LRB-3355/1
TJD:jld
2015 - 2016 LEGISLATURE
October 23, 2015 - Introduced by Representatives Loudenbeck, Nygren, Kolste,
Jorgensen and Spreitzer, cosponsored by Senators Nass and Ringhand.
Referred to Joint Committee on Finance.
AB453,1,2 1An Act relating to: requiring the Family Care benefit and self-directed services
2option to be provided in Rock County.
Analysis by the Legislative Reference Bureau
This bill requires the Department of Health Services (DHS) to expand the
Family Care and IRIS programs to Rock County. Under current law, in certain
counties, Family Care and the self-directed services option known as IRIS, among
other programs, provide community-based, long-term care services to individuals
who meet certain functional and financial criteria and who are either frail elders or
adults with physical or developmental disabilities. In each geographic area in which
the Family Care benefit is available, DHS contracts with an aging and disability
resource center to provide information and determine eligibility for Family Care and
a care management organization (CMO) to administer the Family Care benefit. DHS
may contract with a county, a long-term care district, a governing body of a tribe or
band or the Great Lakes Inter-Tribal Council, a joint association of those entities,
or a private organization to be a CMO. Under current law, if DHS proposes to
contract with an entity to administer the Family Care benefit in geographic areas in
which, in the aggregate, resides more than 29 percent of the state population that
is eligible for the Family Care benefit, DHS must first submit the proposed contract
to the Joint Committee on Finance (JCF). DHS may enter into the proposed contract
only if JCF approves.
This bill requires DHS to do all of the following for residents of Rock County:
contract with a resource center such that its services are available to residents before
July 1, 2016; contract with a CMO to administer the Family Care benefit such that

the benefit is available to residents on July 1, 2016; and provide services under IRIS
such that services are available to residents on July 1, 2016. For the contract with
a CMO, the bill exempts DHS from soliciting the contract under a competitive sealed
proposal process. Under the bill, DHS is not required to obtain approval from JCF
to enter these contracts or provide these services to residents of Rock County.
For further information see the state and local fiscal estimate, which will be
printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB453,1 1Section 1. Nonstatutory provisions.
AB453,2,22 (1) Family Care expansion to Rock County.
AB453,2,43 (a) The department of health services shall do all of the following for residents
4of Rock County:
AB453,2,8 51. Contract with an entity to provide the services under section 46.283 of the
6statutes as a resource center such that services of a resource center are available to
7residents of Rock County before July 1, 2016, if services of a resource center are not
8already being provided to residents of Rock County by that date.
AB453,2,14 92. Contract with an entity as provided under section 46.284 (2) of the statutes
10to administer the Family Care benefit as a care management organization such that
11the Family Care benefit is available to residents of Rock County on July 1, 2016.
12Notwithstanding section 46.284 (2) (bm) of the statutes, the department of health
13services is not required to solicit the contract under the competitive sealed proposal
14process under section 16.75 (2m) of the statutes.
AB453,2,18 153. Provide services under the self-directed services option, known as IRIS, that
16is operated under a waiver from the secretary of the federal department of health and
17human services under 42 USC 1396n (c) such that the services are available to
18residents of Rock County on July 1, 2016.
AB453,3,3
1(b) Notwithstanding section 46.281 (1g) (b) of the statutes, the department of
2health services is not required to obtain approval from the joint committee on finance
3to enter contracts or provide services as described in paragraph (a).
AB453,3,44 (End)
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