AB768, s. 196 19Section 196. 49.22 (3m) of the statutes is created to read:
AB768,111,2420 49.22 (3m) The department, acting as a state location service, shall furnish
21services under sub. (2) upon request to the department of health and family services,
22a county department under s. 46.215, 46.22 or 46.23 or a child welfare agency that
23is administering a program operated under 42 USC 620 to 628b or 42 USC 670 to
24679a.
AB768, s. 197 25Section 197. 49.45 (2) (a) 11. of the statutes is amended to read:
AB768,112,3
149.45 (2) (a) 11. Establish criteria for the certification of eligible providers of
2services under Title XIX of the social security act and, except as provided in par. (am),
3certify such eligible providers.
AB768, s. 198 4Section 198. 49.45 (2) (a) 12. of the statutes is amended to read:
AB768,112,115 49.45 (2) (a) 12. Decertify or suspend a provider from the medical assistance
6program, if after giving reasonable notice and, subject to par. (am) 5., opportunity for
7hearing, the department finds that the provider has violated federal or state law or
8administrative rule and such violations are by law, regulation or rule grounds for
9decertification or suspension. No payment may be made under the medical
10assistance program with respect to any service or item furnished by the provider
11subsequent to decertification or during the period of suspension.
AB768, s. 199 12Section 199. 49.45 (2) (a) 21. of the statutes is repealed.
AB768, s. 200 13Section 200. 49.45 (2) (am) of the statutes is created to read:
AB768,112,1814 49.45 (2) (am) 1. The department shall require each applicant for a certification
15under par. (a) 11. to provide the department with his or her social security number,
16if the applicant is an individual, or the applicant's federal employer identification
17number, if the applicant is not an individual, as a condition of issuing or renewing
18any certification under par. (a) 11.
AB768,112,2119 2. The department may not disclose any information received under subd. 1.
20to any person except to the department of revenue for the sole purpose of requesting
21certifications under s. 73.0301.
AB768,112,2422 3. The department shall deny an application for the issuance or renewal of a
23certification under par. (a) 11. if the applicant does not provide the information
24specified in subd. 1.
AB768,113,4
14. The department shall deny an application for the issuance or renewal of a
2certification under par. (a) 11., or shall revoke a certification issued under par. (a) 11.,
3if the department of revenue certifies under s. 73.0301 that the applicant for or
4holder of the certification is liable for delinquent taxes.
AB768,113,75 5. The only hearing rights available for a denial, revocation or nonrenewal of
6any certification issued under par. (a) 11. based on tax delinquency are those set forth
7in s. 73.0301 (5).
AB768, s. 201 8Section 201. 49.45 (6b) (a) of the statutes is amended to read:
AB768,113,109 49.45 (6b) (a) Beginning in fiscal year 1995-96, for relocations from the central
10Wisconsin center for the developmentally disabled, by $205 $134 per day.
AB768, s. 202 11Section 202. 49.45 (6b) (b) of the statutes, as affected by 1997 Wisconsin Act
1227
, is amended to read:
AB768,113,1413 49.45 (6b) (b) Beginning in fiscal year 1997-98, for relocations from the
14northern Wisconsin center for the developmentally disabled, by $174 $134 per day.
AB768, s. 203 15Section 203. 49.45 (6b) (c) of the statutes, as affected by 1997 Wisconsin Act
1627
, is amended to read:
AB768,113,1817 49.45 (6b) (c) Beginning in fiscal year 1997-98, for relocations from the
18southern Wisconsin center for the developmentally disabled, by $174 $134 per day.
AB768, s. 204 19Section 204. 49.45 (18) (b) 6. of the statutes is amended to read:
AB768,113,2220 49.45 (18) (b) 6. Transportation by common carrier or private motor vehicle, if
21authorized in advance by a county department under s. 46.215 or 46.22 , or by
22specialized medical vehicle
.
AB768, s. 205 23Section 205. 49.46 (1m) of the statutes is created to read:
AB768,114,824 49.46 (1m) Pilot project for working recipients of supplemental security
25income or social security disability income.
The department shall request that the

1secretary of the federal department of health and human services and the
2commissioner of the federal social security administration waive the income and
3asset requirements for recipients of benefits under federal Title II or XVI to allow the
4department to conduct a pilot project to allow those recipients to work without losing
5eligibility for benefits under federal Title II or XVI or for medical assistance or
6medicare, as defined in s. 49.45 (3) (L) 1. b. If the request is approved, the department
7may implement the program and may require participants in the program to pay, on
8a sliding scale, a copayment for the cost of the program.
