SB45,1041,2112 145.245 (5) (c) 3. In order to be eligible for grant funds under this section, a
13person shall submit a copy of the designated federal income tax returns for the
14taxable year prior to the year in which the determination of failure is
upon which the
15determination of federal adjusted gross income under subd. 2. was
made together
16with any application required by the governmental unit. For taxable year 1985 and
17earlier, the person shall submit a copy of his or her individual or combined Wisconsin
18income tax return. For taxable year 1986 and thereafter, the person shall submit a
19copy of his or her joint Wisconsin income tax return or, if filing separately, his or her
20separate Wisconsin income tax return and the separate Wisconsin income tax return
21of his or her spouse, if any.
SB45, s. 2227 22Section 2227. 145.245 (5) (c) 4. of the statutes is amended to read:
SB45,1042,523 145.245 (5) (c) 4. A governmental unit may disregard the Wisconsin federal
24income tax return for the taxable year prior to the year in which the determination
25of failure is made
that is submitted under subd. 3. and may determine annual family

1income based upon satisfactory evidence of federal adjusted gross income or
2projected taxable federal adjusted gross income of the owner and the owner's spouse
3in the current year. The department shall promulgate rules establishing criteria for
4determining what constitutes satisfactory evidence of federal adjusted gross income
5or projected federal adjusted gross income in a current year.
SB45, s. 2228 6Section 2228 . 145.245 (5m) (a) of the statutes is amended to read:
SB45,1042,127 145.245 (5m) (a) The department or a governmental unit shall deny a grant
8application under this section if the applicant or a person who would be directly
9benefited by the grant intentionally caused the conditions which resulted in a
10category 1 or 2 failing private small sewage system. The department or
11governmental unit shall notify the applicant in writing of a denial, including the
12reason for the denial.
SB45, s. 2229 13Section 2229. 145.245 (5m) (b) of the statutes is amended to read:
SB45,1043,214 145.245 (5m) (b) The department shall notify a governmental unit if it receives
15a certification under s. 49.855 (7) that an individual is delinquent in child support
16or maintenance payments or owes past support, medical expenses or birth expenses

17an individual's name appears on the statewide support lien docket under s. 49.854
18(2) (b)
. The department or a governmental unit shall deny an application under this
19section if the department receives a certification under s. 49.855 (7) that name of the
20applicant or an individual who would be directly benefited by the grant is delinquent
21in child support or maintenance payments or owes past support, medical expenses
22or birth expenses
appears on the statewide support lien docket under s. 49.854 (2)
23(b), unless the applicant or individual who would be benefited by the grant provides
24to the department or governmental unit a payment agreement that has been

1approved by the county child support agency under s. 59.53 (5) and that is consistent
2with rules promulgated under s. 49.858 (2) (a)
.
SB45, s. 2230 3Section 2230. 145.245 (6) of the statutes is amended to read:
SB45,1043,84 145.245 (6) Use of funds. (a) Except for grants under par. (b), funds available
5under a grant under this section shall be applied to the rehabilitation or replacement
6of the private small sewage system. An existing private small sewage system may
7be replaced by an alternative private small sewage system or by a system serving
8more than one principal residence.
SB45,1043,119 (b) Funds available under a grant under this section for experimental private
10small sewage systems shall be applied to the installation and monitoring of the
11experimental private small sewage systems.
SB45, s. 2231 12Section 2231. 145.245 (7) of the statutes is amended to read:
SB45,1043,1713 145.245 (7) Allowable costs; state share. (a) Except as provided in par. (e),
14costs allowable in determining grant funding under this section may not exceed the
15costs of rehabilitating or replacing a private small sewage system which would be
16necessary to allow the rehabilitated system or new system to meet the minimum
17requirements of the state plumbing code promulgated under s. 145.13.
SB45,1043,2018 (b) Except as provided in par. (e), costs allowable in determining grant funding
19under this section may not exceed the costs of rehabilitating or replacing a private
20small sewage system by the least costly methods.
