SB21,626,65 46.22 (1) (b) 2. a. To administer community-based juvenile
6delinquency-related services under s. 48.526.

SB21,626,118 46.22 (1) (b) 2. c. To make investigations as provided under ch. 48 and subch.
9III of ch. 49 and investigations relating to community-based juvenile
10delinquency-related services upon request by the department of children and
11families.

SB21,626,1413 46.22 (1) (b) 5m. a. To administer juvenile delinquency-related correctional
14services under s. 301.26.

SB21,626,1816 46.22 (1) (b) 5m. c. To make investigations relating to juvenile
17delinquency-related correctional services upon request by the department of
18corrections.

SB21,627,1220 46.22 (1) (dm) Exchange of information; long-term care. Notwithstanding ss.
2146.2895 (9), 48.78 (2) (a), 49.45 (4), 49.83, 51.30, 51.45 (14) (a), 55.22 (3), 146.82,
22252.11 (7), 253.07 (3) (c), and 938.78 (2) (a), a subunit of a county department of social
23services or tribal agency acting under this subsection may exchange confidential
24information about a client, without the informed consent of the client, with any other
25subunit of the same county department of social services or tribal agency, with a

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1resource center or other contracted entity under s. 46.283 (2), a care management
2organization, or a long-term care district, with an elder-adult-at-risk agency, an
3adult-at-risk agency, or any agency to which referral for investigation is made under
4s. 46.90 (5) (a) 1. or 55.043 (1r) (a) 1g., or with a person providing services to the client
5under a purchase of services contract with the county department of social services
6or tribal agency or with a resource center or other contracted entity under s. 46.283
7(2), a care management organization, or a long-term care district, if necessary to
8enable an employee or service provider to perform his or her duties, or to enable the
9county department of social services or tribal agency to coordinate the delivery of
10services to the client. An agency that releases information under this paragraph
11shall document that a request for information was received and what information
12was provided.

SB21,628,715 46.22 (1) (dm) Exchange of information; long-term care. Notwithstanding ss.
1646.2895 (9), 48.78 (2) (a), 49.45 (4), 49.83, 51.30, 51.45 (14) (a), 55.22 (3), 146.82,
17252.11 (7), 253.07 (3) (c), and 938.78 (2) (a), a subunit of a county department of social
18services or tribal agency acting under this subsection may exchange confidential
19information about a client, without the informed consent of the client, with any other
20subunit of the same county department of social services or tribal agency, with a
21resource center or other contracted entity under s. 46.283 (2), or a care management
22organization, or a long-term care district, with an elder-adult-at-risk agency, an
23adult-at-risk agency, or any agency to which referral for investigation is made under
24s. 46.90 (5) (a) 1. or 55.043 (1r) (a) 1g., or with a person providing services to the client
25under a purchase of services contract with the county department of social services

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1or tribal agency or with a resource center or other contracted entity under s. 46.283
2(2), or a care management organization, or a long-term care district, if necessary to
3enable an employee or service provider to perform his or her duties, or to enable the
4county department of social services or tribal agency to coordinate the delivery of
5services to the client. An agency that releases information under this paragraph
6shall document that a request for information was received and what information
7was provided.

SB21,628,159 46.22 (1) (dp) Exchange of information; statewide automated child welfare
10information system. Notwithstanding ss. 46.2895 (9), 48.396 (1) and (2) (a), 48.78 (2)
11(a), 48.981 (7), 49.45 (4), 49.83, 51.30, 51.45 (14) (a), 55.22 (3), 146.82, 252.11 (7),
12252.15, 253.07 (3) (c), 938.396 (1) (a) and (2), and 938.78 (2) (a), a county department
13under this section may enter the content of any record kept or information received
14by that county department into the statewide automated child welfare information
15system established under s. 48.47 (7g).

SB21,629,317 46.22 (1) (e) 3. a. A county department of social services shall develop, under
18the requirements of s. 46.036, plans and contracts for the purchase of care and
19services, except for care and services provided under ch. 48, subch. III of ch. 49, and
20s. 301.08 (2), to be purchased and community-based juvenile delinquency-related
21services. The department of health services may review the contracts and approve
22them if they are consistent with s. 46.036 and to the extent that state or federal funds
23are available for such those purposes. The joint committee on finance may require
24the department of health services to submit the contracts to the committee for review
25and approval. The department of health services may not make any payments to a

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1county for programs included in the contract that is under review by the committee.
2The department of health services shall reimburse each county for the contracts from
3the appropriations under s. 20.435 (7) (b) and (o) according to s. 46.495.

