AB100-engrossed,727,11
146.275 (2) Departmental powers and duties. (intro.) The department may
2request a waiver from the secretary of the U.S. department of health and human
3services, under 42 USC 1396n (c), authorizing the department to integrate medical
4assistance recipients who reside in state centers
residents of any state center for the
5developmentally disabled who receive medical assistance into their communities by
6providing home and community-based services as part of the medical assistance
7program. If the department requests this waiver, it shall include all assurances
8required under 42 USC 1396n (c) (2) in its request. If the department receives this
9waiver, at the end of the 3-year period during which the waiver remains in effect the
10department may request an additional 3-year extension of the waiver. If the
11department receives this waiver, it shall:
AB100-engrossed, s. 1468r 12Section 1468r. 46.275 (2) (b) of the statutes is amended to read:
AB100-engrossed,727,1513 46.275 (2) (b) Evaluate the effect of the program on medical assistance costs
14and on the program's ability to provide community care alternatives to institutional
15care in a state centers center for the developmentally disabled.
AB100-engrossed, s. 1469 16Section 1469. 46.275 (5) (a) of the statutes is amended to read:
AB100-engrossed,727,2217 46.275 (5) (a) Medical assistance reimbursement for services a county, or the
18department under sub. (3r), provides under this program is available from the
19appropriations under s. 20.435 (1) (5) (b) and (o). If 2 or more counties jointly contract
20to provide services under this program and the department approves the contract,
21medical assistance reimbursement is also available for services provided jointly by
22these counties.
AB100-engrossed, s. 1470 23Section 1470. 46.275 (5) (c) of the statutes is amended to read:
AB100-engrossed,728,524 46.275 (5) (c) The total allocation under s. 20.435 (1) (5) (b) and (o) to counties
25and to the department under sub. (3r) for services provided under this section may

1not exceed the amount approved by the federal department of health and human
2services. A county may use funds received under this section only to provide services
3to persons who meet the requirements under sub. (4) and may not use unexpended
4funds received under this section to serve other developmentally disabled persons
5residing in the county.
AB100-engrossed, s. 1471 6Section 1471. 46.275 (5) (d) of the statutes is amended to read:
AB100-engrossed,728,117 46.275 (5) (d) The department may, from the appropriation under s. 20.435 (1)
8(5) (o), provide reimbursement for services provided under this section by counties
9that are in excess of the current average annual per person rate, as established by
10the department, and are less than the average amount approved in the waiver
11received under sub. (2).
AB100-engrossed, s. 1471m 12Section 1471m. 46.277 (3) (c) of the statutes is amended to read:
AB100-engrossed,728,2213 46.277 (3) (c) Beginning on January 1, 1996, from the annual allocation to the
14county for the provision of long-term community support services under sub. (5),
15annually establish a maximum total amount, not to exceed 25% of the annual
16allocation,
that may be encumbered in a calendar year for services for eligible
17individuals in community-based residential facilities. If the total amount that is
18encumbered for services for individuals in community-based residential facilities
19who are receiving services under sub. (5) on January 1, 1996, exceeds 25% of the
20county's annual allocation, a county may request a waiver of the requirement under
21this paragraph from the department. The department need not promulgate as rules
22under ch. 227 the standards for granting a waiver request under this paragraph.
AB100-engrossed, s. 1471p 23Section 1471p. 46.277 (5) (d) 1m. of the statutes is created to read:
AB100-engrossed,729,224 46.277 (5) (d) 1m. No county may use funds received under this section to
25provide services to a person who does not live in his or her own home or apartment

1unless, subject to the limitations under subds. 2. and 3. and par. (e), one of the
2following applies:
AB100-engrossed,729,63 a. The services are provided to the person in a community-based residential
4facility that entirely consists of independent apartments, each of which has an
5individual lockable independent entrance and exit and individual separate kitchen,
6bathroom, sleeping and living areas.
AB100-engrossed,729,97 b. The person suffers from Alzheimer's disease or related dementia and the
8services are provided to the person in a community-based residential facility that
9has a dementia care program.
AB100-engrossed,729,1110 c. The services are provided to the person in a residential care apartment
11complex, as defined in s. 50.01 (1d).
