SB21-SSA1,547,218 2. In calculating under subd. 1. the surplus generated by 2 or more affiliated
19providers, any surplus of combined revenues over allowable costs generated by one
20or more of those affiliated providers shall be reduced, but not below zero, by any
21deficit between combined revenues and allowable costs generated by any one or more
22of those affiliated providers. If after that reduction there remains any net surplus,
23that net surplus shall be allocated among the affiliated providers that generated a
24surplus in proportion to the amount of surplus generated by each such affiliated

1provider and subd. 1. shall apply to each such affiliated provider's proportionate
2share of that surplus.
SB21-SSA1,1777fq 3Section 1777fq. 49.34 (5m) (e) of the statutes is created to read:
SB21-SSA1,547,104 49.34 (5m) (e) In making the calculations under pars. (b) and (d), if 2 or more
5providers engage in a merger, acquisition, consolidation, reorganization, sale, or
6other transfer resulting in a single successor provider, all surpluses generated by a
7rate-based service or a rate-regulated service provided by a preexisting provider
8shall be offset against all deficits generated by that service provided by a preexisting
9provider and those net surpluses or deficits shall be the surpluses or deficits of the
10successor provider.
SB21-SSA1,1777fr 11Section 1777fr. 49.34 (5m) (em) of the statutes is amended to read:
SB21-SSA1,547,1812 49.34 (5m) (em) Notwithstanding par. (b) 1. and 2., a county department under
13s. 46.215, 51.42, or 51.437 providing client services in a county having a population
14of 500,000 or more or a nonstock, nonprofit corporation providing client services in
15such a county may not retain a surplus generated by a rate-based service or
16accumulate funds from more than one contract period for a rate-based service from
17revenues that are used to meet the maintenance-of-effort requirement under the
18federal temporary assistance for needy families program under 42 USC 601 to 619.
SB21-SSA1,1778 19Section 1778. 49.345 (1) of the statutes is amended to read:
SB21-SSA1,547,2420 49.345 (1) Liability and the collection and enforcement of such liability for the
21care, maintenance, services, and supplies specified in this section are governed
22exclusively by this section, except in cases of child support ordered by a court under
23s. 48.355 (2) (b) 4., 48.357 (5m) (a), or 48.363 (2), 938.183 (4), 938.355 (2) (b) 4.,
24938.357 (5m) (a), or 938.363 (2)
or ch. 767.
SB21-SSA1,1779 25Section 1779. 49.345 (2) of the statutes is amended to read:
SB21-SSA1,548,21
149.345 (2) Except as provided in sub. (14) (b) and (c), any person, including but
2not limited to
a person placed under s. 48.345 (3) or , 48.357 (1) or (2m), 938.183,
3938.34 (3) or (4d), or 938.357 (1), (2m), (4), or (5) (e),
receiving care, maintenance,
4services, and supplies provided by any institution in this state, in which the state is
5chargeable with all or part of the person's care, maintenance, services, and supplies,
6and the person's property and estate, including the homestead, and the spouse of the
7person, and the spouse's property and estate, including the homestead, and, in the
8case of a minor child, the parents of the person, and their property and estates,
9including their homestead, and, in the case of a foreign child described in s. 48.839
10(1) who became dependent on public funds for his or her primary support before an
11order granting his or her adoption, the resident of this state appointed guardian of
12the child by a foreign court who brought the child into this state for the purpose of
13adoption, and his or her property and estate, including his or her homestead, shall
14be liable for the cost of the care, maintenance, services, and supplies in accordance
15with the fee schedule established by the department under s. 49.32 (1). If a spouse,
16widow, or minor, or an incapacitated person may be lawfully dependent upon the
17property for his or her support, the court shall release all or such part of the property
18and estate from the charges that may be necessary to provide for the person. The
19department shall make every reasonable effort to notify the liable persons as soon
20as possible after the beginning of the maintenance, but the notice or the receipt
21thereof of the notice is not a condition of liability.
