SB55-ASA1-AA1,413,1515 46.277 (5) (d) 2. a. The requirements of s. 46.27 (7) (cm) 1. a. or c. are met.
SB55-ASA1-AA1, s. 1508d 16Section 1508d. 46.277 (5) (d) 4. of the statutes is created to read:
SB55-ASA1-AA1,413,2017 46.277 (5) (d) 4. No county may use funds received under this section to provide
18residential services in a group home, as defined in s. 48.02 (7), that has more than
195 beds, unless the department approves the provision of services in a group home that
20has 6 to 8 beds.".
SB55-ASA1-AA1,413,21 21760. Page 566, line 18: after that line insert:
SB55-ASA1-AA1,413,22 22" Section 1508rg. 46.278 (title) and (1) of the statutes are amended to read:
SB55-ASA1-AA1,413,24 2346.278 (title) Community integration program and brain injury waiver
24program
for persons with mental retardation developmental disabilities.
SB55-ASA1-AA1,414,12
1(1) Legislative intent. The intent of the program programs under this section
2is to provide home or community-based care to serve in a noninstitutional
3community setting a person who meets eligibility requirements under 42 USC 1396n
4(c) and who is diagnosed as developmentally disabled under the definition specified
5in s. 51.01 (5) and relocated from an institution other than a state center for the
6developmentally disabled or who meets the intermediate care facility for the
7mentally retarded or a brain injury rehabilitation facility level of care requirements
8for medical assistance reimbursement in an intermediate care facility for the
9mentally retarded or brain injury rehabilitation facility and is ineligible for services
10under s. 46.275 or 46.277. The intent of the program is also that counties use all
11existing services for providing care under this section, including those services
12currently provided by counties.
SB55-ASA1-AA1, s. 1508rh 13Section 1508rh. 46.278 (1m) (a) of the statutes is created to read:
SB55-ASA1-AA1,414,1614 46.278 (1m) (a) "Brain injury rehabilitation facility" means a nursing facility
15or hospital designated as a facility for brain injury rehabilitation by the department
16under the approved state medicaid plan.
SB55-ASA1-AA1, s. 1508ri 17Section 1508ri. 46.278 (1m) (c) of the statutes is amended to read:
SB55-ASA1-AA1,414,2018 46.278 (1m) (c) "Program" means the community integration program or the
19brain injury waiver program,
for facilities certified as medical assistance providers,
20for which a waiver has been received under sub. (3).
SB55-ASA1-AA1, s. 1508rj 21Section 1508rj. 46.278 (2) (a) of the statutes is amended to read:
SB55-ASA1-AA1,415,422 46.278 (2) (a) The department may request a waiver one or more waivers from
23the secretary of the federal department of health and human services, under 42 USC
241396n
(c), authorizing the department to serve medical assistance recipients, who
25meet the level of care requirements for medical assistance reimbursement in an

1intermediate care facility for the mentally retarded or in a brain injury rehabilitation
2facility
, in their communities by providing home or community-based services as
3part of medical assistance. If the department requests a waiver, it shall include all
4assurances required under 42 USC 1396n (c) (2) in its request.
SB55-ASA1-AA1, s. 1508rk 5Section 1508rk. 46.278 (3) (a) of the statutes is amended to read:
SB55-ASA1-AA1,415,86 46.278 (3) (a) Evaluate the effect of the each program on medical assistance
7costs and on the program's ability to provide community care alternatives to
8institutional care in facilities certified as medical assistance providers.
SB55-ASA1-AA1, s. 1508rL 9Section 1508rL. 46.278 (4) (a) of the statutes is amended to read:
SB55-ASA1-AA1,415,1610 46.278 (4) (a) Sections 46.27 (3) (b) and 46.275 (3) (a) and (c) to (e) apply to
11county participation in this a program, except that services provided in the program
12shall substitute for care provided a person in an intermediate care facility for the
13mentally retarded or brain injury rehabilitation facility who meets the intermediate
14care facility for the mentally retarded or brain injury rehabilitation facility level of
15care requirements for medical assistance reimbursement to that facility rather than
16for care provided at a state center for the developmentally disabled.
SB55-ASA1-AA1, s. 1508rm 17Section 1508rm. 46.278 (4) (b) 2. of the statutes is amended to read:
SB55-ASA1-AA1,415,2218 46.278 (4) (b) 2. Each county department participating in the a program shall
19provide home or community-based care to persons eligible under this section, except
20that the number of persons who receive home or community-based care under this
21section may not exceed the number that are approved under the an applicable waiver
22received under sub. (3).
SB55-ASA1-AA1, s. 1508rn 23Section 1508rn. 46.278 (5) (a) and (b) of the statutes are amended to read:
SB55-ASA1-AA1,416,824 46.278 (5) (a) Any medical assistance recipient who meets the level of care
25requirements for medical assistance reimbursement in an intermediate care facility

1for the mentally retarded or in a brain injury rehabilitation facility and is ineligible
2for service under s. 46.275 or 46.277 is eligible to participate in the a program, except
3that persons eligible for the brain injury waiver program must meet the definition
4of brain injury under s. 51.01 (2g), and
except that the number of participants may
5not exceed the number approved under the waiver received under sub. (3). Such a
6recipient may apply, or any person may apply on behalf of such a recipient, for
7participation in the a program. Section 46.275 (4) (b) applies to participation in the
8a program.
SB55-ASA1-AA1,416,169(b) To the extent authorized under 42 USC 1396n, if a person discontinues
10participation in the a program, a medical assistance recipient may participate in the
11a program in place of the participant who discontinues if that recipient meets the
12intermediate care facility for the mentally retarded level of care requirements for
13medical assistance reimbursement in an intermediate care facility for the mentally
14retarded except that the number of participants concurrently served may not exceed
15the number approved under the waiver received under sub. (3)
requirements under
16par. (a)
.
SB55-ASA1-AA1, s. 1508rp 17Section 1508rp. 46.278 (6) (a), (b) and (c) of the statutes are amended to read:
SB55-ASA1-AA1,416,1918 46.278 (6) (a) The provisions of s. 46.275 (5) (a), (b) and (d) apply to funding
19received by counties under the program programs.
SB55-ASA1-AA1,416,2120 (b) Total funding to counties for relocating each person under the a program
21may not exceed the amount approved in the waiver received under sub. (3).
SB55-ASA1-AA1,416,2322 (c) Funding may be provided under the a program for services of a family
23consortium.".
SB55-ASA1-AA1,416,24 24761. Page 566, line 21: delete "the waiver" and substitute "the a waiver".
SB55-ASA1-AA1,417,1
1762. Page 566, line 25: after that line insert:
SB55-ASA1-AA1,417,2 2" Section 1509g. 46.278 (6) (e) 1. of the statutes is amended to read:
SB55-ASA1-AA1,417,53 46.278 (6) (e) 1. The department may provide enhanced reimbursement for
4services under the community integration program for an individual who was
5relocated to the community by a county department from one of the following:
SB55-ASA1-AA1, s. 1509h 6Section 1509h. 46.278 (6) (f) of the statutes is amended to read:
SB55-ASA1-AA1,417,117 46.278 (6) (f) If a county owns the institution or intermediate care facility for
8the mentally retarded from which an individual is relocated to the community under
9this section, in order to receive funding under the community integration program,
10the county shall submit a plan for delicensing a bed of the institution or intermediate
11care facility for the mentally retarded that is approved by the department.".
SB55-ASA1-AA1,417,12 12763. Page 569, line 23: after that line insert:
SB55-ASA1-AA1,417,13 13" Section 1553p. 46.34 of the statutes is amended to read:
SB55-ASA1-AA1,417,17 1446.34 Emission standards for hazardous air contaminants. The
15department may assist the department of natural resources environmental
16management
in the development of emission standards for hazardous air
17contaminants under s. 285.27 (2) (b).".
SB55-ASA1-AA1,417,18 18764. Page 571, line 2: after that line insert:
SB55-ASA1-AA1,417,20 19" Section 8557b. 46.45 (2) (a) of the statutes, as affected by 1999 Wisconsin Act
209
, is amended to read:
SB55-ASA1-AA1,418,1521 46.45 (2) (a) If on December 31 of any year there remains unspent or
22unencumbered in the allocation under s. 46.40 (2) an amount that exceeds the
23amount received under 42 USC 670 to 679a and allocated under s. 46.40 (2) in that
24year, the department shall carry forward the excess moneys and distribute not less

1than 50% of the excess moneys to counties having a population of less than 500,000
2that are making a good faith effort, as determined by the department, to comply with
3s. 46.22 (1) (c) 8. f. for services and projects to assist children and families,
4notwithstanding the percentage limit specified in sub. (3) (a). A county shall use not
5less than 50% of the moneys distributed to the county under this subsection for
6services for children who are at risk of abuse or neglect to prevent the need for child
7abuse and neglect intervention services, except that in the calendar year in which
8a county achieves compliance with s. 46.22 (1) (c) 8. f. and in the 2 calendar years after
9that calendar year the county may use 100% of the moneys distributed under this
10paragraph to reimburse the department for the costs of achieving that compliance
.
