SB21,623,145 46.215 (2) (a) 2. In order to ensure the availability of a full range of care and
6services, the county department of social services may contract, either directly or
7through the department of children and families, with public or voluntary agencies,
8or others to purchase, in full or in part, care and services under ch. 48 and subch. III
9of ch. 49 which and community-based juvenile delinquency-related services that the
10county department of social services is authorized to furnish. This That care and
11these those services may be purchased from the department of children and families
12if the department of children and families has staff to furnish the that care and those
13services. If the county department of social services has adequate staff, it may sell
14the that care and those services directly to another county or state agency.
SB21,1486 15Section 1486. 46.215 (2) (a) 3. of the statutes is amended to read:
SB21,623,2516 46.215 (2) (a) 3. In order to ensure the availability of a full range of care and
17services, the county department of social services may contract, either directly or
18through the department of corrections, with public or voluntary agencies , or others
19to purchase, in full or in part, juvenile delinquency-related care and services which
20correctional services that the county department of social services is authorized by
21any statute to furnish in any manner. Such That care and those services may be
22purchased from the department of corrections if the department of corrections has
23staff to furnish the that care and those services. If the county department of social
24services has adequate staff, it may sell the that care and those services directly to
25another county or state agency.
SB21,1487
1Section 1487. 46.215 (2) (c) 1. of the statutes is amended to read:
SB21,624,132 46.215 (2) (c) 1. A county department of social services shall develop, under the
3requirements of s. 46.036, plans and contracts for the purchase of care and services
4to be purchased, except for care and services under subch. III of ch. 49 or s. 301.08
5(2) and community-based juvenile delinquency-related services. The department
6of health services may review the contracts and approve them if they are consistent
7with s. 46.036 and if state or federal funds are available for such those purposes. The
8joint committee on finance may require the department of health services to submit
9the contracts to the committee for review and approval. The department of health
10services may not make any payments to a county for programs included in a contract
11under review by the committee. The department of health services shall reimburse
12each county for the contracts from the appropriations under s. 20.435 (7) (b) and (o),
13as appropriate, under s. 46.495.
SB21,1488 14Section 1488. 46.215 (2) (c) 2. of the statutes is amended to read:
SB21,624,2415 46.215 (2) (c) 2. A county department of social services shall develop, under the
16requirements of s. 49.34, plans and contracts for the purchase of care and services
17to be purchased under ch. 48 and subch. III of ch. 49 and of community-based
18juvenile delinquency-related services
. The department of children and families may
19review the contracts and approve them if they are consistent with s. 49.34 and if state
20or federal funds are available for such those purposes. The joint committee on
21finance may require the department of children and families to submit the contracts
22to the committee for review and approval. The department of children and families
23may not make any payments to a county for programs included in a contract under
24review by the committee.
SB21,1489 25Section 1489. 46.215 (2) (c) 3. of the statutes is amended to read:
SB21,625,12
146.215 (2) (c) 3. A county department of social services shall develop, under the
2requirements of s. 301.08 (2), plans and contracts for juvenile delinquency-related
3care and services to be purchased the purchase of juvenile correctional services. The
4department of corrections may review the contracts and approve them if they are
5consistent with s. 301.08 (2) and if state or federal funds are available for such
6purposes. The joint committee on finance may require the department of corrections
7to submit the contracts to the committee for review and approval. The department
8of corrections children and families may not make any payments under s. 48.526 to
9a county for programs included in a contract under review by the committee. The
10department of corrections children and families shall reimburse each county for the
11contracts from the appropriations under s. 20.410 (3) (cd) and (ko) 20.437 (1) (cj) and
12(o)
as appropriate.
SB21,1490 13Section 1490. 46.22 (1) (b) 1. b. of the statutes is amended to read:
SB21,625,1714 46.22 (1) (b) 1. b. To make investigations which that relate to welfare services,
15except as for welfare services provided under ch. 48 and subch. III of ch. 49,
16community-based juvenile delinquency-related services, and juvenile correctional
17services
, upon request by the department of health services.
SB21,1491 18Section 1491. 46.22 (1) (b) 1. j. of the statutes is amended to read:
SB21,625,2219 46.22 (1) (b) 1. j. If authorized under s. 46.283 (1) (a) 1., to apply to the
20department of health services to operate a resource center under s. 46.283 and, if the
21department contracts with the county under s. 46.283 (2), to operate the resource
22center.
SB21,1492 23Section 1492. 46.22 (1) (b) 1. k. of the statutes is amended to read:
SB21,626,324 46.22 (1) (b) 1. k. If authorized under s. 46.284 (1) (a) 1., to apply to the
25department of health services to operate a care management organization under s.

146.284 and, if the department contracts with the county under s. 46.284 (2), to
2operate the care management organization and, if appropriate, place funds in a risk
3reserve.
SB21,1493 4Section 1493. 46.22 (1) (b) 2. a. of the statutes is created to read:
SB21,626,65 46.22 (1) (b) 2. a. To administer community-based juvenile
6delinquency-related services under s. 48.526.
SB21,1494 7Section 1494. 46.22 (1) (b) 2. c. of the statutes is amended to read:
SB21,626,118 46.22 (1) (b) 2. c. To make investigations as provided under ch. 48 and subch.
9III of ch. 49 and investigations relating to community-based juvenile
10delinquency-related services
upon request by the department of children and
11families.
SB21,1495 12Section 1495. 46.22 (1) (b) 5m. a. of the statutes is amended to read:
SB21,626,1413 46.22 (1) (b) 5m. a. To administer juvenile delinquency-related correctional
14services under s. 301.26.
SB21,1496 15Section 1496. 46.22 (1) (b) 5m. c. of the statutes is amended to read:
SB21,626,1816 46.22 (1) (b) 5m. c. To make investigations relating to juvenile
17delinquency-related correctional services upon request by the department of
18corrections.
SB21,1497 19Section 1497. 46.22 (1) (dm) of the statutes is amended to read:
SB21,627,1220 46.22 (1) (dm) Exchange of information; long-term care. Notwithstanding ss.
2146.2895 (9), 48.78 (2) (a), 49.45 (4), 49.83, 51.30, 51.45 (14) (a), 55.22 (3), 146.82,
22252.11 (7), 253.07 (3) (c), and 938.78 (2) (a), a subunit of a county department of social
23services or tribal agency acting under this subsection may exchange confidential
24information about a client, without the informed consent of the client, with any other
25subunit of the same county department of social services or tribal agency, with a

1resource center or other contracted entity under s. 46.283 (2), a care management
2organization, or a long-term care district, with an elder-adult-at-risk agency, an
3adult-at-risk agency, or any agency to which referral for investigation is made under
4s. 46.90 (5) (a) 1. or 55.043 (1r) (a) 1g., or with a person providing services to the client
5under a purchase of services contract with the county department of social services
6or tribal agency or with a resource center or other contracted entity under s. 46.283
7(2)
, a care management organization, or a long-term care district, if necessary to
8enable an employee or service provider to perform his or her duties, or to enable the
9county department of social services or tribal agency to coordinate the delivery of
10services to the client. An agency that releases information under this paragraph
11shall document that a request for information was received and what information
12was provided.
SB21,1498 13Section 1498 . 46.22 (1) (dm) of the statutes, as affected by 2015 Wisconsin Act
14.... (this act), is amended to read:
SB21,628,715 46.22 (1) (dm) Exchange of information; long-term care. Notwithstanding ss.
1646.2895 (9), 48.78 (2) (a), 49.45 (4), 49.83, 51.30, 51.45 (14) (a), 55.22 (3), 146.82,
17252.11 (7), 253.07 (3) (c), and 938.78 (2) (a), a subunit of a county department of social
18services or tribal agency acting under this subsection may exchange confidential
19information about a client, without the informed consent of the client, with any other
20subunit of the same county department of social services or tribal agency, with a
21resource center or other contracted entity under s. 46.283 (2), or a care management
22organization, or a long-term care district, with an elder-adult-at-risk agency, an
23adult-at-risk agency, or any agency to which referral for investigation is made under
24s. 46.90 (5) (a) 1. or 55.043 (1r) (a) 1g., or with a person providing services to the client
25under a purchase of services contract with the county department of social services

1or tribal agency or with a resource center or other contracted entity under s. 46.283
2(2), or a care management organization, or a long-term care district, if necessary to
3enable an employee or service provider to perform his or her duties, or to enable the
4county department of social services or tribal agency to coordinate the delivery of
5services to the client. An agency that releases information under this paragraph
6shall document that a request for information was received and what information
7was provided.
SB21,1499 8Section 1499. 46.22 (1) (dp) of the statutes is amended to read:
SB21,628,159 46.22 (1) (dp) Exchange of information; statewide automated child welfare
10information system.
Notwithstanding ss. 46.2895 (9), 48.396 (1) and (2) (a), 48.78 (2)
11(a), 48.981 (7), 49.45 (4), 49.83, 51.30, 51.45 (14) (a), 55.22 (3), 146.82, 252.11 (7),
12252.15, 253.07 (3) (c), 938.396 (1) (a) and (2), and 938.78 (2) (a), a county department
13under this section may enter the content of any record kept or information received
14by that county department into the statewide automated child welfare information
15system established under s. 48.47 (7g).
SB21,1500 16Section 1500. 46.22 (1) (e) 3. a. of the statutes is amended to read:
SB21,629,317 46.22 (1) (e) 3. a. A county department of social services shall develop, under
18the requirements of s. 46.036, plans and contracts for the purchase of care and
19services, except for care and services provided under ch. 48, subch. III of ch. 49, and
20s. 301.08 (2), to be purchased and community-based juvenile delinquency-related
21services
. The department of health services may review the contracts and approve
22them if they are consistent with s. 46.036 and to the extent that state or federal funds
23are available for such those purposes. The joint committee on finance may require
24the department of health services to submit the contracts to the committee for review
25and approval. The department of health services may not make any payments to a

1county for programs included in the contract that is under review by the committee.
2The department of health services shall reimburse each county for the contracts from
3the appropriations under s. 20.435 (7) (b) and (o) according to s. 46.495.
SB21,1501 4Section 1501. 46.22 (1) (e) 3. b. of the statutes is amended to read:
SB21,629,145 46.22 (1) (e) 3. b. A county department of social services shall develop, under
6the requirements of s. 49.34, plans and contracts for the purchase of care and services
7under ch. 48 and subch. III of ch. 49 to be purchased and of community-based
8juvenile delinquency-related services
. The department of children and families may
9review the contracts and approve them if they are consistent with s. 49.34 and to the
10extent that state or federal funds are available for such purposes. The joint
11committee on finance may require the department of children and families to submit
12the contracts to the committee for review and approval. The department of children
13and families may not make any payments to a county for programs included in the
14contract that is under review by the committee.
SB21,1502 15Section 1502. 46.22 (1) (e) 3. c. of the statutes is amended to read:
SB21,630,216 46.22 (1) (e) 3. c. A county department of social services shall develop, under
17the requirements of s. 301.08 (2), plans and contracts for the purchase of juvenile
18delinquency-related care and services to be purchased correctional services. The
19department of corrections may review the contracts and approve them if they are
20consistent with s. 301.08 (2) and to the extent that state or federal funds are available
21for such those purposes. The joint committee on finance may require the department
22of corrections to submit the contracts to the committee for review and approval. The
23department of corrections children and families may not make any payments under
24s. 48.526
to a county for programs included in the contract that is under review by
25the committee. The department of corrections children and families shall reimburse

1each county for the contracts from the appropriations under s. 20.410 (3) (cd) and (ko)
220.437 (1) (cj) and (o) as appropriate.
SB21,1503 3Section 1503. 46.22 (2g) (d) of the statutes is renumbered 46.22 (2g) (d) (intro.)
4and amended to read:
SB21,630,65 46.22 (2g) (d) (intro.) Prepare, with the assistance of the county social services
6director under sub. (3m) (b) 5., a all of the following:
SB21,630,8 71. A proposed budget for submission to the county executive or county
8administrator, a.
SB21,630,12 92. A final budget for submission to the department of health services in
10accordance with s. 46.031 (1) for authorized services, except services under ch. 48,
11subch. III of ch. 49, or s. 301.08 (2), a and authorized community-based juvenile
12delinquency-related services.
SB21,630,15 133. A final budget for submission to the department of children and families in
14accordance with s. 49.325 for authorized services under ch. 48 and subch. III of ch.
1549, and a and authorized community-based juvenile delinquency-related services.
SB21,630,17 164. A final budget for submission to the department of corrections in accordance
17with s. 301.031 (1) for authorized juvenile delinquency-related correctional services.
SB21,1504 18Section 1504. 46.23 (3) (e) of the statutes is amended to read:
SB21,631,1119 46.23 (3) (e) Exchange of information; long-term care. Notwithstanding ss.
2046.2895 (9), 48.78 (2) (a), 49.45 (4), 49.83, 51.30, 51.45 (14) (a), 55.22 (3), 146.82,
21252.11 (7), 253.07 (3) (c), and 938.78 (2) (a), a subunit of a county department of
22human services or tribal agency acting under this section may exchange confidential
23information about a client, without the informed consent of the client, with any other
24subunit of the same county department of human services or tribal agency, with a
25resource center or other contracted entity under s. 46.283 (2), a care management

1organization, or a long-term care district, with an elder-adult-at-risk agency, an
2adult-at-risk agency, or any agency to which referral for investigation is made under
3s. 46.90 (5) (a) 1. or 55.043 (1r) (a) 1g., or with a person providing services to the client
4under a purchase of services contract with the county department of human services
5or tribal agency or with a resource center or other contracted entity under s. 46.283
6(2)
, a care management organization, or a long-term care district, if necessary to
7enable an employee or service provider to perform his or her duties, or to enable the
8county department of human services or tribal agency to coordinate the delivery of
9services to the client. An agency that releases information under this paragraph
10shall document that a request for information was received and what information
11was provided.
SB21,1505 12Section 1505 . 46.23 (3) (e) of the statutes, as affected by 2015 Wisconsin Act
13.... (this act), is amended to read:
SB21,632,614 46.23 (3) (e) Exchange of information; long-term care. Notwithstanding ss.
1546.2895 (9), 48.78 (2) (a), 49.45 (4), 49.83, 51.30, 51.45 (14) (a), 55.22 (3), 146.82,
16252.11 (7), 253.07 (3) (c), and 938.78 (2) (a), a subunit of a county department of
17human services or tribal agency acting under this section may exchange confidential
18information about a client, without the informed consent of the client, with any other
19subunit of the same county department of human services or tribal agency, with a
20resource center or other contracted entity under s. 46.283 (2), or a care management
21organization, or a long-term care district, with an elder-adult-at-risk agency, an
22adult-at-risk agency, or any agency to which referral for investigation is made under
23s. 46.90 (5) (a) 1. or 55.043 (1r) (a) 1g., or with a person providing services to the client
24under a purchase of services contract with the county department of human services
25or tribal agency or with a resource center or other contracted entity under s. 46.283

1(2), or a care management organization, or a long-term care district, if necessary to
2enable an employee or service provider to perform his or her duties, or to enable the
3county department of human services or tribal agency to coordinate the delivery of
4services to the client. An agency that releases information under this paragraph
5shall document that a request for information was received and what information
6was provided.
SB21,1506 7Section 1506. 46.23 (3) (ed) of the statutes is amended to read:
SB21,632,148 46.23 (3) (ed) Exchange of information; statewide automated child welfare
9information system.
Notwithstanding ss. 46.2895 (9), 48.396 (1) and (2) (a), 48.78 (2)
10(a), 48.981 (7), 49.45 (4), 49.83, 51.30, 51.45 (14) (a), 55.22 (3), 146.82, 252.11 (7),
11252.15, 253.07 (3) (c), 938.396 (1) (a) and (2), and 938.78 (2) (a), a county department
12under this section may enter the content of any record kept or information received
13by that county department into the statewide automated child welfare information
14system established under s. 48.47 (7g).
SB21,1507 15Section 1507. 46.23 (5) (a) 1. of the statutes is amended to read:
SB21,632,2416 46.23 (5) (a) 1. Shall determine administrative and program policies, except as
17provided under ch. 48 and subch. III of ch. 49 and except for policies relating to
18community-based
juvenile delinquency-related policies, services or to juvenile
19correctional services,
within limits established by the department of health services.
20Policy decisions, except as provided under ch. 48 and subch. III of ch. 49 and except
21for policy decisions relating to community-based juvenile delinquency-related
22policies, services or to juvenile correctional services, that are not reserved by statute
23for the department of health services may be delegated by the secretary to the county
24human services board.
SB21,1508 25Section 1508. 46.23 (5) (a) 2. of the statutes is amended to read:
SB21,633,8
146.23 (5) (a) 2. Shall determine administrative and program policies under ch.
248 and subch. III of ch. 49 and administrative and program policies relating to
3community-based juvenile delinquency-related services
within limits established
4by the department of children and families. Policy decisions under ch. 48 and subch.
5III of ch. 49 and policy decisions relating to community-based juvenile
6delinquency-related services that are
not reserved by statute for the department of
7children and families may be delegated by the secretary of children and families to
8the county human services board.
SB21,1509 9Section 1509. 46.23 (5) (a) 3. of the statutes is amended to read:
SB21,633,1510 46.23 (5) (a) 3. Shall determine juvenile delinquency-related administrative
11programs and policies relating to juvenile correctional services within limits
12established by the department of corrections. Juvenile delinquency-related policy
13Policy decisions relating to juvenile correctional services that are not reserved by
14statute for the department of corrections may be delegated by the secretary of
15corrections to the county human services board.
SB21,1510 16Section 1510. 46.23 (5) (c) 1. of the statutes is amended to read:
SB21,633,2217 46.23 (5) (c) 1. Shall determine whether state mandated services, except for
18services under ch. 48 and subch. III of ch. 49, community-based juvenile
19delinquency-related services,
and juvenile delinquency-related correctional
20services, are provided or by, purchased from, or contracted for with local providers,
21and monitor the performance of such those contracts. Purchase of services contracts
22shall be subject to the conditions specified in s. 46.036.
SB21,1511 23Section 1511. 46.23 (5) (c) 2. of the statutes is amended to read:
SB21,634,324 46.23 (5) (c) 2. Shall determine whether state mandated services under ch. 48
25and subch. III of ch. 49 and state-mandated community-based juvenile

1delinquency-related services
are provided or by, purchased from, or contracted for
2with local providers, and monitor the performance of such those contracts. Purchase
3of services contracts shall be subject to the conditions specified in s. 49.34.
SB21,1512 4Section 1512. 46.23 (5) (c) 3. of the statutes is amended to read:
SB21,634,95 46.23 (5) (c) 3. Shall determine whether state mandated juvenile
6delinquency-related correctional services are provided or by, purchased from, or
7contracted for with local providers, and monitor the performance of such those
8contracts. Purchase of service contracts shall be subject to the conditions specified
9in s. 301.031.
SB21,1513 10Section 1513. 46.23 (5) (n) 1. of the statutes is amended to read:
SB21,634,1711 46.23 (5) (n) 1. Shall submit a final budget in accordance with s. 46.031 (1) for
12authorized services, except for services under ch. 48 and subch. III of ch. 49,
13community-based juvenile delinquency-related services,
and juvenile
14delinquency-related correctional services. Notwithstanding the categorization of or
15limits specified for funds allocated under s. 46.495 or 51.423 (2), with the approval
16of the department of health services the county human services board may expend
17these those funds consistent with any service provided under s. 46.495 or 51.42.
SB21,1514 18Section 1514. 46.23 (5) (n) 2. of the statutes is amended to read:
SB21,634,2419 46.23 (5) (n) 2. Shall submit a final budget in accordance with s. 49.325 (1) for
20authorized services under ch. 48 and subch. III of ch. 49 and for authorized
21community-based juvenile delinquency-related services
. Notwithstanding the
22categorization of or limits specified for funds allocated under s. 48.569, with the
23approval of the department of children and families the county human services board
24may expend these those funds consistent with any service provided under s. 48.569.
SB21,1515 25Section 1515. 46.23 (5) (n) 3. of the statutes is amended to read:
SB21,635,2
146.23 (5) (n) 3. Shall submit a final budget in accordance with s. 301.031 (1) for
2authorized juvenile delinquency-related correctional services.
SB21,1516 3Section 1516. 46.23 (5m) (c) of the statutes is amended to read:
SB21,635,144 46.23 (5m) (c) Prepare, with the assistance of the county human services
5director under sub. (6m) (e), a proposed budget for submission to the county executive
6or county administrator,; a final budget for submission to the department of health
7services in accordance with s. 46.031 (1) for authorized services, except services
8under ch. 48 and subch. III of ch. 49 and, community-based juvenile
9delinquency-related services, and juvenile correctional services; a final budget for
10submission to the department of children and families in accordance with s. 49.325
11for authorized services under ch. 48 and subch. III of ch. 49, and for authorized
12community-based juvenile delinquency-related services;
and a final budget for
13submission to the department of corrections in accordance with s. 301.031 for
14authorized juvenile delinquency-related correctional services.
SB21,1517 15Section 1517. 46.23 (6) (a) (intro.) of the statutes is amended to read:
SB21,636,416 46.23 (6) (a) (intro.) A county human services director appointed under sub. (5)
17(f) shall have all of the administrative and executive powers and duties of managing,
18operating, maintaining, and improving the services and programs of the county
19department of human services,. Those powers and duties are subject to the rules
20promulgated by the department of health services for programs, except that, with
21respect to
services or programs under ch. 48 and subch. III of ch. 49 and
22community-based juvenile delinquency-related services or programs, those powers
23and duties are
subject to the rules promulgated by the department of children and
24families for services or programs under ch. 48 and subch. III of ch. 49, and, with
25respect to juvenile correctional services or programs, those powers and duties are


1subject to the rules promulgated by the department of corrections for juvenile
2delinquency-related services or programs
. In consultation with the county human
3services board under sub. (5) and subject to its approval, the county human services
4director shall prepare all of the following:
SB21,1518 5Section 1518. 46.266 of the statutes is repealed.
SB21,1519 6Section 1519. 46.268 of the statutes is repealed.
SB21,1520 7Section 1520. 46.27 (4) (am) of the statutes is repealed.
SB21,1521 8Section 1521. 46.27 (4) (c) (intro.) of the statutes is amended to read:
SB21,636,129 46.27 (4) (c) (intro.) The planning committee shall develop, or, if the governing
10board of a resource center has under s. 46.283 (6) (b) 10. assumed the duties of the
11planning committee, the governing board of the resource center shall recommend
a
12community options plan for participation in the program. The plan shall include:
SB21,1522 13Section 1522. 46.27 (4) (c) 5. of the statutes is amended to read:
SB21,636,1714 46.27 (4) (c) 5. A description of the method to be used by the committee or, if
15the governing board of a resource center has under s. 46.283 (6) (b) 10. assumed the
16duties of the planning committee, the governing board of the resource center
to
17monitor the implementation of the program.
SB21,1523 18Section 1523. 46.27 (6r) (b) 1m. of the statutes is renumbered 46.27 (6r) (b)
191m. (intro.) and amended to read:
SB21,636,2220 46.27 (6r) (b) 1m. (intro.) The person meets the requirements under s. 46.266
21(1) (a), (b) or (c)
any of the following for receipt of care in an institution for mental
22diseases.:
SB21,1524 23Section 1524. 46.27 (6r) (b) 1m. a. and b. of the statutes are created to read:
SB21,637,324 46.27 (6r) (b) 1m. a. A person who resided in the facility on the date of the
25finding that a skilled nursing facility or intermediate care facility that provides care

1to Medical Assistance recipients to be an institution for mental diseases whose care
2in the facility is disallowed for federal financial participation under Medical
3Assistance.
SB21,637,94 b. A person who is aged 21 to 64, who has a primary diagnosis of mental illness,
5who would meet the level of care requirements for Medical Assistance
6reimbursement in a skilled nursing facility or intermediate care facility but for a
7finding that the facility is an institution for mental diseases, and for whom services
8would be provided in place of a person specified in subd. 1m. a. who discontinues
9services.
SB21,1525 10Section 1525. 46.27 (7) (am) of the statutes is amended to read:
SB21,637,1911 46.27 (7) (am) From the appropriation under s. 20.435 (7) (4) (bd), the
12department shall allocate funds to each county or private nonprofit agency with
13which the department contracts to pay assessment and case plan costs under sub.
14(6) not otherwise paid by fee or under s. 49.45 or 49.78 (2). The department shall
15reimburse multicounty consortia for the cost of assessing persons eligible for medical
16assistance under s. 49.46, 49.468, 49.47, or 49.471 (4) (a) as part of the administrative
17services of medical assistance, payable under s. 49.45 (3) (a). Counties may use
18unspent funds allocated under this paragraph to pay the cost of long-term
19community support services and for a risk reserve under par. (fr).
SB21,1526 20Section 1526. 46.27 (7) (b) of the statutes is amended to read:
SB21,638,921 46.27 (7) (b) From the appropriations under s. 20.435 (7) (4) (bd) and (im), the
22department shall allocate funds to each county to pay the cost of providing long-term
23community support services under sub. (5) (b) not otherwise paid under s. 49.45 to
24persons eligible for medical assistance under s. 49.46, 49.47, or 49.471 (4) (a) or to
25persons whom the county department or aging unit administering the program finds

1likely to become medically indigent within 6 months by spending excess income or
2assets for medical or remedial care. The average per person reimbursement under
3this paragraph may not exceed the state share of the average per person payment
4rate the department expects under s. 49.45 (6m). The county department or aging
5unit administering the program may spend funds received under this paragraph
6only in accordance with the case plan and service contract created for each person
7receiving long-term community support services. Counties may use unspent funds
8allocated under this paragraph from the appropriation under s. 20.435 (7) (4) (bd) for
9a risk reserve under par. (fr).
SB21,1527 10Section 1527. 46.27 (7) (fm) of the statutes is amended to read:
SB21,638,2311 46.27 (7) (fm) The department shall, at the request of a county, carry forward
12up to 5% of the amount allocated under this subsection to the county for a calendar
13year if up to 5% of the amount so allocated has not been spent or encumbered by the
14county by December 31 of that year, for use by the county in the following calendar
15year, except that the amount carried forward shall be reduced by the amount of funds
16that the county has notified the department that the county wishes to place in a risk
17reserve under par. (fr). The department may transfer funds within s. 20.435 (7) (4)
18(bd) to accomplish this purpose. An allocation under this paragraph does not affect
19a county's base allocation under this subsection and shall lapse to the general fund
20unless expended within the calendar year to which the funds are carried forward.
21A county may not expend funds carried forward under this paragraph for
22administrative or staff costs, except administrative or staff costs that are associated
23with implementation of the waiver under sub. (11) and approved by the department.
SB21,1528 24Section 1528. 46.27 (7) (fr) 3. c. of the statutes is repealed.
SB21,1529 25Section 1529. 46.27 (7) (g) (intro.) of the statutes is amended to read:
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