SB40-SSA1,762,86
(c) The improvement and expansion of care management programs to assist in
7standardization of best practices, patient education, support systems, and
8information gathering.
SB40-SSA1,762,109
(d)
Establishment of a system of provider compensation that is aligned with
10clinical quality, practice management, and cost of care.
SB40-SSA1,762,1211
(e) Focus on patient care interventions for certain chronic conditions, to reduce
12hospital admissions.
SB40-SSA1,762,1814
49.665
(4m) Physical health risk assessment. The department shall
15encourage each individual who is determined on or after the effective date of this
16subsection .... [revisor inserts date], to be eligible under sub. (4) to receive a physical
17health risk assessment as part of the first physical examination the individual
18receives under Badger Care.
SB40-SSA1, s. 1642
19Section
1642. 49.665 (5m) of the statutes is repealed and recreated to read:
SB40-SSA1,762,2220
49.665
(5m) Information about Badger Care recipients. The department
21shall obtain and share information about Badger Care health care program
22recipients as provided in s. 49.475.
SB40-SSA1,763,224
49.665
(7) (a) 1. Notwithstanding sub. (4) (a) 3m.
and (ap) 2., the department
25shall mail information verification forms to the employers of the individuals required
1to provide the verifications under sub. (4) (a) 3m.
and (ap) 2. to obtain the information
2specified.
SB40-SSA1,763,94
49.686
(6) Health Insurance Risk-Sharing Plan pilot program. (a) Subject
5to par. (b), the department shall conduct a 3-year pilot program, to begin on October
61, 2007, under which the department may pay premiums for coverage under the
7Health Insurance Risk-Sharing Plan under subch. II of ch. 149, and pay copayments
8under that plan for prescription drugs for which reimbursement may be provided
9under sub. (2), for individuals who satisfy all of the following:
SB40-SSA1,763,1010
1. The individuals are eligible for reimbursement under this section.
SB40-SSA1,763,1111
2. The individuals are currently taking antiretroviral drugs.
SB40-SSA1,763,1212
3. The individuals do not have health insurance coverage.
SB40-SSA1,763,1613
4. The individuals are not eligible for premium subsidies under s. 252.16 or
14252.17 because they are not on unpaid medical leave, are not unable to continue
15employment, and have not had to reduce their employment hours because of an
16illness or medical condition arising from or related to HIV.
SB40-SSA1,763,1817
(b) The pilot program shall be open to a minimum of 100 participants, with
18more participants if the department determines that it is cost-effective.
SB40-SSA1,763,2119
(c) The department may promulgate rules for the administration of the pilot
20program. Notwithstanding s. 227.24 (3), rules under this paragraph may be
21promulgated as emergency rules under s. 227.24 without a finding of emergency.
SB40-SSA1,763,2523
49.687
(6) The department shall obtain and share information about
24individuals who receive benefits under s. 49.68, 49.683, or 49.685 as provided in s.
2549.475.
SB40-SSA1, s. 1651
1Section
1651. 49.688 (5) (a) (intro.) of the statutes is amended to read:
SB40-SSA1,764,72
49.688
(5) (a) (intro.) Beginning on September 1, 2002, except as provided in
3sub. (7) (b), as a condition of participation by a pharmacy or pharmacist in the
4program under s. 49.45, 49.46,
or 49.47
, or 49.471, the pharmacy or pharmacist may
5not charge a person who presents a valid prescription order and a card indicating
6that he or she meets eligibility requirements under sub. (2) an amount for a
7prescription drug under the order that exceeds the following:
SB40-SSA1,764,259
49.688
(7) (a) Except as provided in par. (b), from the appropriation accounts
10under s. 20.435 (4) (bv), (j),
and (pg)
, and (xh), beginning on September 1, 2002, the
11department shall, under a schedule that is identical to that used by the department
12for payment of pharmacy provider claims under medical assistance, provide to
13pharmacies and pharmacists payments for prescription drugs sold by the
14pharmacies or pharmacists to persons eligible under sub. (2) who have paid the
15deductible specified under sub. (3) (b) 1. or 2. or who, under sub. (3) (b) 1., are not
16required to pay a deductible. The payment for each prescription drug under this
17paragraph shall be at the program payment rate, minus any copayment paid by the
18person under sub. (5) (a) 2. or 4., and plus, if applicable, incentive payments that are
19similar to those provided under s. 49.45 (8v). The department shall devise and
20distribute a claim form for use by pharmacies and pharmacists under this paragraph
21and may limit payment under this paragraph to those prescription drugs for which
22payment claims are submitted by pharmacists or pharmacies directly to the
23department. The department may apply to the program under this section the same
24utilization and cost control procedures that apply under rules promulgated by the
25department to medical assistance under subch. IV of ch. 49.
SB40-SSA1,765,92
49.688
(7) (b) During any period in which funding under s. 20.435 (4) (bv)
and, 3(pg)
, and (xh) is completely expended for the payments specified in par. (a), the
4requirements of par. (a) and subs. (3) (c), (5), and (6) (a) and (b) do not apply to drugs
5purchased during that period, but the department shall continue to accept
6applications and determine eligibility under sub. (4) and shall indicate to applicants
7that the eligibility of program participants to purchase prescription drugs as
8specified in sub. (3), under the requirements of sub. (5), is conditioned on the
9availability of funding under s. 20.435 (4) (bv)
and, (pg)
, and (xh).
SB40-SSA1, s. 1655
10Section
1655. 49.688 (8m) of the statutes is repealed and recreated to read:
SB40-SSA1,765,1211
49.688
(8m) The department shall obtain and share information about
12participants in the program under this section as provided in s. 49.475.
SB40-SSA1,765,2214
49.775
(2) (bm) The custodial parent assigns to the state any right of the
15custodial parent or of the dependent child to support from any other person. No
16amount of support that begins to accrue after the individual ceases to receive
17payments under this section may be considered assigned to the state. Any money
18that is received by the department of
workforce development children and families 19under an assignment to the state under this paragraph and that is not the federal
20share of support shall be paid to the custodial parent. The department of
workforce
21development children and families shall pay the federal share of support assigned
22under this paragraph as required under federal law or waiver.
SB40-SSA1,766,524
49.78
(4) Rules; merit system. The department of
workforce development 25children and families shall promulgate rules for the efficient administration of aid
1to families with dependent children in agreement with the requirement for federal
2aid, including the establishment and maintenance of personnel standards on a merit
3basis. The provisions of this section relating to personnel standards on a merit basis
4supersede any inconsistent provisions of any law relating to county personnel. This
5subsection shall not be construed to invalidate the provisions of s. 46.22 (1) (d).
SB40-SSA1,766,147
49.78
(5) Personnel examinations. Statewide examinations to ascertain
8qualifications of applicants in any county department administering aid to families
9with dependent children shall be given by the administrator of the division of merit
10recruitment and selection in the office of state employment relations. The office of
11state employment relations shall be reimbursed for actual expenditures incurred in
12the performance of its functions under this section from the appropriations available
13to the department of
health and family services children and families for
14administrative expenditures.
SB40-SSA1,766,2116
49.78
(7) County personnel systems. Pursuant to rules promulgated under
17sub. (4), the department of
workforce development
children and families where
18requested by the county shall delegate to that county, without restriction because of
19enumeration, any or all of the
authority of the department of
workforce
20development's authority children and families under sub. (4) to establish and
21maintain personnel standards including salary levels.
SB40-SSA1, s. 1660
22Section
1660. 49.785 (1) (intro.) of the statutes is amended to read:
SB40-SSA1,767,523
49.785
(1) (intro.) Except as provided in sub. (1m), if any recipient
of benefits
24under s. 49.148, 49.46 or 49.77, or under 42 USC 1381 to 1385 in effect on
25May 8, 1980, specified in sub. (1c) dies and the estate of the deceased recipient is
1insufficient to pay the funeral, burial
, and cemetery expenses of the deceased
2recipient, the county or applicable tribal governing body or organization responsible
3for burial of the recipient shall pay, to the person designated by the county
4department under s. 46.215, 46.22
, or 46.23 or applicable tribal governing body or
5organization responsible for the burial of the recipient, all of the following:
SB40-SSA1,767,77
49.785
(1c) All of the following are eligible recipients under this section:
SB40-SSA1,767,98(a) A recipient of benefits under s. 49.148, 49.46, or 49.77, or under
42 USC 1381 9to
1385 in effect on May 8, 1980.
SB40-SSA1,767,1010
(b) A recipient of benefits under s. 49.471 who is any of the following:
SB40-SSA1,767,1211
1. A pregnant woman or a child under 6 years of age with a family income not
12exceeding 185 percent of the poverty line at the time of death.
SB40-SSA1,767,1413
2. A child at least 6 years of age but less than 19 years of age with a family
14income not exceeding 100 percent of the poverty line at the time of death.
SB40-SSA1,767,1615
3. A parent or caretaker relative with a family income not exceeding 50 percent
16of the poverty line at the time of death.
SB40-SSA1,767,2221
49.79
(1) (g) "Wisconsin Works employment position" has the meaning given
22in s. 49.141 (1) (r).
SB40-SSA1,768,4
149.79
(8m) Applicants from correctional institutions. (a) The department
2shall allow a prisoner who is applying for the food stamp program from a correctional
3institution in anticipation of being released from the institution to use the address
4of the correctional institution as his or her address on the application.
SB40-SSA1,768,85
(b) The department shall allow an employee of a correctional institution who
6has been authorized by a prisoner of the institution to act on his or her behalf in
7matters related to the food stamp program to receive and conduct telephone calls on
8behalf of the prisoner in matters related to the food stamp program.
SB40-SSA1, s. 1668
9Section
1668. 49.79 (9) (a) 2. of the statutes, as affected by 2007 Wisconsin Act
10.... (this act), is amended to read:
SB40-SSA1,768,1411
49.79
(9) (a) 2. The department may not require an individual who is a recipient
12under the food stamp program and who is the caretaker of a child under the age of
1312 26 weeks to participate in any employment and training program under this
14subsection.
SB40-SSA1,768,21
1749.81 Public assistance recipients' bill of rights. (intro.) The department
18of health and family services, the department of
workforce development children and
19families, and all public assistance and relief-granting agencies shall respect rights
20for recipients of public assistance. The rights shall include all rights guaranteed by
21the U.S. constitution and the constitution of this state, and in addition shall include:
SB40-SSA1,769,223
49.81
(4) The right to a speedy determination of the recipient's status or
24eligibility for public assistance, to notice of any proposed change in such status or
1eligibility, and, in the case of assistance granted under s. 49.19, 49.46, 49.468
or, 249.47
, or 49.471, to a speedy appeals process for resolving contested determinations.
SB40-SSA1,769,134
49.82
(1) Departments to advise counties. The department of health and
5family services and the department of
workforce development children and families 6shall advise all county officers charged with the administration of requirements
7relating to public assistance programs under this chapter and shall render all
8possible assistance in securing compliance therewith, including the preparation of
9necessary forms and reports. The department of health and family services and the
10department of
workforce development children and families shall also publish any
11information that those departments consider advisable to acquaint persons entitled
12to public assistance, and the public generally, with the laws governing public
13assistance under this chapter.
SB40-SSA1, s. 1673
14Section
1673. 49.82 (2) of the statutes is renumbered 49.82 (2) (a) and
15amended to read:
SB40-SSA1,769,2216
49.82
(2) (a)
Proof shall be provided
Except as provided in par. (b), for each
17person included in an application for public assistance under this chapter,
except for
18a child who is eligible for medical assistance under s. 49.46 or 49.47 because of 42
19USC 1396a (e) (4) or an unborn child who is eligible for coverage under the Badger
20Care health care program under s. 49.665 (4) (ap), proof shall be provided of his or
21her social security number or that an application for a social security number has
22been made.
SB40-SSA1,769,2424
49.82
(2) (b) Paragraph (a) does not apply to any of the following:
SB40-SSA1,770,2
11. A child who is eligible for medical assistance under s. 49.46 or 49.47 because
2of
42 USC 1396a (e) (4).
SB40-SSA1,770,43
2. An unborn child who is eligible for coverage under the Badger Care health
4care program under s. 49.665 (4) (ap).
SB40-SSA1,770,95
3. A person who is applying for medical assistance under subch. IV, coverage
6under the Badger Care health care program under s. 49.665, or coverage under the
7program for prescription drug assistance for elderly persons under s. 49.688 and who
8refuses to obtain a social security number because of well-established religious
9objections, as defined in
42 CFR 435.910 (h) (2).
SB40-SSA1, s. 1675
10Section
1675
. 49.82 (2) (b) 1. of the statutes, as created by 2007 Wisconsin Act
11.... (this act), is amended to read:
SB40-SSA1,770,1312
49.82
(2) (b) 1. A child who is eligible for medical assistance under s. 49.46
or, 1349.47
, or 49.471 because of
42 USC 1396a (e) (4).
SB40-SSA1, s. 1676
14Section
1676
. 49.82 (2) (b) 2. of the statutes, as created by 2007 Wisconsin Act
15.... (this act), is amended to read:
SB40-SSA1,770,1716
49.82
(2) (b) 2. An unborn child who is eligible for coverage under
s. 49.471 or 17the Badger Care health care program under s. 49.665 (4) (ap).
SB40-SSA1,771,4
1949.83 Limitation on giving information. Except as provided under s. 49.32
20(9), (10), and (10m), no person may use or disclose information concerning applicants
21and recipients of relief funded by a relief block grant, aid to families with dependent
22children, Wisconsin Works under ss. 49.141 to 49.161, social services, child and
23spousal support and establishment of paternity and medical support liability
24services under s. 49.22, or supplemental payments under s. 49.77 for any purpose not
25connected with the administration of the programs, except that the department of
1workforce development children and families may disclose such information to the
2department of revenue for the sole purpose of administering state taxes. Any person
3violating this section may be fined not less than $25 nor more than $500 or
4imprisoned in the county jail not less than 10 days nor more than one year or both.
SB40-SSA1,771,76
49.84
(6) (a) In this subsection, "department" means the department of health
7and family services.
SB40-SSA1,771,138
(b) 1. Notwithstanding any other eligibility requirements for the programs
9specified in par. (c), unless excepted by par. (c) an applicant for or recipient under any
10of those programs who declares himself or herself to be a citizen or national of the
11United States shall provide, as a further condition of eligibility, satisfactory
12documentary evidence, as provided in par. (d), that he or she is a citizen or national
13of the United States.
SB40-SSA1,771,2014
2. An applicant shall provide the documentation at the time of application. If
15a recipient was not required to provide documentation at the time he or she applied,
16the recipient shall provide the documentation the first time his or her eligibility is
17reviewed or redetermined after the effective date of this subdivision .... [revisor
18inserts date]. An applicant or recipient shall be granted a reasonable time, as
19determined by the department, to submit the documentation before his or her
20eligibility is denied or terminated.
SB40-SSA1,771,2221
(c) The requirement to provide satisfactory documentary evidence under par.
22(b) applies to applicants for and recipients under all of the following:
SB40-SSA1,771,2423
1. The Medical Assistance program under subch. IV, except for any of the
24following:
SB40-SSA1,772,2
1a. An applicant or recipient who is entitled to benefits under or enrolled in any
2part of Medicare under
42 USC 1395 et seq., as amended.
SB40-SSA1,772,43
b. An applicant or recipient who is receiving supplemental security income
4under
42 USC 1381 to
1383c.
SB40-SSA1,772,55
c. A person who is eligible for medical assistance under s. 49.45 (27).
SB40-SSA1,772,76
d. A child who is receiving medical assistance under s. 49.46 (1) (a) 13. or 49.47
7(4) (am) 3.
SB40-SSA1,772,88
e. A pregnant woman who is receiving medical assistance under s. 49.465.
SB40-SSA1,772,109
2. The Badger Care health care program under s. 49.665, except for an unborn
10child under s. 49.665 (4) (ap).
SB40-SSA1,772,1311
3. The part of the prescription drug assistance for elderly persons program
12under s. 49.688 that is supported by a Medical Assistance waiver under
42 USC 1315 13(a), as authorized under s. 49.688 (11).