Amendment AA37-ASA1-AB100

AB100-ASA1-AA37,16,22 (a) "County department" means a county department of human services or social services under s. 46.215, 46.22, or 46.23.

AB100-ASA1-AA37,16,24 (b) "Indian tribe" means a federally recognized American Indian tribe or band in this state.

AB100-ASA1-AA37,16,25 (c) "Local health department" has the meaning given in s. 250.01 (4).

AB100-ASA1-AA37,17,4 (d) "Local partnership" means any combination of 2 or more county departments, local health departments, Indian tribes, and private nonprofit agencies that have agreed to implement jointly a program of universal home visitation services under this section.

AB100-ASA1-AA37,17,6 (e) "Organization" means a county department, local health department, Indian tribe, private nonprofit agency, or local partnership.

AB100-ASA1-AA37,17,8 (f) "Private nonprofit agency" means a nonstock corporation organized under ch. 181 that is a nonprofit corporation, as defined in s. 181.0103 (17).

AB100-ASA1-AA37,17,20 (2) Awarding of grants. From the appropriation account under s. 20.435 (5) (ab), the department shall award grants to applying organizations for the provision of the home visitation services specified in sub. (3) (a). The department shall determine the amount of a grant awarded to an organization based on the number of first-time births in the community served by the organization. The department shall provide competitive application procedures for selecting organizations to receive grants under this subsection and shall establish a method for ranking applicants based on the quality of their applications. The department shall require a grant recipient to provide matching funds or in-kind contributions as determined by the department and shall ensure that a grant recipient does not use any grant moneys awarded to supplant any other moneys used by the grant recipient at the time of the awarding of the grant to provide home visitation services.

AB100-ASA1-AA37,18,7 (3) Purposes of grants. (a) Universal home visitation services. An organization that receives a grant under sub. (2) shall use the grant moneys awarded to provide a one-time visit to all first-time parents in the community served by the organization for the purposes of providing those parents with basic information regarding infant health and nutrition, the care, safety, and development of infants, and emergency services for infants; identifying the needs of those parents; and providing those parents with referrals to programs, services, and other resources that may meet those needs. An organization may visit a first-time parent only if the parent or, if the parent is a child, his or her parent, guardian, or legal custodian consents to the visit. No person who is required or permitted to report suspected or threatened abuse or neglect under s. 48.981 (2) may make or threaten to make such a report based on a refusal of a person to receive a home visit under this paragraph.

AB100-ASA1-AA37,18,13 (b) Start-up costs and capacity building. In the first year in which a grant under sub. (2) is awarded to an organization, the organization may use a portion of the grant to pay for start-up costs and capacity building related to the provision of home visitation services by the organization. The department shall determine the maximum amount of a grant that an organization may use to pay for those start-up costs and that capacity building.

AB100-ASA1-AA37,18,22 (4) Confidentiality. (a) Nondisclosure of information; exceptions. No person may use or disclose any information concerning an individual who is offered home visitation services under sub. (3) (a), including an individual who declines to receive those services, or concerning an individual who is provided with a referral under sub. (3) (a), including an individual who declines the referral, unless disclosure of the information is required or permitted under s. 48.981 (2), the use or disclosure of the information is connected to the administration of the program under this section, or the individual has given his or her written informed consent to the use or disclosure of the information.

AB100-ASA1-AA37,19,2 (b) Explanation of confidentiality requirements. An organization that receives a grant under sub. (2) shall provide or shall designate an individual or entity to provide an explanation of the confidentiality requirements under par. (a) to each individual who is offered home visitation services under sub. (3) (a) by the organization.

AB100-ASA1-AA37,19,12 (5) Notification of parent prior to making abuse or neglect report. If a person who is providing home visitation services under sub. (3) (a) determines that he or she is required or permitted to make a report under s. 48.981 (2) about a child in a family to which the person is providing those services, the person shall, prior to making the report under s. 48.981 (2), make a reasonable effort to notify the child's parent that a report under s. 48.981 (2) will be made and to encourage the parent to contact a county department under s. 46.22 or 46.23 or, in a county having a population of 500,000 or more, the department to request assistance. The notification requirements under this subsection do not affect the reporting requirements under s. 48.981 (2).

AB100-ASA1-AA37,19,16 (6) Informational materials. Any informational materials about the home visitation services provided under sub. (3) (a) that are distributed to a person who is offered or who is receiving those services shall state the sources of funding for the services.".

AB100-ASA1-AA37,19,17 37. Page 495, line 5: after that line insert:

AB100-ASA1-AA37,19,18 " Section 1120r. 49.45 (2) (a) 17. of the statutes is amended to read:

AB100-ASA1-AA37,19,23 49.45 (2) (a) 17. Notify the governor, the joint committee on legislative organization, the joint committee on finance, and appropriate standing committees, as determined by the presiding officer of each house, if the appropriation accounts under s. 20.435 (4) (b) and, (gp), (r), and (rg) are insufficient to provide the state share of medical assistance.

AB100-ASA1-AA37, s. 1120s Section 1120s. 49.45 (2) (a) 17. of the statutes, as affected by 2005 Wisconsin Act .... (this act), is amended to read:

AB100-ASA1-AA37,20,7 49.45 (2) (a) 17. Notify the governor, the joint committee on legislative organization, the joint committee on finance and appropriate standing committees, as determined by the presiding officer of each house, if the appropriation accounts under s. 20.435 (4) (b), (gp), and (r), and (rg) are insufficient to provide the state share of medical assistance.".

AB100-ASA1-AA37,20,8 38. Page 495, line 11: after that line insert:

AB100-ASA1-AA37,20,9 " Section 1124p. 49.45 (5m) (am) of the statutes is amended to read:

AB100-ASA1-AA37,20,17 49.45 (5m) (am) Notwithstanding sub. (3) (e), from the appropriation accounts under s. 20.435 (4) (b), (gp), (o), and (w) (rm), the department shall distribute not more than $2,256,000 in each fiscal year, to provide supplemental funds to rural hospitals that, as determined by the department, have high utilization of inpatient services by patients whose care is provided from governmental sources, and to provide supplemental funds to critical access hospitals, except that the department may not distribute funds to a rural hospital or to a critical access hospital to the extent that the distribution would exceed any limitation under 42 USC 1396b (i) (3).".

AB100-ASA1-AA37,20,18 39. Page 495, line 16: after that line insert:

AB100-ASA1-AA37,20,19 " Section 1125x. 49.45 (6m) (ag) (intro.) of the statutes is amended to read:

AB100-ASA1-AA37,21,2 49.45 (6m) (ag) (intro.) Payment for care provided in a facility under this subsection made under s. 20.435 (4) (b), (gp), (pa), (o), (r), (rg), (w), or (wm) shall, except as provided in pars. (bg), (bm), and (br), be determined according to a prospective payment system updated annually by the department. The payment system shall implement standards that are necessary and proper for providing patient care and that meet quality and safety standards established under subch. II of ch. 50 and ch. 150. The payment system shall reflect all of the following:

AB100-ASA1-AA37, s. 1125y Section 1125y. 49.45 (6m) (ag) (intro.) of the statutes is amended to read:

AB100-ASA1-AA37,21,10 49.45 (6m) (ag) (intro.) Payment for care provided in a facility under this subsection made under s. 20.435 (4) (b), (gp), (pa), (o), (r), (rg), (w), or (wm) shall, except as provided in pars. (bg), (bm), and (br), be determined according to a prospective payment system updated annually by the department. The payment system shall implement standards that are necessary and proper for providing patient care and that meet quality and safety standards established under subch. II of ch. 50 and ch. 150. The payment system shall reflect all of the following:".

