CR_16-022 Substance abuse screening, testing, and treatment for the Children First program

Sta t e of Wisconsin

D e pa r t me nt of Chil d re n and F a m ilies

D CF 1 54

Substance Ab u se S cree ni n g , T e sting , and Treatment f or the

Children First Program

The W isconsin D e p a rtm e nt of Childr e n a nd F a mil i e s propos e s a n o rd e r to cr e a te c h a pt e r DCF 1 54 , r e lati n g to su b stan c e a bu s e scr ee ni n g , t e stin g , a nd t r ea tm e nt f o r the Children First program .

A n a l ys i s P re p a re d b y t he D e p a r t me n t o f C hild r e n a n d F a m il i es

Sta t uto r y authori t y: S e c tion 49.162 (7 ) , Stats., a s c r ea t e d b y 2015 W isconsin A c t 55

S t a t ut e s i n t e r p r e t e d: S e c tion 49.162 , Stats . , a s c r ea ted b y 2015 W isconsin A c t 55

R e lat e d sta t u t e or r u l e : S ec tion 49. 36 (3m) , a s c r ea ted b y 2 0 15 W isconsin A c t 55

Expla n a t i o n of Ag e n c y Autho r ity

S ec tion 49.162 (7 ) , Stats., a s c r e a ted b y 2 0 15 W isconsin A c t 55 , pro v ides t h a t “ the d e p a rtme n t shall p r omu l g a t e r ules to impl e ment the substan c e a buse s c r e e nin g , testin g , a nd tr e a tm e nt r e qui r e ments” und e r s . 49.162 , Stats.

S ec tion 49.162 , Stats., a s c r ea t e d b y 2015 W isconsin A c t 55 , r e quir e s subs t a n c e a buse s c r e e ni n g , testi n g , a nd t r ea tm e nt as a c ondition of e li g ibili t y f o r a ll of the f ollowin g :

• Persons who apply to participate in the Transform Milwaukee program or the Transitional Jobs program under s. 49.163 , Stats.

• Persons who apply to participate in W-2 services and benefits for noncustodial parents under s. 49.159 (1) (b) , Stats.

• Persons who are ordered by a court to register for Children First because they are not meeting their child support obliga tions.

T he pro p o s e d ch. DCF 154 applies t o the Child re n F irst pr o g r a m. Rul e s f o r the other 3 programs were promul g a ted se p a r a te l y in proposed ch. DCF 105 . A specific rule for the Children First program is required due to unique a nd subst a nti a l dif f e r e n ce s in how th a t p rog r a m is administe re d.

Section 49.36 (3m) , Stats., provides that “a person is not eligible to participate in a program under this section unless the person satisfies all of the requirements related to substance abuse screening, testing, and treatment under s. 49.162 , Stats., that apply to the individual.” S ec tion 49.162 (2) , Stats., r e quir e s an individual who registers for the Children First pr o g r a m to c ompl e te a qu e stionn a ire t h a t sc r e e ns for the a buse of a c ontroll e d subst a n ce . I f t h e a dminist e ring a g e n c y d e t e rmin e s that th e re is a r ea sona b l e suspi c ion th a t an i ndividual who is oth e r w ise e li g ible f o r a wo r k e x p e ri e n c e p r o g ra m is a b using a c ontroll e d subst a n c e b a s e d on the individual ’s a nswers to the qu e stionn a ir e , the individu a l must und e r g o a test for the use of a c ont r oll e d subst a n c e to be e l i gible to participate in the Children First program . I f the individual re fus e s to an s w e r the qu e stionn a i r e or submit to a d r ug test, the individual is not e li g ible to participate in the p r o g r a m until the individu a l compli e s with the r e quir e m e nt to c ompl e te the qu e stionn a i re and u n d er g o a test f o r the use o f a c ontroll e d sub s tan c e .

An individu a l who und e r g o e s a test for the u s e of a c ontroll e d subst a n c e a n d tests neg a tive will h a ve satisf a c tori l y c omp l e ted the subst a n c e a buse testing r e quir e ment s . An individu a l who tests positive but p re s e nts evide nc e o f a v a lid p r e s c ription that e x plains a n y met a bolite d e te c ted b y the t e st will a lso ha v e s a tisf a c tori l y c ompl e ted t he subst a n c e a buse testi n g r e quir e men t s. An individual who t e sts pos i tive without pr e s e nting e viden c e of a v a lid pr e s c r i ption is re quir e d under s. 49.162 (4) (a) , Stats., to pa r ti c ipate in substance a buse t r ea tm e nt in order to r e m a in eli g ible f o r the Children First program .

Du r ing t h e time a n individual is p a rticip a ting in re q u ir e d controlled subst a n c e a buse t r ea tm e nt, the individual is r e quir e d under s. 49.162 (4) (b) , Stats., to under g o one or more random subst a n c e a buse t e sts. An individu a l who tests positive du r ing tr e a tm e nt without pr e s e n t ing e vide n c e of a v a lid p r e s c ription that e x plains a n y met a bolite d e te c ted b y the t e st will h a v e one opp o rtuni t y to b e g in t r ea tm e nt a g a in. The individual re - e nte r i n g tre a tm e nt a f ter a n un e x plain e d positive test r e mains e li g ible for the pro g r a m on l y if the individual do e s not h a ve a nother un e x plain e d positive test b e fo r e s u cce ssf u l l y c ompl e ti n g tr e a tment. Upon c ompl e t ion of the tr e a tm e nt pr o g ra m, the individual must und e r g o a test f o r subst a n c e a buse under s. 49.162 (4) (c) , Stats . I f the test r e s u lt is ne g a tive or if it is p o sitive only for met a bolites a ssoci a ted w ith a v a lid pr e s c ription, the individu a l will have satisf a c tori l y c ompl e ted the subst a n c e a bu s e testing r e quir e ments under s. 49.162 (4) (c) , Stats .

