AB100-ASA1-AA37,9,75
20.505
(4) (i)
Health care quality and patient safety board; gifts and grants. All
6money received from gifts, grants, bequests, and devises to the health care quality
7and patient safety board, for the purposes for which made.".
AB100-ASA1-AA37,9,1310
20.505
(4) (q)
Health care quality and patient safety board; general program
11operations. Biennially, from the health care quality improvement fund, the amounts
12in the schedule for general program operations of the health care quality and patient
13safety board.
AB100-ASA1-AA37,9,1715
20.505
(4) (qb)
Health care quality and patient safety board; grants or loans. 16As a continuing appropriation, from the health care quality improvement fund, the
17amounts in the schedule for grants or loans under s. 153.076.".
AB100-ASA1-AA37,9,2020
25.17
(1) (gd) Health care quality improvement fund (s. 25.775);".
AB100-ASA1-AA37,10,3
125.775 Health care quality improvement fund. There is created a
2separate nonlapsible trust fund designated as the health care quality improvement
3fund, consisting of all of the following:
AB100-ASA1-AA37,10,5
4(1) All moneys transferred to the fund from the general fund under 2005
5Wisconsin Act .... (this act), section 9221 (5f).
AB100-ASA1-AA37,10,6
6(2) In each fiscal year, $250,000 of the assessments paid under s. 153.60.
AB100-ASA1-AA37,10,7
7(3) Repayment of any loans made under s. 153.076 (2).".
AB100-ASA1-AA37,10,1810
46.27
(9) (a) The department may select up to 5 counties that volunteer to
11participate in a pilot project under which they will receive certain funds allocated for
12long-term care. The department shall allocate a level of funds to these counties
13equal to the amount that would otherwise be paid under s. 20.435 (4) (b), (gp),
(r), (rg), 14or (w) to nursing homes for providing care because of increased utilization of nursing
15home services, as estimated by the department. In estimating these levels, the
16department shall exclude any increased utilization of services provided by state
17centers for the developmentally disabled. The department shall calculate these
18amounts on a calendar year basis under sub. (10).
AB100-ASA1-AA37, s. 857i
19Section 857i. 46.27 (9) (a) of the statutes, as affected by 2005 Wisconsin Act
20.... (this act), is amended to read:
AB100-ASA1-AA37,11,521
46.27
(9) (a) The department may select up to 5 counties that volunteer to
22participate in a pilot project under which they will receive certain funds allocated for
23long-term care. The department shall allocate a level of funds to these counties
24equal to the amount that would otherwise be paid under s. 20.435 (4) (b), (gp), (r),
(rg),
1or (w) to nursing homes for providing care because of increased utilization of nursing
2home services, as estimated by the department. In estimating these levels, the
3department shall exclude any increased utilization of services provided by state
4centers for the developmentally disabled. The department shall calculate these
5amounts on a calendar year basis under sub. (10).
AB100-ASA1-AA37,11,127
46.27
(10) (a) 1. The department shall determine for each county participating
8in the pilot project under sub. (9) a funding level of state medical assistance
9expenditures to be received by the county. This level shall equal the amount that the
10department determines would otherwise be paid under s. 20.435 (4) (b), (gp),
(r), (rg), 11or (w) because of increased utilization of nursing home services, as estimated by the
12department.
AB100-ASA1-AA37, s. 857n
13Section 857n. 46.27 (10) (a) 1. of the statutes, as affected by 2005 Wisconsin
14Act .... (this act), is amended to read:
AB100-ASA1-AA37,11,2015
46.27
(10) (a) 1. The department shall determine for each county participating
16in the pilot project under sub. (9) a funding level of state medical assistance
17expenditures to be received by the county. This level shall equal the amount that the
18department determines would otherwise be paid under s. 20.435 (4) (b), (gp), (r),
(rg), 19or (w) because of increased utilization of nursing home services, as estimated by the
20department.".
AB100-ASA1-AA37,12,423
46.275
(5) (a) Medical Assistance reimbursement for services a county, or the
24department under sub. (3r), provides under this program is available from the
1appropriation accounts under s. 20.435 (4) (b), (gp), (o),
(r), (rg), and (w). If 2 or more
2counties jointly contract to provide services under this program and the department
3approves the contract, Medical Assistance reimbursement is also available for
4services provided jointly by these counties.