SB21-SSA1,1780 22Section 1780. 49.345 (8) (g) of the statutes is amended to read:
SB21-SSA1,548,2523 49.345 (8) (g) Pay quarterly from the appropriation under s. 20.437 (1) (gg) the
24collection moneys due county departments under ss. 46.215, 46.22, and 46.23.
25Payments shall be made as soon after the close of each quarter as is practicable.
SB21-SSA1,1781
1Section 1781. 49.345 (14) (b) of the statutes is amended to read:
SB21-SSA1,549,92 49.345 (14) (b) Except as provided in par. (c), and subject to par. (cm), liability
3of a parent specified in sub. (2) or s. 49.32 (1) for the care and maintenance of the
4parent's minor child who has been placed by a court order under s. 48.355 or, 48.357,
5938.183, 938.355, or 938.357
in a residential, nonmedical facility such as a group
6home, foster home, subsidized guardianship home, or residential care center for
7children and youth shall be determined by the court by using the percentage
8standard established by the department under s. 49.22 (9) and by applying the
9percentage standard in the manner established by the department under par. (g).
SB21-SSA1,1782 10Section 1782. 49.345 (14) (e) 1. of the statutes is amended to read:
SB21-SSA1,549,1911 49.345 (14) (e) 1. An order issued under s. 48.355 (2) (b) 4., 48.357 (5m) (a), or
1248.363 (2) for support determined under this subsection constitutes an assignment
13of all commissions, earnings, salaries, wages, pension benefits, income continuation
14insurance benefits under s. 40.62, duty disability benefits under s. 40.65,
benefits
15under ch. 102 or 108, and other money due or to be due in the future to the county
16department under s. 46.22 or 46.23 in the county where the order was entered or to
17the department, depending upon the placement of the child as specified by rules
18promulgated under subd. 5. The assignment shall be for an amount sufficient to
19ensure payment under the order.
SB21-SSA1,1783 20Section 1783 . 49.345 (14) (e) 1. of the statutes, as affected by 2015 Wisconsin
21Act .... (this act), is amended to read:
SB21-SSA1,550,622 49.345 (14) (e) 1. An order issued under s. 48.355 (2) (b) 4., 48.357 (5m) (a), or
2348.363 (2), 938.183 (4), 938.355 (2) (b) 4., 938.357 (5m) (a), or 938.363 (2) for support
24determined under this subsection constitutes an assignment of all commissions,
25earnings, salaries, wages, pension benefits, income continuation insurance benefits

1under s. 40.62, duty disability benefits under s. 40.65, benefits under ch. 102 or 108,
2and other money due or to be due in the future to the county department under s.
346.215, 46.22, or 46.23 in the county where the order was entered or to the
4department, depending upon the placement of the child as specified by rules
5promulgated under subd. 5. The assignment shall be for an amount sufficient to
6ensure payment under the order.
SB21-SSA1,1784 7Section 1784. 49.345 (14) (g) of the statutes is amended to read:
SB21-SSA1,550,148 49.345 (14) (g) For purposes of determining child support under par. (b), the
9department shall promulgate rules related to the application of the standard
10established by the department under s. 49.22 (9) to a child support obligation for the
11care and maintenance of a child who is placed by a court order under s. 48.355 or,
1248.357, 938.183, 938.355, or 938.357 in a residential, nonmedical facility. The rules
13shall take into account the needs of any person, including dependent children other
14than the child, whom either parent is legally obligated to support.
SB21-SSA1,1785 15Section 1785. 49.345 (16) of the statutes is amended to read:
SB21-SSA1,550,2416 49.345 (16) The department shall delegate to county departments under ss.
1746.215, 46.22, and 46.23 or the local providers of care and services meeting the
18standards established by the department under s. 49.34 the responsibilities vested
19in the department under this section for collection of fees for services other than
20those provided at state facilities, if the county departments or providers meet the
21conditions that the department determines are appropriate. The department may
22delegate to county departments under ss. 46.215, 46.22, and 46.23 the
23responsibilities vested in the department under this section for collection of fees for
24services provided at the state facilities if the necessary conditions are met.
SB21-SSA1,1785m 25Section 1785m. 49.348 of the statutes is created to read:
SB21-SSA1,551,12
149.348 Recidivism reduction program. (1) The department may request
2proposals for a program that reduces the rate of recidivism of persons in the city of
3Milwaukee who have previously been incarcerated following a criminal conviction.
4The department shall specify that the program will be conducted under a contract
5with a 5-year term and that no payment will be made under the contract until the
6organization selected to conduct the program demonstrates, after the 5-year term,
7that the program met a certain minimum level of success, as determined under subs.
8(2) and (4). The selected organization may serve as an intermediary for obtaining
9funding to perform the contract by raising capital from private donors or investors
10and for subcontracting with direct providers to achieve the specified performance
11outcomes. In evaluating proposals, the department shall give a preference to those
12that incorporate reuniting parents with their children.
SB21-SSA1,551,15 13(2) The legislative audit bureau shall assist the department and the selected
14organization in identifying benchmarks by which to measure the organization's
15performance under the contract.
SB21-SSA1,552,5 16(3) After selecting a proposal, the department shall submit a written plan for
17the program and the contract under which it will be performed to the joint committee
18on finance. The department shall include in the plan information on the selected
19proposal and organization, the methods by which the organization will finance
20startup and ongoing costs of the program during the 5-year term of the contract, the
21benchmarks identified under sub. (2), the methods by which performance will be
22monitored and measured, the levels of payment for different degrees of success, and
23any service providers that the selected organization intends to engage in order to
24deliver services under the contract. If the cochairpersons of the joint committee on
25finance do not notify the department within 14 working days after the date of the

1submittal of the plan that the committee has scheduled a meeting to review the plan,
2the plan may be implemented by the department. If, within 14 days after the date
3of the submittal of the plan, the cochairpersons of the committee notify the
4department that the committee has scheduled a meeting to review the plan, the
5department may only implement the plan as approved by the committee.
SB21-SSA1,552,8 6(4) After completion of the 5-year contract term, the legislative audit bureau
7shall conduct an audit of the program to determine whether the benchmarks
8identified under sub. (2) have been met.
SB21-SSA1,1786 9Section 1786. 49.35 (1) (a) of the statutes is amended to read:
SB21-SSA1,552,1710 49.35 (1) (a) The department shall supervise the administration of programs
11under this subchapter and ch. 48 and of community-based juvenile
12delinquency-related programs under ch. 938
. The department shall submit to the
13federal authorities state plans for the administration of programs under this
14subchapter and ch. 48 and of community-based juvenile delinquency-related
15programs under ch. 938
in such form and containing such information as the federal
16authorities require, and shall comply with all requirements prescribed to ensure
17their correctness.
SB21-SSA1,1787 18Section 1787. 49.35 (1) (b) of the statutes is amended to read:
SB21-SSA1,553,219 49.35 (1) (b) All records of the department and all county records relating to
20programs under this subchapter and ch. 48, community-based juvenile
21delinquency-related programs under ch. 938,
and aid under s. 49.18, 1971 stats., s.
2249.20, 1971 stats., and s. 49.61, 1971 stats., as affected by chapter 90, laws of 1973,
23shall be open to inspection at all reasonable hours by authorized representatives of
24the federal government. Notwithstanding ss. 48.396 (2) and 938.396 (2), all county
25records relating to the administration of the services and public assistance specified

1in this paragraph shall be open to inspection at all reasonable hours by authorized
2representatives of the department.
SB21-SSA1,1788 3Section 1788. 49.35 (2) of the statutes is amended to read:
SB21-SSA1,553,74 49.35 (2) The county administration of all laws relating to programs under this
5subchapter and ch. 48 and to community-based juvenile delinquency-related
6programs under ch. 938
shall be vested in the officers and agencies designated in the
7statutes.
SB21-SSA1,1789 8Section 1789. 49.36 (3) (a) of the statutes is amended to read:
SB21-SSA1,553,119 49.36 (3) (a) Except as provided in par. (f) and subject to sub. (3m), a person
10ordered to register under s. 767.55 (2) (am) shall participate in a work experience
11program if services are available.
SB21-SSA1,1790 12Section 1790. 49.36 (3m) of the statutes is created to read:
SB21-SSA1,553,1513 49.36 (3m) A person is not eligible to participate in a program under this
14section unless the person satisfies all of the requirements related to substance abuse
15screening, testing, and treatment under s. 49.162 that apply to the individual.
SB21-SSA1,1791p 16Section 1791p. 49.45 (3g) of the statutes is created to read:
SB21-SSA1,553,2117 49.45 (3g) Payments to federally qualified health centers. (a) For services
18provided by a federally qualified health center before July 1, 2016, to a recipient of
19the Medical Assistance program under this subchapter, the department shall
20reimburse the federally qualified health center under a payment methodology in
21effect on January 1, 2015, and in accordance with 42 USC 1396a (bb) (6).
SB21-SSA1,554,522 (b) For services provided by a federally qualified health center on or after July
231, 2016, to a recipient of the Medical Assistance program under this subchapter, the
24department shall reimburse the federally qualified health centers using a payment
25methodology based on the Medicaid prospective payment system under 42 USC

11396a (bb) (1) to (3). The department shall consult with federally qualified health
2centers in developing the payment methodology under this paragraph. The
3department shall phase-in over fiscal years 2016-17, 2017-18, and 2018-19
4payment of new rates under the payment methodology developed under this
5paragraph.
SB21-SSA1,1791r 6Section 1791r. 49.45 (3m) of the statutes is created to read:
SB21-SSA1,554,147 49.45 (3m) Disproportionate share hospital payments. (a ) Subject to par. (c)
8and notwithstanding sub. (3) (e), from the appropriations under s. 20.435 (4) (b) and
9(o), in each fiscal year, the department shall pay to hospitals that serve a
10disproportionate share of low-income patients an amount equal to the sum of
11$15,000,000, as the state share of payments, and the matching federal share of
12payments. The department may make a payment to a hospital under this subsection
13under the calculation method described in par. (b ) if the hospital meets all of the
14following criteria:
SB21-SSA1,554,15 151. The hospital is located in this state.
SB21-SSA1,554,17 162. The hospital provides a wide array of services, including services provided
17through an emergency department.
SB21-SSA1,554,20 183. The inpatient days for Medical Assistance recipients at the hospital were at
19least 6 percent of the total inpatient days at that hospital during the most recent year
20for which such information is available.
SB21-SSA1,554,23 214. The hospital meets applicable, minimum requirements to be a
22disproportionate share hospital under 42 USC 1396r-4 and any other applicable
23federal law.
SB21-SSA1,554,2524 (b) The department shall comply with all of the following when making
25payments to hospitals described in par. (a ):
SB21-SSA1,555,3
11. The department shall distribute the total amount of moneys described under
2par. (a) to be paid to hospitals with a disproportionate share of low-income patients
3by doing all of the following:
SB21-SSA1,555,6 4a. Dividing the number of Medical Assistance recipient inpatient days at a
5hospital by the number of total inpatient days at the hospital to obtain the
6percentage of Medical Assistance recipient inpatient days at that hospital.
SB21-SSA1,555,11 7b. Subject to subds. 2. and 3 ., providing an increase to the inpatient
8fee-for-service base rate for each hospital that qualifies for a disproportionate share
9hospital payment such that the hospital's overall fee-for-service add-on percentage
10under this subsection increases as the hospital's percentage of Medical Assistance
11recipient inpatient days increases.
SB21-SSA1,555,14 122. The department shall ensure that the total amount of moneys available to
13pay hospitals with a disproportionate share of low-income patients is distributed in
14each fiscal year.
SB21-SSA1,555,17 153. The department shall limit the maximum payment to hospitals such that all
16of the following are true for disproportionate share hospital payments under this
17subsection in a fiscal year:
SB21-SSA1,555,18 18a. No single hospital receives more than $2,500,000.
SB21-SSA1,555,20 19b. The amount of payment is in accordance with federal rules concerning the
20hospital specific limit.
SB21-SSA1,555,2521 (c) If the department needs data to calculate the payments under this
22subsection other than the data available from the Medicaid Management
23Information System, the fiscal survey data, or the federal centers for Medicare and
24Medicaid services public records, the department shall collect the necessary data
25from hospitals.
SB21-SSA1,556,19
1(d) The department shall seek any necessary approval from the federal
2department of health and human services to implement the hospital payment
3methodology described under pars. (a ) and (b). If approval is necessary and approval
4from the federal department of health and human services is received, the
5department shall implement the payment methodology described under pars. (a)
6and (b). If approval is necessary and the department and the federal department of
7health and human services negotiate a methodology for making payments to
8hospitals with a disproportionate share of low-income patients that is different from
9the methodology described under pars. (a ) and (b), the department, before
10implementing the negotiated payment methodology, shall submit to the joint
11committee on finance the negotiated payment methodology. If the cochairpersons of
12the committee do not notify the department within 14 working days after the date
13of the submittal by the department that the committee has scheduled a meeting for
14the purpose of reviewing the negotiated payment methodology, the department may
15implement the negotiated payment methodology. If, within 14 working days after
16the date of the submittal by the department, the cochairpersons of the committee
17notify the department that the committee has scheduled a meeting for the purpose
18of reviewing the negotiated payment methodology, the negotiated payment
19methodology may be implemented only on approval of the committee.
SB21-SSA1,1792 20Section 1792. 49.45 (6m) (br) 1. of the statutes is amended to read:
SB21-SSA1,557,421 49.45 (6m) (br) 1. Notwithstanding s. 20.410 (3) (cd), 20.435 or (7) (b) or 20.437
22(1) (cj) or (2) (dz), the department shall reduce allocations of funds to counties in the
23amount of the disallowance from the appropriation account under s. 20.435 (7) (b),
24or the department shall direct the department of children and families to reduce
25allocations of funds to counties or Wisconsin Works agencies in the amount of the

1disallowance from the appropriation account under s. 20.437 (1) (cj) or (2) (dz) or
2direct the department of corrections to reduce allocations of funds to counties in the
3amount of the disallowance from the appropriation account under s. 20.410 (3) (cd)
,
4in accordance with s. 16.544 to the extent applicable.
SB21-SSA1,1793 5Section 1793. 49.45 (6v) of the statutes, as affected by 2015 Wisconsin Act ....
6(this act), is repealed.
SB21-SSA1,1794 7Section 1794. 49.45 (6v) (c) of the statutes is amended to read:
SB21-SSA1,557,188 49.45 (6v) (c) If the report specified in par. (b) indicates that utilization of beds
9by recipients of medical assistance in facilities is less than estimates for that
10utilization reflected in the intentions of the joint committee on finance, legislature
11and governor, as expressed by them in the budget determinations, the department
12shall include a proposal to transfer moneys from the appropriation under s. 20.435
13(4) (b) to the appropriation under s. 20.435 (7) (4) (bd) for the purpose of increasing
14funding for the community options program under s. 46.27. The amount proposed
15for transfer may not reduce the balance in the appropriation account under s. 20.435
16(4) (b) below an amount necessary to ensure that that appropriation account will end
17the current fiscal year or the current fiscal biennium with a positive balance. The
18secretary shall transfer the amount identified under the proposal.
SB21-SSA1,1796 19Section 1796. 49.45 (23) (c) of the statutes is repealed.
SB21-SSA1,1797 20Section 1797. 49.45 (23) (g) of the statutes is created to read:
SB21-SSA1,557,2521 49.45 (23) (g) 1. Subject to subd. 3., the department shall submit to the
22secretary of the federal department of health and human services an amendment to
23the waiver requested under par. (a) that authorizes the department to do all of the
24following with respect to the childless adults demonstration project under this
25subsection:
SB21-SSA1,558,1
1a. Impose monthly premiums as determined by the department.
SB21-SSA1,558,32 b. Impose higher premiums for enrollees who engage in behaviors that increase
3their health risks, as determined by the department.
SB21-SSA1,558,44 c. Require a health risk assessment for all enrollees.
SB21-SSA1,558,75 d. Limit an enrollee's eligibility under the demonstration project to no more
6than 48 months. The department shall specify the eligibility formula in the waiver
7amendment.
SB21-SSA1,558,108 e. Require, as a condition of eligibility, that an applicant or enrollee submit to
9a drug screening assessment and, if indicated, a drug test, as specified by the
10department in the waiver amendment.
SB21-SSA1,558,1511 2. Subject to subd. 3., if the secretary of the federal department of health and
12human services approves the amendment to the waiver under par. (a), in whole or
13in part, the department shall implement the changes to the demonstration project
14under this subsection specified in subd. 1. a. to e. that are approved by the secretary,
15consistent with the approval.
SB21-SSA1,558,2416 3. Prior to submitting to the secretary of the federal department of health and
17human services the amendment described in subd. 1., the department shall submit
18to the joint committee on finance a report that summarizes the provisions, and
19provides an estimate of the fiscal effect, of the proposed amendment to the waiver.
20If the secretary of the federal department of health and human services approves the
21amendment described in subd. 1., in whole or in part, before implementing the
22changes approved by the secretary, the department shall submit a report to the joint
23committee on finance that summarizes the provisions, and provides an estimate of
24the fiscal effect, of the amendment approved by the secretary.
SB21-SSA1,1798 25Section 1798. 49.45 (24k) of the statutes is created to read:
SB21-SSA1,559,14
149.45 (24k) Dental reimbursement pilot project. (a) 1. Subject to approval
2of the federal department of health and human services under par. (b), the
3department, as a pilot project, shall distribute moneys in each fiscal year to increase
4the reimbursement rate under Medical Assistance for pediatric dental care and adult
5emergency dental services, as defined by the department, that are provided in
6Brown, Marathon, Polk, and Racine counties. The reimbursement rate for these
7services shall equal 80 percent of the median fee for each service as reported in the
8most recent fee survey for the east north central region conducted by the American
9Dental Association or shall equal the provider's usual and customary charge,
10whichever is less. If a median fee is not reported for a service, the department shall
11establish a fee for the service that approximates 80 percent of the median usual and
12customary charge for that service for dentists practicing in the state but the
13reimbursement received by a provider may not exceed the provider's usual and
14customary charge for that service.
SB21-SSA1,560,215 2. For dental services provided on a fee-for-service basis as of July 1, 2015, the
16reimbursement rate increase specified in subd. 1. shall be distributed on a
17fee-for-service basis. For dental services provided as of July 1, 2015, by a health
18maintenance organization that contracts with the department to provide Medical
19Assistance services at a capitated rate, the department shall distribute the
20reimbursement rate increase under subd. 1. to the health maintenance organization.
21The department shall include in a contract with a health maintenance organization
22that provides dental services described in subd. 1. in the counties specified in subd.
231. a requirement that the health maintenance organization reimburse providers of
24services in accordance with the reimbursement rate increase pilot project under

1subd. 1. The department may not distribute the reimbursement rate increase under
2subd. 1. to federally qualified health centers that receive a grant under 42 USC 254b.
SB21-SSA1,560,83 (b) The department shall request any waiver from and submit any
4amendments to the state Medical Assistance plan to the federal department of health
5and human services necessary for the reimbursement rate increase pilot project
6under par. (a). If any necessary waiver request or state plan amendment request is
7approved, the department shall implement par. (a) beginning on the effective date
8of the waiver or plan amendment.
SB21-SSA1,560,169 (c) If the reimbursement rate increase pilot project under par. (a) is
10implemented, before the first day of the 4th month beginning after the effective date
11of the waiver or plan amendment described in par. (b) and quarterly thereafter, the
12department shall collaborate with the Health Policy Institute of the American
13Dental Association to evaluate the pilot project under par. (a) and shall submit a
14report to the joint committee on finance that includes data on all of the following key
15outcomes of interest from the pilot counties specified in par. (a) and from counties
16that are not pilot counties:
SB21-SSA1,560,1817 1. Dental care utilization among children and adults in dental clinics and in
18emergency rooms.
SB21-SSA1,560,1919 2. Participation by dentists in the Medical Assistance program.
SB21-SSA1,560,2120 3. The fiscal impact of the pilot project under par. (a), including costs and
21savings.
SB21-SSA1,560,2322 4. If feasible, a comparison of the pilot project as administered under a
23fee-for-service system and under a health maintenance organization system.
SB21-SSA1,561,3
15. If feasible, the impact of the pilot project on oral health outcomes, such as
2Medical Assistance recipients' self-reported assessment of oral health and barriers
3to obtaining dental care.
SB21-SSA1,561,74 (d) The department may not distribute the reimbursement rate increases
5under par. (a) for pediatric dental care and adult emergency dental services provided
6after the first day of the 37th month beginning after the effective date of the waiver
7or plan amendment described in par. (b).
SB21-SSA1,1799 8Section 1799. 49.45 (30x) of the statutes is created to read:
SB21-SSA1,561,139 49.45 (30x) Licensed midwife services. (a) Provider reimbursement.
10Beginning January 1, 2016, services under s. 49.46 (2) (b) 12t. provided to an
11individual are reimbursable under the Medical Assistance program if an
12amendment to the state medical assistance plan approved by the federal department
13of health and human services permits reimbursement under s. 49.46 (2) (b) 12t.
SB21-SSA1,561,1814 (b) Plan amendment. The department shall submit to the federal department
15of health and human services an amendment to the state medical assistance plan to
16permit the application of par. (a). The department may not pay reimbursement
17under par. (a) unless the amendment to the state plan allowing reimbursement
18under s. 49.46 (2) (b) 12t. is approved and in effect.
SB21-SSA1,1800 19Section 1800. 49.45 (39) (bm) of the statutes is created to read:
SB21-SSA1,561,2320 49.45 (39) (bm) Excess state share. Any portion of the state share under this
21subsection in excess of $42,200,000 in fiscal year 2015-16 and in excess of
22$41,700,000 in fiscal year 2016-17 and each fiscal year thereafter shall be deposited
23in the Medical Assistance trust fund.
SB21-SSA1,1801 24Section 1801. 49.45 (39m) of the statutes is created to read:
SB21-SSA1,562,10
149.45 (39m) State plan amendment for pharmacist reimbursement. The
2department shall submit to the federal department of health and human services an
3amendment to the state Medical Assistance plan to permit Medical Assistance
4reimbursement to pharmacists who meet the training requirements specified by the
5department to administer vaccines, as determined by the department, to a person 6
6to 18 years of age. The department shall provide Medical Assistance reimbursement
7under this subsection if the federal department of health and human services
8approves the amendment to the state Medical Assistance plan. A pharmacist or
9pharmacy shall enroll in the federal Vaccines for Children Program under 42 USC
101396s
to be eligible for Medical Assistance reimbursement under this subsection.
SB21-SSA1,1802 11Section 1802. 49.45 (41) (b) of the statutes is amended to read:
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