Su m m a r y of t he P r opo s e d Rul e

T he pur p ose o f this c h a pter is to e stablish a p roc e s s to s c r e e n f o r, a nd, if a p p r opri a te, t e st for the use of c ontroll e d sub s tan c e s , a s d e fin e d in this c h a pte r , b y individuals registered for the Children First p r ogr a m administ e r e d b y the D e p a rtme n t o f Child re n a nd F a mili e s under s. 49.36 , Stats. , a nd to re fer individu a ls d e te r min e d to be a busi n g a c ontroll e d subst a n c e to a t rea tm e nt provi d e r f or a subst a n c e a buse a ssessment a nd e v a luation a nd a ppro p r i a te tre a t m e nt.

The pro p osed ru l e p e rmi t s the d e p a rtme n t to a ppr o ve one or mo r e scr ee ni n g qu e stionn a ir e s that m a y b e used to det er mine wh e ther th e re is r ea sona b le suspicion that a n individual w ho is othe r wise e l i g ible f or a w o r k e x p e ri e n c e p r o g r a m under s. 49.36 , Stats., i s ab u sing a c ont r oll e d s u bstan c e , standards f or c on c luding a r e a sona b le suspi c ion of c ontroll e d subst a n c e a bu s e e x ists, a nd p r o ce du r e s for d e te r mining w h e n a n in d ividu a l has re fus e d to c o mp l y with the scr ee ni n g r e quir e ment. The p r opos e d rule d e fin e s h o w individu a ls r ea sonab l y suspe c ted of a busing a c ontroll e d subst a n c e will be test e d for use o f a c ontroll e d subst a n ce , w h a t a lt e rn a tive test r e sults m a y b e a c ce pted to s a tis f y the t e sti n g r e quirement, wh a t con f i rm a tion testing m a y be r e quir e d , how t e st r e sult r e c o r ds will be stor e d to assu r e c o n fid e nti a li t y a n d c omplian c e with f e d e ra l r e g u l a tions r e lati n g to di a g nosis and tre a tm e nt r e c o r ds f o r d r u g a bu s e , how a ppli ca nts m a y c o n s e nt to sh a ring test r e sult info r mation, a nd h ow r e fu s a l to submit to a t e st will be d e te r min e d .

F or a ppli c a nts who t e st positive for use o f a c ont r oll e d subst a n c e without e viden c e of a v a l i d p re s c ription that e x plains a ll c ontroll e d subst a n ce s identifi e d in the test, the p r opos e d rule d e fin e s how the individual will be a ssess e d to de t e rmine t he n ee d f o r tre a tm e nt, how r a ndom dr u g tests during t r ea tm e nt and a t the c ompl e tion of tre a tm e nt will be ca r r ied out, w h a t st a nd a rds w ill be used to det e rmine if a n i n dividu a l with a positive t e st r e sult during o r a f t e r t r e a tm e nt c a n c ontinue or r e - sta r t tre a t ment, a nd who h a s a cce s s to and m a int a ins r ec o r d s of tr e a tm e nt. F inal l y , the propos e d rule d e t e rmin e s wh e ther a n individual w h o is in e li g ible f or a wo r k e x p e ri e n c e p r o g ra m m a y r ea pp l y f or t h e s a me p r ogr a m or a pp l y for other d e p a rtme n t p r ogr a ms co v e r e d b y the subst a n c e a bu s e scr ee ni n g , testi n g , a nd t r ea tm e nt r e quir e ment.

If a person registered for the work experience program under s. 49.36 , Stats., fails to complete a screening q uestionnaire under s. DCF 154.04 , fails to subm it to a test under s. DCF 154.05 , or fails to participate in treatment under s. DCF 154.06 , the administering agency is required to notify the clerk of court for the court that ordered the individual to register for the program by submitting an affidavit. This notification requirement assures the court is aware the person is ineligible for the program under s. 49.36 (3m) , Stats., and that the court will not receive an affidavit of completion under s. 49.36 (4) , Stats.

Su m m a r y of F a c tual D a t a and Analy t ical Me t hodologi e s

The r ule w as d e v e lop e d with the a ssistan c e of a g e n c ies a d m iniste r i n g the Children First pro g r a m und e r the d e p a rtme n t’s 2 01 5 - 2016 c ontr a c ts a nd child support enforcement agencies. The department shared proposed ch. DCF 105 with these stakeholders and asked them to identify changes that would be required to accommodate the unique features of the Children First program.

Su m m a r y of R e la t e d Fed er al R e quire m e nts

Drug T e sting of W e lfare R e c ipi e nts

Pu r suant to 21 USC 862 b , the f e d e r a l g ov e rn m e nt m a y not prohibit st a tes f r om r e quiring d r ug tests f o r w e l f a r e r ec ipi e nts nor f rom s a n c tio n i ng w e l f a r e r e c ipi e nts w h o f a il such tests. Pu r suant to 42 USC 608 (b ) , stat e s are p e rmitt e d to r e quire subst a n c e a bu s e tr e a tm e nt as a c omponent of a n individual re sponsibili t y plan a n d to app l y a p e n a l t y f or n on c omplian c e in the a bsen c e o f g ood c a use. The Children First program does not pay either a benefit or a subsidy, however it is funded with federal Temporary Assistance for Needy Families block grant funding, an d is subject to the above provisions.

Confid e ntiality

Confid e nti a li t y of r ec o r d s r e lating to dr u g t e sting a nd tr e a tm e nt is g ov e r ne d b y re g ulations spe c ific to d r u g testi n g a nd tr e a tm e nt p r o g r a ms th a t a r e f e d e r a l l y a ssisted u nd e r 42 C F R P a rt 2 a nd b y t h e He a lth I ns u ran c e Po r tabili t y a nd A c c o unt a bili t y A c t of 1996 (H I PA A ), 45 C F R P a rts 160 a nd 164 , Subp a rts A a nd E. Prog r a ms subje c t to both sets of r ules must c omp l y with both, a nd th e y a r e g e n e r a l l y c o mpatibl e . B oth sets of r u l e s a r e di r ec ted to w a rd a ssuring p a ti e nt r ec o rds r e main p r ivate a nd a r e n o t dis c losed unl e ss the p a ti e nt volunta r i l y c on s e nts to their re l e a s e .

