1 | 1 | | 2025 - 2026 LEGISLATURE |
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2 | 2 | | LRB-2327/1 |
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3 | 3 | | KMS:cjs |
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4 | 4 | | 2025 ASSEMBLY BILL 113 |
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5 | 5 | | March 11, 2025 - Introduced by JOINT LEGISLATIVE COUNCIL. Referred to |
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6 | 6 | | Committee on Mental Health and Substance Abuse Prevention. |
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7 | 7 | | |
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8 | 8 | | ***AUTHORS SUBJECT TO CHANGE*** |
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9 | 9 | | AN ACT to create 20.435 (5) (bx) and 46.537 of the statutes; relating to: |
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10 | 10 | | sharing minors[ safety plans. |
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11 | 11 | | Analysis by the Legislative Reference Bureau |
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12 | 12 | | This bill is explained in the NOTES provided by the Joint Legislative Council in |
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13 | 13 | | the bill. |
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14 | 14 | | For further information see the state fiscal estimate, which will be printed as |
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15 | 15 | | an appendix to this bill. |
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16 | 16 | | The people of the state of Wisconsin, represented in senate and assembly, do |
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17 | 17 | | enact as follows: |
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18 | 18 | | JOINT LEGISLATIVE COUNCIL PREFATORY NOTE: This bill was prepared for the |
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19 | 19 | | Joint Legislative Council Study Committee on Emergency Detention and Civil |
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20 | 20 | | Commitment of Minors. |
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21 | 21 | | The bill requires the Department of Health Services (DHS) to develop and |
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22 | 22 | | maintain a portal that is available throughout the state to facilitate sharing of safety |
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23 | 23 | | plans for a minor in crisis among safety plan partners. The bill defines a safety plan as |
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24 | 24 | | an individual[s written document, created in advance of a crisis, that provides guidance |
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25 | 25 | | on how to help the individual when the individual experiences a behavioral or |
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26 | 26 | | developmental health challenge or crisis. |
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27 | 27 | | Safety Plan Contents and Requirements |
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28 | 28 | | A minor who is at risk of an encounter with law enforcement or other emergency |
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29 | 29 | | service providers during a behavioral or developmental health challenge or crisis may |
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31 | 31 | | 2 2025 - 2026 Legislature |
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32 | 32 | | ASSEMBLY BILL 113 |
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33 | 33 | | - 2 - LRB-2327/1 |
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34 | 34 | | KMS:cjs |
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35 | 35 | | create a safety plan with the assistance of a facilitator. The bill directs DHS to develop |
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36 | 36 | | a standard safety plan template, and specifies that a minor[s safety plan may include |
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37 | 37 | | any of the following information: the minor[s name and address or addresses; what it |
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38 | 38 | | looks like when the minor feels unsafe or needs assistance; de-escalation strategies that |
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39 | 39 | | work for the minor; contact information for the minor[s parent or guardian, health care |
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40 | 40 | | providers, and individuals who can provide emotional support to the minor in times of |
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41 | 41 | | crisis; what the minor would like law enforcement officers or emergency responders to |
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42 | 42 | | know; and other information that is important to the minor. |
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43 | 43 | | The bill specifies that a safety plan expires one year after the date the safety plan |
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44 | 44 | | is signed. |
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45 | 45 | | Release of Information |
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46 | 46 | | The bill allows a minor[s safety plan to be shared with a safety plan partner only |
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47 | 47 | | if the minor has signed a release of information stating that the minor agrees and |
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48 | 48 | | understands that the safety plan will be used only to ensure the safety and well-being of |
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49 | 49 | | the minor, may be revoked at any time other than during a crisis, will be shared in the |
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50 | 50 | | portal and may be accessed by all safety plan partners and other networks in the portal, |
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51 | 51 | | and that the release of information will be attached to the minor[s safety plan. The |
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52 | 52 | | release of information must identify all current safety plan partners and include the |
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53 | 53 | | minor[s acknowledgment that additional safety plan partners may join the network and |
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54 | 54 | | access the minor[s safety plan. A facilitator must ensure that the minor understands |
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55 | 55 | | the release of information. |
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56 | 56 | | The bill specifies that a safety plan partner may access a safety plan only to |
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57 | 57 | | ensure the safety and well-being of the minor during a crisis, to review or update a |
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58 | 58 | | safety plan, or at the minor[s request. A safety plan partner must maintain |
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59 | 59 | | confidentiality of a safety plan and may disclose a safety plan to a person who is not a |
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60 | 60 | | safety plan partner in the network only if the person is the minor[s parent, guardian, |
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61 | 61 | | legal custodian, Indian custodian, legal representative, another safety plan network |
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62 | 62 | | during a crisis, or a bona fide researcher using de-identified information. |
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63 | 63 | | Safety Plan Network |
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64 | 64 | | The bill authorizes two or more persons or entities to form a network with each |
