AB100-ASA1,821,138 49.45 (2) (a) 3. Determine the eligibility of persons for medical assistance,
9rehabilitative and social services under ss. 49.46, 49.468 and 49.47 and rules and
10policies adopted by the department and may designate this function to the county
11department under s. 46.215 or, 46.22 or 46.23 or , to the extent permitted by federal
12law or a waiver from federal secretary of health and human services, to a Wisconsin
13works agency
.
AB100-ASA1, s. 1515 14Section 1515. 49.45 (2) (a) 5. of the statutes is amended to read:
AB100-ASA1,821,1715 49.45 (2) (a) 5. Cooperate with the division for learning support, equity and
16advocacy in the department of education public instruction to carry out the
17provisions of Title XIX.
AB100-ASA1, s. 1516 18Section 1516. 49.45 (2) (a) 17. of the statutes is amended to read:
AB100-ASA1,821,2219 49.45 (2) (a) 17. Notify the governor, the joint committee on legislative
20organization, the joint committee on finance and appropriate standing committees,
21as determined by the presiding officer of each house, if the appropriation under s.
2220.435 (1) (5) (b) is insufficient to provide the state share of medical assistance.
AB100-ASA1, s. 1517 23Section 1517. 49.45 (3) (ag) of the statutes is created to read:
AB100-ASA1,821,2524 49.45 (3) (ag) Reimbursement shall be made to each entity contracted with
25under s. 46.271 (2m) for assessments completed under s. 46.271 (2m) (a) 2.
AB100-ASA1, s. 1518
1Section 1518. 49.45 (5) of the statutes is renumbered 49.45 (5) (a) and
2amended to read:
AB100-ASA1,822,83 49.45 (5) (a) Any person whose application for medical assistance is denied or
4is not acted upon promptly or who believes that the payments made in the person's
5behalf have not been properly determined or that his or her eligibility has not been
6properly determined
may file an appeal with the department pursuant to s. 49.21 (1)
7par. (b). Review is unavailable if the decision or failure to act arose more than 45 days
8before submission of the petition for a hearing
.
AB100-ASA1, s. 1519 9Section 1519. 49.45 (5) (b) of the statutes is created to read:
AB100-ASA1,822,2410 49.45 (5) (b) 1. Upon receipt of a timely petition under par. (a) the department
11shall give the applicant or recipient reasonable notice and opportunity for a fair
12hearing. The department may make such additional investigation as it considers
13necessary. Notice of the hearing shall be given to the applicant or recipient and to
14the county clerk or, if a Wisconsin works agency is responsible for making the medical
15assistance determination, the Wisconsin works agency. The county or the Wisconsin
16works agency may be represented at such hearing. The department shall render its
17decision as soon as possible after the hearing and shall send a certified copy of its
18decision to the applicant or recipient, the county clerk and to the county officer or the
19Wisconsin works agency charged with administration of the medical assistance
20program. The decision of the department shall have the same effect as an order of
21the county officer or the Wisconsin works agency charged with the administration
22of the medical assistance program. The decision shall be final, but may be revoked
23or modified as altered conditions may require. The department shall deny a petition
24for a hearing or shall refuse to grant relief if:
AB100-ASA1,822,2525 a. The petitioner withdraws the petition in writing.
AB100-ASA1,823,3
1b. The sole issue in the petition concerns an automatic payment adjustment or
2change that affects an entire class of recipients and is the result of a change in state
3or federal law.
AB100-ASA1,823,64 c. The petitioner abandons the petition. Abandonment occurs if the petitioner
5fails to appear in person or by representative at a scheduled hearing without good
6cause, as determined by the department.
AB100-ASA1,823,157 2. If a recipient requests a hearing within the timely notice period specified in
842 CFR 431.231 (c), medical assistance coverage shall not be suspended, reduced or
9discontinued until a decision is rendered after the hearing but medical assistance
10payments made pending the hearing decision may be recovered by the department
11if the contested decision or failure to act is upheld. The department shall promptly
12notify the county department or, if a Wisconsin works agency is responsible for
13making the medical assistance determination, the Wisconsin works agency of the
14county in which the recipient resides that the recipient has requested a hearing.
15Medical assistance coverage shall be suspended, reduced or discontinued if:
AB100-ASA1,823,1716 a. The recipient is contesting a state or federal law or a change in state or
17federal law and not the determination of the payment made on the recipient's behalf.