AB100-ASA1-AA37,12,6
5"
Section 862y. 46.275 (5) (a) of the statutes, as affected by 2005 Wisconsin Act
6.... (this act), is amended to read:
AB100-ASA1-AA37,12,127
46.275
(5) (a) Medical Assistance reimbursement for services a county, or the
8department under sub. (3r), provides under this program is available from the
9appropriation accounts under s. 20.435 (4) (b), (gp), (o), (r),
(rg), and (w). If 2 or more
10counties jointly contract to provide services under this program and the department
11approves the contract, Medical Assistance reimbursement is also available for
12services provided jointly by these counties.".
AB100-ASA1-AA37,12,2115
46.275
(5) (c) The total allocation under s. 20.435 (4) (b), (gp), (o),
(r), (rg), and
16(w) to counties and to the department under sub. (3r) for services provided under this
17section may not exceed the amount approved by the federal department of health and
18human services. A county may use funds received under this section only to provide
19services to persons who meet the requirements under sub. (4) and may not use
20unexpended funds received under this section to serve other developmentally
21disabled persons residing in the county.
AB100-ASA1-AA37, s. 865q
22Section 865q. 46.275 (5) (c) of the statutes, as affected by 2005 Wisconsin Act
23.... (this act), is amended to read:
AB100-ASA1-AA37,13,7
146.275
(5) (c) The total allocation under s. 20.435 (4) (b), (gp), (o), (r),
(rg), and
2(w) to counties and to the department under sub. (3r) for services provided under this
3section may not exceed the amount approved by the federal department of health and
4human services. A county may use funds received under this section only to provide
5services to persons who meet the requirements under sub. (4) and may not use
6unexpended funds received under this section to serve other developmentally
7disabled persons residing in the county.".
AB100-ASA1-AA37,13,1712
46.278
(6) (d) If a county makes available nonfederal funds equal to the state
13share of service costs under a waiver received under sub. (3), the department may,
14from the appropriation under s. 20.435 (4) (o), provide reimbursement for services
15that the county provides under this section to persons who are in addition to those
16who may be served under this section with funds from the appropriation under s.
1720.435 (4) (b)
, (r), (rg), or (w).
AB100-ASA1-AA37, s. 870h
18Section 870h. 46.278 (6) (d) of the statutes, as affected by 2005 Wisconsin Act
19.... (this act), is amended to read:
AB100-ASA1-AA37,14,220
46.278
(6) (d) If a county makes available nonfederal funds equal to the state
21share of service costs under a waiver received under sub. (3), the department may,
22from the appropriation under s. 20.435 (4) (o), provide reimbursement for services
23that the county provides under this section to persons who are in addition to those
1who may be served under this section with funds from the appropriation under s.
220.435 (4) (b), (r),
(rg), or (w).".
AB100-ASA1-AA37,14,95
46.283
(5) Funding. From the appropriation accounts under s. 20.435 (4) (b),
6(bm), (gp), (pa),
(r), (rg), and (w) and (7) (b), (bd), and (md), the department may
7contract with organizations that meet standards under sub. (3) for performance of
8the duties under sub. (4) and shall distribute funds for services provided by resource
9centers.
AB100-ASA1-AA37, s. 873t
10Section 873t. 46.283 (5) of the statutes, as affected by 2005 Wisconsin Act ....
11(this act), is amended to read:
AB100-ASA1-AA37,14,1612
46.283
(5) Funding. From the appropriation accounts under s. 20.435 (4) (b),
13(bm), (gp), (pa), (r),
(rg), and (w) and (7) (b), (bd), and (md), the department may
14contract with organizations that meet standards under sub. (3) for performance of
15the duties under sub. (4) and shall distribute funds for services provided by resource
16centers.
AB100-ASA1-AA37,14,2418
46.284
(5) (a) From the appropriation accounts under s. 20.435 (4) (b), (g), (gp),
19(im), (o),
(r), (rg), and (w) and (7) (b) and (bd), the department shall provide funding
20on a capitated payment basis for the provision of services under this section.
21Notwithstanding s. 46.036 (3) and (5m), a care management organization that is
22under contract with the department may expend the funds, consistent with this
23section, including providing payment, on a capitated basis, to providers of services
24under the family care benefit.
AB100-ASA1-AA37, s. 873v
1Section 873v. 46.284 (5) (a) of the statutes, as affected by 2005 Wisconsin Act
2.... (this act), is amended to read:
AB100-ASA1-AA37,15,93
46.284
(5) (a) From the appropriation accounts under s. 20.435 (4) (b), (g), (gp),
4(im), (o), (r),
(rg), and (w) and (7) (b) and (bd), the department shall provide funding
5on a capitated payment basis for the provision of services under this section.
6Notwithstanding s. 46.036 (3) and (5m), a care management organization that is
7under contract with the department may expend the funds, consistent with this
8section, including providing payment, on a capitated basis, to providers of services
9under the family care benefit.".
AB100-ASA1-AA37,15,15
14"
Section 890g. 46.515 (2) of the statutes, as affected by 2005 Wisconsin Act
15.... (this act), is amended to read:
AB100-ASA1-AA37,16,816
46.515
(2) Funds provided. If a county or Indian tribe applies and is selected
17by the department under sub. (5) to participate in the program under this section,
18the department shall award, from the appropriation under s. 20.435 (5) (ab), a grant
19annually to be used only for the purposes specified in sub. (4) (a) and (am). The
20minimum amount of a grant is $10,000. The department shall determine the amount
21of a grant awarded to a county
, other than a county with a population of 500,000 or
22more, or Indian tribe in excess of the minimum amount based on the number of births
23that are funded by medical assistance under subch. IV of ch. 49 in that county or the
24reservation of that Indian tribe
in proportion to the number of births that are funded
1by medical assistance under subch. IV of ch. 49 in all of the counties and the
2reservations of all of the Indian tribes to which grants are awarded under this
3section. The department shall determine the amount of a grant awarded to a county
4with a population of 500,000 or more in excess of the minimum amount based on 60%
5of the number of births that are funded by medical assistance under subch. IV of ch.
649 in that county in proportion to the number of births that are funded by medical
7assistance under subch. IV of ch. 49 in all of the counties and the reservations of all
8of the Indian tribes to which grants are awarded under this section.
AB100-ASA1-AA37,16,1713
46.515
(3) Joint application permitted. Two or more counties and Indian tribes
14may submit a joint application to the department.
Each county or Indian tribe in a
15joint application shall be counted as a separate county or Indian tribe for the purpose
16of limiting the number of counties and Indian tribes selected in each state fiscal
17biennium.
AB100-ASA1-AA37,16,20
1946.516 Universal home visitation services. (1) Definitions. In this
20section:
AB100-ASA1-AA37,16,2221
(a) "County department" means a county department of human services or
22social services under s. 46.215, 46.22, or 46.23.
AB100-ASA1-AA37,16,2423
(b) "Indian tribe" means a federally recognized American Indian tribe or band
24in this state.
AB100-ASA1-AA37,16,2525
(c) "Local health department" has the meaning given in s. 250.01 (4).
AB100-ASA1-AA37,17,4
1(d) "Local partnership" means any combination of 2 or more county
2departments, local health departments, Indian tribes, and private nonprofit
3agencies that have agreed to implement jointly a program of universal home
4visitation services under this section.
AB100-ASA1-AA37,17,65
(e) "Organization" means a county department, local health department,
6Indian tribe, private nonprofit agency, or local partnership.
AB100-ASA1-AA37,17,87
(f) "Private nonprofit agency" means a nonstock corporation organized under
8ch. 181 that is a nonprofit corporation, as defined in s. 181.0103 (17).
AB100-ASA1-AA37,17,20
9(2) Awarding of grants. From the appropriation account under s. 20.435 (5)
10(ab), the department shall award grants to applying organizations for the provision
11of the home visitation services specified in sub. (3) (a). The department shall
12determine the amount of a grant awarded to an organization based on the number
13of first-time births in the community served by the organization. The department
14shall provide competitive application procedures for selecting organizations to
15receive grants under this subsection and shall establish a method for ranking
16applicants based on the quality of their applications. The department shall require
17a grant recipient to provide matching funds or in-kind contributions as determined
18by the department and shall ensure that a grant recipient does not use any grant
19moneys awarded to supplant any other moneys used by the grant recipient at the
20time of the awarding of the grant to provide home visitation services.
AB100-ASA1-AA37,18,7
21(3) Purposes of grants. (a)
Universal home visitation services. An
22organization that receives a grant under sub. (2) shall use the grant moneys awarded
23to provide a one-time visit to all first-time parents in the community served by the
24organization for the purposes of providing those parents with basic information
25regarding infant health and nutrition, the care, safety, and development of infants,
1and emergency services for infants; identifying the needs of those parents; and
2providing those parents with referrals to programs, services, and other resources
3that may meet those needs. An organization may visit a first-time parent only if the
4parent or, if the parent is a child, his or her parent, guardian, or legal custodian
5consents to the visit. No person who is required or permitted to report suspected or
6threatened abuse or neglect under s. 48.981 (2) may make or threaten to make such
7a report based on a refusal of a person to receive a home visit under this paragraph.