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65 | 65 | | other for the purpose of sharing safety plans for minors at risk of an encounter with law |
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66 | 66 | | enforcement or other emergency service providers during a behavioral or |
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67 | 67 | | developmental health challenge or crisis. The bill provides the following examples of |
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68 | 68 | | persons or entities that may choose to form a safety plan network: systems of care |
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69 | 69 | | through public or private entities that provide specialized services for children or that |
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70 | 70 | | provide child welfare, juvenile justice, educational, or other identified services for |
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71 | 71 | | children; a physical or mental health care provider; a county department of human |
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72 | 72 | | services; a county department of social services; a school; a school district; a law |
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73 | 73 | | enforcement agency; a fire department; an emergency medical services provider; a |
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74 | 74 | | tribal agency; child welfare services in Milwaukee County; 911 dispatchers; and the 988 |
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75 | 75 | | suicide and crisis lifeline. |
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76 | 76 | | When a network is formed, the safety plan partners must enter into a formalized |
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77 | 77 | | agreement that addresses the expectations for the safety plan partners, such as the |
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78 | 78 | | safety plan partners[ obligations, training requirements, and roles in the network. |
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79 | 79 | | Safety Plan Sharing Portal |
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80 | 80 | | As noted above, the bill requires DHS to develop and maintain a portal that is |
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81 | 81 | | available throughout the state to facilitate sharing of safety plans among safety plan |
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82 | 82 | | partners. Alternatively, DHS may make payments to the nonprofit corporation that |
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83 | 83 | | supports the state[s electronic health information exchange to develop and maintain the |
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84 | 84 | | portal. The bill authorizes a full-time staff position and includes a placeholder to add |
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85 | 85 | | funding in DHS[s schedule under the biennial state budget to develop and maintain the |
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86 | 86 | | portal. |
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87 | 87 | | The portal must have certain functionalities, including the ability to fill out a |
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88 | 88 | | safety plan online, notifications to a minor and facilitator when a plan is about to 2025 - 2026 Legislature |
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89 | 89 | | ASSEMBLY BILL 113 |
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90 | 90 | | - 3 - LRB-2327/1 |
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91 | 91 | | KMS:cjs |
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92 | 92 | | SECTION 1 |
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93 | 93 | | expire, a standard safety plan template, simplified views that allow law enforcement |
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94 | 94 | | officers to have quick access to safety plan information, capacity and integration |
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95 | 95 | | capabilities, a common data security standard, and safety plan audit data and use |
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96 | 96 | | logging with reporting capabilities. |
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97 | 97 | | SECTION 1. 20.005 (3) (schedule) of the statutes: at the appropriate place, |
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98 | 98 | | insert the following amounts for the purposes indicated: |
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99 | 99 | | 2025-26 2026-27 |
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100 | 100 | | 20.435 Health services, department of |
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101 | 101 | | (5) MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES |
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102 | 102 | | (bx) Minors[ safety plan sharing portalGPR A -0- -0- |
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103 | 103 | | SECTION 2. 20.435 (5) (bx) of the statutes is created to read: |
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104 | 104 | | 20.435 (5) (bx) Minors[ safety plan sharing portal. The amounts in the |
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105 | 105 | | schedule to develop and maintain the portal under s. 46.537 (5). |
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106 | 106 | | SECTION 3. 46.537 of the statutes is created to read: |
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107 | 107 | | 46.537 Sharing minors[ safety plans. (1) DEFINITIONS. In this section: |
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108 | 108 | | (a) XFacilitatorY means an individual who assists in the creation of a safety |
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109 | 109 | | plan. |
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110 | 110 | | (b) XSafety planY means an individual[s written document, created in advance |
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111 | 111 | | of a crisis, that provides guidance on how to help the individual when the individual |
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112 | 112 | | experiences a behavioral or developmental health challenge or crisis. |
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113 | 113 | | (c) XSafety plan partnerY means a person who is part of a network formed |
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114 | 114 | | under sub. (4) (a). |
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115 | 115 | | (2) SAFETY PLAN CONTENTS AND REQUIREMENTS . (a) A minor who is at risk of |
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116 | 116 | | an encounter with law enforcement or other emergency service providers during a |
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117 | 117 | | behavioral or developmental health challenge or crisis may create a safety plan, |
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118 | 118 | | with a facilitator, that includes any of the following information about the minor: |
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141 | 141 | | ASSEMBLY BILL 113 |
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142 | 142 | | - 4 - LRB-2327/1 |
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143 | 143 | | KMS:cjs |
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144 | 144 | | SECTION 3 |
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145 | 145 | | 1. The minor[s name. |
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146 | 146 | | 2. The minor[s address or addresses. |
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147 | 147 | | 3. What it looks like when the minor feels unsafe or needs assistance. |
