(e) No later than June 30 of each year, beginning by June 30, 2025, the department shall submit to the joint committee on finance and to the chief clerk of each house of the legislature, for distribution to the appropriate standing committees under s. 13.172 (3), a report regarding crisis urgent care and observation facilities under this section, including information relating to all of the following:

1. Applications for certification received by the department.

2. The number of admissions, including both voluntary and involuntary admissions.

3. Data regarding how patients are arriving for admission, including through transport by law enforcement, family, emergency medical responders or emergency medical services practitioners, or county crisis personnel.

4. Average wait times, including for admission, treatment, discharge, and any other significant aspect of services provided by a crisis urgent care and observation facility.

5. The length of patient stays.

6. The time of day patients are admitted.

7. The source of payments for patient care, including private payment sources or payment under the Medical Assistance program under subch. IV of ch. 49.

8. Data regarding the county of residence for each patient in counties for which the county’s data is equal to or greater than 20 patients.

9. The estimated number of diversions from the Winnebago Mental Health Institute.

10. A description of the number and type of employees providing staffing during the various times of day, including through the use of telehealth.

11. A description of rules and procedures for determining where to take an individual in need of crisis services if a crisis urgent care and observation facility does not have capacity or otherwise does not accept an individual.

12. The number of repeat clients and readmissions.

13. Utilization of follow-up services, as applicable.

14. The number of transfers to other facilities, including Winnebago Mental Health Institute, hospitals, or other facilities.

15. A description of any injuries, assaults, or other safety-related incidents.

16. A breakdown of funding, including the amounts and sources of funding.

17. The number of clients served.

18. Facility capacity, specifically the number of staffed beds.

(f) Notwithstanding the certification requirements set forth under this subsection, any facility that before the effective date of this paragraph .... [LRB inserts date], is providing crisis intervention services that on or after the effective date of this paragraph .... [LRB inserts date], would otherwise require certification as a crisis urgent care and observation facility may on and after the effective date of this paragraph .... [LRB inserts date], continue to provide these services without obtaining certification from the department under this subsection.

(3) Admissions. (a) A crisis urgent care and observation facility certified under this section may accept individuals for any of the following services:

1. Voluntary stabilization.

2. Observation and treatment, including for assessments for mental health or substance use disorder.

3. Screening for suicide and violence risk.

4. Medication management and therapeutic counseling.

(b) A crisis urgent care and observation facility certified under this section shall accept an adult individual for emergency detention under s. 51.15 and may accept a youth for emergency detention under s. 51.15. If the facility does not have capacity to accept an adult individual for purposes of emergency detention or if the facility does not accept a youth for purposes of emergency detention, that individual shall be transported to another appropriate facility in accordance with rules established by the department under sub. (4). A county crisis assessment under s. 51.15 (2) (c) is required prior to admission to a crisis urgent care and observation facility for purposes of emergency detention, but the medical clearance requirement under s. 51.15 (2) (b) does not apply to crisis urgent care and observation facility admissions for purposes of emergency detention.

(c) The department shall encourage each crisis urgent care and observation facility certified under this section to operate with the intent to admit individuals for no longer than 5 days, except in exceptional circumstances.