State of Wisconsin
Department of Health and Family Services
Madison
January 25, 2001
To the Honorable, the Assembly:
As directed by
1997 Wisconsin Act 154, the Department and the Statewide Trauma Advisory Council is submitting a joint report on the development and implementation of a statewide trauma care system to the Legislature, Joint Committee on Finance (JFC), Governor and Emergency Medical Services (EMS) Board. In addition, Act 154 directs the Department to seek the advice of the Statewide Trauma Advisory Council and to develop and implement a Statewide Trauma Care System no later than July 1, 2002. The Department is prohibited from promulgating rules relating to the Statewide Trauma Care System until the JFC has approved the report.
National and state data show that traumatic injury is a serious public health problem. It is the leading cause of death of individuals between the ages of 1 and 44 and is the fourth leading cause overall. The goal of a trauma care system is to reduce suffering, disability, death and the cost associated with traumatic injury. The Statewide Trauma Care System Plan establishes a conceptual framework from which a Statewide Trauma Care System can be developed.
The Advisory Council engaged in extensive discussions regarding funding the Statewide Trauma Care System. These discussions examined several funding sources and also focused on the need for not only stable trauma system funding, but also stable Emergency Medical Services (EMS) as a whole, since trauma will be integrated administratively within the Bureau of EMS and Injury Prevention.
To establish a stable funding for the Emergency Medical Services as a whole, including the trauma system, the Department proposes a $1 increase in each motor vehicle registration fee and to use the new funding that is generated, to support the Statewide Trauma Care System and all current administrative costs for the Bureau of Emergency Medical Services (EMS) and Injury Prevention in the Division of Public Health. This proposal is based on recommendations developed by the Advisory Council in the Statewide Trauma Care Plan report. Justification for the proposed use of motor vehicle registration fees to support the statewide trauma system include the facts that:
Motor vehicle crashes are the leading cause of injury-related deaths.
Motor vehicle crashes are the leading cause of death of individuals between the ages of 1 and 44.
Motor vehicle registration pays for EMS systems and trauma in other states.
Motor vehicle crashes potentially impact all the citizens of Wisconsin.
The large number of motor vehicles spreads this cost across a large base and as a result, no single entity bears an unreasonable cost.
A detailed listing of the use of these funds is provided in Appendix I.
As an alternative, the Committee could choose to fund only the additional costs associated with the trauma system. This would require $540,000. Under this option, the Department proposes an increase of $1.00 to the driver's license registration fee to generate approximately the amount of funding needed. A more detailed listing of the use of the funds under this alternative is provided in Appendix II.
Sincerely,
Joe Leean
Secretary
Referred to committee on Health.
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State of Wisconsin
Department of Natural Resources
Madison
January 29, 2001
To the Honorable, the Legislature:
Attached to this letter is a Report on the Future of Waste Management as required under
1997 Wisconsin Act 60. An Executive Summary and Appendices are included with the Report.
If you need further information, please contact Sue Bangert, Bueau Director for Waste Management, at 266-0014
Sincerely,
George E. Meyer
Secretary
Referred to committee on Natural Resources.
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Assembly Resolution 3
Relating to: the assembly rules.
Representative Foti asked unanimous consent that Assembly Resolution 3 be placed at the foot of the eighth order of business on today's calendar. Granted.
Representative Foti asked unanimous consent that the rules be suspended and that Assembly Joint Resolution 3 be withdrawn from the committee on Rules and taken up at this time. Granted.
Assembly Joint Resolution 3
Relating to: the life and public service of Edgar E. Lien.
The question was: Shall Assembly Joint Resolution
3 be adopted?
Motion carried.
Representative Foti asked unanimous consent that the rules be suspended and that Assembly Joint Resolution 3 be immediately messaged to the Senate. Granted.
Representative Foti asked unanimous consent that the rules be suspended and that Assembly Joint Resolution 11 be withdrawn from the committee on Rules and taken up at this time. Granted.
Assembly Joint Resolution 11
Relating to: the life and public service of LeRoy Pete Litscher.
The question was: Shall Assembly Joint Resolution
11 be adopted?
Motion carried.
Representative Foti asked unanimous consent that the rules be suspended and that Assembly Joint Resolution 11 be immediately messaged to the Senate. Granted.
Representative Foti asked unanimous consent that the rules be suspended and that Assembly Joint Resolution 19 be withdrawn from the committee on Rules and taken up at this time.
Representative Carpenter objected.
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Representative Vrakas asked unanimous consent that the Assembly stand recessed. Granted.
The Assembly stood recessed.
10:27 A.M.
__________________
1:00 P.M.
The Assembly reconvened.
Representative Duff in the chair.
Assembly Joint Resolution 15
Relating to: the joint rules.
Assembly amendment 1 to Assembly Joint Resolution 15 offered by Representative Jensen.
The question was: Shall Assembly amendment 1 to Assembly Joint Resolution 15 be adopted?
Motion carried.
Assembly amendment 2 to Assembly Joint Resolution 15 offered by Representative Staskunas.
Representative Freese moved that Assembly amendment 2 to Assembly Joint Resolution 15 be laid on the table.
The question was: Shall Assembly amendment 2 to Assembly Joint Resolution 15 be laid on the table?