AB100-ASA1-AA37,18,138
(b)
Start-up costs and capacity building. In the first year in which a grant
9under sub. (2) is awarded to an organization, the organization may use a portion of
10the grant to pay for start-up costs and capacity building related to the provision of
11home visitation services by the organization. The department shall determine the
12maximum amount of a grant that an organization may use to pay for those start-up
13costs and that capacity building.
AB100-ASA1-AA37,18,22
14(4) Confidentiality. (a)
Nondisclosure of information; exceptions. No person
15may use or disclose any information concerning an individual who is offered home
16visitation services under sub. (3) (a), including an individual who declines to receive
17those services, or concerning an individual who is provided with a referral under sub.
18(3) (a), including an individual who declines the referral, unless disclosure of the
19information is required or permitted under s. 48.981 (2), the use or disclosure of the
20information is connected to the administration of the program under this section, or
21the individual has given his or her written informed consent to the use or disclosure
22of the information.
AB100-ASA1-AA37,19,223
(b)
Explanation of confidentiality requirements. An organization that receives
24a grant under sub. (2) shall provide or shall designate an individual or entity to
25provide an explanation of the confidentiality requirements under par. (a) to each
1individual who is offered home visitation services under sub. (3) (a) by the
2organization.
AB100-ASA1-AA37,19,12
3(5) Notification of parent prior to making abuse or neglect report. If a
4person who is providing home visitation services under sub. (3) (a) determines that
5he or she is required or permitted to make a report under s. 48.981 (2) about a child
6in a family to which the person is providing those services, the person shall, prior to
7making the report under s. 48.981 (2), make a reasonable effort to notify the child's
8parent that a report under s. 48.981 (2) will be made and to encourage the parent to
9contact a county department under s. 46.22 or 46.23 or, in a county having a
10population of 500,000 or more, the department to request assistance. The
11notification requirements under this subsection do not affect the reporting
12requirements under s. 48.981 (2).
AB100-ASA1-AA37,19,16
13(6) Informational materials. Any informational materials about the home
14visitation services provided under sub. (3) (a) that are distributed to a person who
15is offered or who is receiving those services shall state the sources of funding for the
16services.".
AB100-ASA1-AA37,19,2319
49.45
(2) (a) 17. Notify the governor, the joint committee on legislative
20organization, the joint committee on finance
, and appropriate standing committees,
21as determined by the presiding officer of each house, if the appropriation accounts
22under s. 20.435 (4) (b)
and, (gp)
, (r), and (rg) are insufficient to provide the state share
23of medical assistance.
AB100-ASA1-AA37, s. 1120s
1Section 1120s. 49.45 (2) (a) 17. of the statutes, as affected by 2005 Wisconsin
2Act .... (this act), is amended to read:
AB100-ASA1-AA37,20,73
49.45
(2) (a) 17. Notify the governor, the joint committee on legislative
4organization, the joint committee on finance and appropriate standing committees,
5as determined by the presiding officer of each house, if the appropriation accounts
6under s. 20.435 (4) (b), (gp),
and (r)
, and (rg) are insufficient to provide the state share
7of medical assistance.".
AB100-ASA1-AA37,20,1710
49.45
(5m) (am) Notwithstanding sub. (3) (e), from the appropriation accounts
11under s. 20.435 (4)
(b), (gp), (o)
, and
(w) (rm), the department shall distribute not
12more than $2,256,000 in each fiscal year, to provide supplemental funds to rural
13hospitals that, as determined by the department, have high utilization of inpatient
14services by patients whose care is provided from governmental sources, and to
15provide supplemental funds to critical access hospitals, except that the department
16may not distribute funds to a rural hospital or to a critical access hospital to the
17extent that the distribution would exceed any limitation under
42 USC 1396b (i) (3).".
AB100-ASA1-AA37,21,220
49.45
(6m) (ag) (intro.) Payment for care provided in a facility under this
21subsection made under s. 20.435 (4) (b), (gp), (pa), (o),
(r), (rg), (w), or (wm) shall,
22except as provided in pars. (bg), (bm), and (br), be determined according to a
23prospective payment system updated annually by the department. The payment
24system shall implement standards that are necessary and proper for providing
1patient care and that meet quality and safety standards established under subch. II
2of ch. 50 and ch. 150. The payment system shall reflect all of the following:
