SB1, s. 1619 8Section 1619. 49.475 (3) (a) of the statutes is amended to read:
SB1,753,109 49.475 (3) (a) Identifies in detail the detailed format of the information to be
10disclosed provided to the department.
SB1, s. 1620 11Section 1620. 49.475 (3) (c) of the statutes is amended to read:
SB1,753,1312 49.475 (3) (c) Specifies how the insurer's 3rd party's reimbursable costs under
13sub. (5) will be determined and specifies the manner of payment.
SB1, s. 1621 14Section 1621. 49.475 (4) (a) of the statutes is amended to read:
SB1,753,1815 49.475 (4) (a) An insurer A 3rd party shall provide the information requested
16under sub. (2) (a) within 180 days after receiving the department's request if it is the
17first time that the department has requested the insurer 3rd party to disclose
18information under this section.
SB1, s. 1622 19Section 1622. 49.475 (4) (b) of the statutes is amended to read:
SB1,753,2320 49.475 (4) (b) An insurer A 3rd party shall provide the information requested
21under sub. (2) (a) within 30 days after receiving the department's request if the
22department has previously requested the insurer 3rd party to disclose information
23under this section.
SB1, s. 1623 24Section 1623. 49.475 (4) (d) of the statutes is created to read:
SB1,754,2
149.475 (4) (d) If a 3rd party other than an insurer fails to comply with par. (a)
2or (b), the department may so notify the attorney general.
SB1, s. 1624 3Section 1624. 49.475 (5) of the statutes is amended to read:
SB1,754,94 49.475 (5) From the appropriations under s. 20.435 (4) (bm) and (pa), the
5department shall reimburse an insurer A 3rd party that provides information under
6this section sub. (2) (a) for the insurer's 3rd party's reasonable costs incurred in
7providing the requested information, including its reasonable costs, if any, to develop
8and operate automated systems specifically for the disclosure of the information
9under this section.
SB1, s. 1625 10Section 1625. 49.475 (6) of the statutes is created to read:
SB1,754,2011 49.475 (6) Sharing information. The department of health and family services
12shall provide to the department of workforce development, for purposes of the
13medical support liability program under s. 49.22, any information that the
14department of health and family services receives under this section. The
15department of workforce development may allow a county child support agency
16under s. 59.53 (5) or a tribal child support agency access to the information, subject
17to the use and disclosure restrictions under s. 49.83, and shall consult with the
18department of health and family services regarding procedures and methods to
19adequately safeguard the confidentiality of the information provided under this
20subsection.
SB1, s. 1626 21Section 1626. 49.475 (6) of the statutes, as created by 2007 Wisconsin Act ....
22(this act), is amended to read:
SB1,755,723 49.475 (6) Sharing information. The department of health and family services
24shall provide to the department of workforce development children and families, for
25purposes of the medical support liability program under s. 49.22, any information

1that the department of health and family services receives under this section. The
2department of workforce development children and families may allow a county child
3support agency under s. 59.53 (5) or a tribal child support agency access to the
4information, subject to the use and disclosure restrictions under s. 49.83, and shall
5consult with the department of health and family services regarding procedures and
6methods to adequately safeguard the confidentiality of the information provided
7under this subsection.
SB1, s. 1627 8Section 1627. 49.48 (1m) of the statutes is amended to read:
SB1,755,159 49.48 (1m) If an individual who applies for or to renew a certification under
10sub. (1) does not have a social security number, the individual, as a condition of
11obtaining the certification, shall submit a statement made or subscribed under oath
12or affirmation to the department that the applicant does not have a social security
13number. The form of the statement shall be prescribed by the department of
14workforce development children and families. A certification issued or renewed in
15reliance upon a false statement submitted under this subsection is invalid.
SB1, s. 1628 16Section 1628. 49.48 (2) of the statutes is amended to read:
SB1,755,2017 49.48 (2) The department of health and family services may not disclose any
18information received under sub. (1) to any person except to the department of
19workforce development children and families for the purpose of making
20certifications required under s. 49.857.
SB1, s. 1629 21Section 1629. 49.48 (3) of the statutes is amended to read:
SB1,756,822 49.48 (3) The department of health and family services shall deny an
23application for the issuance or renewal of a certification specified in sub. (1), shall
24suspend a certification specified in sub. (1) or may, under a memorandum of
25understanding under s. 49.857 (2), restrict a certification specified in sub. (1) if the

1department of workforce development children and families certifies under s. 49.857
2that the applicant for or holder of the certificate is delinquent in the payment of
3court-ordered payments of child or family support, maintenance, birth expenses,
4medical expenses or other expenses related to the support of a child or former spouse
5or fails to comply, after appropriate notice, with a subpoena or warrant issued by the
6department of workforce development children and families or a county child
7support agency under s. 59.53 (5) and related to paternity or child support
8proceedings.
SB1, s. 1629m 9Section 1629m. 49.485 of the statutes is created to read:
SB1,756,16 1049.485 False claims. Whoever knowingly presents or causes to be presented
11to any officer, employee, or agent of this state a false claim for medical assistance
12shall forfeit not less than $5,000 nor more than $10,000, plus 3 times the amount of
13the damages that were sustained by the state or would have been sustained by the
14state, whichever is greater, as a result of the false claim. The attorney general may
15bring an action on behalf of the state to recover any forfeiture incurred under this
16section.
SB1, s. 1630 17Section 1630. 49.49 (3m) (a) (intro.) of the statutes is amended to read:
SB1,756,2118 49.49 (3m) (a) (intro.) No provider may knowingly impose upon a recipient
19charges in addition to payments received for services under ss. 49.45 to 49.47 49.471
20or knowingly impose direct charges upon a recipient in lieu of obtaining payment
21under ss. 49.45 to 49.47 49.471 except under the following conditions:
SB1, s. 1631 22Section 1631. 49.49 (3m) (a) 1. of the statutes is amended to read:
SB1,756,2423 49.49 (3m) (a) 1. Benefits or services are not provided under s. 49.46 (2) or
2449.471 (11)
and the recipient is advised of this fact prior to receiving the service.
SB1, s. 1632 25Section 1632. 49.49 (3m) (a) 2. of the statutes is amended to read:
SB1,757,11
149.49 (3m) (a) 2. If an applicant is determined to be eligible retroactively under
2s. 49.46 (1) (b) or 49.47 (4) (d) and a provider bills the applicant directly for services
3and benefits rendered during the retroactive period, the provider shall, upon
4notification of the applicant's retroactive eligibility, submit claims for
5reimbursement payment under s. 49.45 for covered services or benefits rendered to
6the recipient
during the retroactive period. Upon receipt of payment under s. 49.45,
7the provider shall reimburse the applicant recipient or other person who has made
8prior payment to the provider. No provider may be required to reimburse the
9applicant or other person in excess of the amount reimbursed under s. 49.45
for
10services provided to the recipient during the retroactive eligibility period, by the
11amount of the prior payment made
.
SB1, s. 1633 12Section 1633 . 49.49 (3m) (a) 2. of the statutes, as affected by 2007 Wisconsin
13Act .... (this act), is amended to read:
SB1,757,2214 49.49 (3m) (a) 2. If an applicant is determined to be eligible retroactively under
15s. 49.46 (1) (b) or, 49.47 (4) (d), or 49.471 and a provider bills the applicant directly
16for services and benefits rendered during the retroactive period, the provider shall,
17upon notification of the applicant's retroactive eligibility, submit claims for payment
18under s. 49.45 for covered services or benefits rendered to the recipient during the
19retroactive period. Upon receipt of payment under s. 49.45, the provider shall
20reimburse the recipient or other person who has made prior payment to the provider
21for services provided to the recipient during the retroactive eligibility period, by the
22amount of the prior payment made.
SB1, s. 1634 23Section 1634 . 49.49 (3m) (a) 3. of the statutes is amended to read:
SB1,758,224 49.49 (3m) (a) 3. Benefits or services for which recipient copayment,
25coinsurance, or deductible is required under s. 49.45 (18), not to exceed maximum

1amounts allowable under 42 CFR 447.53 to 447.58, or for which recipient copayment
2or coinsurance is required under s. 49.471 (11)
.
SB1, s. 1634r 3Section 1634r. 49.496 (3) (a) (intro.) of the statutes is amended to read:
SB1,758,74 49.496 (3) (a) (intro.) Except as provided in par. (b), the department shall file
5a claim against the estate of a recipient for all of the following , subject to the exclusion
6of any amounts under the Long-Term Care Partnership Program established under
7s. 49.45 (31),
unless already recovered by the department under this section:
SB1, s. 1635 8Section 1635. 49.497 (title) of the statutes is amended to read:
SB1,758,10 949.497 (title) Recovery of incorrect Medical Assistance or Badger Care
10payments
and of unpaid employer penalties.
SB1, s. 1636 11Section 1636. 49.497 (1r) of the statutes is created to read:
SB1,758,2212 49.497 (1r) (a) The department may recover any penalty assessment not paid
13under s. 49.471 (9) (c) from the employer against which the penalty was assessed.
14If, after notice that payment of a penalty is overdue, the employer who is liable fails
15to pay the penalty amount, or enter into or comply with an agreement for payment,
16the department may bring an action to enforce the liability or may issue an order to
17compel payment of the liability. Any person aggrieved by an order issued by the
18department under this paragraph may appeal the order as a contested case under
19ch. 227 by filing with the department a request for a hearing within 30 days after the
20date of the order. The only issue at the hearing shall be the determination by the
21department that the person has not paid the penalty or entered into, or complied
22with, an agreement for payment.
SB1,759,723 (b) If any employer named in an order to compel payment issued under par. (a)
24fails to pay the department any amount due under the terms of the order and no
25contested case to review the order is pending and the time for filing for a contested

1case review has expired, the department may present a certified copy of the order to
2the circuit court for any county. The sworn statement of the secretary shall be
3evidence of the failure to pay the penalty. The circuit court shall, without notice,
4render judgment in accordance with the order. A judgment rendered under this
5paragraph shall have the same effect and shall be entered in the judgment and lien
6docket and may be enforced in the same manner as if the judgment had been
7rendered in an action tried and determined by the circuit court.
SB1,759,98 (c) The recovery procedure under this subsection is in addition to any other
9recovery procedure authorized by law.
SB1, s. 1637 10Section 1637. 49.497 (4) of the statutes is amended to read:
SB1,759,1511 49.497 (4) The department may appear for the state in any and all collection
12matters under this section, and may commence suit in the name of the department
13to recover an incorrect payment from the recipient to whom or on whose behalf it was
14made or to recover an unpaid penalty from the employer against which the penalty
15was assessed
.
SB1, s. 1638 16Section 1638. 49.665 (4) (ap) 2. of the statutes is repealed.
SB1, s. 1639 17Section 1639. 49.665 (4) (at) 1. a. of the statutes is amended to read:
SB1,759,2318 49.665 (4) (at) 1. a. Except as provided in subd. 1. b., the department shall
19establish a lower maximum income level for the initial eligibility determination if
20funding under s. 20.435 (4) (bc), (jz), (p), and (x), and (xd) is insufficient to
21accommodate the projected enrollment levels for the health care program under this
22section. The adjustment may not be greater than necessary to ensure sufficient
23funding.
SB1, s. 1640 24Section 1640. 49.665 (4) (at) 1. cm. of the statutes is amended to read:
SB1,760,11
149.665 (4) (at) 1. cm. Notwithstanding s. 20.001 (3) (b), if, after reviewing the
2plan submitted under subd. 1. b., the joint committee on finance determines that the
3amounts appropriated under s. 20.435 (4) (bc), (jz), (p), and (x), and (xd) are
4insufficient to accommodate the projected enrollment levels, the committee may
5transfer appropriated moneys from the general purpose revenue appropriation
6account of any state agency, as defined in s. 20.001 (1), other than a sum sufficient
7appropriation account, to the appropriation account under s. 20.435 (4) (bc) (b) to
8supplement the health care program under this section if the committee finds that
9the transfer will eliminate unnecessary duplication of functions, result in more
10efficient and effective methods for performing programs, or more effectively carry out
11legislative intent, and that legislative intent will not be changed by the transfer.
SB1, s. 1641 12Section 1641. 49.665 (4) (at) 2. of the statutes is amended to read:
SB1,760,1713 49.665 (4) (at) 2. If, after the department has established a lower maximum
14income level under subd. 1., projections indicate that funding under s. 20.435 (4) (bc),
15(jz), (p), and (x), and (xd) is sufficient to raise the level, the department shall, by state
16plan amendment, raise the maximum income level for initial eligibility, but not to
17exceed 185% of the poverty line.
SB1, s. 1641d 18Section 1641d. 49.665 (4g) of the statutes is created to read:
SB1,760,2519 49.665 (4g) Disease management program. Based on the health conditions
20identified by the physical health risk assessments, if performed under sub. (4m), the
21department shall develop and implement, for individuals who are eligible under sub.
22(4), disease management programs that are similar to that developed and followed
23by the Marshfield Clinic in this state under the Physician Group Practice
24Demonstration Program authorized under 42 USC 1315 (e) and (f). These programs
25shall have at least the following characteristics:
SB1,761,3
1(a) The use of information science to improve health care delivery by
2summarizing a patient's health status and providing reminders for preventive
3measures.
SB1,761,54 (b) Educating health care providers on health care process improvement by
5developing best practice models.
SB1,761,86 (c) The improvement and expansion of care management programs to assist in
7standardization of best practices, patient education, support systems, and
8information gathering.
SB1,761,109 (d) Establishment of a system of provider compensation that is aligned with
10clinical quality, practice management, and cost of care.
SB1,761,1211 (e) Focus on patient care interventions for certain chronic conditions, to reduce
12hospital admissions.
SB1, s. 1641e 13Section 1641e. 49.665 (4m) of the statutes is created to read:
SB1,761,1814 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.
SB1, s. 1642 19Section 1642. 49.665 (5m) of the statutes is repealed and recreated to read:
SB1,761,2220 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.
SB1, s. 1644 23Section 1644. 49.665 (7) (a) 1. of the statutes is amended to read:
SB1,762,224 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.
SB1, s. 1646 3Section 1646. 49.686 (6) of the statutes is created to read:
SB1,762,94 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 January
61, 2008, 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:
SB1,762,1010 1. The individuals are eligible for reimbursement under this section.
SB1,762,1111 2. The individuals are currently taking antiretroviral drugs.
SB1,762,1212 3. The individuals do not have health insurance coverage.
SB1,762,1613 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.
SB1,762,1817 (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.
SB1,762,2119 (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.
SB1, s. 1650 22Section 1650. 49.687 (6) of the statutes is created to read:
SB1,762,2523 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.
SB1, s. 1651
1Section 1651. 49.688 (5) (a) (intro.) of the statutes is amended to read:
SB1,763,72 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:
SB1, s. 1655 8Section 1655. 49.688 (8m) of the statutes is repealed and recreated to read:
SB1,763,109 49.688 (8m) The department shall obtain and share information about
10participants in the program under this section as provided in s. 49.475.
SB1, s. 1656 11Section 1656. 49.775 (2) (bm) of the statutes is amended to read:
SB1,763,2012 49.775 (2) (bm) The custodial parent assigns to the state any right of the
13custodial parent or of the dependent child to support from any other person. No
14amount of support that begins to accrue after the individual ceases to receive
15payments under this section may be considered assigned to the state. Any money
16that is received by the department of workforce development children and families
17under an assignment to the state under this paragraph and that is not the federal
18share of support shall be paid to the custodial parent. The department of workforce
19development
children and families shall pay the federal share of support assigned
20under this paragraph as required under federal law or waiver.
SB1, s. 1657 21Section 1657. 49.78 (4) of the statutes is amended to read:
SB1,764,322 49.78 (4) Rules; merit system. The department of workforce development
23children and families shall promulgate rules for the efficient administration of aid
24to families with dependent children in agreement with the requirement for federal
25aid, including the establishment and maintenance of personnel standards on a merit

1basis. The provisions of this section relating to personnel standards on a merit basis
2supersede any inconsistent provisions of any law relating to county personnel. This
3subsection shall not be construed to invalidate the provisions of s. 46.22 (1) (d).
SB1, s. 1658 4Section 1658. 49.78 (5) of the statutes is amended to read:
SB1,764,125 49.78 (5) Personnel examinations. Statewide examinations to ascertain
6qualifications of applicants in any county department administering aid to families
7with dependent children shall be given by the administrator of the division of merit
8recruitment and selection in the office of state employment relations. The office of
9state employment relations shall be reimbursed for actual expenditures incurred in
10the performance of its functions under this section from the appropriations available
11to the department of health and family services children and families for
12administrative expenditures.
SB1, s. 1659 13Section 1659. 49.78 (7) of the statutes is amended to read:
SB1,764,1914 49.78 (7) County personnel systems. Pursuant to rules promulgated under
15sub. (4), the department of workforce development children and families where
16requested by the county shall delegate to that county, without restriction because of
17enumeration, any or all of the authority of the department of workforce
18development's authority
children and families under sub. (4) to establish and
19maintain personnel standards including salary levels.
SB1, s. 1660 20Section 1660. 49.785 (1) (intro.) of the statutes is amended to read:
SB1,765,321 49.785 (1) (intro.) Except as provided in sub. (1m), if any recipient of benefits
22under s. 49.148, 49.46 or 49.77, or under 42 USC 1381 to 1385 in effect on
23May 8, 1980,
specified in sub. (1c) dies and the estate of the deceased recipient is
24insufficient to pay the funeral, burial, and cemetery expenses of the deceased
25recipient, the county or applicable tribal governing body or organization responsible

1for burial of the recipient shall pay, to the person designated by the county
2department under s. 46.215, 46.22, or 46.23 or applicable tribal governing body or
3organization responsible for the burial of the recipient, all of the following:
SB1, s. 1661 4Section 1661. 49.785 (1c) of the statutes is created to read:
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