Wisconsin Department of Health Services explained

Agency Name:Wisconsin Department of
Seal:Seal of Wisconsin.svg
Picture Caption:Madison's State Office Building is the headquarters of the Department of
Preceding1:Wisconsin Department of Public Welfare (1939 - 1967)
Preceding2:Wisconsin Department of Health and Social Services (1967 - 1996)
Preceding3:Wisconsin Department of Health and Family Services (1996 - 2008)
Coordinates:43.0717°N -89.3818°W
Region Code:US-WI
Employees:6,341.92 (2023)[1]
Budget:$30,163,074,200 (2023)
Chief1 Name:Kirsten Johnson
Chief1 Position:Secretary
Chief2 Name:Deb Standridge
Chief2 Position:Deputy Secretary
Chief3 Name:Sarah Valencia
Chief3 Position:Assistant Secretary
Website:Agency website

The Wisconsin Department of Health Services (WisDHS) is a governmental agency of the U.S. state of Wisconsin responsible for maintaining public health. It administers a wide range of services in the state and at state institutions, regulates hospitals and care providers, and supervises and consults with local public health agencies. Its responsibilities include public health; mental health and substance abuse; long-term support and care; services to people with disabilities, medical assistance, and children’s services; aging programs; physical and developmental disability services; blindness disability programs; operation of care and treatment facilities; quality assurance programs; nutrition supplementation programs; medical assistance; and health care for low-income families, elderly, and the disabled.[2] It has primary responsibility for administering Medicaid and Medicare within the state. The DHS secretary is a cabinet member appointed by the Governor of Wisconsin and confirmed by the Wisconsin Senate. The current secretary-designee is Kirsten Johnson, appointed by Governor Tony Evers in February 2023.[3]

The Wisconsin DHS is made up of three executive offices and five divisions organized according to function. WisDHS's main office is located in Madison, and it maintains regional offices throughout the state.

History

The Department of Health Services combines administration and supervision of many state and local functions that had developed separately in the 1800s. In the early days of statehood, public health was primarily a function of local governments. For more than two decades after statehood, Wisconsin created separate governing boards and institutions for the care of prisoners; juveniles; and blind, deaf, and mentally ill persons. By 1871, there were six such institutions. The first attempt to institute overall state supervision of these services came in 1871 when the legislature created the State Board of Charities and Reform. Its duties included examination of the operations of state institutions and their boards and investigation of practices in local asylums, jails, and schools for the blind and deaf.[4]

In 1876, the legislature established the State Board of Health to "study the vital statistics of this state, and endeavor to make intelligent and profitable use of the collected records of death and sickness among the people.” The board was directed to “make sanitary investigations and inquiries respecting the causes of disease, and especially of epidemics; the causes of mortality, and the effects of localities, employments, conditions, ingesta, habits and circumstances on the health of the people." This directive still defines much of the work done in public health by the department. Later legislation required the board to take responsibility for tuberculosis care (1905), preventing blindness in infants (1909), and to inspecting water and sewerage systems to prevent typhoid and dysentery (1919). In addition, the agency then licensed restaurants, health facilities, barbers, funeral directors and embalmers.

When the federal government entered the field of public welfare during the Great Depression of the 1930s, Wisconsin had already pioneered a number of programs, including aid to children and pensions for the elderly (enacted in 1931). The Wisconsin Children’s Code, enacted in 1929, was considered one of the most comprehensive in the nation. The state's initial response to the new federal funding was to establish separate departments to administer social security funds and other public welfare programs.

After several attempts at reorganization, the legislature established the Department of Public Welfare in 1939, to provide unified administration of all existing welfare functions. Public health and care for the aged were delegated to separate agencies. The executive branch reorganization act of 1967 created the Department of Health and Social Services. In addition to combining public welfare, public health, and care for the aged the Legislature added the Division of Vocational Rehabilitation. The 1960s and 1970s saw an expansion of public welfare and health services at both the federal and state levels. Notable were programs for medical care for the needy and aged (Medical Assistance and Medicare), drug treatment programs, food stamps, Aid to Families with Dependent Children Program (AFDC), and increased regulation of nursing homes and hospitals.[5]

Rename and spin-off

The Department of Health and Social Services was renamed the Department of Health and Family Services (DHFS), on July 1, 1996. In 2008, various programs of the DHFS were combined with others from the Wisconsin Department of Workforce Development, to create a new Wisconsin Department of Children and Families. The remaining health-specific programs were left under a renamed Department of Health Services.

Wisconsin DHS Divisions

Secretaries

Department of Health and Social Services

OrderNameTook officeLeft officeGovernor
1align=left 19671975align=left Warren P. Knowles
Patrick Lucey
2align=left 19751977align=left Patrick Lucey
3align=left 19771983align=left Martin J. Schreiber
Lee S. Dreyfus
4align=left 19831987align=left Tony Earl
5align=left 19871988align=left Tommy Thompson
6align=left 19881991align=left Tommy Thompson
7align=left 19911994align=left Tommy Thompson
(acting)align=left 19941995align=left Tommy Thompson

Department of Health and Family Services

OrderNameTook officeLeft officeGovernor
1align=left 19952001align=left Tommy Thompson
Scott McCallum
2align=left 20012003align=left Scott McCallum
3align=left 20032006align=left Jim Doyle
4align=left 20072008align=left Jim Doyle

Department of Health Services

OrderNameTook officeLeft officeGovernor
1align=left 20082011align=left Jim Doyle
2align=left 20112013align=left Scott Walker
3align=left 20132016align=left Scott Walker
4align=left 20162019align=left Scott Walker
5align=left 20192021align=left Tony Evers
6align=left 20212023align=left Tony Evers
7align=left 2023presentalign=left Tony Evers

Notable people

Notes and References

  1. Wisconsin Blue Book 2023 - 2024 . . 2023 . 978-1-7333817-2-7 . https://docs.legis.wisconsin.gov/misc/lrb/blue_book/2023_2024/050_executive.pdf . The Executive . 198-201 . October 18, 2024 .
  2. Book: Executive Branch. unfit. https://web.archive.org/web/20131112091358/http://legis.wisconsin.gov/lrb/bb/11bb/Executive.pdf. November 12, 2013. http://legis.wisconsin.gov/lrb/bb/11bb/Executive.pdf. Wisconsin Blue Book 2011-2012. 415.
  3. News: Governor appoints new leader for Wisconsin Department of Health Services . Deneen . Smith . February 6, 2023 . . October 18, 2024 .
  4. Book: Executive Branch. unfit. https://web.archive.org/web/20131112091358/http://legis.wisconsin.gov/lrb/bb/11bb/Executive.pdf. November 12, 2013. http://legis.wisconsin.gov/lrb/bb/11bb/Executive.pdf. Wisconsin Blue Book 2011-2012. 417.
  5. Book: Executive Branch. unfit. https://web.archive.org/web/20131112091358/http://legis.wisconsin.gov/lrb/bb/11bb/Executive.pdf. November 12, 2013. http://legis.wisconsin.gov/lrb/bb/11bb/Executive.pdf. Wisconsin Blue Book 2011-2012. 418.