SB1, s. 987 9Section 987. 46.283 (4) (j) of the statutes is created to read:
SB1,542,1210 46.283 (4) (j) Target any outreach, education, and prevention services it
11provides and any service development efforts it conducts on the basis of findings
12made by the governing board of the resource center under sub. (6) (b) 2. and 3.
SB1, s. 988 13Section 988. 46.283 (5) of the statutes is amended to read:
SB1,542,1814 46.283 (5) Funding. From the appropriation accounts under s. 20.435 (4) (b),
15(bm), (gp), (pa), and (w), and (xd) and (7) (b), (bd), and (md), the department may
16contract with organizations that meet standards under sub. (3) for performance of
17the duties under sub. (4) and shall distribute funds for services provided by resource
18centers.
SB1, s. 989 19Section 989. 46.283 (6) of the statutes is amended to read:
SB1,542,2220 46.283 (6) Governing board. (a) 1. A resource center shall have a governing
21board that reflects the ethnic and economic diversity of the geographic area served
22by the resource center.
SB1,543,4 232. At least one-fourth of the members of the governing board shall be older
24persons or persons with physical or developmental disabilities
individuals who
25belong to a client group served by the resource center or their family members,

1guardians, or other advocates. The proportion of these board members who belong
2to each client group, or their family members, guardians, or advocates, shall be the
3same, respectively, as the proportion of individuals in this state who receive services
4under s. 46.2805 to 46.2895 and belong to each client group.
SB1, s. 990 5Section 990. 46.283 (6) (a) 3. of the statutes is created to read:
SB1,543,126 46.283 (6) (a) 3. An individual who has a financial interest in, or serves on the
7governing board of, a care management organization or an organization that
8administers a program described under s. 46.2805 (1) (a) or (b) or a managed care
9program under s. 49.45 for individuals who are eligible to receive supplemental
10security income under 42 USC 1381 to 1383c, which serves any geographic area also
11served by a resource center, and the individual's family members, may not serve as
12members of the governing board of the resource center.
SB1, s. 991 13Section 991. 46.283 (6) (b) of the statutes is created to read:
SB1,543,1514 46.283 (6) (b) The governing board of a resource center shall do all of the
15following:
SB1,543,1816 1. Determine the structure, policies, and procedures of, and oversee the
17operations of, the resource center. The operations of a resource center that is
18operated by a county are subject to the county's ordinances and budget.
SB1,543,2319 2. Annually gather information from consumers and providers of long-term
20care services and other interested persons concerning the adequacy of long-term
21care services offered in the area served by the resource center. The board shall
22provide well-advertised opportunities for persons to participate in the board's
23information gathering activities conducted under this subdivision.
SB1,543,2524 4. Report findings made under subds. 2. and 3. to the applicable regional
25long-term care advisory committee.
SB1,544,3
15. Recommend strategies for building local capacity to serve older persons and
2persons with physical or developmental disabilities, as appropriate, to local elected
3officials, the regional long-term care advisory committee, or the department.
SB1,544,54 7. Appoint members to the regional long-term care advisory committee, as
5provided under s. 46.2825 (1).
SB1, s. 992 6Section 992. 46.284 (1) (a) (intro.) of the statutes is amended to read:
SB1,544,107 46.284 (1) (a) (intro.) After considering recommendations of the local
8long-term care council under s. 46.282 (3) (a) 1., a
A county board of supervisors and,
9in a county with a county executive or a county administrator, the county executive
10or county administrator, may decide all of the following:
SB1, s. 993 11Section 993. 46.284 (1) (a) 2. of the statutes is amended to read:
SB1,544,1312 46.284 (1) (a) 2. Whether to create a family long-term care district to apply to
13the department for a contract to operate a care management organization.
SB1, s. 994 14Section 994. 46.284 (2) (b) (intro.) of the statutes is repealed.
SB1, s. 995 15Section 995. 46.284 (2) (b) 1. of the statutes is repealed.
SB1, s. 996 16Section 996. 46.284 (2) (b) 2. of the statutes is repealed.
