SB21-SSA1,1486,10 3(f) Pending matters. Any matter pending with the department of corrections
4on the effective date of this paragraph that is primarily related to the allocation of
5youth aids, the supervision of community-based juvenile delinquency-related
6services, or the supervision of services provided for juveniles in need of protection or
7services, as determined by the secretary of administration, is transferred to the
8department of children and families. All materials submitted to or actions taken by
9the department of corrections with respect to the pending matter are considered as
10having been submitted to or taken by the department of children and families.
SB21-SSA1,1486,19 11(g) Contracts. All contracts entered into by the department of corrections in
12effect on the effective date of this paragraph that are primarily related to the
13allocation of youth aids, the supervision of community-based juvenile
14delinquency-related services, or the supervision of services provided for juveniles in
15need of protection or services, as determined by the secretary of administration,
16remain in effect and are transferred to the department of children and families. The
17department of children and families shall carry out any obligations under those
18contracts unless modified or rescinded by the department of children and families to
19the extent allowed under the contract.
SB21-SSA1,1487,7 20(h) Rules and orders. All rules promulgated by the department of corrections
21in effect on the effective date of this paragraph that are primarily related to the
22allocation of youth aids, the supervision of community-based juvenile
23delinquency-related services, or the supervision of services provided for juveniles in
24need of protection or services, as determined by the secretary of administration,
25remain in effect until their specified expiration dates or until amended or repealed

1by the department of children and families. All orders issued by the department of
2corrections in effect on the effective date of this paragraph that are primarily related
3to the allocation of youth aids, the supervision of community-based juvenile
4delinquency-related services, or the supervision of services provided for juveniles in
5need of protection or services, as determined by the secretary of administration,
6remain in effect until their specified expiration dates or until modified or rescinded
7by the department of children and families.
SB21-SSA1,1487,8 8(1d) Opioid addiction treatment pilot program .
SB21-SSA1,1487,13 9(a) Department to submit plan. Before January 1, 2016, the department of
10corrections shall submit to the joint committee on finance a request for the release
11of funds from the appropriation under section 20.865 (4) (a) of the statutes and a
12detailed plan for implementing a pilot program for treating offenders who have been
13assessed with an opiate addiction.
SB21-SSA1,1487,22 14(b) Passive review. If, within 14 working days after the date on which the joint
15committee on finance receives the plan submitted under paragraph (a), the
16cochairpersons of the committee do not notify the department of corrections that the
17committee has scheduled a meeting to review the plan, the funding shall be released
18and the department of corrections may implement the plan. If, within 14 working
19days after the date on which the committee receives the plan, the cochairpersons of
20the committee notify the department of corrections that the committee has scheduled
21a meeting to review the plan, the funding may be released, and the department of
22corrections may implement the plan, only upon approval by the committee.
SB21-SSA1,9109 23Section 9109. Nonstatutory provisions; Court of Appeals.
SB21-SSA1,9110 24Section 9110. Nonstatutory provisions; District Attorneys.
SB21-SSA1,9111
1Section 9111. Nonstatutory provisions; Educational Communications
Board.
SB21-SSA1,9112 2Section 9112. Nonstatutory provisions; Employee Trust Funds.
SB21-SSA1,1488,8 3(1c) Appointments to group insurance board. Notwithstanding section 15.07
4(1) (c) of the statutes, the terms of the 6 members of the group insurance board
5appointed by the governor under section 15.165 (2), 2013 stats., shall terminate on
6the effective date of this subsection. Each appointed member may continue to hold
7office and exercise the powers and duties of that office until his or her successor under
8section 15.165 (2) (j) of the statutes, as affected by this act, is appointed and qualified.
SB21-SSA1,1489,3 9(3j) Submission of proposed changes to group health insurance programs for
102016 calendar year coverage.
Notwithstanding section 40.03 (6) (L) of the statutes,
11as created by this act, the group insurance board shall submit proposed changes to
12the group health insurance programs under subchapter IV of chapter 40 of the
13statutes, other than programs under sections 40.51 (7) and 40.55 of the statutes, for
14the 2016 calendar year to the joint committee on employment relations. The group
15insurance board shall submit the proposed changes no later than 30 days after the
16effective date of this subsection. The group insurance board may not implement any
17changes in the group health insurance programs for the 2016 calendar year unless
18approved by the joint committee on employment relations. The joint committee on
19employment relations shall hold a public hearing on the proposed changes. No later
20than 30 days after the group insurance board has submitted the proposed changes
21to the joint committee on employment relations, the joint committee on employment
22relations shall approve, disapprove, or approve with modifications the proposed
23changes and shall notify the governor of its actions. Within 10 calendar days of the
24notification under this subsection, the governor shall approve or reject in its entirety

