AB150: Bill Text

AB150,1124,2 49.86 Disbursement of funds and facsimile signatures. Withdrawal or disbursement of moneys deposited in a public depository, as defined in s. 34.01 (5), to the credit of the department of industry, labor and human relations or any of its divisions or agencies shall be by check, share draft or other draft signed by the secretary of industry, labor and human relations or by one or more persons in the department of industry, labor and human relations designated by written authorization of the secretary of industry, labor and human relations. Such checks, share drafts and other drafts shall be signed personally or by use of a mechanical device adopted by the secretary of industry, labor and human relations or his or her designees for affixing a facsimile signature. Any public depository shall be fully warranted and protected in making payment on any check, share draft or other draft bearing such facsimile signature notwithstanding that the facsimile may have been placed thereon without the authority of the secretary of industry, labor and human relations or his or her designees.

AB150, s. 3214 Section 3214. 49.89 (7) (bm) of the statutes is created to read:

AB150,1124,7 49.89 (7) (bm) The incentive payment shall be an amount equal to 15% of the amount recovered because of benefits paid as state supplemental payments under s. 49.77. The incentive payment shall be taken from the state share of the sum recovered.

AB150, s. 3215 Section 3215. 49.89 (7) (d) 2. of the statutes is created to read:

AB150,1124,14 49.89 (7) (d) 2. Any county or elected tribal governing body that has made a recovery under this section for which it is eligible to receive an incentive payment under par. (c) shall report such recovery to the department of industry, labor and human relations within 30 days after the end of the month in which the recovery is made in a manner specified by the department of industry, labor and human relations.

AB150, s. 3216 Section 3216. 49.90 (1) (b) of the statutes is amended to read:

AB150,1124,17 49.90 (1) (b) For purposes of this section those persons receiving benefits under federal Title XVI or under s. 49.177 49.77 shall not be deemed dependent persons.

AB150, s. 3217 Section 3217. 49.90 (2g) of the statutes is amended to read:

AB150,1125,2 49.90 (2g) In addition to the remedy specified in sub. (2), upon failure of a grandparent to provide maintenance under sub. (1) (a) 2., another grandparent who is or may be required to provide maintenance under sub. (1) (a) 2., a child of a dependent minor or the child's parent may apply to the circuit court for the county in which the child resides for an order to compel the provision of maintenance. A county department under s. 46.215, 46.22 or 46.23, a county child support agency or the department of health and social services may initiate an action to obtain maintenance of the child by the child's grandparent under sub. (1) (a) 2., regardless of whether the child receives public assistance.

AB150, s. 3218 Section 3218. 49.90 (4) of the statutes is amended to read:

AB150,1126,4 49.90 (4) The circuit court shall in a summary way hear the allegations and proofs of the parties and by order require maintenance from these relatives, if they have sufficient ability, considering their own future maintenance and making reasonable allowance for the protection of the property and investments from which they derive their living and their care and protection in old age, in the following order: First the husband or wife; then the father and the mother; and then the grandparents in the instances in which sub. (1) (a) 2. applies. The order shall specify a sum which will be sufficient for the support of the dependent person under sub. (1) (a) 1. or the maintenance of a child of a dependent person under sub. (1) (a) 2., to be paid weekly or monthly, during a period fixed by the order or until the further order of the court. If the court is satisfied that any such relative is unable wholly to maintain the dependent person or the child, but is able to contribute to the person's support or the child's maintenance, the court may direct 2 or more of the relatives to maintain the person or the child and prescribe the proportion each shall contribute. If the court is satisfied that these relatives are unable together wholly to maintain the dependent person or the child, but are able to contribute to the person's support or the child's maintenance, the court shall direct a sum to be paid weekly or monthly by each relative in proportion to ability. Contributions directed by court order, if for less than full support, shall be paid to the department of health and social services and distributed as required by state and federal law. An order under this subsection that relates to maintenance required under sub. (1) (a) 2. shall specifically assign responsibility for and direct the manner of payment of the child's health care expenses, subject to the limitations under subs. (1) (a) 2. and (11). Upon application of any party affected by the order and upon like notice and procedure, the court may modify such an order. Obedience to such an order may be enforced by proceedings for contempt.

AB150, s. 3219 Section 3219. 49.90 (6) of the statutes is amended to read:

AB150,1126,13 49.90 (6) If any relative who has been ordered to maintain an institutionalized dependent person or an institutionalized child of a dependent person under 18 years of age neglects to do as ordered, the authorities in charge of the dependent or child or in charge of the institution may recover in an action on behalf of the general emergency medical relief agency or institution for general any emergency medical relief or support accorded the dependent person or child against such relative the sum prescribed for each week while the order was disobeyed and up to the time of judgment, with costs.

AB150, s. 3220 Section 3220 . 49.95 (4m) (a) of the statutes, as affected by 1995 Wisconsin Act .... (this act), is amended to read:

AB150,1126,21 49.95 (4m) (a) Without legal authority, sends or brings a person to a county, tribal governing body or municipality or advises a person to go to a county, tribal governing body or municipality for the purpose of obtaining emergency medical relief under s. 49.02, aid to families with dependent children under s. 49.19, medical assistance under ss. 49.45 to 49.47 subch. IV or food stamps under 7 USC 2011 to 2029.

****Note: This is reconciled s. 49.12 (4m) (a) [renumbered s. 49.95 (4m) (a)]. This Section has been affected by drafts with the following LRB numbers: -1701/3 and -2153/1.

AB150, s. 3221 Section 3221. 50.01 (1d) of the statutes is created to read:

AB150,1127,5 50.01 (1d) "Assisted living facility" means a place where 5 or more adults reside that entirely consists of independent apartments, each of which has an individual lockable entrance and exit and individual separate kitchen, bathroom, sleeping and living areas, and that to a person who resides in the place provides not more than 28 hours per week of services that are supportive, personal and nursing services.

AB150, s. 3222 Section 3222. 50.02 (1) of the statutes is amended to read:

AB150,1127,21 50.02 (1) Departmental authority. The department may provide uniform, statewide licensing, inspection and regulation of community-based residential facilities and nursing homes as provided in this subchapter. The department shall certify, inspect and otherwise regulate adult family homes, as specified under s. 50.032 and shall license adult family homes, as specified under s. 50.033. Nothing in this subchapter may be construed to limit the authority of the department of industry, labor and human relations development or of municipalities to set standards of building safety and hygiene, but any local orders of municipalities shall be consistent with uniform, statewide regulation of community-based residential facilities. The department may not prohibit any nursing home from distributing over-the-counter drugs from bulk supply. The department may consult with nursing homes as needed and may provide specialized consultations when requested by any nursing home, separate from its inspection process, to scrutinize any particular questions the nursing home raises. The department shall, by rule, define "specialized consultation".

AB150, s. 3223 Section 3223. 50.02 (2) (a) of the statutes is amended to read:

AB150,1128,10 50.02 (2) (a) The department, by rule, shall develop, establish and enforce regulations and standards for the care, treatment, health, safety, rights, welfare and comfort of residents in community-based residential facilities and nursing homes and for the construction, general hygiene, maintenance and operation of those facilities which, in the light of advancing knowledge, will promote safe and adequate accommodation, care and treatment of residents in those facilities; and promulgate and enforce rules consistent with this section. Such standards and rules shall provide that intermediate care facilities, which have 16 or fewer beds may, if exempted from meeting certain physical plant, staffing and other requirements of the federal regulations, be exempted from meeting the corresponding provisions of the department's standards and rules. The department shall consult with the department of industry, labor and human relations development when developing exemptions relating to physical plant requirements.

AB150, s. 3224 Section 3224. 50.02 (2) (am) 3. of the statutes is created to read:

AB150,1128,14 50.02 (2) (am) 3. For the purposes of s. 50.034, establishing minimum requirements for certification; application procedures and forms; standards for operation; and procedures for monitoring, revocation and appeal of revocation.

