Amendment SA2-AB56

AB56-SA2,7,14 38. Page 144, line 16: decrease the dollar amount for fiscal year 2019-20 by $2,316,200 and increase the dollar amount for fiscal year 2020-21 by $5,359,700 for the purpose of providing the cost to continue Medical Assistance benefits.

AB56-SA2,8,3 39. Page 144, line 24: decrease the dollar amount for fiscal year 2019-20 by $7,400,000 and decrease the dollar amount for fiscal year 2020-21 by $7,400,000 for the purpose of making hospital access payments.

AB56-SA2,8,6 40. Page 145, line 3: decrease the dollar amount for fiscal year 2019-20 by $300,000 and decrease the dollar amount for fiscal year 2020-21 by $300,000 for the purpose of making critical access hospital payments.

AB56-SA2,8,7 41. Page 145, line 16: delete lines 16 to 17 and substitute: - See PDF for table

AB56-SA2,8,8 42. Page 146, line 4: after that line insert: - See PDF for table

AB56-SA2,8,12 43. Page 148, line 10: increase the dollar amount for fiscal year 2019-20 by $264,900 and increase the dollar amount for fiscal year 2020-21 by $365,800 for the purpose of funding an additional 3.78 FTE PR positions within the bureau of assisted living.

AB56-SA2,8,16 44. Page 148, line 21: increase the dollar amount for fiscal year 2019-20 by $155,500 and increase the dollar amount for fiscal year 2020-21 by $214,800 for the purpose of funding an additional 2.22 FTE FED positions in the bureau of assisted living.

AB56-SA2,9,2 45. Page 149, line 3: increase the dollar amount for fiscal year 2019-20 by $1,680,000 and increase the dollar amount for fiscal year 2020-21 by $1,680,000 for the purpose of grants to aging and disability resource centers and tribes to fund 27 additional dementia care specialists and 3 new tribal dementia care specialists.

AB56-SA2,9,6 46. Page 149, line 3: increase the dollar amount for fiscal year 2019-20 only by $61,600 and increase the dollar amount for fiscal year 2020-21 only by $78,200 for the purpose of funding a 2-year academic detailing primary care clinic dementia training pilot program under Section 9119 (3g).

AB56-SA2,9,9 47. Page 149, line 7: increase the dollar amount for fiscal year 2019-20 by $1,550,000 and increase the dollar amount for fiscal year 2020-21 by $7,600,000 for the purpose of increasing funding for the Birth to 3 Program.

AB56-SA2,9,12 48. Page 157, line 4: increase the dollar amount for fiscal year 2019-20 by $512,500 and increase the dollar amount for fiscal year 2020-21 by $675,000 for the purpose of funding services to prevent child abuse or neglect.

AB56-SA2,9,15 49. Page 231, line 6: decrease the dollar amount for fiscal year 2019-20 by $444,700 and decrease the dollar amount for fiscal year 2020-21 by $416,500 for the purpose of transferring the moneys for children's long-term care program.

AB56-SA2,9,18 50. Page 231, line 6: decrease the dollar amount for fiscal year 2020-21 by $89,900 for the purpose of providing supportive services delivered under the Medical Assistance medical home health benefit for persons with substance abuse disorders.

AB56-SA2,9,21 51. Page 231, line 6: decrease the dollar amount for fiscal year 2019-20 by $1,088,200 and decrease the dollar amount for fiscal year 2020-21 by $1,692,900 for the purpose of telehealth reimbursement under the Medical Assistance program.

AB56-SA2,9,23 52. Page 231, line 6: decrease the dollar amount for fiscal year 2019-20 by $100,000 and decrease the dollar amount for fiscal year 2020-21 by $100,000 for the purpose of providing mental health assistance to farmers and farm families under the appropriation to the department of agriculture, trade and consumer protection.

AB56-SA2,10,3 53. Page 249, line 15: after that line insert:

AB56-SA2,10,4 “ Section 188m. 20.435 (1) (bk) of the statutes is created to read:

AB56-SA2,10,6 20.435 (1) (bk) Healthy aging grant program. The amounts in the schedule for grants to an entity that conducts programs in healthy aging.”.

