Amendment ASA1-AB100

AB100-ASA1, s. 2455 Section 2455. 252.16 (3) (e) 2. of the statutes is amended to read:

AB100-ASA1,1443,8 252.16 (3) (e) 2. Make any necessary disclosure to the individual's employer or former employer or the administrator of the group health plan under which the individual is covered health insurer regarding the individual's HIV status.

AB100-ASA1, s. 2456 Section 2456. 252.16 (3) (f) of the statutes is repealed.

AB100-ASA1, s. 2457 Section 2457. 252.16 (3) (g) of the statutes is repealed.

AB100-ASA1, s. 2458 Section 2458. 252.16 (3) (h) of the statutes is repealed.

AB100-ASA1, s. 2459 Section 2459. 252.16 (4) (a) of the statutes is amended to read:

AB100-ASA1,1444,5 252.16 (4) (a) Except as provided in pars. (b) and (c) (d), if an individual satisfies sub. (3), the department shall pay the full amount of each premium payment for continuation coverage that is due from the individual under s. 632.897 (2) (d), 29 USC 1162 (3) or 42 USC 300bb-2 (3), whichever is applicable the individual's health insurance coverage under the group health plan or individual health policy under sub. (3) (dm), on or after the date on which the individual becomes eligible for a subsidy under sub. (3). The Except as provided in pars. (b) and (d), the department may not refuse to shall pay the full amount of each premium payment because the continuation coverage that is available to the individual who satisfies sub. (3) regardless of whether the individual's health insurance coverage under sub. (3) (dm) includes coverage of the individual's spouse and dependents. Except as provided in par. (b), the department shall terminate the payments under this section when the individual's continuation health insurance coverage ceases, or when the individual no longer satisfies sub. (3) or upon the expiration of 29 months after the continuation coverage began, whichever occurs first. The department may not make payments under this section for premiums for a conversion policy or plan that is available to an individual under s. 632.897 (4) or (6), 29 USC 1162 (5) or 42 USC 300bb-2 (5) medicare.

AB100-ASA1, s. 2460 Section 2460. 252.16 (4) (b) of the statutes is amended to read:

AB100-ASA1,1444,9 252.16 (4) (b) The obligation of the department to make payments under this section is subject to the availability of funds in the appropriation under s. 20.435 (1) (5) (am).

AB100-ASA1, s. 2461 Section 2461. 252.16 (4) (c) of the statutes is repealed.

AB100-ASA1, s. 2462 Section 2462. 252.16 (4) (d) of the statutes is created to read:

AB100-ASA1,1444,21 252.16 (4) (d) For an individual who satisfies sub. (3) and who has a family income, as defined by rule under sub. (6) (a), that exceeds 200% but does not exceed 300% of the federal poverty line, as defined under 42 USC 9902 (2), for a family the size of the individual's family, the department shall pay a portion of the amount of each premium payment for the individual's health insurance coverage. The portion that the department pays shall be determined according to a schedule established by the department by rule under sub. (6) (c). The department shall pay the portion of the premium determined according to the schedule regardless of whether the individual's health insurance coverage under sub. (3) (dm) includes coverage of the individual's dependents.

AB100-ASA1, s. 2463 Section 2463. 252.16 (5) of the statutes is amended to read:

AB100-ASA1,1445,11 252.16 (5) Application process. The department may establish, by rule, a procedure under which an individual who does not satisfy sub. (3) (b), (c) 2. or (d) (dm) may submit to the department an application for a premium subsidy under this section that the department shall hold until the individual satisfies each requirement of sub. (3), if the department determines that the procedure will assist the department to make premium payments in a timely manner once the individual satisfies each requirement of sub. (3). If an application is submitted by an employed individual under a procedure established by rule under this subsection, the department may not contact the individual's employer or the administrator of the group health plan under which the individual is covered, health insurer unless the individual authorizes the department, in writing, to make that contact and to make any necessary disclosure to the individual's employer or the administrator of the group health plan under which the individual is covered health insurer regarding the individual's HIV status.

AB100-ASA1, s. 2464 Section 2464. 252.16 (6) (b) of the statutes is amended to read:

AB100-ASA1,1445,15 252.16 (6) (b) Establish a procedure for making payments under this section that ensures that the payments are actually used to pay premiums for continuation health insurance coverage available to individuals who satisfy sub. (3).

