Amendment SSA1-SB45

SB45-SSA1, s. 2224m Section 2224m. 145.245 (5) (a) 3. of the statutes is amended to read:

SB45-SSA1,1147,9 145.245 (5) (a) 3. A person who owns a principal residence or small commercial establishment which is served by a category 1 or, 2 or 3 failing private sewage system may submit an application for grant funds during the 3-year period after the determination of failure is made. Grant funds may be awarded after work is completed if rehabilitation or replacement of the system meets all requirements of this section and rules promulgated under this section.

SB45-SSA1, s. 2225 Section 2225. 145.245 (5) (c) 2. of the statutes is amended to read:

SB45-SSA1,1147,17 145.245 (5) (c) 2. Except as provided under subd. 4., annual family income shall be based upon the federal adjusted gross income of the owner and the owner's spouse, if any, as computed for Wisconsin income tax purposes for the taxable year prior to the year in which the determination of failure is made. The county median income shall be determined based upon the most recent statistics published by the federal department of housing and urban development for the year prior to the year in which the determination of failure is made.

SB45-SSA1, s. 2226 Section 2226. 145.245 (5) (c) 3. of the statutes is amended to read:

SB45-SSA1,1148,3 145.245 (5) (c) 3. In order to be eligible for grant funds under this section, a person shall submit a copy of the designated federal income tax returns for the taxable year prior to the year in which the determination of failure is upon which the determination of federal adjusted gross income under subd. 2. was made together with any application required by the governmental unit. For taxable year 1985 and earlier, the person shall submit a copy of his or her individual or combined Wisconsin income tax return. For taxable year 1986 and thereafter, the person shall submit a copy of his or her joint Wisconsin income tax return or, if filing separately, his or her separate Wisconsin income tax return and the separate Wisconsin income tax return of his or her spouse, if any.

SB45-SSA1, s. 2227 Section 2227. 145.245 (5) (c) 4. of the statutes is amended to read:

SB45-SSA1,1148,12 145.245 (5) (c) 4. A governmental unit may disregard the Wisconsin federal income tax return for the taxable year prior to the year in which the determination of failure is made that is submitted under subd. 3. and may determine annual family income based upon satisfactory evidence of federal adjusted gross income or projected taxable federal adjusted gross income of the owner and the owner's spouse in the current year. The department shall promulgate rules establishing criteria for determining what constitutes satisfactory evidence of federal adjusted gross income or projected federal adjusted gross income in a current year.

SB45-SSA1, s. 2228m Section 2228m. 145.245 (5m) (a) of the statutes is amended to read:

SB45-SSA1,1148,19 145.245 (5m) (a) The department or a governmental unit shall deny a grant application under this section if the applicant or a person who would be directly benefited by the grant intentionally caused the conditions which resulted in a category 1 or, 2 or 3 failing private sewage system. The department or governmental unit shall notify the applicant in writing of a denial, including the reason for the denial.

SB45-SSA1, s. 2229 Section 2229. 145.245 (5m) (b) of the statutes is amended to read:

SB45-SSA1,1149,8 145.245 (5m) (b) The department shall notify a governmental unit if it receives a certification under s. 49.855 (7) that an individual is delinquent in child support or maintenance payments or owes past support, medical expenses or birth expenses an individual's name appears on the statewide support lien docket under s. 49.854 (2) (b). The department or a governmental unit shall deny an application under this section if the department receives a certification under s. 49.855 (7) that name of the applicant or an individual who would be directly benefited by the grant is delinquent in child support or maintenance payments or owes past support, medical expenses or birth expenses appears on the statewide support lien docket under s. 49.854 (2) (b), unless the applicant or individual who would be benefited by the grant provides to the department or governmental unit a payment agreement that has been approved by the county child support agency under s. 59.53 (5) and that is consistent with rules promulgated under s. 49.858 (2) (a).

SB45-SSA1, s. 2231m Section 2231m. 145.245 (7) (d) of the statutes is amended to read:

SB45-SSA1,1149,14 145.245 (7) (d) Except as provided in par. (e), if the income of a person who owns a principal residence that is served by a category 1 or , 2 or 3 failing private sewage system is greater than $32,000, the amount of the grant under this section is limited to the amount determined under par. (c) less 30% of the amount by which the person's income exceeds $32,000.

SB45-SSA1, s. 2236r Section 2236r. 145.245 (11m) (am) of the statutes is created to read:

SB45-SSA1,1149,19 145.245 (11m) (am) Except as provided in par. (d), if funds are sufficient to fully fund all category 1 and 2 failing private sewage systems but not all category 3 failing private sewage systems, the department shall fully fund all category 1 and 2 systems and prorate the funds for category 3 systems on a proportional basis.