AB100-ASA1-AA37,21,11 40. Page 496, line 14: after that line insert:

AB100-ASA1-AA37,21,13 " Section 1133g. 49.45 (6L) (b) of the statutes, as affected by 2005 Wisconsin Act .... (this act), is amended to read:

AB100-ASA1-AA37,21,19 49.45 (6L) (b) The department shall, each year, submit to the joint committee on finance a report for the previous fiscal year, except for the 1997-98 fiscal year, that provides information on the utilization of beds by recipients of medical assistance in facilities and a discussion and detailed projection of the likely balances, expenditures, encumbrances and carry over of currently appropriated amounts in the appropriation accounts under s. 20.435 (4) (b), (gp), (o), and (r), and (rg).

AB100-ASA1-AA37, s. 1133gd Section 1133gd. 49.45 (6ur) of the statutes is created to read:

AB100-ASA1-AA37,22,3 49.45 (6ur) Physician order entry record system; incentive payments. From the appropriation accounts under s. 20.435 (4) (b) and (o), the department shall annually make an incentive payment to each hospital that establishes, by January 1, 2009, and thereafter continues to maintain a physician order entry record system for provided medical services that, at a minimum, include pharmacy, laboratory, ultrasonography, and radiology services. The incentive payment shall equal 1% of the Medical Assistance reimbursement to the hospital for the previous fiscal year.

AB100-ASA1-AA37, s. 1133j Section 1133j. 49.45 (6v) of the statutes, as affected by 2005 Wisconsin Act .... (this act), is renumbered 49.45 (6L).".

AB100-ASA1-AA37, s. 1133k Section 1133k. 49.45 (6v) (b) of the statutes is amended to read:

AB100-ASA1-AA37,22,12 49.45 (6v) (b) The department shall, each year, submit to the joint committee on finance a report for the previous fiscal year, except for the 1997-98 fiscal year, that provides information on the utilization of beds by recipients of medical assistance in facilities and a discussion and detailed projection of the likely balances, expenditures, encumbrances, and carry over of currently appropriated amounts in the appropriation accounts under s. 20.435 (4) (b), (gp), and (o), (r), and (rg).".

AB100-ASA1-AA37,22,13 41. Page 496, line 17: delete lines 17 to 23 and substitute:

AB100-ASA1-AA37,22,14 " Section 1135dm. 49.45 (6x) (a) of the statutes is amended to read:

AB100-ASA1-AA37,22,20 49.45 (6x) (a) Notwithstanding sub. (3) (e), from the appropriation accounts under s. 20.435 (4) (b), (gp), (o), and (w) (rm), the department shall distribute not more than $4,748,000 $6,248,000 in each fiscal year, to provide funds to an essential access city hospital hospitals, except that the department may not allocate funds to an essential access city hospital to the extent that the allocation would exceed any limitation under 42 USC 1396b (i) (3).".

AB100-ASA1-AA37,22,21 42. Page 497, line 9: after that line insert:

AB100-ASA1-AA37,22,22 " Section 1135p. 49.45 (6y) (a) of the statutes is amended to read:

AB100-ASA1-AA37,23,8 49.45 (6y) (a) Notwithstanding sub. (3) (e), from the appropriation accounts under s. 20.435 (4) (b), (gp), (o), (r), (rg), and (w), the department shall distribute funding in each fiscal year to provide supplemental payment to hospitals that enter into a contract under s. 49.02 (2) to provide health care services funded by a relief block grant, as determined by the department, for hospital services that are not in excess of the hospitals' customary charges for the services, as limited under 42 USC 1396b (i) (3). If no relief block grant is awarded under this chapter or if the allocation of funds to such hospitals would exceed any limitation under 42 USC 1396b (i) (3), the department may distribute funds to hospitals that have not entered into a contract under s. 49.02 (2).

