SB70-AA3,103,221
49.686
(3) (d) Has applied for coverage under and has been denied eligibility
22for medical assistance within 12 months prior to application for reimbursement
23under sub. (2). This paragraph does not apply to an individual
who is eligible for
24benefits under the demonstration project for childless adults under s. 49.45 (23) or
1to an individual who is eligible for benefits under BadgerCare Plus under s. 49.471
2(4) (a) 8. or (11).
SB70-AA3,9119
4Section 9119.
Nonstatutory provisions; Health Services.
SB70-AA3,103,125
(2h)
Childless adults demonstration project. The department of health
6services shall submit any necessary request to the federal department of health and
7human services for a state plan amendment or waiver of federal Medicaid law or to
8modify or withdraw from any waiver of federal Medicaid law relating to the childless
9adults demonstration project under s. 49.45 (23), 2021 stats., to reflect the
10incorporation of recipients of Medical Assistance under the demonstration project
11into the BadgerCare Plus program under s. 49.471 and the termination of the
12demonstration project.
SB70-AA3,103,1714
(2r)
Medicaid expansion. The treatment of ss. 20.435 (4) (jw), 49.45 (2p), 49.45
15(23) and (23b), 49.471 (1) (cr), (4) (a) 4. b. and 8., and (4g), and 49.686 (3) (d), and
2017
16Wisconsin Act 370, section
44 (2) and (3), and
Section 9119 (2h) of this act take effect
17on July 1, 2023.”.
SB70-AA3,109
1Section
109. 20.435 (1) (bc) of the statutes is created to read:
SB70-AA3,104,42
20.435
(1) (bc)
Emergency medical services grants. As a continuing
3appropriation, the amounts in the schedule for grants to providers of emergency
4medical services under s. 256.42.
SB70-AA3,110
5Section
110. 256.42 of the statutes is created to read:
SB70-AA3,104,10
6256.42 Emergency medical services grants. From the appropriation under
7s. 20.435 (1) (bc), the department may award grants to providers of emergency
8medical services for reasonable operating expenses related to emergency medical
9services, including expenses related to supplies, equipment, training, staffing, and
10vehicles.”.
SB70-AA3,104,12
12“
Section 9119.
Nonstatutory provisions; Health Services.
SB70-AA3,104,17
13(1) Office of Caregiver Quality position increase. The authorized FTE
14positions for the department of health services are increased by 2.8 FED positions,
15beginning in fiscal year 2023-24, to be funded from the appropriation under s. 20.435
16(6) (n) for the purpose of increasing staffing in the division of the department
17responsible for caregiver quality.”.
SB70-AA3,104,19
19“
Section 1. 252.12 (2) (a) 8. (intro.) of the statutes is amended to read:
SB70-AA3,105,920
252.12
(2) (a) 8. `Mike Johnson life care and early intervention services grants.'
21(intro.) The department shall award not more than
$4,000,000 $5,000,000 in each
22fiscal year in grants to applying AIDS service organizations for the provision of needs
1assessments; assistance in procuring financial, medical, legal, social and pastoral
2services; counseling and therapy; homecare services and supplies; advocacy; and
3case management services. These services shall include early intervention services.
4The department shall also award not more than $74,000 in each year from the
5appropriation account under s. 20.435 (5) (md) for the services under this
6subdivision. The state share of payment for case management services that are
7provided under s. 49.45 (25) (be) to recipients of medical assistance shall be paid from
8the appropriation account under s. 20.435 (1) (am). All of the following apply to
9grants awarded under this subdivision:”.
SB70-AA3,112
13Section
112. 20.435 (1) (ew) of the statutes is created to read:
SB70-AA3,106,214
20.435
(1) (ew)
Congenital disorders; general purpose revenue. The amounts
15in the schedule to provide diagnostic services, special dietary treatment, and
16follow-up counseling for congenital disorders and periodic evaluation of infant
17screening programs as specified under s. 253.13, to provide referrals under s.
1253.115, to administer the programs under ss. 253.115 and 253.13, and for the costs
2of consulting with appropriate experts as specified in s. 253.13 (5).”.
SB70-AA3,106,4
4“
Section
113. 20.250 (2) (title) of the statutes is amended to read:
SB70-AA3,106,55
20.250
(2) (title)
Research and community support.
SB70-AA3,114
6Section
114. 20.250 (2) (a) of the statutes is created to read:
SB70-AA3,106,107
20.250
(2) (a)
Violence prevention grants. Biennially, the amounts in the
8schedule to make violence prevention grants supporting local, evidence-informed
9activities that enhance the safety and well-being of children, youth, and families
10throughout this state.”.
SB70-AA3,116
14Section
116. 20.435 (1) (fL) of the statutes is created to read:
SB70-AA3,106,1715
20.435
(1) (fL)
Nurse aide training and recruitment grants. The amounts in
16the schedule for grants to train and recruit individuals to work as nurse aides in
17nursing homes under s. 146.41.
SB70-AA3,117
18Section
117. 146.41 of the statutes is created to read:
SB70-AA3,107,1
1146.41 Nurse aide training and recruitment grants. (1) In this section:
SB70-AA3,107,22
(a) “Nurse aide” has the meaning given in s. 146.40 (1) (d).
SB70-AA3,107,33
(b) “Nursing home" has the meaning given in s. 50.01 (3).
SB70-AA3,107,6
4(2) Beginning in fiscal year 2024-25, the department shall award grants to
5train and recruit individuals to work as nurse aides in nursing homes. The grants
6awarded under this subsection shall include grants for all of the following:
SB70-AA3,107,87
(a) The cost for an individual to complete an instructional program for nurse
8aides in a program approved under s. 146.40 (3) and (3g).
SB70-AA3,107,109
(b) The cost for an individual to complete a competency evaluation for nurse
10aides in a program approved under s. 146.40 (3m).
SB70-AA3,107,1211
(c) A retention bonus for an individual who has worked for at least 6 months
12as a nurse aide in a nursing home.
SB70-AA3,107,16
13(3) The department may partner with nonprofit organizations, private entities,
14the board on aging and long term care, and the technical college system board to
15award the grants under sub. (2) and recruit individuals to work as nurse aides in
16nursing homes.”.
SB70-AA3,107,19
18“
Section
118. 20.005 (3) (schedule) of the statutes: at the appropriate place,
19insert the following amounts for the purposes indicated:
-
See PDF for table ![PDF](https://docs.legis.wisconsin.gov/assets/image/file_acrobat.gif)
SB70-AA3,119
20Section
119. 20.145 (1) (a) of the statutes is created to read:
SB70-AA3,108,2
120.145
(1) (a)
State operations. The amounts in the schedule for general
2program operations.
SB70-AA3,120
3Section
120. 20.145 (1) (g) (intro.) of the statutes is amended to read:
SB70-AA3,108,134
20.145
(1) (g)
General program operations. (intro.) The amounts in the
5schedule for general program operations, including organizational support services
6and, oversight of care management organizations,
development of a public option
7health insurance plan, and operation of a state-based exchange under s. 601.59, and
8for transferring to the appropriation account under s. 20.435 (4) (kv) the amount
9allocated by the commissioner of insurance. Notwithstanding s. 20.001 (3) (a), at the
10end of each fiscal year, the unencumbered balance in this appropriation account that
11exceeds 10 percent of that fiscal year's expenditure under this appropriation shall
12lapse to the general fund. All of the following shall be credited to this appropriation
13account:
SB70-AA3,121
14Section
121. 20.145 (1) (g) 4. of the statutes is created to read:
SB70-AA3,108,1515
20.145
(1) (g) 4.
All moneys received under s. 601.59.
SB70-AA3,122
16Section
122. 40.51 (8) of the statutes is amended to read:
SB70-AA3,108,2117
40.51
(8) Every health care coverage plan offered by the state under sub. (6)
18shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2),
632.728, 632.729,
19632.746 (1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85,
20632.853, 632.855, 632.861,
632.862, 632.867, 632.87 (3) to
(6) (8), 632.871, 632.885,
21632.89, 632.895 (5m) and (8) to (17), and 632.896.
SB70-AA3,123
22Section
123. 40.51 (8m) of the statutes is amended to read:
SB70-AA3,109,223
40.51
(8m) Every health care coverage plan offered by the group insurance
24board under sub. (7) shall comply with ss. 631.95,
632.728, 632.729, 632.746 (1) to
25(8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855,
1632.861,
632.862, 632.867,
632.87 (7) and (8), 632.871, 632.885, 632.89, and 632.895
2(11) (8) and (10) to (17).
SB70-AA3,124
3Section
124. 66.0137 (4) of the statutes is amended to read:
SB70-AA3,109,104
66.0137
(4) Self-insured health plans. If a city, including a 1st class city, or
5a village provides health care benefits under its home rule power, or if a town
6provides health care benefits, to its officers and employees on a self-insured basis,
7the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
8632.728, 632.729, 632.746
(1) and (10) (a) 2. and (b) 2., 632.747 (3), 632.798, 632.85,
9632.853, 632.855, 632.861,
632.862, 632.867, 632.87 (4) to
(6) (8), 632.871, 632.885,
10632.89, 632.895
(9) (8) to (17), 632.896, and 767.513 (4).
SB70-AA3,125
11Section
125. 120.13 (2) (g) of the statutes is amended to read:
SB70-AA3,109,1612
120.13
(2) (g) Every self-insured plan under par. (b) shall comply with ss.
1349.493 (3) (d), 631.89, 631.90, 631.93 (2),
632.728, 632.729, 632.746
(1) and (10) (a)
142. and (b) 2., 632.747 (3), 632.798, 632.85, 632.853, 632.855, 632.861,
632.862, 15632.867, 632.87 (4) to
(6) (8), 632.871, 632.885, 632.89, 632.895
(9) (8) to (17),
16632.896, and 767.513 (4).
SB70-AA3,126
17Section
126. 185.983 (1) (intro.) of the statutes is amended to read:
SB70-AA3,109,2518
185.983
(1) (intro.) Every voluntary nonprofit health care plan operated by a
19cooperative association organized under s. 185.981 shall be exempt from chs. 600 to
20646, with the exception of ss. 601.04, 601.13, 601.31, 601.41, 601.42, 601.43, 601.44,
21601.45, 611.26, 611.67, 619.04, 623.11, 623.12, 628.34 (10), 631.17, 631.89, 631.93,
22631.95, 632.72 (2),
632.728, 632.729, 632.745 to 632.749, 632.775, 632.79, 632.795,
23632.798, 632.85, 632.853, 632.855, 632.861,
632.862, 632.867, 632.87 (2) to
(6) (8),
24632.871, 632.885, 632.89, 632.895 (5) and (8) to (17), 632.896, and 632.897 (10) and
25chs. 609, 620, 630, 635, 645, and 646, but the sponsoring association shall:
SB70-AA3,127
1Section
127. 601.31 (1) (mv) of the statutes is created to read:
SB70-AA3,110,42
601.31
(1) (mv) For initial issuance or renewal of a license as a pharmacy
3benefit management broker or consultant under s. 628.495, amounts to be set by the
4commissioner by rule.
SB70-AA3,128
5Section
128. 601.31 (1) (nv) of the statutes is created to read:
SB70-AA3,110,76
601.31
(1) (nv) For issuing or renewing a license as a pharmaceutical
7representative under s. 632.863, an amount to be set by the commissioner by rule.
SB70-AA3,129
8Section
129. 601.31 (1) (nw) of the statutes is created to read:
SB70-AA3,110,119
601.31
(1) (nw) For issuing or renewing a license as a pharmacy services
10administrative organization under s. 632.864, an amount to be set by the
11commissioner by rule.
SB70-AA3,130
12Section
130. 601.575 of the statutes is created to read:
SB70-AA3,110,18
13601.575 Prescription drug importation program. (1) Importation
14program requirements. The commissioner, in consultation with persons interested
15in the sale and pricing of prescription drugs and appropriate officials and agencies
16of the federal government, shall design and implement a prescription drug
17importation program for the benefit of residents of this state, that generates savings
18for residents, and that satisfies all of the following:
SB70-AA3,110,2119
(a) The commissioner shall designate a state agency to become a licensed
20wholesale distributor or to contract with a licensed wholesale distributor and shall
21seek federal certification and approval to import prescription drugs.
SB70-AA3,110,2322(b) The program shall comply with relevant requirements of
21 USC 384,
23including safety and cost savings requirements.
SB70-AA3,110,2524
(c) The program shall import prescription drugs from Canadian suppliers
25regulated under any appropriate Canadian or provincial laws.
SB70-AA3,111,2
1(d) The program shall have a process to sample the purity, chemical
2composition, and potency of imported prescription drugs.
SB70-AA3,111,63
(e) The program shall import only those prescription drugs for which
4importation creates substantial savings for residents of this state and only those
5prescription drugs that are not brand-name drugs and that have fewer than 4
6competitor prescription drugs in the United States.
SB70-AA3,111,87
(f) The commissioner shall ensure that prescription drugs imported under the
8program are not distributed, dispensed, or sold outside of this state.
SB70-AA3,111,99
(g) The program shall ensure all of the following:
SB70-AA3,111,1110
1. Participation by any pharmacy or health care provider in the program is
11voluntary.
SB70-AA3,111,1312
2. Any pharmacy or health care provider participating in the program has the
13appropriate license or other credential in this state.
SB70-AA3,111,1614
3. Any pharmacy or health care provider participating in the program charges
15a consumer or health plan the actual acquisition cost of the imported prescription
16drug that is dispensed.
SB70-AA3,111,2017
(h) The program shall ensure that a payment by a health plan or health
18insurance policy for a prescription drug imported under the program reimburses no
19more than the actual acquisition cost of the imported prescription drug that is
20dispensed.
SB70-AA3,111,2221
(i) The program shall ensure that any health plan or health insurance policy
22participating in the program does all of the following:
SB70-AA3,111,2423
1. Maintains a formulary and claims payment system with current information
24on prescription drugs imported under the program.
SB70-AA3,112,3
12. Bases cost-sharing amounts for participants or insureds under the plan or
2policy on no more than the actual acquisition cost of the prescription drug imported
3under the program that is dispensed to the participant or insured.
SB70-AA3,112,64
3. Demonstrates to the commissioner or a state agency designated by the
5commissioner how premiums under the plan or policy are affected by savings on
6prescription drugs imported under the program.
SB70-AA3,112,97
(j) Any wholesale distributor importing prescription drugs under the program
8shall limit its profit margin to the amount established by the commissioner or a state
9agency designated by the commissioner.
SB70-AA3,112,1110
(k) The program may not import any generic prescription drug that would
11violate federal patent laws on branded products in the United States.
SB70-AA3,112,1612(L) The program shall comply with tracking and tracing requirements of
21
13USC 360eee and
360eee-1, to the extent practical and feasible, before the
14prescription drug to be imported comes into the possession of this state's wholesale
15distributor and fully after the prescription drug to be imported is in the possession
16of this state's wholesale distributor.
SB70-AA3,112,1817
(m) The program shall establish a fee or other mechanism to finance the
18program that does not jeopardize significant savings to residents of this state.
SB70-AA3,112,1919
(n) The program shall have an audit function that ensures all of the following:
SB70-AA3,112,2120
1. The commissioner has a sound methodology to determine the most
21cost-effective prescription drugs to include in the program.
SB70-AA3,112,2322
2. The commissioner has a process in place to select Canadian suppliers that
23are high quality, high performing, and in full compliance with Canadian laws.
SB70-AA3,112,2524
3. Prescription drugs imported under the program are pure, unadulterated,
25potent, and safe.