SB45-SSA1, s. 2237g Section 2237g. 145.245 (11m) (b) of the statutes is amended to read:

SB45-SSA1,1149,25 145.245 (11m) (b) Except as provided in par. (d), if funds are sufficient to fully fund all category 1 but not all category 2 failing private sewage systems, the department shall fully fund all category 1 systems and , prorate the funds for category 2 systems on a proportional basis and deny the grant applications for all category 3 systems.

SB45-SSA1, s. 2237i Section 2237i. 145.245 (11m) (c) of the statutes is amended to read:

SB45-SSA1,1150,5 145.245 (11m) (c) Except as provided in par. (d), if funds are not sufficient to fully fund all category 1 failing private sewage systems, the department shall fund the category 1 systems on a proportional basis and deny the grant applications for all category 2 and 3 systems.

SB45-SSA1, s. 2238 Section 2238. 145.245 (12m) of the statutes is created to read:

SB45-SSA1,1150,15 145.245 (12m) Loans to governmental units. (a) A governmental unit to which the department allocates funds under sub. (11) for a fiscal year may apply to the department for a loan under this subsection if the department prorates funds under sub. (11m) for that fiscal year. A governmental unit may only use a loan under this subsection to increase the amounts of grants to persons eligible under sub. (5) above the amounts that would be provided without a loan under this subsection or to provide grants to persons eligible under sub. (5) who would otherwise not receive grants, because of the operation of sub. (11m) (c), but the total amount provided to a person under this section may not exceed the amount authorized under sub (7).

SB45-SSA1,1150,22 (b) A loan under this subsection bears no interest. A loan under this subsection may not exceed the difference between the amount of the grant that the governmental unit would have received if the department had not prorated grants under sub. (11) and the amount of the grant that the governmental unit did receive. If the amount available for loans under s. 20.320 (3) (q) in a fiscal year is not sufficient to provide loans to all eligible governmental units applying for loans, the department shall allocate the available funds in the same manner as in sub. (11) (c).

SB45-SSA1,1150,25 (c) A loan approved under this subsection shall be for no longer than 20 years, as determined by the department of administration, and be fully amortized not later than 20 years after the original date of the note.

SB45-SSA1,1151,2 (d) As a condition of receiving a loan under this subsection an applicant shall do all of the following:

SB45-SSA1,1151,4 1. Pledge the security, if any, required by the department of administration under this subsection.

SB45-SSA1,1151,6 2. Demonstrate to the satisfaction of the department of administration the financial capacity to assure sufficient revenues to repay the loan.

SB45-SSA1,1151,10 (e) The department of commerce and the department of administration may enter into a financial assistance agreement with a governmental unit that applies for a loan under this subsection and meets the eligibility requirements for a loan, including the requirements under par. (d).

SB45-SSA1,1151,18 (f) The department of administration, in consultation with the department of commerce, may establish those terms and conditions of a financial assistance agreement that relate to its financial management, including what type of municipal obligation is required for the repayment of the financial assistance. In setting the terms and conditions, the department of administration may consider factors that the department of administration finds are relevant, including the type of obligation evidencing the loan, the pledge of security for the obligation and the applicant's creditworthiness.

SB45-SSA1,1151,22 (g) The department of administration shall make and disburse a loan to an applicant that has entered into a financial assistance agreement under par. (e). The department of administration, in consultation with the department of commerce, shall establish procedures for disbursing loans.

SB45-SSA1,1152,6 (h) If a governmental unit fails to make a principal repayment after its due date, the department of administration shall place on file a certified statement of all amounts due under this subsection. After consulting the department of commerce, the department of administration may collect all amounts due by deducting those amounts from any state payments due the governmental unit or may add a special charge to the amount of taxes apportioned to and levied upon the county under s. 70.60. If the department of administration collects amounts due, it shall remit those amounts to the fund to which they are due and notify the department of commerce of that action.

SB45-SSA1, s. 2240r Section 2240r. 146.185 of the statutes is created to read:

SB45-SSA1,1152,8 146.185 Minority health. (1) In this section:

SB45-SSA1,1152,10 (a) "African American" means a person whose ancestors originated in any of the black racial groups of Africa.

SB45-SSA1,1152,14 (b) "American Indian" means a person who is enrolled as a member of a federally recognized American Indian tribe or band or who possesses documentation of at least one-fourth American Indian ancestry or documentation of tribal recognition as an American Indian.

SB45-SSA1,1152,16 (c) "Asian" means a person whose ancestors originated in Asia south and southeast of the Himalayas and west of Wallace's Line in the Malay Archipelago.

SB45-SSA1,1152,18 (d) "Economically disadvantaged" means having an income that is at or below 125% of the poverty line.

SB45-SSA1,1152,21 (e) "Hispanic" means a person of any race whose ancestors originated in Mexico, Puerto Rico, Cuba, Central America or South America or whose culture or origin is Spanish.

SB45-SSA1,1152,22 (f) "Minority group member" means any of the following:

SB45-SSA1,1152,23 1. An African American.

SB45-SSA1,1152,24 2. An American Indian.

SB45-SSA1,1152,25 3. A Hispanic.

SB45-SSA1,1153,1 4. An Asian.

SB45-SSA1,1153,3 (g) "Nonprofit corporation" means a nonstock corporation organized under ch. 181 that is a nonprofit corporation, as defined in s. 181.0103 (17).

SB45-SSA1,1153,5 (h) "Poverty line" means the nonfarm federal poverty line for the continental United States, as defined by the federal department of labor under 42 USC 9902 (2).

SB45-SSA1,1153,6 (i) "State agency" has the meaning given in s. 16.70 (1).

SB45-SSA1,1153,7 (2) The department shall do all of the following:

SB45-SSA1,1153,10 (a) Identify the barriers to health care that prevent economically disadvantaged minority group members in this state from participating fully and equally in all aspects of life.

SB45-SSA1,1153,12 (b) Conduct statewide hearings on issues of concern to the health interests of economically disadvantaged minority group members.

SB45-SSA1,1153,15 (c) Review, monitor and advise all state agencies with respect to the impact on the health of economically disadvantaged minority group members of current and emerging state policies, procedures, practices, statutes and rules.

SB45-SSA1,1153,21 (d) Work closely with all state agencies, including the board of regents of the University of Wisconsin System and the technical college system board, with the University of Wisconsin Hospitals and Clinics Authority, with the private sector and with groups concerned with issues of the health of economically disadvantaged minority group members to develop long-term solutions to health problems of minority group members.

SB45-SSA1,1153,23 (e) Disseminate information on the status of the health of economically disadvantaged minority group members in this state.

SB45-SSA1,1154,3 (f) Encourage economically disadvantaged minority group members who are students to enter career health care professions, by developing materials that are culturally sensitive and appropriate and that promote health care professions as careers, for use by the University of Wisconsin System, the technical college system and the Medical College of Wisconsin in recruiting the students.

SB45-SSA1,1154,8 (g) Submit a biennial report on the activities of the department under this section that includes recommendations on program policies, procedures, practices and services affecting the health status of economically disadvantaged minority group members, to the appropriate standing committees under s. 13.172 (3) and to the governor.

SB45-SSA1,1154,15 (3) From the appropriation under s. 20.435 (5) (fh), the department shall award grants for activities to improve the health status of economically disadvantaged minority group members. A person may apply, in the manner specified by the department, for a grant of up to $50,000 in each fiscal year to conduct these activities. A grant awarded under this subsection may not exceed 50% of the cost of the activities. An applicant's required contribution for a grant may consist of funding or an in-kind contribution.

SB45-SSA1,1154,19 (4) From the appropriation under s. 20.435 (5) (fh), the department shall award a grant of up to $100,000 in each fiscal year to a private nonprofit corporation that applies, in the manner specified by the department, to conduct a public information campaign on minority health.

SB45-SSA1, s. 2241 Section 2241. 146.19 (2) (intro.) of the statutes is amended to read:

SB45-SSA1,1155,3 146.19 (2) Cooperative American Indian health project grants. (intro.) From the appropriation under s. 20.435 (5) (ek) (ke), the department shall award grants for cooperative American Indian health projects in order to promote cooperation among tribes, tribal agencies, inter-tribal organizations and other agencies and organizations in addressing specific problem areas in the field of American Indian health. A tribe, tribal agency or inter-tribal organization may apply, in the manner specified by the department, for a grant of up to $10,000 to conduct a cooperative American Indian health project, which meets all of the following requirements:

SB45-SSA1, s. 2241c Section 2241c. 146.19 (2m) of the statutes is created to read:

SB45-SSA1,1155,13 146.19 (2m) Grants to tribal health centers. Subject to 1999 Wisconsin Act .... (this act), section 9123 (6tu), from the appropriation under s. 20.435 (5) (ke), the department shall award grants for the provision or purchase of health care services for tribal members and their families to tribal health care entities that provide primary health care, health education and social services to tribal members and their families and to tribal employes. The department shall establish by rule criteria for distributing grants to the health care entities. In developing the criteria, the department shall consider each tribe's financial need, resources available to each tribe and other demographic health status indicators.

SB45-SSA1, s. 2251 Section 2251. 146.56 (1) of the statutes is amended to read:

SB45-SSA1,1155,18 146.56 (1) Not later than July 1, 2001 2002, the department shall develop and implement a statewide trauma care system. The department shall seek the advice of the statewide trauma advisory council under s. 15.197 (25) in developing and implementing the system.

SB45-SSA1, s. 2251d Section 2251d. 146.57 (title) of the statutes is amended to read:

SB45-SSA1,1155,20 146.57 (title) Statewide poison control program system.

SB45-SSA1, s. 2251e Section 2251e. 146.57 (1m) of the statutes is created to read:

SB45-SSA1,1155,22 146.57 (1m) Definitions. In this section:

SB45-SSA1,1155,23 (a) "Appropriate health-oriented background" means one of the following:

SB45-SSA1,1156,3 1. Licensure as an emergency medical technician — basic, emergency medical technician — intermediate or emergency medical technician — paramedic under s. 146.50 (5) (a).

SB45-SSA1,1156,4 2. Licensure as a licensed practical nurse under s. 441.10 (3).

SB45-SSA1,1156,10 3. Completion of a training program directed by a physician specializing in toxicology and, as determined by the medical director of a poison control center, background sufficient to understand and interpret standard poison information resources and to transmit that information understandably to both health professionals and the public under the direct supervision of a staff member specified under sub. (3m) (b) or the medical director.

SB45-SSA1,1156,13 (b) "On-line staff member" means a member of the staff of a poison control center who personally responds to telephone inquiries received by the poison control center.

SB45-SSA1,1156,14 (c) "Pharmacist" has the meaning given in s. 450.01 (15).

SB45-SSA1,1156,15 (d) "Physician" has the meaning given in s. 448.01 (5).

SB45-SSA1,1156,17 (e) "Poison control services" means poison prevention education, and rapid and accurate poison interpretation, poison intervention and management information.

SB45-SSA1,1156,18 (f) "Registered nurse" means a nurse who is licensed under s. 441.06.

SB45-SSA1,1156,20 (g) "School of pharmacy" means a school of pharmacy that is accredited by the American Council on Pharmaceutical Education.

SB45-SSA1,1156,22 (h) "Triage" means assign priority order on the basis of where resources can best be used or are most needed.

SB45-SSA1, s. 2251f Section 2251f. 146.57 (3) (a) of the statutes is amended to read:

SB45-SSA1,1157,8 146.57 (3) (a) The department shall implement a statewide poison control program system, which shall provide poison control services that are available statewide, on a 24-hour per day and 365-day per year basis and shall provide poison information and education to health care professionals and the public. From the appropriation under s. 20.435 (5) (ds), the department shall, if the requirement under par. (b) is met, distribute total funding of not more than $375,000 in each fiscal year to supplement the operation of the program system and to provide for the statewide collection and reporting of poison control data. The department may, but need not, distribute all of the funds in each fiscal year to a single poison control center.

SB45-SSA1, s. 2251g Section 2251g. 146.57 (3m) of the statutes is created to read:

SB45-SSA1,1157,13 146.57 (3m) Requirements of poison control centers. (a) A poison control center shall maintain telephone services capable of providing rapid, accurate and complete poison information that is accessible throughout the state and that is free to users through a statewide toll-free hotline.

SB45-SSA1,1157,15 (b) An on-line staff member who interprets poison exposure data and provides poison intervention and management information shall be one of the following:

SB45-SSA1,1157,16 1. A registered nurse.

SB45-SSA1,1157,17 2. A pharmacist.

SB45-SSA1,1157,18 3. A physician.

SB45-SSA1,1157,20 4. A person who is certified by or eligible for certification by the American Association of Poison Control Centers as a specialist in poison information.

SB45-SSA1,1157,21 5. A school of pharmacy graduate who is in residency training.

SB45-SSA1,1157,23 6. A school of pharmacy enrollee who has completed the 2nd professional practice year.

SB45-SSA1,1158,3 7. A person who was employed as an on-line staff member on May 1, 1994, who has worked in that capacity at the poison control center for at least 3 years and who annually receives at least 16 documented hours of continuing education in interpreting poison exposure data and providing poison intervention and management information.