SB70-AA3,67,1515 1. “Health care provider” has the meaning given in s. 146.81 (1) (a) to (hp).
SB70-AA3,67,1616 2. “Qualified treatment trainee” has the meaning given in s. DHS 35.03 (17m).
SB70-AA3,67,2117 (b) No policy, plan, or contract may exclude coverage for mental health or
18behavioral health treatment or services provided by a qualified treatment trainee
19within the scope of the qualified treatment trainee's education and training if the
20policy, plan, or contract covers the mental health or behavioral health treatment or
21services when provided by another health care provider.
SB70-AA3,9323 22Section 9323. Initial applicability; Insurance.
SB70-AA3,67,2323 (1u) Qualified treatment trainee coverage.
SB70-AA3,68,4
1(a) For policies and plans containing provisions inconsistent with this section,
2the treatment of s. 632.87 (7) first applies to policy or plan years beginning on
3January 1 of the year following the year in which this paragraph takes effect, except
4as provided in par. (b).
SB70-AA3,68,95 (b) For policies and plans that are affected by a collective bargaining agreement
6containing provisions inconsistent with this section, the treatment of s. 632.87 (7)
7first applies to policy or plan years beginning on the effective date of this paragraph
8or on the day on which the collective bargaining agreement is entered into, extended,
9modified, or renewed, whichever is later.
SB70-AA3,9423 10Section 9423. Effective dates; Insurance.
SB70-AA3,68,1311 (1v) Qualified treatment trainee coverage. The treatment of s. 632.87 (7) and
12Section 9323 (1u) of this act take effect on the first day of the 4th month beginning
13after publication.”.
SB70-AA3,68,14 14184. Page 374, line 11: after that line insert:
SB70-AA3,68,15 15 Section 43. 256.08 (4) (L) of the statutes is created to read:
SB70-AA3,68,1716 256.08 (4) (L) Identify certified training programs for emergency medical
17responders.
SB70-AA3,44 18Section 44. 256.08 (5) of the statutes is created to read:
SB70-AA3,68,2219 256.08 (5) Educational standards. The department, in consultation with the
20board, may promulgate rules to establish educational standards for training
21programs for emergency medical responders and minimum examination standards
22for training programs for emergency medical responders.
SB70-AA3,45 23Section 45. 256.15 (4) (g) of the statutes is created to read:
SB70-AA3,69,4
1256.15 (4) (g) No emergency medical responder may replace an emergency
2medical technician as a member of an ambulance crew unless the emergency medical
3responder has passed the National Registry of Emergency Medical Technicians
4examination for emergency medical responders.
SB70-AA3,46 5Section 46. 256.15 (8) (b) (intro.) of the statutes is amended to read:
SB70-AA3,69,86 256.15 (8) (b) (intro.) To be eligible for initial certification as an emergency
7medical responder, except as provided in pars. (bg) and (br) and ss. 256.17 and
8256.18, an individual shall meet all of the following requirements:
SB70-AA3,47 9Section 47. 256.15 (8) (bg) of the statutes is created to read:
SB70-AA3,69,2010 256.15 (8) (bg) The department shall grant an initial certification as an
11emergency medical responder to any individual who meets the requirements under
12par. (b) 1. and 2. and successfully completes a certified training program for
13emergency medical responders identified by the department under s. 256.08 (4) (L).
14Any relevant education, training, instruction, or other experience that an applicant
15for initial certification as an emergency medical responder obtained in connection
16with any military service, as defined in s. 111.32 (12g), satisfies the completion of a
17certified training program for emergency medical responders if the applicant
18demonstrates to the satisfaction of the department that the education, training,
19instruction, or other experience obtained by the applicant is substantially equivalent
20to the certified training program for emergency medical responders.
SB70-AA3,48 21Section 48. 256.15 (8) (br) of the statutes is created to read:
SB70-AA3,69,2522 256.15 (8) (br) The department shall grant an initial certification as an
23emergency medical responder to any individual who meets the requirements under
24par. (b) 1. and 2. and passes the National Registry of Emergency Medical Technicians
25examination for emergency medical responder certification.
SB70-AA3,9419
1Section 9419. Effective dates; Health Services.
SB70-AA3,70,42 (1) Certification of emergency medical responders. The treatment of ss.
3256.08 (4) (L) and 256.15 (4) (g) and (8) (b) (intro.), (bg), and (br) takes effect on July
41, 2024.”.
