Senate Bill 106 aims to establish a certification process for psychiatric residential treatment facilities (PRTFs) in Wisconsin, specifically for individuals under the age of 21. The bill empowers the Department of Health Services (DHS) to certify PRTFs that meet federal standards for providing inpatient psychiatric services. It includes provisions for announced and unannounced inspections, limits on the number of certifications, and geographic considerations to ensure diversity in PRTF locations. Additionally, the bill allows DHS to create administrative rules regarding security requirements, staffing levels, and operational standards for PRTFs. It also specifies that PRTF services will be reimbursable under Medical Assistance, contingent upon federal approval.

Furthermore, the bill introduces several operational aspects not covered by federal regulations, such as the use of video surveillance in common areas without patient consent, the implementation of locked units for safety, and the requirement for PRTFs to adopt safety monitoring policies. It also allows DHS to provide grants to establish PRTFs, with a focus on ensuring facilities are available in both northern and southern regions of the state. The bill clarifies that PRTFs must comply with all federal conditions of participation, including those related to patient protection and treatment plans. Overall, Senate Bill 106 seeks to enhance the availability and regulation of psychiatric care for minors in Wisconsin.