SB27-SSA1, s. 1453L
5Section 1453L. 49.46 (2) (b) (intro.) of the statutes, as affected by 2011
6Wisconsin Act .... (this act), is amended to read:
SB27-SSA1,628,107
49.46
(2) (b) (intro.) Except as provided in pars. (be) and (dc)
and unless
8otherwise provided by the department by a policy created under s. 49.45 (2m) (c), the
9department shall audit and pay allowable charges to certified providers for medical
10assistance on behalf of recipients for the following services:
SB27-SSA1,629,212
49.46
(2) (c) 2. For an individual who is entitled to coverage under
part Part 13A of
medicare Medicare, entitled to coverage under
part Part B of
medicare Medicare,
14meets the eligibility criteria under sub. (1)
, and meets the limitation on income under
15subd. 6.,
medical assistance Medical Assistance shall include payment of the
16deductible and coinsurance portions of
medicare Medicare services under
42 USC
171395 to
1395zz which that are not paid under
42 USC 1395 to
1395zz, including those
18medicare Medicare services that are not included in the approved state plan for
19services under
42 USC 1396; the monthly premiums payable under
42 USC 1395v;
20the monthly premiums, if applicable, under
42 USC 1395i-2 (d); and the late
21enrollment penalty, if applicable, for premiums under
part Part A of
medicare 22Medicare. Payment of coinsurance for a service under
part Part B of
medicare 23Medicare under
42 USC 1395j to
1395w, other than payment of coinsurance for
24outpatient hospital services, and payment of deductibles and coinsurance for
25inpatient hospital services under Part A of Medicare may not exceed the allowable
1charge for the service under
medical assistance Medical Assistance minus the
2medicare Medicare payment.
SB27-SSA1,629,154
49.46
(2) (c) 3. For an individual who is only entitled to coverage under
part 5Part A of
medicare Medicare, meets the eligibility criteria under sub. (1)
, and meets
6the limitation on income under subd. 6.,
medical assistance Medical Assistance shall
7include payment of the deductible and coinsurance portions of
medicare Medicare 8services under
42 USC 1395 to
1395i which that are not paid under
42 USC 1395 to
91395i, including those
medicare Medicare services that are not included in the
10approved state plan for services under
42 USC 1396; the monthly premiums, if
11applicable, under
42 USC 1395i-2 (d); and the late enrollment penalty, if applicable,
12for premiums under
part Part A of
medicare Medicare. Payment of deductibles and
13coinsurance for inpatient hospital services under Part A of Medicare may not exceed
14the allowable charge for the service under Medical Assistance minus the Medicare
15payment.
SB27-SSA1,630,517
49.46
(2) (c) 4. For an individual who is entitled to coverage under
part Part 18A of
medicare Medicare, entitled to coverage under
part Part B of
medicare Medicare, 19and meets the eligibility criteria for
medical assistance Medical Assistance under
20sub. (1), but does not meet the limitation on income under subd. 6.,
medical
21assistance Medical Assistance shall include payment of the deductible and
22coinsurance portions of
medicare Medicare services under
42 USC 1395 to
1395zz 23which that are not paid under
42 USC 1395 to
1395zz, including those
medicare 24Medicare services that are not included in the approved state plan for services under
2542 USC 1396. Payment of coinsurance for a service under
part Part B of
medicare
1Medicare under
42 USC 1395j to
1395w, other than payment of coinsurance for
2outpatient hospital services, and payment of deductibles and coinsurance for
3inpatient hospital services under Part A of Medicare may not exceed the allowable
4charge for the service under
medical assistance Medical Assistance minus the
5medicare Medicare payment.
SB27-SSA1,630,167
49.46
(2) (c) 5. For an individual who is only entitled to coverage under
part 8Part A of
medicare Medicare and meets the eligibility criteria for
medical assistance 9Medical Assistance under sub. (1), but does not meet the limitation on income under
10subd. 6.,
medical assistance Medical Assistance shall include payment of the
11deductible and coinsurance portions of
medicare Medicare services under
42 USC
121395 to
1395i which that are not paid under
42 USC 1395 to
1395i, including those
13medicare Medicare services that are not included in the approved state plan for
14services under
42 USC 1396.
Payment of deductibles and coinsurance for inpatient
15hospital services under Part A of Medicare may not exceed the allowable charge for
16the service under Medical Assistance minus the Medicare payment.