AB56-SA2,10,7 54. Page 249, line 16: delete lines 16 to 18 and substitute:

AB56-SA2,10,8 “ Section 189b. 20.435 (1) (cr) of the statutes is created to read:

AB56-SA2,10,10 20.435 (1) (cr) Minority health grants. The amounts in the schedule for the minority health program under s. 250.20 (3) and (4).”.

AB56-SA2,10,11 55. Page 249, line 24: delete that line and substitute:

AB56-SA2,10,12 “ Section 190b. 20.435 (1) (fj) of the statutes is repealed.”.

AB56-SA2,10,13 56. Page 249, line 25: delete that line and substitute:

AB56-SA2,10,14 “ Section 191b. 20.435 (1) (kb) of the statutes is repealed.”.

AB56-SA2,10,15 57. Page 252, line 3: delete that line and substitute:

AB56-SA2,10,17 “49.685, for distributing grants under s. 146.64, and for reduction of any operating”.

AB56-SA2,10,18 58. Page 253, line 1: delete lines 1 to 4 and substitute:

AB56-SA2,10,19 “ Section 195b. 20.435 (4) (bf) of the statutes is amended to read:

AB56-SA2,10,22 20.435 (4) (bf) Graduate medical training support grants. As a continuing appropriation, the amounts in the schedule to award grants to rural hospitals under s. 146.63 and to support graduate medical training programs under s. 146.64.”.

AB56-SA2,10,23 59. Page 255, line 2: after that line insert:

AB56-SA2,10,24 “ Section 201c. 20.435 (4) (jw) of the statutes is amended to read:

AB56-SA2,11,8 20.435 (4) (jw) BadgerCare Plus and hospital assessment. All moneys received from payment of enrollment fees under the program under s. 49.45 (23), all moneys transferred under s. 50.38 (9), all moneys transferred from the appropriation account under par. (jz), and 10 percent of all moneys received from penalty assessments under s. 49.471 (9) (c), for administration of the program under s. 49.45 (23), to provide a portion of the state share of administrative costs for the BadgerCare Plus Medical Assistance program under s. 49.471, and for administration of the hospital assessment under s. 50.38.”.

AB56-SA2,11,9 60. Page 255, line 10: delete lines 10 to 14 and substitute:

AB56-SA2,11,10 “ Section 203b. 20.435 (5) (cf) of the statutes is amended to read:

AB56-SA2,11,14 20.435 (5) (cf) Mobile crisis team Crisis program enhancement grants. Biennially, the amounts in the schedule for awarding grants to counties or regions to establish certified or enhance crisis programs that create mental health mobile crisis teams under s. 46.536.”.

AB56-SA2,11,15 61. Page 255, line 15: delete lines 15 to 18 and substitute:

AB56-SA2,11,16 “ Section 204b. 20.435 (5) (ct) of the statutes is created to read:

AB56-SA2,11,19 20.435 (5) (ct) Mental health consultation program. The amounts in the schedule for developing a plan for a mental health consultation program under s. 51.441. No moneys may be encumbered under this paragraph after June 30, 2021.”.

AB56-SA2,11,20 62. Page 255, line 18: after that line insert:

AB56-SA2,11,21 “ Section 205c. 20.435 (5) (dg) of the statutes is created to read:

AB56-SA2,11,24 20.435 (5) (dg) Regional crisis stabilization facilities. The amounts in the schedule to provide grants to regional crisis stabilization facilities under s. 51.03 (7).”.

AB56-SA2,12,1 63. Page 265, line 17: delete that line and substitute:

AB56-SA2,12,2 “ Section 179b. 20.505 (8) (hm) 6e. of the statutes is repealed.”.

AB56-SA2,12,3 64. Page 279, line 8: after that line insert:

AB56-SA2,12,4 “ Section 318f. 20.940 of the statutes is repealed.” .

AB56-SA2,12,5 65. Page 292, line 25: after that line insert:

AB56-SA2,12,6 “ Section 414i. 40.51 (8) of the statutes is amended to read:

AB56-SA2,12,11 40.51 (8) Every health care coverage plan offered by the state under sub. (6) shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.728, 632.746 (1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.867, 632.87 (3) to (6), 632.885, 632.89, 632.895 (5m) and (8) to (17), and 632.896.

AB56-SA2,415i Section 415i. 40.51 (8m) of the statutes is amended to read:

AB56-SA2,12,16 40.51 (8m) Every health care coverage plan offered by the group insurance board under sub. (7) shall comply with ss. 631.95, 632.728, 632.746 (1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.867, 632.885, 632.89, and 632.895 (11) (8) and (10) to (17).”.

AB56-SA2,12,18 66. Page 295, line 23: delete the material beginning with that line and ending with page 304, line 9, and substitute:

AB56-SA2,12,19 “ Section 441b. 46.10 (16) of the statutes is amended to read:

AB56-SA2,13,6 46.10 (16) The department shall delegate to county departments under ss. 51.42 and 51.437 or the local providers of care and services meeting the standards established by the department under s. 46.036, the responsibilities vested in the department under this section for collection of patient fees for services other than those provided at state facilities, those provided to children that are reimbursed under a waiver under s. 46.27 (11), 46.275, 46.278, or 46.2785, or those provided under the disabled children's long-term support program if the county departments or providers meet the conditions that the department determines are appropriate. The department may delegate to county departments under ss. 51.42 and 51.437 the responsibilities vested in the department under this section for collection of patient fees for services provided at the state facilities if the necessary conditions are met.

AB56-SA2,442b Section 442b. 46.21 (2m) (b) 1. a. of the statutes is amended to read:

AB56-SA2,13,11 46.21 (2m) (b) 1. a. The powers and duties of the county departments under ss. 46.215, 51.42 and 51.437, including the administration of the long-term support community options program under s. 46.27, if the county department under s. 46.215 is designated as the administering agency under s. 46.27 (3) (b) 1.

AB56-SA2,443b Section 443b. 46.21 (2m) (b) 1. b. of the statutes is repealed.

AB56-SA2,444b Section 444b. 46.215 (1) (m) of the statutes is repealed.

AB56-SA2,445b Section 445b. 46.22 (1) (b) 1. e. of the statutes is repealed.

AB56-SA2,446b Section 446b. 46.23 (3) (bm) of the statutes is repealed.

AB56-SA2,447b Section 447b. 46.269 of the statutes is amended to read:

AB56-SA2,14,2 46.269 Determining financial eligibility for long-term care programs. To the extent approved by the federal government, the department or its designee shall exclude any assets accumulated in a person's independence account, as defined in s. 49.472 (1) (c), and any income or assets from retirement benefits earned or accumulated from income or employer contributions while employed and receiving state-funded benefits under s. 46.27 or medical assistance under s. 49.472 in determining financial eligibility and cost-sharing requirements, if any, for a long-term care program under s. 46.27, 46.275 , or 46.277, for the family care program that provides the benefit defined in s. 46.2805 (4), for the Family Care Partnership program, or for the self-directed services option, as defined in s. 46.2897 (1).

AB56-SA2,448b Section 448b. 46.27 of the statutes is repealed.

AB56-SA2,449b Section 449b. 46.271 (1) (c) of the statutes is amended to read:

AB56-SA2,14,7 46.271 (1) (c) The department may contract with an aging unit, as defined in s. 46.27 46.82 (1) (a), for administration of services under par. (a) if, by resolution, the county board of supervisors of that county so requests the department.

AB56-SA2,450b Section 450b. 46.275 (3) (e) of the statutes is repealed.

AB56-SA2,451b Section 451b. 46.275 (5) (b) 7. of the statutes is amended to read:

AB56-SA2,14,13 46.275 (5) (b) 7. Provide services in any community-based residential facility unless the county or department uses as a service contract the approved model contract developed under s. 46.27 (2) (j), 2017 stats., or a contract that includes all of the provisions of the approved model contract.

AB56-SA2,452b Section 452b. 46.277 (1m) (at) of the statutes is amended to read:

AB56-SA2,14,18 46.277 (1m) (at) “Private nonprofit agency" has the meaning specified in s. 46.27 (1) (bm) means a nonprofit corporation, as defined in s. 181.0103 (17), that provides a program of all-inclusive care for the elderly under 42 USC 1395eee or 1396u-4.

AB56-SA2,453b Section 453b. 46.277 (3) (a) of the statutes is amended to read:

AB56-SA2,15,3 46.277 (3) (a) Sections 46.27 (3) (b) and Section 46.275 (3) (a) and (c) to (e) apply applies to county participation in this program, except that services provided in the program shall substitute for care provided a person in a skilled nursing facility or intermediate care facility who meets the level of care requirements for medical assistance reimbursement to that facility rather than for care provided at a state center for the developmentally disabled. The number of persons who receive services provided by the program under this paragraph may not exceed the number of nursing home beds, other than beds specified in sub. (5g) (b), that are delicensed as part of a plan submitted by the facility and approved by the department.

AB56-SA2,454b Section 454b. 46.277 (5) (d) 2. (intro.) and b. of the statutes are consolidated, renumbered 46.277 (5) (d) 2. and amended to read:

AB56-SA2,15,13 46.277 (5) (d) 2. No county may use funds received under this section to provide residential services in any community-based residential facility, as defined in s. 50.01 (1g), unless one of the following applies: b. The the department approves the provision of services in a community-based residential facility that entirely consists of independent apartments, each of which has an individual lockable entrance and exit and individual separate kitchen, bathroom, sleeping and living areas, to individuals who are eligible under this section and are physically disabled or are at least 65 years of age.

AB56-SA2,455b Section 455b. 46.277 (5) (d) 2. a. of the statutes is repealed.

AB56-SA2,456b Section 456b. 46.277 (5) (d) 3. of the statutes is amended to read:

AB56-SA2,15,22 46.277 (5) (d) 3. If subd. 2. a. or b. applies, no county may use funds received under this section to pay for services provided to a person who resides or intends to reside in a community-based residential facility and who is initially applying for the services, if the projected cost of services for the person, plus the cost of services for existing participants, would cause the county to exceed the limitation under sub. (3) (c). The department may grant an exception to the requirement under this subdivision, under the conditions specified by rule, to avoid hardship to the person.

AB56-SA2,457b Section 457b. 46.277 (5) (f) of the statutes is amended to read:

AB56-SA2,16,3 46.277 (5) (f) No county or private nonprofit agency may use funds received under this subsection to provide services in any community-based residential facility unless the county or agency uses as a service contract the approved model contract developed under s. 46.27 (2) (j), 2017 stats., or a contract that includes all of the provisions of the approved model contract.

AB56-SA2,458b Section 458b. 46.278 (4) (a) of the statutes is amended to read:

AB56-SA2,16,12 46.278 (4) (a) Sections 46.27 (3) (b) and Section 46.275 (3) (a) and (c) to (e) apply applies to county participation in a program, except that services provided in the program shall substitute for care provided a person in an intermediate care facility for persons with an intellectual disability or in a brain injury rehabilitation facility who meets the intermediate care facility for persons with an intellectual disability or brain injury rehabilitation facility level of care requirements for medical assistance reimbursement to that facility rather than for care provided at a state center for the developmentally disabled.

AB56-SA2,459b Section 459b. 46.2803 of the statutes is repealed.

AB56-SA2,460b Section 460b. 46.2805 (1) (b) of the statutes is amended to read:

AB56-SA2,16,17 46.2805 (1) (b) A demonstration program known as the Wisconsin partnership Family Care Partnership program under a federal waiver authorized under 42 USC 1315 1396n.

AB56-SA2,461b Section 461b. 46.281 (1d) of the statutes is amended to read:

AB56-SA2,17,2 46.281 (1d) Waiver request. The department shall request from the secretary of the federal department of health and human services any waivers of federal medicaid laws necessary to permit the use of federal moneys to provide the family care benefit and the self-directed services option to recipients of medical assistance. The department shall implement any waiver that is approved and that is consistent with ss. 46.2805 to 46.2895. Regardless of whether a waiver is approved, the department may implement operation of resource centers, care management organizations, and the family care benefit.

AB56-SA2,462b Section 462b. 46.281 (1n) (d) of the statutes is repealed.

AB56-SA2,463b Section 463b. 46.281 (3) of the statutes is repealed.

AB56-SA2,464b Section 464b. 46.2825 of the statutes is repealed.