All Roll Calls
Yes: 156 • No: 134
WisconsinSB1062025-2026 Wisconsin Legislature (Biennial Session)Senate
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
Signed by Governor
Sen Bill 106Health ServicesDepartment of -- HealthMedical assistanceMental health -- Hospitals and institutesYouth
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 2 benefits, 0 costs, 1 mixed.
Insurance payment options for youth treatment
The law adds psychiatric residential treatment for people under 21 as a reimbursable Wisconsin Medical Assistance service. DHS must seek federal approval when required and pay when approval is granted or is unnecessary. Payment is prohibited if the federal government rejects the request; the law sets no reimbursement amount. For minors enrolled at admission, the treatment team must include a physician skilled in pediatric or child psychiatry who knows the patient's situation. Facilities may also seek payment from private health plans and self-insured governmental plans. The law does not require those plans to cover treatment; their coverage and payment terms determine household costs.
New standards and grants for youth treatment
Wisconsin creates a framework for psychiatric residential treatment facilities serving people under 21, with care directed by a physician. Facilities must get Department of Health Services (DHS) certification and meet federal treatment, emergency planning, and patient safety rules. These include limits on restraint and seclusion. Before admission, a treatment team must find that community care is not enough and inpatient care is needed. Treatment must be expected to improve the patient's condition or prevent further decline so inpatient care is no longer needed. Admissions follow Wisconsin's Chapter 51 mental health procedures; facilities are exempt from Chapter 48 regulation. DHS can inspect facilities, investigate complaints, limit certifications, and set regional bed targets. It must consider geographic diversity and can set staffing, security, age, and other operating rules. DHS must also address coordination with facilities supported by other state funds. DHS may give startup grants, favoring at least one facility in northern or north-central Wisconsin and one in southern Wisconsin. No grant amount or placement is guaranteed. The law authorizes 4 full-time DHS positions and creates a funding account with $0 placeholders for 2025–26 and 2026–27, subject to the biennial budget act. DHS can issue emergency certification and Medicaid payment rules without a formal emergency finding. Those rules expire July 1, 2027, or when permanent rules take effect, whichever comes first. The law takes effect the day after publication or when the 2025 budget act is published, whichever is later.
Youth treatment safety measures and privacy limits
Psychiatric residential treatment facilities may record common areas, entrances, and exits without patient consent. They must notify the patient and the patient's parent, guardian, legal custodian, or Indian custodian. Recordings are confidential and closed to public inspection except as DHS rules allow; DHS may review them. Cameras cannot replace one-on-one monitoring for patients at high risk of self-harm, and facilities must have safety-monitoring policies. Facilities may also use locked units for safety, limiting patients' movement; DHS may require policies governing their use.
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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