2019 - 2020 LEGISLATURE
December 3, 2019 - Introduced by Representatives Steineke, Rohrkaste,
Zimmerman, Tittl, Murphy, Dittrich, Krug, Plumer, Tusler, Mursau, Stuck
and Skowronski, cosponsored by Senators Darling, Roth,
Carpenter. Referred to Committee on Mental Health.
1An Act to create
20.435 (5) (by) and 51.445 of the statutes; relating to: creating
2a school-based mental health consultation pilot program and making an
Analysis by the Legislative Reference Bureau
This bill requires the Department of Health Services to create and administer
a school-based mental health consultation pilot program in Outagamie County to
assist participating school-based providers in providing enhanced care to students
with mental health care needs, to provide referral support for those students, and to
provide additional services. The mental health consultation pilot program is not an
emergency referral service. DHS must provide moneys to an organization that as of
January 1, 2019, provided consultation services through the child psychiatry
consultation program existing under current law, and the organization must meet
certain criteria and provide consultation services through the consultation pilot
program established by the bill. Under the bill, the consultation provider must have
the capability to provide consultation services by telephone, and may also provide
services by other means of communication. The consultation provider may also
provide certain in-person or Internet site-based educational seminars and refresher
courses provided to any participating school-based provider who uses the
consultation pilot program, and these services are eligible for funding from DHS.
A consultation provider must report any information requested by DHS. The
bill also requires DHS to conduct annual surveys of participating school-based
providers who use the consultation pilot program and to submit a report on the
program to the appropriate committees of the legislature by August 1, 2022.
For further information see the state 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:
20.005 (3) (schedule) of the statutes: at the appropriate place, insert 2
the following amounts for the purposes indicated:
- See PDF for table
20.435 (5) (by) of the statutes is created to read:
(by) School-based mental health consultation pilot program.
As a 5
continuing appropriation, the amounts in the schedule for operating the 6
school-based mental health consultation pilot program under s. 51.445. The 7
department is prohibited from expending more than $175,000 under this paragraph 8
in a particular fiscal year.
51.445 of the statutes is created to read:
1051.445 School-based mental health consultation pilot program. (1)
this section, “participating school-based providers” includes all of the following:
(a) A nurse, counselor, social worker, physical therapist, or occupational 13
therapist employed by a school or school district.
(b) A superintendent of a school district, a principal, a district administrator, 15
or a director of special education and pupil services.
The department shall create and administer a school-based mental health 2
consultation pilot program in Outagamie County to assist participating 3
school-based providers in providing enhanced care to students with mental health 4
care needs, to provide referral support for students, and to provide additional 5
services described in this section. The consultation pilot program created under this 6
section is not an emergency referral service.
The department shall provide moneys to an organization that provided 8
consultation services through the child psychiatry consultation program under s. 9
51.442 as of January 1, 2019, and the organization shall provide consultation 10
services through the consultation pilot program under this section in Outagamie 11
County in a manner that maximizes medically appropriate access and services as 12
described under sub. (4).
An organization providing consultation services through the consultation 14
pilot program under this section shall make available its own qualified provider or 15
consortium of providers. The organization shall successfully demonstrate that it 16
meets all of the following criteria:
(a) The organization has the required infrastructure to provide services within 18
(b) Any individual who would be providing consulting services through the 20
program is located in this state.
(c) The organization enters into a contract with the department agreeing to 22
satisfy all of the following criteria as a condition of providing services through the 23
consultation pilot program:
1. The organization has at the time of participation in the program a 25
psychiatrist, who is either eligible for certification or certified by the American Board
of Psychiatry and Neurology, Inc., for either adult psychiatry or child and adolescent 2
psychiatry or both, and has and maintains additional staff as specified by the 3
2. The organization operates during the normal business hours of Monday to 5
Friday between 8 a.m. and 5 p.m., excluding weekends and holidays.
3. The organization shall be able to provide consultation services as promptly 7
as is practicable.
4. The organization shall provide all of the following services:
a. Support for participating school-based providers to assist in the 10
management of students with mental health problems and to provide referral 11
support for students.
b. A triage-level assessment to determine the most appropriate response to 13
each request, including appropriate referrals to other mental health professionals.
c. When medically appropriate, diagnostic and therapeutic feedback.
d. Recruitment of other practices in Outagamie County to the provider's 16
5. The organization shall have the capability to provide consultation services 18
by telephone, at a minimum.
(a) An organization providing consultation services through the 20
consultation pilot program under this section may provide services by 21
teleconference, video conference, voice over Internet protocol, electronic mail, pager, 22
or in-person conference.
(b) The organization providing consultation services through the consultation 24
pilot program under this section may provide in-person or Internet site-based 25
educational seminars and refresher courses provided to any participating
school-based provider who uses the consultation pilot program on a medically 2
appropriate topic within child psychiatry. These services are eligible for funding 3
from the department.
An organization that provides consultation services through the 5
consultation pilot program under this section shall report to the department any 6
information as requested by the department.
The department shall conduct annual surveys of participating 8
school-based providers who use the consultation pilot program under this section to 9
assess the amount of pediatric mental health care provided, self-perceived levels of 10
confidence in providing pediatric mental health services, and the satisfaction with 11
the consultations and the educational opportunities provided.
By August 1, 2022, the department shall submit a report on the 13
school-based mental health consultation pilot program under this section to the 14
standing committees of the legislature with jurisdiction over health under s. 13.172 15
(1) Notwithstanding s. 16.42 (1) (e), in submitting information under s. 16.42 18
for the 2021-23 biennial budget bill, the department of health services shall submit 19
information concerning the appropriation under s. 20.435 (5) (by) as though the total 20
amount appropriated under s. 20.435 (5) (by) for the 2020-21 fiscal year had been 21
$175,000 instead of $350,000.
Notwithstanding s. 20.001 (3) (c), from the appropriation account under s. 24
20.435 (4) (bk), there is lapsed to the general fund $350,000 in fiscal year 2020-21.