SB21,1584 7Section 1584. 46.283 (4) (g) of the statutes is renumbered 46.283 (3) (o) and
8amended to read:
SB21,664,229 46.283 (3) (o) Perform Performance of a functional screening and a financial
10and cost-sharing screening for any person seeking admission to a nursing home,
11community-based residential facility, residential care apartment complex, or adult
12family home, if the secretary has certified that the resource center or other entity is
13available to the person and the facility and the person is determined by the resource
14center or other entity to have a condition that is expected to last at least 90 days that
15would require care, assistance, or supervision. A resource center or other entity may
16not require a financial and cost-sharing screening for a person seeking admission
17or about to be admitted on a private pay basis who waives the requirement for a
18financial and cost-sharing screening under this paragraph, unless the person is
19expected to become eligible for medical assistance within 6 months. A resource
20center or other entity need not perform a functional screening for a person seeking
21admission or about to be admitted for whom a functional screening was performed
22within the previous 6 months.
SB21,1585 23Section 1585. 46.283 (4) (j) of the statutes is repealed.
SB21,1586 24Section 1586. 46.283 (5) of the statutes is amended to read:
SB21,665,5
146.283 (5) Funding. From the appropriation accounts under s. 20.435 (4) (b),
2(bd), (bm), (gm), (pa), and (w) and (7) (b), (bd), and (md), the department may contract
3with organizations that meet standards under sub. (3) for performance of the duties
4under sub. (4) (3) and shall distribute funds for services provided by resource centers
5and other entities.
SB21,1587 6Section 1587. 46.283 (6) of the statutes is repealed.
SB21,1588 7Section 1588. 46.283 (7) (intro.) of the statutes is amended to read:
SB21,665,128 46.283 (7) (intro.) No record, as defined in s. 19.32 (2), of a resource center or
9other contracted entity under sub. (2)
that contains personally identifiable
10information, as defined in s. 19.62 (5), concerning an individual who receives services
11from the resource center may be disclosed by the resource center without the
12individual's informed consent, except as follows:
SB21,1589 13Section 1589. 46.283 (7) (a) of the statutes is amended to read:
SB21,665,1714 46.283 (7) (a) A resource center or other contracted entity under sub. (2) may
15provide information as required to comply with s. 16.009 (2) (p) or 49.45 (4) or as
16necessary for the department to administer the family care program under ss.
1746.2805 to 46.2895
.
SB21,1590 18Section 1590. 46.283 (7) (b) of the statutes is amended to read:
SB21,666,219 46.283 (7) (b) Notwithstanding ss. 48.78 (2) (a), 49.45 (4), 49.83, 51.30, 51.45
20(14) (a), 55.22 (3), 146.82, 252.11 (7), 253.07 (3) (c) and 938.78 (2) (a), a resource center
21or other contracted entity under sub. (2) acting under this section may exchange
22confidential information about a client, as defined in s. 46.287 (1), without the
23informed consent of the client, under s. 46.21 (2m) (c), 46.215 (1m), 46.22 (1) (dm),
2446.23 (3) (e), 46.284 (7), 46.2895 (10), 51.42 (3) (e) or 51.437 (4r) (b) in the county
25operating area of the resource center or other entity, if necessary to enable the

1resource center or other entity to perform its duties or to coordinate the delivery of
2services to the client.
SB21,1591 3Section 1591 . 46.283 (7) (b) of the statutes, as affected by 2015 Wisconsin Act
4.... (this act), is amended to read:
SB21,666,135 46.283 (7) (b) Notwithstanding ss. 48.78 (2) (a), 49.45 (4), 49.83, 51.30, 51.45
6(14) (a), 55.22 (3), 146.82, 252.11 (7), 253.07 (3) (c) and 938.78 (2) (a), a resource center
7or other contracted entity under sub. (2) acting under this section may exchange
8confidential information about a client, as defined in s. 46.287 (1), without the
9informed consent of the client, under s. 46.21 (2m) (c), 46.215 (1m), 46.22 (1) (dm),
1046.23 (3) (e), 46.284 (7), 46.2895 (10), 51.42 (3) (e) or 51.437 (4r) (b) in the operating
11area of the resource center or other entity, if necessary to enable the resource center
12or other entity to perform its duties or to coordinate the delivery of services to the
13client.
SB21,1592 14Section 1592. 46.284 (1) (a) (intro.) and 1. of the statutes are consolidated,
15renumbered 46.284 (1) (a) and amended to read:
SB21,666,2116 46.284 (1) (a) A county board of supervisors and, in a county with a county
17executive or a county administrator, the county executive or county administrator,
18may decide all of the following: 1. Whether whether to authorize one or more county
19departments under s. 46.21, 46.215, 46.22 or 46.23 or an aging unit under s. 46.82
20(1) (a) 1. or 2. to apply to the department for a contract to operate a care management
21organization and, if so, which to authorize and what client group to serve.
SB21,1593 22Section 1593. 46.284 (1) (a) 2. of the statutes is repealed.
SB21,1594 23Section 1594. 46.284 (2) (a) of the statutes is amended to read:
SB21,667,324 46.284 (2) (a) The department may contract for operation of a care
25management organization only with an entity that is certified by the department as

1meeting the requirements under sub. (3). No entity may operate as a care
2management organization under the requirements of this section unless so certified
3and under contract with the department.
SB21,1595 4Section 1595. 46.284 (2) (bm) of the statutes is amended to read:
SB21,667,165 46.284 (2) (bm) The department may contract with counties, long-term care
6districts, the governing body of a tribe or band or the Great Lakes inter-tribal
7council, inc., or under a joint application of any of these, or with a private
8organization that has no significant connection to an entity that operates a resource
9center. Proposals for contracts under this subdivision shall be solicited under a
10competitive sealed proposal process under s. 16.75 (2m) and the department shall
11evaluate the proposals primarily as to the quality of care that is proposed to be
12provided, certify those
The department may contract with any applicants that meet
13it certifies as meeting the requirements specified in sub. (3) (a), select certified
14applicants for contract and contract with the selected applicants
. The department
15is not required to solicit proposals for contracts to be a care management
16organization under a competitive sealed proposal process
.
SB21,1596 17Section 1596 . 46.284 (2) (bm) of the statutes, as affected by 2015 Wisconsin
18Act .... (this act), is amended to read:
SB21,668,219 46.284 (2) (bm) The department may contract with counties, long-term care
20districts,
the governing body of a tribe or band or the Great Lakes inter-tribal
21council, inc., or under a joint application of any of these, or with a private
22organization that has no significant connection to an entity that operates a resource
23center. The department may contract with any applicants that it certifies as meeting
24the requirements specified in sub. (3) (a). The department is not required to solicit

1proposals for contracts to be a care management organization under a competitive
2sealed proposal process.
SB21,1597 3Section 1597. 46.284 (2) (c) of the statutes is repealed.
SB21,1598 4Section 1598. 46.284 (2) (d) of the statutes is repealed.
SB21,1599 5Section 1599. 46.284 (3) (b) 10. of the statutes is amended to read:
SB21,668,86 46.284 (3) (b) 10. Coverage statewide or for a geographic area specified by the
7department if the department grants the applicant an exception to statewide
8coverage
.
SB21,1600 9Section 1600. 46.284 (3) (b) 11. of the statutes is amended to read:
SB21,668,1210 46.284 (3) (b) 11. The ability to develop strong linkages with systems and
11services that are not directly within the scope of the applicant's responsibility but
12that are important to the target group that it proposes to serve, including.
SB21,668,15 1311m. If the department chooses to make primary and acute health care services
14part of the family care benefit, the ability to provide or provide access to primary and
15acute health care services under s. 49.46 (2) as determined by the department
.
SB21,1601 16Section 1601. 46.284 (3m) of the statutes is repealed.
SB21,1602 17Section 1602. 46.284 (4) (e) of the statutes is amended to read:
SB21,669,418 46.284 (4) (e) Provide, within guidelines established by the department, a
19mechanism self-directed services option by which an enrollee may arrange for,
20manage, and monitor his or her family care benefit directly or with the assistance of
21another person chosen by the enrollee. The care management organization shall
22provide each enrollee with a form on which the enrollee shall indicate whether he or
23she has been offered the self-directed services option under this paragraph and
24whether he or she has accepted or declined the self-directed services option. If the
25enrollee accepts the option, the care management organization shall monitor the

1enrollee's use of a fixed budget for purchase of services or support items from any
2qualified provider, monitor the health and safety of the enrollee, and provide
3assistance in management of the enrollee's budget and services at a level tailored to
4the enrollee's need and desire for the assistance.
SB21,1603 5Section 1603. 46.284 (5) (a) of the statutes is amended to read:
SB21,669,126 46.284 (5) (a) From the appropriation accounts under s. 20.435 (4) (b), (bd), (g),
7(gm), (h), (im), (o), and (w) and (7) (b), (bd), and (g), the department shall provide
8funding on a capitated payment basis for the provision of services under this section.
9Notwithstanding s. 46.036 (3) and (5m), a care management organization that is
10under contract with the department may expend the funds, consistent with this
11section, including providing payment, on a capitated basis, to providers of services
12under the family care benefit.
SB21,1604 13Section 1604. 46.284 (5) (d) 4. of the statutes is amended to read:
SB21,669,2414 46.284 (5) (d) 4. The requirement that a care management organization place
15funds in a risk reserve and maintain the risk reserve in an interest-bearing escrow
16account with a financial institution, as defined in s. 69.30 (1) (b) , or invest funds as
17specified in s. 46.2895 (4) (j) 2. or 3
. Moneys in the risk reserve or invested as specified
18in this subdivision may be expended only for the provision of services under this
19section. If a care management organization ceases participation under this section,
20the funds in the risk reserve or invested as specified in this subdivision, minus any
21contribution of moneys other than those specified in par. (c), shall be returned to the
22department. The department shall expend the moneys for the payment of
23outstanding debts to providers of family care benefit services and for the
24continuation of family care benefit services to enrollees.
SB21,1605 25Section 1605. 46.284 (6) of the statutes is amended to read:
SB21,670,6
146.284 (6) Governing board. A care management organization shall have a
2governing board that reflects the ethnic and economic diversity of the geographic
3area served by the care management organization. At least one-fourth of the
4members of the governing board shall be representative of the client group or groups
5whom the care management organization is contracted to serve or those clients'

6enrollees or the enrollees' family members, guardians, or other advocates.
SB21,1606 7Section 1606. 46.284 (7) (a) of the statutes is amended to read:
SB21,670,108 46.284 (7) (a) A care management organization may provide information as
9required to comply with s. 16.009 (2) (p) or 49.45 (4) or as necessary for the
10department to administer the family care program under ss. 46.2805 to 46.2895.
SB21,1607 11Section 1607. 46.284 (7) (b) of the statutes is amended to read:
SB21,670,1912 46.284 (7) (b) Notwithstanding ss. 48.78 (2) (a), 49.45 (4), 49.83, 51.30, 51.45
13(14) (a), 55.22 (3), 146.82, 252.11 (7), 253.07 (3) (c) and 938.78 (2) (a), a care
14management organization acting under this section may exchange confidential
15information about a client, as defined in s. 46.287 (1), without the informed consent
16of the client, under s. 46.21 (2m) (c), 46.215 (1m), 46.22 (1) (dm), 46.23 (3) (e), 46.283
17(7), 46.2895 (10), 51.42 (3) (e) or 51.437 (4r) (b) in the county of the care management
18organization, if necessary to enable the care management organization to perform
19its duties or to coordinate the delivery of services to the client.
SB21,1608 20Section 1608. 46.285 (intro.) and (1) of the statutes are consolidated,
21renumbered 46.285 and amended to read:
SB21,671,5 2246.285 Operation of resource center and care management
23organization.
In order to meet federal requirements and assure federal financial
24participation in funding of the family care benefit, a county, a tribe or band, a
25long-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: (1) For that for an entity with which the department
3has contracted under s. 46.281 (1) (e) 1., 2005 stats., provision of the services
4specified under s. 46.283 (3) (b), (e), (f) and (g) shall be structurally separate from the
5provision of services of the care management organization by January 1, 2001.
SB21,1609 6Section 1609. 46.285 (2) of the statutes is repealed.
SB21,1610 7Section 1610. 46.286 (3g) of the statutes is created to read:
SB21,671,118 46.286 (3g) Transferring care management organizations. An enrollee may
9transfer his or her enrollment to a different care management organization but only
10during an open enrollment period specified by the department, unless the enrollee
11meets an exception specified by the department.
SB21,1611 12Section 1611. 46.287 (2) (c) of the statutes is amended to read:
SB21,671,1613 46.287 (2) (c) Information regarding the availability of advocacy services and
14notice of adverse actions taken and appeal rights shall be provided to a client by the
15resource center or other contracted entity under s. 46.283 (2) or care management
16organization in a form and manner that is prescribed by the department by rule.
SB21,1612 17Section 1612. 46.2895 of the statutes, as affected by 2015 Wisconsin Act ....
18(this act), is repealed.
SB21,1613 19Section 1613. 46.2895 (1) (a) (intro.) of the statutes is amended to read:
SB21,672,220 46.2895 (1) (a) (intro.) A Except as provided in par. (f), a county, a tribe or band,
21or any combination of counties or tribes or bands, may create a special purpose
22district that is termed a "long-term care district", that is a local unit of government,
23that is separate and distinct from, and independent of, the state and the county or
24tribe or band that created it, and that has the powers and duties specified in this

1section, if each county or tribe or band that participates in creating the district does
2all of the following:
SB21,1614 3Section 1614. 46.2895 (1) (a) 1. b. of the statutes is amended to read:
SB21,672,84 46.2895 (1) (a) 1. b. Specifies the long-term care district's primary purpose,
5which shall be to operate, under contract with the department, a resource center
6under s. 46.283, a care management organization under s. 46.284, or a program
7described under s. 46.2805 (1) (a) or (b) of all-inclusive care for the elderly or the
8Family Care Partnership Program
.
SB21,1615 9Section 1615. 46.2895 (1) (c) of the statutes is amended to read:
SB21,672,1310 46.2895 (1) (c) A long-term care district may not operate a care management
11organization under s. 46.284 or, a program described under s. 46.2805 (1) (a) or (b)
12of all-inclusive care for the elderly, or the Family Care Partnership Program if the
13district operates a resource center under s. 46.283.
SB21,1616 14Section 1616. 46.2895 (1) (f) of the statutes is created to read:
SB21,672,1615 46.2895 (1) (f) No county, tribe, band, or combination of counties, tribes, or
16bands, may create a long-term care district after June 30, 2015.
SB21,1617 17Section 1617. 46.2895 (4) (intro.) of the statutes is amended to read:
SB21,672,2118 46.2895 (4) Powers. (intro.) Subject to sub. subs. (1) (c) and (12m), a long-term
19care district has all the powers necessary or convenient to carry out the purposes and
20provisions of the family care program ss. 46.2805 to 46.2895. In addition to all these
21powers, a long-term care district may do all of the following:
SB21,1618 22Section 1618. 46.2895 (4) (dm) of the statutes is amended to read:
SB21,673,223 46.2895 (4) (dm) Subject to sub. (1) (c), enter into a contract with the
24department to operate a the program described under s. 46.2805 (1) (a) or (b) of

1all-inclusive care for the elderly or the Family Care Partnership Program
and
2provide services related to the contracted services.
SB21,1619 3Section 1619. 46.2895 (8) (a) (intro.) of the statutes is amended to read:
SB21,673,54 46.2895 (8) (a) (intro.) A Subject to sub. (12m), a long-term care district board
5that is created at least in part by a county shall do all of the following:
SB21,1620 6Section 1620. 46.2895 (12m) of the statutes is created to read:
SB21,673,97 46.2895 (12m) Required dissolution. A long-term care district that exists on
8June 30, 2015, shall dissolve under the procedures in sub. (13) before June 30, 2017,
9or before a date established by the department, whichever is later.
SB21,1621 10Section 1621. 46.2896 of the statutes is created to read:
SB21,673,11 1146.2896 Counting promissory notes as assets. (1) In this section:
SB21,673,1512 (a) "Long-term care program" means the long-term care program under s.
1346.27, 46.275, 46.277, 46.278, or 46.2785; the family care program providing the
14benefit under s. 46.286; the Family Care Partnership program; or the long-term care
15program defined in s. 46.2899 (1), 2013 stats.
SB21,673,1916 (b) "Promissory note" means a written, unconditional agreement, given in
17return for goods, money loaned, or services rendered, under which one party
18promises to pay another party a specified sum of money at a specified time or on
19demand.
SB21,673,22 20(2) When determining or redetermining an individual's financial eligibility for
21a long-term care program, the department shall include a promissory note as a
22countable asset if all of the following apply:
SB21,673,2523 (a) The individual applying for or receiving benefits under the long-term care
24program or his or her spouse provided the goods, money loaned, or services rendered
25for the promissory note.
SB21,674,2
1(b) The promissory note was entered into or purchased on or after the effective
2date of this paragraph .... [LRB inserts date].
SB21,674,43 (c) The promissory note is negotiable, assignable, and enforceable and does not
4contain any terms making it unmarketable.
SB21,674,10 5(3) A promissory note is presumed to be negotiable and its asset value is the
6outstanding principal balance at the time the individual applies for the long-term
7care program or at the time the individual's eligibility for the long-term care
8program is redetermined, unless the individual shows by credible evidence from a
9knowledgeable source that the note is nonnegotiable or has a different current
10market value, which will then be considered the asset value.
SB21,1622 11Section 1622. 46.2897 of the statutes is repealed.
SB21,1623 12Section 1623. 46.2899 (1) of the statutes is repealed.
SB21,1624 13Section 1624. 46.2899 (3) of the statutes is amended to read:
SB21,674,2214 46.2899 (3) Eligibility. The department shall consider as eligible for the
15waiver program described under sub. (2) only individuals who are receiving
16post-secondary education in a setting that is distinguishable from the institution.
17The department shall set the financial eligibility requirements and functional
18eligibility requirements for the waiver program described under sub. (2) the same as
19the financial eligibility requirements and functional eligibility requirements for the
20self-directed services option of the family care program, as defined in s. 46.2805
21(4m),
except for the requirement to be an individual who is developmentally disabled
22and who is receiving post-secondary education on the grounds of a institution.
SB21,1625 23Section 1625. 46.2899 (4) of the statutes is amended to read:
SB21,675,324 46.2899 (4) Services and benefits. The department shall provide the same
25services under the waiver program described in sub. (2) as it provides under the

1self-directed services option of the family care program, as defined in s. 46.2805
2(4m)
. The department shall determine the funding amount for a waiver program
3participant under this section.
SB21,1626 4Section 1626. 46.29 (1) (intro.) of the statutes is amended to read:
SB21,675,85 46.29 (1) (intro.) From the appropriation account under s. 20.435 (7) (4) (a), the
6department shall distribute at least $16,100 in each fiscal year for operation of the
7council on physical disabilities. The council on physical disabilities shall do all of the
8following:
SB21,1627 9Section 1627. 46.29 (3) (d) of the statutes is amended to read:
SB21,675,1110 46.29 (3) (d) The director of the office administrator of the division of state
11employment relations
personnel management in the department of administration.
SB21,1628 12Section 1628. 46.29 (3) (e) of the statutes is amended to read:
SB21,675,1413 46.29 (3) (e) The secretary of safety and professional services financial
14institutions and professional standards
.
SB21,1629 15Section 1629. 46.29 (3) (g) of the statutes is amended to read:
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