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148 | 148 | | 4. De-escalation strategies that work for the minor. |
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149 | 149 | | 5. Contact information for the minor[s parent or guardian. |
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150 | 150 | | 6. Contact information for the minor[s health care providers, as defined under |
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151 | 151 | | s. 146.81 (1) (a) to (hp). |
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152 | 152 | | 7. Contact information for individuals who can provide emotional support to |
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153 | 153 | | the minor in times of crisis. |
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154 | 154 | | 8. What the minor would like law enforcement officers or emergency medical |
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155 | 155 | | responders to know. |
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156 | 156 | | 9. Other information that is important to the minor. |
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157 | 157 | | (b) A minor and a facilitator who create a safety plan under par. (a) shall sign |
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158 | 158 | | the safety plan. |
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159 | 159 | | (c) A safety plan created under par. (a) expires one year after the date the |
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160 | 160 | | safety plan is signed. |
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161 | 161 | | (3) SAFETY PLAN SHARING; RELEASE OF INFORMATION. (a) A minor[s safety |
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162 | 162 | | plan may be shared with a safety plan partner through the portal under sub. (5) |
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163 | 163 | | only if the minor has signed a release of information stating that the minor agrees |
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164 | 164 | | and understands all of the following: |
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165 | 165 | | 1. The safety plan will be used only to ensure the safety and well-being of the |
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166 | 166 | | minor by the safety plan partners. |
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167 | 167 | | 2. The safety plan may be revoked at any time other than during a crisis. |
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191 | 191 | | ASSEMBLY BILL 113 |
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192 | 192 | | - 5 - LRB-2327/1 |
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193 | 193 | | KMS:cjs |
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194 | 194 | | SECTION 3 |
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195 | 195 | | 3. The safety plan will be shared in the portal under sub. (5) and may be |
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196 | 196 | | accessed by all safety plan partners. |
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197 | 197 | | 4. Additional safety plan partners may join the network under sub. (4) (a) and |
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198 | 198 | | the safety plan may be shared with those additional safety plan partners. |
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199 | 199 | | 5. During a crisis, the safety plan may be accessed by a different network |
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200 | 200 | | formed under sub. (4) (a) that uses the portal under sub. (5). |
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201 | 201 | | 6. The release of information will be attached to the minor[s safety plan until |
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202 | 202 | | the safety plan expires or is revoked. |
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203 | 203 | | (b) A facilitator shall ensure the minor understands the release of information |
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204 | 204 | | under. par. (a). |
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205 | 205 | | (c) A release of information under par. (a) shall identify all current safety plan |
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206 | 206 | | partners at the time the release of information is signed by the minor. |
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207 | 207 | | (d) A release of information signed by a minor under par. (a) shall be attached |
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208 | 208 | | to the minor[s safety plan until the safety plan expires or is revoked. |
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209 | 209 | | (e) A safety plan partner may access a safety plan only to ensure the safety |
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210 | 210 | | and well-being of the minor during a crisis, to review or update a safety plan, or at |
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211 | 211 | | the minor[s request. |
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212 | 212 | | (f) A safety plan partner shall maintain confidentiality of a safety plan and |
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213 | 213 | | may disclose a safety plan to a person who is not in the safety plan partner[s |
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214 | 214 | | network under sub. (4) (a) only if the person is one of the following: |
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215 | 215 | | 1. The minor[s parent, guardian, legal custodian, Indian custodian, as defined |
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216 | 216 | | in s. 48.02 (8p), or legal representative. |
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217 | 217 | | 2. During a crisis, another safety plan network formed under sub. (4) (a) that |
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218 | 218 | | uses the portal under sub. (5). |
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242 | 242 | | 24 2025 - 2026 Legislature |
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243 | 243 | | ASSEMBLY BILL 113 |
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244 | 244 | | - 6 - LRB-2327/1 |
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245 | 245 | | KMS:cjs |
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246 | 246 | | SECTION 3 |
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247 | 247 | | 3. A bona fide researcher using de-identified information. |
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248 | 248 | | (4) SAFETY PLAN NETWORK. (a) Two or more persons, including any of the |
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249 | 249 | | following, may form a network for the purpose of sharing safety plans of minors who |
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250 | 250 | | are at risk of an encounter with law enforcement or other emergency service |
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251 | 251 | | providers during a behavioral or developmental health challenge or crisis: |
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252 | 252 | | 1. A system of care, as defined in s. 46.56 (1) (or). |
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253 | 253 | | 2. A physical or mental health care provider. |
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254 | 254 | | 3. A county department of human services. |
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255 | 255 | | 4. A county department of social services. |
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256 | 256 | | 5. A school. |
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257 | 257 | | 6. A school district. |
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258 | 258 | | 7. A law enforcement agency, as defined in s. 165.77 (1) (b). |
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259 | 259 | | 8. A fire department, as defined in s. 66.0314 (1) (c). |
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260 | 260 | | 9. An emergency medical services provider, as defined in s. 256.215 (1) (d). |
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261 | 261 | | 10. A tribal agency. |
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262 | 262 | | 11. The division of the department of children and families that is responsible |
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263 | 263 | | for administering child welfare services in Milwaukee County. |
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264 | 264 | | 12. A public safety answering point, as defined in s. 256.35 (1) (gm). |
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265 | 265 | | 13. A center designated to respond to statewide or regional contacts with the |
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266 | 266 | | universal telephone number for the national suicide prevention and mental health |
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267 | 267 | | crisis hotline system maintained under 42 USC 290bb-36c. |
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268 | 268 | | (b) When a network is formed under par. (a), the safety plan partners shall |
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269 | 269 | | enter into a formalized agreement that addresses the expectations for the safety |
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292 | 292 | | 23 2025 - 2026 Legislature |
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293 | 293 | | ASSEMBLY BILL 113 |
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294 | 294 | | - 7 - LRB-2327/1 |
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295 | 295 | | KMS:cjs |
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296 | 296 | | SECTION 3 |
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297 | 297 | | plan partners, such as the safety plan partners[ obligations, training requirements, |
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298 | 298 | | and roles in the network. |
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299 | 299 | | (5) SAFETY PLAN SHARING PORTAL. The department shall develop and |
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300 | 300 | | maintain, or make payments to a nonprofit corporation that supports the state[s |
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301 | 301 | | electronic health information exchange under ss. 153.80 to 153.82 to develop and |
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302 | 302 | | maintain, a portal that is available throughout the state to facilitate sharing of |
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303 | 303 | | safety plans among safety plan partners. The portal developed under this |
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304 | 304 | | subsection shall include all of the following: |
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305 | 305 | | (a) The ability to fill out a safety plan online and download the safety plan for |
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306 | 306 | | the purpose of obtaining a handwritten or electronic signature on the safety plan. |
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307 | 307 | | (b) The standard safety plan template developed by the department under |
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308 | 308 | | sub. (6). |
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309 | 309 | | (c) Simplified views for law enforcement officers for quick access to safety plan |
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310 | 310 | | information. |
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311 | 311 | | (d) The capacity to support several thousand users in the system with role- |
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312 | 312 | | based access for roles such as facilitators, law enforcement officers, and 911 |
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313 | 313 | | dispatchers. |
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314 | 314 | | (e) The potential for future integrations or single sign-on with other systems, |
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315 | 315 | | including electronic health records systems and 911 dispatch systems. |
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316 | 316 | | (f) Scalable storage capacity to support unlimited numbers of safety plans as |
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317 | 317 | | discrete data and as printable documents. |
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318 | 318 | | (g) Cloud-hosted, technical infrastructure certified by the Underlying Health |
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319 | 319 | | Information Trust Alliance, or its successor, and technical audit-logging |
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342 | 342 | | 23 2025 - 2026 Legislature |
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343 | 343 | | ASSEMBLY BILL 113 |
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344 | 344 | | - 8 - LRB-2327/1 |
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345 | 345 | | KMS:cjs |
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346 | 346 | | SECTION 3 |
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347 | 347 | | capabilities that meet the requirements of the federal Health Insurance Portability |
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348 | 348 | | and Accountability Act of 1996. |
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349 | 349 | | (h) Flexibility to allow a network formed under sub. (4) (a) to share a safety |
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350 | 350 | | plan with another network formed under sub. (4) (a) or keep access to the safety |
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351 | 351 | | plan restricted to within that network. |
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352 | 352 | | (i) Notifications to a minor and facilitator when the minor[s safety plan is |
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353 | 353 | | about to expire, if a safety plan is accessed, and any other activity that occurs |
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354 | 354 | | related to a safety plan. |
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355 | 355 | | (j) Safety plan audit data and use logging with reporting capabilities. |
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356 | 356 | | (6) STANDARD SAFETY PLAN TEMPLATE. The department shall develop a |
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357 | 357 | | standard safety plan template to be used under this section. |
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358 | 358 | | SECTION 4. Nonstatutory provisions. |
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359 | 359 | | (1) The authorized FTE positions for the department of health services are |
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360 | 360 | | increased by 1.0 GPR position, to be funded from the appropriation under s. 20.435 |
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361 | 361 | | (5) (bx), for the purpose of developing and maintaining the portal under s. 46.537 |
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362 | 362 | | (5). |
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363 | 363 | | SECTION 5. Effective date. |
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364 | 364 | | (1) This act takes effect on the day after publication, or on the 2nd day after |
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365 | 365 | | publication of the 2025 biennial budget act, whichever is later. |
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366 | 366 | | (END) |
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