AB591-ASA3,94,1616 3. This paragraph does not apply to any of the following:
AB591-ASA3,95,217 a. The performance by a physician of an abortion which is directly and
18medically necessary to save the life of the woman or in a case of sexual assault or
19incest, provided that prior thereto the physician signs a certification which so states,
20and provided that, in the case of sexual assault or incest the crime has been reported
21to the law enforcement authorities. The certification shall be affixed to the claim
22form or invoice when submitted to any agency or fiscal intermediary of the state for
23payment or when submitted by an individual health care provider to the coverage
24provider for payment or for submittal to any agency or fiscal intermediary of the state
25for payment, and shall specify and attest to the direct medical necessity of the

1abortion upon the best clinical judgment of the physician or attest to his or her belief
2that sexual assault or incest has occurred.
AB591-ASA3,95,123 b. The performance by a physician of an abortion if, due to a medical condition
4existing prior to the abortion, the physician determines that the abortion is directly
5and medically necessary to prevent grave, long-lasting physical health damage to
6the woman, provided that prior thereto the physician signs a certification which so
7states. The certification shall be affixed to the claim form or invoice when submitted
8to any agency or fiscal intermediary of the state for payment or when submitted by
9an individual health care provider to the coverage provider for payment or for
10submittal to any agency or fiscal intermediary of the state for payment, and shall
11specify and attest to the direct medical necessity of the abortion upon the best clinical
12judgment of the physician.
AB591-ASA3,95,1513 c. The authorization or payment of funds to a physician or surgeon or a hospital,
14clinic or medical facility for or in connection with the prescription of a drug or the
15insertion of a device to prevent the implantation of a fertilized ovum.
AB591-ASA3,95,2316 4. Quarterly, as determined by the department of health and family services,
17following any annual quarter in which health care services have been provided under
18coverage that is affected by this paragraph, the coverage provider shall submit a
19written report to the agency which contracted for the services of the provider. The
20report shall specify the number of abortions provided in the previous quarter by the
21provider to individuals who have coverage for the abortion under this subsection, as
22permitted under subd. 3. a. or b., the reason for each abortion, and the total cost of
23each abortion.
AB591-ASA3,96,224 5. A copy of each report submitted under subd. 4. shall be forwarded to the
25department of health and family services, which shall review the data for compliance

1with this paragraph and annually publish a summary of the information obtained
2under this subdivision.
AB591-ASA3,96,73 (c) Distribution of payments. From the appropriations under s. 20.435 (1) (b)
4and (o), the department of health and family services shall make payments to a
5health maintenance organization or other health care provider with which the
6department of health and family services has contracted under par. (a) in accordance
7with a payment schedule established by contract.
AB591-ASA3,96,108 (d) Premiums. 1. Subject to a modification made pursuant to subd. 2, an
9individual who receives the Wisconsin works health plan shall pay, in the manner
10prescribed in subd. 3., the following monthly premium:
AB591-ASA3,96,1211 a. For an individual with an income equal to or less than 159% of the poverty
12line, $20.
AB591-ASA3,96,1513 b. For an individual with an income greater than 159% of the poverty line and
14not greater than 200% of the poverty line, $20 plus $3 for every percentage point by
15which the individual's income exceeds 159%.
AB591-ASA3,97,216 2. The department of health and family services may submit a proposal to the
17joint committee on finance to modify the premium amounts under subd. 1. If, within
1814 days after the date of receipt of the department's proposal, the cochairpersons of
19the committee do not notify the secretary that the committee has scheduled a
20meeting for the purpose of reviewing the proposed modifications, the department of
21health and family services may make the modifications specified in the proposal. If,
22within 14 days after the date of receipt of the department's proposal, the
23cochairpersons of the committee notify the secretary that the committee has
24scheduled a meeting for the purpose of reviewing the proposed modifications, the

1department of health and family services may not make the modifications specified
2in the proposal until the committee approves the proposal.
AB591-ASA3,97,33 3. Payment of the premium shall be made as follows:
AB591-ASA3,97,64 a. For a participant in a trial job, the Wisconsin works agency shall deduct the
5premium from the subsidy that is paid to the employer under s. 49.147 (3) (a). The
6employer shall deduct the premium from the trial job participant's wages.
AB591-ASA3,97,97 b. For a participant in a community service job or transitional placement, the
8Wisconsin works agency shall deduct the premium from the participant's monthly
9grant amount under s. 49.148 (1) (b) or (c).
AB591-ASA3,97,1310 c. For an individual not specified under subd. 3. a. or b., the individual shall
11pay the premium directly to the Wisconsin works agency, or, if the individual and his
12or her employer agree, the individual's employer may deduct the premium from the
13individual's payroll and pay the premium to the Wisconsin works agency.
AB591-ASA3,97,1714 4. The Wisconsin works agency shall remit to the department of industry, labor
15and job development in the manner prescribed by the department of industry, labor
16and job development all premium payments that the Wisconsin works agency
17receives under this paragraph.
AB591-ASA3, s. 94 18Section 94. 49.155 of the statutes is created to read:
AB591-ASA3,97,20 1949.155 Wisconsin works; child care subsidy. (1) Definitions. In this
20section:
AB591-ASA3,97,2221 (a) "Level I certified family day care provider" means a day care provider
22certified under s. 48.651 (1) (a).
AB591-ASA3,97,2423 (b) "Level II certified family day care provider" means a day care provider
24certified under s. 48.651 (1) (b).
AB591-ASA3,98,4
1(1m) Eligibility. A Wisconsin works agency shall determine eligibility for a
2child care subsidy under this section. Under this section, an individual may receive
3a subsidy for child care for a child who has not attained the age of 13 if the individual
4meets all of the following conditions:
AB591-ASA3,98,85 (a) The individual is a custodial parent of a child who is under the age of 13,
6or is a person who, under s. 48.57 (3m), is providing care and maintenance for a child
7who is under the age of 13, and child care services for that child are needed in order
8for the individual to do any of the following:
AB591-ASA3,98,99 1. Meet the school attendance requirement under s. 49.26 (1) (ge).
AB591-ASA3,98,1110 2. Work in an unsubsidized job, including training provided by an employer
11during the regular hours of employment.
AB591-ASA3,98,1312 3. Work in a Wisconsin works employment position, including participation in
13education or training activities under s. 49.147 (3) (am), (4) (am) or (5) (bm).
AB591-ASA3,98,2214 4. Participate in other employment skills training, including an English as a
152nd language course, if the Wisconsin works agency determines that the course
16would facilitate the individual's efforts to obtain employment; a course of study
17meeting the standards established by the secretary of education under s. 115.29 (4)
18for the granting of a declaration of equivalency of high school graduation; a course
19of study at a technical college; or participation in educational courses that provide
20an employment skill, as determined by the department. An individual may receive
21aid under this subdivision for up to one year. An individual may not receive aid under
22this subdivision unless the individual meets at least one of the following conditions:
AB591-ASA3,98,2423 a. The individual has been employed in unsubsidized employment for 9
24consecutive months and continues to be so employed.
AB591-ASA3,98,2525 b. The individual is a participant in a Wisconsin works employment position.
AB591-ASA3,99,4
1(b) The individual meets the eligibility conditions under s. 49.145 (2) (c) to (g)
2and (3) (a), except that an individual may be eligible for a child care subsidy under
3this section regardless of the number of days the individual has resided in this state
4prior to applying for the child care subsidy.
AB591-ASA3,99,85 (c) The gross income of the individual's family is at or below 165% of the poverty
6line for a family the size of the individual's family. In calculating the gross income
7of the family, the Wisconsin works agency shall include income described under s.
849.145 (3) (b) 1. to 3.
AB591-ASA3,99,109 (d) The individual satisfies other eligibility criteria established by the
10department by rule.
AB591-ASA3,99,13 11(3) County administration. (a) A Wisconsin works agency shall refer an
12individual who has been determined eligible under sub. (1m) to a county department
13under s. 46.215, 46.22 or 46.23 for child care assistance.
AB591-ASA3,99,1714 (b) The county department under s. 46.215, 46.22 or 46.23 shall administer
15child care assistance under this section. In administering child care assistance
16under this section, the county department under s. 46.215, 46.22 or 46.23 shall do
17all of the following:
AB591-ASA3,99,1818 1. Determine an individual's liability under sub. (5).
AB591-ASA3,99,2119 2. Provide a voucher to an eligible individual for the payment of child care
20services provided by a child care provider or otherwise reimburse child care
21providers.
AB591-ASA3,99,2222 3. Set maximum reimbursement rates as provided under sub. (6) (b).
AB591-ASA3,99,2323 5. Certify child care providers under s. 48.651.
AB591-ASA3,100,3
16. Assist individuals who are eligible for child care subsidies under this section
2to identify available child care providers and select appropriate child care
3arrangements.
AB591-ASA3,100,7 4(4) Choice of provider. An eligible individual shall choose whether the child
5care will be provided by a day care center licensed under s. 48.65, a Level I certified
6family day care provider, a Level II certified family day care provider or a day care
7program provided or contracted for by a school board under s. 120.13 (14).
AB591-ASA3,100,10 8(5) Liability for payment. (a) Subject to a modification made pursuant to par.
9(b), an individual is liable for the following percentages of the cost of child care
10received:
AB591-ASA3,100,1211 1. For an individual with an income equal to or less than 75% of the poverty
12line, 7.5%.
AB591-ASA3,100,1413 2. For an individual with an income greater than 75% of the poverty line and
14not greater than 95% of the poverty line, 10%.
AB591-ASA3,100,1815 3. For an individual with an income greater than 95% of the poverty line, 10%,
16plus 1.2857% for every percentage point by which the individual's income exceeds
1795% of the poverty line, except that no individual may be required to pay more than
18100% of the cost of the child care.
AB591-ASA3,101,319 (b) The department may submit a proposal to the joint committee on finance
20to modify the percentages under par. (a). If, within 14 days after the date of receipt
21of the department's proposal, the cochairpersons of the committee do not notify the
22secretary that the committee has scheduled a meeting for the purpose of reviewing
23the proposed modifications, the department may make the modifications specified
24in the proposal. If, within 14 days after the date of receipt of the department's
25proposal, the cochairpersons of the committee notify the secretary that the

1committee has scheduled a meeting for the purpose of reviewing the proposed
2modifications, the department may not make the modifications specified in the
3proposal until the committee approves the proposal.
AB591-ASA3,101,9 4(6) Child care rates and quality standards. (a) The department shall
5establish the maximum rate that a county department under s. 46.215, 46.22 or
646.23 may pay for child care services provided under this section. The department
7shall set the rate so that at least 75% of the number of places for children within the
8licensed capacity of all child care providers in each county or in a multicounty area
9determined by the department can be purchased at or below that maximum rate.
AB591-ASA3,101,1310 (b) The department shall set a maximum rate that a county department under
11s. 46.215, 46.22 or 46.23 may pay for Level I certified family day care providers for
12services provided to eligible individuals. The maximum rate set under this
13paragraph may not exceed 75% of the rate established under par. (a).
AB591-ASA3,101,1714 (c) The department shall set a maximum rate that a county department under
15s. 46.215, 46.22 or 46.23 may pay for Level II certified family day care providers for
16services provided to eligible individuals. The maximum rate set under this
17paragraph may not exceed 50% of the rate established under par. (a).
AB591-ASA3,101,2018 (d) The department may establish a system of rates for child care programs that
19exceed the quality of care standards required for licensure under s. 48.65 or for
20certification under s. 48.651 (1) (a).
AB591-ASA3,101,24 21(7) Refusal to pay child care providers. (a) The department or the county
22department under s. 46.215, 46.22 or 46.23 may refuse to pay a child care provider
23for child care provided under this section if any of the following applies to the child
24care provider, employe or person living on the premises where child care is provided:
AB591-ASA3,102,3
11. The person has been convicted of a felony or misdemeanor that the
2department or county department determines substantially relates to the care of
3children.
AB591-ASA3,102,54 2. The person is the subject of a pending criminal charge that the department
5or county department determines substantially relates to the care of children.
AB591-ASA3,102,76 3. The person has been determined under s. 48.981 to have abused or neglected
7a child.
AB591-ASA3,102,98 (b) The department shall promulgate rules establishing the method by which
9a determination under par. (a) is made.
AB591-ASA3, s. 95 10Section 95. 49.157 of the statutes is created to read:
AB591-ASA3,102,15 1149.157 Wisconsin works; transportation assistance. A Wisconsin works
12agency may provide transportation assistance in the manner prescribed by the
13department by rule. The Wisconsin works agency shall limit any financial assistance
14granted under this subsection to financial assistance for public transportation if a
15form of public transportation that meets the needs of the participant is available.
AB591-ASA3, s. 96 16Section 96. 49.159 of the statutes is created to read:
AB591-ASA3,102,23 1749.159 Wisconsin works; noncustodial and minor and other custodial
18parents. (1)
Noncustodial parents. (a) An individual who would be eligible under
19s. 49.145 except that the individual is the noncustodial parent of a dependent child,
20is eligible for services under this subsection if the dependent child's custodial parent
21is a participant and if the individual is subject to a child support order. The
22Wisconsin works agency may provide job search assistance and case management
23designed to enable eligible noncustodial parents to obtain and retain employment.
AB591-ASA3,103,3
1(b) An individual who would be eligible under s. 49.145 except that the
2individual is the noncustodial parent of a dependent child may participate in a
3Wisconsin works employment position if all of the following conditions are met:
AB591-ASA3,103,54 1. The custodial parent of the dependent child meets the income requirements
5under s. 49.145 (3) (b).
AB591-ASA3,103,76 2. The custodial parent of the dependent child is not a participant in a
7Wisconsin works employment position.
AB591-ASA3,103,88 3. The individual is subject to a child support order for the dependent child.
AB591-ASA3,103,16 9(2) Minor custodial parents; financial and employment counseling. A
10custodial parent who is under the age of 18 is eligible, regardless of that individual's
11or that individual's parent's income or assets, to meet with a financial and
12employment planner. The financial and employment planner may provide the
13individual with information regarding Wisconsin works eligibility, available child
14care services, employment and financial planning, family planning services,
15community resources, eligibility for food stamps and other food and nutrition
16programs.
AB591-ASA3,103,20 17(3) Other custodial parents. A custodial parent in a Wisconsin works group
18in which the other custodial parent is a participant in a Wisconsin works
19employment position is eligible for employment training and job search assistance
20services provided by the Wisconsin works agency.
AB591-ASA3,103,24 21(4) Pregnant women. A pregnant woman whose pregnancy is medically
22verified who would be eligible under s. 49.145 except that she is not a custodial
23parent of a dependent child is eligible for employment training and job search
24assistance services provided by the Wisconsin works agency.
AB591-ASA3, s. 97 25Section 97. 49.161 of the statutes is created to read:
AB591-ASA3,104,8
149.161 Wisconsin works; overpayments. (1) Trial jobs overpayments.
2Notwithstanding s. 49.96, the department shall recover an overpayment of benefits
3paid under s. 49.148 (1) (a) from an individual who receives or has received benefits
4paid under s. 49.148 (1) (a). The value of the benefit liable for recovery under this
5subsection may not exceed the amount that the department paid in wage subsidies
6with respect to that participant while the participant was ineligible to participate.
7The department shall promulgate rules establishing policies and procedures for
8administrating this subsection.
AB591-ASA3,104,13 9(2) Community service jobs and transitional placements overpayments.
10Except as provided in sub. (3), the department shall recover an overpayment of
11benefits paid under s. 49.148 (1) (b) and (c) from an individual who continues to
12receive benefits under s. 49.148 (1) (b) and (c) by reducing the amount of the
13individual's benefit payment by no more than 10%.
AB591-ASA3,104,19 14(3) Overpayments caused by intentional program violations. If an
15overpayment under sub. (1) or (2) is the result of an intentional violation of ss. 49.141
16to 49.161 or of rules promulgated by the department under those sections, the
17department shall recover the overpayment by deducting an amount from the benefits
18received under s. 49.148 (1) (a), (b) or (c), until the overpayment is recovered. The
19amount to be deducted each month may not exceed the following:
AB591-ASA3,104,2120 (a) For intentional program violations resulting in an overpayment that is less
21than $300, 10% of the amount of the monthly benefit payment.
AB591-ASA3,104,2322 (b) For intentional program violations resulting in an overpayment that is at
23least $300 but less than $1,000, $75.
AB591-ASA3,104,2524 (c) For intentional program violations resulting in an overpayment that is at
25least $1,000 but less than $2,500, $100.
AB591-ASA3,105,2
1(d) For intentional program violations resulting in an overpayment that is
2$2,500 or more, $200.
AB591-ASA3, s. 99g 3Section 99g. 49.185 of the statutes is created to read:
AB591-ASA3,105,5 449.185 Employment skills advancement program. (1) Definitions. In
5this section:
AB591-ASA3,105,66 (a) "Custodial parent" has the meaning given in s. 49.141 (1) (b).
AB591-ASA3,105,77 (b) "Dependent child" has the meaning given in s. 49.141 (1) (c).
AB591-ASA3,105,158 (c) "Family" means an individual who is a custodial parent, all dependent
9children with respect to whom the individual is a custodial parent and all dependent
10children with respect to whom the individual's dependent child is a custodial parent.
11"Family" includes any nonmarital coparent, as defined in s. 49.141 (1) (i), or any
12spouse of the individual who resides in the same household as the individual and any
13dependent children with respect to whom the spouse or nonmarital coparent is a
14custodial parent. "Family" does not include any person who is receiving benefits
15under s. 49.027 (3) (b).
AB591-ASA3,105,19 16(2) Grants. A person contracting with the department under sub. (4) may make
17an employment skills advancement grant of up to $500 to an individual eligible
18under sub. (3) for tuition, books, transportation or other direct costs of training or
19education in a vocational training or education program.
AB591-ASA3,105,21 20(3) Eligibility. An individual is eligible for an employment skills advancement
21grant only if all of the following eligibility requirements are met:
AB591-ASA3,105,2422 (a) The training or education is approved by the person contracting with the
23department under sub. (4) as part of a career training or education plan that will lead
24to increased income.
AB591-ASA3,106,2
1(b) The individual is at least 18 years of age and is a custodial parent of a minor
2child.
AB591-ASA3,106,53 (c) The individual has been determined eligible for aid under s. 49.19 or for a
4Wisconsin works employment position under s. 49.145 within 5 years before applying
5for a grant.
AB591-ASA3,106,76 (d) The individual has been employed in an unsubsidized job for at least 9
7consecutive months before applying for a grant.
AB591-ASA3,106,108 (e) The individual is working an average of at least 40 hours per week, unless
9the employer and the person contracting with the department under sub. (4) agree
10that the person may work fewer hours.
AB591-ASA3,106,1311 (f) The assets of the individual's family do not exceed $2,500 in combined equity
12value, excluding the equity value of vehicles up to a total equity value of $10,000 and
13one home in which the family lives.
AB591-ASA3,106,1514 (g) The income of the individual's family does not exceed 165% of the poverty
15line.
AB591-ASA3,106,1716 (h) The individual has sought other forms of assistance, as required by the
17department by rule.
AB591-ASA3,106,2118 (i) The individual contributes an amount at least equal to the amount of the
19grant, and obtains funding from other sources in an amount at least equal to the
20amount of the grant, for tuition, books, transportation or other direct costs of the
21training or education.
AB591-ASA3,106,2322 (j) The amount of the grant plus the amount of any grant that that individual
23has previously received under this section does not exceed $500.
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