Full-time open enrollment program; application deadlines for the 2020-21
school year
Under current law, a pupil may attend a public school in a school district other
than the pupil's resident school district under the full-time open enrollment
program (OEP). Current law specifies specific dates by which various steps must
occur in the OEP application process. For example, under current law, the last day
to submit an application to attend a nonresident school district under the OEP in the
2020-21 school year is April 30, 2020.
This bill extends statutory deadlines related to applications to attend a
nonresident school district under the OEP by approximately 30 days. For example,
under the bill, the last day to submit an application to attend a nonresident school
district under the OEP in the 2020-21 school year is May 29, 2020.
Reports on virtual instruction and other operations during the public
health emergency
Under the bill, by November 1, 2020, each school board must submit a report
to DPI that contains various information about school district operations during the
public health emergency, including whether the virtual instruction was
implemented in the school district, the number of staff who were laid off, the number
of lunches provided, and the amount of certain expenditure reductions. The report
must also include any challenges or barriers the school board faced in implementing
virtual instruction and the school board's recommendations for best practices related
to providing virtual instruction when schools are closed. Under the bill, DPI must
compile and report the information it receives from school boards to the legislature
by January 1, 2021. The bill defines the “public health emergency” as the period
during the 2019-20 school year when schools were closed by DHS. Finally, by June
30, 2020, the bill requires DPI to post on its Internet site guidance on best practices
for schools returning to in-person instruction.
7.
emergency management
Transfer of employees between executive branch agencies
This bill authorizes the secretary of administration to transfer employees from
any executive branch agency to another executive branch agency during the public
health emergency declared on March 12, 2020, by executive order 72. Under the bill,
the agency to which an employee is transferred shall pay all salary and fringe benefit
costs of that employee.
Waiving in-person requirements
This bill allows a state entity to waive any requirement that an individual
appear in person during the public health emergency declared on March 12, 2020,
by executive order 72, if the waiver assists in the state's response to the state of
emergency or if the requirement may increase the public health risk.
8.
Employment
Unemployment insurance
Unemployment insurance; waiting period
Currently, a claimant must wait one week after becoming eligible to receive
unemployment insurance benefits before the claimant may receive benefits for a
week of unemployment. The waiting period does not affect the maximum number
of weeks of a claimant's benefit eligibility.
This bill suspends the application of the one-week waiting period for benefit
years that began after March 12, 2020, and before February 7, 2021. The bill requires
the Department of Workforce Development to seek the maximum amount of federal
reimbursement for benefits that are, during this time period, payable for the first
week of a claimant's benefit year as a result of the suspension.
Unemployment insurance; benefit charging
This bill requires DWD, when processing claims for UI benefits and evaluating
work-share plans, to determine whether a claim or plan is related to the public
health emergency declared by the governor under executive order 72. If a claim is
so related, the bill provides that the regular benefits for that claim for weeks
occurring after March 12, 2020, and before December 31, 2020, not be charged as is
normally provided. Instead, the benefits for those weeks are, subject to numerous
exceptions, to be charged to the balancing account of the unemployment reserve fund
(pooled account financed by all employers who pay contributions that is used to pay
benefits that are not chargeable to any employer's account) or, in the case of
employers that do not pay contributions (taxes) but instead reimburse DWD for
benefits directly (reimbursable employers), the benefits are to be paid in the manner
specified under current law for certain other circumstances involving benefits
chargeable to reimbursable employers.
The bill also requires the secretary of workforce development, to the extent
permitted under federal law, to seek advances to the state's unemployment reserve
fund from the federal government, so as to allow Schedule D of the unemployment
insurance contribution (tax) rates to remain in effect through the end of calendar
year 2021. Schedule D includes the lowest unemployment insurance contribution
rates specified under current law, and is in effect for any calendar year whenever, as
of the preceding June 30, the state's unemployment reserve fund has a cash balance
of at least $1,200,000,000.
Unemployment insurance; work-share programs
Current law allows an employer to create a work-share program within a work
unit of the employer. Under a work-share program, the working hours of all of the
full-time employees in the program are reduced in an equitable manner in lieu of a
layoff of some of the employees and a continuation of full-time employment by the
other employees. A claimant for UI benefits who is included in a work-share
program may receive UI benefits during his or her continued employment with the
work-share employer in an amount equal to the claimant's benefit for total
unemployment multiplied by the same percentage reduction in normal working
hours that the claimant incurs under the program.
This bill suspends all of the following for work-share plans submitted until
December 31, 2020:
1. The requirement that a work-share plan be limited to a particular work unit
of the employer. The bill instead, during the suspension period, allows a work-share
plan to cover any employees of the employer.
2. The requirement that the reduction in working hours under a work-share
program must be at least 10 percent but not more than 50 percent of the normal hours
per week of the employees included under the plan. The bill instead, during the
suspension period, increases the permissible reduction in working hours under a
work-share program to be not more than 60 percent of the normal hours per week
of the employees included under the plan or the highest permissible reduction
allowed under federal law, whichever is greater.
3. The requirements that at least 10 percent of the employees in a work unit
be included in a work-share plan and that the employer provide for initial coverage
under the plan of at least 20 positions that are filled on the effective date of the
work-share program. The bill instead, during the suspension period, requires only
that the work-share plan cover at least two positions that are filled on the effective
date of the work-share program.
4. The requirement that reduced working hours be apportioned equitably
among employees in the work-share program.
The bill also provides that, during the period specified above, a work-share
program becomes effective on the later of the Sunday of or after approval of the
work-share plan, instead of the second Sunday after approval of the plan, unless a
later Sunday is specified.
The bill, however, allows the secretary to waive the application of the changes
described above if doing so is necessary to comply with federal requirements or for
this state to qualify for full federal financial participation in the cost of
administration of the work-share program and financing of work-share benefits.
The bill also requires DWD to allow employers to submit work-share plan
applications using an online form and to provide assistance to employers with
submitting applications and developing work-share plans.
The bill also specifies that a work-share program shall be governed by the law
that was in effect when the plan was approved, until the program ends as provided
under current law.
Worker's compensation
Rebuttable presumption that injury caused to first responders during
current public health emergency is caused by employment
This bill provides that, for the purposes of worker's compensation, an injury
caused to a first responder, during any public health emergency declared by the
governor on March 12, 2020, by executive order 72 and ending 30 days after the
termination of the order, is presumed to be caused by the individual's employment.
The presumption requires a diagnosis or positive test for COVID-19, and may be
rebutted by specific evidence that the injury was caused outside of employment.
Other employment
Employee records during public health emergency
Under the bill, the requirements that an employer provide an employee's
personnel record within seven working days after receiving the request, that the
inspection be at a location near the employee's place of employment, and that the
inspection be during normal working hours are suspended during the public health
emergency declared on March 12, 2020, by executive order 72.
Suspension of certain time limits and in-person meetings for grievance
process during public health emergency
Under the bill, a state employee does not waive his or her right to appeal an
adverse employment decision if the employee does not timely file the complaint or
appeal during the public health emergency declared on March 12, 2020, by executive
order 72. Under current law, an employee waives such right if the employee does not
timely file.
Under the bill, an appointing authority is not required to hold an in-person
meeting with a state employee who has filed an employment grievance during the
public health emergency declared on March 12, 2020, by executive order 72.
Use of annual leave during public health emergency
Under the bill, a state employee may take annual leave during the public health
emergency declared on March 12, 2020, by executive order 72, even if the employee
has not completed the first six months of the employee's probationary period. If the
employee terminates employment before earning any leave the employee used, the
employer may deduct the amount of unearned leave from the employee's final pay.
Under current law, an employee may not take annual leave during the first six
months of the employee's probationary period.
Limited term employees during public health emergency
Under the bill, the director of the Bureau of Merit Recruitment and Selection
in the Division of Personnel Management in the Department of Administration may
adjust the number of hours a state employee in a limited term appointment may work
during the public health emergency declared on March 12, 2020, by executive order
72. Under current law, a limited term appointment may not exceed 1,040 hours per
year.
9.
health and human services
Enhanced federal medical assistance percentage
This bill allows DHS to suspend compliance with current premium and health
risk assessment requirements for childless adults, delay implementation of the
community engagement requirement for childless adults, and maintain continuous
enrollment under the Medical Assistance program in compliance with federal law in
order to satisfy criteria for an enhanced federal medical assistance percentage, or
FMAP, under the Medical Assistance program during the period to which the
enhanced federal medical assistance percentage applies. The FMAP is the
percentage of Medicaid-related costs that the federal government provides a state
after a state has paid for its share of the costs.
Prescription order extensions
Current law allows a pharmacist to extend a prescription order under certain
circumstances in the event that the prescription cannot otherwise be refilled, subject
to certain criteria and limitations.
This bill creates an alternative authorization for a pharmacist to extend a
prescription during the period covered by a public health emergency declared on
March 12, 2020, by executive order 72, and for 30 days after the conclusion of that
public health emergency. Under the bill, during that period, the prescribing
practitioner is exempt from having to contact the prescribing practitioner or his or
her office, and certain other requirements also do not apply. However, the
pharmacist may not extend a prescription if the prescribing practitioner has
indicated that no extensions are permitted. The pharmacist may extend the
prescription by up to a 30-day supply, except that if the drug is typically packaged
in a form that requires a pharmacist to dispense the drug in a quantity greater than
a 30-day supply, the pharmacist may extend the prescription order as necessary to
dispense the drug in the smallest quantity in which it is typically packaged. The bill
allows only one extension of a prescription by a pharmacist during a public health
emergency period.
Hours of instructional program for nurse aides
This bill conforms state law for instructional programs for nurse aides to the
federal law requirements for Medicare and Medicaid. Specifically, the bill prohibits
DHS from requiring an instructional program to exceed the federally required
minimum total training hours or minimum hours of supervised practical training,
which is clinical experience, specified in the federal regulation. The current federal
regulation requires no less than 75 hours of training with at least 16 of those hours
being supervised practical training.
Collection and reporting of public health emergency data
This bill requires the entity that is under contract under current law to collect,
analyze, and disseminate the health care information of hospitals and ambulatory
surgery centers to prepare and publish a public health emergency dashboard during
the state of emergency related to COVID-19 declared by the governor or a federally
declared emergency, disaster, or public health emergency that involves Wisconsin.
The public health emergency dashboard uses health care emergency preparedness
information collected by the state from acute care hospitals and must include
information to assist emergency response planning activities. The entity and DHS
must enter into a data use agreement and mutually agree to certain items specified
in the bill.
Health information exchange pay-for-performance system
DHS shall develop for the Medical Assistance program a payment system based
on performance to incentivize participation in the health information exchange as
specified in the bill.
Legislative oversight during COVID-19 public health emergency
This bill makes inapplicable during the public health emergency declared by
the federal secretary of health and human services in response to the 2019 novel
coronavirus certain legislative oversight procedures for requests for waivers,
amendments to a waiver, or other federal approval but only if the request is for
something specifically authorized in the bill. The legislative oversight procedures
that would be inapplicable are the procedures under which the Department of Health
Services must submit such a request if it has been directed by legislation. Any
extension or renewal of the items specified in the bill must comply with legislative
oversight requirements in current law as the bill specifies that DHS may implement
the items specified in the bill only on a temporary basis to address the 2019 novel
coronavirus pandemic for which the public health emergency was declared by the
federal secretary.
Coverage of vaccinations under SeniorCare
This bill requires the Department of Health Services to include coverage of
vaccinations through the SeniorCare program. Under current law, DHS administers
the SeniorCare program, which provides assistance to the elderly in the purchase of
prescription drugs. The program is operated under a waiver of federal Medicaid
laws, but DHS is required to implement the program regardless of whether the
waiver is received from the federal Department of Health and Human Services. This
bill incorporates coverage through the SeniorCare program of those vaccinations
recommended for administration to adults by the federal Centers for Disease Control
and Prevention's Advisory Committee on Immunization Practices and approved by
DHS. The bill requires DHS to provide payments to health care providers that
administer the vaccinations and submit claims for payment in the manner required.
Under the bill, DHS may provide payment for a vaccination only after deducting the
amount of any payment for the vaccination available from other sources.
Immunity from civil liability for health care providers during COVID-19
emergency
This bill provides immunity from civil liability for health care professionals and
providers and employees, agents, or contractors of those professionals or providers
for death, injury, or damages caused by actions or omissions taken in providing
services to address or in response to a 2019 novel coronavirus outbreak during an
emergency or disaster declared relating to the 2019 novel coronavirus pandemic. To
be immune from civil liability, the actions or omissions must not involve reckless or
wanton conduct or intentional misconduct and must occur during a good faith
response to the emergency or be substantially consistent with either a direction,
guidance, recommendation, or other statement made by a federal, state, or local
official to address or in response to the emergency or disaster or any published
guidance of DHS or the federal Department of Health and Human Services relied
upon in good faith.
Cremation permits and electronic signature of death certificates
Under current law, a coroner or medical examiner must view the corpse of a
deceased person before issuing a cremation permit, and the corpse may not be
cremated within 48 hours after the death unless the death was caused by a
contagious or infectious disease. Under this bill, for the duration of the public health
emergency declared on March 12, 2020, by executive order 72, if a physician, coroner,
or medical examiner has signed the death certificate of a deceased person and listed
COVID-19 as the cause of death, a coroner or medical examiner must issue a
cremation permit without viewing the corpse of a deceased person and a coroner or
medical examiner must issue the permit within 48 hours after the time of death. The
bill also requires that if the underlying cause of a death is determined to be
COVID-19, the person required to sign the death certificate shall provide an
electronic signature on the death certificate within 48 hours after the death occurs.
Renewals of credentials for emergency medical services providers
This bill prohibits DHS from requiring an ambulance service provider,
emergency medical services practitioner, or emergency medical responder that holds
a credential to renew the credential or to meet renewal requirements during the
public health emergency declared on March 12, 2020, by executive order 72. Under
the bill, a renewal that occurs after the emergency period is not considered a late
renewal if the application to renew the credential is received before the next
applicable renewal date, and DHS may, for that next applicable renewal date,
provide an exemption from or reduction of continuing education or other conditions
for renewal. Current law requires licenses for ambulance service providers and
emergency medical services practitioners and certificates for emergency medical
responders to be renewed every three years. Currently, emergency medical services
practitioners must complete training, education, or examination requirements set
by DHS to renew their licenses. Current law requires ambulance service providers
must provide a financial report and a certification by each governmental unit in the
service or contract area for license renewal. Currently, emergency medical
responders must take a refresher course to renew their certificates.
Child Care and Development Fund block grant funding
Under this bill, federal Child Care and Development Fund block grant funds
received by the state under the federal Coronavirus Aid, Relief, and Economic
Security (CARES) Act of 2020 are credited to federal block grant appropriations and
the purposes for the expenditure of those funds are subject to passive review by the
Joint Committee on Finance.
10.
Housing
Deadline for applying for heating assistance
Under current law, a household may apply for heating assistance under DOA's
low-income energy assistance program after September 30 and before May 16 of any
year. Under this bill, applications may be submitted at any time in calendar year
2020.
11.
INSURANCE
Payments for services by out-of-network providers
During the public health emergency declared by the governor or by the
secretary of the federal Department of Health and Human Services in response to
the COVID-19 pandemic, the bill prohibits a defined network plan, including a
health maintenance organization, or preferred provider plan from requiring an
enrollee of the plan to pay more for a service, treatment, or supply provided by an
out-of-network provider than if the service, treatment, or supply is provided by a
provider that is participating in the plan's network. This prohibition applies to any
service, treatment, or supply that is related to diagnosis or treatment for COVID-19
and any service, treatment, or supply that is provided by a provider that is not a
participating provider because a participating provider is unavailable due to the
public health emergency. For a service, treatment, or supply provided under those
circumstances, the bill requires the plan to reimburse the out-of-network provider
at 225 percent of the federal Medicare program rate. Also under those
circumstances, any health care provider or facility that provides a service,
treatment, or supply to an enrollee of a plan but is not a participating provider of that
plan shall accept as payment in full any payment by a plan that is at least 225 percent
of the federal Medicare program rate and may not charge the enrollee an amount
that exceeds the amount the provider or facility is reimbursed by the plan.
Prohibiting coverage discrimination based on COVID-19 diagnosis
This bill prohibits insurers that offer an individual or group health benefit plan,
pharmacy benefit managers, or self-insured governmental health plans from doing
any of the following based on a current or past diagnosis or suspected diagnosis of
COVID-19: establishing rules for the eligibility of any individual, employer, or group
to enroll or remain enrolled in a plan or for the renewal of coverage under the plan;
cancelling coverage during a contract term; setting rates for coverage; or refusing to
grant a grace period for payment of a premium that would generally be granted.
Prohibiting certain prescription drugs coverage limits
The bill prohibits insurers that offer health insurance, self-insured
governmental health plans, and pharmacy benefit managers from requiring prior
authorization for early refills of a prescription drug or otherwise restricting the
period of time in which a prescription drug may be refilled and from imposing a limit
on the quantity of prescription drugs that may be obtained if the quantity is no more
than a 90-day supply. These prohibitions do not apply if the prescription drug is a
controlled substance.
Liability insurance for physicians and nurse anesthetists
This bill specifies that, during the public health emergency declared on March
12, 2020, by executive order 72, a physician or nurse anesthetist for whom Wisconsin
is not a principal place of practice but who is temporarily authorized to practice in
Wisconsin may fulfill financial responsibility requirements by filing with the
commissioner of insurance a certificate of insurance for a policy of health care
liability insurance issued by an insurer authorized in a certain jurisdiction specified
in the bill and may elect to be covered by Wisconsin's health care liability laws.
Coverage of COVID-19 testing without cost sharing
The bill requires every health insurance policy and every self-insured
governmental health plan that generally covers testing for infectious disease to
provide coverage of testing for COVID-19 without imposing any copayment or
coinsurance before March 13, 2021. A health insurance policy is referred to in the
bill as a disability insurance policy.
12.
legislature
Transfer of moneys from sum sufficient appropriations
The Joint Committee on Finance may currently transfer moneys between sum
certain and continuing appropriations if JCF finds that unnecessary duplication of
functions can be eliminated, more efficient and effective methods for performing
programs will result, or legislative intent will be more effectively carried out because
of the transfer.