SB27-SSA1,631,218
49.46
(2) (c) 5m. For an individual who is only entitled to coverage under
part 19Part B of
medicare Medicare and meets the eligibility criteria under sub. (1), but does
20not meet the limitation on income under subd. 6.,
medical assistance Medical
21Assistance shall include payment of the deductible and coinsurance portions of
22medicare Medicare services under
42 USC 1395j to
1395w, including those
medicare 23Medicare services that are not included in the approved state plan for services under
2442 USC 1396. Payment of coinsurance for a service under
part Part B of
medicare,
25other than payment of coinsurance for outpatient hospital services,
Medicare may
1not exceed the allowable charge for the service under
medical assistance Medical
2Assistance minus the
medicare Medicare payment.
SB27-SSA1,631,105
49.465
(2) (intro.) Unless otherwise provided by the department by a policy
6created under s. 49.45 (2m) (c), a pregnant woman is eligible for medical assistance
7benefits, as provided under sub. (3), during the period beginning on the day on which
8a qualified provider determines, on the basis of preliminary information, that the
9woman's family income does not exceed the highest level for eligibility for benefits
10under s. 49.46 (1) or 49.47 (4) (am) or (c) 1. and ending as follows:
SB27-SSA1, s. 1453s
11Section 1453s. 49.465 (2) (intro.) of the statutes, as affected by 2011 Wisconsin
12Act .... (this act), is amended to read:
SB27-SSA1,631,1813
49.465
(2) (intro.)
Unless otherwise provided by the department by a policy
14created under s. 49.45 (2m) (c), a A pregnant woman is eligible for medical assistance
15benefits, as provided under sub. (3), during the period beginning on the day on which
16a qualified provider determines, on the basis of preliminary information, that the
17woman's family income does not exceed the highest level for eligibility for benefits
18under s. 49.46 (1) or 49.47 (4) (am) or (c) 1. and ending as follows:
SB27-SSA1,632,1120
49.468
(1) (b) For an elderly or disabled individual who is entitled to coverage
21under
part Part A of
medicare Medicare, entitled to coverage under
part Part B of
22medicare Medicare, and who does not meet the eligibility criteria for
medical
23assistance Medical Assistance under s. 49.46 (1), 49.465, 49.47 (4), or 49.471 but
24meets the limitations on income and resources under par. (d),
medical assistance 25Medical Assistance shall pay the deductible and coinsurance portions of
medicare
1Medicare services under
42 USC 1395 to
1395zz
which that are not paid under
42
2USC 1395 to
1395zz, including those
medicare Medicare services that are not
3included in the approved state plan for services under
42 USC 1396; the monthly
4premiums payable under
42 USC 1395v; the monthly premiums, if applicable, under
542 USC 1395i-2 (d); and the late enrollment penalty, if applicable, for premiums
6under
part Part A of
medicare Medicare. Payment of coinsurance for a service under
7part Part B of
medicare Medicare under
42 USC 1395j to
1395w, other than payment
8of coinsurance for outpatient hospital services, and payment of deductibles and
9coinsurance for inpatient hospital services under Part A of Medicare may not exceed
10the allowable charge for the service under
medical assistance Medical Assistance 11minus the
medicare Medicare payment.
SB27-SSA1,632,2513
49.468
(1) (c) For an elderly or disabled individual who is only entitled to
14coverage under
part Part A of
medicare Medicare and who does not meet the
15eligibility criteria for
medical assistance Medical Assistance under s. 49.46 (1),
1649.465, 49.47 (4), or 49.471 but meets the limitations on income and resources under
17par. (d),
medical assistance Medical Assistance shall pay the deductible and
18coinsurance portions of
medicare Medicare services under
42 USC 1395 to
1395i 19which that are not paid under
42 USC 1395 to
1395i, including those
medicare 20Medicare services that are not included in the approved state plan for services under
2142 USC 1396; the monthly premiums, if applicable, under
42 USC 1395i-2 (d); and
22the late enrollment penalty for premiums under
part
Part A of
medicare Medicare,
23if applicable.
Payment of deductibles and coinsurance for inpatient hospital services
24under Part A of Medicare may not exceed the allowable charge for the service under
25Medical Assistance minus the Medicare payment.
SB27-SSA1,633,63
49.47
(4) (a) (intro.) Unless otherwise provided by the department by a policy
4created under s. 49.45 (2m) (c), any individual who meets the limitations on income
5and resources under pars. (b) to (c) and who complies with pars. (cm) and (cr) shall
6be eligible for medical assistance under this section if such individual is:
SB27-SSA1, s. 1457q
7Section 1457q. 49.47 (4) (a) (intro.) of the statutes, as affected by 2011
8Wisconsin Act .... (this act), is amended to read:
SB27-SSA1,633,129
49.47
(4) (a) (intro.)
Unless otherwise provided by the department by a policy
10created under s. 49.45 (2m) (c), any Any individual who meets the limitations on
11income and resources under pars. (b) to (c) and who complies with pars. (cm) and (cr)
12shall be eligible for medical assistance under this section if such individual is:
SB27-SSA1, s. 854
13Section
854. 49.47 (4) (i) 1. of the statutes is amended to read:
SB27-SSA1,634,214
49.47
(4) (i) 1. The department shall request a waiver from the secretary of the
15federal department of health and human services to permit the application of subd.
162. The waiver shall request approval to implement the waiver on a statewide basis,
17unless the department of health services determines that statewide implementation
18of the waiver would present an obstacle to the approval of the waiver by the secretary
19of the federal department of health and human services, in which case the waiver
20shall request approval to implement the waiver in 48 pilot counties to be selected by
21the department of health services. Within 30 days after August 12, 1993, the
22department of
regulation and licensing safety and professional services shall notify
23funeral directors licensed under ch. 445, cemetery associations, as defined in s.
24157.061 (1r), and cemetery authorities, as defined in s. 157.061 (2), of the terms of
25the waiver required to be requested under this subdivision. If the waiver is approved
1by the secretary of the federal department of health and human services and if the
2waiver remains in effect, subd. 2. shall apply.
SB27-SSA1,634,124
49.47
(4) (k) Notwithstanding par. (b) 3. and s. 445.125 (1) (a), no later than 60
5days after the effective date of this paragraph .... [LRB inserts date], the department
6shall seek approval from the federal Centers for Medicare and Medicaid Services to
7permit friends and family members of any individual receiving medical assistance
8under this section to contribute funds to an irrevocable burial trust for the
9individual, up to a total irrevocable trust amount of $4,500, without the individual
10losing eligibility for medical assistance under this section. If the federal Centers for
11Medicare and Medicaid Services approves the request, the department shall
12implement the change under this section within 60 days after receiving approval.
SB27-SSA1,634,1615
49.47
(5) Investigation by department. (intro.) The department may make
16additional investigation of eligibility at any of the following times:
SB27-SSA1,634,2119
49.47
(5) (a) When there is reasonable ground for belief that an applicant may
20not be eligible or that the beneficiary may have received benefits to which the
21beneficiary is not entitled.
SB27-SSA1,635,324
49.47
(5) (c) Any time determined by the department by a policy created under
25s. 49.45 (2m) (c) to determine eligibility or to reevaluate continuing eligibility, except
1that if federal law allows a reevaluation of eligibility more frequently than every 12
2months and if there is no conflicting provision of state law, the department is not
3required to create a policy to reevaluate eligibility under this section.
SB27-SSA1, s. 1459j
4Section 1459j. 49.47 (5) (c) of the statutes, as created by 2011 Wisconsin Act
5.... (this act), is repealed.
SB27-SSA1,635,108
49.47
(6) (a) (intro.) Unless otherwise provided by the department by a policy
9created under s. 49.45 (2m) (c), the department shall audit and pay charges to
10certified providers for medical assistance on behalf of the following:
SB27-SSA1, s. 1459o
11Section 1459o. 49.47 (6) (a) (intro.) of the statutes, as affected by 2011
12Wisconsin Act .... (this act), is amended to read:
SB27-SSA1,635,1513
49.47
(6) (a) (intro.)
Unless otherwise provided by the department by a policy
14created under s. 49.45 (2m) (c), the The department shall audit and pay charges to
15certified providers for medical assistance on behalf of the following:
SB27-SSA1,636,617
49.47
(6) (a) 6. b. An individual who is entitled to coverage under
part Part A
18of
medicare Medicare, entitled to coverage under
part Part B of
medicare Medicare,
19meets the eligibility criteria under sub. (4) (a)
, and meets the income limitation, the
20deductible and coinsurance portions of
medicare Medicare services under
42 USC
211395 to
1395zz which that are not paid under
42 USC 1395 to
1395zz, including those
22medicare Medicare services that are not included in the approved state plan for
23services under
42 USC 1396; the monthly premiums payable under
42 USC 1395v;
24the monthly premiums, if applicable, under
42 USC 1395i-2 (d); and the late
25enrollment penalty, if applicable, for premiums under
part Part A of
medicare
1Medicare. Payment of coinsurance for a service under
part Part B of
medicare 2Medicare under
42 USC 1395j to
1395w, other than payment of coinsurance for
3outpatient hospital services, and payment of deductibles and coinsurance for
4inpatient hospital services under Part A of Medicare may not exceed the allowable
5charge for the service under
medical assistance Medical Assistance minus the
6medicare Medicare payment.
SB27-SSA1,636,188
49.47
(6) (a) 6. c. An individual who is only entitled to coverage under
part Part 9A of
medicare Medicare, meets the eligibility criteria under sub. (4) (a)
, and meets
10the income limitation, the deductible and coinsurance portions of
medicare Medicare 11services under
42 USC 1395 to
1395i which that are not paid under
42 USC 1395 to
121395i, including those
medicare Medicare services that are not included in the
13approved state plan for services under
42 USC 1396; the monthly premiums, if
14applicable, under
42 USC 1395i-2 (d); and the late enrollment penalty, if applicable,
15for premiums under
part Part A of
medicare Medicare. Payment of deductibles and
16coinsurance for inpatient hospital services under Part A of Medicare may not exceed
17the allowable charge for the service under Medical Assistance minus the Medicare
18payment.
SB27-SSA1,637,620
49.47
(6) (a) 6. d. An individual who is entitled to coverage under
part Part A
21of
medicare Medicare, entitled to coverage under
part Part B of
medicare Medicare, 22and meets the eligibility criteria for
medical assistance Medical Assistance under
23sub. (4) (a)
, but does not meet the income limitation, the deductible and coinsurance
24portions of
medicare Medicare services under
42 USC 1395 to
1395zz which that are
25not paid under
42 USC 1395 to
1395zz, including those
medicare Medicare services
1that are not included in the approved state plan for services under
42 USC 1396.
2Payment of coinsurance for a service under
part Part B of
medicare Medicare under
342 USC 1395j to
1395w, other than payment of coinsurance for outpatient hospital
4services, and payment of deductibles and coinsurance for inpatient hospital services
5under Part A of Medicare may not exceed the allowable charge for the service under
6medical assistance Medical Assistance minus the
medicare Medicare payment.
SB27-SSA1,637,158
49.47
(6) (a) 6. e. An individual who is only entitled to coverage under
part Part 9A of
medicare Medicare and meets the eligibility criteria for
medical assistance 10Medical Assistance under sub. (4) (a), but does not meet the income limitation, the
11deductible and coinsurance portions of
medicare Medicare services under
42 USC
121395 to
1395i, including those services that are not included in the approved state
13plan for services under
42 USC 1396.
Payment of deductibles and coinsurance for
14inpatient hospital services under Part A of Medicare may not exceed the allowable
15charge for the service under Medical Assistance minus the Medicare payment.
SB27-SSA1,638,217
49.47
(6) (a) 6. f. For an individual who is only entitled to coverage under
part 18Part B of
medicare Medicare and meets the eligibility criteria under sub. (4), but does
19not meet the income limitation,
medical assistance
Medical Assistance shall include
20payment of the deductible and coinsurance portions of
medicare Medicare services
21under
42 USC 1395j to
1395w, including those
medicare
Medicare services that are
22not included in the approved state plan for services under
42 USC 1396. Payment
23of coinsurance for a service under
part Part B of
medicare, other than payment of
24coinsurance for outpatient hospital services, Medicare may not exceed the allowable
1charge for the service under
medical assistance Medical Assistance minus the
2medicare Medicare payment.
SB27-SSA1,638,75
49.471
(13) Applicability. If the department creates a policy under s. 49.45
6(2m) (c), subs. (4), (5), (6), (7), (8), (10), and (11) do not apply to the extent that those
7subsections conflict with the policy.