C o m pa r ison t o Rul e s in Adja c e nt Sta t e s

There are no work experience programs for child support payers similar to Children First in adjacent states. The comparison below includes more generally the rules in adjacent states for TANF block grant funded programs.

The on l y a djac e nt st a te p lanning d r u g testi n g in a public assistance program is M ichi g a n. I n 1999, Mi c h i g a n p a ssed a l a w r e quiri n g a ll a ppli ca nts f or Mi c higan ’ s T e mpo r a r y As s ist a n c e f or N e e d y F a mili e s pro g r a m, the F a mi l y I nd e p e n d e n c e P r o g r a m, to und e r g o dr u g t e stin g . Th a t l a w wa s d e c l a r e d un c onstitution a l in a d e c ision that h e ld Mi c higan l a w a uthori z ing s uspi c ionl e ss drug testi n g of w e lfare r ec ipi e nts w a s un c onstitution a l b e c a use it w a s not int e nd e d t o a ddr e ss public saf e t y , a nd the stat e ' s d e sire to a ddr e ss substance a buse a s a b a r ri e r to e mpl o y m e nt w a s not a spe c ial n ee d suf f ici e nt to justi f y d e p a rtu r e f rom the F our t h Am e ndment re qui r e m e nt of individuali z e d susp i c ion. W hile i nitial l y r e v e r s e d on a pp e a l to the 6 th C ir c uit Court of App e a ls, t h e initi a l d ec ision w a s vac a ted w h e n the 6 th C ir c uit Court d e c ided to h ea r the c a se e n b a n c . The f ull c ourt split 6 - 6 w ithout de c isio n , a nd the e ff ec t w a s to a f f irm t he Distri c t Court ’ s de c i s i on a nd o r d er .

I n 2014, t h e Mi c higan l e g isl a ture a uthori z e d a n e w thr e e - c oun t y pilot proje c t to e v a luate d r u g testing of a ppli c a nts for p ublic a ssistan c e b a s e d on suspi c ion, and the bills w e re s i g n e d into law in D ece mb e r 20 1 4. Th e r e a re no a dministr a tive rul e s for this proj ec t , whi c h is s c h e duled to r un for on e - y e a r e ndi n g S e ptemb e r 20 1 6.

Oth e r s tat e s that ha v e a d opted a dministr a tive r ul e s r e lating to dr u g t e sting a nd tr e a tm e nt of r e c ipi e nts of public a ssis t a n c e inclu d e No r th C a ro l ina, T e nn e ss e e , a nd Mis s ou r i. Unlike W isconsin wh e re the e n a bling statute a dd r e sses particip a tion in wo r k e x p e ri e n c e pr o g ra ms, the No r th C a rolin a , T e n n e sse e , a nd Missouri rul e s d e te r mine e li g i bili t y to r e ce ive c a sh b e n e fits.

Eff ec t on S m all Busi n e s s

Non e . The p r opo s e d rul e impose s no c omplian c e or re porti n g r e quir e ments on sm a ll busin e sses.

Analysis Us e d t o D e t e r m i n e E ff ec t on S m all Busi n e ss or in P re pa r a t i o n of E c ono m ic Impact Analysis

The imp ac t of th e p ro p osed rul e is limited to county child support enforcement a g e n c ies a dminist e ri n g the Children First program and W-2 agencies providing employment services under contracts with those county agencies and individuals p a rticip a ting in t h ose p r ogr a ms. N o c u r r e nt W - 2 a g e n c y or child support enforcement a g e n c y is an inde pe n d e nt l y ow n e d a nd op e r a t e d busin e ss enti t y with f e w e r t h a n 25 e mp l o y e e s or l e ss th a n $5,00 0 ,000 in g ross a nn u a l sal e s, a s spe c ified in s. 227.114 (1) , Stats. The p rima r y imp ac t of the p r o posed r ule is on individuals registered for the Children First program. A l l r e porting a nd c omplian c e r e quir e ments a pp l y on l y to a g e n c ies a dminist e ring the Children First pr o g r a m and p a rticip a nts in th at pr o g r a m .

Ag e n c y Conta c t P e r son

Kris Randal, Administrator , Division of Fami l y a nd E c onomic Security , D e p a rtme n t of Childr e n a nd F a mili e s, (608) 422 - 6187 , kris.randal @ wi s c onsin. g o v .

P la c e Wh er e C o mme n t s are t o be Sub m i t t e d a nd D e adline f or Sub m ission

Comm e nts m a y be submitted to Phyllis Fuller , B u r ea u of Child S upport , Division of F a mi l y a nd E c onomic S e c u r i t y , D e p a rtme n t of Childr e n a nd F a mili e s, 201 E. W a shin g ton Av e nu e , A20 0 , M a dison, W I , 537 0 3 or [e-mail] . The c omm e nt d ea dline is March 17 , 2016 .

SECTION 1. C hapt e r D C F 154 is cre a t e d t o r e ad:

Cha p t e r D C F 154

SUBSTA N CE ABUSE SC R EENI N G, TESTING, A N D TREAT M ENT F OR THE CHILDREN FIRST P R O G R A M

D C F 154.01 P u r pose. T he pur p ose o f this c h a pt e r is to est a blish a p ro c e ss to sc ree n f o r, a nd, if a ppro p ri a te, t e st f or the use of c ontroll e d subst a n ce s b y persons ordered to participate in the Children First wo r k e x p e ri e n c e p r ogr a m administ e r e d b y the d e p a rtme n t under s. 49.36 , Stats., and to r e fer persons dete r m i n e d to be a busi n g a c ontroll e d subst a n c e to a tr e a tm e nt provid e r for a s ubst a n c e a bu s e a ssessm e nt and e v a luation a nd a ppro p ri a te t r ea tm e nt a s r e quir e d b y s. 49.16 2 , S t a t s .