AB100-ASA1-AA37, s. 1135q Section 1135q. 49.45 (6y) (a) of the statutes, as affected by 2005 Wisconsin Act .... (this act), is amended to read:

AB100-ASA1-AA37,23,20 49.45 (6y) (a) Notwithstanding sub. (3) (e), from the appropriation accounts under s. 20.435 (4) (b), (gp), (o), (r), (rg), and (w), the department shall distribute funding in each fiscal year to provide supplemental payment to hospitals that enter into a contract under s. 49.02 (2) to provide health care services funded by a relief block grant, as determined by the department, for hospital services that are not in excess of the hospitals' customary charges for the services, as limited under 42 USC 1396b (i) (3). If no relief block grant is awarded under this chapter or if the allocation of funds to such hospitals would exceed any limitation under 42 USC 1396b (i) (3), the department may distribute funds to hospitals that have not entered into a contract under s. 49.02 (2).

AB100-ASA1-AA37, s. 1135r Section 1135r. 49.45 (6y) (am) of the statutes is amended to read:

AB100-ASA1-AA37,24,3 49.45 (6y) (am) Notwithstanding sub. (3) (e), from the appropriation accounts under s. 20.435 (4) (b), (h), (gp), (o), (r), (rg), and (w), the department shall distribute funding in each fiscal year to provide supplemental payments to hospitals that enter into contracts under s. 49.02 (2) with a county having a population of 500,000 or more to provide health care services funded by a relief block grant, as determined by the department, for hospital services that are not in excess of the hospitals' customary charges for the services, as limited under 42 USC 1396b (i) (3).

AB100-ASA1-AA37, s. 1135s Section 1135s. 49.45 (6y) (am) of the statutes, as affected by 2005 Wisconsin Act .... (this act), is amended to read:

AB100-ASA1-AA37,24,12 49.45 (6y) (am) Notwithstanding sub. (3) (e), from the appropriation accounts under s. 20.435 (4) (b), (h), (gp), (o), (r), (rg), and (w), the department shall distribute funding in each fiscal year to provide supplemental payments to hospitals that enter into contracts under s. 49.02 (2) with a county having a population of 500,000 or more to provide health care services funded by a relief block grant, as determined by the department, for hospital services that are not in excess of the hospitals' customary charges for the services, as limited under 42 USC 1396b (i) (3).

AB100-ASA1-AA37, s. 1135t Section 1135t. 49.45 (6z) (a) (intro.) of the statutes is amended to read:

AB100-ASA1-AA37,24,24 49.45 (6z) (a) (intro.) Notwithstanding sub. (3) (e), from the appropriation accounts under s. 20.435 (4) (b), (gp), (o), (r), (rg), and (w), the department shall distribute funding in each fiscal year to supplement payment for services to hospitals that enter into a contract under s. 49.02 (2) to provide health care services funded by a relief block grant under this chapter, if the department determines that the hospitals serve a disproportionate number of low-income patients with special needs. If no medical relief block grant under this chapter is awarded or if the allocation of funds to such hospitals would exceed any limitation under 42 USC 1396b (i) (3), the department may distribute funds to hospitals that have not entered into a contract under s. 49.02 (2). The department may not distribute funds under this subsection to the extent that the distribution would do any of the following:

AB100-ASA1-AA37, s. 1135u Section 1135u. 49.45 (6z) (a) (intro.) of the statutes, as affected by 2005 Wisconsin Act .... (this act), is amended to read:

AB100-ASA1-AA37,25,13 49.45 (6z) (a) (intro.) Notwithstanding sub. (3) (e), from the appropriation accounts under s. 20.435 (4) (b), (gp), (o), (r), (rg), and (w), the department shall distribute funding in each fiscal year to supplement payment for services to hospitals that enter into a contract under s. 49.02 (2) to provide health care services funded by a relief block grant under this chapter, if the department determines that the hospitals serve a disproportionate number of low-income patients with special needs. If no medical relief block grant under this chapter is awarded or if the allocation of funds to such hospitals would exceed any limitation under 42 USC 1396b (i) (3), the department may distribute funds to hospitals that have not entered into a contract under s. 49.02 (2). The department may not distribute funds under this subsection to the extent that the distribution would do any of the following:

AB100-ASA1-AA37, s. 1136h Section 1136h. 49.45 (8) (b) of the statutes is amended to read:

AB100-ASA1-AA37,25,19 49.45 (8) (b) Reimbursement under s. 20.435 (4) (b), (gp), (o), (r), (rg), and (w) for home health services provided by a certified home health agency or independent nurse shall be made at the home health agency's or nurse's usual and customary fee per patient care visit, subject to a maximum allowable fee per patient care visit that is established under par. (c).