The roll was taken.
The result follows:
Ayes - Representatives Ainsworth, Albers, Bies, Duff, J. Fitzgerald, Foti, Freese, Friske, Gard, Grothman, Gunderson, Gundrum, Hahn, Hoven, Huebsch, Hundertmark, Jeskewitz, Johnsrud, Kaufert, Kedzie, Kestell, Krawczyk, Kreibich, Ladwig, F. Lasee, M. Lehman, Leibham, Lippert, Loeffelholz, McCormick, D. Meyer, Montgomery, Musser, Nass, Olsen, Ott, Owens, Petrowski, Pettis, Powers, Rhoades, Schneider, Seratti, Skindrud, Starzyk, Stone, Suder, Sykora, Townsend, Underheim, Urban, Vrakas, Wade, Walker, Ward, Wieckert and Speaker Jensen - 57.
Noes - Representatives Balow, Berceau, Black, Bock, Boyle, Carpenter, Coggs, Colon, Cullen, Gronemus, Hebl, Huber, Hubler, Kreuser, Krug, Krusick, La Fave, Lassa, J. Lehman, Meyerhofer, Miller, Morris-Tatum, Plale, Plouff, Pocan, Reynolds, Richards, Riley, Ryba, Schooff, Sherman, Shilling, Sinicki, Staskunas, Steinbrink, Travis, Turner, Wasserman, Williams, Wood, Young and Ziegelbauer - 42.
Absent or not voting - None.
Motion carried.
Assembly amendment 3 to Assembly Joint Resolution 15 offered by Representative Carpenter.
Representative Freese moved that Assembly amendment 3 to Assembly Joint Resolution 15 be laid on the table.
The question was: Shall Assembly amendment 3 to Assembly Joint Resolution 15 be laid on the table?
The roll was taken.
The result follows:
Ayes - Representatives Ainsworth, Albers, Bies, Duff, J. Fitzgerald, Foti, Freese, Friske, Gard, Grothman, Gunderson, Gundrum, Hahn, Hoven, Huebsch, Hundertmark, Jeskewitz, Johnsrud, Kaufert, Kedzie, Kestell, Krawczyk, Kreibich, Ladwig, F. Lasee, M. Lehman, Leibham, Lippert, Loeffelholz, McCormick, D. Meyer, Montgomery, Musser, Nass, Olsen, Ott, Owens, Petrowski, Pettis, Powers, Rhoades, Seratti, Skindrud, Starzyk, Stone, Suder, Sykora, Townsend, Underheim, Urban, Vrakas, Wade, Walker, Ward, Wieckert and Speaker Jensen - 56.
A36
Noes - Representatives Balow, Berceau, Black, Bock, Boyle, Carpenter, Coggs, Colon, Cullen, Gronemus, Hebl, Huber, Hubler, Kreuser, Krug, Krusick, La Fave, Lassa, J. Lehman, Meyerhofer, Miller, Morris-Tatum, Plale, Plouff, Pocan, Reynolds, Richards, Riley, Ryba, Schneider, Schooff, Sherman, Shilling, Sinicki, Staskunas, Steinbrink, Travis, Turner, Wasserman, Williams, Wood, Young and Ziegelbauer - 43.
Absent or not voting - None.
Motion carried.
Assembly amendment 4 to Assembly Joint Resolution 15 offered by Representative Carpenter.
Representative Freese moved that Assembly amendment 4 to Assembly Joint Resolution 15 be laid on the table.
The question was: Shall Assembly amendment 4 to Assembly Joint Resolution 15 be laid on the table?
The roll was taken.
The result follows:
Ayes - Representatives Ainsworth, Albers, Bies, Duff, J. Fitzgerald, Foti, Freese, Friske, Gard, Grothman, Gunderson, Gundrum, Hahn, Hoven, Huebsch, Hundertmark, Jeskewitz, Johnsrud, Kaufert, Kedzie, Kestell, Krawczyk, Kreibich, Ladwig, F. Lasee, M. Lehman, Leibham, Lippert, Loeffelholz, McCormick, D. Meyer, Montgomery, Musser, Nass, Olsen, Ott, Owens, Petrowski, Pettis, Powers, Rhoades, Seratti, Skindrud, Starzyk, Stone, Suder, Sykora, Townsend, Underheim, Urban, Vrakas, Wade, Walker, Ward, Wieckert and Speaker Jensen - 56.
Noes - Representatives Balow, Berceau, Black, Bock, Boyle, Carpenter, Coggs, Colon, Cullen, Gronemus, Hebl, Huber, Hubler, Kreuser, Krug, Krusick, La Fave, Lassa, J. Lehman, Meyerhofer, Miller, Morris-Tatum, Plale, Plouff, Pocan, Reynolds, Richards, Riley, Ryba, Schneider, Schooff, Sherman, Shilling, Sinicki, Staskunas, Steinbrink, Travis, Turner, Wasserman, Williams, Wood, Young and Ziegelbauer - 43.
Absent or not voting - None.
Motion carried.
Assembly amendment 5 to Assembly Joint Resolution 15 offered by Representative Carpenter.
Representative Carpenter asked unanimous consent that Assembly amendment 5 to Assembly Joint Resolution 15 be laid on the table. Granted.