SB21,629,145 46.22 (1) (e) 3. b. A county department of social services shall develop, under
6the requirements of s. 49.34, plans and contracts for the purchase of care and services
7under ch. 48 and subch. III of ch. 49 to be purchased and of community-based
8juvenile delinquency-related services. The department of children and families may
9review the contracts and approve them if they are consistent with s. 49.34 and to the
10extent that state or federal funds are available for such purposes. The joint
11committee on finance may require the department of children and families to submit
12the contracts to the committee for review and approval. The department of children
13and families may not make any payments to a county for programs included in the
14contract that is under review by the committee.

SB21,630,216 46.22 (1) (e) 3. c. A county department of social services shall develop, under
17the requirements of s. 301.08 (2), plans and contracts for the purchase of juvenile
18delinquency-related care and services to be purchased correctional services. The
19department of corrections may review the contracts and approve them if they are
20consistent with s. 301.08 (2) and to the extent that state or federal funds are available
21for such those purposes. The joint committee on finance may require the department
22of corrections to submit the contracts to the committee for review and approval. The
23department of corrections children and families may not make any payments under
24s. 48.526 to a county for programs included in the contract that is under review by
25the committee. The department of corrections children and families shall reimburse

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1each county for the contracts from the appropriations under s. 20.410 (3) (cd) and (ko)
220.437 (1) (cj) and (o) as appropriate.

SB21,630,65 46.22 (2g) (d) (intro.) Prepare, with the assistance of the county social services
6director under sub. (3m) (b) 5., a all of the following:

SB21,630,8 71. A proposed budget for submission to the county executive or county
8administrator, a.

SB21,630,12 92. A final budget for submission to the department of health services in
10accordance with s. 46.031 (1) for authorized services, except services under ch. 48,
11subch. III of ch. 49, or s. 301.08 (2), a and authorized community-based juvenile
12delinquency-related services.

SB21,630,15 133. A final budget for submission to the department of children and families in
14accordance with s. 49.325 for authorized services under ch. 48 and subch. III of ch.
1549, and a and authorized community-based juvenile delinquency-related services.

SB21,630,17 164. A final budget for submission to the department of corrections in accordance
17with s. 301.031 (1) for authorized juvenile delinquency-related correctional services.

SB21,631,1119 46.23 (3) (e) Exchange of information; long-term care. Notwithstanding ss.
2046.2895 (9), 48.78 (2) (a), 49.45 (4), 49.83, 51.30, 51.45 (14) (a), 55.22 (3), 146.82,
21252.11 (7), 253.07 (3) (c), and 938.78 (2) (a), a subunit of a county department of
22human services or tribal agency acting under this section may exchange confidential
23information about a client, without the informed consent of the client, with any other
24subunit of the same county department of human services or tribal agency, with a
25resource center or other contracted entity under s. 46.283 (2), a care management

---

1organization, or a long-term care district, with an elder-adult-at-risk agency, an
2adult-at-risk agency, or any agency to which referral for investigation is made under
3s. 46.90 (5) (a) 1. or 55.043 (1r) (a) 1g., or with a person providing services to the client
4under a purchase of services contract with the county department of human services
5or tribal agency or with a resource center or other contracted entity under s. 46.283
6(2), a care management organization, or a long-term care district, if necessary to
7enable an employee or service provider to perform his or her duties, or to enable the
8county department of human services or tribal agency to coordinate the delivery of
9services to the client. An agency that releases information under this paragraph
10shall document that a request for information was received and what information
11was provided.

SB21,632,614 46.23 (3) (e) Exchange of information; long-term care. Notwithstanding ss.
1546.2895 (9), 48.78 (2) (a), 49.45 (4), 49.83, 51.30, 51.45 (14) (a), 55.22 (3), 146.82,
16252.11 (7), 253.07 (3) (c), and 938.78 (2) (a), a subunit of a county department of
17human services or tribal agency acting under this section may exchange confidential
18information about a client, without the informed consent of the client, with any other
19subunit of the same county department of human services or tribal agency, with a
20resource center or other contracted entity under s. 46.283 (2), or a care management
21organization, or a long-term care district, with an elder-adult-at-risk agency, an
22adult-at-risk agency, or any agency to which referral for investigation is made under
23s. 46.90 (5) (a) 1. or 55.043 (1r) (a) 1g., or with a person providing services to the client
24under a purchase of services contract with the county department of human services
25or tribal agency or with a resource center or other contracted entity under s. 46.283

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1(2), or a care management organization, or a long-term care district, if necessary to
2enable an employee or service provider to perform his or her duties, or to enable the
3county department of human services or tribal agency to coordinate the delivery of
4services to the client. An agency that releases information under this paragraph
5shall document that a request for information was received and what information
6was provided.

