632.89 (2) (c) 2. b. Seven thousand Twenty thousand two hundred fifty dollars minus any applicable cost sharing at the level charged under the policy for inpatient hospital services or the equivalent benefits measured in services rendered or, if the policy does not use cost sharing, $6,300 $18,250 in equivalent benefits measured in services rendered.
SECTION 4. 632.89 (2) (d) 2. of the statutes is amended to read:
632.89 (2) (d) 2. Except as provided in par. (b), a policy under subd. 1. shall provide coverage in every policy year for not less than $2,000 $3,450 minus any applicable cost sharing at the level charged under the policy for outpatient services or the equivalent benefits measured in services rendered or, if the policy does not use cost sharing, $1,800 $3,100 in equivalent benefits measured in services rendered.
SECTION 5. 632.89 (2) (dm) 2. of the statutes is amended to read:
632.89 (2) (dm) 2. Except as provided in par. (b), a policy under subd. 1. shall provide coverage in every policy year for not less than $3,000 $5,200 minus any applicable cost sharing at the level charged under the policy for transitional treatment arrangements or the equivalent benefits measured in services rendered or, if the policy does not use cost sharing, $2,700 $4,650 in equivalent benefits measured in services rendered.
SECTION 6. 632.89 (2) (f) of the statutes is created to read:
632.89 (2) (f) Report on coverage limits. The department of health and family services shall report annually to the governor and the legislature on revising the coverage limits specified in this subsection based on the change in the consumer price index for medical costs.
SECTION 9325. Initial applicability; Insurance.
(1) LIMITS FOR MENTAL HEALTH AND DRUG ABUSE COVERAGE. The treatment of section 632.89 (1) (am) and (2) (b) 1., (c) 2. b., (d) 2., (dm) 2., and (f) of the statutes first applies to a policy issued, renewed, or modified on the first day of the 13th month beginning after publication.
(End)
LRB-1562LRB-1562/P4
RLR:kjf&lmk:jf
2007 - 2008 LEGISLATURE
DOA:......Milioto, BB0385b - Family care resource center governing boards and local and regional committees
For 2007-09 Budget -- Not Ready For Introduction
2007 BILL
AN ACT ...; relating to: the budget.
Analysis by the Legislative Reference Bureau
This is a preliminary draft. An analysis will be provided in a later version.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
SECTION 1. 46.27 (4) (am) of the statutes is amended to read:
46.27 (4) (am) If a local long-term care council in a county the governing board of a resource center assumes under s. 46.282 (3) (b) 46.283 (6) (b) 10. the duties of the county long-term support planning committee under this subsection, the county long-term support planning committee for the county is dissolved.
SECTION 2. 46.27 (4) (c) (intro.) of the statutes is amended to read:
46.27 (4) (c) (intro.) The planning committee shall develop, or, if a local long-term care council the governing board of a resource center has under s. 46.282 (3) (b) 46.283 (6) (b) 10. assumed the duties of the planning committee, the local long-term care council governing board of the resource center shall recommend a community options plan for participation in the program. The plan shall include:
SECTION 3. 46.27 (4) (c) 5. of the statutes is amended to read:
46.27 (4) (c) 5. A description of the method to be used by the committee or, if a local long-term care council the governing board of a resource center has under s. 46.282 (3) (b) 46.283 (6) (b) 10. assumed the duties of the planning committee, the local long-term care council governing board of the resource center to monitor the implementation of the program.
SECTION 4. 46.2805 (7m) of the statutes is repealed.
SECTION 5. 46.281 (1n) (d) of the statutes is created to read:
46.281 (1n) (d) 1. Establish regions for long-term care advisory committees under s. 46.2825, periodically review the boundaries of the regions, and, as appropriate, revise the boundaries.
2. Specify the number of members that each governing board of a resource center shall appoint to a regional long-term care advisory committee. The total number of committee members shall not exceed 25, and the department shall allot committee membership equally among the governing boards of resource centers operating within the boundaries of the regional long-term care advisory committee.
3. Provide information and staff assistance to assist regional long-term care advisory committees in performing the duties under s. 46.2825 (2).
****NOTE: This is reconciled s. 46.281 (1n) (d). This SECTION has been affected by the following LRB numbers: 0330 and 1562.
SECTION 6. 46.282 (title) of the statutes is repealed.
SECTION 7. 46.282 (2) of the statutes is repealed.
****NOTE: This is reconciled s. 46.282 (2). This SECTION has been affected by drafts with the following LRB numbers: 0330 and 1562.
SECTION 8. 46.282 (3) (title) of the statutes is repealed.
SECTION 9. 46.282 (3) (a) (intro.) of the statutes is repealed.
SECTION 10. 46.282 (3) (a) 1. of the statutes is repealed.
****NOTE: This is reconciled s. 46.282 (3) (a) 1. This SECTION has been affected by drafts with the following LRB numbers: 1524 and 1562.
SECTION 11. 46.282 (3) (a) 2. of the statutes is repealed.
SECTION 12. 46.282 (3) (a) 3. of the statutes is repealed.
SECTION 13. 46.282 (3) (a) 4. of the statutes is repealed.
SECTION 14. 46.282 (3) (a) 5. of the statutes is repealed.
SECTION 15. 46.282 (3) (a) 6. of the statutes is repealed.
SECTION 16. 46.282 (3) (a) 7. of the statutes is repealed.
SECTION 17. 46.282 (3) (a) 8. of the statutes is renumbered 46.2825 (2) (e) and amended to read:
46.2825 (2) (e) Monitor the pattern of enrollments and disenrollments in local care management organizations that provide services in the committee's region.
SECTION 18. 46.282 (3) (a) 9. of the statutes is renumbered 46.283 (6) (b) 3. and amended to read:
46.283 (6) (b) 3. Identify any gaps in services, living arrangements, and community resources and develop strategies to build local capacity to serve older persons and persons with physical or developmental disabilities needed by individuals belonging to the client groups served by the resource center, especially those with long-term care needs.
SECTION 19. 46.282 (3) (a) 10. of the statutes is renumbered 46.2825 (2) (g) and amended to read:
46.2825 (2) (g) Perform long-range planning on long-term care policy for older persons and persons with physical or developmental disabilities individuals belonging to the client groups served by the resource center.
SECTION 20. 46.282 (3) (a) 11. of the statutes is renumbered 46.283 (6) (b) 8. and amended to read:
46.283 (6) (b) 8. Annually review interagency agreements between a the resource center and care management organization or organizations that provide services in the area served by the resource center and make recommendations, as appropriate, on the interaction between the resource center and the care management organization or organizations to assure coordination between or among them and to assure access to and timeliness in provision of services by the resource center and the care management organizations.
SECTION 21. 46.282 (3) (a) 12. of the statutes is renumbered 46.283 (6) (b) 9. and amended to read:
46.283 (6) (b) 9. Annually review Review the number and types of complaints and grievances about and appeals concerning the long-term care system by persons who receive or may receive care under the system in the area served by the resource center, to determine if a need exists for system changes, and recommend system or other changes if appropriate.
SECTION 22. 46.282 (3) (a) 13. of the statutes is renumbered 46.283 (6) (b) 6. and amended to read:
46.283 (6) (b) 6. Identify potential new sources of community resources and funding for needed services for older persons and persons with physical or developmental disabilities individuals belonging to the client groups served by the resource center.
SECTION 23. 46.282 (3) (a) 14. of the statutes is repealed.
SECTION 24. 46.282 (3) (a) 15. of the statutes is repealed.
SECTION 25. 46.282 (3) (b) of the statutes is renumbered 46.283 (6) (b) 10. and amended to read:
46.283 (6) (b) 10. A local long-term care council may, within the local long-term care council's area If directed to do so by the county board, assume the duties of the county long-term community support planning committee as specified under s. 46.27 (4) for a county served by the resource center.
SECTION 26. 46.2825 of the statutes is created to read:
46.2825 Regional long-term care advisory committees. (1) CREATION. The governing board of each resource center operating in a region established by the department under s. 46.281 (1n) (d) 1. shall appoint the number of its members that is specified by the department under s. 46.281 (1n) (d) 2. to a regional long-term care advisory committee. At least 50 percent of the persons a resource center board appoints to a regional long-term care advisory committee shall be older persons or persons with a physical or developmental disability or their family members, guardians, or other advocates.
****NOTE: This is reconciled section 46.2825 (1). This SECTION has been affected by drafts with the following LRB numbers: 0330 and 1562.
