251.02 Local health department; establishment.
251.03 Local board of health; members.
251.04 Local board of health; powers and duties.
251.05 Local health department; levels of service; duties.
251.06 Local health officer; qualifications; duties.
251.08 Jurisdiction of local health department.
251.10 County health department, how financed.
251.11 City-county health department and multiple county health department, how financed.
251.12 City health department, how financed.
251.125 Village health department, how financed.
251.127 Town health department, how financed.
251.13 City-county health department and multiple county health department, joint funds.
251.135 Publication and effective date of orders and regulations.
251.15 Withdrawal of counties and cities.
251.16 Local health department; evidence.
Ch. 251 Cross-reference
Cross-reference: See definitions in s.
250.01.
251.001
251.001
Legislative findings. The legislature finds that the provision of public health services in this state is a matter of statewide concern.
251.001 History
History: 1993 a. 27.
251.01
251.01
Definitions. In this chapter:
251.01(1)
(1) "County board of health" means a board of health for a county health department.
251.01(2)
(2) "County health department" means a local health department that is a single county health department, a multiple county health department or a city-county health department.
251.01(3)
(3) "County health officer" means the position of a local health officer in a county health department.
251.01 History
History: 1993 a. 27 ss.
196,
197,
460.
251.02
251.02
Local health department; establishment. 251.02(1)
(1) In counties with a population of less than 500,000, the county board shall establish a county health department that meets the requirements of this chapter. The county health department shall serve all areas of the county that are not served by a city health department that was established prior to January 1, 1994, or by a town or village health department established under
sub. (3m). No city health department may be established after that date, but a city-county health department may be established after that date.
251.02(2)
(2) In a county with a population of 500,000 or more, the governing body of each city or village shall establish a local health department that meets the requirements of this chapter or shall 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.
251.02(3)
(3) A county board may establish a multiple county health department in conjunction with the county board of another county.
251.02(3m)
(3m) If a county has a population of at least 100,000 but less than 500,000 and the county board of that county has, by July 1, 1985, abolished a county health commission or committee established under s.
141.10, 1991 stats., a village board in that county may continue and establish as a local board of health a village board of health that was established prior to January 1, 1994, and a town board in that county may continue and establish as a local board of health a town board of health that was established prior to January 1, 1994. A village or town that does so shall establish a local health department and elect a local health officer consistent with this chapter.
251.02(4)
(4) No governing body of a county, city, village or town is required to use the term "local health department" to refer to a local health department that is established under this section.
251.02 History
History: 1993 a. 27.
251.03
251.03
Local board of health; members. 251.03(1)
(1) A local board of health shall consist of not more than 9 members. At least 3 of these members shall be persons who are not elected officials or employes of the governing body that establishes the local health department and who have a demonstrated interest or competence in the field of public health or community health. In appointing the members who are not elected officials or employes, a good faith effort shall be made to appoint a registered nurse and a physician. Members of the local board of health shall reflect the diversity of the community. A county human services board under
s. 46.23 (4) may act as a county board of health if the membership of the county human services board meets the qualifications specified in this subsection and if the county human services board is authorized to act in that capacity by the county board of supervisors. If a county human services board acts in this capacity, it shall use the word "health" in its title.
251.03(2)
(2) The chief executive officer of a city or a village shall appoint members of a local board of health, subject to confirmation by the governing body. In a county with a county executive, the county executive shall appoint members of the county board of health, subject to confirmation by the county board of supervisors. In a county without a county executive, members of the county board of health shall be appointed by the chairperson of the county board of supervisors, subject to confirmation by the county board of supervisors. The person who appoints members of the local board of health may designate certain members to be nonvoting members of the board.
251.03(3)
(3) In establishing a city-county or multiple county health department, 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 employes of the governing body. The members shall be appointed as specified in
sub. (2).
251.03(4)
(4) Governing bodies of counties, cities or villages that appoint local boards of health shall specify the lengths of terms of members and shall provide for staggered terms.
251.03(4m)
(4m) Subsections (1) to
(4) do not apply to a village or town that establishes a local health department under
s. 251.02 (3m). In a village or town that does so, the village board or town board shall establish itself as a local board of health or appoint either wholly or partially from its own members a local board of health that consists of a suitable number of competent persons. A local board of health under this subsection shall elect a chairperson and clerk.
251.03(5)
(5) No governing body of a county, city, village or town is required to use the term "local board of health" to refer to a local board of health that is established under this section.
251.03 History
History: 1993 a. 27.
251.04
251.04
Local board of health; powers and duties. 251.04(1)(1) A city or county board of health shall govern each local health department and 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 to provide public health services. The contractor's staff shall meet the appropriate qualifications for positions in a Level I local health department.
251.04(2)
(2) A city or county board of health 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).
251.04(3)
(3) A city or county board of health 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.
251.04(4)
(4) A local board of health shall report to the department as required by rule.
251.04(5)
(5) A local board of health shall meet at least quarterly.
251.04(6)(a)
(a) Assess public health needs and advocate for the provision of reasonable and necessary public health services.
251.04(6)(b)
(b) Develop policy and provide leadership that fosters local involvement and commitment, that emphasizes public health needs and that advocates for equitable distribution of public health resources and complementary private activities commensurate with public health needs.
251.04(7)
(7) A local board of health shall assure that measures are taken to provide an environment in which individuals can be healthy.
251.04(8)
(8) Unless the manner of employment is otherwise provided for by ordinance, a local board of health shall employ qualified public health professionals, including a public health nurse to conduct general public health nursing programs under the direction of the local board of health and in cooperation with the department, and may employ one or more sanitarians to conduct environmental programs and other public health programs not specifically designated by statute as functions of the public health nurse. The local board of health shall coordinate the activities of any sanitarian employed by the governing body of the jurisdiction that the local board of health serves. The local board of health is not required to employ different persons to perform these functions.
251.04(9)
(9) In counties with a single county health department and either a county executive or a county administrator, the county executive or county administrator may assume the powers and duties of a local board of health under this section. If a county executive or a county administrator elects to assume those powers and duties, the local board of health shall be only a policy-making body determining the broad outlines and principles governing the administration of the county health department.
251.04 History
History: 1993 a. 27 ss.
261,
264,
463;
1997 a. 114.
251.05
251.05
Local health department; levels of service; duties. 251.05(1)(1) A local health department shall meet the following requirements specified in
par. (a) and may, unless
sub. (6) applies, meet the following requirements specified in
par. (b) or
(c):
251.05(1)(a)
(a) As a Level I local health department, at least the level of services specified in
sub. (2) (a) with a local health officer who at least meets the qualifications specified in
s. 251.06 (1) (a) or with a person who meets the qualifications specified in
s. 251.06 (1m).
251.05(1)(b)
(b) As a Level II local health department, at least the level of services specified in
sub. (2) (b) with a local health officer who at least meets the qualifications specified in
s. 251.06 (1) (b) or with a person who meets the qualifications specified in
s. 251.06 (1m).
251.05(1)(c)
(c) As a Level III local health department, at least the level of services specified in
sub. (2) (c) with a local health officer who at least meets the qualifications specified in
s. 251.06 (1) (c) or with a person who meets the qualifications specified in
s. 251.06 (1m).
251.05(2)
(2) The services to be provided by the 3 levels of local health departments are as follows:
251.05(2)(a)
(a) A Level I local health department shall provide at least surveillance, investigation, control and prevention of communicable diseases, other disease prevention, health promotion and human health hazard control.
251.05(2)(b)
(b) A Level II local health department shall provide at least the services under
par. (a) and additional services specified by the department by rule under
s. 251.20 (2).
251.05(2)(c)
(c) A Level III local health department shall provide at least the services under
par. (a) and additional services specified by the department by rule under
s. 251.20 (2) and
(3).
251.05(3)
(3) A local health department shall:
251.05(3)(a)
(a) Regularly and systematically collect, assemble, analyze and make available information on the health of the community, including statistics on health status, community health needs and epidemiologic and other studies of health problems.
251.05(3)(b)
(b) Develop public health policies and procedures for the community.
251.05(3)(c)
(c) Involve key policymakers and the general public in determining a set of high priority public health services and assure access to these services to every member of the community.
251.05(3)(d)
(d) Submit data, as requested, to the local public health data system established by the department.
251.05(4)
(4) Except as provided in
sub. (6), a local health department is not required to provide the level of services that is specified in
sub. (1) (b) or
(c) or to have a local health officer who meets the qualifications specified in
sub. (1) (b) or
(c).
251.05(5)
(5) Except as provided in
sub. (6), the department may not require a local health department to provide the level of services that is specified in
sub. (1) (b) or
(c) or to have a local health officer who meets the qualifications specified in
sub. (1) (b) or
(c).
251.05(6)
(6) A local health department may be required to provide the level of services that is specified in
sub. (1) (b) or
(c) if and only to the extent that these services and qualifications are funded from state and federal funds that are available and are additional to any funding available on January 1, 1994.
251.05 History
History: 1993 a. 27.
251.06
251.06
Local health officer; qualifications; duties. 251.06(1)(a)1.1. Except as provided in
subd. 2. or
3., a local health officer of a Level I local health department shall have at least a bachelor's degree from a nursing program accredited by the national professional nursing education accrediting organization or from a nursing program accredited by the board of nursing.
251.06(1)(a)2.
2. A local health officer of a village or town health department established under
s. 251.02 (3m) shall be either a physician or a registered nurse. The local health officer shall be a voting member of the local board of health and shall take an oath of office. With respect to the levels of services of a Level I local health department, as specified in
s. 251.05 (2) (a), the local health officer shall be authorized to act by and be directed by the county health officer of the county specified under
s. 251.02 (3m).
251.06(1)(a)3.
3. If there is more than one full-time employe of a Level I local health department, including a full-time public health nurse who meets the qualifications specified under
s. 250.06, the local health officer may meet the qualifications of a Level II or Level III local health officer.
251.06(1)(b)
(b) A local health officer of a Level II local health department shall have at least 3 years of experience in a full-time position with a public health agency, including responsibility for a communicable disease prevention and control program, preferably in a supervisory or other administrative position, and at least one of the following:
251.06(1)(b)1.
1. A bachelor's degree from a nursing program accredited by the national professional nursing education accrediting organization or from a nursing program accredited by the board of nursing, either of which shall include preparation in public health nursing.
251.06(1)(b)2.
2. A bachelor's degree in public health, environmental health, the physical or biological sciences or a similar field.
251.06(1)(c)
(c) A local health officer of a Level III local health department shall have at least one of the following:
251.06(1)(c)1.
1. A master's degree in public health, public administration, health administration or, as defined in rules promulgated by the department, a similar field and 3 years of experience in a full-time administrative position in either a public health agency or public health work.
251.06(1)(c)2.
2. A bachelor's degree and 16 graduate semester credits towards a master's degree in public health, public administration, health administration or, as defined in rules promulgated by the department, a similar field and 5 years of experience in a full-time administrative position in either a public health agency or public health work.
251.06(1)(c)3.
3. A license to practice medicine and surgery under
ch. 448 and at least one of the following:
251.06(1)(c)3.a.
a. Three years of experience in a full-time administrative position in either a public health agency or public health work.
251.06(1)(c)3.b.
b. Eligibility for certification by the American board of preventive medicine in public health or general preventive medicine.
251.06(1)(c)3.c.
c. A master's degree in public health, public administration, health administration or, as defined in rules promulgated by the department, a similar field.