AB100-ASA1, s. 2465 Section 2465. 252.16 (6) (c) of the statutes is created to read:

AB100-ASA1,1445,22 252.16 (6) (c) Establish a premium contribution schedule for individuals who have a family income, as defined by rule under par. (a), that exceeds 200% but does not exceed 300% of the federal poverty line, as defined under 42 USC 9902 (2), for a family the size of the individual's family. In establishing the schedule under this paragraph, the department shall take into consideration both income level and family size.

AB100-ASA1, s. 2466 Section 2466. 252.17 (2) of the statutes is amended to read:

AB100-ASA1,1446,4 252.17 (2) Subsidy program. The department shall establish and administer a program to subsidize, from the appropriation under s. 20.435 (1) (5) (am), as provided in s. 252.16 (2), the premium costs for coverage under a group health plan that are paid by an individual who has HIV infection and who is on unpaid medical leave from his or her employment because of an illness or medical condition arising from or related to HIV infection.

AB100-ASA1, s. 2467 Section 2467. 252.17 (4) (b) of the statutes is amended to read:

AB100-ASA1,1446,8 252.17 (4) (b) The obligation of the department to make payments under this section is subject to the availability of funds in the appropriation under s. 20.435 (1) (5) (am).

AB100-ASA1, s. 2468 Section 2468. 253.06 of the statutes is renumbered 253.06 (2) and amended to read:

AB100-ASA1,1446,20 253.06 (2) From the appropriation under s. 20.435 (1) (5) (em), the department shall supplement the provision of supplemental foods, nutrition education and other services, including nutritional counseling, to low-income women, infants and children who meet the eligibility criteria under the federal special supplemental food program for women, infants and children authorized under 42 USC 1786. To the extent that funds are available under this section and to the extent that funds are available under 42 USC 1786, the department shall provide the supplemental food, nutrition education and other services authorized under this section and shall administer that provision in every county. The department may enter into contracts for this purpose.

AB100-ASA1, s. 2469 Section 2469. 253.06 (1) of the statutes is created to read:

AB100-ASA1,1446,22 253.06 (1) Definitions. In this section:

AB100-ASA1,1446,25 (a) "Authorized food" means food identified by the department in accordance with 7 CFR 246.10 as acceptable for use under the federal special supplemental food program for women, infants and children under 42 USC 1786.

AB100-ASA1,1447,3 (b) "Authorized vendor" means a vendor that has been authorized by the department to accept drafts from participants and have the drafts redeemed by the department.

AB100-ASA1,1447,5 (c) "Draft" means the negotiable instrument distributed by the department for use by a participant to purchase authorized food.

AB100-ASA1,1447,8 (cm) "Food distribution center" means an entity, other than a vendor, that is under contract with the department under sub. (3m) to distribute authorized food to participants.

AB100-ASA1,1447,10 (d) "Participant" means a person who is eligible for services under this section and who receives services under this section.

AB100-ASA1,1447,13 (dm) "Proxy" means a person who has been designated in writing by a participant or by the department to obtain and exchange drafts for authorized food on behalf of the participant.

AB100-ASA1,1447,14 (e) "Vendor" means a grocery store or pharmacy that sells authorized food.

AB100-ASA1,1447,16 (f) "Vendor stamp" means a rubber stamp provided to a vendor or food distribution center by the department for the purpose of validating drafts.

AB100-ASA1, s. 2470 Section 2470. 253.06 (2) (title) of the statutes is created to read:

AB100-ASA1,1447,18 253.06 (2) (title) Use of funds.

AB100-ASA1, s. 2471 Section 2471. 253.06 (3) of the statutes is created to read:

AB100-ASA1,1447,21 253.06 (3) Authorization of vendors. (a) The department may authorize a vendor to accept drafts only if the vendor meets all of the following conditions:

AB100-ASA1,1447,22 1. The vendor submits to the department a completed application.

AB100-ASA1,1447,24 2. The vendor meets the minimum requirements for authorization, as established by the department by rule under sub. (5) (a) 1.

AB100-ASA1,1448,6 3. The vendor does not have any outstanding fines, forfeitures, recoupment assessments or enforcement assessments that were levied against that vendor for a violation of this section or for a violation of rules promulgated under this section. This subdivision does not apply if the vendor has contested the fine, forfeiture, recoupment assessment or enforcement assessment and has not exhausted administrative or judicial review.

AB100-ASA1,1448,10 4. The vendor is fit and qualified, as determined by the department. In determining whether a vendor is fit and qualified, the department shall consider any relevant conviction of the vendor or any of the vendor's employes for civil or criminal violations substantially related to the operation of a grocery store or pharmacy.

AB100-ASA1,1448,14 (bg) The department may limit the number of vendors that it authorizes under this subsection if the department determines that the number of vendors already authorized under this subsection is sufficient to permit participants to obtain authorized food conveniently.

AB100-ASA1,1448,18 (bm) The department shall approve or deny initial authorization within 90 days after the receipt of a completed application. If the application is denied, the department shall give the applicant reasons, in writing, for the denial and shall inform the applicant of the right to appeal that decision under sub. (6).

AB100-ASA1,1448,20 (c) The department may not redeem drafts submitted by a person who is not an authorized vendor except as provided in sub. (3m).

AB100-ASA1, s. 2472 Section 2472. 253.06 (3m) of the statutes is created to read:

AB100-ASA1,1448,24 253.06 (3m) Food distribution centers. (a) The department may contract for an alternative system of authorized food distribution with an entity other than a vendor only if the entity meets all of the following requirements:

AB100-ASA1,1449,2 1. The entity meets the minimum requirements established by the department by rule under sub. (5) (a) 1.

AB100-ASA1,1449,8 2. The entity does not have any outstanding fines, forfeitures, recoupment assessments or enforcement assessments that were levied against that entity for a violation of this section or for a violation of rules promulgated under this section. This subdivision does not apply if the entity has contested the fine, forfeiture, recoupment assessment or enforcement assessment and has not exhausted administrative or judicial review.

AB100-ASA1,1449,9 3. The entity is fit and qualified, as determined by the department.

AB100-ASA1,1449,11 (b) The department shall redeem valid drafts submitted by a food distribution center.

AB100-ASA1, s. 2473 Section 2473. 253.06 (4) of the statutes is created to read:

AB100-ASA1,1449,13 253.06 (4) Prohibited practices. (a) No person may do any of the following:

AB100-ASA1,1449,15 1. Accept drafts or submit drafts to the department for redemption without authorization.

AB100-ASA1,1449,17 2. Provide cash or commodities, other than authorized food, in exchange for drafts or in exchange for authorized food purchased with a draft.

AB100-ASA1,1449,19 3. Accept a draft other than in exchange for authorized food that is provided by the person.

AB100-ASA1,1449,21 3m. Provide authorized food or other commodities to a participant or proxy in exchange for a draft accepted by a 3rd party.

AB100-ASA1,1449,23 4. Enter on a draft a dollar amount that is higher than the actual retail price of the item for which the draft was used.

AB100-ASA1,1449,25 5. Require a participant or proxy to sign a draft before entering the dollar amount on the draft in permanent ink.

AB100-ASA1,1450,1 6. Accept a draft except during the period specified on the draft.

AB100-ASA1,1450,3 7. Provide materially false information to the department or fail to provide in a timely manner material information that the department requests.

AB100-ASA1,1450,5 8. Duplicate a vendor stamp or use a stamp other than a vendor stamp for any purpose for which a vendor stamp is required.

AB100-ASA1,1450,6 9. Submit for redemption a draft to someone other than the department.

AB100-ASA1,1450,9 10. Accept a draft from someone other than a participant or proxy, except that the department shall accept for redemption valid drafts from vendors and food distribution centers.

AB100-ASA1,1450,13 (b) A person who violates any provision of this subsection may be fined not more than $10,000 or imprisoned for not more than 2 years, or both, for the first offense and may be fined not more than $10,000 or imprisoned for not more than 5 years, or both, for the 2nd or subsequent offense.

AB100-ASA1,1450,21 (c) 1. Whenever a court imposes a fine, forfeiture or recoupment for a violation of this subsection or imposes a forfeiture or recoupment for a violation of rules promulgated under sub. (5), the court shall also impose an enforcement assessment in an amount of 50% of the fine, forfeiture or recoupment imposed. If multiple offenses are involved, the court shall base the enforcement assessment upon the total fine, forfeiture and recoupment amounts for all offenses. When a fine, forfeiture or recoupment is suspended in whole or in part, the court shall reduce the enforcement assessment in proportion to the suspension.