11If a county does not comply with s. 46.22 (1) (c) 8. f. before July 1, 2005, the
12department may recover any amounts distributed to that county under this
13paragraph after June 30, 2001, by billing the county or deducting from that county's
14allocation under s. 46.40 (2). All moneys received by the department under this
15paragraph shall be credited to the appropriation account under s. 20.435 (3) (j).
".
SB55-ASA1-AA1,418,16 16765. Page 571, line 2: after that line insert:
SB55-ASA1-AA1,418,17 17" Section 1556e. 49.45 (39) (a) 1. of the statutes is amended to read:
SB55-ASA1-AA1,418,2218 49.45 (39) (a) 1. "School" means a public school described under s. 115.01 (1),
19a charter school, as defined in s. 115.001 (1), the Wisconsin Center for the Blind and
20Visually Impaired, or the Wisconsin School Educational Services Program for the
21Deaf and Hard of Hearing. It includes school-operated early childhood programs for
22developmentally delayed and disabled 4-year-old and 5-year-old children.
SB55-ASA1-AA1, s. 1556g 23Section 1556g. 49.45 (39) (am) of the statutes is amended to read:
SB55-ASA1-AA1,419,13
149.45 (39) (am) Plan amendment. No later than September 30, 1995, the
2department shall submit to the federal department of health and human services an
3amendment to the state medical assistance plan to permit the application of pars. (b)
4and (c). If the amendment to the state plan is approved, school districts, cooperative
5educational service agencies, and the department of public instruction on behalf of
6the Wisconsin Center for the Blind and Visually Impaired and the Wisconsin School
7Educational Services Program for the Deaf and Hard of Hearing claim
8reimbursement under pars. (b) and (c). Paragraphs (b) and (c) do not apply unless
9the amendment to the state plan is approved and in effect. The department shall
10submit to the federal department of health and human services an amendment to the
11state plan if necessary to permit the application of pars. (b) and (c) to the Wisconsin
12Center for the Blind and Visually Impaired and the Wisconsin School Educational
13Services Program
for the Deaf and Hard of Hearing.
SB55-ASA1-AA1, s. 1556i 14Section 1556i. 49.45 (39) (b) of the statutes is amended to read:
SB55-ASA1-AA1,420,2315 49.45 (39) (b) School medical services. 1. `Payment for school medical services.'
16If a school district or a cooperative educational service agency elects to provide school
17medical services and meets all requirements under par. (c), the department shall
18reimburse the school district or the cooperative educational service agency for 60%
19of the federal share of allowable charges for the school medical services that it
20provides and, as specified in subd. 2., for allowable administrative costs. If the
21Wisconsin Center for the Blind and Visually Impaired or the Wisconsin School
22Educational Services Program for the Deaf and Hard of Hearing elects to provide
23school medical services and meets all requirements under par. (c), the department
24shall reimburse the department of public instruction for 60% of the federal share of
25allowable charges for the school medical services that the Wisconsin Center for the

1Blind and Visually Impaired or the Wisconsin School Educational Services Program
2for the Deaf and Hard of Hearing provides and, as specified in subd. 2., for allowable
3administrative costs. A school district, cooperative educational service agency, the
4Wisconsin Center for the Blind and Visually Impaired or the Wisconsin School
5Educational Services Program for the Deaf and Hard of Hearing may submit, and
6the department shall allow, claims for common carrier transportation costs as a
7school medical service unless the department receives notice from the federal health
8care financing administration that, under a change in federal policy, the claims are
9not allowed. If the department receives the notice, a school district, cooperative
10educational service agency, the Wisconsin Center for the Blind and Visually
11Impaired, or the Wisconsin School Educational Services Program for the Deaf and
12Hard of Hearing
may submit, and the department shall allow, unreimbursed claims
13for common carrier transportation costs incurred before the date of the change in
14federal policy. The department shall promulgate rules establishing a methodology
15for making reimbursements under this paragraph. All other expenses for the school
16medical services provided by a school district or a cooperative educational service
17agency shall be paid for by the school district or the cooperative educational service
18agency with funds received from state or local taxes. The school district, the
19Wisconsin Center for the Blind and Visually Impaired, the Wisconsin School
20Educational Services Program for the Deaf and Hard of Hearing, or the cooperative
21educational service agency shall comply with all requirements of the federal
22department of health and human services for receiving federal financial
23participation.