SB21,632,148 46.23 (3) (ed) Exchange of information; statewide automated child welfare
9information system. Notwithstanding ss. 46.2895 (9), 48.396 (1) and (2) (a), 48.78 (2)
10(a), 48.981 (7), 49.45 (4), 49.83, 51.30, 51.45 (14) (a), 55.22 (3), 146.82, 252.11 (7),
11252.15, 253.07 (3) (c), 938.396 (1) (a) and (2), and 938.78 (2) (a), a county department
12under this section may enter the content of any record kept or information received
13by that county department into the statewide automated child welfare information
14system established under s. 48.47 (7g).

SB21,632,2416 46.23 (5) (a) 1. Shall determine administrative and program policies, except as
17provided under ch. 48 and subch. III of ch. 49 and except for policies relating to
18community-based juvenile delinquency-related policies, services or to juvenile
19correctional services, within limits established by the department of health services.
20Policy decisions, except as provided under ch. 48 and subch. III of ch. 49 and except
21for policy decisions relating to community-based juvenile delinquency-related
22policies, services or to juvenile correctional services, that are not reserved by statute
23for the department of health services may be delegated by the secretary to the county
24human services board.

SB21,633,8

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146.23 (5) (a) 2. Shall determine administrative and program policies under ch.
248 and subch. III of ch. 49 and administrative and program policies relating to
3community-based juvenile delinquency-related services within limits established
4by the department of children and families. Policy decisions under ch. 48 and subch.
5III of ch. 49 and policy decisions relating to community-based juvenile
6delinquency-related services that are not reserved by statute for the department of
7children and families may be delegated by the secretary of children and families to
8the county human services board.

SB21,633,1510 46.23 (5) (a) 3. Shall determine juvenile delinquency-related administrative
11programs and policies relating to juvenile correctional services within limits
12established by the department of corrections. Juvenile delinquency-related policy
13Policy decisions relating to juvenile correctional services that are not reserved by
14statute for the department of corrections may be delegated by the secretary of
15corrections to the county human services board.

SB21,633,2217 46.23 (5) (c) 1. Shall determine whether state mandated services, except for
18services under ch. 48 and subch. III of ch. 49, community-based juvenile
19delinquency-related services, and juvenile delinquency-related correctional
20services, are provided or by, purchased from, or contracted for with local providers,
21and monitor the performance of such those contracts. Purchase of services contracts
22shall be subject to the conditions specified in s. 46.036.

SB21,634,324 46.23 (5) (c) 2. Shall determine whether state mandated services under ch. 48
25and subch. III of ch. 49 and state-mandated community-based juvenile

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1delinquency-related services are provided or by, purchased from, or contracted for
2with local providers, and monitor the performance of such those contracts. Purchase
3of services contracts shall be subject to the conditions specified in s. 49.34.

SB21,634,95 46.23 (5) (c) 3. Shall determine whether state mandated juvenile
6delinquency-related correctional services are provided or by, purchased from, or
7contracted for with local providers, and monitor the performance of such those
8contracts. Purchase of service contracts shall be subject to the conditions specified
9in s. 301.031.

SB21,634,1711 46.23 (5) (n) 1. Shall submit a final budget in accordance with s. 46.031 (1) for
12authorized services, except for services under ch. 48 and subch. III of ch. 49,
13community-based juvenile delinquency-related services, and juvenile
14delinquency-related correctional services. Notwithstanding the categorization of or
15limits specified for funds allocated under s. 46.495 or 51.423 (2), with the approval
16of the department of health services the county human services board may expend
17these those funds consistent with any service provided under s. 46.495 or 51.42.

SB21,634,2419 46.23 (5) (n) 2. Shall submit a final budget in accordance with s. 49.325 (1) for
20authorized services under ch. 48 and subch. III of ch. 49 and for authorized
21community-based juvenile delinquency-related services. Notwithstanding the
22categorization of or limits specified for funds allocated under s. 48.569, with the
23approval of the department of children and families the county human services board
24may expend these those funds consistent with any service provided under s. 48.569.

SB21,635,2

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146.23 (5) (n) 3. Shall submit a final budget in accordance with s. 301.031 (1) for
2authorized juvenile delinquency-related correctional services.

