This bill requires DOC to provide funding for New Hope Project, Inc., a transitional employment program for criminal offenders.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
SECTION 9109. Nonstatutory provisions; Corrections
(1) FUNDING FOR CERTAIN COMMUNITY REINTEGRATION SERVICES. From the appropriation under section 20.410 (1) (d) of the statutes, the department of corrections shall provide $500,000 during the 2007-08 fiscal year and $500,000 during the 2008-09 fiscal year to New Hope Project, Inc., for transitional employment services.
(End)
LRB-1548LRB-1548/3
PJK:jld&cs:rs
2007 - 2008 LEGISLATURE
DOA:......Pink, BB0375 - Insurance payment intercept for MA liability or child support obligation
For 2007-09 Budget -- Not Ready For Introduction
2007 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, DHFS, which administers the Medical Assistance (MA) program, may recover incorrect payments that were made for health care services under MA that resulted from a misstatement or omission of fact by a person supplying information in an application for benefits, from the failure of a person to report the receipt of income or assets in an amount that would have affected a recipient's eligibility for benefits, or from the failure of a person to report changes in a recipient's financial or nonfinancial situation or eligibility characteristics that would have affected the recipient's eligibility for benefits or his or her cost-sharing requirements. If DHFS provides any medical assistance to a person as a result of an injury, for example, that was caused by a third party, DHFS may recover from the third party the amount of the medical assistance provided. Also under current law, if an individual who is obligated to pay court-ordered child or family support or maintenance (support) has an overdue support obligation because of a failure to pay, his or her name, social security number, and amount of support owed is posted on a statewide support lien docket.
This bill requires every insurer authorized to do business in this state, before paying any claim of $500 or more, to verify with DHFS that the individual to whom the claim is to be paid does not owe an amount that was paid under MA incorrectly or an amount that DHFS may recover because of medical assistance provided to another person (medical assistance liability) and to check the statewide support lien docket to ensure that the individual does not have an overdue support obligation (support liability). If the individual has a support liability, the insurer must pay the claim proceeds, up to the amount of the support liability, to DWD. If the individual has a medical assistance liability, the insurer must pay the claim proceeds, up to the amount of the medical assistance liability, to DHFS. If the individual has both liabilities, the support liability must be paid first. After any liability is paid, the individual is paid any claim proceeds that remain.
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. 49.895 of the statutes is created to read:
49.895 Insurance claim intercept. (1) In this section:
(a) "Medical assistance liability" means an amount that the department of health and family services may recover under s. 49.497, 49.847, or 49.89.
(b) "Support liability" means an amount that is entered in the statewide support lien docket under s. 49.854.
(2) Before paying an insurance claim of $500 or more to any individual, an insurer that is authorized to do business in this state shall do all of the following:
(a) Verify with the department of health and family services, in the manner required by the department, whether the individual to whom the claim is to be paid has a medical assistance liability.
(b) Check the statewide support lien docket to determine whether the individual to whom the claim is to be paid has a support liability.
(3) If an individual to whom a claim of $500 or more is to be paid has a support liability or a medical assistance liability, or both, the insurer shall distribute the claim proceeds as follows:
(a) First, if there is a support liability, to the department of workforce development to pay the support liability, up to the amount of the support liability or the amount of the claim, whichever is less.
(b) Next, if there is a medical assistance liability, to the department of health and family services to pay the medical assistance liability, up to the amount of the medical assistance liability or the amount of the claim proceeds remaining, whichever is less.
(c) Last, to the individual, the remainder of the claim proceeds, if any.
(4) The department of health and family services shall promulgate rules for the administration of this section, including procedures for insurers to follow and any notice and hearing requirements. Notwithstanding s. 227.24 (3), the rules under this subsection may be promulgated as emergency rules under s. 227.24 without a finding of emergency.
SECTION 9321. Initial applicability; Health and Family Services.
(1) INSURANCE CLAIM INTERCEPT. If any insurance policy that is in effect on the effective date of this subsection contains a provision that is inconsistent with the treatment of section 49.895 of the statutes, the treatment of section 49.895 of the statutes first applies to that policy on the date on which it is renewed.
(End)
LRB-1549LRB-1549/1
DAK:kjf:jf
2007 - 2008 LEGISLATURE
DOA:......Jablonsky, BB0364 - AIDS insurance premium subsidy program to pay for Medicare Part D premiums
For 2007-09 Budget -- Not Ready For Introduction
2007 BILL
AN ACT ...; relating to: the budget.
Analysis by the Legislative Reference Bureau
health and human services
Health
Currently, DHFS subsidizes the premium costs for health insurance coverage, except for premiums for the federal Medicare program (Medicare), of low-income persons who have HIV infections and are unable to continue employment or must reduce employment hours because of illnesses or medical conditions arising from the HIV infections. Medicare has programs of coverage for hospital care, physicians' services, and prescription drugs.
This bill changes the restriction on subsidization by DHFS of Medicare premiums to allow subsidization for premiums for Medicare prescription drug coverage, for low-income persons with HIV infections, no or reduced employment, and HIV-related illnesses or medical conditions.
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. 252.16 (1) (d) of the statutes is amended to read:
252.16 (1) (d) "Medicare" has the meaning given in s. 49.498 (1) (f) means coverage under part A, part B, or part D of Title XVIII of the federal Social Security Act, 42 USC 1395 to 1395hhh.