D C F 154.02 D e f i n ition s . I n this c h a pte r :

(1) “ Administe r i n g a g e n c y ” h a s the me a ni n g g iv e n in s. 49.162 ( 1) (a ) , St a t s .

(2) “ Confi r mation t e st” means an a n a l y t i ca l p r o c e dure used to quantify a spe c ific c ontroll e d subs t a n c e or its met a bolite in a spe c im e n through a test that is dif fe r e nt in sc i e ntific pr i n c iple f rom that of the i n itial test pro c e dure a nd c a p a ble of p roviding r e quisite sp e c ifici t y , sen s itivi t y , a nd q u a ntitative a cc u r a c y to positive l y determine use of a c ontroll e d subst a n ce .

(3) “ Controll e d subst a n c e ” or “ subst a n c e ” h a s the me a ning g i v e n for “c on t roll e d s ubst a n ce ” in s. 961.01 ( 4 ) , Stats.

(4) “ D e p a rtme n t” m ea ns the d e p a rtme n t of c hild r e n a nd f a mili e s.

(5) “ Met a bolit e ” me a ns a c h e mi ca l p r e s e nt in the bo d y w h e n a c on t roll e d subst a n c e is b e ing br o k e n down th r o u g h n a tu r a l m e tabolic p r o ce sses that c a n be d e t ec t e d or m e a s u r e d a s a positive indi ca tor th a t a controll e d subst a n c e a sso c iat e d with the met a bolite h a s be e n us e d.

(6) “ Medic a l r e v i e w o f f i ce r” m ea ns a li c e nsed p h y s ici a n employed by or providing services under contract to a drug testing vendor w ho h a s knowl e d g e o f substance a buse disord e rs a nd labor a to r y t e sting pr o ce d u r e s a nd who h a s the n ece s s a r y tr a ini n g and experience to int e rp r e t and e v a luate a person ’ s positive test r e sult in r e lation to that person ’s m e dic a l histo r y a nd c u r r e nt valid pr e s c riptio n s.

(7) “Person” means a parent who is not a custodial parent under s. 767.55 (2) (a) , Stats., who has been ordered by the court pursuant to s. 767.55 (2) (am) , Stats., to participate in a work experience and job training program under s. 49.36 , Stats.

(8) “ R ea so n a ble suspici o n” me a ns suspi c ion of c o ntroll e d subst a n c e a bu s e b y a person b a s e d on that person ’ s sco r e on a s c r ee ni n g qu e stionn a ir e .

(9) “ S c r ee ni n g ” m e a ns c ompl e tion of a qu e stionn a ire re g a rdi n g the person’s c u r r e nt a nd p r ior use of c ontroll e d subst a n ce s .

(10) “ Sp ec im e n ” me a ns t issu e , f lui d , or a pro d u c t of the human bo d y ca p a b le of re v ea li n g the p re s e n c e of c ontroll e d subst a n c es or th e ir m e t a bolites.

(11) “ T r ea tm e nt” m e a ns se r vic e s that a re c ond u c ted under c linic a l supe r vision to assist a person th r ou g h the p roc e ss of rec o v e r y from controlled substance abuse a nd m a y include s c r ee ni ng for abuse of controlled substances, a ppli ca tion of a ppro v e d pla c e ment c rite r ia, intake, ori e ntation, ass e ssm e nt, individuali z e d tr e a tm e nt pl a nni n g , int e r v e ntion, individual or g r o up a nd f a mi l y c ouns e li n g, r e fer r a l, dis c h a r g e plannin g , a ft e r ca r e or c o ntinuing ca r e , r ec o r d k ee p in g , c onsultation with other prof e ssion a ls re g a rdi n g the p a ti e nt’s t r ea tm e nt, re c ov e r y a nd ca se m a n a g e m e nt, c r isis int e rv e ntion, c li e nt edu c a tion, e mpl o y ment , a nd p r oblem re sol u tion in life skills fun c tio n in g .

(12) “Treatment program” means a program certified to provide treatment for controlled substance abuse as a medically managed inpatient service under s. DHS 75.10 , a medically monitored treatment service under s. DHS 75.11 , a day treatment service under s. DHS 75.12 , an outpatient treatment service under s. DHS 75.13 , a transitional residential treatment service under s. DHS 75.14 , or a narcotic treatment service for opiate addiction under s. DHS 75.15 .

(13) “ T r ea tm e nt provid er ” or “ p r ovi d e r” m e a ns a p r ovider of t r ea tm e nt for c ontroll e d subst a n c e a b u se ce rtifi e d b y t h e d e p a r t ment of h ea lth se r vi c e s u nd e r the pro v isions of c h. D H S 75 .

(14) “ W o r k e x p e ri e n c e p rog r a m” or “ p r o g r a m” me a ns a work experience program for noncustodial parents under s. 49.36 , Stats.

D C F 154.03 In f o r m a t i o n about t he re quir e me nt for c ont r oll e d substa n c e abu s e s cree ni n g, t e sting, and tre a t me n t . An a dminist e r ing a g e n c y shall p rovide to any p e rson who has been ordered by a court to register for a work experience program under s. 49.36 , Stats., info r mation that explains the requirement to u nd e r g o scr ee ni n g , testi n g, a nd tr e a tm e nt f o r a buse of c ontroll e d subst a n ce s under s. 49.162 , Stats. The information shall be in a fo r mat a ppro v e d b y the d e p a rtme n t .