AB100-engrossed,729,1312 d. The services are provided to the individual in an adult family home, as
13defined in s. 50.01 (1).
AB100-engrossed,729,1414 e. Subdivision 1n. applies.
AB100-engrossed, s. 1471q 15Section 1471q. 46.277 (5) (d) 1n. of the statutes is created to read:
AB100-engrossed,729,2116 46.277 (5) (d) 1n. A county may also use funds received under this section,
17subject to the limitations under subds. 2. and 3. and par. (e), to provide services to
18a person who does not live in his or her own home or apartment if the services are
19provided to the person in a community-based residential facility and the county
20department or aging unit has determined that all of the following conditions have
21been met:
AB100-engrossed,729,2422 a. An assessment under s. 46.27 (6) has been completed for the person prior to
23the person's admission to the community-based residential facility, whether or not
24the person is a private pay admittee at the time of admission.
AB100-engrossed,730,4
1b. The county department or aging unit documents that the option of in-home
2services has been discussed with the person, thoroughly evaluated and found to be
3infeasible, as determined by the county department or aging unit in accordance with
4rules promulgated by the department of health and family services.
AB100-engrossed,730,75 c. The county department or aging unit determines that the community-based
6residential facility is the person's preferred place of residence or is the setting
7preferred by the person's guardian.
AB100-engrossed,730,98 d. The county department or aging unit determines that the community-based
9residential facility provides a quality environment and quality care services.
AB100-engrossed,730,1210 e. The county department or aging unit determines that placement in the
11community-based residential facility is cost-effective compared to other options,
12including home care and nursing home care.
AB100-engrossed, s. 1471qi 13Section 1471qi. 46.277 (5) (d) 1p. of the statutes is created to read:
AB100-engrossed,730,1914 46.277 (5) (d) 1p. a. Subject to the approval of the department, a county may
15establish and implement more restrictive conditions than those imposed under subd.
161m. on the use of funds received under this section for the provision of services to a
17person in a community-based residential facility. A county that establishes more
18restrictive conditions under this subd. 1p. a. shall include the conditions in its plan
19under sub. (3) (a).
AB100-engrossed,730,2420 b. If the department determines that a county has engaged in a pattern of
21inappropriate use of funds received under this section, the department may revoke
22its approval of the county's conditions established under subd. 1p. a., if any, and may
23prohibit the county from using funds received under this section to provide services
24under subd. 1n.
AB100-engrossed, s. 1472 25Section 1472. 46.278 (6) (d) of the statutes is amended to read:
AB100-engrossed,731,6
146.278 (6) (d) If a county makes available nonfederal funds equal to the state
2share of service costs under the waiver received under sub. (3), the department may,
3from the appropriation under s. 20.435 (1) (5) (o), provide reimbursement for services
4that the county provides under this section to persons who are in addition to those
5who may be served under this section with funds from the appropriation under s.
620.435 (1) (5) (b).
AB100-engrossed, s. 1473 7Section 1473. 46.278 (6) (f) of the statutes is created to read:
AB100-engrossed,731,128 46.278 (6) (f) If a county owns the institution or intermediate care facility for
9the mentally retarded from which an individual is relocated to the community under
10this section, in order to receive funding under the program, the county shall submit
11a plan for delicensing a bed of the institution or intermediate care facility for the
12mentally retarded that is approved by the department.
AB100-engrossed, s. 1474 13Section 1474. 46.28 (3) of the statutes is amended to read:
AB100-engrossed,731,1514 46.28 (3) The department may authorize the authority to issue revenue bonds
15under s. 234.70 234.61 to finance any residential facility it approves under sub. (2).
AB100-engrossed, s. 1475 16Section 1475. 46.28 (4) of the statutes is amended to read:
AB100-engrossed,731,1917 46.28 (4) The department may charge sponsors for administrative costs and
18expenses it incurs in exercising its powers and duties under this section and under
19s. 234.70 234.61.
AB100-engrossed, s. 1476 20Section 1476. 46.29 (3) (a) of the statutes is amended to read:
AB100-engrossed,731,2221 46.29 (3) (a) The secretary of education state superintendent of public
22instruction
.