SECTION 2. 252.16 (4) (a) of the statutes is amended to read:
252.16 (4) (a) Except as provided in pars. (b) and (d), if an individual satisfies sub. (3), the department shall pay the full amount of each premium payment for the individual's health insurance coverage under the group health plan or individual health policy under sub. (3) (dm), on or after the date on which the individual becomes eligible for a subsidy under sub. (3). Except as provided in pars. (b) and (d), the department shall pay the full amount of each premium payment regardless of whether the individual's health insurance coverage under sub. (3) (dm) includes coverage of the individual's dependents. Except as provided in par. (b), the department shall terminate the payments under this section when the individual's health insurance coverage ceases or when the individual no longer satisfies sub. (3), whichever occurs first. The department may not make payments under this section for premiums for medicare, except for premiums for coverage for part D of Title XVIII of the federal Social Security Act, 42 USC 1395 to 1395hhh.
(End)
LRB-1550LRB-1550/1
DAK:wlj:pg
2007 - 2008 LEGISLATURE
DOA:......Milioto, BB0359 - Quality home care funded by grants for community programs
For 2007-09 Budget -- Not Ready For Introduction
2007 BILL
AN ACT ...; relating to: the budget.
Analysis by the Legislative Reference Bureau
health and human services
Health
Currently, DHFS distributes numerous grants for community programs.
This bill requires DHFS to distribute at least $167,000 in each fiscal year as a grant to an organization to provide services to consumers and providers of supportive home care and personal care.
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. 46.48 (9) of the statutes is created to read:
46.48 (9) QUALITY HOME CARE PROGRAM. The department shall distribute at least $167,000 in each fiscal year as a grant to an organization to provide services to consumers and providers of supportive home care and personal care.
(End)
LRB-1553LRB-1553/P2
PJK:wlj&jld:pg
2007 - 2008 LEGISLATURE
DOA:......Rhodes, BB0387 - Insurance coverage of autism, Asperger's and pervasive developmental disorders
For 2007-09 Budget -- Not Ready For Introduction
2007 BILL
AN ACT ...; relating to: the budget.
Analysis by the Legislative Reference Bureau
Insurance
This bill requires health insurance policies and self-insured governmental and school district health plans to cover the cost of treatment for an insured for autism, Asperger's syndrome, and pervasive developmental disorder not otherwise specified if the treatment is provided by a psychiatrist, a psychologist, or a social worker who is certified or licensed to practice psychotherapy. A policy or plan is not required to cover more than four hours of treatment per month, however. The coverage requirement applies to both individual and group health insurance policies and plans, including defined network plans and cooperative sickness care associations; to health care plans offered by the state to its employees, including a self-insured plan; and to self-insured health plans of counties, cities, towns, villages, and school districts. The requirement specifically does not apply to limited-scope benefit plans, medicare replacement or supplement policies, long-term care policies, or policies covering only certain specified diseases. The coverage may be subject to any limitations or exclusions or cost-sharing provisions that apply generally under the policy or plan.
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. 40.51 (8) of the statutes is amended to read:
40.51 (8) Every health care coverage plan offered by the state under sub. (6) shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.746 (1) to (8) and (10), 632.747, 632.748, 632.83, 632.835, 632.85, 632.853, 632.855, 632.87 (3) to (6), 632.895 (5m) and (8) to (14) (15), and 632.896.
SECTION 2. 40.51 (8m) of the statutes is amended to read:
40.51 (8m) Every health care coverage plan offered by the group insurance board under sub. (7) shall comply with ss. 631.95, 632.746 (1) to (8) and (10), 632.747, 632.748, 632.83, 632.835, 632.85, 632.853, 632.855, and 632.895 (11) to (14) (15).
SECTION 3. 66.0137 (4) of the statutes is amended to read:
66.0137 (4) SELF-INSURED HEALTH PLANS. If a city, including a 1st class city, or a village provides health care benefits under its home rule power, or if a town provides health care benefits, to its officers and employees on a self-insured basis, the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.85, 632.853, 632.855, 632.87 (4), (5), and (6), 632.895 (9) to (14) (15), 632.896, and 767.513 (4).
SECTION 4. 111.91 (2) (n) of the statutes is amended to read:
111.91 (2) (n) The provision to employees of the health insurance coverage required under s. 632.895 (11) to (14) (15).
SECTION 5. 120.13 (2) (g) of the statutes is amended to read:
120.13 (2) (g) Every self-insured plan under par. (b) shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.85, 632.853, 632.855, 632.87 (4), (5), and (6), 632.895 (9) to (14) (15), 632.896, and 767.513 (4).
SECTION 6. 185.981 (4t) of the statutes is amended to read:
185.981 (4t) A sickness care plan operated by a cooperative association is subject to ss. 252.14, 631.17, 631.89, 631.95, 632.72 (2), 632.745 to 632.749, 632.85, 632.853, 632.855, 632.87 (2m), (3), (4), (5), and (6), 632.895 (10) to (14) (15), and 632.897 (10) and chs. 149 and 155.
SECTION 7. 185.983 (1) (intro.) of the statutes is amended to read:
185.983 (1) (intro.) Every such voluntary nonprofit sickness care plan shall be exempt from chs. 600 to 646, with the exception of ss. 601.04, 601.13, 601.31, 601.41, 601.42, 601.43, 601.44, 601.45, 611.67, 619.04, 628.34 (10), 631.17, 631.89, 631.93, 631.95, 632.72 (2), 632.745 to 632.749, 632.775, 632.79, 632.795, 632.85, 632.853, 632.855, 632.87 (2m), (3), (4), (5), and (6), 632.895 (5) and (9) to (14) (15), 632.896, and 632.897 (10) and chs. 609, 630, 635, 645, and 646, but the sponsoring association shall:
SECTION 8. 609.87 of the statutes is created to read:
