AB40-ASA1, s. 1254 3Section 1254. 45.50 (2b) (title) of the statutes is created to read:
AB40-ASA1,503,44 45.50 (2b) (title) Veterans Home at Union Grove.
AB40-ASA1, s. 1255 5Section 1255. 45.50 (2d) (title) of the statutes is created to read:
AB40-ASA1,503,66 45.50 (2d) (title) Veterans Home at Chippewa Falls.
AB40-ASA1, s. 1256 7Section 1256. 45.50 (2m) (title) of the statutes is created to read:
AB40-ASA1,503,88 45.50 (2m) (title) Services; staffing of homes.
AB40-ASA1, s. 1257 9Section 1257. 45.50 (2m) (a) of the statutes is created to read:
AB40-ASA1,503,1210 45.50 (2m) (a) The department shall provide complete personal maintenance
11and medical care, including programs and facilities that promote comfort,
12recreation, well-being, or rehabilitation, to all members of veterans homes.
AB40-ASA1, s. 1258 13Section 1258. 45.50 (2m) (b) of the statutes is created to read:
AB40-ASA1,503,1914 45.50 (2m) (b) The department may employ any personnel that are necessary
15for the proper management and operation of veterans homes. In compliance with the
16compensation plan established pursuant to s. 230.12 (3), a commandant may
17recommend to the director of personnel charges for meals, living quarters, laundry,
18and other services furnished to employees and members of the employees' family
19maintained at veterans homes.
AB40-ASA1, s. 1259 20Section 1259. 45.50 (2m) (c) of the statutes is created to read:
AB40-ASA1,503,2521 45.50 (2m) (c) For the Wisconsin Veterans Home at Chippewa Falls, in lieu of
22the department employing personnel as authorized under par. (b) and providing the
23maintenance and medical care as specified in par. (a), the department may enter into
24an agreement with a private entity to operate the home and perform such
25management and care using personnel employed by the private entity.
AB40-ASA1, s. 1260
1Section 1260. 45.50 (3) (title) of the statutes is created to read:
AB40-ASA1,504,22 45.50 (3) (title) Land acquisition.
AB40-ASA1, s. 1261 3Section 1261. 45.50 (4) (title) of the statutes is created to read:
AB40-ASA1,504,44 45.50 (4) (title) Gifts and grants.
AB40-ASA1, s. 1262 5Section 1262. 45.50 (4) of the statutes is renumbered 45.50 (4) (a).
AB40-ASA1, s. 1263 6Section 1263. 45.50 (5) of the statutes is renumbered 45.50 (4) (b).
AB40-ASA1, s. 1264 7Section 1264. 45.50 (6) (title) of the statutes is created to read:
AB40-ASA1,504,88 45.50 (6) (title) Water and sewer services.
AB40-ASA1, s. 1265 9Section 1265. 45.50 (6) (b) of the statutes is amended to read:
AB40-ASA1,504,1310 45.50 (6) (b) Agreements under this section subsection shall be drafted to hold
11harmless the department, to require all expense to be paid by the applicant, and to
12be terminable by the department when other water and sewer services become
13available to the applicant.
AB40-ASA1, s. 1266 14Section 1266. 45.50 (7) (title) of the statutes is created to read:
AB40-ASA1,504,1515 45.50 (7) (title) Enforcement authority.
AB40-ASA1, s. 1267 16Section 1267. 45.50 (8) (title) of the statutes is created to read:
AB40-ASA1,504,1717 45.50 (8) (title) Fire fighting services.
AB40-ASA1, s. 1268 18Section 1268. 45.50 (9) of the statutes is renumbered 45.50 (2m) (f) and
19amended to read:
AB40-ASA1,505,220 45.50 (2m) (f) The department may develop a program to provide stipends to
21individuals to attend school and receive the necessary credentials to become
22employed at veterans homes. If the department develops a stipend program under
23this subsection paragraph, the department shall promulgate rules related to the
24program, including the application process, eligibility criteria, stipend amount,

1repayment provisions, and other provisions that the department determines are
2necessary to administer the program.
AB40-ASA1, s. 1269 3Section 1269. 45.50 (10) of the statutes is amended to read:
AB40-ASA1,505,94 45.50 (10) Hospitals authorized. The department may establish a hospital at
5the a veterans homes home. All hospitals established under this subsection may not
6have a total approved bed capacity, as defined in s. 150.01 (4m), greater than 16 beds.
7The approved bed capacity of a skilled nursing facility operated at a veterans home
8is reduced by one bed for each approved bed at the hospital established under this
9subsection at that home.
AB40-ASA1, s. 1271 10Section 1271. 46.03 (18) (ar) of the statutes is amended to read:
AB40-ASA1,505,1311 46.03 (18) (ar) A Subject to s. 46.995, a county may retain fees that it collects
12under this subsection for services the county provides without state funding under
13the disabled children's long-term support program.
AB40-ASA1, s. 1273 14Section 1273. 46.057 (2) of the statutes is amended to read:
AB40-ASA1,505,2315 46.057 (2) From the appropriation account under s. 20.410 (3) (ba), the
16department of corrections shall transfer to the appropriation account under s. 20.435
17(2) (kx) $1,365,500 in each fiscal year and, from the appropriation account under s.
1820.410 (3) (hm), the department of corrections shall transfer to the appropriation
19account under s. 20.435 (2) (kx) $2,872,300 $2,890,700 in fiscal year 2009-10
202011-12 and $2,896,100 $2,964,000 in fiscal year 2010-11 2012-13, for services for
21juveniles placed at the Mendota juvenile treatment center. The department of health
22services may charge the department of corrections not more than the actual cost of
23providing those services.
AB40-ASA1, s. 1276 24Section 1276. 46.21 (2m) (am) of the statutes is created to read:
AB40-ASA1,506,5
146.21 (2m) (am) Multicounty department. A county board of supervisors may
2establish with one or more other counties a county department of human services on
3a multicounty basis. A multicounty department of human services established
4under this paragraph shall meet the requirements for a county department of human
5services under this section.
AB40-ASA1, s. 1277 6Section 1277. 46.215 (1) (intro.) of the statutes is amended to read:
AB40-ASA1,506,177 46.215 (1) Creation; powers and duties. (intro.) In a county with a population
8of 500,000 or more the administration of welfare services, other than child welfare
9services under s. 48.48 (17) administered by the department and except as provided
10in ss. 49.155 (3g), 49.78 (1r), 49.825, and 49.826, is vested in a county department of
11social services under the jurisdiction of the county board of supervisors under s. 46.21
12(2m) (b) 1. a. Any reference in any law to a county department of social services under
13this section applies to a county department under s. 46.21 (2m) in its administration
14under s. 46.21 (2m) of the powers and duties of the county department of social
15services. Except as provided in ss. 49.155 (3g), 49.78 (1r), 49.825, and 49.826, the
16county department of social services shall have the following functions, duties, and
17powers, and such other welfare functions as may be delegated to it:
AB40-ASA1, s. 1281 18Section 1281. 46.215 (1) (t) of the statutes is created to read:
AB40-ASA1,506,2319 46.215 (1) (t) At the discretion of the county board of supervisors, to combine
20with one or more other counties to establish a county department of social services
21on a multicounty basis. A multicounty department of social services established
22under this paragraph shall meet the requirements for a county department of social
23services under this section.
AB40-ASA1, s. 1282 24Section 1282. 46.215 (2) (c) 3. of the statutes is amended to read:
AB40-ASA1,507,10
146.215 (2) (c) 3. A county department of social services shall develop, under the
2requirements of s. 301.08 (2), plans and contracts for juvenile delinquency-related
3care and services to be purchased. The department of corrections may review the
4contracts and approve them if they are consistent with s. 301.08 (2) and if state or
5federal funds are available for such purposes. The joint committee on finance may
6require the department of corrections to submit the contracts to the committee for
7review and approval. The department of corrections may not make any payments
8to a county for programs included in a contract under review by the committee. The
9department of corrections shall reimburse each county for the contracts from the
10appropriations under s. 20.410 (3) (cd), (ko), and (o) and (ko) as appropriate.
AB40-ASA1, s. 1283 11Section 1283. 46.22 (1) (a) of the statutes is amended to read:
AB40-ASA1,507,1712 46.22 (1) (a) Creation. Except as provided under s. 46.23 (3) (b), the county
13board of supervisors of any county with a population of less than 500,000, or the
14county boards of 2 or more contiguous counties each with a population of less than
15500,000
, shall establish a county department of social services on a single-county or
16multicounty basis. The county department of social services shall consist of a county
17social services board, a county social services director and necessary personnel.
AB40-ASA1, s. 1286m 18Section 1286m. 46.22 (1) (b) 2. d. of the statutes is amended to read:
AB40-ASA1,507,2019 46.22 (1) (b) 2. d. To certify eligibility for and issue food coupons to needy
20households in conformity with 7 USC 2011 to 2029 2036, subject to s. 49.78.
AB40-ASA1, s. 1288 21Section 1288. 46.22 (1) (e) 3. c. of the statutes is amended to read:
AB40-ASA1,508,722 46.22 (1) (e) 3. c. A county department of social services shall develop, under
23the requirements of s. 301.08 (2), plans and contracts for juvenile
24delinquency-related care and services to be purchased. The department of
25corrections may review the contracts and approve them if they are consistent with

1s. 301.08 (2) and to the extent that state or federal funds are available for such
2purposes. The joint committee on finance may require the department of corrections
3to submit the contracts to the committee for review and approval. The department
4of corrections may not make any payments to a county for programs included in the
5contract that is under review by the committee. The department of corrections shall
6reimburse each county for the contracts from the appropriations under s. 20.410 (3)
7(cd), (ko), and (o) and (ko) as appropriate.
AB40-ASA1, s. 1291 8Section 1291. 46.23 (3) (a) of the statutes is amended to read:
AB40-ASA1,508,179 46.23 (3) (a) Creation. Upon approval by the secretary of health services, by
10the secretary of corrections, and by the secretary of children and families of a
11feasibility study and a program implementation plan, the county board of
12supervisors of any county with a population of less than 500,000, or the county boards
13of supervisors of 2 or more contiguous counties, each of which has a population of less
14than 500,000,
may establish by resolution a county department of human services
15on a single-county or multicounty basis to provide the services required under this
16section. The county department of human services shall consist of the county human
17services board, the county human services director and necessary personnel.
AB40-ASA1, s. 1292 18Section 1292. 46.27 (7) (am) of the statutes is amended to read:
AB40-ASA1,509,219 46.27 (7) (am) From the appropriation under s. 20.435 (7) (bd), the department
20shall allocate funds to each county or private nonprofit agency with which the
21department contracts to pay assessment and case plan costs under sub. (6) not
22otherwise paid by fee or under s. 49.45 or 49.78 (2). The department shall reimburse
23counties multicounty consortia for the cost of assessing persons eligible for medical
24assistance under s. 49.46, 49.468, 49.47, or 49.471 (4) (a) as part of the administrative
25services of medical assistance, payable under s. 49.45 (3) (a). Counties may use

1unspent funds allocated under this paragraph to pay the cost of long-term
2community support services and for a risk reserve under par. (fr).
AB40-ASA1, s. 1293 3Section 1293. 46.27 (9) (a) of the statutes is amended to read:
AB40-ASA1,509,124 46.27 (9) (a) The department may select up to 5 counties that volunteer to
5participate in a pilot project under which they will receive certain funds allocated for
6long-term care. The department shall allocate a level of funds to these counties
7equal to the amount that would otherwise be paid under s. 20.435 (4) (b), (gm), or (w)
8to nursing homes for providing care because of increased utilization of nursing home
9services, as estimated by the department. In estimating these levels, the department
10shall exclude any increased utilization of services provided by state centers for the
11developmentally disabled. The department shall calculate these amounts on a
12calendar year basis under sub. (10).
AB40-ASA1, s. 1294 13Section 1294. 46.27 (10) (a) 1. of the statutes is amended to read:
AB40-ASA1,509,1914 46.27 (10) (a) 1. The department shall determine for each county participating
15in the pilot project under sub. (9) a funding level of state medical assistance
16expenditures to be received by the county. This level shall equal the amount that the
17department determines would otherwise be paid under s. 20.435 (4) (b), (gm), or (w)
18because of increased utilization of nursing home services, as estimated by the
19department.
AB40-ASA1, s. 1295 20Section 1295. 46.275 (5) (a) of the statutes is amended to read:
AB40-ASA1,510,221 46.275 (5) (a) Medical Assistance reimbursement for services a county, or the
22department under sub. (3r), provides under this program is available from the
23appropriation accounts under s. 20.435 (4) (b), (gm), (o), and (w). If 2 or more counties
24jointly contract to provide services under this program and the department approves

1the contract, Medical Assistance reimbursement is also available for services
2provided jointly by these counties.
AB40-ASA1, s. 1296 3Section 1296. 46.275 (5) (c) of the statutes is amended to read:
AB40-ASA1,510,104 46.275 (5) (c) The total allocation under s. 20.435 (4) (b), (gm), (o), and (w) to
5counties and to the department under sub. (3r) for services provided under this
6section may not exceed the amount approved by the federal department of health and
7human services. A county may use funds received under this section only to provide
8services to persons who meet the requirements under sub. (4) and may not use
9unexpended funds received under this section to serve other developmentally
10disabled persons residing in the county.
AB40-ASA1, s. 1297 11Section 1297. 46.278 (6) (d) of the statutes is amended to read:
AB40-ASA1,510,1712 46.278 (6) (d) If a county makes available nonfederal funds equal to the state
13share of service costs under a waiver received under sub. (3), the department may,
14from the appropriation under s. 20.435 (4) (o), provide reimbursement for services
15that the county provides under this section to persons who are in addition to those
16who may be served under this section with funds from the appropriation accounts
17under s. 20.435 (4) (b), (gm), or (w).
AB40-ASA1, s. 1298 18Section 1298. 46.2785 (5) (a) of the statutes is amended to read:
AB40-ASA1,510,2119 46.2785 (5) (a) Medical assistance reimbursement for services a county or
20private agency contracts for or provides under the waiver program shall be made
21from the appropriation accounts under s. 20.435 (4) (b), (gm), and (o).
AB40-ASA1, s. 1299 22Section 1299. 46.281 (3) of the statutes is amended to read:
AB40-ASA1,511,623 46.281 (3) Duty of the secretary. The secretary shall certify to each county,
24hospital, nursing home, community-based residential facility, adult family home, as
25defined in s. 50.01 (1) (a) or (b),
and residential care apartment complex the date on

1which a resource center that serves the area of the county, hospital, nursing home,
2community-based residential facility, adult family home, or residential care
3apartment complex is first available to perform functional screenings and financial
4and cost-sharing screenings. To facilitate phase-in of services of resource centers,
5the secretary may certify that the resource center is available for specified groups of
6eligible individuals or for specified facilities in the county.
AB40-ASA1, s. 1302 7Section 1302. 46.283 (4) (e) of the statutes is amended to read:
AB40-ASA1,511,178 46.283 (4) (e) Provide information about the services of the resource center,
9including the services specified in sub. (3) (d), about assessments under s. 46.284 (4)
10(b) and care plans under s. 46.284 (4) (c), and about the family care benefit and the
11self-directed services option to all older persons and adults with a physical or
12developmental disability who are residents of nursing homes, community-based
13residential facilities, adult family homes, as defined in s. 50.01 (1) (a) or (b), and
14residential care apartment complexes in the area of the resource center when the
15benefit under s. 46.286 first becomes available in the county where the nursing home,
16community-based residential facility, adult family home, or residential care
17apartment complex is located.
AB40-ASA1, s. 1303 18Section 1303. 46.283 (4) (g) of the statutes is amended to read:
AB40-ASA1,512,719 46.283 (4) (g) Perform a functional screening and a financial and cost-sharing
20screening for any person seeking admission to a nursing home, community-based
21residential facility, residential care apartment complex, or adult family home, as
22defined in s. 50.01 (1) (a) or (b),
if the secretary has certified that the resource center
23is available to the person and the facility and the person is determined by the
24resource center to have a condition that is expected to last at least 90 days that would
25require care, assistance, or supervision. A resource center may not require a

1financial and cost-sharing screening for a person seeking admission or about to be
2admitted on a private pay basis who waives the requirement for a financial and
3cost-sharing screening under this paragraph, unless the person is expected to
4become eligible for medical assistance within 6 months. A resource center need not
5perform a functional screening for a person seeking admission or about to be
6admitted for whom a functional screening was performed within the previous 6
7months.
AB40-ASA1, s. 1304 8Section 1304. 46.283 (5) of the statutes is amended to read:
AB40-ASA1,512,129 46.283 (5) Funding. From the appropriation accounts under s. 20.435 (4) (b),
10(bm), (gm), (pa), and (w) and (7) (b), (bd), and (md), the department may contract with
11organizations that meet standards under sub. (3) for performance of the duties under
12sub. (4) and shall distribute funds for services provided by resource centers.
AB40-ASA1, s. 1304m 13Section 1304m. 46.284 (2) (d) of the statutes is created to read:
AB40-ASA1,512,1914 46.284 (2) (d) As a term of a contract with a care management organization
15under this section, the department shall prohibit a care management organization
16from including a provision that requires a provider to return any funding for
17residential services, prevocational services, or supported employment services that
18exceeds the cost of those services to the care management organization in a contract
19for services covered by the family care benefit.
AB40-ASA1, s. 1305 20Section 1305. 46.284 (5) (a) of the statutes is amended to read:
AB40-ASA1,513,221 46.284 (5) (a) From the appropriation accounts under s. 20.435 (4) (b), (g), (gm),
22(im), (o), and (w) and (7) (b), (bd), and (g), the department shall provide funding on
23a capitated payment basis for the provision of services under this section.
24Notwithstanding s. 46.036 (3) and (5m), a care management organization that is
25under contract with the department may expend the funds, consistent with this

1section, including providing payment, on a capitated basis, to providers of services
2under the family care benefit.
AB40-ASA1, s. 1306 3Section 1306. 46.29 (3) (e) of the statutes is amended to read:
AB40-ASA1,513,44 46.29 (3) (e) The secretary of commerce safety and professional services.
AB40-ASA1, s. 1307 5Section 1307. 46.40 (9) (d) of the statutes is amended to read:
AB40-ASA1,513,126 46.40 (9) (d) Payment adjustments for certain Medical Assistance services. The
7department may decrease a county's allocation under sub. (2) by the amount of any
8payment adjustments under s. 49.45 (52) (a) made for that county from the
9appropriation account under s. 20.435 (7) (b) for services described under s. 49.45 (52)
10(a) 1
. The total amount of the decrease for a county under this paragraph during any
11fiscal year may not exceed that part of the county's allocation under sub. (2) that
12derives from the appropriation account under s. 20.435 (7) (b) for that fiscal year.
AB40-ASA1, s. 1308 13Section 1308. 46.40 (9) (e) of the statutes is created to read:
AB40-ASA1,513,1714 46.40 (9) (e) County income maintenance administration. Beginning in
15calendar year 2012, the department shall decrease the allocation under sub. (2) for
16a county with a population of 750,000 or more from the appropriation under s. 20.435
17(7) (b) by $2,700,000.
AB40-ASA1, s. 1311 18Section 1311. 46.90 (1) (gr) 3. of the statutes is amended to read:
AB40-ASA1,513,2019 46.90 (1) (gr) 3. The department of regulation and licensing safety and
20professional services
.
AB40-ASA1, s. 1312 21Section 1312. 46.90 (5m) (br) 5. of the statutes is amended to read:
AB40-ASA1,513,2522 46.90 (5m) (br) 5. Refer the case to the department of regulation and licensing
23safety and professional services if the financial exploitation, neglect, self-neglect, or
24abuse involves an individual who is required to hold a credential, as defined in s.
25440.01 (2) (a), under chs. 440 to 460.
AB40-ASA1, s. 1313
1Section 1313. 46.99 (3) of the statutes is amended to read:
AB40-ASA1,514,62 46.99 (3) If the waiver requested under sub. (2) is granted, counties shall
3provide to the department the nonfederal share of costs for medical assistance
4services provided under the waiver. Counties may use moneys appropriated under
5s. 20.435 (7) (bt) and distributed to counties under s. 51.44 (3) (a) to provide the
6nonfederal share of medical assistance costs.
AB40-ASA1, s. 1314 7Section 1314. 46.99 (3m) of the statutes is created to read:
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