AB150, s. 3225 Section 3225. 50.02 (2) (b) of the statutes is renumbered 50.02 (2) (b) 1. and amended to read:

AB150,1128,21 50.02 (2) (b) 1. The department may shall conduct plan reviews of all capital construction and remodeling of nursing homes to ensure that the plans comply with building code requirements under ch. 101 and with life safety code and physical plant requirements under s. 49.498, this chapter or under rules promulgated under this chapter.

AB150,1129,2 2. The department shall promulgate rules that establish a fee schedule for its services under subd. 1. in conducting the plan reviews. The schedule established under these rules shall set fees for nursing home plan reviews in amounts that are less than the sum of the amounts required on September 30, 1995, for fees under this paragraph and for fees for examination of nursing home plans under s. 101.19 (1) (a), 1993 stats.

AB150, s. 3226 Section 3226. 50.02 (6) of the statutes is repealed.

AB150, s. 3227 Section 3227. 50.03 (4) (a) 1. b. of the statutes is amended to read:

AB150,1129,22 50.03 (4) (a) 1. b. Except as provided in sub. (4m) (b), the department shall issue a license for a community-based residential facility if it finds the applicant to be fit and qualified, if it finds that the community-based residential facility meets the requirements established by this subchapter and if the community-based residential facility has paid the license fee under s. 140.85 (2) (a) 50.037 (2) (a). In determining whether to issue a license for a community-based residential facility, the department may consider any action by the applicant or by an employe of the applicant that constitutes a substantial failure by the applicant or employe to protect and promote the health, safety or welfare of a resident. The department may deny licensure to or not renew licensure for any person who conducted, maintained, operated or permitted to be maintained or operated a community-based residential facility for which licensure was revoked. The department, or its designee, shall make such inspections and investigations as are necessary to determine the conditions existing in each case and shall file written reports. Before renewing the license of any community-based residential facility, the department shall consider all complaints filed under sub. (2) (f) during the current license period and the disposition of each. The department shall promulgate rules defining "fit and qualified" for the purposes of this subd. 1. b.

AB150, s. 3228 Section 3228. 50.03 (4) (c) of the statutes is renumbered 50.03 (4) (c) 1. and amended to read:

AB150,1130,13 50.03 (4) (c) 1. Unless sooner revoked or suspended, a community-based residential facility license shall be is valid for one year. Unless sooner revoked or suspended, a nursing home license is valid for one year, but may be issued to a new licensee for less than one year to coincide with the date of federal medical assistance certification as a skilled nursing facility or intermediate care facility 24 months. At least 120 days but not more than 150 30 days prior to license expiration, the applicant shall submit an annual a biennial report and application for renewal of the license in such the form and containing such the information as that the department requires. If the report and application are approved, the license shall be renewed for an additional one-year 24-month period. If the application for renewal and a complete annual report are not timely filed, the department shall issue a warning to the licensee. Failure to make application for renewal within 30 days there after may be after receipt of the warning is grounds for nonrenewal of the license.

AB150, s. 3229 Section 3229. 50.03 (4) (c) 2. of the statutes is created to read:

AB150,1130,25 50.03 (4) (c) 2. Unless sooner revoked or suspended, a nursing home license is valid for 12 months, but may be issued to a new licensee for less than 12 months to coincide with the date of federal medical assistance certification as a skilled nursing facility or intermediate care facility. At least 120 days but not more than 150 days prior to license expiration, the applicant shall submit an annual report and application for renewal of the license in the form and containing the information that the department requires. If the report and application are approved, the license shall be renewed for an additional 12-month period. If the application for renewal and a complete annual report are not timely filed, the department shall issue a warning to the licensee. Failure to make application for renewal within 30 days after receipt of the warning is grounds for nonrenewal of the license.

AB150, s. 3230 Section 3230. 50.03 (5g) (c) (intro.) of the statutes is amended to read:

AB150,1131,10 50.03 (5g) (c) (intro.) If the department provides to a community-based residential facility written notice of the grounds for a sanction or penalty, an explanation of the types of sanctions or penalties that the department may impose under this subsection and an explanation of the process for appealing a sanction or penalty imposed under this subsection, the department may impose any of the following against a licensee or other person who violates the applicable provisions of this section or rules promulgated under the applicable provisions of this section or who fails to comply with an order issued under par. (b) by the time specified in the order:

AB150, s. 3231 Section 3231. 50.03 (5g) (c) 1. a. of the statutes is amended to read:

AB150,1131,17 50.03 (5g) (c) 1. a. Within the limits specified in this subdivision, the department may, by rule, set daily forfeiture amounts and payment deadlines based on the size and type of community-based residential facility and the seriousness of the violation. As part of the order, the The department may set daily forfeiture amounts that increase periodically within the statutory limits if there is continued failure to comply with an order issued under par. (b).

AB150, s. 3232 Section 3232. 50.03 (14) (b) of the statutes is amended to read:

AB150,1132,2 50.03 (14) (b) The county departments of the county in which the facility is located that are responsible for providing services under s. 46.215 (1) (L), 46.22 (1) (b) 7. a. 1. c., 51.42 or 51.437 shall participate in the development and implementation of individual relocation plans. Any county department of another county shall participate in the development and implementation of individual relocation plans in place of the county departments of the county in which the facility is located, if the county department accepts responsibility for the resident or is delegated responsibility for the resident by the department or by a court.

AB150, s. 3233 Section 3233. 50.033 (2) of the statutes is amended to read:

AB150,1132,12 50.033 (2) Regulation. Standards for operation of licensed adult family homes and procedures for application for licensure, monitoring, inspection, revocation and appeal of revocation shall be under rules promulgated by the department under s. 50.02 (2) (am) 2. Licensure shall be for a term not to exceed 12 24 months from the date of issuance and is not transferable. The biennial licensure fee for a licensed adult family home is $100. The fee is payable to the county department under s. 46.215, 46.22, 46.23, 51.42 or 51.437, if the county department licenses the adult family home under sub. (1m) (b), and is payable to the department if the department licenses the adult family home under sub. (1m) (b).

AB150, s. 3234 Section 3234. 50.034 of the statutes is created to read:

AB150,1132,21 50.034 Assisted living facilities. (1) Certification required. No person may operate an assisted living facility that provides supportive, personal or nursing services to recipients of medical assistance unless the assisted living facility meets requirements as a provider of medical assistance and is so certified by the department under this subsection. Certification shall be for a term not to exceed 12 months from the date of issuance and is not transferable. The department may charge a fee, in an amount determined by the department, for certification under this subsection.

AB150,1133,2 (2) Regulation. Standards for operation of certified assisted living facilities and procedures for application for certification, monitoring, decertification and appeal of decertification shall be under rules promulgated by the department under s. 50.02 (2) (am) 3. The amount of any fee charged by the department for certification of an assisted living facility need not be promulgated as a rule under ch. 227.

AB150,1133,5 (3) Funding. Funding for supportive, personal or nursing services that a person who resides in an assisted living facility receives, other than private or 3rd-party funding, may be provided only under s. 46.27 (11) (c) 7. or 46.277 (5) (e).

AB150,1133,14 (4) Decertification. A certified assisted living facility may be decertified because of the substantial and intentional violation of this section or of rules promulgated by the department under s. 50.02 (2) (am) 3. or because of failure to meet the minimum requirements for certification. The operator of the certified assisted living facility shall be given written notice of any decertification and the grounds for the decertification. Any assisted living facility certification applicant or operator of a certified assisted living facility may, if aggrieved by the failure to issue or renew the certification or by decertification, appeal under the procedures specified by the department by rule under s. 50.02 (2) (am) 3.

AB150, s. 3235 Section 3235. 50.035 (2) (a) 3. of the statutes is amended to read:

AB150,1133,20 50.035 (2) (a) 3. The department or the department of industry, labor and human relations development may waive the requirement under subd. 1. or 2. for a community-based residential facility that has a smoke detection or sprinkler system in place that is at least as effective for fire protection as the type of system required under the relevant subdivision.

AB150, s. 3236 Section 3236. 50.035 (2) (b) (intro.) of the statutes is amended to read:

AB150,1133,25 50.035 (2) (b) (intro.) No facility may install a smoke detection system that fails to receive the approval of the department or of the department of industry, labor and human relations development. At least one smoke detector shall be located at each of the following locations:

AB150, s. 3237 Section 3237. 50.035 (7) of the statutes is created to read:

AB150,1134,8 50.035 (7) Statement of financial condition required. (a) No community-based residential facility may initially admit as a resident an individual who applies for admission to the facility and who intends to pay for residence in the facility from private funds, unless the individual provides certain financial information to the community-based residential facility. From this information, the community-based residential facility shall prepare and provide to the individual a statement of financial condition to which all of the following apply:

AB150,1134,9 1. The statement is pertinent to the individual.

AB150,1134,12 2. The statement estimates a date, if any, by which the individual's assets and other private funding sources would be depleted if the individual resides continuously in the community-based residential facility.

AB150,1134,15 3. The statement indicates that public funding may not be available when the individual's assets and other private funding sources, if any, are depleted and specifies options that may be available to the individual at that time.

AB150,1134,19 (b) The individual shall waive his or her right to confidentiality for the information provided under par. (a), to the administrator of the community-based residential facility, to the preparer of the statement of financial condition and, if par. (c) applies, to the county department under s. 46.215 or 46.22.

AB150,1134,23 (c) If the date estimated under par. (a) 2. is less than 24 months after the date of the individual's statement of financial condition, the community-based residential facility shall provide the statement to the county department under s. 46.215 or 46.22.

AB150, s. 3238 Section 3238. 50.037 (2) (a) of the statutes is amended to read:

AB150,1135,3 50.037 (2) (a) The annual biennial fee for a community-based residential facility is $75 $180, plus an annual fee of $10 $24 per resident, based on the number of residents that the facility is licensed to serve.

AB150, s. 3239 Section 3239. 50.037 (2) (c) of the statutes is amended to read:

AB150,1135,11 50.037 (2) (c) A community-based residential facility that wishes to renew a license issued under s. 50.03 (4) (a) 1. b. and that fails to submit the annual biennial fee prior to the renewal date of the license, or a new community-based residential facility subject to this section that fails to submit the annual biennial fee by 30 days prior to the opening of the new community-based residential facility, shall pay an additional fee of $10 per day for every day after the deadline that the facility does not pay the fee.

AB150, s. 3240 Section 3240. 50.037 (3) of the statutes is amended to read:

AB150,1135,16 50.037 (3) Exemption. Community-based residential facilities where the total monthly charges for each resident do not exceed the monthly state supplemental payment rate under s. 49.177 (3s) 49.77 (3s) that is in effect at the time the fee under sub. (2) is assessed are exempt from this section.

AB150, s. 3241 Section 3241. 50.05 (10) of the statutes is amended to read:

AB150,1136,2 50.05 (10) Contingency fund. If funds collected under subs. (7) and (8) are insufficient to meet the expenses of performing the powers and duties conferred on the receiver by this section, or if there are insufficient funds on hand to meet those expenses, the department may draw from the supplemental funds fund created under s. 20.435 (1) (dm) and (6) (dm) to pay those the expenses associated with the receivership of a nursing home. Operating funds collected under this section and not applied to the expenses of the receivership, except for the amount of a security, if any is required under sub. (14m), shall be used to reimburse the fund for advances made under this section.

AB150, s. 3242 Section 3242. 50.05 (15) (f) of the statutes is amended to read:

AB150,1136,19 50.05 (15) (f) The receiver shall, within 60 days after termination of the receivership, file a notice of any lien created under this subsection. No action on a lien created under this subsection may be brought more than 2 years after the date of filing. If the lien is on real property, the notice shall be filed with the clerk of circuit court of the county in which the facility is located and entered on the lien docket kept under s. 779.07. If the lien is on personal property, the lien shall be filed with the secretary of state department of financial institutions. The secretary of state department of financial institutions shall place the lien on personal property in the same file as financing statements are filed under ss. 409.401 and 409.402. The notice shall specify the name of the person against whom the lien is claimed, the name of the receiver, the dates of the petition for receivership and the termination of receivership, a description of the property involved and the amount claimed. No lien shall exist under this section against any person, on any property, or for any amount not specified in the notice filed under this paragraph. To the extent applicable, ch. 846 controls the foreclosure of liens under this subsection that attach to real property.

AB150, s. 3243 Section 3243. 50.135 (1) of the statutes is amended to read:

AB150,1136,25 50.135 (1) Definition. In this section, "inpatient health care facility" means any hospital, nursing home, county home, county mental hospital, tuberculosis sanatorium or other place licensed or approved by the department under ss. 49.14, 49.16, 49.171, 49.70, 49.71, 49.72, 50.02, 50.03, 50.35, 51.08, 51.09, 58.06, 252.073 and 252.076, but does not include community-based residential facilities.

AB150, s. 3244 Section 3244. 50.135 (2) (c) of the statutes is amended to read:

AB150,1137,5 50.135 (2) (c) The fees collected under par. (a) shall be credited to the appropriation under s. 20.435 (1) (gm) for health planning and cost containment activities and to the appropriation under s. 20.488 (1) (g) licensing, review and certifying activities.

AB150, s. 3245 Section 3245. 50.36 (1) of the statutes is amended to read:

AB150,1137,20 50.36 (1) The department shall promulgate, adopt, amend and enforce such rules and standards for hospitals for the construction, maintenance and operation of the hospitals deemed necessary to provide safe and adequate care and treatment of the patients in the hospitals and to protect the health and safety of the patients and employes; and nothing contained herein shall pertain to a person licensed to practice medicine and surgery or dentistry. The building codes and construction standards of the department of industry, labor and human relations development shall apply to all hospitals and the department may adopt additional construction codes and standards for hospitals, provided they are not lower than the requirements of the department of industry, labor and human relations development. Except for the construction codes and standards of the department of industry, labor and human relations development and except as provided in s. 50.39 (3), the department shall be the sole agency to adopt and enforce rules and standards pertaining to hospitals.

AB150, s. 3246 Section 3246. 50.36 (2) of the statutes is renumbered 50.36 (2) (a) and amended to read:

AB150,1138,2 50.36 (2) (a) The department may shall conduct plan reviews of all capital construction and remodeling projects of hospitals to ensure that the plans comply with building code requirements under ch. 101 and with physical plant requirements under this chapter or under rules promulgated under this chapter.

AB150,1138,8 (b) The department shall promulgate rules that establish a fee schedule for its services in conducting the plan reviews under par. (a). The schedule established under these rules shall set fees for hospital plan reviews in amounts that are less than the sum of the amounts required on September 30, 1995, for fees under this subsection and for fees for examination of hospital plans under s. 101.19 (1) (a), 1993 stats.

AB150, s. 3247 Section 3247. 50.39 (3) of the statutes is amended to read:

AB150,1138,18 50.39 (3) Facilities governed by ss. 45.365, 48.62, 49.14, 49.171, 49.70, 49.72, 50.02, 51.09, 58.06, 252.073, 252.076 and 252.10, secured correctional facilities as defined in s. 48.02 (15m), correctional institutions governed by the department of corrections under s. 301.02 and the offices and clinics of persons licensed to treat the sick under chs. 446, 447 and 448 are exempt from ss. 50.32 to 50.39. Sections 50.32 to 50.39 do not abridge the rights of the medical examining board, physical therapists affiliated credentialing board, dentistry examining board, pharmacy examining board, chiropractic examining board and board of nursing in carrying out their statutory duties and responsibilities.

AB150, s. 3248 Section 3248. Subchapter III of chapter 50 [precedes 50.50] of the statutes is created to read:

AB150,1138,21 CHAPTER 50

AB150,1138,23 Subchapter III rural medical centers

AB150,1138,24 50.50 Definitions. In this subchapter:

AB150,1138,25 (1) "Ambulatory surgery center" has the meaning given in s. 49.45 (6r) (a) 1.

AB150,1139,2 (2) "End-stage renal disease services" has the meaning given under 42 CFR 405.2102.

AB150,1139,3 (3) "Health care services" means any of the following:

AB150,1139,4 (a) Care that is provided in or by any of the following:

AB150,1139,5 1. A hospital.

AB150,1139,6 2. A nursing home.