SB55-ASA1-AA1,421,824 2. `Payment for school medical services administrative costs.' The department
25shall reimburse a school district or a cooperative educational service agency specified

1under subd. 1. and shall reimburse the department of public instruction on behalf
2of the Wisconsin Center for the Blind and Visually Impaired or the Wisconsin School
3Educational Services Program for the Deaf and Hard of Hearing for 90% of the
4federal share of allowable administrative costs, using time studies, beginning in
5fiscal year 1999-2000. A school district or a cooperative education educational
6service agency may submit, and the department of health and family services shall
7allow, claims for administrative costs incurred during the period that is up to 24
8months before the date of the claim, if allowable under federal law.".
SB55-ASA1-AA1,421,9 9766. Page 571, line 15: delete "$6,000,000" and substitute "$5,000,000".
SB55-ASA1-AA1,421,11 10767. Page 571, line 22: delete that line and substitute "the poverty line, as
11defined in s. 49.001 (5).".
SB55-ASA1-AA1,421,13 12768. Page 571, line 23: delete the material beginning with that line and
13ending with page 572, line 3.
SB55-ASA1-AA1,421,14 14769. Page 574, line 4: after that line insert:
SB55-ASA1-AA1,421,15 15" Section 1563j. 46.72 of the statutes is created to read:
SB55-ASA1-AA1,421,17 1646.72 Neighborhood organization incubator grants. (1) Definitions. In
17this section:
SB55-ASA1-AA1,421,1918 (a) "Agency" means a private nonprofit or public organization that is
19community based.
SB55-ASA1-AA1,421,2220 (b) "Neighborhood organization" means a private nonprofit organization that
21is community based and that provides any of the following services or programs
22primarily to residents of the area in which the organization is located:
SB55-ASA1-AA1,421,2323 1. Crime prevention programs.
SB55-ASA1-AA1,421,2424 2. After-school and recreational programs for youth.
SB55-ASA1-AA1,422,1
13. Child abuse and domestic abuse prevention services.
SB55-ASA1-AA1,422,22 4. Alcohol and other drug abuse counseling and prevention services.
SB55-ASA1-AA1,422,33 5. Programs for diversion of youth from gang activities.
SB55-ASA1-AA1,422,44 6. Inmate and ex-offender rehabilitation or aftercare services.
SB55-ASA1-AA1,422,8 5(2) Grants. From the appropriation under s. 20.435 (3) (ft), the department
6shall award grants to agencies to enable them to provide services described under
7sub. (3) to neighborhood organizations. An agency application for a grant shall
8contain a plan detailing the proposed use of the grant.
SB55-ASA1-AA1,422,10 9(3) Requirements for grant recipients. An agency receiving a grant under
10this section shall do all of the following:
SB55-ASA1-AA1,422,1311 (a) Provide information to neighborhood organizations about funding and other
12assistance that may be available to neighborhood organizations from private and
13public entities.
SB55-ASA1-AA1,422,1514 (b) Assist neighborhood organizations in obtaining funding and other
15assistance from public and private entities.
SB55-ASA1-AA1,422,1716 (c) Act as a liaison between neighborhood organizations and public and private
17entities.
SB55-ASA1-AA1,422,1918 (d) Provide appropriate training and professional development services to
19members of neighborhood organizations.
SB55-ASA1-AA1,422,2120 (e) Engage in outreach to neighborhood organizations to inform them of the
21services available from the agency.
SB55-ASA1-AA1,422,2322 (f) Undertake other activities that will increase the effectiveness and facilitate
23the development of neighborhood organizations.
SB55-ASA1-AA1,423,3
1(4) Report. An agency receiving a grant under this section shall submit to the
2department within 90 days after spending the full amount of the grant a report
3detailing the actual use of the proceeds of the grant.
SB55-ASA1-AA1,423,4 4(5) Sunset. This section does not apply after June 30, 2005.".
SB55-ASA1-AA1,423,5 5770. Page 576, line 21: after that line insert:
SB55-ASA1-AA1,423,7 6" Section 1578. 48.21 (5) (b) of the statutes is renumbered 48.21 (5) (b) (intro.)
7and amended to read:
SB55-ASA1-AA1,423,98 48.21 (5) (b) (intro.) An order relating to a child held in custody outside of his
9or her home shall also describe include all of the following:
SB55-ASA1-AA1,423,13 101. A description of any efforts that were made to permit the child to remain
11safely at home and the services that are needed to ensure the child's well-being, to
12enable the child to return safely to his or her home, and to involve the parents in
13planning for the child.
SB55-ASA1-AA1, s. 9579 14Section 9579. 48.21 (5) (b) 2. of the statutes is created to read:
SB55-ASA1-AA1,423,2015 48.21 (5) (b) 2. If the child is held in custody outside the home in a placement
16recommended by the intake worker, a statement that the court approves the
17placement recommended by the intake worker or, if the child is placed outside the
18home in a placement other than a placement recommended by the intake worker, a
19statement that the court has given bona fide consideration to the recommendations
20made by the intake worker and all parties relating to the placement of the child.".
SB55-ASA1-AA1,423,21 21771. Page 576, line 21: after that line insert:
SB55-ASA1-AA1,423,22 22" Section 1577g. 48.02 (15) of the statutes is amended to read:
SB55-ASA1-AA1,424,3
148.02 (15) "Relative" means a parent, grandparent, greatgrandparent,
2stepparent, brother, sister, first cousin, nephew, niece, uncle, or aunt. This
3relationship shall be by blood, marriage, or adoption.".
SB55-ASA1-AA1,424,4 4772. Page 576, line 24: after that line insert:
SB55-ASA1-AA1,424,5 5" Section 1583. 48.355 (2) (b) 6m. of the statutes is created to read:
SB55-ASA1-AA1,424,116 48.355 (2) (b) 6m. If the child is placed outside the home in a placement
7recommended by the agency designated under s. 48.33 (1), a statement that the court
8approves the placement recommended by the agency or, if the child is placed outside
9the home in a placement other than a placement recommended by that agency, a
10statement that the court has given bona fide consideration to the recommendations
11made by the agency and all parties relating to the child's placement.
SB55-ASA1-AA1, s. 1584 12Section 1584. 48.357 (2v) of the statutes is created to read:
SB55-ASA1-AA1,424,2013 48.357 (2v) If a hearing is held under sub. (1) or (2m) and the change in
14placement would place the child outside the home in a placement recommended by
15the person or agency primarily responsible for implementing the dispositional order,
16the change in placement order shall include a statement that the court approves the
17placement recommended by that person or agency or, if the child is placed outside the
18home in a placement other than a placement recommended by that person or agency,
19a statement that the court has given bona fide consideration to the recommendations
20made by that person or agency and all parties relating to the child's placement.".
SB55-ASA1-AA1,424,21 21773. Page 578, line 6: after that line insert:
SB55-ASA1-AA1,424,22 22" Section 1588. 48.38 (2) (intro.) of the statutes is amended to read:
SB55-ASA1-AA1,425,523 48.38 (2) Permanency plan required. (intro.) Except as provided in sub. (3),
24for each child living in a foster home, treatment foster home, group home,

1child-caring institution, secure detention facility, or shelter care facility or in the
2home of a relative
, the agency that placed the child or arranged the placement or the
3agency assigned primary responsibility for providing services to the child under s.
448.355 shall prepare a written permanency plan, if one of the following conditions
5exists:
SB55-ASA1-AA1, s. 10589 6Section 10589. 48.38 (4) (f) (intro.) of the statutes is amended to read:
SB55-ASA1-AA1,425,117 48.38 (4) (f) (intro.) The services that will be provided to the child, the child's
8family, and the child's foster parent, the child's treatment foster parent or, the
9operator of the facility where the child is living, or the relative with whom the child
10is living
to carry out the dispositional order, including services planned to accomplish
11all of the following:
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