D C F 154.04 A d m i n ist e r i n g a c ont r oll e d substa n c e abuse s cr e e ni n g qu e s tion n aire to d e t e r m i n e re asonable suspicion o f s u bstance abus e . ( 1) W HO MU S T CO M P L E T E A S CR EE N I NG QU E S TI ONN A I R E . An a d m iniste r ing a g e n c y shall a d minist e r a c ontroll e d su b stan c e a bu s e s c r e e ni n g q u e stionn a ire a ppro ve d b y the d e p a rtm e nt to any person ordered to participate in a work experience program.

(2) E F F E C T O F F A ILI N G T O CO M P L E T E SCR E E N I NG Q U E S T I O NN A I R E . The person is r e quir e d to a n s w e r a ll qu e stions on the sc r ee ni n g qu e stionn a ir e , si g n a nd d a te the qu e stionn a i r e, a nd submit it to the a dm i nist e ring a g e n c y. A person who f a ils to submit a c ompl e ted s c re e ning q u e stionn a ire is not eli g ible to pa r ti c ipa t e in a w o r k e x p e ri e n c e p rog r a m, and the a dminist e ring a g e n c y shall inform the clerk of courts by affidavit that the person is not eligible to participate in the program.

(3) E F F E C T O F SUCC E S S F U L L Y PAS S I NG T H E SCR E E N I NG QUE S TI O NN A I R E . A person whose score on the s c r e e ning qu e stionn a i r e do e s not establish a r ea so n a ble suspicion of a buse o f a c ontroll e d subst a n c e h a s ful l y satisfi e d the r e qui r e ments of this c h a pter a n d m a y p a rticip a te in a wo r k e x p e ri e n c e pr o g r a m subje c t to this ch a p ter without f u r ther s c re e n in g , testin g , o r tr e a tm e nt.

D C F 154.05 R e quiring a te st for t he use of a c o nt r oll e d substance. (1) W HO MAY BE R E Q U I R E D T O UNDERGO TE S TI N G . A person wh o se score on the scr e e ni n g qu e stionn a i r e e stablishes a r e a sona b le s uspi c ion of a buse of a c o ntroll e d subst a n c e shall b e re qui r e d to under g o a test for the use o f a c o n trolled subst a n c e.

(2) N A T URE O F T E S TI NG R E Q U I R E D. T e sting s h a ll c onsist of labo r a to r y a n a l y sis of a spe c im e n c oll ec t e d f r om a person by a drug testing vendor . The d e p a rtme n t shall p r ovide to ea c h a dminist e ring a g e n c y a list of a ll c ontr o ll e d subst a n ce s or met a b olites of c ontroll e d subst a n ce s that must be includ e d in the test a nd c utoff lev e ls for the t e st a nd cutoff levels for a n y c onfi r mation t e st that m a y b e used. The d e p a rtme n t m a y a dd o r d e lete c ontroll e d subst a n c e s or met a bolites that must be in c luded in the labo r a to r y test to r e fl e c t c h a n g e s in p r e-e mpl o y m e nt drug t e sting p r ac ti c e s of Wisconsin e mpl o y e rs. A n y positive test result on the initial drug test sh a ll be c onfi r med t h rou g h a c onfi r m a tion test using the o r i g inal spe c im e n c oll ec t e d f r om the person.

(3) CO N T RA C T F OR TE S TI NG SER V I C E S. S ubje c t to the d e p a rtme n t ’s a ppro v a l, t he a dminist e ring a g e n c y m a y c ont r ac t with a n y q u a lifi e d d r u g testing v e ndor t o c oll ec t a sp e c im e n, ca r r y out lab o r a to r y a n a l y s is of the spe c im e n , sto r e the spe c im e n for c o n fi r mato r y testi n g if r e quir e d , c ompl e te c onf ir mato r y testi n g , a nd p rovide re view b y a medi c a l r e view of f i ce r . T h e d e p a rtme n t m a y r e quire t he a d minist e ring a g e n c y to use a spe c ific t e sting s e rvi c e p ro c u r e d throu g h st a te c ontra c ting if the d e p a rtme n t d e te r m i n e s that volume discounts or other pref e r e nti a l p r icing t e rms ca n b e ac h i e v e d thro u g h a sta t e wide c ontr a c t .

(4) R E F US A L T O SUB M I T T O A T E S T . A person r e fus e s to submit to a test if the person do e s a n y of the following:

(a) F a ils or r e fus e s to pr o vide a spe c im e n d u ring a n a ppointment s c h e duled b y the a dminist e ring a g e n c y f o r that pu r pose.

(b) F a ils or r e fu s e s to a p p ea r f o r a test a t the time a nd pla c e di r ec ted b y t h e a dminist e ring a g e n c y .

(c) F a ils or r e fus e s to c o mpl e te a n y f o r m or r e l e a s e of in f o r m a tion r e qu i r e d for testi n g , including those r e quir e d b y the dr u g testing v e n d or that p e rmit the drug testing v e ndor to r e port test r e sults to the a dminist e ring a g e n c y .

(d) F a ils or re fu s e s to pr o vide a v a lid spe c im e n for testin g .

(e) F a ils or r e fus e s to pr o vide v e ri f i c a tion of identi t y to the testing v e ndo r .

(f) F a ils or r e fus e s to co o p e r a te with the m e d i ca l r e v i e w officer, in c luding r e f usal to c ompl e te a n int e rview or a nsw e r q u e stions or re fu s a l to pr o vide r e c o r ds n ec e ssa r y to demonstr a te possession of a v a lid pr e s c riptio n .

(5) E F F E C T O F R E F U S A L T O SUB M I T T O A TE S T . A person who r e fus e s to submit to a test und e r sub. ( 4) is i n e l i g ible to pa r ti c i p a te in a wo r k e x p e ri e n c e pr o g ra m unt i l the person sub mits to a t e s t . The a dminist e ring a g e n c y m a y dir e c t a person who h a s r e fu s e d to submit to a t e st und e r sub. ( 4) a n d subsequ e nt l y a g re e s to submit to a test to und e rgo d rug t e sti n g on a r a ndom basis a t a n y time within 1 0 d a y s a ft e r the person a g r ee s to sub m it to a t e st. A person m a y not pa r ti c ipate in the wo r k e x p e rien c e p r o g r a m until the person und e r g o e s a test for the use of a c ont r oll e d subst a n c e a nd test r e sults h a ve b ee n r e por t e d to the a dminist e ring a g e n c y . If a person refuses to submit to a test for a period longer than 10 business days, the administering agency shall inform the clerk of courts by affidavit that the person is not eligible to participate in the program until the person submits to a test.

(6) R EQ U I R E ME N T F OR A CO N F I R M A T I ON TE S T . I f a person tests posit i ve f or the use of a c ontroll e d subst a n ce , the d r ug t e sting v e ndor s h a ll p e r f o r m a c onfi r mat i on test using the s a me sp e c im e n obtained for the initi a l drug test. The re sults of the c o n fi r mation t e st sh a ll be v e ri f ied b y a m e dic a l r e v iew of f i c er a ft e r c onsi d e r ing the person’ s med i ca l histo r y a s w e ll a s a n y c u r r e nt v a lid pr e s c r i ption a nd use o f ov e r - the c ounter med i ca tion. A ll test results that are no n - n e g a tive shall be int e rp r e t e d a s positive or ne g a tive b y t h e drug testing vendor’s medi ca l r e vi e w o f fic e r w ho shall be re sponsible f o r d e te r mini n g the p r e s e n c e of a c on t roll e d subst a n ce .

(7) A CC E P TI NG T E S T R E SU L T S F ROM AN O T H E R PR O GRAM. R e sults of a d r u g t e st pe r fo r m e d b y a not h e r state p r o g ra m, including a w o rk e x p e rien c e pr o g r a m under s. 49.159 (1) (b) , 49.163 , 49.45 (23) (g) , 49 . 79 (9) (d) o r 108.133 , Stats., or a dr u g test c a r r ied out b y the W isconsin dep a rtme n t of co r r e c tion s , c a n be used b y a n a dminist e ri n g a g e n c y to de t e rmine w h e ther to ref e r a person to tr e a tm e nt if the p r ior test r e sults a r e p ro v ided dir e c t l y to the a dm i nist e ring a g e n c y , a ll the c ontroll e d subst a n c es a nd met a bolites r e qui r e d b y the d e p a rtme n t to be t e sted und e r this ch a p t e r a re includ e d in the p r ior test r e sults, a nd the test o cc u r r e d within the p re vious 90 d a y s.

(8) E F F E C T O F A N E G A TI V E T E S T . A person who und e r g o e s a t e st for the use o f a c ontroll e d subst a n c e un d e r this subsection a nd tests neg a tive f or u s e of a c o ntroll e d subst a n c e or tests positive f or use o f a c ontroll e d subst a n c e but p r ovides e vidence of a v a lid pr e s c ription for eac h c ontroll e d subst a n c e f or whi c h t h e person tests positive w ill have f ul l y satisfi e d the r e quir e ments of this c h a p ter a nd m a y p a rticip a te in a wo r k e x p e ri e n c e p r o g r a m without fu r ther s c r e e ni n g , testi n g , or t r e a tm e nt.

(9) E F F E C T O F A PO S ITI V E TE S T . A person wh o se test r e sults a r e positive f or a n y c ontroll e d subst a n c e o r met a bolite test e d a nd who f a i l s to pr e s e nt evid e n c e o f a v a lid p re s c ription for the c ontroll e d subst a n c e shall be re quir e d to p a rti c ipate i n tr e a tm e nt under s . DCF 154.06 .

D C F 154.06 Re quiring p a r ti c i p a t ion in tre a t m e nt. ( 1 ) W H O m A Y BE R E QU I R E D T O PA R T I C I P A T E I N T R E A T M E N T . E v e r y person who und e r g o e s a test und e r s. DCF 154.05 a nd tests positive f or the use of a c ontroll e d subst a n c e wit h out pr e s e nting e vidence of a v a lid pr e s c ription a s d e s c rib e d in s. 49.162 (1 ) , Stats., a nd a s determin e d b y t h e m e di ca l r e vi e w of f icer for the t e sting v e ndor, shall be r e quir e d to p a rticip a te in tr e a tm e nt in order to b e e li g ible to p a rticip a te in a w o rk e x p e ri e n c e pr o g r a m.

(2) R E F E RR A L F OR T R E A T M E N T . T h e a dminist e ri n g a g e n c y shall provi d e in f o r mation to every person r e quir e d to pa r ti c ipate in t rea tm e nt about t r ea t ment p r ovide r s a nd c oun t y - sp e c ific a s s e ssm e nt and e n r ollment ac tivities re quir e d for entry into tr e a tm e nt. T h e a d m iniste r ing a g e n c y shall m onitor the person’s p r o g r e ss in e nte r i n g a nd c ompl e ting tre a tm e nt a nd the r e sults of a n y ra ndom t e sting for the use of a c o ntroll e d subst a n c e ca r r i e d out during or a t the c on c lusion of tre a tm e nt.

(3) SUB S T ANCE ABUSE E V A L U A TI ON AND A SSES S M E N T . A tr e a tm e nt p r ovider m a y c ond u c t a s ubst a n c e a bu s e e v a l u a tion a nd a ssessment a nd ta k e a n y of the following ac tions b a s e d on the e v a l u a tion a nd a ssessmen t :

(a) I f a tr e a tm e nt provid e r d e t e rmin e s a person do e s not n ee d treatment , the p r ovider shall noti f y the a dminist e ring a g e n c y o f its d e te r min a tion.

(b) I f a t r e a tm e nt provid e r d e t e rmin e s a person is in n ee d of treatment , the pro v ider shall ref e r the person to a n a pp r opri a te treatment pr o g r a m to be g in tre a tm e nt and s h a ll noti f y the a dminist e r i ng a g e n c y of t h e r e fer r a l a nd the e x p ec ted b e g in d a te a nd du r a tion of tr e a tm e n t .

(c) I f a treatment provid e r d e t e rmin e s a person is in n ee d of treatment but is un a ble to re f e r t h e person b eca use t h e r e is a w a iting list for e n r ollment in a ppro p ri a te treatment p r o g r a m s, the p r ovider shall noti f y the a dminist e ring a g e n c y w h e n the person is e x p ec ted to be e n r oll e d.

(4) E LI G I B ILIT Y O F A PERSON T O PA R T I C I P A T E I N A W O R K E X P E R I E NCE PR O GRAM W H E N T R E A T M E N T I S N O T N E E D E D OR T HE PERSON I S PLACED ON A W A ITI NG L I S T . ( a ) A person who h a s be e n d e te r min e d b y a t r ea tm e nt pr o g ra m after assessment not to n ee d t rea tm e nt will h a ve f ul l y satisfi e d the r e quir e ments of this chapter a nd m a y p a rticip a te in a wo r k e x p e ri e n c e p r ogr a m without fu r ther s c r e e ni n g , testi n g , or t r e a tm e nt for the use of a c o n trolled subst a n ce .

(b) A person who is on a w a iting list for e n r o l lm e nt in a n a ppro p ri a te treatment pr o g r a m is eli g ible to pa r ti c ipate i n a w o r k e x p e ri e n c e p r o g r a m duri n g the w a iting list pe r iod, prov i d e d the person is not e li g ible f o r imm e diate e n rollm e nt in a n y oth e r a ppro p ri a te treatment pr o g ra m.

(5) S A T I S F Y I NG T H E R E QU I R E ME N T T O PA R TI C I P A T E I N T R E A T M E N T T HRO UG H PAR TI C I P A TI ON I N AN O T H E R T R E A T M E N T PROGRA M . An a dmin i ste r ing a g e n c y s h a ll ac ce pt c u r r e nt p a rticip a tion in a treatment prog ra m to s a tis f y the re quir e ments of this s e c tio n . The person partici pating in the treatment p r ogr a m shall e x ec ute a r e le a se o f in f o r mation to a llow the a dminist e ring a g e n c y to obt a in v e ri f ic a tion of s u cce ssful p a rticip a tion in that treatment pro g r a m.

(6) R E F US A L T O PA R T I C I PA T E I N T R E A T M E N T . A person r e fus e s to p a rt i c ipate in tr e a tm e nt i f the person do e s a n y o f the f ollowi n g :

(a) F a ils or r e fus e s to c o mpl e te a n y f o r m or r e l e a s e r e qui r e d for p r o g ram a dministr a tion, including those re quir e d b y the t re a tm e nt provid e r in order to sha r e info r mation with the a dminist e ring a g e n c y a bout the person’s p a rticip a tion in tr e a t m e nt.

(b) F a ils or r e fu s e s to p a r ti c ipate in a n y c ontroll e d subst a n c e testing r e qui re d b y the tr e a tm e nt provid e r o r the a dminist e ring a g e n c y du r ing the c o u rse of r e quired t rea tm e nt , including r a n d om c ontroll e d subst a n c e testing dire c ted b y the t r e a tm e nt provid e r or a dminist e ring a g e n c y .

(c) F a ils or r e fus e s to m e e t any a tt e nd a n c e or p a rticipation r e quir e ment e stabl i shed b y t h e tr e a tm e nt provid er .

(d) F a ils or r e fu s e s to c o mplete a subst a n c e a buse a ssessmen t .

(7) E F F E C T O F R E F U S A L T O PAR TI C I P A T E I N T R E A T M E N T . ( a ) I f the t r e a tm e nt provid e r a g ree s to c ontinue tr e a t m e nt, a person who refus e s to pa r ti c ipate in t re a tm e nt shall be g i v e n one oppo r tuni t y to p a rticip a te in tr e a tm e nt b y r e- e nte r ing t r ea tm e nt w i thin 30 d a y s of the r e fu sa l to p a rticip a te.

(b) A person who d o e s not re-e n t e r t r e a tm e nt within 30 d a y s of a r e fu s a l to p a rticip a te or who refuses a s e c ond time to p a rtic i p a te in tre a tm e nt shall be ineli g ible to p a rticip a te in any department pr o g r a m subject to s. 49.162 , Stats., for a p e riod o f 12 months. The a dminist e ring a g e n c y shall inform the clerk of courts by affidavit that the person is not eligible to participate in any department pr o g r a m subject to s. 49.162 , Stats., for a p e riod o f 12 months because the person did not re-enter treatment within 30 days of a refusal to participate or the person refused a second time to participate in treatment.

(8) CO N T R O LLE D SUB S T A NCE T E S TI NG DU R I N G R E QU I R E D T R E A T M E N T . ( a ) A person who is participating in t r e a tm e nt sh a ll und e r g o a minimum of one ra ndo m l y a dminist e r e d test for the use o f a c ont r oll e d subst a n c e a s di r ec ted b y the a d minist e ring a g e n c y during the c ourse o f tr e a t ment. Additional tests during required treatment may be directed by the administering agency if recommended by the treatment provider or required under par. (c).

(b) A person who t e s t s positive f or use o f a c ontroll e d subst a n c e duri n g tre a tm e nt without pr e s e nting e vid e n c e of a v a lid pr e s c ription for the c ontroll e d subs t a n c e m a y b e e l i g ible to r e -e nt e r the tre a tm e nt prog ra m. The person m a y r e - e nt e r t r ea tm e nt o n l y on c e a s a r e sult of a p ositive t e st for use o f a c ontroll e d subst a n c e . The treatment provider shall determine the terms of the person’s re-entry into treatment based on an assessment of the person’s treatment needs at the time the person re-enters treatment. Based on its assessment, the provider may take any of the actions described in sub . (3).

(c) A person who r e - e nte r s t r e a tm e nt un d e r par. (b) shall und e r g o a minimum of one ra nd o m l y a dminist e r e d test f o r the use of a c ontroll e d subst a n c e d u ring the c ourse o f c ontinu e d tr e a tm e nt followi n g r e - e nt r y . A f ter re - e nte r i n g a t r ea tm e nt pr o g ra m , a c o n fi r med positive t e st for use o f a c ontrol l e d subst a n c e without p re s e nti n g e vide n c e of a v a lid pr e s c ription for the c ontroll e d sub s tan c e s h a ll be re port e d to the a dminist e ring a g e n c y a n d sh a ll re sult in the person being i n e li g ible to p a rticip a te in a w o rk e x p e ri e n c e pr o g ra m.

(d) A person who is d e te r min e d to be in e l i g i b le to p a rticip a te in a w or k e x p e ri e n c e p r ogr a m as a re sult of a s ec ond positive test during treatment for t h e use o f a c ontroll e d sub s tan c e und e r p ar . ( c ) is not eli g ible to pa r ti c ipa t e in any department program subject to s. 49.162 , Stats., f o r a p e riod of 12 months. The a dminist e ring a g e n c y shall inform the clerk of courts by affidavit that the person is not eligible to participate any department program subject to s. 49.162 , Stats., for a p e riod o f 12 months as a result of a second positive test during treatment.

(9) TE S TI NG F OR USE O F A CON T R O LL E D SUB S T A N CE A T T HE CON C L US I ON O F R E Q U I R E D T R E A T M E N T . ( a ) All persons pa r ti c ipating in t r ea tm e nt under this se c ti o n sh a ll und e r g o testing for use o f a c ontroll e d s u bstan c e a t the c ompl e tion of the t rea tm e nt pr o g ra m .

(b) I f a person t e sts n e g a tive f or t h e use o f a c ontroll e d subst a n ce , o r t e sts positive for the use of a c ontroll e d subst a n c e but pr e s e nts evide nc e s a tisf a c to r y to t he a dminist e ring a g e n c y that the person poss e sses a v a lid pr e s c r iption for eac h c ontroll e d subst a n c e f or whi c h the person t e sts posit i v e , the person will have satisf a c tori l y c ompl e t e d the tr e a tm e nt and t e sti n g r e q uir e ments und e r this s ec t ion a nd m a y p a rticip a te i n a w o r k e x p e ri e n c e p r ogr a m without fu r ther s c r e e ni n g , testi n g, or t r ea t ment f or the use of a c on t roll e d subst a n c e.

(c) A person who r e f uses a test or tests positive for use o f a c on t roll e d subst a n c e a t the c ompl e tion of tre a tm e nt without pr e s e nti n g e vide n c e sati s f a c to r y to the a dminist e ring a g e n c y th a t t he person possess e s a v a lid pr e s c ription for e ac h c ontroll e d subst a n c e f or whi c h the person t e sts positive is not eli g ible to pa r ti c ipa t e in any wo r k e x p e ri e n c e pr o g ra m adm i nist e r e d b y the d e p a rtm e nt for a p e riod o f 12 months. The a dminist e ring a g e n c y shall inform the clerk of courts by affidavit that the person is not eligible to participate in any work experience program administered by the department for a period of 12 months as a result of a positive test at the conclusion of treatment.

(10) PA R T I C I P A TI ON I N W ORK E X PE R I E NCE PROGR A M A C T I V ITI E S W H IL E IN T R E A T M E N T . An a dminist e ring a g e n c y may pl ac e a person in pr o g ra m a c tivities during t r ea tm e nt if program activities will not interfere with the person’s participation in treatment. A person who is not in treatment following a positive test during treatment or a refusal to participate may not participate in program activities until the person re-enters treatment.

D C F 154.07. E f f ec t of c o m ple t i n g, vol u nta r ily w ith d r a w i n g, or b e i ng t e r m i n a t i n g f r om a w o r k e xp er ience p r o g r a m . A person who c ompl e tes or volunt a ri l y withdr a ws f rom the w ork e x p e ri e n c e pr o g ra m is no lon g e r subj ec t to s. 49.162 , Stats., or this ch a pte r . A person who is t e rmin a ted f rom the pro g r a m for r e a sons u n r e lat e d to subst a n c e a buse sc r ee ni n g , testi ng , a nd tr e a tm e nt is no lo n g e r subj ec t to s. 49.162 , Stats., or this c h a pte r, as of the date of termination from the program .

D C F 154.08. Con f i d e nt i ality of rec o r ds. S c r e e n i ng qu e stionn a i r e s, testing r e sults, and tr e a tm e nt re c o r ds r e lating to this ch a pt e r may not be dis c losed unless f or pu r poses conn e c ted with the a dministr a tion of the program unless dis c losure i s oth e r w ise a uthori z e d b y law o r b y w r itten c on s e nt f r om the person w ho is the subje c t of the r e c o r d. The d e p a rtme n t m a y e stablish a d ministr a tiv e , p h y si c a l, and t ec hn i c a l sa f e g u a rd p r o ce du r e s a dminist e ring a g e n c ies m a y b e r e quir e d to follow t o a ssure c om p li a n c e with state a nd f e d e r a l l a ws re l a ting to public a ssistan c e pr o g ra m r e c o r ds, dr u g t e sting a nd tr e a tm e nt re c o r ds, a n d medi ca l re c o r ds.

SECTION 2. E FF ECT I VE D A T E . This rule shall t a ke e f f e c t the fi r st d a y of the month following publi ca tion in the Administr a tive R e g is t e r a s provi d e d in s. 227.22 ( 2) ( intro. ) , Stats.