SB21,1608 20Section 1608. 46.285 (intro.) and (1) of the statutes are consolidated,
21renumbered 46.285 and amended to read:
SB21,671,5 2246.285 Operation of resource center and care management
23organization.
In order to meet federal requirements and assure federal financial
24participation in funding of the family care benefit, a county, a tribe or band, a
25long-term care district
or an organization, including a private, nonprofit

1corporation, may not directly operate both a resource center and a care management
2organization, except as follows: (1) For that for an entity with which the department
3has contracted under s. 46.281 (1) (e) 1., 2005 stats., provision of the services
4specified under s. 46.283 (3) (b), (e), (f) and (g) shall be structurally separate from the
5provision of services of the care management organization by January 1, 2001.
SB21,1609 6Section 1609. 46.285 (2) of the statutes is repealed.
SB21,1610 7Section 1610. 46.286 (3g) of the statutes is created to read:
SB21,671,118 46.286 (3g) Transferring care management organizations. An enrollee may
9transfer his or her enrollment to a different care management organization but only
10during an open enrollment period specified by the department, unless the enrollee
11meets an exception specified by the department.
SB21,1611 12Section 1611. 46.287 (2) (c) of the statutes is amended to read:
SB21,671,1613 46.287 (2) (c) Information regarding the availability of advocacy services and
14notice of adverse actions taken and appeal rights shall be provided to a client by the
15resource center or other contracted entity under s. 46.283 (2) or care management
16organization in a form and manner that is prescribed by the department by rule.
SB21,1612 17Section 1612. 46.2895 of the statutes, as affected by 2015 Wisconsin Act ....
18(this act), is repealed.
SB21,1613 19Section 1613. 46.2895 (1) (a) (intro.) of the statutes is amended to read:
SB21,672,220 46.2895 (1) (a) (intro.) A Except as provided in par. (f), a county, a tribe or band,
21or any combination of counties or tribes or bands, may create a special purpose
22district that is termed a "long-term care district", that is a local unit of government,
23that is separate and distinct from, and independent of, the state and the county or
24tribe or band that created it, and that has the powers and duties specified in this

1section, if each county or tribe or band that participates in creating the district does
2all of the following:
SB21,1614 3Section 1614. 46.2895 (1) (a) 1. b. of the statutes is amended to read:
SB21,672,84 46.2895 (1) (a) 1. b. Specifies the long-term care district's primary purpose,
5which shall be to operate, under contract with the department, a resource center
6under s. 46.283, a care management organization under s. 46.284, or a program
7described under s. 46.2805 (1) (a) or (b) of all-inclusive care for the elderly or the
8Family Care Partnership Program
.
SB21,1615 9Section 1615. 46.2895 (1) (c) of the statutes is amended to read:
SB21,672,1310 46.2895 (1) (c) A long-term care district may not operate a care management
11organization under s. 46.284 or, a program described under s. 46.2805 (1) (a) or (b)
12of all-inclusive care for the elderly, or the Family Care Partnership Program if the
13district operates a resource center under s. 46.283.
SB21,1616 14Section 1616. 46.2895 (1) (f) of the statutes is created to read:
SB21,672,1615 46.2895 (1) (f) No county, tribe, band, or combination of counties, tribes, or
16bands, may create a long-term care district after June 30, 2015.
SB21,1617 17Section 1617. 46.2895 (4) (intro.) of the statutes is amended to read:
SB21,672,2118 46.2895 (4) Powers. (intro.) Subject to sub. subs. (1) (c) and (12m), a long-term
19care district has all the powers necessary or convenient to carry out the purposes and
20provisions of the family care program ss. 46.2805 to 46.2895. In addition to all these
21powers, a long-term care district may do all of the following:
SB21,1618 22Section 1618. 46.2895 (4) (dm) of the statutes is amended to read:
SB21,673,223 46.2895 (4) (dm) Subject to sub. (1) (c), enter into a contract with the
24department to operate a the program described under s. 46.2805 (1) (a) or (b) of