SB1, s. 997 17Section 997. 46.284 (2) (b) 3. of the statutes is renumbered 46.284 (2) (bm) and
18amended to read:
SB1,545,419 46.284 (2) (bm) After December 31, 2003, the The department may contract
20with counties, family long-term care districts, the governing body of a tribe or band
21or the Great Lakes inter-tribal council, inc., or under a joint application of any of
22these, or with a private organization that has no significant connection to an entity
23that operates a resource center. Proposals for contracts under this subdivision shall
24be solicited under a competitive sealed proposal process under s. 16.75 (2m) and,
25after consulting with the local long-term care council for the county or counties,
the

1department shall evaluate the proposals primarily as to the quality of care that is
2proposed to be provided, certify those applicants that meet the requirements
3specified in sub. (3) (a), select certified applicants for contract and contract with the
4selected applicants.
SB1, s. 997m 5Section 997m. 46.284 (2) (c) of the statutes is created to read:
SB1,545,186 46.284 (2) (c) The department shall require, as a term of any contract with a
7care management organization under this section, that the care management
8organization contract for the provision of services that are covered under the family
9care benefit with any community-based residential facility under s. 50.01 (1g),
10residential care apartment complex under s. 50.01 (1d), nursing home under s. 50.01
11(3), intermediate care facility for the mentally retarded under s. 50.14 (1) (b),
12community rehabilitation program, home health agency under s. 50.49 (1) (a),
13provider of day services, or provider of personal care, as defined in s. 50.01 (4o), that
14agrees to accept the reimbursement rate that the care management organization
15pays under contract to similar providers for the same service and that satisfies any
16applicable quality of care, utilization, or other criteria that the care management
17organization requires of other providers with which it contracts to provide the same
18service.
SB1, s. 998 19Section 998. 46.284 (3) (a) of the statutes is amended to read:
SB1,546,220 46.284 (3) (a) If an entity meets the requirements under par. (b) and applicable
21rules of the department and submits to the department an application for initial
22certification or certification renewal, the department shall certify that the entity
23meets the requirements for a care management organization. An application shall
24include comments about the applicant and recommendations about the application

1that are provided by the appropriate local long-term care council, as specified under
2s. 46.282 (3) (a) 3.
SB1, s. 999 3Section 999. 46.284 (5) (a) of the statutes is amended to read:
SB1,546,104 46.284 (5) (a) From the appropriation accounts under s. 20.435 (4) (b), (g), (gp),
5(im), (o), and (w), and (xd) and (7) (b) and, (bd), and (g), the department shall provide
6funding on a capitated payment basis for the provision of services under this section.
7Notwithstanding s. 46.036 (3) and (5m), a care management organization that is
8under contract with the department may expend the funds, consistent with this
9section, including providing payment, on a capitated basis, to providers of services
10under the family care benefit.
SB1, s. 1000 11Section 1000. 46.284 (6) of the statutes is amended to read:
SB1,546,1912 46.284 (6) Governing board. A care management organization shall have a
13governing board that reflects the ethnic and economic diversity of the geographic
14area served by the care management organization. At least one-fourth of the
15members of the governing board shall be older persons or persons with physical or
16developmental disabilities or their family members, guardians or other advocates
17who are
representative of the client group or groups whom the care management
18organization's enrollee organization is contracted to serve or those clients' family
19members, guardians, or other advocates
.
SB1, s. 1001 20Section 1001. 46.285 (1) of the statutes is renumbered 46.285, and 46.285
21(intro.), (1) and (2), as renumbered, are amended to read:
SB1,547,2 2246.285 (intro.) In order to meet federal requirements and assure federal
23financial participation in funding of the family care benefit, a county, a tribe or band,
24a family long-term care district or an organization, including a private, nonprofit

1corporation, may not directly operate both a resource center and a care management
2organization, except as follows:
SB1,547,6 3(1) For an entity with which the department has contracted under s. 46.281 (1)
4(e) 1., 2005 stats., provision of the services specified under s. 46.283 (3) (b), (e), (f) and
5(g) shall be structurally separate from the provision of services of the care
6management organization by January 1, 2001.
SB1,547,10 7(2) The department may approve separation of the functions of a resource
8center from those of a care management organization by a means other than those
9specified in sub. (2)
creating a long-term care district under s. 46.2895 to serve either
10as a resource center or a care management organization
.
SB1, s. 1002 11Section 1002. 46.285 (2) of the statutes is repealed.
SB1, s. 1003 12Section 1003. 46.286 (1) (intro.) of the statutes is amended to read:
SB1,547,1713 46.286 (1) Eligibility. (intro.) A person is eligible for, but not necessarily
14entitled to, the family care benefit if the person is at least 18 years of age; has a
15physical disability, as defined in s. 15.197 (4) (a) 2., or a developmental disability, as
16defined in s. 51.01 (5) (a), or degenerative brain disorder, as defined in s. 55.01 (1v)
17is a frail elder; and meets all of the following criteria:
SB1, s. 1004 18Section 1004. 46.286 (1) (a) 1. of the statutes is amended to read:
SB1,547,2019 46.286 (1) (a) 1. The person's functional capacity level of care need is at either
20of the following levels:
SB1,547,2321 a. The comprehensive nursing home level, if the person has a long-term or
22irreversible condition, expected to last at least 90 days or result in death within one
23year of the date of application, and requires ongoing care, assistance or supervision.
SB1,548,224 b. The intermediate non-nursing home level, if the person has a condition that
25is expected to last at least 90 days or result in death within 12 months after the date

1of application, and is at risk of losing his or her independence or functional capacity
2unless he or she receives assistance from others.
SB1, s. 1005 3Section 1005. 46.286 (1) (b) (intro.) of the statutes is amended to read:
SB1,548,54 46.286 (1) (b) Financial eligibility. (intro.) A person is financially eligible if
5all any of the following apply:
SB1, s. 1006 6Section 1006. 46.286 (1) (b) 1. (intro.) of the statutes is repealed.
SB1, s. 1007 7Section 1007. 46.286 (1) (b) 1. a. of the statutes is renumbered 46.286 (1) (b)
83. and amended to read:
SB1,548,149 46.286 (1) (b) 3. The person was receiving the family care benefit on the
10effective date of this subdivision .... [revisor inserts date], the person
would qualify
11for medical assistance except for financial or disability criteria, and the projected cost
12of the person's care plan, as calculated by the department or its designee, exceeds the
13person's gross monthly income, plus one-twelfth of his or her countable assets, less
14deductions and allowances permitted by rule by the department.
SB1, s. 1008 15Section 1008. 46.286 (1) (b) 1. b. and 2. of the statutes are consolidated,
16renumbered 46.286 (1) (b) 1m. and amended to read:
SB1,548,2017 46.286 (1) (b) 1m. The person is eligible under ch. 49 for medical assistance.
182. If subd. 1. b. applies, the person accepts medical assistance
and, unless he or she
19is exempt from the acceptance under rules promulgated by the department, accepts
20medical assistance
.
SB1, s. 1009 21Section 1009. 46.286 (3) (a) (intro.) of the statutes is amended to read:
SB1,548,2422 46.286 (3) (a) (intro.) Subject to pars. par. (c) and (d), a person is entitled to and
23may receive the family care benefit through enrollment in a care management
24organization if he or she all of the following apply:
SB1,548,25 251m. The person is at least 18 years of age,.
SB1,549,3
12m. The person has a physical disability, as defined in s. 15.197 (4) (a) 2., a
2developmental disability, as defined in s. 51.01 (5) (a), or degenerative brain disorder,
3as defined in s. 55.01 (1v),
is a frail elder.
SB1,549,5 44m. The person is financially eligible, under sub. (1) (b) 1m., and fulfills any
5applicable cost-sharing requirements and meets any of the following criteria:.
SB1, s. 1010 6Section 1010. 46.286 (3) (a) 1. of the statutes is repealed.
SB1, s. 1011 7Section 1011. 46.286 (3) (a) 2. of the statutes is repealed.
SB1, s. 1012 8Section 1012. 46.286 (3) (a) 3. of the statutes is repealed.
SB1, s. 1013 9Section 1013. 46.286 (3) (a) 3m. of the statutes is created to read:
SB1,549,1010 46.286 (3) (a) 3m. The person is functionally eligible under sub. (1) (a).
SB1, s. 1014 11Section 1014. 46.286 (3) (a) 4. of the statutes is repealed.
SB1, s. 1015 12Section 1015. 46.286 (3) (a) 6. of the statutes is repealed.
SB1, s. 1016 13Section 1016. 46.286 (3) (d) of the statutes is repealed.
SB1, s. 1017 14Section 1017. 46.286 (3m) of the statutes is repealed and recreated to read:
SB1,549,1615 46.286 (3m) Information about enrollees. The department shall obtain and
16share information about family care enrollees as provided in s. 49.475.
SB1, s. 1018 17Section 1018. 46.288 (2) (intro.) of the statutes is amended to read:
SB1,549,2418 46.288 (2) (intro.) Criteria and procedures for determining functional
19eligibility under s. 46.286 (1) (a), financial eligibility under s. 46.286 (1) (b), and cost
20sharing under s. 46.286 (2) (a) and entitlement under s. 46.286 (3). The rules for
21determining functional eligibility under s. 46.286 (1) (a) 1. a. shall be substantially
22similar to eligibility criteria for receipt of the long-term support community options
23program under s. 46.27. Rules under this subsection shall include definitions of the
24following terms applicable to s. 46.286:
SB1, s. 1019 25Section 1019. 46.289 (title) of the statutes is renumbered 46.2803 (title).
SB1, s. 1020
1Section 1020. 46.289 of the statutes is renumbered 46.2803 (1).
SB1, s. 1021 2Section 1021. 46.2895 (title) of the statutes is amended to read:
SB1,550,3 346.2895 (title) Family Long-term care district.
SB1, s. 1022 4Section 1022. 46.2895 (1) (a) (intro.) of the statutes is amended to read:
SB1,550,115 46.2895 (1) Creation. (a) (intro.) A county board of supervisors, a tribe or band,
6or any combination of counties or tribes or bands,
may create a special purpose
7district that is termed a "family long-term care district", that is a local unit of
8government, that is separate and distinct from, and independent of, the state and the
9county or tribe or band that created it, and that has the powers and duties specified
10in this section, if the each county board or tribe or band that participates in creating
11the district
does all of the following:
SB1, s. 1023 12Section 1023. 46.2895 (1) (a) 1. a. of the statutes is amended to read:
SB1,550,1413 46.2895 (1) (a) 1. a. Declares the need for establishing the family long-term
14care district.
SB1, s. 1024 15Section 1024. 46.2895 (1) (a) 1. b. of the statutes is amended to read:
SB1,550,1916 46.2895 (1) (a) 1. b. Specifies the family long-term care district's primary
17purpose, which shall be to operate, under contract with the department, either a
18resource center under s. 46.283 or, a care management organization under s. 46.284,
19but not both, or a program described under s. 46.2805 (1) (a) or (b).
SB1, s. 1025 20Section 1025. 46.2895 (1) (a) 1. c. of the statutes is created to read:
SB1,550,2421 46.2895 (1) (a) 1. c. Specifies the number of individuals who shall be appointed
22as members of the long-term care district board, the length of their terms, and, if the
23long-term care district is created by more than one county or tribe or band, how many
24members shall be appointed by each county or tribe or band.
SB1, s. 1026 25Section 1026. 46.2895 (1) (b) of the statutes is repealed.
SB1, s. 1027
1Section 1027. 46.2895 (1) (c) of the statutes is created to read:
SB1,551,42 46.2895 (1) (c) A long-term care district may not operate a care management
3organization under s. 46.284 or a program described under s. 46.2805 (1) (a) or (b)
4if the district operates a resource center under s. 46.283.
SB1, s. 1028 5Section 1028. 46.2895 (1) (d) of the statutes is created to read:
SB1,551,76 46.2895 (1) (d) A county or tribe or band may create more than one long-term
7care district.
SB1, s. 1029 8Section 1029. 46.2895 (1) (e) of the statutes is created to read:
SB1,551,149 46.2895 (1) (e) A long-term care district may change its primary purpose
10specified under par. (a) 1. b. if all the counties or tribes or bands that created the
11district and that have not withdrawn or been removed from the district under sub.
12(14), adopt a resolution approving the change in primary purpose and if the change
13in purpose does not violate par. (c) or any provision of a contract between the
14department and the district.
SB1, s. 1030 15Section 1030. 46.2895 (2) of the statutes is amended to read:
SB1,551,2016 46.2895 (2) Jurisdiction. A family long-term care district's jurisdiction is the
17geographical area of the county or counties of the county board or boards of
18supervisors who
that created the family long-term care district and the geographic
19area of the reservation of, or lands held in trust for, any tribe or band that created
20the long-term care district
.
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