AB100-ASA1,1450,25 2. If a fine or forfeiture is imposed by a court of record, after a determination by the court of the amount due, the clerk of the court shall collect and transmit such amount to the county treasurer as provided in s. 59.40 (2) (m). The county treasurer shall then make payment to the state treasurer as provided in s. 59.25 (3) (f) 2.

AB100-ASA1, s. 2474 Section 2474. 253.06 (5) of the statutes is created to read:

AB100-ASA1,1451,3 253.06 (5) Rules and penalties. (a) The department shall promulgate rules to establish all of the following:

AB100-ASA1,1451,5 1. Minimum qualification standards for the authorization of vendors and for the awarding of a contract to an entity under sub. (3m).

AB100-ASA1,1451,7 2. Standards of operation for authorized vendors and food distribution centers, including prohibited practices.

AB100-ASA1,1451,8 3. Minimum requirements for participants, including prohibited practices.

AB100-ASA1,1451,10 4. Procedures for approving or denying an application to be a participant, including appeal procedures.

AB100-ASA1,1451,12 (b) A person who violates any rule promulgated under this subsection may be subject to any of the following:

AB100-ASA1,1451,13 1. Denial of the application to be a participant or authorized vendor.

AB100-ASA1,1451,15 2. Suspension or termination of authorization for an authorized vendor or, in the case of a food distribution center, termination of the contract.

AB100-ASA1,1451,16 3. Disqualification from the program under this section for a participant.

AB100-ASA1,1451,17 4. Forfeiture of not less than $10 nor more than $1,000.

AB100-ASA1,1451,18 5. Recoupment.

AB100-ASA1,1452,2 (c) Whenever the department imposes a forfeiture or recoupment for a violation of rules promulgated under this subsection, the department shall also impose an enforcement assessment in an amount of 50% of the forfeiture or recoupment imposed. If multiple offenses are involved, the department shall base the enforcement assessment upon the total forfeiture and recoupment amounts for all offenses. When a forfeiture or recoupment is suspended in whole or in part, the department shall reduce the enforcement assessment in proportion to the suspension.

AB100-ASA1,1452,11 (d) The department may directly assess a forfeiture provided for under par. (b) 4., recoupment provided for under par. (b) 5. and an enforcement assessment provided for under par. (c). If the department determines that a forfeiture, recoupment or enforcement assessment should be levied, or that authorization or eligibility should be suspended or terminated, for a particular violation or for failure to correct it, the department shall send a notice of assessment, suspension or termination to the vendor, food distribution center or participant. The notice shall inform the vendor, food distribution center or participant of the right to a hearing under sub. (6) and shall specify all of the following:

AB100-ASA1,1452,12 1. The amount of the forfeiture assessed, if any.

AB100-ASA1,1452,13 2. The amount of the recoupment assessed, if any.

AB100-ASA1,1452,14 3. The amount of the enforcement assessment, if any.

AB100-ASA1,1452,15 4. The violation.

AB100-ASA1,1452,16 5. The statute or rule alleged to have been violated.

AB100-ASA1,1452,19 6. If applicable, that the suspension or termination of authorization of the vendor or eligibility of the participant is effective beginning on the 15th day after receipt of the notice of suspension or termination.

AB100-ASA1,1453,5 (e) The suspension or termination of authorization of a vendor or eligibility of a participant shall be effective beginning on the 15th day after receipt of the notice of suspension or termination. All forfeitures, recoupments and enforcement assessments shall be paid to the department within 15 days after receipt of notice of assessment or, if the forfeiture, recoupment or enforcement assessment is contested under sub. (6), within 10 days after receipt of the final decision after exhaustion of administrative review, unless the final decision is adverse to the department or unless the final decision is appealed and the decision is stayed by court order under sub. (7). The department shall remit all forfeitures paid to the state treasurer for deposit in the school fund. The department shall deposit all enforcement assessments in the appropriation under s. 20.435 (1) (gr).

AB100-ASA1,1453,11 (f) The attorney general may bring an action in the name of the state to collect any forfeiture or recoupment imposed under par. (b) or enforcement assessment imposed under par. (c), if the forfeiture, recoupment or enforcement assessment has not been paid following the exhaustion of all administrative and judicial reviews. The only issue that may be contested in any such action is whether the forfeiture or enforcement assessment has been paid.