SB27-SSA1, s. 1461h
8Section 1461h. 49.471 (13) of the statutes, as created by 2011 Wisconsin Act
9.... (this act), is repealed.
SB27-SSA1,638,1512
49.472
(3) Eligibility. (intro.) Except as provided in sub. (6) (a) and unless
13otherwise provided by the department by a policy created under s. 49.45 (2m) (c), an
14individual is eligible for and shall receive medical assistance under this section if all
15of the following conditions are met:
SB27-SSA1, s. 1461q
16Section 1461q. 49.472 (3) (intro.) of the statutes, as affected by 2011 Wisconsin
17Act .... (this act), is amended to read:
SB27-SSA1,638,2118
49.472
(3) Eligibility. (intro.) Except as provided in sub. (6) (a)
and unless
19otherwise provided by the department by a policy created under s. 49.45 (2m) (c), an
20individual is eligible for and shall receive medical assistance under this section if all
21of the following conditions are met:
SB27-SSA1,639,324
49.472
(4) (b) (intro.) The department may waive monthly premiums that are
25calculated to be below $10 per month. Unless otherwise provided by the department
1by a policy created under s. 49.45 (2m) (c), the department may not assess a monthly
2premium for any individual whose income level, after adding the individual's earned
3income and unearned income, is below 150% of the poverty line.
SB27-SSA1, s. 1462h
4Section 1462h. 49.472 (4) (b) (intro.) of the statutes, as affected by 2011
5Wisconsin Act .... (this act), is amended to read:
SB27-SSA1,639,106
49.472
(4) (b) (intro.) The department may waive monthly premiums that are
7calculated to be below $10 per month.
Unless otherwise provided by the department
8by a policy created under s. 49.45 (2m) (c), the The department may not assess a
9monthly premium for any individual whose income level, after adding the
10individual's earned income and unearned income, is below 150% of the poverty line.
SB27-SSA1,639,1712
49.472
(6) (a) Notwithstanding sub. (4) (a) 3., from the appropriation
account 13accounts under s. 20.435 (4) (b)
, (gm), or (w), the department shall, on the part of an
14individual who is eligible for medical assistance under sub. (3), pay premiums for or
15purchase individual coverage offered by the individual's employer if the department
16determines that paying the premiums for or purchasing the coverage will not be more
17costly than providing medical assistance.
SB27-SSA1,639,2219
49.472
(6) (b) If federal financial participation is available, from the
20appropriation
account accounts under s. 20.435 (4) (b)
, (gm), or (w), the department
21may pay medicare Part A and Part B premiums for individuals who are eligible for
22medicare and for medical assistance under sub. (3).
SB27-SSA1,640,5
149.473
(2) (intro.) Unless otherwise provided by the department by a policy
2created under s. 49.45 (2m) (c), a woman is eligible for medical assistance as provided
3under sub. (5) if, after applying to the department or a county department, the
4department or a county department determines that she meets all of the following
5requirements:
SB27-SSA1, s. 1465p
6Section 1465p. 49.473 (2) (intro.) of the statutes, as affected by 2011
7Wisconsin Act .... (this act), is amended to read:
SB27-SSA1,640,128
49.473
(2) (intro.)
Unless otherwise provided by the department by a policy
9created under s. 49.45 (2m) (c), a A woman is eligible for medical assistance as
10provided under sub. (5) if, after applying to the department or a county department,
11the department or a county department determines that she meets all of the
12following requirements:
SB27-SSA1,640,2015
49.473
(5) The department shall audit and pay, from the appropriation
16accounts under s. 20.435 (4) (b), (gm), and (o), allowable charges to a provider who
17is certified under s. 49.45 (2) (a) 11. for medical assistance on behalf of a woman who
18meets the requirements under sub. (2) for all benefits and services specified under
19s. 49.46 (2), unless otherwise provided by the department by a policy created under
20s. 49.45 (2m) (c).
SB27-SSA1, s. 1470b
21Section 1470b. 49.473 (5) of the statutes, as affected by 2011 Wisconsin Act
22.... (this act), is amended to read:
SB27-SSA1,641,323
49.473
(5) The department shall audit and pay, from the appropriation
24accounts under s. 20.435 (4) (b), (gm), and (o), allowable charges to a provider who
25is certified under s. 49.45 (2) (a) 11. for medical assistance on behalf of a woman who
1meets the requirements under sub. (2) for all benefits and services specified under
2s. 49.46 (2)
, unless otherwise provided by the department by a policy created under
3s. 49.45 (2m) (c).
SB27-SSA1,641,85
49.67
(3) (am) 2. b. If the applicant is under
27 26 years of age, notice that he
6or she may be eligible for coverage as a dependent under his or her parent's health
7care plan in accordance with s. 632.885, and that his or her parent's plan must
8include coverage for services that are not covered under the plan under this section.
SB27-SSA1,642,210
49.68
(3) (b) From the appropriation accounts under ss. 20.435 (4) (e) and (je),
11the state shall pay
the cost of, at a rate determined by the department under par. (e),
12for medical treatment
that is required as a direct result of chronic renal disease of
13certified patients from the date of certification, including
the cost of administering
14recombinant human erythropoietin to appropriate patients, whether the treatment
15is rendered in an approved facility in the state or in a dialysis or transplantation
16center
which that is approved as such by a contiguous state, subject to the conditions
17specified under par. (d). Approved facilities may include a hospital in-center dialysis
18unit or a nonhospital dialysis center
which that is closely affiliated with a home
19dialysis program supervised by an approved facility. Aid shall also be provided for
20all reasonable expenses incurred by a potential living-related donor, including
21evaluation, hospitalization, surgical costs
, and postoperative follow-up to the extent
22that these costs are not reimbursable under the federal medicare program or other
23insurance. In addition, all expenses incurred in the procurement, transportation
, 24and preservation of cadaveric donor kidneys shall be covered to the extent that these
1costs are not otherwise reimbursable. All donor-related costs are chargeable to the
2recipient and reimbursable under this subsection.
SB27-SSA1,642,164
49.68
(3) (e)
State aids Payment for services provided under this section shall
5be
equal to at a rate determined by the department that does not exceed the allowable
6charges under the federal Medicare program. In no case shall state rates for
7individual service elements exceed the federally defined allowable costs. The rate
8of charges for services not covered by public and private insurance shall not exceed
9the reasonable charges as established by
medicare
Medicare fee determination
10procedures. A person that provides to a patient a service for which aid is provided
11under this section shall accept the amount paid under this section for the service as
12payment in full and may not bill the patient for any amount by which the charge for
13the service exceeds the amount paid for the service under this section. The state may
14not pay for the cost of travel, lodging, or meals for persons who must travel to receive
15inpatient and outpatient dialysis treatment for kidney disease. This paragraph shall
16not apply to donor related costs as defined in par. (b).
SB27-SSA1,642,2018
49.78 (1) (br) "Multicounty consortium" means a group of counties that is
19approved by the department under sub. (1m) to administer income maintenance
20programs.
SB27-SSA1,642,2422
49.78
(1m) Multicounty consortia. (a) Except as provided in par. (c), each
23county with a population of less than 750,000 shall participate in a multicounty
24consortium that is approved by the department under par. (b).
SB27-SSA1,643,2
1(b) By October 31, 2011, the department shall approve multicounty consortia.
2The department may not approve more than 10 multicounty consortia.
SB27-SSA1,643,103
(c) If a county with a population of less than 750,000 does not participate in a
4multicounty consortium or the department determines that a multicounty
5consortium does not satisfy the department's performance requirements, the
6department shall assume responsibility for administering income maintenance
7programs in that county or in the geographical area of the multicounty consortium.
8The department may provide income maintenance program administration under
9this paragraph by contracting with another multicounty consortium or by providing
10the administrative services with state resources and employees.
SB27-SSA1,643,1711
(d) If the department assumes responsibility for administering income
12maintenance programs in a county or in the geographical area of the multicounty
13consortium under par. (c), any county for which the department administers income
14maintenance programs shall pay to the department the amount that the county
15expended for the administration of income maintenance programs in calendar year
162009. For the purposes of this paragraph, Kenosha County expended $673,000 for
17the administration of income maintenance programs in calendar year 2009.
SB27-SSA1,643,2219
49.78
(1r) Single county consortia. The department shall administer income
20maintenance programs in a county with a population of 750,000 or more as a
21single-county consortium, including the administrative functions specified in sub.
22(2) (b) 1.
SB27-SSA1,643,2424
49.78
(2) (title)
Contracts with multicounty consortia.