SB21,635,144 46.23 (5m) (c) Prepare, with the assistance of the county human services
5director under sub. (6m) (e), a proposed budget for submission to the county executive
6or county administrator,; a final budget for submission to the department of health
7services in accordance with s. 46.031 (1) for authorized services, except services
8under ch. 48 and subch. III of ch. 49 and, community-based juvenile
9delinquency-related services, and juvenile correctional services; a final budget for
10submission to the department of children and families in accordance with s. 49.325
11for authorized services under ch. 48 and subch. III of ch. 49, and for authorized
12community-based juvenile delinquency-related services; and a final budget for
13submission to the department of corrections in accordance with s. 301.031 for
14authorized juvenile delinquency-related correctional services.

SB21,636,416 46.23 (6) (a) (intro.) A county human services director appointed under sub. (5)
17(f) shall have all of the administrative and executive powers and duties of managing,
18operating, maintaining, and improving the services and programs of the county
19department of human services,. Those powers and duties are subject to the rules
20promulgated by the department of health services for programs, except that, with
21respect to services or programs under ch. 48 and subch. III of ch. 49 and
22community-based juvenile delinquency-related services or programs, those powers
23and duties are subject to the rules promulgated by the department of children and
24families for services or programs under ch. 48 and subch. III of ch. 49, and, with
25respect to juvenile correctional services or programs, those powers and duties are

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1subject to the rules promulgated by the department of corrections for juvenile
2delinquency-related services or programs. In consultation with the county human
3services board under sub. (5) and subject to its approval, the county human services
4director shall prepare all of the following:

SB21,636,129 46.27 (4) (c) (intro.) The planning committee shall develop, or, if the governing
10board of a resource center has under s. 46.283 (6) (b) 10. assumed the duties of the
11planning committee, the governing board of the resource center shall recommend a
12community options plan for participation in the program. The plan shall include:

SB21,636,1714 46.27 (4) (c) 5. A description of the method to be used by the committee or, if
15the governing board of a resource center has under s. 46.283 (6) (b) 10. assumed the
16duties of the planning committee, the governing board of the resource center to
17monitor the implementation of the program.

SB21,636,2220 46.27 (6r) (b) 1m. (intro.) The person meets the requirements under s. 46.266
21(1) (a), (b) or (c) any of the following for receipt of care in an institution for mental
22diseases.:

SB21,637,324 46.27 (6r) (b) 1m. a. A person who resided in the facility on the date of the
25finding that a skilled nursing facility or intermediate care facility that provides care

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1to Medical Assistance recipients to be an institution for mental diseases whose care
2in the facility is disallowed for federal financial participation under Medical
3Assistance.

SB21,637,94 b. A person who is aged 21 to 64, who has a primary diagnosis of mental illness,
5who would meet the level of care requirements for Medical Assistance
6reimbursement in a skilled nursing facility or intermediate care facility but for a
7finding that the facility is an institution for mental diseases, and for whom services
8would be provided in place of a person specified in subd. 1m. a. who discontinues
9services.

SB21,637,1911 46.27 (7) (am) From the appropriation under s. 20.435 (7) (4) (bd), the
12department shall allocate funds to each county or private nonprofit agency with
13which the department contracts to pay assessment and case plan costs under sub.
14(6) not otherwise paid by fee or under s. 49.45 or 49.78 (2). The department shall
15reimburse multicounty consortia for the cost of assessing persons eligible for medical
16assistance under s. 49.46, 49.468, 49.47, or 49.471 (4) (a) as part of the administrative
17services of medical assistance, payable under s. 49.45 (3) (a). Counties may use
18unspent funds allocated under this paragraph to pay the cost of long-term
19community support services and for a risk reserve under par. (fr).

SB21,638,921 46.27 (7) (b) From the appropriations under s. 20.435 (7) (4) (bd) and (im), the
22department shall allocate funds to each county to pay the cost of providing long-term
23community support services under sub. (5) (b) not otherwise paid under s. 49.45 to
24persons eligible for medical assistance under s. 49.46, 49.47, or 49.471 (4) (a) or to
25persons whom the county department or aging unit administering the program finds

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1likely to become medically indigent within 6 months by spending excess income or
2assets for medical or remedial care. The average per person reimbursement under
3this paragraph may not exceed the state share of the average per person payment
4rate the department expects under s. 49.45 (6m). The county department or aging
5unit administering the program may spend funds received under this paragraph
6only in accordance with the case plan and service contract created for each person
7receiving long-term community support services. Counties may use unspent funds
8allocated under this paragraph from the appropriation under s. 20.435 (7) (4) (bd) for
9a risk reserve under par. (fr).

