Amendment AA37-ASA1-AB100

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:

AB100-ASA1-AA37,29,18 " Section 1947h. 139.09 of the statutes is amended to read:

AB100-ASA1-AA37,29,22 139.09 Registration. Every brewer, bottler, manufacturer, rectifier, wholesaler or retailer liable for payment of the occupational excise tax imposed in ss. 139.01 to 139.25 shall hold a valid certificate under s. 73.03 (50). The secretary shall assign the person a registration number.".

AB100-ASA1-AA37,29,23 50. Page 799, line 13: after that line insert:

AB100-ASA1-AA37,29,24 " Section 2030g. 146.65 (1) (b) of the statutes is amended to read:

AB100-ASA1-AA37,30,4 146.65 (1) (b) In each fiscal year, not more than $355,600 $500,000, to the rural health dental clinic located in Menomonie that provides dental services to persons who are developmentally disabled or elderly or who have low income, in the counties of Barron, Chippewa, Dunn, Pepin, Pierce, Polk, and St. Croix.".

AB100-ASA1-AA37,30,5 51. Page 812, line 22: after that line insert:

AB100-ASA1-AA37,30,6 " Section 2066k. 153.01 (2) of the statutes is amended to read:

AB100-ASA1-AA37,30,8 153.01 (2) "Board" means the health care quality and patient safety board on health care information.".

AB100-ASA1-AA37,30,9 52. Page 813, line 5: delete lines 5 to 19 and substitute:

AB100-ASA1-AA37,30,10 " Section 2068j. 153.07 (5) of the statutes is created to read:

AB100-ASA1-AA37,30,13 153.07 (5) By January 1, 2006, and at least annually thereafter, the board shall report to the governor on the plans, activities, accomplishments, and recommendations of the board.

AB100-ASA1-AA37, s. 2068m Section 2068m. 153.07 (6) of the statutes is created to read:

AB100-ASA1-AA37,30,17 153.07 (6) The board shall annually assess the extent to which automated information and decision support systems are used by health care providers in this state.

AB100-ASA1-AA37, s. 2068p Section 2068p. 153.07 (7) of the statutes is created to read:

AB100-ASA1-AA37,30,21 153.07 (7) The board shall annually assess options and develop a plan and specific strategies to achieve automation of all health care systems in the state by 2010 or as soon as practicable.

AB100-ASA1-AA37, s. 2068r Section 2068r. 153.07 (8) of the statutes is created to read:

AB100-ASA1-AA37,30,24 153.07 (8) The board shall administer the health care quality improvement fund.

AB100-ASA1-AA37, s. 2068t Section 2068t. 153.07 (9) of the statutes is created to read:

AB100-ASA1-AA37,31,3 153.07 (9) The board may accept gifts, grants, bequests, and devises to be used in the execution of its functions.

AB100-ASA1-AA37, s. 2068v Section 2068v. 153.076 of the statutes is created to read:

AB100-ASA1-AA37,31,5 153.076 Grants and loans. (1) In this section:

AB100-ASA1-AA37,31,8 (a) "Clinic" means a place, other than a residence, that is used primarily for the provision of nursing, medical, podiatric, dental, chiropractic, or optometric care and treatment.

AB100-ASA1-AA37,31,9 (b) "Health maintenance organization" has the meaning given in s. 609.01 (2).

AB100-ASA1-AA37,31,10 (c) "Hospital" has the meaning given in s. 50.33 (2).

AB100-ASA1-AA37,31,11 (d) "Physician" has the meaning given in s. 448.01 (5).

AB100-ASA1-AA37,31,15 (2) (a) From the appropriation under s. 20.505 (4) (qb), the board may make grants or loans, under procedures and criteria determined by the board, to clinics, health maintenance organizations, or other health care systems, hospitals, or physicians for any of the following projects:

AB100-ASA1-AA37,31,18 1. Installation of computer-assisted physician order entry, electronic medical records, or other information system infrastructure, including clinical decision support systems, to improve the quality, safety, and efficiency of patient care.

AB100-ASA1-AA37,31,22 2. Development of health information exchanges, integrated health care data repositories, and interoperable systems to facilitate the reporting of quality, safety, and efficiency information for purposes of health care system improvement or related purposes by informing consumers and health care purchasers.

AB100-ASA1-AA37,31,24 3. Demonstration, through pilot projects, of rapid cycle improvement in quality, safety, and efficiency of care.

AB100-ASA1-AA37,32,2 4. Facilitation of group purchases of medical technology systems by assisting health care providers in forming collaborative agreements for technology.

AB100-ASA1-AA37,32,4 (b) Repayment of any loans made under par. (a) shall be deposited into the health care quality improvement fund.".