AB100-ASA1-AA37, s. 1136i Section 1136i. 49.45 (8) (b) of the statutes, as affected by 2005 Wisconsin Act .... (this act), is amended to read:

AB100-ASA1-AA37,26,2 49.45 (8) (b) Reimbursement under s. 20.435 (4) (b), (gp), (o), (r), (rg), and (w) for home health services provided by a certified home health agency or independent nurse shall be made at the home health agency's or nurse's usual and customary fee per patient care visit, subject to a maximum allowable fee per patient care visit that is established under par. (c).".

AB100-ASA1-AA37,26,3 43. Page 497, line 12: after that line insert:

AB100-ASA1-AA37,26,4 " Section 1145h. 49.45 (24m) (intro.) of the statutes is amended to read:

AB100-ASA1-AA37,26,9 49.45 (24m) Home health care and personal care pilot program. (intro.) From the appropriation accounts under s. 20.435 (4) (b), (gp), (o), (r), (rg), and (w), in order to test the feasibility of instituting a system of reimbursement for providers of home health care and personal care services for medical assistance recipients that is based on competitive bidding, the department shall:

AB100-ASA1-AA37, s. 1145i Section 1145i. 49.45 (24m) (intro.) of the statutes, as affected by 2005 Wisconsin Act .... (this act), is amended to read:

AB100-ASA1-AA37,26,16 49.45 (24m) Home health care and personal care pilot program. (intro.) From the appropriation accounts under s. 20.435 (4) (b), (gp), (o), (r), (rg), and (w), in order to test the feasibility of instituting a system of reimbursement for providers of home health care and personal care services for medical assistance recipients that is based on competitive bidding, the department shall:".

AB100-ASA1-AA37,26,17 44. Page 497, line 13: delete lines 13 to 17.

AB100-ASA1-AA37,26,18 45. Page 500, line 22: after that line insert:

AB100-ASA1-AA37,26,19 " Section 1157c. 49.46 (2) (b) 19. of the statutes is created to read:

AB100-ASA1-AA37,26,21 49.46 (2) (b) 19. The cost of one wig for each recipient who has experienced hair loss as a result of chemotherapy for treatment of cancer.".

AB100-ASA1-AA37,26,23 46. Page 500, line 23: delete the material beginning with that line and ending with page 501, line 3.

AB100-ASA1-AA37,26,24 47. Page 501, line 13: after that line insert:

AB100-ASA1-AA37,27,1 " Section 1160h. 49.472 (6) (a) of the statutes is amended to read:

AB100-ASA1-AA37,27,7 49.472 (6) (a) Notwithstanding sub. (4) (a) 3., from the appropriation account under s. 20.435 (4) (b), (gp), (r), (rg), or (w), the department shall, on the part of an individual who is eligible for medical assistance under sub. (3), pay premiums for or purchase individual coverage offered by the individual's employer if the department determines that paying the premiums for or purchasing the coverage will not be more costly than providing medical assistance.

AB100-ASA1-AA37, s. 1160i Section 1160i. 49.472 (6) (a) of the statutes, as affected by 2005 Wisconsin Act .... (this act), is amended to read:

AB100-ASA1-AA37,27,15 49.472 (6) (a) Notwithstanding sub. (4) (a) 3., from the appropriation account under s. 20.435 (4) (b), (gp), (r), (rg), or (w), the department shall, on the part of an individual who is eligible for medical assistance under sub. (3), pay premiums for or purchase individual coverage offered by the individual's employer if the department determines that paying the premiums for or purchasing the coverage will not be more costly than providing medical assistance.

