Amendment ASA1-AB40

AB40-ASA1,575,25 49.175 (1) (i) Emergency assistance. For emergency assistance under s. 49.138 and for transfer to the department of administration for low-income energy or weatherization assistance programs, $6,200,000 in fiscal year 2011-12 and $6,000,000 $7,500,000 in each fiscal year 2012-13.

AB40-ASA1,1030 Section 1030. 49.175 (1) (k) of the statutes is created to read:

AB40-ASA1,576,4 49.175 (1) (k) Transform Milwaukee Jobs program. For contract costs under the Transform Milwaukee Jobs program under s. 49.163, $3,750,000 in fiscal year 2013-14 and $5,000,000 in fiscal year 2014-15.

AB40-ASA1,1031 Section 1031. 49.175 (1) (L) of the statutes is repealed.

AB40-ASA1,1032 Section 1032. 49.175 (1) (p) of the statutes is amended to read:

AB40-ASA1,576,9 49.175 (1) (p) Direct child care services. For direct child care services under s. 49.155, $301,631,000 $271,400,200 in fiscal year 2011-12 2013-14 and $298,523,500 $274,734,000 in fiscal year 2012-13 2014-15.

AB40-ASA1,1033 Section 1033. 49.175 (1) (q) of the statutes is amended to read:

AB40-ASA1,576,15 49.175 (1) (q) Child care state administration and child care licensing activities. For state administration of child care programs under s. 49.155 and the allocation under s. 49.155 (1g) (c) for child care licensing activities, $19,702,100 $29,719,000 in fiscal year 2011-12 2013-14 and $19,783,800 $31,799,500 in fiscal year 2012-13 2014-15.

AB40-ASA1,1034 Section 1034. 49.175 (1) (qm) of the statutes is amended to read:

AB40-ASA1,576,19 49.175 (1) (qm) Quality care for quality kids. For the child care quality improvement activities specified in s. 49.155 (1g), $13,486,700 in fiscal year 2011-12 and $13,169,400 $13,095,800 in each fiscal year 2012-13.

AB40-ASA1,1035 Section 1035. 49.175 (1) (r) of the statutes is amended to read:

AB40-ASA1,576,24 49.175 (1) (r) Children of recipients of supplemental security income. For payments made under s. 49.775 for the support of the dependent children of recipients of supplemental security income, $31,232,200 $33,688,000 in each fiscal year.

AB40-ASA1,1036 Section 1036. 49.175 (1) (s) of the statutes is amended to read:

AB40-ASA1,577,8 49.175 (1) (s) Kinship care, and long-term kinship care , and foster care assistance. For kinship care and long-term kinship care payments under s. 48.57 (3m) (am) and (3n) (am), for assessments to determine eligibility for those payments, and for agreements under s. 48.57 (3t) with the governing bodies of Indian tribes for the administration of the kinship care and long-term kinship care programs under s. 48.57 (3m), (3n), and (3p) and for foster care for relatives under s. 48.62, $21,375,800 within the boundaries of the reservations of those tribes, $20,335,200 in each fiscal year 2013-14 and $20,774,400 in fiscal year 2014-15.

AB40-ASA1,1037 Section 1037. 49.175 (1) (t) of the statutes is amended to read:

AB40-ASA1,577,14 49.175 (1) (t) Safety and out-of-home placement services. For services provided in counties having a population of 500,000 or more to ensure the safety of children who the department or a county determines may remain at home if appropriate services are provided, and for ongoing services provided in those counties to families with children placed in out-of-home care, $6,350,300 $7,711,100 in each fiscal year.

AB40-ASA1,1038 Section 1038. 49.175 (1) (v) of the statutes is repealed.

AB40-ASA1,1038m Section 1038m. 49.175 (1) (w) of the statutes is created to read:

AB40-ASA1,577,21 49.175 (1) (w) Wisconsin Community Services. For a grant to Wisconsin Community Services for the community building workshop facilitator training to provide services that are targeted to individuals in the city of Milwaukee who are eligible for funds under the federal Temporary Assistance for Needy Families block grant program under 42 USC 601 et seq., $400,000 in each fiscal year.

AB40-ASA1,1039 Section 1039. 49.175 (1) (z) of the statutes is amended to read:

AB40-ASA1,578,13 49.175 (1) (z) Grants to the Boys and Girls Clubs of America. For grants to the Wisconsin Chapter of the Boys and Girls Clubs of America to fund programs that improve social, academic, and employment skills of youth who are eligible to receive temporary assistance for needy families under 42 USC 601 et seq., $350,000 focusing on study habits, intensive tutoring in math and English, and exposure to career options and role models, $1,250,000 in fiscal year 2013-14 and $1,100,000 in each fiscal year 2014-15. Grants provided under this paragraph may not be used by the grant recipient to replace funding for programs that are being funded, when the grant proceeds are received, with moneys other than those from the appropriations specified in sub. (1) (intro.). The total amount of the grants for fiscal year 2013-14 includes $25,000 for the greater Wisconsin Rapids Area Boys and Girls Club to fund the Cranberry Science, Technology, Engineering, and Mathematics program and, if the program provides $125,000 in matching funds, $125,000 for the Green Bay Boys and Girls Clubs for the BE GREAT: Graduate program, to be used only for activities for which federal Temporary Assistance for Needy Families block grant moneys may be used.

AB40-ASA1,1040 Section 1040. 49.175 (1) (zh) of the statutes is amended to read:

AB40-ASA1,578,18 49.175 (1) (zh) Earned income tax credit supplement. For the transfer of moneys from the appropriation account under s. 20.437 (2) (md) to the appropriation account under s. 20.835 (2) (kf) for the earned income tax credit, $43,664,200 $62,500,000 in each fiscal year.

AB40-ASA1,1040g Section 1040g. 49.19 (5) (d) of the statutes is repealed.

AB40-ASA1,1041 Section 1041. 49.26 (1) (g) (intro.) of the statutes is amended to read:

AB40-ASA1,578,24 49.26 (1) (g) (intro.) An individual who is a dependent child in a Wisconsin Works group that includes a participant under s. 49.147 (3), (3m), (4), or (5) or who is a recipient of aid under s. 49.19 is subject to the school attendance requirement under par. (ge) if all of the following apply:

AB40-ASA1,1042 Section 1042. 49.26 (1) (h) 1s. b. of the statutes is amended to read:

AB40-ASA1,579,4 49.26 (1) (h) 1s. b. An individual who is a dependent child in a Wisconsin Works group that includes a participant under s. 49.147 (3), (3m), (4), or (5) and who fails to meet the school attendance requirement under par. (ge) is subject to a monthly sanction.

AB40-ASA1,1043 Section 1043. 49.36 (2) of the statutes is amended to read:

AB40-ASA1,579,14 49.36 (2) The department may contract with any county, tribal governing body, or Wisconsin Works agency to administer a work experience and job training program for parents who are not custodial parents and who fail to pay child support or to meet their children's needs for support as a result of unemployment or underemployment. The program may provide the kinds of work experience and job training services available from the program under s. 49.193, 1997 stats., or s. 49.147 (3), (3m), or (4). The program may also include job search and job orientation activities. The department shall fund the program from the appropriations under s. 20.437 (2) (dz) and (k).

AB40-ASA1,1043p Section 1043p. 49.45 (2) (a) 2m. of the statutes is created to read:

AB40-ASA1,579,18 49.45 (2) (a) 2m. Beginning on January 1, 2014, employ at least one full-time equivalent, certified medical coder to improve payment accuracy for all services provided under the Medical Assistance program.

AB40-ASA1,1043s Section 1043s. 49.45 (2m) (f) 3. of the statutes is amended to read:

AB40-ASA1,579,23 49.45 (2m) (f) 3. An updated projection of the total Medical Assistance program benefit expenditures during the fiscal biennium and an analysis of how these projected expenditures compare to the funding provided in the 2011-13 most recent biennial budget act.

AB40-ASA1,1043t Section 1043t. 49.45 (2n) of the statutes is created to read:

AB40-ASA1,580,5 49.45 (2n) Report on Medical Assistance program changes and finances. (a) In this subsection, "Medical Assistance program" includes any program operated under this subchapter, demonstration program operated under 42 USC 1315, and program operated under a waiver of federal law relating to medical assistance that is granted by the federal department of health and human services.

AB40-ASA1,580,8 (b) Before January 1, 2015, and every 90 days thereafter, the department shall submit to the joint committee on finance a report that contains all of the following information:

AB40-ASA1,580,11 1. An updated description of any Medical Assistance program changes implemented by the department, including any amendments to the Medical Assistance state plan.

AB40-ASA1,580,13 2. An updated estimate of the projected savings associated with any changes described under subd. 1.

AB40-ASA1,580,16 3. An updated projection of the total Medical Assistance program benefit expenditures during the fiscal biennium and an analysis of how these projected expenditures compare to the funding provided in the most recent biennial budget act.

AB40-ASA1,1044 Section 1044. 49.45 (4m) (a) 3. of the statutes is renumbered 49.45 (4m) (a) 3. (intro.) and amended to read:

AB40-ASA1,580,20 49.45 (4m) (a) 3. (intro.) "Financial institution" has the meaning given in 12 USC 3401 (1). means any of the following:

AB40-ASA1,1045 Section 1045. 49.45 (4m) (a) 3. a. to f. of the statutes are created to read:

AB40-ASA1,580,22 49.45 (4m) (a) 3. a. A depository institution, as defined in 12 USC 1813 (c).

AB40-ASA1,580,24 b. An institution-affiliated party, as defined in 12 USC 1813 (u), of a depository institution under subd. 3. a.

AB40-ASA1,581,2 c. A federal credit union, as defined in 12 USC 1752, or state credit union, as defined in 12 USC 1752.

AB40-ASA1,581,4 d. An institution-affiliated party, as defined in 12 USC 1786 (r), of a credit union under subd. 3. c.

AB40-ASA1,581,6 e. A benefit association, insurance company, safe deposit company, money market mutual fund, or similar entity authorized to do business in this state.

AB40-ASA1,581,7 f. A broker-dealer, as defined in s. 551.102 (4).

AB40-ASA1,1045c Section 1045c. 49.45 (6m) (ar) 1. a. of the statutes, as affected by 2011 Wisconsin Act 32, is amended to read:

AB40-ASA1,581,24 49.45 (6m) (ar) 1. a. The department shall establish standards for payment of allowable direct care costs under par. (am) 1. bm., for facilities that do not primarily serve the developmentally disabled, that take into account direct care costs for a sample of all of those facilities in this state and separate standards for payment of allowable direct care costs, for facilities that primarily serve the developmentally disabled, that take into account direct care costs for a sample of all of those facilities in this state. The standards shall be adjusted by the department for regional labor cost variations. The department shall treat as a single labor region the counties of Dane, Dodge, Iowa, Columbia, Richland, Sauk, and Rock and shall adjust payment so that the direct care cost targets of facilities in Dane, Iowa, Columbia, and Sauk counties are not reduced as a result of including facilities in Dodge , Richland, and Rock Counties in this labor region. For facilities in Douglas, Dunn, Pierce, and St. Croix counties, the department shall perform the adjustment by use of the wage index that is used by the federal department of health and human services for hospital reimbursement under 42 USC 1395 to 1395ggg.

AB40-ASA1,1046 Section 1046 . 49.45 (23) (a) of the statutes is amended to read:

AB40-ASA1,582,10 49.45 (23) (a) The department shall request a waiver from the secretary of the federal department of health and human services to permit the department to conduct a demonstration project to provide health care coverage for basic primary and preventive care to adults who are under the age of 65, who have family incomes not to exceed 200 100 percent of the poverty line before application of the 5 percent income disregard under 42 CFR 435.603 (d) and except as provided in s. 49.471 (4m), and who are not otherwise eligible for medical assistance under this subchapter, the Badger Care health care program under s. 49.665, or Medicare under 42 USC 1395 et seq. If the department creates a policy under sub. (2m) (c) 10., this paragraph does not apply to the extent that it conflicts with the policy.

AB40-ASA1,1047 Section 1047. 49.45 (23) (a) of the statutes, as affected by 2011 Wisconsin Act 32 and 2013 Wisconsin Act .... (this act), is repealed and recreated to read:

AB40-ASA1,582,20 49.45 (23) (a) The department shall request a waiver from the secretary of the federal department of health and human services to permit the department to conduct a demonstration project to provide health care coverage to adults who are under the age of 65, who have family incomes not to exceed 100 percent of the poverty line before application of the 5 percent income disregard under 42 CFR 435.603 (d) and except as provided in s. 49.471 (4m), and who are not otherwise eligible for medical assistance under this subchapter, the Badger Care health care program under s. 49.665, or Medicare under 42 USC 1395 et seq.

AB40-ASA1,1048 Section 1048 . 49.45 (23) (b) of the statutes is amended to read:

AB40-ASA1,583,5 49.45 (23) (b) If the waiver is granted and in effect, the department may promulgate rules defining the health care benefit plan, including more specific eligibility requirements and cost-sharing requirements. Unless otherwise provided by the department by a policy created under sub. (2m) (c), cost sharing may include an annual enrollment fee, which may not exceed $75 per year. Notwithstanding s. 227.24 (3), the plan details under this subsection may be promulgated as an emergency rule under s. 227.24 without a finding of emergency. If the waiver is granted and in effect, the demonstration project under this subsection shall begin on January 1, 2009, or on the effective date of the waiver, whichever is later.

AB40-ASA1,1049 Section 1049. 49.45 (23) (b) of the statutes, as affected by 2011 Wisconsin Act 32 and 2013 Wisconsin Act .... (this act), is repealed and recreated to read:

AB40-ASA1,583,15 49.45 (23) (b) If the waiver is granted and in effect, the department may promulgate rules defining the health care benefit plan, including more specific eligibility requirements and cost-sharing requirements. Cost sharing may include an annual enrollment fee, which may not exceed $75 per year. Notwithstanding s. 227.24 (3), the plan details under this subsection may be promulgated as an emergency rule under s. 227.24 without a finding of emergency. If the waiver is granted and in effect, the demonstration project under this subsection shall begin on the effective date of the waiver.

AB40-ASA1,1050 Section 1050. 49.45 (23) (c) of the statutes is created to read:

AB40-ASA1,583,24 49.45 (23) (c) In addition to cost-sharing requirements established under par. (b), a childless adult who is eligible to receive benefits under this section; who is not disabled, pregnant, or American Indian, as Indian is defined in 42 CFR part 447, subpart A; and whose family income exceeds 133 percent of the poverty line shall pay a premium for coverage under the program under this subsection in an amount determined by the department that is based on a formula in which costs decrease for those with lower family incomes and that is no less than 3 percent of family income but no greater than 9.5 percent of family income.

AB40-ASA1,1051 Section 1051. 49.45 (23) (d) of the statutes is created to read:

AB40-ASA1,584,4 49.45 (23) (d) In determining income for purposes of eligibility under this subsection, the department shall apply s. 49.471 (7) (d) to the individual to the extent the federal department of health and human services approves, if approval is required.

AB40-ASA1,1052 Section 1052. 49.45 (23) (e) of the statutes is created to read:

AB40-ASA1,584,8 49.45 (23) (e) The department shall apply the definition of family income under s. 49.471 (1) (f) and the regulations defining household under 42 CFR 435.603 (f) to determinations of income for purposes of eligibility under this subsection.

AB40-ASA1,1053 Section 1053. 49.45 (23) (f) of the statutes is created to read:

AB40-ASA1,584,11 49.45 (23) (f) The department may provide services to individuals who are eligible under this subsection through a medical home initiative under sub. (24j).

AB40-ASA1,1054 Section 1054. 49.45 (24j) of the statutes is created to read:

AB40-ASA1,584,18 49.45 (24j) Medical home pilot projects. (a) The department may administer the medical home initiative as a service delivery mechanism to provide and coordinate care for individuals who are eligible for a Medical Assistance program under this subchapter that provides services under a fee-for-service model. The department may administer a medical home initiative to serve individuals who are members of any of the following populations:

AB40-ASA1,584,20 1. Children who are in out-of-home care or are receiving adoption assistance under 42 USC 670 to 679c.

AB40-ASA1,584,21 2. Pregnant women.

AB40-ASA1,584,22 3. Individuals who are exiting mental health facilities or correctional facilities.

AB40-ASA1,584,24 4. Individuals with a diagnosis of serious mental illness or substance abuse disorder.

AB40-ASA1,584,25 5. Adults with two or more chronic medical conditions.

AB40-ASA1,585,2 6. Other groups of individuals with conditions that the department determines would benefit from services through a medical home.

AB40-ASA1,585,8 (b) The department shall provide to individuals through any medical home initiative administered under this subsection the benefits described under s. 49.46 (2) (a) and (b). The department may provide to individuals though any medical home initiative administered under this subsection benefits in addition to the standard plan benefits that are targeted to the population receiving services through the medical home.

AB40-ASA1,585,10 (c) The department may elect to administer any medical home initiative under this subsection in a limited geographical area.

AB40-ASA1,585,12 (d) The department may make an all-inclusive payment to the provider offering services through a medical home.

AB40-ASA1,585,18 (e) If the federal department of health and human services approves the department's request to administer a medical home initiative, the department shall automatically enroll an individual who is eligible for a medical home initiative under this subsection in the medical home initiative. At any time after the first 6 months of enrollment in the medical home initiative, the individual who is enrolled in the medical home initiative may opt out of participation in the medical home initiative.

AB40-ASA1,1054j Section 1054j. 49.45 (25g) (c) of the statutes is amended to read:

AB40-ASA1,586,6 49.45 (25g) (c) The department's proposal under par. (b) shall specify increases in reimbursement rates for providers that satisfy the conditions under par. (b), and shall provide for payment of a monthly per-patient care coordination fee to those providers. The department shall set the increases in reimbursement rates and the monthly per-patient care coordination fee so that together they provide sufficient incentive for providers to satisfy a condition under par. (b) 1. or 2. The proposal shall specify effective dates for the increases in reimbursement rates and the monthly per-patient care coordination fee that are no sooner than January 1, 2011. The increases in reimbursement rates and monthly per-patient care coordination fees that are not provided by the federal government shall be paid from the appropriation under. s. 20.435 (1) (am). If the department creates a policy under sub. (2m) (c) 4., this paragraph does not apply to the extent it conflicts with the policy.

AB40-ASA1,1054k Section 1054k. 49.45 (25g) (c) of the statutes, as affected by 2011 Wisconsin Act 32 and 2013 Wisconsin Act .... (this act), is repealed and recreated to read:

AB40-ASA1,586,16 49.45 (25g) (c) The department's proposal under par. (b) shall specify increases in reimbursement rates for providers that satisfy the conditions under par. (b), and shall provide for payment of a monthly per-patient care coordination fee to those providers. The department shall set the increases in reimbursement rates and the monthly per-patient care coordination fee so that together they provide sufficient incentive for providers to satisfy a condition under par. (b) 1. or 2. The proposal shall specify effective dates for the increases in reimbursement rates and the monthly per-patient care coordination fee that are no sooner than January 1, 2011.

AB40-ASA1,1056 Section 1056. 49.45 (30e) (d) of the statutes is created to read:

AB40-ASA1,586,24 49.45 (30e) (d) Provision of services on regional basis. Notwithstanding par. (c) and subject to par. (e), in counties that elect to deliver the services under s. 49.46 (2) (b) 6. Lm. through the Medical Assistance program on a regional basis according to criteria established by the department, the department shall reimburse a provider of the services for the amount of the allowable charges for those services under the Medical Assistance program that is provided by the federal government and for the amount of the allowable charges that is not provided by the federal government.

AB40-ASA1,1056b Section 1056b. 49.45 (30e) (e) of the statutes is created to read:

AB40-ASA1,587,5 49.45 (30e) (e) Report; release of funds. 1. Prior to implementing, and receiving funding for implementing, the regional basis provision of services under par. (d), the department shall submit to the joint committee on finance, no later than March 1, 2014, a request for the release of funds and a report on its proposal for implementation that includes all of the following:

AB40-ASA1,587,7 a. A description of the criteria that the department will apply in its regionalization model.

AB40-ASA1,587,9 b. A description of how the regions will be established and the degree of county participation in that process.