Analysis by the Legislative Reference Bureau
health and human services
Medical Assistance
Under current law, DFHS administers Medical Assistance (MA), which is a joint federal-state program under which persons with low income and few assets are provided health care services. The Community Aids Program (CAP) is funded from state general purpose revenues and federal block grant moneys; under it, DHFS distributes to county departments of social services, human services, community programs, and developmental disabilities services moneys for community social, mental health, developmental disabilities, and alcohol and other drug abuse services and certain other services. Until January 1, 2006, DHFS may make, from general purpose revenues for CAP, payment for MA services provided by the county departments and by local health departments. The MA services for which these payments may be made include early and periodic screening and diagnosis; home health services; services and supplies for family planning; physical and occupational therapy; speech, hearing, and language disorder services; medical day treatment services; certain mental health and alcohol and other drug abuse services; certain nursing services; personal care services; respiratory care services; care coordination for high-risk pregnancies; prenatal, postpartum, and young child care coordination; lead poisoning and lead exposure services; mental health crisis intervention services; and certain case management services. Also until January 1, 2006, DHFS may make, from the general purpose revenues for CAP, MA payments to providers of personal care, home health, and respiratory care services.
This bill eliminates the January 1, 2006, sunset on the payment, from general purpose revenues for CAP, of MA payments to county departments and local health departments and to providers of personal care home health, and respiratory care services.
Under current law, during 2006, DHFS must make payments from the MA trust fund to hold county departments and local health departments harmless for the elimination, from July 26, 2003, to January 1, 2006, of the community services deficit reduction benefit (CSDRB), under which counties and local health departments could claim federal Medicaid matching funds to cover costs for MA services provided that were not fully reimbursed.
This bill eliminates the requirement that DHFS make payments in 2006 from the MA trust fund to hold county departments and local health departments harmless for the elimination of CSDRB during the period from July 26, 2003, to January 1, 2006, authorizes payments from the general purpose revenues for CAP to city health departments for this purpose, and eliminates the recommencement of CSDRB.
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. 49.45 (6t) of the statutes, as affected by 2003 Wisconsin Act 318, is repealed.
SECTION 2. 2003 Wisconsin Act 318, section 3 is repealed.
SECTION 3. 2003 Wisconsin Act 318, section 4 is repealed.
SECTION 4. 2003 Wisconsin Act 318, section 6 is repealed.
SECTION 5. 2003 Wisconsin Act 318, section 11 is repealed.
SECTION 6. 2003 Wisconsin Act 318, section 13 is repealed.
SECTION 7. 2003 Wisconsin Act 318, section 14 is repealed.
SECTION 8. 2003 Wisconsin Act 318, section 15 is repealed.
SECTION 9. 2003 Wisconsin Act 318, section 17 is repealed.
SECTION 10. 2003 Wisconsin Act 318, section 18 is repealed.
SECTION 11. 2003 Wisconsin Act 318, section 20 is repealed.
SECTION 12. 2003 Wisconsin Act 318, section 22 is repealed.
SECTION 13. 2003 Wisconsin Act 318, section 25 (3) is renumbered 49.45 (6tw) of the statutes and amended to read:
49.45 (6tw) PAYMENTS TO CITY HEALTH DEPARTMENTS. From the appropriation account under section s. 20.435 (7) (b) of the statutes, as affected by this act, in state fiscal year 2004-05, the department of health and family services may make payments to local health departments, as defined under s. 250.02 (4) (a) 3. of the statutes. Payment under this subsection to such a local health department may not exceed on an annualized basis payment made by the department of health and family services to the local health department under section s. 49.45 (6t) of the statutes, 2003 stats., for services provided by the local health department in 2002.
SECTION 14. 2003 Wisconsin Act 318, section 27 is repealed.
SECTION 9121. Nonstatutory provisions; health and family services.
(1) MEDICAL ASSISTANCE AND COMMUNITY AIDS PROGRAM FUNDING AND PAYMENTS. The repeal of 2003 Wisconsin Act 318, sections 15, 18, 20, 22, and 27, by this act applies notwithstanding section 990.03 of the statutes.
(End)
LRB-0747LRB-0747/1
DAK:jld:rs
2005 - 2006 LEGISLATURE
DOA:......Blaine, BB0242 - MA supplemental payments for school-based services
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
Medical Assistance
Under current law, DHFS reimburses school districts, cooperative educational service agencies (CESAs), or DPI 60 percent of the amount that the state receives as federal Medicaid reimbursement for health care services that school districts, CESAs, or DPI provide in schools to pupils who are eligible for the Medical Assistance (MA) program. DHFS may make supplemental MA payments for these services if the total of the reimbursement and the supplements does not exceed federal Medicaid payment limitations. The amounts of any supplemental MA payments made by DHFS must be decreased from the DPI general purpose revenues appropriation account for payment to counties, CESAs, and school districts for special education services and must be lapsed to the general fund.
This bill eliminates the authority for DHFS to make supplemental MA payments for school-based services provided to pupils who are eligible for MA and eliminates the requirement that the amounts of these supplements be lapsed to the general fund from DPI's general purpose revenues appropriation for special education.
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. 20.255 (2) (b) of the statutes is amended to read:
20.255 (2) (b) Aids for special education and school age parents programs. The amounts in the schedule for the payment of aids for special education and school age parents programs under ss. 115.88, 115.93 and 118.255. On dates determined by the secretary of administration, amounts equal to the amounts paid by the department of health and family services under s. 49.45 (39) (b) 1m. shall lapse from this appropriation account to the general fund.
SECTION 2. 49.45 (39) (b) 1. of the statutes is amended to read:
49.45 (39) (b) 1. 'Payment for school medical services.' If a school district or a cooperative educational service agency elects to provide school medical services and meets all requirements under par. (c), the department shall reimburse the school district or the cooperative educational service agency for 60% of the federal share of allowable charges for the school medical services that it provides and, as specified in subd. 2., for allowable administrative costs. If the Wisconsin Center for the Blind and Visually Impaired or the Wisconsin Educational Services Program for the Deaf and Hard of Hearing elects to provide school medical services and meets all requirements under par. (c), the department shall reimburse the department of public instruction for 60% of the federal share of allowable charges for the school medical services that the Wisconsin Center for the Blind and Visually Impaired or the Wisconsin Educational Services Program for the Deaf and Hard of Hearing provides and, as specified in subd. 2., for allowable administrative costs. A school district, cooperative educational service agency, the Wisconsin Center for the Blind and Visually Impaired or the Wisconsin Educational Services Program for the Deaf and Hard of Hearing may submit, and the department shall allow, claims for common carrier transportation costs as a school medical service unless the department receives notice from the federal health care financing administration that, under a change in federal policy, the claims are not allowed. If the department receives the notice, a school district, cooperative educational service agency, the Wisconsin Center for the Blind and Visually Impaired, or the Wisconsin Educational Services Program for the Deaf and Hard of Hearing may submit, and the department shall allow, unreimbursed claims for common carrier transportation costs incurred before the date of the change in federal policy. The department shall promulgate rules establishing a methodology for making reimbursements under this paragraph. Except as provided in subd. 1m., all All other expenses for the school medical services provided by a school district or a cooperative educational service agency shall be paid for by the school district or the cooperative educational service agency with funds received from state or local taxes. The school district, the Wisconsin Center for the Blind and Visually Impaired, the Wisconsin Educational Services Program for the Deaf and Hard of Hearing, or the cooperative educational service agency shall comply with all requirements of the federal department of health and human services for receiving federal financial participation.
SECTION 3. 49.45 (39) (b) 1m. of the statutes is repealed.
SECTION 4. 49.45 (39) (b) 2. of the statutes is amended to read:
49.45 (39) (b) 2. 'Payment for school medical services administrative costs.' The department shall reimburse a school district or a cooperative educational service agency specified under subds. subd. 1. and 1m. and shall reimburse the department of public instruction on behalf of the Wisconsin Center for the Blind and Visually Impaired or the Wisconsin Educational Services Program for the Deaf and Hard of Hearing for 90% of the federal share of allowable administrative costs, using time studies, beginning in fiscal year 1999-2000. A school district or a cooperative educational service agency may submit, and the department of health and family services shall allow, claims for administrative costs incurred during the period that is up to 24 months before the date of the claim, if allowable under federal law.
SECTION 5. 115.882 of the statutes is amended to read:
115.882 Payment of state aid. Funds appropriated under s. 20.255 (2) (b) shall be used first for the purpose of s. 115.88 (4). Costs eligible for reimbursement from the appropriation under s. 20.255 (2) (b) under ss. 115.88 (1m) to (3), (6) and (8), 115.93, and 118.255 (4) shall be reimbursed at a rate set to distribute the full amount appropriated for reimbursement for the costs, less the amount paid by the department of health and family services under s. 20.435 (4) (b) and (o) under s. 49.45 (39) (b) 1m., not to exceed 100%.
(End)
LRB-0748LRB-0748/1
DAK:jld:rs
2005 - 2006 LEGISLATURE
DOA:......Rhodes, BB0234 - Birth certificate fee increase
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
Other health and human services
Under current law, the state registrar or a local registrar must charge $12 for issuing either a certified copy or an uncertified copy of a birth certificate. Of this sum, $7 must be forwarded to the secretary of administration for deposit in program revenue appropriations for the Child Abuse and Neglect Prevention Board (CANPB), to be used for CANPB expenses, for the Early Childhood Family Education Center Grant Program, for technical assistance, and for grants to organizations for services related to child abuse and neglect. This bill increases the fee for issuance of a certified or uncertified copy of a birth certificate from $12 to $15, and increases, from $7 to $9, the amount that must be forwarded to the secretary of administration for deposit in program revenue appropriations of CANPB.
Also under current law, the state registrar must charge, for the filing of a birth certificate more than 365 days after the birth, $20 plus a fee of $5 for issuance of the birth certificate. This bill increases, from $5 to $15, the fee for issuance of a certified or uncertified copy of a birth certificate when filing for the birth certificate is more than 365 days after the birth, and clarifies that $9 of the $15 must also be forwarded for deposit in appropriations for CANPB.
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. 69.22 (1) (c) of the statutes is amended to read:
69.22 (1) (c) Twelve Fifteen dollars for issuing an uncertified copy of a birth certificate or a certified copy of a birth certificate, $7 $9 of which shall be forwarded to the secretary of administration as provided in sub. (1m) and credited to the appropriations under s. 20.433 (1) (g) and (h); and $3 for issuing any additional certified or uncertified copy of the same birth certificate issued at the same time.
SECTION 2. 69.22 (5) (b) 2. of the statutes is amended to read:
69.22 (5) (b) 2. The filing of a birth certificate under s. 69.14 (2) (b) 5. The To the fee under this subdivision includes the search for the birth certificate and the first copy of the certificate except that the state registrar shall add to the $20 fee, the $5 shall be added the $15 fee required under sub. (1) (c), which shall be treated as specified in sub. (1) (c).
(End)
LRB-0751LRB-0751/1
JTK:wlj:rs
2005 - 2006 LEGISLATURE
DOA:......Dombrowski, BB0239 - Discontinue printing of state budget report and compilation
For 2005-07 Budget -- Not Ready For Introduction
2005 BILL
AN ACT ...; relating to: reproduction of the state budget report and compilation in optical disk format.
Analysis by the Legislative Reference Bureau
STATE GOVERNMENT
Other state government
Currently, DOA biennially prints and distributes to the governor or governor-elect and to members of the legislature the state budget compilation, which contains certain information specified by law. It is also distributed to public officers, agencies, and document depositories at the expense of DOA in quantities specified by law. The governor distributes the biennial state budget report with his or her biennial budget message. The report contains a description of state agency requests and the governor's budget recommendations. The report is also distributed to the members of the legislature and to the same officers, agencies, and depositories in the same quantities at the expense of DOA. Currently, both the compilation and the report are distributed in printed format.
This bill permits DOA to distribute the state budget compilation and the governor to distribute the state budget report in optical disk format in lieu of printed format.
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. 16.43 of the statutes is amended to read:
16.43 Budget compiled. The secretary shall compile and submit to the governor or the governor-elect and to each person elected to serve in the legislature during the next biennium, not later than November 20 of each even-numbered year, a compilation giving all of the data required by s. 16.46 to be included in the state budget report, except the recommendations of the governor and the explanation thereof. The secretary shall not include in the compilation any provision for the development or implementation of an information technology development project for an executive branch agency that is not consistent with the strategic plan of the agency, as approved under s. 16.976. The secretary may distribute the budget compilation in printed or optical disk format.
SECTION 2. 16.45 of the statutes is amended to read:
16.45 Budget message to legislature. In each regular session of the legislature, the governor shall deliver the budget message to the 2 houses in joint session assembled. Unless a later date is requested by the governor and approved by the legislature in the form of a joint resolution, the budget message shall be delivered on or before the last Tuesday in January of the odd-numbered year. With the message the governor shall transmit to the legislature, as provided in ss. 16.46 and 16.47, the biennial state budget report and the executive budget bill or bills together with suggestions for the best methods for raising the needed revenues. The governor may distribute the biennial state budget report in printed or optical disk format.
SECTION 3. Chapter 35 (title) of the statutes is amended to read:
CHAPTER 35
PUBLIC PRINTING; PUBLICATION AND DISTRIBUTION OF LAWS AND PUBLIC DOCUMENTS
SECTION 4. 35.001 (2m) of the statutes is created to read:
35.001 (2m) "Printing" includes all public printing by means of graphic reproduction by whatever process and the necessary materials and binding. The term also includes reproduction of a document in optical disk format whenever the publishing state agency is authorized to reproduce and determines to reproduce copies of a document in optical disk format in lieu of printed format.
SECTION 5. 35.01 (intro.) of the statutes is amended to read:
35.01 Public printing; definition and classification. (intro.) Public printing includes all graphic reproduction by whatever process and the necessary material and binding. Public printing is divided into 7 classes:
SECTION 6. 35.27 of the statutes is amended to read:
35.27 Limitation of editions of official reports. Within 60 calendar days after receiving printer's final proof copy therefor, the department shall have printed and deliver editions of the reports mentioned in s. 35.26 and of any report required by law to be made to the governor or to the legislature if not otherwise limited. The department shall determine for any report the maximum number of copies and pages shall be established by the department for any report, or the length if authorized to be reproduced in optical disk format.