AB100-ASA1-AA37, s. 1160m Section 1160m. 49.472 (6) (b) of the statutes is amended to read:

AB100-ASA1-AA37,27,20 49.472 (6) (b) If federal financial participation is available, from the appropriation account under s. 20.435 (4) (b), (gp), (r), (rg), or (w), the department may pay medicare Medicare Part A and Part B premiums for individuals who are eligible for medicare Medicare and for medical assistance under sub. (3).

AB100-ASA1-AA37, s. 1160n Section 1160n. 49.472 (6) (b) of the statutes, as affected by 2005 Wisconsin Act .... (this act), is amended to read:

AB100-ASA1-AA37,28,2 49.472 (6) (b) If federal financial participation is available, from the appropriation account under s. 20.435 (4) (b), (gp), (r), (rg), or (w), the department may pay Medicare Part A and Part B premiums for individuals who are eligible for Medicare and for medical assistance under sub. (3).

AB100-ASA1-AA37, s. 1160p Section 1160p. 49.473 (5) of the statutes is amended to read:

AB100-ASA1-AA37,28,8 49.473 (5) The department shall audit and pay, from the appropriation accounts under s. 20.435 (4) (b), (gp), and (o), (r), and (rg) allowable charges to a provider who is certified under s. 49.45 (2) (a) 11. for medical assistance Medical Assistance on behalf of a woman who meets the requirements under sub. (2) for all benefits and services specified under s. 49.46 (2).

AB100-ASA1-AA37, s. 1160q Section 1160q. 49.473 (5) of the statutes, as affected by 2005 Wisconsin Act .... (this act), is amended to read:

AB100-ASA1-AA37,28,15 49.473 (5) The department shall audit and pay, from the appropriation accounts under s. 20.435 (4) (b), (gp), (o), and (r), and (rg) allowable charges to a provider who is certified under s. 49.45 (2) (a) 11. for medical assistance on behalf of a woman who meets the requirements under sub. (2) for all benefits and services specified under s. 49.46 (2).".

AB100-ASA1-AA37,28,16 48. Page 782, line 8: after that line insert:

AB100-ASA1-AA37,28,17 " Section 1936j. 139.02 (1) of the statutes is amended to read:

AB100-ASA1-AA37,28,22 139.02 (1) Tax imposed; rate; limitation. An occupational excise tax is imposed upon the removal for consumption or sale or selling of fermented malt beverages at the rate of $2 per barrel of 31 gallons and at a proportionate rate for any other quantity or fractional parts thereof. Not more than one occupational excise tax shall be required to be paid on any one container of fermented malt beverages.

AB100-ASA1-AA37, s. 1936k Section 1936k. 139.03 (intro.) of the statutes is amended to read:

AB100-ASA1-AA37,29,2 139.03 Liquor tax. (intro.) An occupational excise tax is imposed upon the selling of intoxicating liquor as follows:

AB100-ASA1-AA37, s. 1936L Section 1936L. 139.03 (3) of the statutes is amended to read:

AB100-ASA1-AA37,29,5 139.03 (3) Not more than one occupational excise tax shall be required to be paid on any one container of intoxicating liquor.

AB100-ASA1-AA37, s. 1936m Section 1936m. 139.05 (2) of the statutes is amended to read:

AB100-ASA1-AA37,29,13 139.05 (2) Each brewer and bottler in this state and each wholesaler of malt beverages within this state to whom malt beverages are shipped from outside this state shall on or before the fifteenth day of each month file with the secretary on forms prescribed by the secretary a verified return containing such information as may be required to compute and show the amount of occupational excise tax payable by the brewer, bottler or wholesaler or by the shipper for the next preceding calendar month on malt beverages.

AB100-ASA1-AA37, s. 1936n Section 1936n. 139.05 (3) of the statutes is amended to read:

AB100-ASA1-AA37,29,16 139.05 (3) The amount of the occupational excise tax disclosed by the return shall accompany the return and shall be paid to the department.".

AB100-ASA1-AA37,29,17 49. Page 782, line 16: after that line insert: