LRB-4817/1
TJD:amn
2019 - 2020 LEGISLATURE
November 27, 2019 - Introduced by Senators Bernier and Olsen, cosponsored by
Representatives Nygren, Novak, Snyder, Petersen, Quinn, Felzkowski,
Edming, Kulp, Magnafici, Plumer, Horlacher, Rohrkaste, Knodl, Tusler,
Petryk, Tranel, Thiesfeldt, Jagler, Mursau, Ramthun, Born and Billings.
Referred to Committee on Health and Human Services.
SB600,1,3 1An Act to create 49.46 (2) (b) 21. and 49.46 (2) (bv) of the statutes; relating to:
2physical health services and acupuncture under Medical Assistance program
3and making an appropriation.
Analysis by the Legislative Reference Bureau
This bill increases the Joint Committee on Finance's supplemental
appropriation by $500,000 in each fiscal year of the biennium for the purpose of
increasing reimbursement rates for physical health services under the Medical
Assistance program. Physical health services are nonpharmacologic interventions
used for treatment or mitigation of pain, including chiropractic methods and
physical therapy. To obtain the supplement, the Department of Health Services must
submit a proposal for the reimbursement rate increase to and receive approval of the
proposal from JCF.
The bill also includes acupuncture provided by a certified acupuncturist as a
reimbursable benefit under the Medical Assistance program. The bill requires DHS
to submit to the federal government any request for federal approval necessary to
provide the reimbursement for an acupuncture benefit under the Medical Assistance
program.
For further information see the state fiscal estimate, which will be printed as
an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
SB600,1
1Section 1. 49.46 (2) (b) 21. of the statutes is created to read:
SB600,2,32 49.46 (2) (b) 21. Subject to par. (bv), acupuncture provided by an acupuncturist
3who holds a certificate under ch. 451.
SB600,2 4Section 2. 49.46 (2) (bv) of the statutes is created to read:
SB600,2,115 49.46 (2) (bv) The department shall submit to the federal department of health
6and human services any request for a state plan amendment, waiver, or other federal
7approval necessary to provide reimbursement for the benefit par. (b) 21. If the
8federal department approves the request or if no federal approval is necessary, the
9department shall provide the benefit and reimbursement under par. (b) 21. If the
10federal department disapproves the request, the department may not provide the
11benefit or reimbursement for the benefit described under par. (b) 21.
SB600,3 12Section 3 . Nonstatutory provisions.
SB600,2,1313 (1) Physical health services reimbursement.
SB600,2,1614 (a) Definitions. In this subsection, “physical health services” means
15nonpharmacologic interventions used for the treatment or mitigation of pain,
16including chiropractic methods and physical therapy.
SB600,3,217 (b) Proposal required. To obtain supplemental funding under this act, the
18department of health services shall submit under s. 13.10 to the joint committee on
19finance a proposal to increase reimbursement rates under the Medical Assistance
20program for physical health services. The joint committee on finance may
21supplement the appropriation under s. 20.435 (4) (b) from the appropriation under
22s. 20.865 (4) (a) if the joint committee on finance approves the proposal submitted
23under this paragraph. Notwithstanding s. 13.101 (3), the joint committee on finance
24may make a supplementation under this subsection without finding that an
25emergency exists. If the joint committee on finance approves the proposal, the

1department of health services shall increase reimbursement rates for physical
2health services as approved.
SB600,4 3Section 4. Fiscal changes.
SB600,3,124 (1) Physical health services reimbursement. In the schedule under s. 20.005
5(3) for the appropriation to the joint committee on finance under s. 20.865 (4) (a), the
6dollar amount for fiscal year 2019-20 is increased by $500,000 to increase
7reimbursement rates for physical health services under the Medical Assistance
8program under Section 3 (1) of this act. In the schedule under s. 20.005 (3) for the
9appropriation to the joint committee on finance under s. 20.865 (4) (a), the dollar
10amount for fiscal year 2020-21 is increased by $500,000 to increase reimbursement
11rates for physical health services under the Medical Assistance program under
12Section 3 (1) of this act.
SB600,3,1313 (End)
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