AB100-engrossed, s. 1477 23Section 1477. 46.30 (4) (a) of the statutes is amended to read:
AB100-engrossed,732,3
146.30 (4) (a) The department shall distribute the federal community services
2block grant funds received under 42 USC 9903 and deposited in the appropriations
3under s. 20.435 (6) (3) (mc) and (7) (md).
AB100-engrossed, s. 1478c 4Section 1478c. 46.35 of the statutes is repealed.
AB100-engrossed, s. 1479 5Section 1479. 46.40 (1) (a) of the statutes is amended to read:
AB100-engrossed,732,116 46.40 (1) (a) Within the limits of available federal funds and of the
7appropriations under s. 20.435 (3) (o) and (7) (b) , (kw) and (o), the department shall
8distribute funds for community social, mental health, developmental disabilities and
9alcohol and other drug abuse services and for services under ss. 46.51, 46.87, 46.985
10and 51.421 to county departments under ss. 46.215, 46.22, 46.23, 51.42 and 51.437
11and to county aging units, as provided in subs. (2), (2m) and (7) to (8).
AB100-engrossed, s. 1480 12Section 1480. 46.40 (1) (b) of the statutes is amended to read:
AB100-engrossed,732,1713 46.40 (1) (b) Notwithstanding s. 46.49, if the department receives any federal
14moneys under 42 USC 670 to 679a in reimbursement of moneys allocated under par.
15(a) for the provision of foster care, the department shall distribute those federal
16moneys for services and projects to assist children and families and for the purposes
17specified in s. 46.46
.
AB100-engrossed, s. 1481 18Section 1481. 46.40 (1) (c) of the statutes is amended to read:
AB100-engrossed,733,619 46.40 (1) (c) The Milwaukee County department of social services shall report
20to the department in a manner specified by the department on all children under the
21supervision of the Milwaukee County department of social services who are placed
22in foster homes and whose foster parents receive funding for child care from the
23amounts distributed under par. (a) so that the department may claim federal foster
24care and adoption assistance reimbursement under 42 USC 670 to 679a for the
25amounts expended by the Milwaukee County department of social services for the

1provision of child care for those children. Notwithstanding s. 46.49, if the
2department receives any federal moneys under 42 USC 67 670 to 679a in
3reimbursement of the amounts expended by the Milwaukee County department of
4social services for the provision of child care for children in foster care in 1996 and
51997, the department shall distribute those federal moneys to the Milwaukee County
6department of social services for the provision of child care for children in foster care.
AB100-engrossed, s. 1482 7Section 1482. 46.40 (2) of the statutes is amended to read:
AB100-engrossed,733,118 46.40 (2) Basic county allocation. For social services under s. 46.495 (1) (d)
9and services under s. 51.423 (2), the department shall distribute not more than
10$292,368,400 $285,731,000 for fiscal year 1995-96 1997-98 and $291,349,200
11$285,598,500 for fiscal year 1996-97 1998-99.
AB100-engrossed, s. 1483 12Section 1483. 46.40 (2m) (a) of the statutes is amended to read:
AB100-engrossed,733,1713 46.40 (2m) (a) Prevention and treatment of substance abuse. For prevention
14and treatment of substance abuse under 42 USC 300x-21 to 300x-35, the
15department shall distribute not more than $11,087,200 $9,702,400 in fiscal year
161995-96 1997-98 and not more than $11,285,200 $8,641,100 in fiscal year 1996-97
171998-99.
AB100-engrossed, s. 1484 18Section 1484. 46.40 (2m) (b) of the statutes is amended to read:
AB100-engrossed,733,2219 46.40 (2m) (b) Community mental health services. For community mental
20health services under 42 USC 300x to 300x-9, the department shall distribute not
21more than $2,513,400 in each fiscal year 1995-96 and not more than $2,513,400 in
22fiscal year 1996-97
.
AB100-engrossed, s. 1484g 23Section 1484g. 46.40 (3) of the statutes is created to read:
AB100-engrossed,734,424 46.40 (3) Tribal child care. For child care services under 42 USC 9858, the
25department shall distribute not more than $412,800 in each fiscal year from the

1appropriation account under s. 20.435 (7) (b) to federally recognized American
2Indian tribes or bands. A tribe or band that receives funding under this subsection
3shall use that funding to provide child care for an eligible child, as defined in 42 USC
49858n
(4).