SB45,1044,1221 (c) Except as provided in pars. (d) and (e), the state grant share under this
22section is limited to $7,000 for each principal residence or small commercial
23establishment to be served by the private small sewage system or to the amount
24determined by the department based upon private small sewage system grant
25funding tables, whichever is less. The department shall prepare and publish private

1small sewage system grant funding tables which specify the maximum state share
2limitation for various components and costs involved in the rehabilitation or
3replacement of a private small sewage system based upon minimum size and other
4requirements specified in the state plumbing code promulgated under s. 145.02. The
5maximum state share limitations shall be designed to pay approximately 60% of the
6average allowable cost of private small sewage system rehabilitation or replacement
7based upon estimated or actual costs of that rehabilitation or replacement. The
8department shall revise the grant funding tables when it determines that 60% of
9current costs of private small sewage system rehabilitation or replacement exceed
10the amounts in the grant funding tables by more than 10%, except that the
11department may not revise the grant funding tables more often than once every 2
12years.
SB45,1044,1713 (d) Except as provided in par. (e), if the income of a person who owns a principal
14residence that is served by a category 1 or 2 failing private small sewage system is
15greater than $32,000, the amount of the grant under this section is limited to the
16amount determined under par. (c) less 30% of the amount by which the person's
17income exceeds $32,000.
SB45,1044,2318 (e) Costs allowable for experimental private small sewage systems shall
19include the costs of installing and monitoring experimental private small sewage
20systems installed under s. 145.02 (3) (b) and this section. The department shall
21promulgate rules that specify how the department will select, monitor and allocate
22the state share for experimental private small sewage systems that the department
23funds under this section.
SB45, s. 2232 24Section 2232. 145.245 (8) (a) of the statutes is amended to read:
SB45,1045,8
1145.245 (8) (a) In order to be eligible for a grant under this section, a
2governmental unit shall make an application for replacement or rehabilitation of
3private small sewage systems of principal residences or small commercial
4establishments and shall submit an application for participation to the department.
5The application shall be in the form and include the information the department
6prescribes. In order to be eligible for funds available in a fiscal year, an application
7is required to be received by the department prior to February 1 of the previous fiscal
8year.
SB45, s. 2233 9Section 2233. 145.245 (9) (b) of the statutes is amended to read:
SB45,1045,1410 145.245 (9) (b) Certify that grants will be used for private small sewage system
11replacement or rehabilitation for a principal residence or small commercial
12establishment owned by a person who meets the eligibility requirements under sub.
13(5), that the funds will be used as provided under sub. (6) and that allowable costs
14will not exceed the amount permitted under sub. (7);
SB45, s. 2234 15Section 2234. 145.245 (9) (c) of the statutes is amended to read:
SB45,1045,1716 145.245 (9) (c) Certify that grants will be used for private small sewage systems
17which will be properly installed and maintained;
SB45, s. 2235 18Section 2235. 145.245 (9) (e) of the statutes is amended to read:
SB45,1045,2019 145.245 (9) (e) Establish a process for regulation and inspection of private
20small sewage systems;
SB45, s. 2236 21Section 2236. 145.245 (11) (e) of the statutes is amended to read:
SB45,1045,2522 145.245 (11) (e) Limitation; experimental private small sewage systems. The
23department may not allocate more than 10% of the funds available under this
24subsection each fiscal year for grants for the installation and monitoring of
25experimental private small sewage systems.
SB45, s. 2237
1Section 2237. 145.245 (11m) (b) to (d) of the statutes are amended to read:
SB45,1046,52 145.245 (11m) (b) Except as provided in par. (d), if funds are sufficient to fully
3fund all category 1 but not all category 2 failing private small sewage systems, the
4department shall fully fund all category 1 systems and prorate the funds for category
52 systems on a proportional basis.
SB45,1046,96 (c) Except as provided in par. (d), if funds are not sufficient to fully fund all
7category 1 failing private small sewage systems, the department shall fund the
8category 1 systems on a proportional basis and deny the grant applications for all
9category 2 systems.
SB45,1046,1110 (d) The department is not required to prorate available funds for grants for the
11installation and monitoring of experimental private small sewage systems.
SB45, s. 2238 12Section 2238. 145.245 (12m) of the statutes is created to read:
SB45,1046,2113 145.245 (12m) Loans to governmental units. (a) A governmental unit to
14which the department allocates funds under sub. (11) for a fiscal year may apply to
15the department for a loan under this subsection if the department prorates funds
16under sub. (11m) for that fiscal year. A governmental unit may only use a loan under
17this subsection to increase the amounts of grants to persons eligible under sub. (5)
18above the amounts that would be provided without a loan under this subsection or
19to provide grants to persons eligible under sub. (5) who would otherwise not receive
20grants, because of the operation of sub. (11m) (c), but the total amount provided to
21a person under this section may not exceed the amount authorized under sub (7).
SB45,1047,322 (b) A loan under this subsection bears no interest. A loan under this subsection
23may not exceed the difference between the amount of the grant that the
24governmental unit would have received if the department had not prorated grants
25under sub. (11) and the amount of the grant that the governmental unit did receive.

1If the amount available for loans under s. 20.320 (3) (q) in a fiscal year is not sufficient
2to provide loans to all eligible governmental units applying for loans, the department
3shall allocate the available funds in the same manner as in sub. (11) (c).
SB45,1047,64 (c) A loan approved under this subsection shall be for no longer than 20 years,
5as determined by the department of administration, and be fully amortized not later
6than 20 years after the original date of the note.
SB45,1047,87 (d) As a condition of receiving a loan under this subsection an applicant shall
8do all of the following:
SB45,1047,109 1. Pledge the security, if any, required by the department of administration
10under this subsection.
SB45,1047,1211 2. Demonstrate to the satisfaction of the department of administration the
12financial capacity to assure sufficient revenues to repay the loan.
SB45,1047,1613 (e) The department of commerce and the department of administration may
14enter into a financial assistance agreement with a governmental unit that applies
15for a loan under this subsection and meets the eligibility requirements for a loan,
16including the requirements under par. (d).
SB45,1047,2417 (f) The department of administration, in consultation with the department of
18commerce, may establish those terms and conditions of a financial assistance
19agreement that relate to its financial management, including what type of municipal
20obligation is required for the repayment of the financial assistance. In setting the
21terms and conditions, the department of administration may consider factors that
22the department of administration finds are relevant, including the type of obligation
23evidencing the loan, the pledge of security for the obligation and the applicant's
24creditworthiness.
SB45,1048,4
1(g) The department of administration shall make and disburse a loan to an
2applicant that has entered into a financial assistance agreement under par. (e). The
3department of administration, in consultation with the department of commerce,
4shall establish procedures for disbursing loans.
SB45,1048,135 (h) If a governmental unit fails to make a principal repayment after its due
6date, the department of administration shall place on file a certified statement of all
7amounts due under this subsection. After consulting the department of commerce,
8the department of administration may collect all amounts due by deducting those
9amounts from any state payments due the governmental unit or may add a special
10charge to the amount of taxes apportioned to and levied upon the county under s.
1170.60. If the department of administration collects amounts due, it shall remit those
12amounts to the fund to which they are due and notify the department of commerce
13of that action.
SB45, s. 2239 14Section 2239. 145.245 (13) of the statutes is amended to read:
SB45,1048,1915 145.245 (13) Inspection. Agents of the department or the governmental unit
16may enter premises where private small sewage systems are located pursuant to a
17special inspection warrant as required under s. 66.122, to collect samples, records
18and information and to ascertain compliance with the rules and orders of the
19department or the governmental unit.
SB45, s. 2240 20Section 2240. 145.245 (14) (d) of the statutes is amended to read:
SB45,1048,2521 145.245 (14) (d) Additional grants under this section to a governmental unit
22previously awarded a grant under this section may be suspended or terminated if the
23department finds that a private small sewage system previously funded in the
24governmental unit is not being or has not been properly rehabilitated, constructed,
25installed or maintained.
SB45, s. 2241
1Section 2241. 146.19 (2) (intro.) of the statutes is amended to read:
SB45,1049,92 146.19 (2) Cooperative American Indian health project grants. (intro.) From
3the appropriation under s. 20.435 (5) (ek) (ke), the department shall award grants
4for cooperative American Indian health projects in order to promote cooperation
5among tribes, tribal agencies, inter-tribal organizations and other agencies and
6organizations in addressing specific problem areas in the field of American Indian
7health. A tribe, tribal agency or inter-tribal organization may apply, in the manner
8specified by the department, for a grant of up to $10,000 to conduct a cooperative
9American Indian health project, which meets all of the following requirements:
SB45, s. 2242 10Section 2242. 146.50 (5) (f) of the statutes is amended to read:
SB45,1049,1511 146.50 (5) (f) The department may charge a reasonable fee for a an initial
12license or training permit issued under this subsection, except that no fee may be
13charged to an individual who is an employe of a public agency and who works for
14volunteer or paid-on-call ambulance service providers and who is an applicant for
15a license as an emergency medical technician — basic or for a training permit.
SB45, s. 2243 16Section 2243. 146.50 (10) of the statutes is renumbered 146.50 (10) (a) (intro.)
17and amended to read:
SB45,1050,218 146.50 (10) (a) (intro.) Every holder of a license issued under sub. (5) or (7) shall
19renew the license on July 1 of each even-numbered year by applying to the
20department on forms provided by the department. Upon receipt of an application for
21renewal containing documentation acceptable to the department that the
22requirements of sub. (6) have been met
Unless the department finds that the
23applicant has acted in a manner or under circumstances constituting grounds for
24suspension or revocation of the license and except as provided in ss. 146.51 and
25146.52
, the department shall renew the license unless the department finds that the

1applicant has acted in a manner or under circumstances constituting grounds for
2suspension or revocation of the license.
upon receipt of all of the following:
SB45, s. 2244 3Section 2244. 146.50 (10) (a) 1. of the statutes is created to read:
SB45,1050,64 146.50 (10) (a) 1. An application for renewal containing documentation
5acceptable to the department that the applicable requirements of sub. (6) have been
6met.
SB45, s. 2245 7Section 2245. 146.50 (10) (a) 2. of the statutes is created to read:
SB45,1050,98 146.50 (10) (a) 2. A reasonable fee prescribed by rule by the department for
9license renewal.
SB45, s. 2246 10Section 2246. 146.50 (10) (a) 3. of the statutes is created to read:
SB45,1050,1211 146.50 (10) (a) 3. If applicable, late fees prescribed by rule by the department
12for untimely license renewal.
SB45, s. 2247 13Section 2247. 146.50 (10) (b) of the statutes is created to read:
SB45,1050,1514 146.50 (10) (b) The department shall credit all late fees assessed under par. (a)
153. to the appropriation account under s. 20.435 (1) (gm).
SB45, s. 2248 16Section 2248. 146.50 (11m) of the statutes is created to read:
SB45,1050,2317 146.50 (11m) Forfeitures; ambulance service providers. (a) Any ambulance
18service provider who violates this section or any rule promulgated under the
19authority of this section shall forfeit not more than the amount specified by rule by
20the department. Each day of violation constitutes a separate offense, except that no
21day in the period between the date on which a request for hearing is filed under s.
22227.44 and the date of the conclusion of all administrative and judicial proceedings
23arising out of a decision under this subsection constitutes a violation.
SB45,1051,424 (b) The department may directly assess forfeitures under par. (a). If the
25department determines that a forfeiture should be assessed for a particular violation

1or for failure to correct the violation, the department shall send a notice of
2assessment to the alleged violator. The notice shall specify the alleged violation of
3the statute or rule and the amount of the forfeiture assessed and shall inform the
4alleged violator of the right to contest the assessment under s. 227.44.
SB45,1051,95 (c) All forfeitures shall be paid to the department within 10 days after receipt
6of notice of assessment or, if the forfeiture is contested as specified in par. (b), within
710 days after receipt of the final decision, unless the final decision is appealed and
8the decision is in favor of the appellant. The department shall remit all forfeitures
9paid under this subsection to the state treasurer for deposit in the school fund.
SB45, s. 2249 10Section 2249. 146.50 (13) (a) of the statutes is repealed.
SB45, s. 2250 11Section 2250. 146.50 (13) (d) of the statutes is created to read:
SB45,1051,1312 146.50 (13) (d) The department shall promulgate rules that prescribe all of the
13following:
SB45,1051,1414 1. The amounts for license renewal fees to be assessed under sub. (10) (a) 2.
SB45,1051,1615 2. The amounts for late fees to be assessed under sub. (10) (a) 3. against an
16applicant for untimely renewal of a license issued under sub. (5) or (7).
SB45,1051,1817 3. The amounts for forfeitures to be assessed under sub. (11m) against an
18ambulance service provider.
SB45, s. 2251 19Section 2251. 146.56 (1) of the statutes is amended to read:
SB45,1051,2320 146.56 (1) Not later than July 1, 2001 2002, the department shall develop and
21implement a statewide trauma care system. The department shall seek the advice
22of the statewide trauma advisory council under s. 15.197 (25) in developing and
23implementing the system.
SB45, s. 2252 24Section 2252. 146.819 (4) (e) of the statutes is repealed.
SB45, s. 2253 25Section 2253. 146.82 (1) of the statutes is amended to read:
SB45,1052,6
1146.82 (1) Confidentiality. All patient health care records shall remain
2confidential. Patient health care records may be released only to the persons
3designated in this section or to other persons with the informed consent of the patient
4or of a person authorized by the patient. This subsection does not prohibit reports
5made in compliance with s. 146.995, 253.12 (2) or 979.01 or testimony authorized
6under s. 905.04 (4) (h).
SB45, s. 2254 7Section 2254. 146.93 (1) (a) of the statutes is amended to read:
SB45,1052,118 146.93 (1) (a) From the appropriation under s. 20.435 (1) (4) (gp), the
9department shall maintain a program for the provision of primary health care
10services based on the primary health care program in existence on June 30, 1987.
11The department may promulgate rules necessary to implement the program.
SB45, s. 2255 12Section 2255. 146.99 of the statutes is amended to read:
SB45,1052,20 13146.99 Assessments. The department shall, within 90 days after the
14commencement of each fiscal year, estimate the total amount of expenditures and the
15department shall assess the estimated total amount under s. 20.435 (1) (4) (gp) to
16hospitals, as defined in s. 50.33 (2), in proportion to each hospital's respective gross
17private-pay patient revenues during the hospital's most recently concluded entire
18fiscal year. Each hospital shall pay its assessment on or before December 1 for the
19fiscal year. All payments of assessments shall be deposited in the appropriation
20under s. 20.435 (1) (4) (gp).
SB45, s. 2256 21Section 2256. 149.12 (2) (d) of the statutes is renumbered 149.12 (2) (d) 1. and
22amended to read:
SB45,1052,2523 149.12 (2) (d) 1. Except for a person who is an eligible individual as provided
24in subd. 2.
, no person who is 65 years of age or older is eligible for coverage under the
25plan.
SB45, s. 2257
1Section 2257. 149.12 (2) (d) 2. of the statutes is created to read:
SB45,1053,22 149.12 (2) (d) 2. Subdivision 1. does not apply to any of the following:
SB45,1053,33 a. A person who is an eligible individual.
SB45,1053,54 b. A person who has coverage under the plan on the date on which he or she
5attains the age of 65 years.
SB45, s. 2258 6Section 2258. 149.12 (3) (b) of the statutes is amended to read:
SB45,1053,127 149.12 (3) (b) Persons for whom deductible or coinsurance amounts are paid
8or reimbursed under ch. 47 for vocational rehabilitation, under s. 49.68 for renal
9disease, under s. 49.685 (8) for hemophilia, under s. 49.683 for cystic fibrosis or,
10under s. 253.05 for maternal and child health services or under s. 49.686 for the cost
11of drugs for the treatment of HIV infection or AIDS
are not ineligible for coverage
12under the plan by reason of such payments or reimbursements.
SB45, s. 2259 13Section 2259. 149.14 (3) (intro.) of the statutes is amended to read:
SB45,1054,214 149.14 (3) Covered expenses. (intro.) Except as restricted by cost containment
15provisions under s. 149.17 (4) and except as reduced by the board under s. 149.15 (3)
16(e) or by the
department under s. ss. 149.143 or, 149.144 and 149.15 (3) (e), covered
17expenses for the coverage under this section shall be the usual and customary
18charges for the services provided by persons licensed under ch. 446 and certified
19under s. 49.45 (2) (a) 11. Except as restricted by cost containment provisions under
20s. 149.17 (4) and except as reduced by the board under s. 149.15 (3) (e) or by the
21department under s. ss. 149.143 or, 149.144 and 149.15 (3) (e), covered expenses for
22the coverage under this section shall also be the usual and customary charges for the
23following services and articles if the service or article is prescribed by a physician
24who is licensed under ch. 448 or in another state and who is certified under s. 49.45

1(2) (a) 11. and if the service or article is provided by a provider certified under s. 49.45
2(2) (a) 11.:
SB45, s. 2260 3Section 2260. 149.14 (4) (g) of the statutes is amended to read:
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