(2) DUTIES. A regional long-term care advisory committee shall do all of the following:
(a) Evaluate the performance of care management organizations and entities that operate a program described under s. 46.2805 (1) (a) or (b) in the committee's region with respect to responsiveness to recipients of their services, fostering choices for recipients, and other issues affecting recipients; and make recommendations based on the evaluation to the department and to the care management organizations and entities, as appropriate.
(b) Evaluate the performance of resource centers operating in the committee's region and, as appropriate, make recommendations, concerning their performance to the department and the resource centers.
(c) Monitor grievances and appeals made to care management organizations or entities that operate a program described under s. 46.2805 (1) (a) or (b) within the committee's region.
(d) Review utilization of long-term care services in the committee's region.
(f) Using information gathered under s. 46.283 (6) (b) 2. by governing boards of resources centers operating in the committee's region and other available information, identify any gaps in the availability of services, living arrangements, and community resources needed by older persons and persons with physical or developmental disabilities, and develop strategies to build capacity to provide those services, living arrangements, and community resources in the committee's region.
(h) Annually report to the department regarding significant achievements and problems relating to the provision of long-term care services in the committee's region.
SECTION 27. 46.283 (4) (j) of the statutes is created to read:
46.283 (4) (j) Target any outreach, education, and prevention services it provides and any service development efforts it conducts on the basis of findings made by the governing board of the resource center under sub. (6) (b) 2. and 3.
SECTION 28. 46.283 (6) of the statutes is amended to read:
46.283 (6) GOVERNING BOARD. (a) 1. A resource center shall have a governing board that reflects the ethnic and economic diversity of the geographic area served by the resource center.
2. At least one-fourth of the members of the governing board shall be older persons or persons with physical or developmental disabilities individuals who belong to a client group served by the resource center or their family members, guardians, or other advocates. The proportion of these board members who belong to each client group, or their family members, guardians, or advocates, shall be the same, respectively, as the proportion of individuals in this state who receive services under s. 46.2805 to 46.2895 and belong to each client group.
SECTION 29. 46.283 (6) (a) 3. of the statutes is created to read:
46.283 (6) (a) 3. An individual who has a financial interest in, or serves on the governing board of, a care management organization or an organization that administers a program described under s. 46.2805 (1) (a) or (b) or a managed care program under s. 49.45 for individuals who are eligible to receive supplemental security income under 42 USC 1381 to 1383c, which serves any geographic area also served by a resource center, and the individual's family members, may not serve as members of the governing board of the resource center.
SECTION 30. 46.283 (6) (b) of the statutes is created to read:
46.283 (6) (b) The governing board of a resource center shall do all of the following:
1. Determine the structure, policies, and procedures of, and oversee the operations of, the resource center. The operations of a resource center that is operated by a county are subject to the county's ordinances and budget.
2. Annually gather information from consumers and providers of long-term care services and other interested persons concerning the adequacy of long-term care services offered in the area served by the resource center. The board shall provide well-advertised opportunities for persons to participate in the board's information gathering activities conducted under this subdivision.
4. Report findings made under subds. 2. and 3. to the applicable regional long-term care advisory committee.
5. Recommend strategies for building local capacity to serve older persons and persons with physical or developmental disabilities, as appropriate, to local elected officials, the regional long-term care advisory committee, or the department.
7. Appoint members to the regional long-term care advisory committee, as provided under s. 46.2825 (1).
SECTION 31. 46.284 (1) (a) (intro.) of the statutes is amended to read:
46.284 (1) (a) (intro.) After considering recommendations of the local long-term care council under s. 46.282 (3) (a) 1., a A county board of supervisors and, in a county with a county executive or a county administrator, the county executive or county administrator, may decide all of the following:
SECTION 32. 46.284 (3) (a) of the statutes is amended to read:
46.284 (3) (a) If an entity meets the requirements under par. (b) and applicable rules of the department and submits to the department an application for initial certification or certification renewal, the department shall certify that the entity meets the requirements for a care management organization. An application shall include comments about the applicant and recommendations about the application that are provided by the appropriate local long-term care council, as specified under s. 46.282 (3) (a) 3.
(End)
LRB-1565LRB-1565/4
ARG:kjf:jf
2007 - 2008 LEGISLATURE
DOA:......Kornely, BB0397 - General obligation bond debt service appropriation
For 2007-09 Budget -- Not Ready For Introduction
2007 BILL
