SB111,977 5Section 977. 49.175 (1) (fa) of the statutes is repealed.
SB111,978 6Section 978 . 49.175 (1) (g) of the statutes is amended to read:
SB111,737,107 49.175 (1) (g) State administration of public assistance programs and
8overpayment collections.
For state administration of public assistance programs and
9the collection of public assistance overpayments, $16,671,200 $17,363,300 in fiscal
10year 2019-20 2021-22 and $17,268,300 $17,625,100 in fiscal year 2020-21 2022-23.
SB111,979 11Section 979 . 49.175 (1) (i) of the statutes is amended to read:
SB111,737,1512 49.175 (1) (i) Emergency assistance. For emergency assistance under s. 49.138
13and for transfer to the department of administration for low-income energy or
14weatherization assistance programs, $6,000,000 in each fiscal year $10,829,500 in
15fiscal year 2021-22 and $9,936,400 in fiscal year 2022-23
.
SB111,980 16Section 980 . 49.175 (1) (j) of the statutes is amended to read:
SB111,737,2017 49.175 (1) (j) Grants for providing civil legal services. For the grants under s.
1849.1635 (5) to Wisconsin Trust Account Foundation, Inc., for distribution to
19programs that provide civil legal services to low-income families, $500,000
20$1,000,000 in each fiscal year.
SB111,981 21Section 981 . 49.175 (1) (k) of the statutes is amended to read:
SB111,737,2522 49.175 (1) (k) Transform Milwaukee and Transitional Jobs programs. For
23contract costs under the Transform Milwaukee Jobs program and the Transitional
24Jobs program under s. 49.163, $8,500,000 $12,100,000 in fiscal year 2019-20
252021-22 and $9,500,000 $14,700,000 in fiscal year 2020-21 2022-23.
SB111,982
1Section 982. 49.175 (1) (Lm) of the statutes is created to read:
SB111,738,52 49.175 (1) (Lm) Jobs for America's Graduates. For grants to the Jobs for
3America's Graduates to fund programs that improve social, academic, and
4employment skills of youth who are eligible to receive temporary assistance for needy
5families under 42 USC 601 et seq., $500,000 in each fiscal year.
SB111,983 6Section 983. 49.175 (1) (o) of the statutes is amended to read:
SB111,738,97 49.175 (1) (o) Evidence-based substance abuse prevention grants Grants for
8youth services
. For grants awarded under s. 48.545 (2) (c) 48.481, $500,000 in each
9fiscal year.
SB111,984 10Section 984 . 49.175 (1) (p) of the statutes is amended to read:
SB111,738,1311 49.175 (1) (p) Direct child care services. For direct child care services under s.
1249.155 or 49.257, $357,097,500 in fiscal year 2019-20 and $365,700,400
13$311,236,600 in each fiscal year 2020-21.
SB111,985 14Section 985 . 49.175 (1) (q) of the statutes is amended to read:
SB111,738,1815 49.175 (1) (q) Child care state administration and licensing activities. For state
16administration of child care programs under s. 49.155 and for child care licensing
17activities, $40,152,100 $42,678,900 in fiscal year 2019-20 2021-22 and $41,555,200
18$41,922,600 in fiscal year 2020-21 2022-23.
SB111,986 19Section 986 . 49.175 (1) (qm) of the statutes is amended to read:
SB111,738,2320 49.175 (1) (qm) Quality care for quality kids. For the child care quality
21improvement activities specified in ss. 49.133, 49.155 (1g), and 49.257, $16,532,900
22$33,847,900 in fiscal year 2019-20 2021-22 and $16,683,700 $34,484,700 in fiscal
23year 2020-21 2022-23.
SB111,987 24Section 987 . 49.175 (1) (r) of the statutes is amended to read:
SB111,739,4
149.175 (1) (r) Children of recipients of supplemental security income. For
2payments made under s. 49.775 for the support of the dependent children of
3recipients of supplemental security income, $25,013,300 in each fiscal year
4$18,564,700 in fiscal year 2021-22 and $18,145,000 in fiscal year 2022-23.
SB111,988 5Section 988 . 49.175 (1) (s) of the statutes is amended to read:
SB111,739,126 49.175 (1) (s) Kinship care and long-term kinship care assistance. For kinship
7care and long-term kinship care payments under s. 48.57 (3m) (am) and (3n) (am),
8for assessments to determine eligibility for those payments, and for agreements
9under s. 48.57 (3t) with the governing bodies of Indian tribes for the administration
10of the kinship care and long-term kinship care programs within the boundaries of
11the reservations of those tribes, $26,640,000 $28,727,100 in fiscal year 2019-20
122021-22 and $28,159,200 $31,441,800 in fiscal year 2020-21 2022-23.
SB111,989 13Section 989 . 49.175 (1) (t) of the statutes is amended to read:
SB111,739,2114 49.175 (1) (t) Safety and out-of-home placement services. For services provided
15to ensure the safety of children who the department or a county determines may
16remain at home if appropriate services are provided, and for services provided to
17families with children placed in out-of-home care, $8,314,300 in fiscal year 2019-20
18and
$9,314,300 in each fiscal year 2020-21. To receive funding under this paragraph,
19a county shall match a percentage of the amount received that is equal to the
20percentage the county is required to match for a distribution under s. 48.563 (2) as
21specified by the schedule established by the department under s. 48.569 (1) (d).
SB111,990 22Section 990 . 49.175 (1) (u) of the statutes is amended to read:
SB111,739,2523 49.175 (1) (u) Prevention services. For services to prevent child abuse or
24neglect, $5,789,600 in fiscal year 2019-20 and $6,789,600 $7,289,600 in each fiscal
25year 2020-21.
SB111,991
1Section 991. 49.175 (1) (x) of the statutes is created to read:
SB111,740,32 49.175 (1) (x) Internet assistance program. For the Internet assistance
3program under s. 49.168, $10,000,000 in each fiscal year.
SB111,992 4Section 992 . 49.175 (1) (z) of the statutes is amended to read:
SB111,740,175 49.175 (1) (z) Grants to the Boys and Girls Clubs of America. For grants to the
6Wisconsin Chapter of the Boys and Girls Clubs of America to fund programs that
7improve social, academic, and employment skills of youth who are eligible to receive
8temporary assistance for needy families under 42 USC 601 et seq., focusing on study
9habits, intensive tutoring in math and English, and exposure to career options and
10role models, $2,675,000 $2,807,000 in each fiscal year. Grants provided under this
11paragraph may not be used by the grant recipient to replace funding for programs
12that are being funded, when the grant proceeds are received, with moneys other than
13those from the appropriations specified in sub. (1) (intro.). The total amount of the
14grants includes funds for the BE GREAT: Graduate program in the amount of
15matching funds that the program provides, up to $1,400,000 $1,532,000 in each fiscal
16year, to be used only for activities for which federal Temporary Assistance for Needy
17Families block grant moneys may be used.
SB111,993 18Section 993 . 49.175 (1) (zh) of the statutes is amended to read:
SB111,740,2219 49.175 (1) (zh) Earned income tax credit supplement. For the transfer of
20moneys from the appropriation account under s. 20.437 (2) (md) to the appropriation
21account under s. 20.835 (2) (kf) for the earned income tax credit, $116,716,400 in
22fiscal year 2021-22 and
$69,700,000 in each fiscal year 2022-23.