AB100-engrossed, s. 1485 5Section 1485. 46.40 (14m) of the statutes is amended to read:
AB100-engrossed,734,126 46.40 (14m) County community aids budgets. Before December 1 of each year,
7each county department under ss. 46.215, 46.22, 46.23, 51.42 and 51.437 and each
8tribal governing body shall submit to the department a proposed budget for the
9expenditure of funds allocated under this section, distributed under s. 46.45 (2) (a)
10or carried forward under s. 46.45 (3) (a)
. The proposed budget shall be submitted on
11a form developed by the department and approved by the department of
12administration.
AB100-engrossed, s. 1486 13Section 1486. 46.45 (2) of the statutes is created to read:
AB100-engrossed,734,2314 46.45 (2) (a) If on December 31 of any year there remains unspent or
15unencumbered in the allocation under s. 46.40 (2) an amount that exceeds the
16amount received under 42 USC 670 to 679a and allocated under s. 46.40 (2) in that
17year, the department shall carry forward the excess moneys and distribute not less
18than 50% of the excess moneys to counties having a population of less than 500,000
19for services and projects to assist children and families, notwithstanding the
20percentage limit specified in sub. (3) (a). A county shall use not less than 50% of the
21moneys distributed to the county under this subsection for services for children who
22are at risk of abuse or neglect to prevent the need for child abuse and neglect
23intervention services.
AB100-engrossed,735,3
1(b) A county may not use any moneys distributed under par. (a) to supplant any
2other moneys expended by the county for services and projects to assist children and
3families in a base year determined by the department.
AB100-engrossed,735,64 (c) The department shall credit to the appropriation account under s. 20.435
5(8) (mb) any moneys carried forward under par. (a), but not distributed to counties,
6and may expend those moneys as provided in s. 46.46.
AB100-engrossed, s. 1486m 7Section 1486m. 46.46 of the statutes is created to read:
AB100-engrossed,735,13 846.46 Expenditure of income augmentation services receipts. (1) From
9the appropriation account under s. 20.435 (8) (mb), the department shall support
10costs that are exclusively related to the operational costs of augmenting the amount
11of moneys received under 42 USC 670 to 679a, 42 USC 1395 to 1395ddd and 42 USC
121396
to 1396v. In addition, the department may expend moneys from the
13appropriation account under s. 20.435 (8) (mb) as provided in sub. (2).
AB100-engrossed,735,25 14(2) If the department proposes to use any moneys from the appropriation
15account under s. 20.435 (8) (mb) for any purpose other than the purpose specified in
16sub. (1), the department shall submit a plan for the proposed use of those moneys to
17the secretary of administration. If the secretary of administration approves the plan,
18he or she shall submit the plan to the joint committee on finance. If the
19cochairpersons of the committee do not notify the secretary of administration within
2014 working days after the date of submittal of the plan that the committee has
21scheduled a meeting for the purpose of reviewing the plan, the department may
22implement the plan. If within 14 working days after the date of the submittal by the
23secretary of administration the cochairpersons of the committee notify him or her
24that the committee has scheduled a meeting for the purpose of reviewing the plan,
25the department may implement the plan only with the approval of the committee.
AB100-engrossed, s. 1488
1Section 1488. 46.48 (15) (title) of the statutes is repealed.
AB100-engrossed, s. 1489 2Section 1489. 46.48 (15) (a) (intro.) of the statutes is repealed.
AB100-engrossed, s. 1490 3Section 1490. 46.48 (15) (a) 1. of the statutes is amended to read:
AB100-engrossed,736,74 46.48 (15) (a) 1. For recruiting, training and licensing new foster parents and
5treatment foster parents for children in Milwaukee county and for providing ongoing
6family reunification services for children and families in Milwaukee county,
7$750,000 $375,000 in each fiscal year.
AB100-engrossed, s. 1491 8Section 1491. 46.48 (15) (a) 1. of the statutes, as affected by 1997 Wisconsin
9Act .... (this act), is repealed.
AB100-engrossed, s. 1492 10Section 1492. 46.48 (15) (a) 2. of the statutes is amended to read:
AB100-engrossed,736,1211 46.48 (15) (a) 2. For purchasing foster parent and treatment foster parent
12training from a private or educational agency, $150,000 $75,000 in each fiscal year.
AB100-engrossed, s. 1493 13Section 1493. 46.48 (15) (a) 2. of the statutes, as affected by 1997 Wisconsin
14Act .... (this act), is repealed.
AB100-engrossed, s. 1494 15Section 1494. 46.48 (15) (a) 3. of the statutes is amended to read:
AB100-engrossed,736,2016 46.48 (15) (a) 3. For enhancing Milwaukee county's capacity to assess the needs
17of children who are in long-term foster or treatment foster care and children who are
18new to foster or treatment foster care, for recruiting and investigating proposed
19adoptive parents and for prosecuting adoption petitions, $130,000 $65,000 in each
20fiscal year.
AB100-engrossed, s. 1495 21Section 1495. 46.48 (15) (a) 3. of the statutes, as affected by 1997 Wisconsin
22Act .... (this act), is repealed.
AB100-engrossed, s. 1496 23Section 1496. 46.48 (15) (b) of the statutes is repealed.
AB100-engrossed, s. 1497 24Section 1497. 46.48 (16) (title) of the statutes is repealed.
AB100-engrossed, s. 1498 25Section 1498. 46.48 (16) (a) of the statutes is amended to read:
AB100-engrossed,737,11
146.48 (16) (a) The department shall distribute not more than $37,500 $18,700
2in each fiscal year as grants to private, nonprofit organizations to recruit African
3American foster parents, including African American prospective adoptive parents,
4in communities that have a high percentage of African American children and a high
5percentage of children in out-of-home placements. The department shall review
6applications submitted under this paragraph and determine the number of grants
7that will be awarded, which of the applicants will receive grants and the amount of
8each grant. A private, nonprofit organization receiving a grant under this paragraph
9shall cooperate and coordinate its activities under the grant with the county
10department under s. 46.215, 46.22 or 46.23 serving the area from which the private,
11nonprofit organization recruits African American foster parents.
AB100-engrossed, s. 1499 12Section 1499. 46.48 (16) (a) of the statutes, as affected by 1997 Wisconsin Act
13.... (this act), is repealed.
AB100-engrossed, s. 1500 14Section 1500. 46.48 (16) (b) of the statutes is repealed.
AB100-engrossed, s. 1500m 15Section 1500m. 46.48 (27) of the statutes is created to read:
AB100-engrossed,737,1716 46.48 (27) Grants to runaway programs. The department shall distribute
17$50,000 in each fiscal year as grants to programs that provide services for runaways.
AB100-engrossed, s. 1500p 18Section 1500p. 46.48 (28) of the statutes is created to read:
AB100-engrossed,737,2419 46.48 (28) Grants for court-appointed special advocates. The department
20shall distribute $50,000 in each fiscal year as grants to court-appointed special
21advocate programs that are recognized by a county board, by a county department
22under s. 46.22 or 46.23 or, in a county having a population of 500,000 or more, by the
23department or a licensed child welfare agency under contract with the department
24to perform advocacy services in proceedings under s. 48.13.
AB100-engrossed, s. 1501 25Section 1501. 46.485 (2g) (intro.) of the statutes is amended to read:
AB100-engrossed,738,6
146.485 (2g) (intro.) From the appropriation under s. 20.435 (1) (5) (b), the
2department may in each fiscal year transfer funds to the appropriation under s.
320.435 (3) (7) (kb) for distribution under this section and from the appropriation
4under s. 20.435 (7) (mb) the department shall may not distribute $240,000 more than
5$1,330,500
in each fiscal year to applying counties in this state that meet all of the
6following requirements, as determined by the department:
AB100-engrossed, s. 1502 7Section 1502. 46.485 (3r) of the statutes is amended to read:
AB100-engrossed,738,108 46.485 (3r) Funds that a county does not encumber before 24 months after
9June 30 of the fiscal year in which the funds were distributed under sub. (2g) lapse
10to the appropriation under s. 20.435 (1) (5) (b).
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