1all-inclusive care for the elderly or the Family Care Partnership Program
and
2provide services related to the contracted services.
SB21,1619 3Section 1619. 46.2895 (8) (a) (intro.) of the statutes is amended to read:
SB21,673,54 46.2895 (8) (a) (intro.) A Subject to sub. (12m), a long-term care district board
5that is created at least in part by a county shall do all of the following:
SB21,1620 6Section 1620. 46.2895 (12m) of the statutes is created to read:
SB21,673,97 46.2895 (12m) Required dissolution. A long-term care district that exists on
8June 30, 2015, shall dissolve under the procedures in sub. (13) before June 30, 2017,
9or before a date established by the department, whichever is later.
SB21,1621 10Section 1621. 46.2896 of the statutes is created to read:
SB21,673,11 1146.2896 Counting promissory notes as assets. (1) In this section:
SB21,673,1512 (a) "Long-term care program" means the long-term care program under s.
1346.27, 46.275, 46.277, 46.278, or 46.2785; the family care program providing the
14benefit under s. 46.286; the Family Care Partnership program; or the long-term care
15program defined in s. 46.2899 (1), 2013 stats.
SB21,673,1916 (b) "Promissory note" means a written, unconditional agreement, given in
17return for goods, money loaned, or services rendered, under which one party
18promises to pay another party a specified sum of money at a specified time or on
19demand.
SB21,673,22 20(2) When determining or redetermining an individual's financial eligibility for
21a long-term care program, the department shall include a promissory note as a
22countable asset if all of the following apply:
SB21,673,2523 (a) The individual applying for or receiving benefits under the long-term care
24program or his or her spouse provided the goods, money loaned, or services rendered
25for the promissory note.
SB21,674,2
1(b) The promissory note was entered into or purchased on or after the effective
2date of this paragraph .... [LRB inserts date].
SB21,674,43 (c) The promissory note is negotiable, assignable, and enforceable and does not
4contain any terms making it unmarketable.
SB21,674,10 5(3) A promissory note is presumed to be negotiable and its asset value is the
6outstanding principal balance at the time the individual applies for the long-term
7care program or at the time the individual's eligibility for the long-term care
8program is redetermined, unless the individual shows by credible evidence from a
9knowledgeable source that the note is nonnegotiable or has a different current
10market value, which will then be considered the asset value.
SB21,1622 11Section 1622. 46.2897 of the statutes is repealed.
SB21,1623 12Section 1623. 46.2899 (1) of the statutes is repealed.
SB21,1624 13Section 1624. 46.2899 (3) of the statutes is amended to read:
SB21,674,2214 46.2899 (3) Eligibility. The department shall consider as eligible for the
15waiver program described under sub. (2) only individuals who are receiving
16post-secondary education in a setting that is distinguishable from the institution.
17The department shall set the financial eligibility requirements and functional
18eligibility requirements for the waiver program described under sub. (2) the same as
19the financial eligibility requirements and functional eligibility requirements for the
20self-directed services option of the family care program, as defined in s. 46.2805
21(4m),
except for the requirement to be an individual who is developmentally disabled
22and who is receiving post-secondary education on the grounds of a institution.
SB21,1625 23Section 1625. 46.2899 (4) of the statutes is amended to read:
SB21,675,324 46.2899 (4) Services and benefits. The department shall provide the same
25services under the waiver program described in sub. (2) as it provides under the

1self-directed services option of the family care program, as defined in s. 46.2805
2(4m)
. The department shall determine the funding amount for a waiver program
3participant under this section.
SB21,1626 4Section 1626. 46.29 (1) (intro.) of the statutes is amended to read:
SB21,675,85 46.29 (1) (intro.) From the appropriation account under s. 20.435 (7) (4) (a), the
6department shall distribute at least $16,100 in each fiscal year for operation of the
7council on physical disabilities. The council on physical disabilities shall do all of the
8following:
SB21,1627 9Section 1627. 46.29 (3) (d) of the statutes is amended to read:
SB21,675,1110 46.29 (3) (d) The director of the office administrator of the division of state
11employment relations
personnel management in the department of administration.
SB21,1628 12Section 1628. 46.29 (3) (e) of the statutes is amended to read:
SB21,675,1413 46.29 (3) (e) The secretary of safety and professional services financial
14institutions and professional standards
.
SB21,1629 15Section 1629. 46.29 (3) (g) of the statutes is amended to read:
SB21,675,1616 46.29 (3) (g) The president of the University of Wisconsin System Authority.
SB21,1630 17Section 1630. 46.295 (1) of the statutes is amended to read:
SB21,675,2118 46.295 (1) The department may, on the request of any hearing-impaired
19person, city, village, town, or county or private agency, provide funds from the
20appropriation accounts under s. 20.435 (4) (hs) and (7) (d) and (hs) to reimburse
21interpreters for hearing-impaired persons for the provision of interpreter services.
SB21,1631 22Section 1631. 46.40 (1) (a) of the statutes is amended to read:
SB21,676,323 46.40 (1) (a) Within the limits of available federal funds and of the
24appropriations under s. 20.435 (7) (b) and (o), the department shall distribute funds
25for community social, mental health, developmental disabilities, and alcohol and

1other drug abuse services and for services under ss. 46.87 , 46.985, and 51.421 to
2county departments under ss. 46.215, 46.22, 46.23, 51.42, and 51.437 and to county
3aging units, as provided in subs. (2), (2m), (8), and (7) to (9).
SB21,1632 4Section 1632. 46.40 (7) of the statutes is repealed.
SB21,1633 5Section 1633. 46.40 (7m) of the statutes is created to read:
SB21,676,86 46.40 (7m) State community mental health allocation. For community
7mental health services, the department shall distribute not less than $24,348,700 in
8each fiscal year.
SB21,1634 9Section 1634. 46.40 (14m) of the statutes is amended to read:
SB21,676,1510 46.40 (14m) County community aids budgets. Before December 1 of each year,
11each county department under ss. 46.215, 46.22, 46.23, 51.42 and 51.437 and each
12tribal governing body shall submit to the department a proposed budget for the
13expenditure of funds allocated under this section or carried forward under s. 46.45
14(3) (a). The proposed budget shall be submitted on a form developed by the
15department and approved by the department of administration.
SB21,1635 16Section 1635. 46.45 (3) (a) of the statutes is amended to read:
SB21,677,417 46.45 (3) (a) Except as provided in par. (b), at the request of a county, tribal
18governing body, or private nonprofit organization, the department shall carry
19forward up to 3% of the total amount allocated to the county, tribal governing body,
20or nonprofit organization for a calendar year, not including the amount allocated to
21the county under s. 46.40 (7), which amount may be carried forward as provided in
22par. (c)
. All funds carried forward for a tribal governing body or nonprofit
23organization and all funds allocated under s. 46.40 (2m) carried forward for a county
24shall be used for the purpose for which the funds were originally allocated. Other
25funds carried forward under this paragraph may be used for any purpose under s.

120.435 (7) (b), except that a county may not use any funds carried forward under this
2paragraph for administrative or staff costs. An allocation of carried-forward funding
3under this paragraph does not affect a county's base allocations under s. 46.40 (2),
4(2m), (8), and (9).
SB21,1636 5Section 1636. 46.45 (3) (c) of the statutes is repealed.
SB21,1637 6Section 1637. 46.45 (6) (a) of the statutes is renumbered 46.45 (6) and
7amended to read:
SB21,677,128 46.45 (6) The department may carry forward 10% of any funds specified in sub.
9(3) (a) that are not carried forward under sub. (3) (a) for emergencies, for justifiable
10unit services costs above planned levels, and for increased costs due to population
11shifts. An allocation of carried-forward funding under this paragraph does not affect
12a county's base allocations under s. 46.40 (2), (2m), (8), and (9).
SB21,1638 13Section 1638. 46.45 (6) (b) of the statutes is repealed.
SB21,1639 14Section 1639. 46.56 (3) (a) 4. of the statutes is repealed.
SB21,1640 15Section 1640. 46.56 (10) of the statutes is repealed.
SB21,1641 16Section 1641. 46.82 (3) (a) 19. of the statutes is amended to read:
SB21,677,2017 46.82 (3) (a) 19. If an aging unit under sub. (1) (a) 1. or 2. and if authorized
18under s. 46.283 (1) (a) 1., apply to the department to operate a resource center under
19s. 46.283 and, if the department contracts with the county under s. 46.283 (2), operate
20the resource center.
SB21,1642 21Section 1642. 46.82 (3) (a) 20. of the statutes is amended to read:
SB21,678,222 46.82 (3) (a) 20. If an aging unit under sub. (1) (a) 1. or 2. and if authorized
23under s. 46.284 (1) (a) 1., apply to the department to operate a care management
24organization under s. 46.284 and, if the department contracts with the county under

1s. 46.284 (2), operate the care management organization and, if appropriate, place
2funds in a risk reserve.
SB21,1643 3Section 1643. 46.90 (5m) (br) 5. of the statutes is amended to read:
SB21,678,84 46.90 (5m) (br) 5. Refer the case to the department of safety and professional
5services
financial institutions and professional standards if the financial
6exploitation, neglect, self-neglect, or abuse involves an individual who is required
7to be registered under s. 202.13 or 202.14 or to hold a credential, as defined in s.
8440.01 (2) (a), under chs. 440 to 460.
SB21,1644 9Section 1644. 46.90 (5m) (br) 5g. of the statutes is repealed.
SB21,1645 10Section 1645. 46.96 (2) of the statutes is amended to read:
SB21,678,1311 46.96 (2) The department shall make grants from the appropriations under s.
1220.435 (7) (c), (kc), and (na) to independent living centers for nonresidential services
13to severely disabled individuals.
SB21,1646 14Section 1646. 46.985 of the statutes is repealed.
SB21,1647 15Section 1647. 46.99 (4) of the statutes is amended to read:
SB21,678,2216 46.99 (4) From the appropriation account under s. 20.435 (4) (o), the
17department may distribute to counties that provide services under this section the
18amount of federal moneys received by the state as the federal share of medical
19assistance for those services, minus the amount transferred to the appropriation
20account under s. 20.435 (7) (4) (im) for the department's costs of administering this
21section. Counties shall use moneys distributed under this section to provide services
22under this section or s. 51.44.
SB21,1648 23Section 1648. 47.02 (3m) (p) of the statutes is repealed.
SB21,1649 24Section 1649. 48.366 (1) of the statutes is renumbered 48.366 (1) (intro.) and
25amended to read:
SB21,679,4
148.366 (1) (intro.) Applicability. This section applies to a person who is a
2full-time student of a secondary school or its vocational or technical equivalent, for
3whom an individualized education program under s. 115.787 is in effect, and to whom
4any of the following applies:
SB21,679,10 5(a) The person is placed in a foster home, group home, or residential care center
6for children and youth, in the home of a relative other than a parent, or in a
7supervised independent living arrangement under an order under s. 48.355, 48.357,
8or 48.365 that terminates as provided in s. 48.355 (4) (b) 1., 2., or 3., 48.357 (6) (a) 1.,
92., or 3., or 48.365 (5) (b) 1., 2., or 3. on or after the person attains 18 years of age or
10who
.
SB21,679,15 11(b) The person is in the guardianship and custody of an agency specified in s.
1248.427 (3m) (a) 1. to 4. or (am) under an order under s. 48.43, who is a full-time
13student of a secondary school or its vocational or technical equivalent, and for whom
14an individualized education program under s. 115.787 is in effect
that terminates on
15the date on which the person attains 18 years of age
.
SB21,1650 16Section 1650. 48.366 (1) (c) of the statutes is created to read:
SB21,679,1817 48.366 (1) (c) The person is placed in a shelter care facility on the date on which
18an order specified in par. (a) or (b) terminates.
SB21,1651 19Section 1651. 48.366 (2) (a) of the statutes is amended to read:
SB21,680,1020 48.366 (2) (a) Not less than 120 days before an order described in sub. (1) (a)
21or (b)
terminates, the agency primarily responsible for providing services under the
22order shall request the person who is the subject of the order to indicate whether he
23or she wishes to be discharged from out-of-home care on termination of the order or
24wishes to continue in out-of-home care under a voluntary agreement under sub. (3).
25If the person is subject to an order under s. 48.355, 48.357, or 48.365 described in sub.

1(1) (a), the agency shall also request the person to indicate whether he or she wishes
2to continue in out-of-home care until the date specified in s. 48.365 (5) (b) 4. under
3an extension of the order. If the person indicates that he or she wishes to be
4discharged from out-of-home care on termination of the order, the agency shall
5request a transition-to-discharge hearing under par. (b). If the person indicates that
6he or she wishes to continue in out-of-home care under an extension of an order
7under s. 48.355, 48.357, or 48.365 described in sub. (1) (a), the agency shall request
8an extension of the order under s. 48.365. If the person indicates that he or she
9wishes to continue in out-of-home care under a voluntary agreement under sub. (3),
10the agency and the person shall enter into such an agreement.
SB21,1652 11Section 1652. 48.366 (2) (b) 1. of the statutes is amended to read:
SB21,680,2212 48.366 (2) (b) 1. If the person who is the subject of an order described in sub.
13(1) (a) or (b) indicates that he or she wishes to be discharged from out-of-home care
14on termination of the order, the agency primarily responsible for providing services
15to the person under the order shall request the court to hold a
16transition-to-discharge hearing and shall cause notice of that request to be provided
17to that person, the parent, guardian, and legal custodian of that person, any foster
18parent or other physical custodian described in s. 48.62 (2) of that person, that
19person's court-appointed special advocate, all parties who are bound by the
20dispositional order, and, if that person is an Indian child who has been removed from
21the home of his or her parent or Indian custodian, that person's Indian custodian and
22tribe.
SB21,1653 23Section 1653. 48.366 (2) (b) 3. of the statutes is amended to read:
SB21,681,524 48.366 (2) (b) 3. At the hearing the court shall review with the person who is
25the subject of an order described in sub. (1) (a) or (b) the options specified in par. (a)

1and. If the person is subject to an order under s. 48.355, 48.357, or 48.365 described
2in sub. (1) (a),
the court shall also advise the person that he or she may continue in
3out-of-home care as provided in par. (a) under an extension of an order under s.
448.355, 48.357, or 48.365 described in sub. (1) (a) or under a voluntary agreement
5under sub. (3).
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