AB100-ASA1,823,2018 b. The recipient is notified of a change in his or her medical assistance coverage
19while the hearing decision is pending but the recipient fails to request a hearing on
20the change.
AB100-ASA1,823,2221 3. The recipient shall be promptly informed in writing if medical assistance is
22to be suspended, reduced or terminated pending the hearing decision.
AB100-ASA1, s. 1520 23Section 1520. 49.45 (5m) (a) of the statutes is amended to read:
AB100-ASA1,824,524 49.45 (5m) (a) Notwithstanding sub. (3) (e), from the appropriations under s.
2520.435 (1) (5) (b) and (o) the department shall distribute not more than $2,256,000

1in each fiscal year, to provide supplemental funds to rural hospitals that, as
2determined by the department, have high utilization of inpatient services by
3patients whose care is provided from governmental sources, except that the
4department may not distribute funds to a rural hospital to the extent that the
5distribution would exceed any limitation under 42 USC 1396b (i) (3).
AB100-ASA1, s. 1913m 6Section 1913m. 49.45 (6b) (intro.) of the statutes is amended to read:
AB100-ASA1,824,127 49.45 (6b) (title) Centers Center for the developmentally disabled. (intro.)
8From the appropriation under s. 20.435 (2) (gk), the department may reimburse the
9cost of services provided by the centers a center for the developmentally disabled.
10Reimbursement to the centers a center for the developmentally disabled shall be
11reduced following each placement made under s. 46.275 which involves a relocation
12from a center for the developmentally disabled, as follows:
AB100-ASA1, s. 1913r 13Section 1913r. 49.45 (6b) (a) of the statutes is amended to read:
AB100-ASA1,824,1614 49.45 (6b) (a) Beginning in fiscal year 1995-96 1997-98, for relocations from
15the central Wisconsin a center for the developmentally disabled, by $205 per day, if
16that center is located in Dane County
.
AB100-ASA1, s. 1914m 17Section 1914m. 49.45 (6b) (b) of the statutes is amended to read:
AB100-ASA1,824,2018 49.45 (6b) (b) Beginning in fiscal year 1995-96 1997-98, for relocations from
19the northern Wisconsin a center for the developmentally disabled, by $199 $174 per
20day, if that center is located in Chippewa County.
AB100-ASA1, s. 1915m 21Section 1915m. 49.45 (6b) (c) of the statutes is amended to read:
AB100-ASA1,824,2422 49.45 (6b) (c) Beginning in fiscal year 1995-96 1997-98, for relocations from
23the southern Wisconsin a center for the developmentally disabled, by $149 $174 per
24day, if that center is located in Racine County.
AB100-ASA1, s. 1521 25Section 1521. 49.45 (6c) (c) (intro.) of the statutes is amended to read:
AB100-ASA1,825,6
149.45 (6c) (c) Resident review. (intro.) Except as provided in par. (e), by April
21, 1990, and at least annually thereafter,
the department or an entity to which the
3department has delegated authority shall review every resident of a facility or
4institution for mental diseases who has a developmental disability or mental illness
5and who has experienced a significant change in his or her physical or mental
6condition
to determine if any of the following applies:
AB100-ASA1, s. 1522 7Section 1522. 49.45 (6m) (a) 3. of the statutes is amended to read:
AB100-ASA1,825,108 49.45 (6m) (a) 3. "Facility" means a nursing home as defined under s. 50.01 (3)
9or a community-based residential facility that is licensed under s. 50.03 and that is
10certified by the department as a provider of medical assistance.
AB100-ASA1, s. 1523 11Section 1523. 49.45 (6m) (a) 5. of the statutes is created to read:
AB100-ASA1,825,1212 49.45 (6m) (a) 5. "Nursing home" has the meaning given under s. 50.01 (3).
AB100-ASA1, s. 1524 13Section 1524. 49.45 (6m) (ag) (intro.) of the statutes is amended to read:
AB100-ASA1,825,2514 49.45 (6m) (ag) (intro.) Payment for care provided in a facility under this
15subsection made under s. 20.435 (1) (b), (o) or (p) or (5) (b) or (o) shall, except as
16provided in pars. (bg), (bm) and (br), be determined according to a prospective
17payment system updated annually by the department. The payment system shall
18implement standards which are reasonable and adequate to meet the costs which
19must be incurred by efficiently and economically operated facilities in order to
20provide care in conformity with this section, with federal regulations authorized
21under 42 USC 1396a (a) (13) (A), 1396a (a) (30), 1396b (i) (3), 1396L and 1396r (e)
22and with quality and safety standards established under subch. II of ch. 50 and ch.
23150. In administering this payment system, the department shall allow costs it
24determines are necessary and proper for providing patient care. The payment
25system shall reflect all of the following:
AB100-ASA1, s. 1525
1Section 1525. 49.45 (6m) (ag) 3m. of the statutes is amended to read:
AB100-ASA1,826,62 49.45 (6m) (ag) 3m. For state fiscal year 1995-96 1997-98, rates that shall be
3set by the department based on information from cost reports for the 1994 1996 fiscal
4year of the facility and for state fiscal year 1996-97 1998-99, rates that shall be set
5by the department based on information from cost reports for the 1995 1997 fiscal
6year of the facility.
AB100-ASA1, s. 1526 7Section 1526. 49.45 (6m) (ag) 8. of the statutes is amended to read:
AB100-ASA1,826,258 49.45 (6m) (ag) 8. Calculation of total payments and supplementary payments
9to facilities that permits an aggregate increase in funds allocated under s. 20.435 (1)
10(5) (b) and (o) for nursing home care provided medical assistance recipients,
11including an increase resulting in adjustment of facility base rates and percentage
12increases over facility base rates,
over that paid for services provided in state fiscal
13year 1994-95 1996-97 of no more than 4.25% 5.4% or $45,908,500, whichever is less,
14during state fiscal year 1995-96 and 1997-98; and calculation of total payments and
15supplementary payments to facilities that permits an aggregate increase in funds
16allocated under s. 20.435 (5) (b) and (o) for nursing home care provided medical
17assistance recipients, including a percentage increase over facility base rates,
over
18that paid for services provided in state fiscal year 1995-96 1997-98 of no more than
193.5% or $25,077,700, whichever is less, during state fiscal year 1996-97, excluding
201998-99. Calculation of total payments and supplementary payments under this
21subdivision excludes
increases in total payments attributable to increases in
22recipient utilization of facility care, payments for the provision of active treatment
23to facility residents with developmental disability or chronic mental illness and
24payments for preadmission screening of facility applicants and annual reviews of
25facility residents required under 42 USC 1396r (e).
AB100-ASA1, s. 1527
1Section 1527. 49.45 (6m) (ap) of the statutes is created to read:
AB100-ASA1,827,62 49.45 (6m) (ap) If the bed occupancy of a nursing home is below the minimum
3patient day occupancy standards that are established by the department under par.
4(ar) (intro.), the department may approve a request by the nursing home to delicense
5any of the nursing home's licensed beds. If the department approves the nursing
6home's request, all of the following apply:
AB100-ASA1,827,87 1. The department shall delicense the number of beds in accordance with the
8nursing home's request.
AB100-ASA1,827,119 2. The department may not include the number of beds of the nursing home
10that the department delicenses under this paragraph in determining the costs per
11patient day under the minimum patient day occupancy standards under par. (ar).
AB100-ASA1,827,1312 3. The nursing home may not use or sell a bed that is delicensed under this
13paragraph.
AB100-ASA1,827,2114 4. a. Every 12 months following the delicensure of a bed under this paragraph,
15for which a nursing home has not resumed licensure under subd. 5., the department
16shall reduce the licensed bed capacity of the nursing home by 10% of all of the nursing
17home's beds that remain delicensed under this paragraph or by 25% of one bed,
18whichever is greater. The department shall reduce the statewide maximum number
19of licensed nursing home beds under s. 150.31 (1) (intro.) by the number or portion
20of a number of beds by which the nursing home's licensed bed capacity is reduced
21under this subdivision.
AB100-ASA1,827,2422 b. Subdivision 4. a. does not apply during the period of any contract entered into
23by a nursing home prior to January 1, 1996, if the contract requires the nursing home
24to maintain its current licensed bed capacity.
AB100-ASA1,828,8
15. A nursing home retains the right to resume licensure of a bed of the nursing
2home that was delicensed under this paragraph unless the licensed bed capacity of
3the nursing home has been reduced by that bed under subd. 4. The nursing home
4may not resume licensure of a fraction of a bed. The nursing home may resume
5licensure 18 months after the nursing home notifies the department in writing that
6the nursing home intends to resume the licensure. If a nursing home resumes
7licensure of a bed under this subdivision, subd. 2 does not apply with respect to that
8bed.
AB100-ASA1,828,159 6. Subdivision 2. does not apply with respect to a nursing home described under
10subd. 4. b. that resumes licensure of a bed that was delicensed during the period that
11subd. 4. b. applied. The department shall recoup from the nursing home payments
12made to the nursing home during the period that subd. 4. b. applied to the extent that
13those payments exceed the amount the department would have paid during that
14same period had the nursing home not delicensed the beds the licensure of which was
15resumed.
AB100-ASA1, s. 1528 16Section 1528. 49.45 (6m) (ar) 1. a. of the statutes is amended to read:
AB100-ASA1,829,317 49.45 (6m) (ar) 1. a. The department shall establish standards for payment of
18allowable direct care costs, for facilities that do not primarily serve the
19developmentally disabled,
that are at least 110% of not less than the median for
20direct care costs for a sample of all of those facilities that do not primarily serve the
21developmentally disabled
in this state and separate standards for payment of
22allowable direct care costs, for facilities that primarily serve the developmentally
23disabled,
that are at least 110% of not less than the median for direct care costs for
24a sample of all of those facilities primarily serving the developmentally disabled in
25this state
. The standards shall be adjusted by the department for regional labor cost

1variations. The department may decrease the percentage established for the
2standards only if amounts available under par. (ag) (intro.) are insufficient to provide
3total payment under par. (am), less capital costs under subd. 6.
AB100-ASA1, s. 1529 4Section 1529. 49.45 (6m) (br) 1. of the statutes, as affected by 1997 Wisconsin
5Act 3
, is amended to read:
AB100-ASA1,829,156 49.45 (6m) (br) 1. Notwithstanding s. 20.410 (3) (cd), 20.435 (1) (5) (bt) or (bu)
7or (7) (b) or 20.445 (3) (de) (dz), the department shall reduce allocations of funds to
8counties in the amount of the disallowance from the appropriations appropriation
9account
under s. 20.410 (3) (cd) or 20.435 (1) (5) (bt) or (bu) or (7) (b), or the
10department shall direct the department of workforce development to reduce
11allocations of funds to counties or Wisconsin works agencies in the amount of the
12disallowance from the appropriation account under s. 20.445 (3) (de) or (dz) or direct
13the department of corrections to reduce allocations of funds to counties in the amount
14of the disallowance from the appropriation account under s. 20.410 (3) (cd)
, in
15accordance with s. 16.544 to the extent applicable.
AB100-ASA1, s. 1530 16Section 1530. 49.45 (6s) of the statutes is repealed.
AB100-ASA1, s. 1531 17Section 1531. 49.45 (6t) (intro.) of the statutes is amended to read:
AB100-ASA1,830,318 49.45 (6t) County department and local health department operating
19deficit reduction.
(intro.) From the appropriation under s. 20.435 (1) (5) (o), for
20reduction of operating deficits, as defined under criteria developed by the
21department, incurred by a county department under s. 46.215, 46.22, 46.23 or 51.42
22or by a local health department, as defined in s. 250.01 (4), for services provided
23under s. 49.46 (2) (a) 4. d. and (b) 6. f., j., k. and L., 9. and 15., for case management
24services under s. 49.46 (2) (b) 12. and for mental health day treatment services for
25minors provided under the authorization under 42 USC 1396d (r) (5), the department

1shall allocate up to $4,500,000 in each fiscal year to these county departments, or
2local health departments as determined by the department, and shall perform all of
3the following:
AB100-ASA1, s. 1532 4Section 1532. 49.45 (6t) (d) of the statutes is amended to read:
AB100-ASA1,830,95 49.45 (6t) (d) If the federal department of health and human services approves
6for state expenditure in a fiscal year amounts under s. 20.435 (1) (5) (o) that result
7in a lesser allocation amount than that allocated under this subsection or disallows
8use of the allocation of federal medicaid funds under par. (c), reduce allocations under
9this subsection and distribute on a prorated basis, as determined by the department.
AB100-ASA1, s. 1533 10Section 1533. 49.45 (6u) (intro.) of the statutes is amended to read:
AB100-ASA1,830,2511 49.45 (6u) (title) Facility operating deficit reduction Supplemental
12payments to county homes
. (intro.) Except as provided in par. (g) Notwithstanding
13sub. (6m)
, from the appropriation under s. 20.435 (1) (5) (o), for reduction of operating
14deficits, as defined under criteria developed by the department, incurred by a facility,
15as defined under sub. (6m) (a) 2. 3., that is established under s. 49.70 (1) or that is
16owned and operated by a city, village or town
, the department shall may not
17distribute to these facilities not more than $18,600,000 $38,600,000 in each fiscal
18year, as determined by the department, and except that the department shall also
19distribute for this same purpose from the appropriation under s. 20.435 (5) (o) any
20additional federal medical assistance moneys that were not anticipated before
21enactment of the biennial budget act or other legislation affecting s. 20.435 (5) (o) and
22that were not used to fund nursing home rate increases under sub. (6m) (ag) 8. The
23total amount that a county certifies under this subsection may not exceed 100% of
24otherwise-unreimbursed care. In distributing funds under this subsection, the
25department
shall perform all of the following:
AB100-ASA1, s. 1534
1Section 1534. 49.45 (6u) (d) of the statutes is amended to read:
AB100-ASA1,831,62 49.45 (6u) (d) If the federal department of health and human services approves
3for state expenditure in a fiscal year amounts under s. 20.435 (1) (5) (o) that result
4in a lesser allocation amount than that allocated under this subsection, allocate not
5more than the lesser amount so approved by the federal department of health and
6human services.
AB100-ASA1, s. 1535 7Section 1535. 49.45 (6u) (e) of the statutes is amended to read:
AB100-ASA1,831,128 49.45 (6u) (e) If the federal department of health and human services approves
9for state expenditure in a fiscal year amounts under s. 20.435 (1) (5) (o) that result
10in a lesser allocation amount than that allocated under this subsection, submit a
11revision of the method developed under par. (b) for approval by the joint committee
12on finance in that state fiscal year.
AB100-ASA1, s. 1536 13Section 1536. 49.45 (6u) (f) of the statutes is amended to read:
AB100-ASA1,831,1614 49.45 (6u) (f) If the federal department of health and human services disallows
15use of the allocation of matching federal medical assistance funds distributed under
16par. (c), apply the requirements under sub. (6m) (br) shall apply.
AB100-ASA1, s. 1537 17Section 1537. 49.45 (6u) (g) of the statutes is amended to read:
AB100-ASA1,831,2218 49.45 (6u) (g) If a facility that is otherwise eligible for an allocation of funds
19under this section is found by the federal health care financing administration or the
20department to be an institution for mental diseases, as defined under 42 CFR
21435.1009
, the department may not allocate cease distributing to that facility funds
22under this section after the date on which the finding is made.
AB100-ASA1, s. 1538 23Section 1538. 49.45 (6w) (intro.) of the statutes is amended to read:
AB100-ASA1,832,524 49.45 (6w) Hospital operating deficit reduction. (intro.) From the
25appropriation under s. 20.435 (1) (5) (o), for reduction of operating deficits, as defined

1under criteria developed by the department, incurred by a hospital, as defined under
2s. 50.33 (2) (a) and (b), that is operated by the state, established under s. 49.71 or
3owned and operated by a city or village, the department shall allocate up to
4$3,300,000 in each fiscal year to these hospitals, as determined by the department,
5and shall perform all of the following:
AB100-ASA1, s. 1539 6Section 1539. 49.45 (6w) (d) of the statutes is amended to read:
AB100-ASA1,832,117 49.45 (6w) (d) If the federal department of health and human services approves
8for state expenditure in a fiscal year amounts under s. 20.435 (1) (5) (o) that result
9in a lesser allocation amount than that allocated under this subsection or disallows
10use of the allocation of federal medicaid funds under par. (c), reduce allocations under
11this subsection and distribute on a prorated basis, as determined by the department.
AB100-ASA1, s. 1540 12Section 1540. 49.45 (6x) (a) of the statutes is amended to read:
AB100-ASA1,832,1713 49.45 (6x) (a) Notwithstanding sub. (3) (e), from the appropriations under s.
1420.435 (1) (5) (b) and (o) the department shall distribute not more than $4,748,000
15in each fiscal year, to provide funds to an essential access city hospital, except that
16the department may not allocate funds to an essential access city hospital to the
17extent that the allocation would exceed any limitation under 42 USC 1396b (i) (3).
AB100-ASA1, s. 1541 18Section 1541. 49.45 (6x) (d) of the statutes is amended to read:
AB100-ASA1,832,2319 49.45 (6x) (d) If the federal department of health and human services approves
20for state expenditure in any state fiscal year amounts under s. 20.435 (1) (5) (o) that
21result in a lesser distribution amount than that distributed under this subsection or
22disallows use of federal medicaid funds under par. (a), the department of health and
23family services shall reduce the distributions under this subsection.
AB100-ASA1, s. 1542 24Section 1542. 49.45 (6y) (a) of the statutes is amended to read:
AB100-ASA1,833,10
149.45 (6y) (a) Notwithstanding sub. (3) (e), from the appropriations under s.
220.435 (1) (5) (b) and (o) the department shall distribute funding in each fiscal year
3to provide supplemental payment to hospitals that enter into a contract under s.
449.02 (2) to provide health care services funded by a relief block grant, as determined
5by the department, for hospital services that are not in excess of the hospitals'
6customary charges for the services, as limited under 42 USC 1396b (i) (3). If no relief
7block grant is awarded under this chapter or if the allocation of funds to such
8hospitals would exceed any limitation under 42 USC 1396b (i) (3), the department
9may distribute funds to hospitals that have not entered into a contract under s. 49.02
10(2).
AB100-ASA1, s. 1543 11Section 1543. 49.45 (6z) (a) (intro.) of the statutes is amended to read:
AB100-ASA1,833,2212 49.45 (6z) (a) (intro.) Notwithstanding sub. (3) (e), from the appropriations
13under s. 20.435 (1) (5) (b) and (o) the department shall distribute funding in each
14fiscal year to supplement payment for services to hospitals that enter into a contract
15under s. 49.02 (2) to provide health care services funded by a relief block grant under
16this chapter, if the department determines that the hospitals serve a
17disproportionate number of low-income patients with special needs. If no medical
18relief block grant under this chapter is awarded or if the allocation of funds to such
19hospitals would exceed any limitation under 42 USC 1396b (i) (3), the department
20may distribute funds to hospitals that have not entered into a contract under s. 49.02
21(2). The department may not distribute funds under this subsection to the extent
22that the distribution would do any of the following:
AB100-ASA1, s. 1544 23Section 1544. 49.45 (8) (b) of the statutes is amended to read:
AB100-ASA1,834,324 49.45 (8) (b) Reimbursement under s. 20.435 (1) (5) (b) and (o) for home health
25services provided by a certified home health agency or independent nurse shall be

1made at the home health agency's or nurse's usual and customary fee per patient care
2visit, subject to a maximum allowable fee per patient care visit that is established
3under par. (c).
AB100-ASA1, s. 1545 4Section 1545. 49.45 (8e) of the statutes is repealed.
AB100-ASA1, s. 1546 5Section 1546. 49.45 (8m) (intro.) of the statutes is amended to read:
AB100-ASA1,834,106 49.45 (8m) Rates for respiratory care services. (intro.) Notwithstanding the
7limits under subs. (8) and (8e) limit under sub. (8), the rates under sub. (8) and rates
8charged by providers under s. 49.46 (2) (a) 4. d. that are not home health agencies,
9for reimbursement for respiratory care services for ventilator-dependent
10individuals under ss. 49.46 (2) (b) 6. m. and 49.47 (6) (a) 1., shall be as follows:
AB100-ASA1, s. 1941b 11Section 1941b. 49.45 (8m) (a) of the statutes is amended to read:
AB100-ASA1,834,1312 49.45 (8m) (a) For visits subsequent to an initial visit and for extended visits
13by a licensed registered nurse, $30 $30.60 per hour.
AB100-ASA1, s. 1941c 14Section 1941c. 49.45 (8m) (a) of the statutes, as affected by 1997 Wisconsin
15Act .... (this act), is amended to read:
AB100-ASA1,834,1716 49.45 (8m) (a) For visits subsequent to an initial visit and for extended visits
17by a licensed registered nurse, $30.60 $31.21 per hour.
Loading...
Loading...