Wisconsin Code § 59.53

Health and human services
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(1) SURPLUS COMMODITY PLANS. The board may adopt and participate in any surplus commodity absorption plan in connection with furnishing
relief to needy persons within any municipality in the county and
appropriate money to carry out such plan.
(2) EMERGENCY ENERGY RELIEF. Regardless of whether a
county operates a relief program under sub. (21), the board may
appropriate money for making payments to individuals or providing grants to community action agencies and municipalities to assist persons and families in the purchase of emergency energy
supplies.
(3) COMMUNITY ACTION AND NONPROFIT AGENCIES. The
board may appropriate funds for promoting and assisting any
community action agency under s. 49.265, and for making payments to a nonprofit organization, as defined in s. 23.197 (4) (a)
1., that has as a primary purpose providing assistance to individuals who are the victims of domestic violence and related crimes.
The county may also appropriate money for making payments to
such a nonprofit organization for its capital and operational
expenses.
(4) COMPREHENSIVE HEALTH PLANNING. A county or combination of counties may engage in comprehensive health planning,
and boards may appropriate county funds to an areawide agency
for such planning, whether the organization to be utilized is a
public agency or a private, nonprofit corporation.
(5) CHILD AND SPOUSAL SUPPORT; PATERNITY PROGRAM;
MEDICAL SUPPORT LIABILITY PROGRAM. (a) The board shall
contract with the department of children and families to implement and administer the child and spousal support and establishment of paternity and the medical support liability programs provided for by Title IV of the federal social security act, except that
in a county with a population of 750,000 or more the county executive shall exercise all of this authority. The board may designate by board resolution any office, officer, board, department or
agency, except the clerk of circuit court, as the county child support agency and, in a county with a population of 750,000 or
more, the county executive shall administer the designated
county child support agency. The board, county child support
agency, or county executive of a county with a population of
750,000 or more shall implement and administer the programs in
accordance with the contract with the department of children and
families. The attorneys responsible for support enforcement under sub. (6) (a), circuit court commissioners and all other county
officials shall cooperate with the county and the department of
children and families as necessary to provide the services required under the programs. The county shall charge the fee established by the department of children and families under s.
49.22 for services provided under this paragraph to persons not
receiving benefits under s. 49.148 or 49.155 or assistance under s.
48.645, 49.19, 49.46, 49.465, 49.47, 49.471, or 49.472.
(b) The county child support agency under par. (a) shall electronically enter into the statewide data system related to child and
spousal support payments that is operated by the department of
children and families the terms of any order made or judgment
granted in the circuit court of the county requiring payments under s. 948.22 (7) or ch. 767 or 769 that are directed under s.
767.57 (1) to be paid to the department of children and families
or its designee. The county child support agency shall enter the
terms of any such order or judgment within the time required by
federal law and shall enter revisions ordered by the court to any
order or judgment the terms of which are maintained on the data
system.
(6) ATTORNEYS; SUPPORT ENFORCEMENT RESPONSIBILITY.
(a) 1. Except as provided in subd. 2. and in a county with a population of 750,000 or more, each board shall employ or contract
with attorneys to provide support enforcement. In a county with
a population of 750,000 or more, the county executive shall hire
or contract with attorneys to provide support enforcement under
this subdivision. Section 59.42 (1), (2) (a) and (3) does not preclude a board from assigning these support enforcement duties to
any attorney employed by the county.
2. If on June 1, 1989, a county has 1.0 or more full-time
equivalent attorney positions that have primary responsibility for
handling cases described in par. (b), as determined by the district
attorney of the prosecutorial unit, the county shall establish and
maintain a support enforcement office consisting of support enforcement attorneys and office personnel. In counties having a
population of less than 750,000, a county budget under s. 65.90
shall list the proposed appropriation under s. 65.90 (2) for the
support enforcement office separate from any other office, department or activity. In counties having a population of 750,000
or more, a county budget shall treat a support enforcement office
as a department, as defined in s. 59.60 (2) (as), separate from all
other departments, and administered by the county executive. If
a county ceases to employ 1.0 or more full-time equivalent attorney positions in the office, the county may provide support enforcement under subd. 1.
(b) Attorneys responsible for support enforcement under par.
(a) shall institute, commence, appear in or perform other prescribed duties in actions or proceedings under sub. (5) and ss.
49.22 (7), 767.205 (2), 767.501 and 767.80 and ch. 769.
(c) If the place of trial is changed to another county in any action or proceeding under par. (b), an attorney responsible for support enforcement under par. (a) shall continue to prosecute or defend the action or proceeding in the other county.
(7) INITIATIVE TO PROVIDE COORDINATED SERVICES. Except
in Milwaukee County, the board may establish an initiative to
provide coordinated services under s. 46.56.
(8) REHABILITATION FACILITIES. The board may establish
and maintain rehabilitation facilities in any part of the county under the jurisdiction of the sheriff as an extension of the jail, or
separate from the jail under jurisdiction of a superintendent, to
provide any person sentenced to the county jail with a program of
rehabilitation for such part of the person’s sentence or commitment as the court determines will be of rehabilitative value to the
prisoner. Rehabilitation facilities may be located outside of the
county under a cooperative agreement under s. 302.44.
(8m) SECURED RESIDENTIAL CARE CENTER FOR CHILDREN
AND YOUTH. The board may establish, or contract with a child
welfare agency to establish, a secured residential care center for
children and youth, on its own or jointly with one or more counties, under ss. 46.20 (1m), 59.52 (7), 66.0301, and 938.22 (1) (a),
or may contract with another county to place juveniles in that
county’s secured residential care center for children and youth. If
a board contracts with another county to place a juvenile at that
county’s secured residential care center for children and youth,

that secured residential care center for children and youth shall be
the county secured residential care center for children and youth
of the placing county with respect to the placed juvenile.
(9) GROUP HOMES. The board may own or operate group
homes, as defined in s. 48.02 (7).
(11) SENIOR CITIZEN PROGRAMS; APPROPRIATION; COMMISSION ON AGING. The board may:
(a) Appropriate funds to promote and assist county commissions on aging and senior citizens clubs and organizations within
the county in their organization and activities. A county may cooperate with any private agency or group in such work.
(b) Appoint a commission on aging under s. 46.82 (4) (a) 1., if
s. 46.82 (4) (a) 1. is applicable.
(c) Appropriate money to defray the expenses incurred by private organizations that provide homemaking services to elderly
and handicapped persons within the county if the services will
enable the persons to remain self-sufficient and to live independently or with relatives.
(12) GUARDIAN OF OR CONSERVATOR FOR COUNTY HOSPITAL
PATIENTS. In any county having a population of 100,000 or more,
the board may authorize the county as a body corporate to act as
guardian or conservator of the respective estates of patients in its
county hospital or mental hospital, and also as guardians or conservators of the respective estates of residents of its county home
or infirmary.
(13) PAYMENTS FOR ABORTIONS AND ABORTION-RELATED
ACTIVITY RESTRICTED. (a) No county, or agency or subdivision
of the county, may authorize funds for or pay to a physician or
surgeon or a hospital, clinic or other medical facility for the performance of an abortion except those permitted under and which
are performed in accordance with s. 20.927.
(b) No county or agency or subdivision of a county may authorize payment of funds for a grant, subsidy or other funding involving a pregnancy program, project or service if s. 20.9275 (2)
applies to the pregnancy program, project or service.
(14) VICTIMS AND WITNESSES OF CRIMES. The board may
appropriate money for the implementation and operation of a
program under s. 950.06.
(15) NURSING ASSOCIATIONS. The board may appropriate
money toward the support of organized and bona fide nursing associations in the county, such associations to have at least one
qualified nurse.
(16) ISOLATION HOSPITALS. (a) In counties having a population of 30,000 or more the board may erect, establish and maintain isolation hospitals or places for the care and treatment of all
persons afflicted with infectious, contagious and communicable
diseases, requiring isolation and quarantine under the laws of the
state, who are inmates of the charitable, penal, correctional and
other institutions of said county or who are required to be cared
for and treated at the expense of said county. The board may also
provide for the care and treatment therein of all persons so afflicted, who are required to be cared for by the various municipalities in said counties, under such terms, conditions, rules and regulations, as to apportionment of cost of erection of such buildings
and places and the expense of care and treatment of such persons
afflicted, as may be agreed upon between the county board and
the common council of such cities and the boards of such villages
and towns, and each such council or board is hereby vested with
power and authority to enter into such contracts and to appropriate such funds as may be necessary to carry into execution all
contracts so made.
(b) All isolation hospitals and other places, when erected or
established in counties having a county board of administration,
shall be conducted under the control and management of the
board of administration in the same manner and to the same extent as other institutions under the control of the board of administration, and in other counties the isolation hospitals and other
places shall be conducted under the control and management of
the county board. Any resident of this state who is not indigent
may be received into, treated and cared for in an isolation hospital
or other place upon the terms and conditions and at the rate or pay
established and fixed by the board having charge of the isolation
hospital or other place; provided, however, that indigent and destitute sick persons shall be cared for and have preference of admission to such hospitals and places.
(17) AID TO IMMIGRATION SOCIETIES. (a) A board may appropriate an amount not to exceed $1,000 in any one year for the
purpose of assisting a county association of the citizens of the
county, or an association composed of the citizens of 2 or more
counties of which the citizens of the county are members, organized solely for the purpose of inducing immigration to the state.
(b) The disbursement of an appropriation made under this
subsection shall be under the supervision of the chairperson of
the board, the clerk and the treasurer, and in all cases after such
an appropriation has been made, there shall be filed with the
clerk a sworn statement by the treasurer of the immigration society for whose benefit the appropriation was made, showing that
the amount of the appropriation has been used by the association
for the purpose of inducing immigration to the county making the
appropriation and to adjoining counties, and itemized bills for the
expenditure of a sum equal to the appropriation duly verified
shall accompany the statement of the treasurer. Upon the approval of the statement and the itemized bills, by the county officers above named, the money so appropriated shall be paid by the
proper officers of the county making the same into the treasury of
the immigration association.
(18) IMMIGRATION BOARD. (a) The county board may create
an immigration board consisting of 3 to 5 members, one of whom
shall be the county surveyor. The immigration board shall meet,
and its members shall receive such compensation and expenses
and shall serve for the terms that the county board determines.
(b) The immigration board shall aid in promoting settlement
of vacant agricultural lands in the county, and shall protect
prospective settlers from unfair practices.
(c) The county board may in any year appropriate for the carrying out of the work of the immigration board a sum not to exceed $5,000.
(19) JOINT OPERATION OF HEALTH-RELATED SERVICE. The
board may authorize the trustees of county hospitals, together
with a private or public organization or affiliation, to organize,
establish and participate in the governance and operation of an
entity to operate, wholly or in part, any health-related service; to
participate in the financing of the entity; and to provide administrative and financial services or resources for its operation on
terms prescribed by the board.
(20) WORK CENTERS. The board may establish and operate a
work center licensed under s. 104.07 to provide employment for
severely handicapped individuals, except that in a county with a
population of 750,000 or more, the county executive shall be in
charge of the operation of the work center.
(21) OPERATION OF RELIEF PROGRAMS. The board may establish and operate a program of relief for a specific class or
classes of persons residing in that county, except that in a county
with a population of 750,000 or more, the county executive shall
be in charge of the operation of the program of relief. The county
may set such eligibility criteria to obtain relief, and may provide
such services, commodities or money as relief, as the county determines to be reasonable and necessary under the circumstances.
The program may include work components. The county may

enact any ordinances necessary or useful to the operation of a relief program under this subsection. Counties may use vehicle registration information from the department of transportation in determining eligibility for relief programs under this subsection.
(22) COUNTY HOUSING AUTHORITIES. (a) Sections 66.1201
to 66.1211 shall apply to counties, except as otherwise provided
in this subsection, or as clearly indicated otherwise by the
context.
(b) The powers and duties conferred and imposed by ss.
66.1201 to 66.1211 upon mayors and councils are conferred upon
boards, and the powers and duties of specified city officials under
ss. 66.1201 to 66.1211 are conferred upon county officials performing duties similar to the duties of such specified city
officials.
(c) The area of operation of a housing authority created in and
for a county is all of the county for which it is created, but a
county housing authority may not undertake any housing project
within the boundaries of any municipality unless a resolution has
been adopted by the governing body of the municipality, and by
any housing authority which has been created in that municipality, declaring that there is need for the county housing authority
to exercise its powers within that municipality.
(d) County housing authorities created under this subsection
are urged to utilize those provisions of the federal housing laws
whereby private developers may acquire land, build housing
projects according to federal standards and turn them over to such
housing authorities for due consideration.
(23) HOUSING AUTHORITIES, COUNTIES HAVING ONLY ONE
TOWN. (a) The provisions of ss. 66.1201 to 66.1211 shall apply
to any county having only one town, except as otherwise provided
in this subsection or clearly indicated otherwise by the context,
and any housing authority established under this subsection may
participate in any state grants-in-aid for housing in the same manner as city housing authorities created under ss. 66.1201 to
66.1211.
(b) The powers and duties conferred and imposed by ss.
66.1201 to 66.1211 upon mayors and councils are conferred upon
boards, and the powers and duties of specified city officials under
those sections are conferred upon county officials performing duties similar to the duties of the specified city officials.
(c) Eligible low-income residents of the county who are 62
years of age or older may be given first preference in the selection
of tenants for housing provided under the authority of this subsection. The housing may, insofar as possible, be designed
specifically for the foregoing class of residents.
(d) The area of operation of a housing authority created in and
for a county under this subsection is all of the county for which it
is created.
(24) GOVERNMENT RELATIONS. In any county with a population of 750,000 or more, if the county has an office of intergovernmental relations or a department or subunit of a department
that provides lobbying services for the county, that office, department, or subunit shall employ one individual who is responsible
for representing the interests of, and reports to, the county executive and one individual who is responsible for representing the interests of, and reports to, the county board.
(25) MILWAUKEE COUNTY MENTAL HEALTH. The Milwaukee County board has no jurisdiction and may not take any actions, including under ss. 59.52 (6) and (31), 66.0301, and
66.0607 (2) , related to mental health functions, programs, and
services.

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