SB111,994 23Section 994 . 49.19 (1) (a) 2. a. of the statutes is amended to read:
SB111,741,924 49.19 (1) (a) 2. a. Is living with a parent; a blood relative, including those of
25half-blood, and including first cousins, nephews or nieces and persons of preceding

1generations as denoted by prefixes of grand, great or great-great; a stepfather,
2stepmother
stepparent, stepbrother, or stepsister; a person who legally adopts the
3child or is the adoptive parent of the child's parent, a natural or legally adopted child
4of such person or a relative of an adoptive parent; or a spouse of any person named
5in this subparagraph subd. 2. a. even if the marriage is terminated by death or
6divorce; and is living in a residence maintained by one or more of these relatives as
7the child's or their own home, or living in a residence maintained by one or more of
8these relatives as the child's or their own home because the parents of the child have
9been found unfit to have care and custody of the child; or
SB111,995 10Section 995 . 49.19 (4) (d) (intro.) of the statutes is amended to read:
SB111,741,1311 49.19 (4) (d) (intro.) Aid may be granted to the mother or stepmother parent
12or stepparent
of a dependent child if he or she is without a husband spouse or if he
13or
she:
SB111,996 14Section 996 . 49.19 (4) (d) 1. of the statutes is amended to read:
SB111,741,1615 49.19 (4) (d) 1. Is the wife spouse of a husband person who is incapacitated for
16gainful work by mental or physical disability; or
SB111,997 17Section 997 . 49.19 (4) (d) 2. of the statutes is amended to read:
SB111,741,2118 49.19 (4) (d) 2. Is the wife spouse of a husband person who is incarcerated or
19who is a convicted offender permitted to live at home but precluded from earning a
20wage because the husband person is required by a court imposed sentence to perform
21unpaid public work or unpaid community service; or
SB111,998 22Section 998 . 49.19 (4) (d) 3. of the statutes is amended to read:
SB111,741,2523 49.19 (4) (d) 3. Is the wife spouse of a husband person who has been committed
24to the department pursuant to ch. 975, irrespective of the probable period of such
25commitment; or
SB111,999
1Section 999. 49.19 (4) (d) 4. of the statutes is amended to read:
SB111,742,42 49.19 (4) (d) 4. Is the wife spouse of a husband person who has continuously
3abandoned or failed to support him or her, if proceedings have been commenced
4against the husband person under ch. 769; or
SB111,1000 5Section 1000 . 49.19 (4) (d) 5. of the statutes is amended to read:
SB111,742,96 49.19 (4) (d) 5. Has been divorced and is without a husband spouse or legally
7separated from his or her husband spouse and is unable through use of the provisions
8of law to compel his or her former husband spouse to adequately support the child
9for whom aid is sought; or
SB111,1001 10Section 1001. 49.343 (1g) of the statutes is amended to read:
SB111,742,2211 49.343 (1g) Establishment of rates. For services provided beginning on
12January 1, 2011, the department shall establish the per client rate that a residential
13care center for children and youth or a group home may charge for its services, and
14the per client administrative rate that a child welfare agency may charge for the
15administrative portion of its foster care services, as provided in this section. In
16establishing rates for a placement specified in s. 938.357 (4) (c) 1. or 2., 2019 stats.,
17the department shall consult with the department of corrections. A residential care
18center for children and youth and a group home shall charge all purchasers the same
19rate for the same services and a child welfare agency shall charge all purchasers the
20same administrative rate for the same foster care services. The department shall
21determine the levels of care created under the rules promulgated under s. 48.62 (8)
22to which this section applies.
SB111,1002 23Section 1002 . 49.345 (2) of the statutes is amended to read:
SB111,743,1924 49.345 (2) Except as provided in sub. (14) (b) and (c), any person, including a
25person placed under s. 48.32 (1) (am) or (b), 48.345 (3), 48.357 (1) or (2m), 938.183,

1938.34 (3) or (4d), or 938.357 (1), (2m), (4), or (5) (e), receiving care, maintenance,
2services, and supplies provided by any institution in this state, in which the state is
3chargeable with all or part of the person's care, maintenance, services, and supplies,
4and the person's property and estate, including the homestead, and the spouse of the
5person, and the spouse's property and estate, including the homestead, and, in the
6case of a minor child, the parents of the person, and their property and estates,
7including their homestead, and, in the case of a foreign child described in s. 48.839
8(1) who became dependent on public funds for his or her primary support before an
9order granting his or her adoption, the resident of this state appointed guardian of
10the child by a foreign court who brought the child into this state for the purpose of
11adoption, and his or her property and estate, including his or her homestead, shall
12be liable for the cost of the care, maintenance, services, and supplies in accordance
13with the fee schedule established by the department under s. 49.32 (1). If a spouse,
14widow surviving spouse, or minor, or an incapacitated person may be lawfully
15dependent upon the property for his or her support, the court shall release all or such
16part of the property and estate from the charges that may be necessary to provide for
17the person. The department shall make every reasonable effort to notify the liable
18persons as soon as possible after the beginning of the maintenance, but the notice or
19the receipt of the notice is not a condition of liability.
SB111,1003 20Section 1003 . 49.345 (2) of the statutes, as affected by 2021 Wisconsin Act ....
21(this act), is amended to read:
SB111,744,1722 49.345 (2) Except as provided in sub. (14) (b) and (c), any person, including a
23person placed under s. 48.32 (1) (am) or (b), 48.345 (3), 48.357 (1) or (2m), 938.183,
24938.34 (3) or (4d), or 938.357 (1), (2m), (4), or (5) (e), receiving care, maintenance,
25services, and supplies provided by any institution in this state, in which the state is

1chargeable with all or part of the person's care, maintenance, services, and supplies,
2and the person's property and estate, including the homestead, and the spouse of the
3person, and the spouse's property and estate, including the homestead, and, in the
4case of a minor child, the parents of the person, and their property and estates,
5including their homestead, and, in the case of a foreign child described in s. 48.839
6(1) who became dependent on public funds for his or her primary support before an
7order granting his or her adoption, the resident of this state appointed guardian of
8the child by a foreign court who brought the child into this state for the purpose of
9adoption, and his or her property and estate, including his or her homestead, shall
10be liable for the cost of the care, maintenance, services, and supplies in accordance
11with the fee schedule established by the department under s. 49.32 (1). If a spouse,
12surviving spouse, or minor, or an incapacitated person may be lawfully dependent
13upon the property for his or her support, the court shall release all or such part of the
14property and estate from the charges that may be necessary to provide for the person.
15The department shall make every reasonable effort to notify the liable persons as
16soon as possible after the beginning of the maintenance, but the notice or the receipt
17of the notice is not a condition of liability.
SB111,1004 18Section 1004. 49.37 (1) of the statutes is amended to read:
SB111,744,2119 49.37 (1) Beginning in fiscal year 2017-18, the department of children and
20families shall establish a 5-year 6-year offender reentry demonstration project
21focused on noncustodial fathers in a 1st class city.
SB111,1005 22Section 1005. 49.37 (2) of the statutes is amended to read:
SB111,744,2523 49.37 (2) Upon completion of the demonstration project under sub. (1) and by
24June 30, 2023 2024, the department of children and families shall conduct an
25evaluation of the demonstration project.
SB111,1006
1Section 1006. 49.43 (12) of the statutes is amended to read:
SB111,745,42 49.43 (12) “Spouse" means the legal husband or wife of person to whom the
3beneficiary is legally married, whether or not the person is eligible for medical
4assistance.
SB111,1007 5Section 1007. 49.45 (2p) of the statutes is repealed.
SB111,1008 6Section 1008. 49.45 (2t) of the statutes is repealed.
SB111,1009 7Section 1009. 49.45 (3) (e) 11. of the statutes is amended to read:
SB111,745,228 49.45 (3) (e) 11. The department shall use a portion of the moneys collected
9under s. 50.38 (2) (a) to pay for services provided by eligible hospitals, as defined in
10s. 50.38 (1), other than critical access hospitals, under the Medical Assistance
11Program under this subchapter, including services reimbursed on a fee-for-service
12basis and services provided under a managed care system. For state fiscal year
132008-09, total payments required under this subdivision, including both the federal
14and state share of Medical Assistance, shall equal the amount collected under s.
1550.38 (2) (a) for fiscal year 2008-09 divided by 57.75 percent. For each state fiscal
16year after state fiscal year 2008-09, total payments required under this subdivision,
17including both the federal and state share of Medical Assistance, shall equal the
18amount collected under s. 50.38 (2) (a) for the fiscal year divided by 61.68 percent,
19except that if the department has expanded eligibility under section 2001 (a) (1) (C)
20of the Patient Protection and Affordable Care Act, P.L. 111-148, for the Medical
21Assistance program under this subchapter, the amount collected for the fiscal year
22shall be divided by 53.69 percent
.
SB111,1010 23Section 1010 . 49.45 (3) (e) 12. of the statutes is amended to read:
SB111,746,924 49.45 (3) (e) 12. The department shall use a portion of the moneys collected
25under s. 50.38 (2) (b) to pay for services provided by critical access hospitals under

1the Medical Assistance Program under this subchapter, including services
2reimbursed on a fee-for-service basis and services provided under a managed care
3system. For each state fiscal year, total payments required under this subdivision,
4including both the federal and state share of Medical Assistance, shall equal the
5amount collected under s. 50.38 (2) (b) for the fiscal year divided by 61.68 percent,
6except that if the department has expanded eligibility under section 2001 (a) (1) (C)
7of the Patient Protection and Affordable Care Act, P.L. 111-148, for the Medical
8Assistance program under this subchapter, the amount collected for the fiscal year
9shall be divided by 53.69 percent
.
SB111,1011 10Section 1011. 49.45 (3m) (a) (intro.) of the statutes is amended to read:
SB111,746,1711 49.45 (3m) (a) (intro.) Subject to par. (c) (d) and notwithstanding sub. (3) (e),
12from the appropriations under s. 20.435 (4) (b) and (o), in each fiscal year, the
13department shall pay to hospitals that serve a disproportionate share of low-income
14patients an amount equal to the sum of $27,500,000, as the state share of payments,
15and the matching federal share of payments. The department may make a payment
16to a hospital under this subsection under the calculation method described in par. (b)
17if the hospital meets all of the following criteria:
SB111,1012 18Section 1012. 49.45 (3m) (cm) of the statutes is created to read:
SB111,746,2519 49.45 (3m) (cm) Notwithstanding the total amount of state share paid to
20hospitals under par. (a) and the limit paid to a single hospital under par. (b) 3. a., if
21the department has expanded eligibility under section 2001 (a) (1) (C) of the Patient
22Protection and Affordable Care Act, P.L. 111-148, for the Medical Assistance
23program under this subchapter, the department shall pay as the state share to
24hospitals $47,500,000 under par. (a) and pay no single hospital more than $7,950,000
25under par. (b) 3. a.
SB111,1013
1Section 1013. 49.45 (5g) of the statutes is created to read:
SB111,747,112 49.45 (5g) Payments to tribes. (a) Tribal care coordination agreements. A
3tribal health care provider's care coordination agreement with a nontribal health
4care provider shall meet federal requirements, including that a service provided by
5the nontribal health care provider be at the request of the tribal health care provider
6on behalf of a tribal member who remains in the tribal health care provider's care
7according to the care coordination agreement; that both the tribal health care
8provider and nontribal health care provider are providers, as defined in s. 49.43 (10);
9that an established relationship exists between the tribal health care provider and
10the tribal member; and that the care be provided pursuant to a written care
11coordination agreement.
SB111,747,2112 (b) Amount and distribution of payments. 1. From the appropriation account
13under s. 20.435 (4) (b), the department shall make payments to eligible governing
14bodies of federally recognized American Indian tribes or bands or tribal health care
15providers in an amount and manner determined by the department. The
16department shall determine payment amounts on the basis of the difference between
17the state share of medical assistance payments paid for services rendered to tribal
18members for whom a care coordination agreement with nontribal health care
19providers is in place and the state share of medical assistance payments that would
20have been paid for those services absent a care coordination agreement with
21nontribal partners.
SB111,747,2422 2. The department shall withhold from the payments under subd. 1. the state
23share of administrative costs associated with carrying out this subsection, not to
24exceed 10 percent of the amounts calculated in subd. 1.
SB111,748,3
13. Federally recognized American Indian tribes or bands may use funds paid
2under this subsection for health-related purposes. The department shall consult
3biennially with tribes to determine the timing and distribution of payments.
SB111,1014 4Section 1014. 49.45 (6m) (a) 6. of the statutes is repealed.
SB111,1015 5Section 1015. 49.45 (6m) (ag) 3p. a. to c. of the statutes are amended to read:
SB111,748,86 49.45 (6m) (ag) 3p. a. The system may incorporate acuity measurements under
7the most recent Resource Utilization Groupings methodology
to determine factors
8for case-mix adjustment.
SB111,748,129 b. Four times annually, for For each facility resident who is a Medical
10Assistance recipient on March 31, June 30, September 30, or December 31, as
11applicable, the system shall determine the average case-mix index by use of the
12factors specified under subd. 3p. a.
SB111,748,1413 c. The system shall may incorporate payment adjustments for dementia,
14behavioral needs, or other complex medical conditions.
SB111,1016 15Section 1016. 49.45 (6xm) of the statutes is created to read:
SB111,748,1916 49.45 (6xm) Pediatric inpatient supplement. (a) From the appropriations
17under s. 20.435 (4) (b), (o), and (w), the department shall, using a method determined
18by the department, distribute a total sum of $2,000,000 each state fiscal year to
19hospitals that meet all of the following criteria:
SB111,748,2020 1. The hospital is an acute care hospital located in this state.
SB111,748,2521 2. During the hospital's fiscal year, the inpatient days in the hospital's acute
22care pediatric units and intensive care pediatric units totaled more than 12,000 days,
23not including neonatal intensive care units. For purposes of this subsection, the
24hospital's fiscal year is the hospital's fiscal year that ended in the 2nd calendar year
25preceding the beginning of the state fiscal year.
SB111,749,8
1(b) Notwithstanding par. (a), from the appropriations under s. 20.435 (4) (b),
2(o), and (w), if the department has expanded eligibility under section 2001 (a) (1) (C)
3of the Patient Protection and Affordable Care Act, P.L. 111-148, for the Medical
4Assistance program under this subchapter, then the department may, using a
5method determined by the department, distribute an additional total sum of
6$7,500,000 in each state fiscal year to hospitals that are free-standing pediatric
7teaching hospitals located in Wisconsin that have a percentage calculated under s.
849.45 (3m) (b) 1. a. greater than 45 percent.
SB111,1017 9Section 1017. 49.45 (18) (ac) of the statutes is amended to read:
SB111,749,2110 49.45 (18) (ac) Except as provided in pars. (am) to (d), and subject to par. (ag)
11(c), any person eligible for medical assistance under s. 49.46, 49.468, or 49.47, or for
12the benefits under s. 49.46 (2) (a) and (b) under s. 49.471 shall pay up to the maximum
13amounts allowable under 42 CFR 447.53 to 447.58 for purchases of services provided
14under s. 49.46 (2). The service provider shall collect the specified or allowable
15copayment, coinsurance, or deductible, unless the service provider determines that
16the cost of collecting the copayment, coinsurance, or deductible exceeds the amount
17to be collected. The department shall reduce payments to each provider by the
18amount of the specified or allowable copayment, coinsurance, or deductible. No
19provider may deny care or services because the recipient is unable to share costs, but
20an inability to share costs specified in this subsection does not relieve the recipient
21of liability for these costs.
Loading...
Loading...