SECTION 5. 149.143 (1) (bm) 2. of the statutes is amended to read:
149.143 (1) (bm) 2. Fifty percent from adjustments to provider payment rates, subject to s. 149.142 (1) (b) and excluding adjustments to those rates under s. 149.144.
SECTION 6. 149.143 (2) (a) 2. of the statutes is amended to read:
149.143 (2) (a) 2. After making the determinations under subd. 1., by rule set premium rates for the new plan year, including the rates under s. 149.146 (2) (b), in the manner specified in sub. (1) (am) 1. and 3. and such that a rate for coverage under s. 149.14 (2) (a) is approved by the board and is not less than 140% nor more than 200% of the rate that a standard risk would be charged under an individual policy providing substantially the same coverage and deductibles as are provided under the plan.
SECTION 7. 149.143 (2) (a) 3. of the statutes is amended to read:
149.143 (2) (a) 3. By rule set Set the total insurer assessments under s. 149.13 for the new plan year by estimating and setting the assessments at the amount necessary to equal the amounts specified in sub. (1) (am) 4. and (bm) 1. and notify the commissioner of the amount.
SECTION 8. 149.143 (2) (a) 4. of the statutes is amended to read:
149.143 (2) (a) 4. By the same rule as under subd. 3. adjust Adjust the provider payment rate for the new plan year, subject to s. 149.142 (1) (b), by estimating and setting the rate at the level necessary to equal the amounts specified in sub. (1) (am) 4. and (bm) 2. and as provided in s. 149.145.
SECTION 9. 149.143 (2) (a) 4. of the statutes, as affected by 2005 Wisconsin Act .... (this act), is amended to read:
149.143 (2) (a) 4. Adjust the provider payment rate for the new plan year, subject to s. 149.142 (1) (b), by estimating and setting the rate at the level necessary to equal the amounts specified in sub. (1) (am) 4. and (bm) 2. and as provided in s. 149.145.
****NOTE: This is reconciled s. 149.143 (2) (a) 4. This SECTION has been affected by drafts with the following LRB numbers: -0268 and -0578.
SECTION 10. 149.143 (3) (a) of the statutes is amended to read:
149.143 (3) (a) If, during a plan year, the department determines that the amounts estimated to be received as a result of the rates and amount set under sub. (2) (a) 2. to 4. and any adjustments in insurer assessments and the provider payment rate under s. 149.144 will not be sufficient to cover plan costs, the department may by rule increase the premium rates set under sub. (2) (a) 2. for the remainder of the plan year, subject to s. 149.146 (2) (b) and the maximum specified in sub. (2) (a) 2., by rule increase the assessments set under sub. (2) (a) 3. for the remainder of the plan year, subject to sub. (1) (bm) 1., and by the same rule under which assessments are increased adjust the provider payment rate set under sub. (2) (a) 4. for the remainder of the plan year, subject to sub. (1) (bm) 2. and s. 149.142 (1) (b).
SECTION 11. 149.143 (3) (a) of the statutes, as affected by 2005 Wisconsin Act .... (this act), is amended to read:
149.143 (3) (a) If, during a plan year, the department determines that the amounts estimated to be received as a result of the rates and amount set under sub. (2) (a) 2. to 4. and any adjustments in insurer assessments and the provider payment rate under s. 149.144 will not be sufficient to cover plan costs, the department may increase the premium rates set under sub. (2) (a) 2. for the remainder of the plan year, subject to s. 149.146 (2) (b) and the maximum specified in sub. (2) (a) 2., increase the assessments set under sub. (2) (a) 3. for the remainder of the plan year, subject to sub. (1) (bm) 1., and adjust the provider payment rate set under sub. (2) (a) 4. for the remainder of the plan year, subject to sub. (1) (bm) 2. and s. 149.142 (1) (b).
****NOTE: This is reconciled s. 149.143 (3) (a). This SECTION has been affected by drafts with the following LRB numbers: -0268 and -0578.
SECTION 12. 149.143 (3) (b) of the statutes is amended to read:
149.143 (3) (b) If the department increases premium rates and insurer assessments and adjusts the provider payment rate under par. (a) and determines that there will still be a deficit and that premium rates have been increased to the maximum extent allowable under par. (a), the department may further adjust, in equal proportions, assessments set under sub. (2) (a) 3. and the provider payment rate set under sub. (2) (a) 4., without regard to sub. (1) (bm) but subject to s. 149.142 (1) (b).
SECTION 13. 149.143 (4) of the statutes is repealed.
SECTION 14. 149.143 (5) (a) of the statutes is amended to read:
149.143 (5) (a) Annually, no later than April 30, the department shall perform a reconciliation with respect to plan costs, premiums, insurer assessments, and provider payment rate adjustments based on data from the previous calendar year. On the basis of the reconciliation, the department shall make any necessary adjustments in premiums, insurer assessments, or provider payment rates, subject to s. 149.142 (1) (b), for the fiscal year beginning on the first July 1 after the reconciliation, as provided in sub. (2) (b).
SECTION 15. 149.143 (5) (b) of the statutes is amended to read:
149.143 (5) (b) Except as provided in sub. (3) and s. 149.144, the department shall adjust the provider payment rates to meet the providers' specified portion of the plan costs no more than once annually, subject to s. 149.142 (1) (b). The department may not determine the adjustment on an individual provider basis or on the basis of provider type, but shall determine the adjustment for all providers in the aggregate, subject to s. 149.142 (1) (b).
SECTION 16. 149.144 of the statutes is amended to read:
149.144 Adjustments to insurer assessments and provider payment rates for premium, deductible, and prescription drug copayment reductions. The department shall, by rule, adjust in equal proportions the amount of the assessment set under s. 149.143 (2) (a) 3. and the provider payment rate set under s. 149.143 (2) (a) 4., subject to ss. 149.142 (1) (b) and 149.143 (1) (am), sufficient to reimburse the plan for premium reductions under s. 149.165, deductible reductions under s. 149.14 (5) (a), and any prescription drug copayment reductions under s. 149.14 (5) (e). The department shall notify the commissioner so that the commissioner may levy any increase in insurer assessments.
SECTION 17. 149.144 of the statutes, as affected by 2005 Wisconsin Act .... (this act), is amended to read:
149.144 Adjustments to insurer assessments and provider payment rates for premium, deductible, and prescription drug copayment reductions. The department shall adjust in equal proportions the amount of the assessment set under s. 149.143 (2) (a) 3. and the provider payment rate set under s. 149.143 (2) (a) 4., subject to ss. 149.142 (1) (b) and s. 149.143 (1) (am), sufficient to reimburse the plan for premium reductions under s. 149.165, deductible reductions under s. 149.14 (5) (a), and any prescription drug copayment reductions under s. 149.14 (5) (e). The department shall notify the commissioner so that the commissioner may levy any increase in insurer assessments.
****NOTE: This is reconciled s. 149.144. This SECTION has been affected by drafts with the following LRB numbers: -0268 and -0578.
SECTION 18. 149.145 of the statutes is amended to read:
149.145 Program budget. The department, in consultation with the board, shall establish a program budget for each plan year. The program budget shall be based on the provider payment rates specified in s. 149.142 and in the most recent provider contracts that are in effect and on the funding sources specified in ss. 149.143 (1) and 149.144, including the methodologies specified in ss. 149.143, 149.144, and 149.146 for determining premium rates, insurer assessments, and provider payment rates. Except as otherwise provided in s. 149.143 (3) (a) and (b) and subject to s. 149.142 (1) (b), from the program budget the department shall derive the actual provider payment rate for a plan year that reflects the providers' proportional share of the plan costs, consistent with ss. 149.143 and 149.144. The department may not implement a program budget established under this section unless it is approved by the board.
SECTION 19. 149.146 (2) (am) 5. of the statutes is amended to read:
149.146 (2) (am) 5. Subject to s. 149.14 (8) (b), the department may, by rule under s. 149.17 (4), establish for prescription drug coverage under this section copayment amounts, coinsurance rates, and establish a 3-tiered copayment structure for prescription drugs. The copayment and coinsurance out-of-pocket limits limit for prescription drug coverage under this section over which the plan will pay 100% of covered costs for prescription drugs. Any copayment amount, coinsurance rate, or out-of-pocket limit established under this subdivision is subject to the approval of the board under this section may be $400. The department may establish that only certain copayment amounts count toward the out-of-pocket limit. Subject to s. 149.14 (8) (b), the department may change, by rule under s. 149.17 (4), the out-of-pocket limit. Using the procedure under s. 227.24, the department may promulgate rules under this subdivision for the period before the effective date of any permanent rules promulgated under this subdivision, but not to exceed the period authorized under s. 227.24 (1) (c) and (2). Notwithstanding s. 227.24 (1) (a), (2) (b), and (3), the department is not required to provide evidence that promulgating a rule under this subdivision as an emergency rule is necessary for the preservation of the public peace, health, safety, or welfare and is not required to make a finding of emergency for promulgating a rule under this subdivision as an emergency rule. Copayments and coinsurance paid by an eligible person under this subdivision are separate from and do not count toward the deductible and covered costs not paid by the plan under subds. 1. to 3.
SECTION 20. 149.146 (2) (b) (intro.) of the statutes is amended to read:
149.146 (2) (b) (intro.) The schedule of premiums for coverage under this section shall be promulgated by rule set by the department, as provided in s. 149.143. The rates for coverage under this section shall be set such that they differ from the rates for coverage under s. 149.14 (2) (a) by the same percentage as the percentage difference between the following:
SECTION 21. 227.01 (13) (nm) of the statutes is created to read:
227.01 (13) (nm) Sets or adjusts premium rates, insurer assessments, or provider payment rates under ch. 149.
SECTION 9321. Initial applicability; health and family services.
(1) HEALTH INSURANCE RISK-SHARING PLAN PRESCRIPTION DRUG COPAYS AND OUT-OF-POCKET LIMITS. The treatment of sections 149.14 (5) (e) and 149.146 (2) (am) 5. of the statutes first applies to prescription drug coverage on July 1, 2006.
SECTION 9421. Effective dates; health and family services.
(1) HEALTH INSURANCE RISK-SHARING PLAN PAYMENT RATE FOR PRESCRIPTION DRUGS. The treatment of sections 149.142 (1) (b) and (2), 149.143 (1) (am) 4. and (bm) 2., (2) (a) 4. (by SECTION 9), (3) (a) (by SECTION 11) and (b), and (5) (a) and (b), 149.144 (by SECTION 17), and 149.145 of the statutes takes effect on October 1, 2005.
(End)
LRB-0598LRB-0598/1
JTK:kjf:pg
2005 - 2006 LEGISLATURE
DOA:......Caucutt, BB0214 - Elections Board gifts and grants
For 2005-07 Budget -- Not Ready For Introduction
2005 BILL
AN ACT ...; relating to: expenditure of gift and grant receipts by the Elections Board and making an appropriation.
Analysis by the Legislative Reference Bureau
STATE GOVERNMENT
Other State Government
This bill authorizes the Elections Board to accept gifts and grants and to expend the proceeds of the gifts and grants for the purposes for which made and received. Currently, the board is not expressly authorized to accept gifts or grants and is not permitted to expend the proceeds of gifts or grants.
For further information see the state fiscal estimate, which will be printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
SECTION 1. 20.510 (1) (gm) of the statutes is created to read:
20.510 (1) (gm) Gifts and grants. All moneys received from gifts and grants, to be used for the purposes for which made and received.
****NOTE: This SECTION involves a change in an appropriation that must be reflected in the revised schedule in s. 20.005, stats.
(End)
LRB-0604LRB-0604/5
PJK&JTK:jld&kjf:jf
2005 - 2006 LEGISLATURE
DOA:......Fath, BB0218 - Appropriation for TANF-related and Childcare-related recoveries
For 2005-07 Budget -- Not Ready For Introduction
2005 BILL
AN ACT ...; relating to: the budget.
Analysis by the Legislative Reference Bureau
Health and human services
Public assistance
This bill creates an appropriation to DWD that consists of recovered overpayments and incorrect or disallowed payments and voluntary repayments of federal Child Care and Development Fund (CCDF) block grant moneys, federal Temporary Assistance for Needy Families (TANF) block grant moneys, and state moneys paid to meet the maintenance-of-effort requirements under those two federal block grant programs. The federal block grant moneys and state maintenance-of-effort moneys are used for various public assistance programs, including Wisconsin Works (W-2) and the child care subsidy program in W-2. The appropriation may be used for the recovery costs, for activities to reduce errors in W-2 and the child care subsidy program, and for any of the other purposes under current law for which CCDF and TANF moneys are used.
The bill also provides that, to an appropriation to DWD that consists of federal moneys, DWD may credit, as refunds of expenditures, amounts that are returned to DWD in a fiscal year that is different from the fiscal year in which DWD made the original payment if the returned amount is subject to expenditure in the same contract period in which the original payment was made. Under current law, only payments that are returned in the same fiscal year in which they were originally made may be credited as refunds of expenditures.
For further information see the state fiscal estimate, which will be printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
SECTION 1. 20.001 (2) (e) of the statutes is amended to read:
20.001 (2) (e) Federal revenues. Moneys "Federal revenues" consist of moneys received from the federal government, except that under s. 20.445 (3) (md) "federal revenues" also include moneys treated as refunds of expenditures, and under s. 20.445 (3) (me) "federal revenues" consist only of moneys treated as received from the federal government. Federal revenues may be deposited as program revenues in the general fund or as segregated revenues in a segregated fund. In either case they are indicated in s. 20.005 by the addition of "-F" after the abbreviation assigned under pars. (b) and (d).
SECTION 2. 20.001 (5) of the statutes is amended to read:
20.001 (5) REFUNDS OF EXPENDITURES. Any amount not otherwise appropriated under this chapter that is received by a state agency as a result of an adjustment made to a previously recorded expenditure from a sum certain appropriation to that agency due to activities that are of a temporary nature or activities that could not be anticipated during budget development and which serves to reduce or eliminate the previously recorded expenditure in the same fiscal year in which the previously recorded expenditure was made, except as provided in s. 20.445 (3) (md), may, upon request of the agency, be designated by the secretary of administration as a refund of an expenditure. Except as otherwise provided in this subsection, the secretary of administration may designate an amount received by a state agency as a refund of an expenditure only if the agency submits to the secretary a written explanation of the circumstances under which the amount was received that includes a specific reference in a statutory or nonstatutory law to a function of the agency under which the amount was received and the appropriation from which the previously recorded expenditure was made. A refund of an expenditure shall be deposited by the receiving state agency in the appropriation account from which the previously recorded expenditure was made. Except as otherwise provided in this subsection, a state agency which proposes to make an expenditure from moneys designated as a refund of an expenditure shall submit to the secretary of administration a written explanation of the purpose of the expenditure, including a specific reference in a statutory or nonstatutory law to a function of the agency under which the expenditure is to be made and the appropriation from which the expenditure is to be made. After submission and approval of an estimate of the amount proposed to be expended under s. 16.50 (2), a state agency may expend the moneys received from the refund of the expenditure. The secretary of administration may waive submission of any explanation required by this subsection for categories of refunds of expenditures or proposed refunds of expenditures.
SECTION 3. 20.445 (3) (md) of the statutes is amended to read:
20.445 (3) (md) Federal block grant aids. The amounts in the schedule, less the amounts withheld under s. 49.143 (3), for aids to individuals or organizations and to be transferred to the appropriation accounts under ss. 20.255 (2) (kh), 20.433 (1) (k), 20.435 (3) (kc), (kd), and (km) (kx), (4) (kz), (6) (kx), (7) (ky), and (8) (kx), and 20.835 (2) (kf). All block grant moneys received for these purposes from the federal government or any of its agencies and all moneys recovered under s. 49.143 (3) shall be credited to this appropriation account. The department may credit to this appropriation account the amount of any returned check, or payment in other form, that is subject to expenditure in the same contract period in which the original payment attempt was made, regardless of the fiscal year in which the original payment attempt was made.
****NOTE: This is reconciled s. 20.445 (3) (md). This SECTION has been affected by drafts with the following LRB numbers: LRB-0604, -1534, -1625, -1635, and -1662.
SECTION 4. 20.445 (3) (me) of the statutes is created to read:
20.445 (3) (me) Child care and temporary assistance overpayment recovery. All moneys received from the recovery of overpayments, and incorrect or disallowed payments, and voluntary repayments of federal Child Care and Development Fund block grant funds, of federal Temporary Assistance for Needy Families block grant funds, and of state moneys paid from other appropriations to meet maintenance-of-effort requirements under the federal Temporary Assistance for Needy Families block grant program under 42 USC 601 to 619 and the federal Child Care and Development Fund block grant program under 42 USC 9858 that the department elects to treat as federal revenue, for costs related to recovering the overpayments and incorrect or disallowed payments, for activities to reduce errors under the Wisconsin Works program under ss. 49.141 to 49.161, and for any of the purposes specified under s. 49.175 (1).
****NOTE: This SECTION involves a change in an appropriation that must be reflected in the revised schedule in s. 20.005, stats.
(End)
LRB-0605LRB-0605/2
PG:cmh:jf
2005 - 2006 LEGISLATURE
DOA:......Ziegler, BB0221 - Low revenue ceiling adjustment
For 2005-07 Budget -- Not Ready For Introduction
2005 BILL
AN ACT ...; relating to: the budget.
Analysis by the Legislative Reference Bureau
Education
Primary and secondary education
Currently, a school district with per pupil revenue below $7,800 in any school year is exempt from school district revenue limits. This bill raises the amount to $8,100 in the 2005-06 school year and to $8,400 in subsequent school years.
For further information see the state and local fiscal estimate, which will be printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
SECTION 1. 121.905 (1) of the statutes is amended to read:
121.905 (1) In this section, "revenue ceiling" means $6,900, except that "revenue ceiling" means $7,400 $8,100 in the 2003-04 2005-06 school year and $7,800 $8,400 in any subsequent school year.
(End)
LRB-0607LRB-0607/2
MJL:jld:rs
2005 - 2006 LEGISLATURE
DOA:......Ziegler, BB0220 - Unused revenue limit carry-over
For 2005-07 Budget -- Not Ready For Introduction
