AB150-engrossed,1010,113
49.685
(4) Eligibility. Any permanent resident of this state who suffers from
4hemophilia or other related congenital bleeding disorder may participate in the
5program if that person meets the requirements of this section and s.
49.487 49.687 6and the standards set by rule under this section and s.
49.487 49.687. The person
7shall enter into an agreement with the comprehensive hemophilia treatment center
8for a maintenance program to be followed by that person as a condition for continued
9eligibility. The physician director or a designee shall, at least once in each 6-month
10period, review the maintenance program and verify that the person is complying
11with the program.
AB150-engrossed, s. 3055
15Section
3055. 49.485 (7) (a) 1. of the statutes is renumbered 49.685 (7) (a) 1.
16and amended to read:
AB150-engrossed,1010,2117
49.685
(7) (a) 1. The percentage of the patient's liability for the reasonable costs
18for blood products and supplies which are determined to be eligible for
19reimbursement under sub. (6) shall be based upon the income and the size of the
20person's family unit, according to standards to be established by the department
21under s.
49.487 49.687.
AB150-engrossed, s. 3061
2Section
3061. 49.486 of the statutes, as affected by 1995 Wisconsin Act .... (this
3act), is renumbered 49.686.
AB150-engrossed,1011,105
49.486
(2) Reimbursement. From the appropriation under s. 20.435 (1) (am),
6the department
shall distribute not more than $375,600 in fiscal year 1993-94 and
7not more than $491,500 in fiscal year 1994-95 to may reimburse or supplement the
8reimbursement of the cost of AZT, the drug pentamidine and any drug approved for
9reimbursement under sub. (4) (c) for an
applying individual who
has HIV infection
10is eligible under sub. (3).
AB150-engrossed,1011,1312
49.486
(3) (f) Is an individual
with an whose annual gross
household income
13of $40,000 or less is at or below 200% of the poverty line.
AB150-engrossed,1011,2217
49.687
(1) The department shall promulgate rules that require a person who
18is eligible for benefits under s.
49.48, 49.483 or 49.485 49.68, 49.683 or 49.685 and
19whose current income exceeds specified limits to obligate or expend specified
20portions of the income for medical care for treatment of kidney disease, cystic fibrosis
21or hemophilia before receiving benefits under s.
49.48, 49.483 or 49.485 49.68, 49.683
22or 49.685.
AB150-engrossed,1012,8
149.687
(2) The department shall develop and implement a sliding scale of
2patient liability for kidney disease aid under s.
49.48 49.68, cystic fibrosis aid under
3s.
49.483 49.683 and hemophilia treatment under s.
49.485 49.685, based on the
4patient's ability to pay for treatment. To ensure that the needs for treatment of
5patients with lower incomes receive priority within the availability of funds under
6s. 20.435 (1) (e), the department shall revise the sliding scale for patient liability by
7January 1, 1994, and shall, every 3 years thereafter by January 1, review and, if
8necessary, revise the sliding scale.
AB150-engrossed,1012,2110
49.49
(6) Recovery. In addition to other remedies available under this section,
11the court may award the department of justice the costs of investigation, an amount
12reasonably necessary to remedy the harmful effects of the violation and the expenses
13of prosecution, including attorney fees, from any person who violates this section.
14The department of justice shall deposit in the state treasury for deposit in the general
15fund all moneys that the court awards to the department or the state under this
16subsection. Ten percent of the money deposited in the general fund that was awarded
17under this subsection for the costs of investigation and the expenses of prosecution,
18including attorney fees, shall be credited to the appropriation account under s.
1920.455 (1) (gh). All of the money deposited in the general fund that was awarded
20under this subsection to remedy the harmful effects of the violation shall be credited
21to the appropriation account under s. 20.455 (1) (gm).
AB150-engrossed, s. 3067
22Section
3067. 49.493 (1) of the statutes is renumbered 49.493 (1) (intro.) and
23amended to read:
AB150-engrossed,1012,2424
49.493
(1) (intro.) In this section
, "uninsured:
AB150-engrossed,1013,3
1(c) "Uninsured health plan" means a partially or wholly uninsured plan,
2including a plan that is subject to
29 USC 1001 to
1461, providing health care
3benefits.
AB150-engrossed,1013,85
49.493
(1) (a) "Department or contract provider" means the department, the
6county providing the medical benefits or assistance or a health maintenance
7organization that has contracted with the department to provide the medical
8benefits or assistance.
AB150-engrossed,1013,1110
49.493
(1) (b) "Medical benefits or assistance" means medical benefits under
11s. 49.02 or 49.046 or medical assistance.
AB150-engrossed,1013,1613
49.493
(2) The providing of medical
benefits or assistance constitutes an
14assignment to the department
or contract provider, to the extent of the medical
15benefits or assistance
benefits provided, for benefits to which the recipient would be
16entitled under any uninsured health plan.
AB150-engrossed,1013,2218
49.493
(3) (d) Impose on the department
or contract provider, as assignee of a
19person or a person's dependent who is covered under the uninsured health plan and
20who is eligible for medical
benefits or assistance, requirements that are different
21from those imposed on any other agent or assignee of a person who is covered under
22the uninsured health plan.
AB150-engrossed,1013,2524
49.493
(4) Benefits provided by an uninsured health plan shall be primary to
25those benefits provided under medical
benefits or assistance.
AB150-engrossed,1014,12
249.495 Jurisdiction of the department of justice. The department of
3justice or the district attorney may institute, manage, control and direct, in the
4proper county, any prosecution for violation of criminal laws affecting the medical
5assistance program including but not limited to laws relating to medical assistance
6contained in this
chapter subchapter and laws affecting the health, safety and
7welfare of recipients of medical assistance. For this purpose the department of
8justice shall have and exercise all powers conferred upon district attorneys in such
9cases. The department of justice or district attorney shall notify the medical
10examining board or the interested affiliated credentialing board of any such
11prosecution of a person holding a license granted by the board or affiliated
12credentialing board.
AB150-engrossed,1014,1715
49.496
(3) (a) 2. a. Home-based or community-based services under
42 USC
161396d (7) and (8) and under any waiver granted under
42 USC 1396n (c) (4) (B)
or
1742 USC 1396u.
AB150-engrossed,1015,719
49.496
(4) Administration. The department may require a county department
20under s. 46.215
or, 46.22
or 46.23 or the governing body of a federally recognized
21American Indian tribe administering medical assistance to gather and provide the
22department with information needed to recover medical assistance under this
23section. The department shall pay to a county department or tribal governing body
24an amount equal to 5% of the recovery collected by the department relating to a
25beneficiary for whom the county department or tribal governing body made the last
1determination of medical assistance eligibility. A county department or tribal
2governing body may use funds received under this subsection only to pay costs
3incurred under this subsection and, if any amount remains, to pay for improvements
4to functions required under s.
46.032 49.33 (2). The department may withhold
5payments under this subsection for failure to comply with the department's
6requirements under this subsection. The department shall treat payments made
7under this subsection as costs of administration of the medical assistance program.
AB150-engrossed,1015,159
49.496
(5) Use of funds. From the appropriation under s. 20.435 (1) (im), the
10department shall pay the amount of the payments under sub. (4) that is not paid from
11federal funds, shall pay to the federal government the amount of the funds recovered
12under this section equal to the amount of federal funds used to pay the benefits
13recovered under this section and shall spend the remainder of the funds recovered
14under this section for medical assistance benefits
administered under s. 49.45 under
15this subchapter.
AB150-engrossed,1015,2017
49.498
(16m) Appeals procedures. Appeals procedures under this section with
18respect to imposition of a remedy, as specified in
42 CFR 488.406 (a) (6), shall be
19consistent with appeals procedures in federal regulations promulgated to interpret
2042 USC 1396r.
AB150-engrossed,1016,53
49.001
(1) In this section, "child "Child care provider" means a child care
4provider that is licensed under s. 48.65 (1), certified under s. 48.651 or established
5or contracted for under s. 120.13 (14).
AB150-engrossed,1016,1511
49.33
(7) County personnel systems. Pursuant to rules promulgated under
12sub.
(2) (4), the department where requested by the county shall delegate to that
13county, without restriction because of enumeration, any or all of the department's
14authority under sub.
(2) (4) to establish and maintain personnel standards including
15salary levels.
AB150-engrossed,1017,218
49.82
(1) (title)
Department Departments to advise counties. The department
19of health and social services and the department of industry, labor and human
20relations shall advise all county officers charged with the administration of
such
21laws of these requirements
relating to public assistance programs under this chapter 22and shall render all possible assistance in securing compliance therewith, including
23the preparation of necessary blanks and reports. The department
of health and
24social services and the department of industry, labor and human relations shall also
25publish such information as it deems advisable to acquaint persons entitled to public
1assistance and the public generally with the laws governing
the same public
2assistance under this chapter.
AB150-engrossed, s. 3089c
3Section 3089c. 49.50 (6e) (title) of the statutes is renumbered 49.191 (1) (title)
4and amended to read:
AB150-engrossed,1017,65
49.191
(1) (title)
Day
Child care funds for certain recipients of aid to
6families of with dependent children.
AB150-engrossed,1017,149
49.50
(6e) (b) Within the limits of funds available under s. 20.435 (4) (cn) and
10(na)
and (6) (jg), the department shall provide funds for individuals who are working
11and who receive aid to families with dependent children to pay child care costs in
12excess of the amount of the child care disregard under s. 49.19 (5) (a) and child care
13costs incurred before the child care disregard under s. 49.19 (5) (a) becomes available
14if the child care is provided by a child care provider.
AB150-engrossed, s. 3092
15Section
3092. 49.50 (6e) (b) of the statutes, as affected by 1995 Wisconsin Act
16.... (this act), is renumbered 49.191 (1) (b) and amended to read:
AB150-engrossed,1017,2317
49.191
(1) (b) Within the limits of funds available under
s. ss. 20.435
(4) (cn)
18and (na) and (6) (3) (jg)
and 20.445 (3) (cn) and (na), the department shall provide
19funds for individuals who are working and who receive aid to families with
20dependent children to pay child care costs in excess of the amount of the child care
21disregard under s. 49.19 (5) (a) and child care costs incurred before the child care
22disregard under s. 49.19 (5) (a) becomes available if the child care is provided by a
23child care provider.
AB150-engrossed, s. 3093c
24Section 3093c. 49.50 (6g) of the statutes is renumbered 49.191 (2), and 49.191
25(2) (title), as renumbered, is amended to read:
AB150-engrossed,1018,2
149.191
(2) (title)
Day Child care funds for former recipients of aid to families
2with dependent children.
AB150-engrossed,1018,54
49.50
(6k) (title)
Administration of
day child care funds under the aid to
5families with dependent children program.
AB150-engrossed, s. 3095
6Section
3095. 49.50 (6k) (title) of the statutes, as affected by 1995 Wisconsin
7Act .... (this act), is renumbered 49.191 (3) (title).
AB150-engrossed, s. 3096
8Section
3096. 49.50 (6k) (a) of the statutes is renumbered 49.191 (3) (a) and
9amended to read:
AB150-engrossed,1018,1510
49.191
(3) (a) County departments under ss. 46.215, 46.22 and 46.23 shall
11administer the funds appropriated for the purpose of providing child care under
12subs.
(6e) (b) and (6g) (1) (b) and (2) for recipients and former recipients of aid under
13s. 49.19 and under
sub. (7) (e) s. 49.26 (1) (e) for participants in the learnfare
14program. The department shall allocate funds to county departments under ss.
1546.215, 46.22 and 46.23 for the purposes of this paragraph.
AB150-engrossed, s. 3097
16Section
3097. 49.50 (6k) (b) of the statutes is renumbered 49.191 (3) (b) and
17amended to read:
AB150-engrossed,1018,2318
49.191
(3) (b) Beginning on January 1, 1994, a county department under s.
1946.215, 46.22 or 46.23 may, with the approval of the department, provide payment
20for, or reimbursement of, child care under
sub. (1) (a) or s. 49.193 (8)
or 49.50 (6e) (a) 21using funds allocated under par. (a). The department shall approve or disapprove
22this use of funds under criteria established to maximize state and federal funding
23available for child care.
AB150-engrossed,1019,4
149.50
(6k) (c) Notwithstanding s. 49.41, the department shall promptly recover
2all overpayments made under subs. (6e), (6g) and (7) (e) and ss. 49.193 (8) and 49.27
3(6) (c). The department shall promulgate rules establishing policies and procedures
4to administer this paragraph.
AB150-engrossed, s. 3099
5Section
3099. 49.50 (6k) (c) of the statutes, as created by 1995 Wisconsin Act
6.... (this act), is renumbered 49.191 (3) (c) and amended to read:
AB150-engrossed,1019,107
49.191
(3) (c) Notwithstanding s.
49.41
49.96, the department shall promptly
8recover all overpayments made under subs.
(6e), (6g), and (7) (e) (1) and (2) and ss.
949.193 (8)
, 49.26 (1) (e) and 49.27 (6) (c). The department shall promulgate rules
10establishing policies and procedures to administer this paragraph.
AB150-engrossed, s. 3100c
11Section 3100c. 49.50 (6n) of the statutes is renumbered 49.191 (4), and 49.191
12(4) (title), as renumbered, is amended to read:
AB150-engrossed,1019,1313
49.191
(4) (title)
Day
Child care expenditure information.
AB150-engrossed, s. 3101
14Section
3101. 49.50 (7) (title) of the statutes is renumbered 49.26 (title) and
15amended to read:
AB150-engrossed,1019,16
1649.26 (title)
Learnfare pilot program.
AB150-engrossed, s. 3102b
17Section 3102b. 49.50 (7) (a) (intro.) of the statutes is renumbered 49.26 (1) (a)
18(intro.) and amended to read:
AB150-engrossed,1019,1919
49.26
(1) (a) (intro.) In this subsection
, "school":