AB768, s. 206 9Section 206. 49.665 (1) (d) of the statutes, as created by 1997 Wisconsin Act
1027
, is amended to read:
AB768,114,1411 49.665 (1) (d) "Family" means a an individual; the individual's spouse, if any,
12if the spouse resides in the same household as the individual; and all dependent
13children with respect to whom the individual is a
custodial parent and his or her
14dependent children
.
AB768, s. 207 15Section 207. 49.81 (2) of the statutes is amended to read:
AB768,114,2216 49.81 (2) The right to confidentiality of agency records and files on the
17recipient. Nothing in this subsection shall prohibit the use of such records for
18auditing or accounting purposes or, to the extent permitted under federal law, for the
19purposes of locating persons, or the assets of persons, who have failed to file tax
20returns, who have underreported their taxable income or who are delinquent
21taxpayers, identifying fraudulent tax returns or providing information for
22tax-related prosecutions
.
AB768, s. 208 23Section 208. 49.855 (2p) of the statutes is created to read:
AB768,115,3
149.855 (2p) At least annually, the department of corrections shall certify to the
2department of revenue any obligation owed to the department of corrections under
3s. 301.12 if the obligation is rendered to a judgment.
AB768, s. 209 4Section 209. 49.855 (3) of the statutes, as affected by 1997 Wisconsin Act 27,
5section 1991m, and 1997 Wisconsin Act 35, is amended to read:
AB768,116,26 49.855 (3) Receipt of a certification by the department of revenue shall
7constitute a lien, equal to the amount certified, on any state tax refunds or credits
8owed to the obligor. The lien shall be foreclosed by the department of revenue as a
9setoff under s. 71.93 (3), (6) and (7). When the department of revenue determines
10that the obligor is otherwise entitled to a state tax refund or credit, it shall notify the
11obligor that the state intends to reduce any state tax refund or credit due the obligor
12by the amount the obligor is delinquent under the support or maintenance order, by
13the outstanding amount for past support, medical expenses or birth expenses under
14the court order or by the amount due under s. 46.10 (4) or 301.12 (4). The notice shall
15provide that within 20 days the obligor may request a hearing before the circuit court
16rendering the order. Within 10 days after receiving a request for hearing under this
17subsection, the court shall set the matter for hearing. Pending further order by the
18court or family court commissioner, the clerk of circuit court or county support
19collection designee under s. 59.53 (5m) is prohibited from disbursing the obligor's
20state tax refund or credit. The family court commissioner may conduct the hearing.
21The sole issues at that hearing shall be whether the obligor owes the amount certified
22and, if not and it is a support or maintenance order, whether the money withheld
23from a tax refund or credit shall be paid to the obligor or held for future support or
24maintenance. An obligor may, within 20 days of receiving notice that the amount

1certified shall be withheld from his or her federal tax refund or credit, request a
2hearing under this subsection.
AB768, s. 210 3Section 210. 49.855 (3) of the statutes, as affected by 1997 Wisconsin Act 27,
4section 1992m, and 1997 Wisconsin Act .... (this act), is repealed and recreated to
5read:
AB768,117,26 49.855 (3) Receipt of a certification by the department of revenue shall
7constitute a lien, equal to the amount certified, on any state tax refunds or credits
8owed to the obligor. The lien shall be foreclosed by the department of revenue as a
9setoff under s. 71.93 (3), (6) and (7). When the department of revenue determines
10that the obligor is otherwise entitled to a state tax refund or credit, it shall notify the
11obligor that the state intends to reduce any state tax refund or credit due the obligor
12by the amount the obligor is delinquent under the support or maintenance order, by
13the outstanding amount for past support, medical expenses or birth expenses under
14the court order or by the amount due under s. 46.10 (4) or 301.12 (4). The notice shall
15provide that within 20 days the obligor may request a hearing before the circuit court
16rendering the order. Within 10 days after receiving a request for hearing under this
17subsection, the court shall set the matter for hearing. Pending further order by the
18court or family court commissioner, the department of workforce development or its
19designee, whichever is appropriate, is prohibited from disbursing the obligor's state
20tax refund or credit. The family court commissioner may conduct the hearing. The
21sole issues at that hearing shall be whether the obligor owes the amount certified
22and, if not and it is a support or maintenance order, whether the money withheld
23from a tax refund or credit shall be paid to the obligor or held for future support or
24maintenance. An obligor may, within 20 days of receiving notice that the amount

1certified shall be withheld from his or her federal tax refund or credit, request a
2hearing under this subsection.
AB768, s. 211 3Section 211. 49.855 (4m) (b) of the statutes, as affected by 1997 Wisconsin Act
427
, section 1994m, and 1997 Wisconsin Act 35, is amended to read:
AB768,118,35 49.855 (4m) (b) The department of revenue may provide a certification that it
6receives under sub. (2) or, (2m) or (2p) to the department of administration. Upon
7receipt of the certification, the department of administration shall determine
8whether the obligor is a vendor or is receiving any other payments from this state,
9except for wages, retirement benefits or assistance under s. 45.352, 1971 stats., s.
1045.351 (1), this chapter or ch. 46 or, 108 or 301. If the department of administration
11determines that the obligor is a vendor or is receiving payments from this state,
12except for wages, retirement benefits or assistance under s. 45.352, 1971 stats., s.
1345.351 (1), this chapter or ch. 46 or, 108 or 301, it shall begin to withhold the amount
14certified from those payments and shall notify the obligor that the state intends to
15reduce any payments due the obligor by the amount the obligor is delinquent under
16the support or maintenance order, by the outstanding amount for past support,
17medical expenses or birth expenses under the court order or by the amount due under
18s. 46.10 (4) or 301.12 (4). The notice shall provide that within 20 days after receipt
19of the notice the obligor may request a hearing before the circuit court rendering the
20order. An obligor may, within 20 days after receiving notice, request a hearing under
21this paragraph. Within 10 days after receiving a request for hearing under this
22paragraph, the court shall set the matter for hearing. The family court commissioner
23may conduct the hearing. Pending further order by the court or family court
24commissioner, the clerk of circuit court or county support collection designee under
25s. 59.53 (5m) may not disburse the payments withheld from the obligor. The sole

1issues at the hearing are whether the obligor owes the amount certified and, if not
2and it is a support or maintenance order, whether the money withheld shall be paid
3to the obligor or held for future support or maintenance.
AB768, s. 212 4Section 212. 49.855 (4m) (b) of the statutes, as affected by 1997 Wisconsin Act
527
, section 1995m, and 1997 Wisconsin Act .... (this act), is repealed and recreated
6to read:
AB768,119,57 49.855 (4m) (b) The department of revenue may provide a certification that it
8receives under sub. (1), (2m) or (2p) to the department of administration. Upon
9receipt of the certification, the department of administration shall determine
10whether the obligor is a vendor or is receiving any other payments from this state,
11except for wages, retirement benefits or assistance under s. 45.352, 1971 stats., s.
1245.351 (1), this chapter or ch. 46, 108 or 301. If the department of administration
13determines that the obligor is a vendor or is receiving payments from this state,
14except for wages, retirement benefits or assistance under s. 45.352, 1971 stats., s.
1545.351 (1), this chapter or ch. 46, 108 or 301, it shall begin to withhold the amount
16certified from those payments and shall notify the obligor that the state intends to
17reduce any payments due the obligor by the amount the obligor is delinquent under
18the support or maintenance order, by the outstanding amount for past support,
19medical expenses or birth expenses under the court order or by the amount due under
20s. 46.10 (4) or 301.12 (4). The notice shall provide that within 20 days after receipt
21of the notice the obligor may request a hearing before the circuit court rendering the
22order. An obligor may, within 20 days after receiving notice, request a hearing under
23this paragraph. Within 10 days after receiving a request for hearing under this
24paragraph, the court shall set the matter for hearing. The family court commissioner
25may conduct the hearing. Pending further order by the court or family court

1commissioner, the department of workforce development or its designee, whichever
2is appropriate, may not disburse the payments withheld from the obligor. The sole
3issues at the hearing are whether the obligor owes the amount certified and, if not
4and it is a support or maintenance order, whether the money withheld shall be paid
5to the obligor or held for future support or maintenance.
AB768, s. 213 6Section 213. 49.855 (4m) (c) of the statutes, as affected by 1997 Wisconsin Act
73
, is amended to read:
AB768,119,148 49.855 (4m) (c) Except as provided by order of the court after hearing under
9par. (b), the department of administration shall continue withholding until the
10amount certified is recovered in full. The department of administration shall
11transfer the amounts withheld under this paragraph to the department of workforce
12development for distribution to the appropriate clerk of court, county support
13collection designee under s. 59.53 (5m) or, department of health and family services
14or department of corrections, whichever is appropriate.
AB768, s. 214 15Section 214. 49.855 (4m) (c) of the statutes, as affected by 1997 Wisconsin Acts
1627
and .... (this act), is repealed and recreated to read:
AB768,119,2517 49.855 (4m) (c) Except as provided by order of the court after hearing under
18par. (b), the department of administration shall continue withholding until the
19amount certified is recovered in full. The department of administration shall
20transfer the amounts withheld under this paragraph to the department of workforce
21development or its designee, the department of health and family services or the
22department of corrections, whichever is appropriate. The department of workforce
23development or its designee shall distribute amounts withheld for delinquent child
24or family support or maintenance or past support, medical expenses or birth
25expenses to the obligee.
AB768, s. 215
1Section 215. 50.01 (1) (b) of the statutes is amended to read:
AB768,120,72 50.01 (1) (b) A place that meets the definition under sub. (1g), except sub. (1g)
3(e), and except that only
where 3 or 4 unrelated adults reside there adults who are
4not related to the operator reside and receive care, treatment or services that are
5above the level of room and board and that may include intermediate level nursing
6care. "Adult family home" does not include a place that is specified in sub. (1g) (a)
7to (d), (f) or (g)
.
AB768, s. 216 8Section 216. 50.01 (1e) of the statutes is created to read:
AB768,120,109 50.01 (1e) "Basic care" includes periodic skilled nursing services or physical,
10emotional, social or restorative care.
AB768, s. 217 11Section 217. 50.01 (1g) (intro.) of the statutes is amended to read:
AB768,120,1912 50.01 (1g) (intro.)  "Community-based residential facility" means a place
13where 5 or more unrelated adults reside in which adults who are not related to the
14operator or administrator and who do not require care above intermediate level
15nursing care reside and receive
care, treatment or services that are above the level
16of room and board but not including that include no more than 3 hours of nursing care
17are provided to persons residing in the facility as a primary function of the facility
18per week per resident. "Community-based residential facility" does not include any
19of the following:
AB768, s. 218 20Section 218. 50.01 (1t) of the statutes is created to read:
AB768,120,2321 50.01 (1t) "Intermediate level nursing care" means basic care that is required
22by a person who has a long-term illness or disability that has reached a relatively
23stable plateau.
AB768, s. 219 24Section 219. 50.01 (2m) of the statutes is created to read:
AB768,121,3
150.01 (2m) "Nursing care" means nursing procedures, other than personal
2care, that are permitted to be performed by a registered nurse under s. 441.01 (3) or
3by a licensed practical nurse under s. 441.11 (3), directly on or to a resident.
AB768, s. 220 4Section 220. 50.01 (3) (intro.) of the statutes is amended to read:
AB768,121,115 50.01 (3) (intro.)  "Nursing home" means a place which provides 24-hour
6services including board and room to 3 or more unrelated residents who
where 5 or
7more persons who are not related to the operator or administrator reside, receive care
8or treatment and,
because of their mental or physical condition require nursing care
9or personal care in excess of 7 hours a week
, require access to 24-hour nursing
10services, including limited nursing care, intermediate level nursing care and skilled
11nursing services
. "Nursing home" does not include any of the following:
AB768, s. 221 12Section 221. 50.01 (4m) of the statutes is amended to read:
AB768,121,1513 50.01 (4m) "Operator" means any person licensed or required to be licensed
14under s. 50.03 (1) or a person who operates an adult family home that is licensed
15under s. 50.033 (1m) (b)
.
AB768, s. 222 16Section 222. 50.01 (4o) of the statutes is amended to read:
AB768,121,1817 50.01 (4o) "Personal care" means assistance with the activities of daily living,
18such as eating, dressing, bathing and ambulation, but does not include nursing care.
AB768, s. 223 19Section 223. 50.01 (5) of the statutes is repealed.
AB768, s. 224 20Section 224. 50.01 (6) of the statutes is amended to read:
AB768,121,2321 50.01 (6) "Resident" means a person who is cared for or treated in any and is
22not discharged from a
nursing home or ,community-based residential facility or
23adult family home
, irrespective of how admitted.
AB768, s. 225 24Section 225. 50.01 (6v) of the statutes is created to read:
AB768,122,2
150.01 (6v) "Skilled nursing services" means those services, to which all of the
2following apply, that are provided to a resident under a physician's orders:
AB768,122,53 (a) The services require the skills of and are provided directly by or under the
4supervision of a person whose licensed, registered, certified or permitted scope of
5practice is at least equivalent to that of a licensed practical nurse.
AB768,122,66 (b) Any of the following circumstances exist:
AB768,122,97 1. The inherent complexity of a service prescribed for a resident is such that
8it can be safely and effectively performed only by or under the supervision of
9registered nurses or licensed practical nurses.
AB768,122,1210 2. The full recovery or medical improvement of the resident is not possible, but
11the services are needed to prevent, to the extent possible, deterioration of the
12resident's condition or to sustain current capacities of the resident.
AB768,122,1613 3. Because of special medical complications, performing or supervising a
14service that is generally unskilled or observing the resident necessitates the use of
15a person whose licensed, registered, certified or permitted scope of practice is at least
16equivalent to that of a licensed practical nurse.
AB768, s. 226 17Section 226. 50.035 (10) of the statutes is created to read:
AB768,122,2118 50.035 (10) Exceptions to care limitations. (a) Notwithstanding the
19limitations on the type of care that may be required by and provided to residents
20under s. 50.01 (1g) (intro.), the following care may be provided in a community-based
21residential facility under the following circumstances:
AB768,123,222 1. Subject to par. (b), a community-based residential facility may provide more
23than 3 hours of nursing care per week or care above intermediate level nursing care
24for not more than 30 days to a resident who does not have a terminal illness but who

1has a temporary condition that requires the care, if all of the following conditions
2apply:
AB768,123,43 a. The resident is otherwise appropriate for the level of care that is limited in
4a community-based residential facility under s. 50.01 (1g) (intro.).
AB768,123,65 b. The services necessary to treat the resident's condition are available in the
6community-based residential facility.
AB768,123,137 2. Subject to par. (b) and if a community-based residential facility has obtained
8a waiver from the department or has requested such a waiver from the department
9and the decision is pending, the community-based residential facility may provide
10more than 3 hours of nursing care per week or care above intermediate level nursing
11care for more than 30 days to a resident who does not have a terminal illness but who
12has a stable or long-term condition that requires the care, if all of the following
13conditions apply:
AB768,123,1514 a. The resident is otherwise appropriate for the level of care that is limited in
15a community-based residential facility under s. 50.01 (1g) (intro.).
AB768,123,1716 b. The services necessary to treat the resident's condition are available in the
17community-based residential facility.
AB768,123,2018 c. The community-based residential facility has obtained a waiver from the
19department under this subdivision or has requested such a waiver from the
20department and the decision is pending.
AB768,123,2321 3. A community-based residential facility may provide more than 3 hours of
22nursing care per week or care above intermediate level nursing care to a resident who
23has a terminal illness and requires the care, under the following conditions:
AB768,123,2524 a. If the resident's primary care provider is a licensed hospice or a licensed home
25health agency.
AB768,124,4
1b. If the resident's primary care provider is not a licensed hospice or a licensed
2home health agency, but the community-based residential facility has obtained a
3waiver of the requirement under subd. 3. a. from the department or has requested
4such a waiver and the department's decision is pending.
AB768,124,95 (b) A community-based residential facility may not have a total of more than
64 residents or 10% of the facility's licensed capacity, whichever is greater, who qualify
7for care under par. (a) 1. or 2. unless the facility has obtained a waiver from the
8department of the limitation of this paragraph or has requested such a waiver and
9the department's decision is pending.
AB768,124,1110 (c) The department may grant a waiver of the limitation under par. (a) 2. or 3.
11a. or (b).
AB768, s. 227 12Section 227. 50.065 (1) (am) of the statutes is created to read:
AB768,124,1413 50.065 (1) (am) "Certificate of approval" means a certificate of approval issued
14under s. 50.35.
AB768, s. 228 15Section 228. 50.065 (1) (b) of the statutes, as created by 1997 Wisconsin Act
1627
, is amended to read:
AB768,124,1817 50.065 (1) (b) "Client" means a person who receives direct care or treatment
18services from an entity.
AB768, s. 229 19Section 229. 50.065 (1) (c) (intro.) of the statutes, as created by 1997 Wisconsin
20Act 27
, is amended to read:
AB768,124,2521 50.065 (1) (c) (intro.) "Entity" means a facility, organization or service that is
22regulated, licensed or certified by or registered with the department to provide direct
23care or treatment services to clients
. "Entity" includes a hospital, a personal care
24worker agency and a supportive home care service agency. "Entity" does not include
25any of the following:
AB768, s. 230
1Section 230. 50.065 (1) (c) 3. of the statutes, as created by 1997 Wisconsin Act
227
, is amended to read:
AB768,125,53 50.065 (1) (c) 3. A person certified as a medical assistance provider, as defined
4in s. 49.43 (10), who is not otherwise regulated approved under s. 50.065 (1) (cm),
5licensed or certified by or registered with the department.
Loading...
Loading...