or his or her
14designee.
SB565-SSA1-SA1,6,1615 (c) Subject to par. (d), the board shall consist of the following 2 nonvoting
16members appointed by the Milwaukee County executive for 4-year terms:
SB565-SSA1-SA1,7,317 1. A health care provider who is an employee of a higher education institution
18suggested by the Medical College of Wisconsin. The Milwaukee County executive
19shall solicit suggestions from the Medical College of Wisconsin for individuals
20specializing in community-based, recovery-oriented mental health systems,
21maximizing comprehensive community-based services, prioritizing access to
22community-based services and reducing reliance on institutional and inpatient
23care, protecting the personal liberty of individuals experiencing mental illness so
24that they may be treated in the least restrictive environment to the greatest extent
25possible, providing early intervention to minimize the length and depth of psychotic

1and other mental health episodes, diverting people from the corrections system,
2when appropriate, or maximizing the use of mobile crisis units and crisis
3intervention training.
SB565-SSA1-SA1,7,154 2. A health care provider who is an employee of a higher education institution
5suggested by the University of Wisconsin—Madison. The Milwaukee County
6executive shall solicit suggestions from the University of Wisconsin—Madison for
7individuals specializing in community-based, recovery-oriented mental health
8systems, maximizing comprehensive community-based services, prioritizing access
9to community-based services and reducing reliance on institutional and inpatient
10care, protecting the personal liberty of individuals experiencing mental illness so
11that they may be treated in the least restrictive environment to the greatest extent
12possible, providing early intervention to minimize the length and depth of psychotic
13and other mental health episodes, diverting people from the corrections system,
14when appropriate, or maximizing the use of mobile crisis units and crisis
15intervention training.
SB565-SSA1-SA1,7,1716 (d) 1. The Milwaukee County executive shall ensure that one of the members
17under par. (b) 1. and 2. is a psychologist.
SB565-SSA1-SA1,7,2018 2. A person nominating or suggesting individuals for nomination under par. (b)
19shall attempt to ensure that individuals suggested are among the most-qualified
20and experienced in their field.
SB565-SSA1-SA1,7,2521 3. a. In this subdivision, "cultural competency" means the ability to understand
22and act respectfully toward, in a cultural context, the beliefs, interpersonal styles,
23attitudes, and behaviors of persons and families of various cultures, including
24persons and families who receive mental health services in Milwaukee County and
25persons and families who provide mental health services in Milwaukee County.
SB565-SSA1-SA1,8,3
1b. Members under par. (b) collectively shall possess cultural competency and
2shall reflect the population that is serviced by the Milwaukee County mental health
3system.
SB565-SSA1-SA1,8,54 4. No member of the board may be an employee of Milwaukee County at the
5time of nomination.
SB565-SSA1-SA1,8,126 5. No member of the board may be a lobbyist, as defined in s. 13.62 (11). No
7member of the board may directly or indirectly solicit or receive subscriptions or
8contributions for any partisan political party or any political purpose while
9appointed to the board. No member of the board may engage in any form of political
10activity calculated to favor or improve the chances of any political party or any person
11seeking or attempting to hold partisan office. No member of the board may hold an
12elected office. Any violation of this subdivision is adequate grounds for dismissal.
SB565-SSA1-SA1,8,2013 6. No member under par. (b) may serve more than 2 consecutive terms in a
14membership position for which suggestions for nomination are made by the same
15individual or entity, except that a member may serve 3 consecutive terms in a
16membership position for which suggestions for nomination are made by the same
17individual or entity if one of those 3 terms is for less than 2 years. An individual who
18has served 2 consecutive 4-year terms or 3 consecutive terms totalling less than 10
19years is eligible to be suggested for nomination as a member under par. (b) after the
20individual has not served on the board for 12 months.
SB565-SSA1-SA1,9,621 7. Notwithstanding par. (b) 1., 2., 3., 4., and 8. and subject to subd. 6., if the
22Milwaukee County board of supervisors chooses to suggest a member of the
23Milwaukee County mental health board for reappointment to his or her position
24under par. (b) 1., 2., 3., 4., or 8., the Milwaukee County board of supervisors is not
25required to solicit suggestions from organizations and is not required to submit an

1additional 3 suggestions to the Milwaukee County executive for that appointment.
2Notwithstanding par. (b) 5., 6., 7., and 9. and subject to subd. 6., if the Milwaukee
3County executive chooses to suggest a member of the Milwaukee County mental
4health board for reappointment to his or her position under par. (b) 5., 6., 7., or 9.,
5the Milwaukee County executive is not required to solicit suggestions from
6organizations for that appointment.
SB565-SSA1-SA1,9,97 8. Notwithstanding s. 59.17 (2) (c), appointment of members under pars. (b) and
8(c) to the Milwaukee County mental health board is not subject to approval of the
9Milwaukee County board of supervisors.
SB565-SSA1-SA1,9,1210 (f) At its first meeting in each year, the Milwaukee County mental health board
11shall elect a chairperson, vice chairperson, and secretary each of whom may be
12reelected for successive terms.
SB565-SSA1-SA1,9,1513 (g) A majority of the membership of a board constitutes a quorum to do
14business, and unless a more restrictive provision is adopted by the board, a majority
15of a quorum may act in any matter within the jurisdiction of the board.
SB565-SSA1-SA1,9,1816 (h) The members of the Milwaukee County mental health board shall be
17reimbursed for their actual and necessary expenses incurred in the performance of
18their duties. The members shall receive no compensation for their services.
SB565-SSA1-SA1,9,2019 (i) 1. Notwithstanding s. 17.10, a member of the Milwaukee County mental
20health board may be removed by all of the following:
SB565-SSA1-SA1,9,2221 a. If the Milwaukee County executive solicited suggestions for nomination, the
22Milwaukee County executive, for cause.
SB565-SSA1-SA1,9,2423 b. If the Milwaukee County board of supervisors suggested the member for
24nomination, the Milwaukee County board of supervisors, for cause.
SB565-SSA1-SA1,10,3
12. A member of the Milwaukee County mental health board shall be removed
2by the Milwaukee County executive for engaging in an activity that disqualifies an
3individual from board membership under this subsection.".
SB565-SSA1-SA1,10,4 410. Page 27, line 1: delete "(1)" and substitute "(1s)".
SB565-SSA1-SA1,10,5 511. Page 27, line 6: before "budget" insert "mental health".
SB565-SSA1-SA1,10,6 612. Page 27, line 6: delete "amount set" and substitute "as defined".
SB565-SSA1-SA1,10,7 713. Page 27, line 6: after "(a)" insert "2".
SB565-SSA1-SA1,10,9 915. Page 28, line 12: delete lines 12 to 19.
SB565-SSA1-SA1,10,11 1016. Page 34, line 17: after "functions" insert "and to ensure there is no
11interruption of mental health services".
SB565-SSA1-SA1,10,12 1217. Page 35, line 8: after that line insert:
SB565-SSA1-SA1,10,14 13" Section 35m. 51.41 (3) and (5) (a) and (b) of the statutes, as created by 2013
14Wisconsin Act .... (this act), are amended to read:
SB565-SSA1-SA1,10,1915 51.41 (3) Public hearing; meetings. The Milwaukee County mental health
16board shall meet 6 times each year and may meet at other times on the call of the
17chairperson or a majority of the board's members.
Annually, the Milwaukee County
18mental health board shall hold a public hearing in Milwaukee County as one of its
19required meetings.
SB565-SSA1-SA1,11,4 20(5) (a) The Milwaukee County board of supervisors has no jurisdiction over any
21mental health policy, functions, programs, or services. The Milwaukee County board
22of supervisors may not create new mental health functions, programs, or services
23that are under the jurisdiction of the board of supervisors. Any dispute between the

1Milwaukee County board of supervisors and the Milwaukee County mental health
2board over whether a function, program, or service is a mental health function,
3program, or service under the jurisdiction of the Milwaukee County mental health
4board shall be resolved by the secretary of health services.
SB565-SSA1-SA1,11,115 (b) The Milwaukee County mental health board may transfer jurisdiction over
6a Milwaukee County function, service, or program to itself that pertains to mental
7health or is highly integrated with mental health services and that is not under its
8jurisdiction by statute or by agreement with the Milwaukee County board of
9supervisors
, by an affirmative vote of 8 of the voting a majority of the Milwaukee
10County mental health board and a majority of the Milwaukee County board of
11supervisors
.
SB565-SSA1-SA1,35p 12Section 35p. 51.41 (6) of the statutes, as created by 2013 Wisconsin Act ....
13(this act), is repealed.".
SB565-SSA1-SA1,11,14 1418. Page 44, line 19: after that line insert:
SB565-SSA1-SA1,11,15 15"(c) This subsection does not apply after December 31, 2014.
SB565-SSA1-SA1,12,3 16(2d) County-based Milwaukee County mental health board; transfer of
17board member appointments.
Notwithstanding section 51.41 (1d) of the statutes, as
18created by this act, on January 1, 2015, the Milwaukee County executive shall
19appoint the individuals who are appointed to the state-based Milwaukee County
20mental health board under section 15.195 (9) of the statutes, as created by this act,
21as of December 31, 2014, to the county-based Milwaukee County mental health
22board as created in section 51.41 (1d) of the statutes, as created by this act, to serve
23the remainder of their terms as specified under subsection (1). Beginning January
241, 2015, the Milwaukee County executive shall make appointments to the

1Milwaukee County mental health board in accordance with section 51.41 (1d) of the
2statutes, as created by this act, to fill board vacancies and to fill positions when the
3term of a board member expires.".
SB565-SSA1-SA1,12,17 419. Page 45, line 6: after "programs." insert "The audit shall include
5recommendations for the state assuming oversight responsibility for emergency
6detention services and the psychiatric hospital of the Milwaukee County Mental
7Health Complex, developing a plan for closing the Milwaukee County Mental Health
8Complex, and developing a plan for state oversight of a regional facility for the
9delivery of institutional, inpatient, crisis services, and behavioral health services
10using similar state-operated regional facilities as a model. In addition, the audit
11shall provide details and specifications on how, after the transitioning of the
12county-run institutional model to a state-based regionalized model, the state-based
13Milwaukee County mental health board will transition to a county-based board, the
14positions on the Milwaukee County mental health board will transition to a
15community-based focus, the funding for inpatient services and community-based
16services will continue, and mental health services will be delivered in a manner that
17reflects all of the following principles:
SB565-SSA1-SA1,12,19 181. Community-based, person-centered, recovery-oriented mental health
19systems.
SB565-SSA1-SA1,12,20 202. Maximizing comprehensive community-based services.
SB565-SSA1-SA1,12,22 213. Prioritizing access to community-based services and reducing reliance on
22institutional and inpatient care.
SB565-SSA1-SA1,13,3
14. Protecting the personal liberty of individuals experiencing mental illness so
2that they may be treated in the least restrictive environment to the greatest extent
3possible.
SB565-SSA1-SA1,13,5 45. Providing early intervention to minimize the length and depth of psychotic
5and other mental health episodes.
SB565-SSA1-SA1,13,7 66. Diverting people experiencing mental illness from the corrections system
7when appropriate.
SB565-SSA1-SA1,13,8 87. Maximizing use of mobile crisis units and crisis intervention training.".
SB565-SSA1-SA1,13,9 920. Page 45, line 6: before "The department" insert "(b)".
SB565-SSA1-SA1,13,10 1021. Page 45, line 7: after "audit" insert "under paragraph (a)".
SB565-SSA1-SA1,13,12 1122. Page 45, line 9: delete "audit shall" and substitute "audit under paragraph
12(a) shall".
SB565-SSA1-SA1,13,14 1323. Page 45, line 9: delete "audit, including" and substitute "audit under
14paragraph (a), including".
SB565-SSA1-SA1,13,15 1524. Page 45, line 15: delete "(b)" and substitute "(c)".
SB565-SSA1-SA1,13,16 1625. Page 45, line 20: after that line insert:
SB565-SSA1-SA1,13,18 17" Section 54m. Effective dates. This act takes effect on the day after
18publication, except as follows:
SB565-SSA1-SA1,13,23 19(1) Transition to county-based Milwaukee County mental health board. The
20treatment of sections 15.07 (1) (cm) (by Section 3d), 19.42 (7w) (e), 46.011 (1s), and
2151.41 (1d), (3) (by Section 35m), and (5) (a) and (b) (by Section 35m) of the statutes
22and the repeal of sections 15.07 (1) (b) 24. and (3) (bm) 7., 15.195 (9), 17.07 (3r), 20.435
23(5) (kf), and 51.41 (6) of the statutes take effect on January 1, 2015.".
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