SB21,638,2311 46.27 (7) (fm) The department shall, at the request of a county, carry forward
12up to 5% of the amount allocated under this subsection to the county for a calendar
13year if up to 5% of the amount so allocated has not been spent or encumbered by the
14county by December 31 of that year, for use by the county in the following calendar
15year, except that the amount carried forward shall be reduced by the amount of funds
16that the county has notified the department that the county wishes to place in a risk
17reserve under par. (fr). The department may transfer funds within s. 20.435 (7) (4)
18(bd) to accomplish this purpose. An allocation under this paragraph does not affect
19a county's base allocation under this subsection and shall lapse to the general fund
20unless expended within the calendar year to which the funds are carried forward.
21A county may not expend funds carried forward under this paragraph for
22administrative or staff costs, except administrative or staff costs that are associated
23with implementation of the waiver under sub. (11) and approved by the department.

SB21,639,11

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146.27 (7) (g) (intro.) The department may carry forward to the next state fiscal
2year funds allocated under this subsection and not encumbered by counties by
3December 31 or carried forward under par. (fm). The department may transfer
4moneys within s. 20.435 (7) (4) (bd) to accomplish this purpose. An allocation under
5this paragraph shall not affect a county's base allocation for the program. The
6department may allocate these transferred moneys during the next fiscal year to
7counties for planning and implementation of resource centers under s. 46.283 or care
8management organizations under s. 46.284 and for the improvement or expansion
9of long-term community support services for clients whose cost of care significantly
10exceeds the average cost of care provided under this section, including any of the
11following:

SB21,639,2513 46.27 (7g) (d) The department may require the county department or aging
14unit selected to administer the program in each county to gather and provide the
15department with information needed to recover payment of long-term community
16support services under this subsection. The department shall pay to the county
17department or aging unit an amount equal to 5% of the recovery collected by the
18department relating to a beneficiary for whom the county department or aging unit
19made the last determination of eligibility for funding under sub. (7). A county
20department or aging unit may use funds received under this paragraph only to pay
21costs incurred under this paragraph and shall remit the remainder, if any, to the
22department for deposit in the appropriation account under s. 20.435 (7) (4) (im). The
23department may withhold payments under this paragraph for failure to comply with
24the department's requirements under this paragraph. The department shall treat
25payments made under this paragraph as costs of administration of the program.

SB21,640,52 46.27 (7g) (e) From the appropriation under s. 20.435 (7) (4) (im), the
3department shall pay the amount of the payments under par. (d) and shall spend the
4remainder of the funds recovered under this subsection for long-term community
5support services funded under sub. (7) (b).

SB21,640,107 46.27 (11) (c) 3. Medical assistance reimbursement for services a county, a
8private nonprofit agency or an aging unit with which the department contracts
9provides under this subsection shall be made from the appropriations under s. 20.435
10(4) (bd) and (o) and (7) (b) and (bd).

SB21,640,1512 46.27 (13) Program termination. Notwithstanding subs. (5), (6), (6g), (6u), (7),
13(7m), (8), and (11), after the date the family care benefit, as defined in s. 46.2805 (4),
14is available to eligible residents of a county, the department may discontinue the
15program under this section in that county.

SB21,640,2217 46.271 (1) (a) (intro.) From the appropriation under s. 20.435 (7) (4) (bd), the
18department shall award $100,000 in each fiscal year to applying county departments
19under s. 46.215, 46.22, 46.23, 51.42 or 51.437 or to an aging unit under the conditions
20specified in par. (c) to establish pilot projects for home and community-based
21long-term support services. Funds awarded to the pilot projects shall be used to do
22any of the following:

SB21,640,25 2446.272 Children's community options program. (1) Definitions. In this
25section:

SB21,641,2

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1(a) "Child" means a person under 22 years of age who is not receiving services
2in or on a waiting list for an adult long-term care program.

SB21,641,83 (b) "Disability" means a severe physical, developmental, or emotional
4impairment which is diagnosed medically, behaviorally, or psychologically, which is
5characterized by the need for individually planned and coordinated care, treatment,
6vocational rehabilitation, or other services and which has resulted or is likely to
7result in substantial limitation on the ability to function in at least 2 of the following
8areas, equivalent to nursing home or institution for mental disease level of care: