LRB-2030/2
RLR:wlj:md
2009 - 2010 LEGISLATURE
June 2, 2009 - Introduced by Joint Legislative Council. Referred to Committee
on Children and Families.
AB296,2,11
1An Act to repeal 46.56 (1) (i) 1. to 3., 46.56 (1) (k), 46.56 (3) (d) 2. (intro.), 46.56
2(8) (L), 46.56 (8) (p) and (q), 46.56 (14) (c) 2., 46.56 (14) (c) 8. and 46.56 (15) (e);
3to renumber 46.56 (3) (d) 1. (intro.);
to renumber and amend 46.56 (1) (c),
446.56 (1) (f), 46.56 (1) (g), 46.56 (1) (o), 46.56 (3) (d) 1. a. to d., 46.56 (3) (d) 2. a.
5and b., 46.56 (6) (a) 3., 46.56 (6) (a) 4., 48.02 (9s) and 938.02 (9s);
to consolidate,
6renumber and amend 46.56 (1) (i) (intro.) and 4.;
to amend 20.435 (7) (co),
738.14 (12), 46.215 (1) (q), 46.22 (1) (b) 1. i., 46.56 (title), 46.56 (1) (a), 46.56 (1)
8(b), 46.56 (1) (e), 46.56 (1) (h), 46.56 (1) (L), 46.56 (1) (m), 46.56 (1) (n), 46.56 (1)
9(p), 46.56 (2), 46.56 (3) (a), 46.56 (3) (b) 1., 2., 4., 5. and 7., 46.56 (4) (a) to (e),
1046.56 (5) (a), (b) and (d) to (i), 46.56 (6) (title), (a) (intro.), 1. and 2., 46.56 (6) (b),
1146.56 (6) (c), 46.56 (7), 46.56 (8) (title), 46.56 (8) (a) to (g) and (h) (intro.), 2., 3.,
124., 5. and 6., 46.56 (8) (i) to (k), 46.56 (8) (m) to (o), 46.56 (8) (r) and (s), 46.56
13(9), 46.56 (10) to (13), 46.56 (14) (a), 46.56 (14) (b) (intro.), 46.56 (14) (b) 1. and
143., 46.56 (14) (c) (intro.) and 1., 46.56 (14) (c) 3. to 5., 46.56 (14) (c) 6. and 7., 46.56
1(14) (d), 46.56 (15) (a) and (b) (intro.), 46.56 (15) (b) 2. to 4., 46.56 (15) (c) and
2(d), 46.56 (15) (f), 48.33 (1) (c), 48.345 (6m), 49.45 (25) (bm) 2., 51.42 (3) (ar) 14.,
351.437 (4m) (m), 51.437 (4r) (a) 3., 115.817 (5) (c), 116.03 (13m), 120.12 (19),
4938.33 (1) (c) and 938.34 (6m);
to repeal and recreate 59.53 (7); and
to create
546.56 (1) (ar), 46.56 (1) (bm), 46.56 (1) (de), (dm) and (ds), 46.56 (1) (nm), 46.56
6(1) (op), 46.56 (1) (q), 46.56 (3) (a) 8., 46.56 (3) (b) 8. to 16., 46.56 (3) (d) 3., 46.56
7(3) (d) 8. to 12., 46.56 (3) (d) 15., 46.56 (3) (e), 46.56 (5) (j) and (k), 46.56 (6) (cr),
846.56 (6) (d), 46.56 (8) (cm), 46.56 (8) (h) 7. and 8., 46.56 (14) (c) 9., 46.56 (15)
9(b) 1r. and 46.56 (15) (b) 5. of the statutes;
relating to: children and their
10families who are involved in two or more systems of care and making an
11appropriation.
Analysis by the Legislative Reference Bureau
This bill is explained in the Notes provided by the Joint Legislative Council in
the bill.
For further information see the state and local fiscal estimate, which will be
printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
Prefatory note: This bill is prepared for the Joint Legislative Council's Special
Committee on Strengthening Wisconsin Families.
Under current law, s. 46.56, stats., governs the integrated services programs (ISP)
for children with severe disabilities. A "child with severe disabilities" is defined as follows:
An individual who has not attained 18 years of age and whose mental, physical,
sensory, behavioral, emotional or developmental disabilities, or whose combination of
multiple disabilities meets all of the following conditions:
1. Is severe in degree.
2. Has persisted for at least one year or is expected to persist for at least one year.
3. Causes substantial limitations in the child's ability to function in the family, the
school or the community and with the child's ability to cope with the ordinary demands
of life.
4. Causes the child to need services from 2 or more service systems.
The ISP began in 1989. As of September 2008, 18 counties operated ISPs. The
statute requires a county that operates an ISP to establish a coordinating committee
comprised of representatives from multiple systems of care. The coordinating committee
must prepare interagency agreements that participating organizations in the ISP agree
to follow in creating and operating the ISP. The interagency agreement's components are
also outlined by statute. The ISP must have one or more service coordination agencies.
The service coordination agency must identify a service coordinator for each child with
severe disabilities who participates in the program. Referrals into the ISP may come from
many different types of public agencies or organizations, or from the child or the child's
family. A treatment team is developed which includes representatives of all service
providers working with the family, as well as the family members and the child.
In 2002, the department of health and family services developed a request for
proposals for counties to develop coordinated services team (CST) initiatives. The CST
model is based on the ISP model of integrated services for children and families with
multiple needs. As of October 1, 2008, 33 counties and 2 tribes operate CST initiatives.
This bill makes several changes to s. 46.56. Specifically, the bill does the following:
• Expands the ISP's coverage to children who are involved in 2 or more systems
of care, as well as their families, and changes the name of the program to the CST
initiative.
• To reflect the expansion of the program's focus, changes the terms "integrated
services", "integrated service plan", and "interdisciplinary team" to "coordinated
services", "coordinated services plan of care", and "coordinated services team",
respectively.
• Includes tribes as entities that may administer the CST initiative.
• Provides funding to begin to phase in the remaining counties and tribes that do
not currently operate either an ISP or a CST initiative, to enable these counties and tribes
to establish the CST initiative.
• Amends the definition of CST to emphasize the process by which the child's
family, service providers, and informal resource persons work together to respond to the
needs of the child and family, rather than by describing the characteristics of the
individuals on the team.
• Expands the required and optional representatives that serve on the
coordinating committee in a county or tribe. The coordinating committee is the entity
that:
— Prepares interagency agreements for the creation and operation of a CST
initiative.
— Assesses how the CST initiative relates to other service coordination programs
operating at the county, tribal, or local level.
— Assists the administering agency in developing the application for CST funding.
— Reviews determinations by the service coordination agency regarding program
eligibility, appropriate family resources, and funding of services.
• Expands the duties of the coordinating committee to include:
— Establishing operational policies and procedures.
— Ensuring quality, including adherence to core values as adopted by the state
advisory committee.
— Developing a plan for orientation of new coordinating committee members and
CST members to the CST process.
— Identifying and addressing gaps in services.
— Ensuring client and partner agency satisfaction.
• Creates the role of initiative coordinator, and defines the initiative coordinator's
duties, which are to:
— Bring together parents and staff from agencies and organizations to comprise
the coordinating committee, and support their activities.
— Work with the coordinating committee to maintain and support agency
participation as established in the interagency agreement.
— Work with the coordinating committee and service coordination agency to
receive and review referrals.
— Work with the coordinating committee and service coordination agency to
assure service coordination for all groups working with the child and the child's family.
— Guide the development of CSTs working with the child and the child's family
to ensure compliance with the basic principles of the CST initiative's core values.
— Review plans of care.
— Assist the coordinating committee and family teams in establishing consistent
measures for initiative development, implementation, evaluation, and monitoring of the
project and outcomes.
— Facilitate public education and awareness of issues and programming for
families and children.
— Ensure ongoing support and training related to the CST process to families,
service coordinators, and providers.
— Provide support to service providers in developing strategies to enhance
existing programs, to increase resources, and to establish new resources.
— Ensure that local and state agencies submit data and reports in an accurate and
timely manner.
• Increases the annual appropriation to the department of health services to
provide grants to counties for CST initiatives by $1,466,000 in general purpose revenue.
AB296, s. 1
1Section
1. 20.435 (7) (co) of the statutes is amended to read:
