All Roll Calls
Yes: 156 • No: 134
WisconsinSB1062025-2026 Wisconsin Legislature (Biennial Session)SenateWALLET
An Act to create 20.435 (5) (bt), 49.46 (2) (b) 14c., 49.46 (2) (bv) and 51.044 of the statutes; Relating to: psychiatric residential treatment facilities, providing an exemption from emergency rule procedures, and granting rule-making authority.
Sponsored By: Joint Legislative Council
Became Law
Sen Bill 106Health ServicesDepartment of -- HealthMedical assistanceMental health -- Hospitals and institutesYouth
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 3 benefits, 0 costs, 2 mixed.
Medicaid coverage for youth residential treatment
Medicaid now covers care in psychiatric residential treatment facilities for children and youth under 21, subject to state and federal approval. This can cut out-of-pocket costs for families who need residential psychiatric care. Facilities can also bill private and self-insured health plans for services.
Cameras and safety rules in youth facilities
Facilities may use video cameras in common areas, entrances, and exits without consent, but must tell patients and their parents or guardians. Recordings are confidential, and DHS can review them. DHS must require a safety‑monitoring policy, and video cannot replace one‑on‑one checks for patients at high risk of self‑harm. DHS can also require clear policies on when locked units are used.
New rules for youth psychiatric facilities
DHS certifies youth psychiatric residential facilities, and no one may operate without certification. DHS can inspect, limit how many are certified, and consider geographic spread. Before admission, a treatment team must certify that community care is not enough, inpatient care under a doctor is needed, and the services are likely to help. Facilities must follow federal active-treatment, emergency-preparedness, and participation rules. DHS can set security, bed targets, staffing, and who they serve. Certified facilities are no longer under chapter 48 licensing; they follow these DHS certification rules instead.
Grants to open youth treatment facilities
DHS can give grants to help open psychiatric residential treatment facilities. The agency gives preference to at least one facility in northern or north‑central Wisconsin and one in southern Wisconsin. This aims to improve local access to care for children and teens.
Faster rollout with emergency rules and staff
DHS can issue emergency rules to set up certification and Medicaid payment for these facilities. These emergency rules last until July 1, 2027, or until permanent rules take effect. The law adds four state‑funded DHS staff to run certification and oversight. It also creates a budget line to fund PRTF administration and programs.
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Sponsors & Cosponsors
Sponsor
Joint Legislative Council
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 6/24/2025
Assembly Substitute Amendment 1 laid on table, Ayes 52, Noes 45
Yes: 52 • No: 45
House vote • 6/24/2025
Assembly Amendment 1 laid on table, Ayes 52, Noes 45
Yes: 52 • No: 45
Senate vote • 6/18/2025
Senate Amendment 2 rejected, Ayes 17, Noes 15
Yes: 17 • No: 15
Senate vote • 6/18/2025
Read a third time and passed, Ayes 18, Noes 14
Yes: 18 • No: 14
Senate vote • 6/18/2025
Senate Substitute Amendment 1 rejected, Ayes 17, Noes 15
Yes: 17 • No: 15
Actions Timeline
Published 7-3-2025
7/3/2025SenateReport approved by the Governor on 7-2-2025. 2025 Wisconsin Act 9
7/3/2025SenatePresented to the Governor on 6-26-2025 by directive of the Majority Leader
6/26/2025SenateAttempted to present to the Governor on 6-25-2025, pursuant to Senate Rule 44m (2)
6/25/2025SenateReport correctly enrolled
6/25/2025SenateLRB correction
6/25/2025SenateReceived from Assembly concurred in
6/24/2025SenateOrdered immediately messaged
6/24/2025HouseRead a third time and concurred in
6/24/2025HouseRules suspended
6/24/2025HouseOrdered to a third reading
6/24/2025HouseAssembly Amendment 1 laid on table, Ayes 52, Noes 45
6/24/2025HouseAssembly Amendment 1 offered by Representative Palmeri
6/24/2025HouseAssembly Substitute Amendment 1 laid on table, Ayes 52, Noes 45
6/24/2025HouseAssembly Substitute Amendment 1 offered by Representative Hysell
6/24/2025HouseRead a second time
6/24/2025HouseRules suspended to withdraw from calendar and take up
6/24/2025HouseLRB correction (Senate Amendment 1)
6/24/2025HouseRead first time and referred to calendar of 6-24-2025
6/20/2025HouseReceived from Senate
6/19/2025HouseOrdered immediately messaged
6/18/2025SenateRead a third time and passed, Ayes 18, Noes 14
6/18/2025SenateRules suspended to give bill its third reading
6/18/2025SenateOrdered to a third reading
6/18/2025SenateWithdrawn from joint committee on Finance and taken up
6/18/2025Senate
Bill Text
Senate Amendment 1
6/13/2025
Bill Text
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