1the proposed changes approved by the joint committee on employment relations. A
2vote of 6 members of the joint committee on employment relations may override any
3rejection of the governor.
SB21-SSA1,9113 4Section 9113. Nonstatutory provisions; Employment Relations
Commission.
SB21-SSA1,9114 5Section 9114. Nonstatutory provisions; Financial Institutions.
SB21-SSA1,9115 6Section 9115. Nonstatutory provisions; Government Accountability
Board.
SB21-SSA1,9116 7Section 9116. Nonstatutory provisions; Governor.
SB21-SSA1,9117 8Section 9117. Nonstatutory provisions; Health and Educational
Facilities Authority.
SB21-SSA1,9118 9Section 9118. Nonstatutory provisions; Health Services.
SB21-SSA1,1489,13 10(1) Community mental health allocation. Notwithstanding section 46.40 (7m)
11of the statutes, as created by this act, the department of health services may
12distribute one-half of the amount allocated for community mental health services in
13fiscal year 2015-16 after the effective date of this subsection.
SB21-SSA1,1490,10 14(1q) Community mental health services funds. Before developing a method
15for distributing community mental health services funds under section 46.40 (7m)
16of the statutes, as created by this act, for 2016 and thereafter, the department of
17health services shall consult with the Wisconsin Counties Association and other
18persons and organizations with an interest in mental health services on the
19distribution method. The department of health services before implementing the
20distribution method shall submit the proposed distribution method to the joint
21committee on finance. If the cochairpersons of the committee do not notify the
22department of health services within 14 working days after the date of the submittal

1of the proposed distribution method by the department of health services that the
2committee has scheduled a meeting for the purpose of reviewing the proposed
3distribution method, the department of health services shall implement the
4proposed distribution method as submitted to the committee. If, within 14 working
5days after the date of the submittal of the proposed distribution method by the
6department of health services, the cochairpersons of the committee notify the
7department of health services that the committee has scheduled a meeting for the
8purpose of reviewing the proposed distribution method, the department of health
9services may implement the proposed distribution method only as approved by, or as
10modified and approved by, the committee.
SB21-SSA1,1490,11 11(2) Transfer of food safety, recreational facilities, and lodging.
SB21-SSA1,1490,16 12(a) Assets and liabilities. The assets and liabilities of the department of health
13services that the secretary of administration determines to be primarily related to
14food, lodging, and recreation oversight under sections 252.18, 254.47, and 254.61 to
15254.87, 2013 stats., become the assets and liabilities of the department of
16agriculture, trade and consumer protection on the effective date of this paragraph.
SB21-SSA1,1490,22 17(b) Employee transfer. All incumbent employees who hold positions in the
18department of health services performing duties that the secretary of administration
19determines to be primarily related to sections 252.18, 254.47, and 254.61 to 254.87,
202013 stats., and the full-time equivalent positions held by those employees, are
21transferred to the department of agriculture, trade and consumer protection on the
22effective date of this paragraph.
SB21-SSA1,1491,3 23(c) Employee status. Employees transferred under paragraph (b) have all the
24rights and the same status under chapter 230 of the statutes in the department of
25agriculture, trade and consumer protection that they enjoyed in the department of

1health services immediately before the transfer. Notwithstanding section 230.28 (4)
2of the statutes, no employee so transferred who has attained permanent status in
3class is required to serve a probationary period.
SB21-SSA1,1491,9 4(d) Tangible personal property. On the effective date of this paragraph, all
5tangible personal property, including records, of the department of health services
6that the secretary of administration determines to be primarily related to food,
7lodging, and recreation oversight under sections 252.18, 254.47, and 254.61 to
8254.87, 2013 stats., is transferred to the department of agriculture, trade and
9consumer protection.
SB21-SSA1,1491,18 10(e) Contracts. All contracts that were entered into by the department of health
11services that the secretary of administration determines to be primarily related to
12food, lodging, and recreation oversight under sections 252.18, 254.47, and 254.61 to
13254.87, 2013 stats., and that are in effect on the effective date of this paragraph
14remain in effect and are transferred to the department of agriculture, trade and
15consumer protection. The department of agriculture, trade and consumer protection
16shall carry out any obligations under such a contract until the contract is modified
17or rescinded by the department of agriculture, trade and consumer protection to the
18extent allowed under the contract.
SB21-SSA1,1492,2 19(f) Rules and orders. All rules in chapters DHS 172, 175, 178, 192, 195, 196,
20196 appendix, 197, and 198, Wisconsin administrative code, and all other rules
21promulgated, and all orders issued, by the department of health services that the
22secretary of administration determines to be primarily related to sections 252.18,
23254.47, and 254.61 to 254.87, 2013 stats., and that are in effect on the effective date
24of this paragraph shall remain in effect until their specified expiration date or until

1amended or repealed by the department of agriculture, trade and consumer
2protection.
SB21-SSA1,1492,10 3(g) Pending matters. Any matter pending with the department of health
4services on the effective date of this paragraph that the secretary of administration
5determines to be related to food, lodging, and recreation oversight under section
6252.18 or 254.47, or sections 254.61 to 254.87, 2013 stats., is transferred to the
7department of agriculture, trade and consumer protection, and all materials
8submitted to or actions taken by the department of health services with respect to
9the pending matter are considered as having been submitted to or taken by the
10department of agriculture, trade and consumer protection.
SB21-SSA1,1492,12 11(3) Transfer of body art and tanning facility regulation functions to the
12department of
safety and professional services.
SB21-SSA1,1492,17 13(a) Assets and liabilities. On the effective date of this paragraph, the assets and
14liabilities of the department of health services that are primarily related to the
15regulation of tattooing, body piercing, and tanning under section 255.08, 2013 stats.,
16and sections 252.23 to 252.25, 2013 stats., become the assets and liabilities of the
17department of safety and professional services.
SB21-SSA1,1492,23 18(b) Tangible personal property. On the effective date of this paragraph, all
19tangible personal property, including records, of the department of health services
20that are primarily related to the regulation of tattooing, body piercing, and tanning
21under section 255.08, 2013 stats., and sections 252.23 to 252.25, 2013 stats., as
22determined by the secretary of administration, is transferred to the department of
23safety and professional services.
SB21-SSA1,1493,7 24(c) Pending matters. Any matter pending with the department of health
25services that is primarily related to the regulation of tattooing, body piercing, and

1tanning under section 255.08, 2013 stats., and sections 252.23 to 252.25, 2013 stats.,
2on the effective date of this paragraph is transferred to the department of safety and
3professional services. All materials submitted to or actions taken by the department
4of health services that are primarily related to the regulation of tattooing, body
5piercing, and tanning under section 255.08, 2013 stats., and sections 252.23 to
6252.25, 2013 stats., are considered as having been submitted to or taken by the
7department of safety and professional services.
SB21-SSA1,1493,14 8(d) Contracts. All contracts entered into by the department of health services
9that are primarily related to the regulation of tattooing, body piercing, and tanning
10under section 255.08, 2013 stats., and sections 252.23 to 252.25, 2013 stats., in effect
11on the effective date of this paragraph remain in effect and are transferred to the
12department of safety and professional services. The department of safety and
13professional services shall carry out any obligations under those contracts unless
14modified or rescinded by that department to the extent allowed under the contract.
SB21-SSA1,1493,25 15(e) Rules and orders. All rules in chapters DHS 161 and DHS 173, Wisconsin
16Administrative Code, and any other rules promulgated by the department of health
17services that are primarily related to the regulation of tattooing, body piercing, and
18tanning under section 255.08, 2013 stats., and sections 252.23 to 252.25, 2013 stats.,
19in effect on the effective date of this paragraph remain in effect until their specified
20expiration dates or until amended or repealed by the department of safety and
21professional services. All orders issued by the department of health services that are
22primarily related to the regulation of tattooing, body piercing, and tanning under
23section 255.08, 2013 stats., and sections 252.23 to 252.25, 2013 stats., in effect on the
24effective date of this paragraph remain in effect until their specified expiration dates
25or until modified or rescinded by the department of safety and professional services.
SB21-SSA1,1494,4
1(f) Credential fees. Notwithstanding sections 463.10 (3), 463.12 (3), and 463.25
2(2) (b) of the statutes, fees for the issuance and renewal of licenses and permits issued
3under sections 463.10, 463.12, and 463.25 of the statutes shall, for years 2015 and
42016, be according to the rules described under paragraph (e).
SB21-SSA1,1494,5 5(3g) Nursing home bed transfer.
SB21-SSA1,1494,7 6(a) In this section, "nursing home" has the meaning given in section 50.01 (3)
7of the statutes.
SB21-SSA1,1494,11 8(b) Notwithstanding sections 150.33, 150.35, and 150.39 of the statutes, from
9the nursing home beds that are available under section 150.31 of the statutes, the
10department of health services shall, following submission of the application under
11paragraph (c), redistribute 3 beds to a nursing home that satisfies all of the following:
SB21-SSA1,1494,13 121. On the effective date of this subdivision, it has a licensed bed capacity of no
13more than 75.
SB21-SSA1,1494,15 142. On the effective date of this subdivision, it is covered by a permit under
15section 647.02 of the statutes.
SB21-SSA1,1494,18 163. On the effective date of this subdivision, it is located in a county that has a
17population of at least 380,000 and that is adjacent to a county that has a population
18of at least of 750,000.
SB21-SSA1,1494,21 19(c) A person may not receive approval for the beds unless the person submits
20to the department of health services, on a form provided by the department, an
21application that meets the requirements under section 150.33 (2) of the statutes.
SB21-SSA1,1495,2 22(3q) Advanced life support training grant. From the appropriation account
23under section 20.435 (1) (ch) of the statutes the department of health services shall
24allocate as a grant to an entity that provides or facilitates advanced life support
25training to physicians, physician's assistants, nurse practitioners, registered nurses,

1and emergency medical technicians — paramedics, who work in rural areas in this
2state, $20,000 in each fiscal year of the 2015-2017 fiscal biennium.
SB21-SSA1,1495,6 3(4f) Healthy aging grant. From the appropriation account under section
420.435 (7) (cx) of the statutes the department of health services shall allocate as a
5grant $200,000 in each fiscal year of the 2015-17 fiscal biennium to a private,
6nonprofit entity that conducts all of the following activities:
SB21-SSA1,1495,8 7(a) Coordinating the implementation of evidence-based health promotion
8programs in healthy aging.
SB21-SSA1,1495,10 9(b) Coordinating with academic and research institutes regarding research on
10healthy aging.
SB21-SSA1,1495,12 11(c) Serving as a statewide clearinghouse on evidence-based disease prevention
12and health promotion programs.
SB21-SSA1,1495,15 13(d) Providing training and technical assistance to the staff of county
14departments, administering agencies, and other providers of services to aging
15populations.
SB21-SSA1,1495,17 16(e) Collecting and disseminating information on disease prevention and health
17promotion in healthy aging populations.
SB21-SSA1,1495,19 18(f) Coordinating public awareness activities related to disease prevention and
19health promotion in aging populations.
SB21-SSA1,1495,21 20(g) Advising the department of health services on public policy issues
21concerning disease prevention and health promotion in aging.
SB21-SSA1,1496,6 22(4u) Labor region methodology study. The department of health services
23shall study the labor region methodology, including the methodology under section
2449.45 (6m) (ar) of the statutes, used to assist with the determination of Medical
25Assistance reimbursement rates, and no later than July 1, 2016, shall submit to the

1legislature under section 13.172 (2) of the statutes an implementation plan for
2incorporating any necessary changes to labor region methodology such that the
3proposed labor region methodology results in adjustments to direct care costs that
4reflect labor costs for nursing homes in each county. The department of health
5services may not implement any proposed changes to labor region methodology
6without the enactment of legislation.
SB21-SSA1,1496,11 7(5) Requirements for FoodShare employment and training program drug
8screening.
The department of health services shall address, in the department's
9biennial budget request under section 16.42 of the statutes for the 2017-19 fiscal
10biennium, any future fiscal impact resulting from actions taken under section 49.79
11(9) (d) of the statutes, as created by this act.
SB21-SSA1,1496,17 12(6) Requirements for assistance for childless adults demonstration project.
13If, during the 2015-17 fiscal biennium, the secretary of the federal department of
14health and human services approves, in whole or in part, the amendment to the
15waiver under section 49.45 (23) (a) of the statutes that is requested under section
1649.45 (23) (g) 1. of the statutes, as created by this act, the department of health
17services shall do all of the following:
SB21-SSA1,1496,22 18(a) Identify, in its quarterly report to the joint committee on finance under
19section 49.45 (2n) of the statutes, any costs incurred or savings realized in the
202015-17 fiscal biennium as a result of actions taken under section 49.45 (23) (g) 1.
21a. to e. of the statutes, as created by this act, as approved by the secretary of the
22federal department of health and human services.
SB21-SSA1,1497,2 23(b) Address, in the department's biennial budget request under section 16.42
24of the statutes for the 2017-19 fiscal biennium, any future fiscal impact resulting
25from actions taken under section 49.45 (23) (g) 1. a. to e. of the statutes, as created

1by this act, as approved by the secretary of the federal department of health and
2human services.
SB21-SSA1,1497,6 3(7) Mental health crisis services grants. From the appropriation account
4under section 20.435 (2) (gk) of the statutes, the department of health services shall
5award a total of $1,500,000 in fiscal year 2015-16 as onetime grants to counties for
6mental health crisis services.
SB21-SSA1,1497,12 7(7g) County-to-county nursing home bed transfers. The department of
8health services shall develop a policy that specifies procedures for applying for, and
9receiving approval of, the transfer of available, licensed nursing home beds among
10counties under section 150.345 of the statutes. The department of health services
11shall submit a report on the resulting policy to the joint committee on finance no later
12than July 1, 2016.
SB21-SSA1,1497,13 13(9) Changes to family care program.
SB21-SSA1,1497,14 14(a) Definitions. In this subsection:
SB21-SSA1,1497,15 151. "Department" means the department of health services.
SB21-SSA1,1497,18 162. "Family care program" means the program under sections 46.2805 to
1746.2895 of the statutes that provides the family care benefit as defined in section
1846.2805 (4) of the statutes.
SB21-SSA1,1497,21 193. "IRIS" means the self-directed services option program, known as Include,
20Respect, I Self-direct, operated by the department under a waiver from the secretary
21of the federal department of health and human services under 42 USC 1396n (c).
SB21-SSA1,1498,8 22(b) Family care in all counties. The department shall request any approval or
23submit any waiver request necessary to the federal department of health and human
24services to administer the family care program in every county in the state. If the
25federal department of health and human services does not disapprove the request,

1the department shall ensure that the family care program is available to eligible
2residents of every county in the state by January 1, 2017, or by a date specified by
3the department, whichever is later. If the department specifies a later date than
4January 1, 2017, it shall submit a notice of that date to the legislative reference
5bureau for publication in the Wisconsin Administrative Register. If the federal
6department of health and human services does not disapprove the request, the
7department is not required to comply with section 46.281 (1g) (b) of the statutes to
8expand the family care program to every county in the state.
SB21-SSA1,1498,12 9(c) Waiver request; generally. Subject to paragraphs (d) and (e), the department
10shall request from the federal department of health and human services a state plan
11amendment or an amendment to the waiver under which the family care program
12and IRIS operate that includes all of the following:
SB21-SSA1,1498,17 131. Providing both long-term care and primary and acute care services through
14integrated health agencies to long-term care consumers whose care is reimbursed
15by the Medical Assistance program and including, to the extent allowable by the
16federal department of health and human services, long-term care consumers who
17receive both Medical Assistance and Medicare funded services.
SB21-SSA1,1498,20 182. Increasing the size of regions currently served by care management
19organizations under the family care program such that each region has sufficient
20population to allow for adequate risk management by integrated health agencies.
SB21-SSA1,1498,21 213. Subject to subdivision 2., designating no fewer than 5 regions in the state.
SB21-SSA1,1498,23 224. Specifying that each one of the regions under subdivision 3. is served by
23multiple integrated health agencies.
SB21-SSA1,1499,9 245. Requiring integrated health agencies to make available a
25consumer-directed option under the long-term care program in which the

1integrated health agency would assist individuals in developing individualized
2support and services plans, ensure that all services are paid according to the plan,
3and assist enrollees in managing all fiscal requirements, including the ability to
4select, direct, and employ persons offering any of the services available under the
5IRIS program as of July 1, 2015, and the ability to manage, using the services of an
6integrated health agency serving as a fiscal intermediary, an individual home and
7community-based services budget allowance based on a functional assessment
8performed by a qualified entity and the availability of family and other caregivers
9who can help provide needed support.
SB21-SSA1,1499,11 106. Modifying the state's long-term care program, including allowing for audits
11of providers, in order to improve accountability in the provision of services.
SB21-SSA1,1499,13 127. Establishing an open enrollment period for the state's long-term care
13program that coincides with the open enrollment period for the Medicare program.
SB21-SSA1,1499,15 148. Requiring that rates paid to integrated health agencies for services are set
15through an independent, actuarial study.
SB21-SSA1,1499,23 169. Preserving, for a minimum of 3 years in each region after the date of
17implementation of the waiver under this paragraph in that region, the requirement
18that an integrated health agency contract for long-term care services with any
19long-term care service provider that agrees to accept the reimbursement rate that
20the integrated health agency pays to similar providers for the same services and
21satisfies any quality of care, utilization, or other criteria that the integrated health
22agency requires of other providers with which it contracts to provide the same
23long-term care services.
SB21-SSA1,1500,3
1(d) Consultation with stakeholders; key principles. Before developing its final
2waiver or state plan amendment request to be submitted to the joint committee on
3finance under paragraph (e), the department shall do all of the following:
SB21-SSA1,1500,6 41. Consult with persons interested in the long-term care program, including
5representatives of consumers of long-term care and long-term care providers and
6the public.
SB21-SSA1,1500,12 72. Submit as part of the quarterly reports on the Medical Assistance program
8due by September 30, 2015, and December 30, 2015, a progress report on the
9development of the waiver request including information regarding outcomes from
10discussions with representatives of consumers of long-term care and long-term care
11providers and any discussions with the federal centers for Medicare and Medicaid
12services.
SB21-SSA1,1500,13 133. Hold no less than 2 public hearings regarding the waiver request.
SB21-SSA1,1500,16 144. Develop the final waiver request in accordance with key principles
15determined by the federal centers for Medicare and Medicaid services to be essential
16elements of a strong, managed long-term services and supports program including:
SB21-SSA1,1500,17 17a. Adequate planning and transition strategies.
SB21-SSA1,1500,18 18b. Engagement of interested persons.
SB21-SSA1,1500,20 19c. Enhanced provision of services in home-based and community-based
20settings.
SB21-SSA1,1500,23 21d. Alignment of payment structures with programmatic goals, including
22improving the health and experience of enrollees and reducing costs through those
23improvements.
SB21-SSA1,1501,3
1e. Support for eligible individuals, including counseling regarding options and
2enrollment from an independent source at no cost to the individual and the
3availability of ombudsman resources.
SB21-SSA1,1501,4 4f. Person-centered processes, including an option to self-direct services.
SB21-SSA1,1501,5 5g. A comprehensive and integrated service package.
SB21-SSA1,1501,6 6h. Qualified providers.
SB21-SSA1,1501,8 7i. Enrollee protections, including systems to manage incidents and appeals
8processes for enrollees.
SB21-SSA1,1501,9 9j. Comprehensive quality assurance and oversight procedures.
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