SB70-AA3,70,5 5185. Page 374, line 11: after that line insert:
SB70-AA3,70,6 6 Section 49. 46.48 (33) of the statutes is created to read:
SB70-AA3,70,97 46.48 (33) Opioid antagonist funding. From the appropriation under s. 20.435
8(5) (bc), the department shall annually award up to $2,000,000 to entities for the
9purchase of opioid antagonists, as defined under s. 450.01 (13v).”.
SB70-AA3,70,10 10186. Page 374, line 11: after that line insert:
SB70-AA3,70,11 11 Section 50. 50.36 (3s) of the statutes is created to read:
SB70-AA3,70,1712 50.36 (3s) The department shall require a hospital that provides emergency
13services to have sufficient qualified personnel at all times to manage the number and
14severity of emergency department cases anticipated by the location. At all times, a
15hospital that provides emergency services shall have on-site at least one physician
16who, through education, training, and experience, specializes in emergency
17medicine.”.
SB70-AA3,70,18 18187. Page 374, line 11: after that line insert:
SB70-AA3,70,19 19 Section 51. 71.03 (9) of the statutes is created to read:
SB70-AA3,70,2220 71.03 (9) Medical Assistance coverage. (a) The department shall include the
21following questions and explanatory information on each individual income tax
22return under this section and a method for the taxpayer to respond to each question:
SB70-AA3,71,423 1. “Are you, your spouse, your dependent children, or any eligible adult child
24dependent not covered under a health insurance policy, health plan, or other health

1care coverage? `Eligible adult child dependent' means a child who is under the age
2of 26 who is a full-time student or a child who is under the age of 27 who is called
3to active duty in the national guard or armed forces reserve while enrolled as a
4full-time student.”
SB70-AA3,71,75 2. “If you responded `yes' to question 1, do you want to have evaluated your
6eligibility for Medical Assistance under subch. IV of ch. 49 or your eligibility for
7subsidized health insurance coverage?”
SB70-AA3,71,168 (b) For each person who responded “yes” to the question under par. (a) 2., the
9department shall provide that person's contact information and other relevant
10information from that person's individual income tax return to the department of
11health services to perform an evaluation of that person's eligibility under the Medical
12Assistance program or an evaluation of that person's eligibility for subsidized health
13insurance coverage through an exchange, as defined under 45 CFR 155.20. The
14information provided to the department of health services may not be used to
15determine that the individual is ineligible to enroll in the Medical Assistance
16program.
SB70-AA3,52 17Section 52. 71.78 (4) (v) of the statutes is created to read:
SB70-AA3,71,1918 71.78 (4) (v) The secretary of health services and employees of that department
19for the purpose of performing an evaluation under s. 71.03 (9).
SB70-AA3,9319 20Section 9319. Initial applicability; Health Services.
SB70-AA3,71,2321 (1k) Determination of Medical Assistance eligibility by indicating interest
22on an individual income tax return.
The treatment of ss. 71.03 (9) and 71.78 (4) (v)
23first applies to taxable years beginning after December 31, 2023.”.
SB70-AA3,71,24 24188. Page 374, line 11: after that line insert:
SB70-AA3,72,1
1 Section 53. 49.46 (2) (b) 8m. of the statutes is created to read:
SB70-AA3,72,32 49.46 (2) (b) 8m. Room and board for residential substance use disorder
3treatment.”.
SB70-AA3,72,4 4189. Page 374, line 11: after that line insert:
SB70-AA3,72,5 5 Section 54. 46.87 (5m) of the statutes is amended to read:
SB70-AA3,72,126 46.87 (5m) A person is financially eligible for the program under this section
7if the joint income of the person with Alzheimer's disease and that person's spouse,
8if any, is $48,000 $60,000 per year or less, unless the department sets a higher
9limitation on income eligibility by rule. In determining joint income for purposes of
10this subsection, the administering agency shall subtract any expenses attributable
11to the Alzheimer's-related needs of the person with Alzheimer's disease or of the
12person's caregiver.”.
SB70-AA3,72,13 13190. Page 374, line 11: after that line insert:
SB70-AA3,72,15 14 Section 55. 20.005 (3) (schedule) of the statutes: at the appropriate place,
15insert the following amounts for the purposes indicated: - See PDF for table PDF
SB70-AA3,56 16Section 56. 20.435 (1) (ca) of the statutes is created to read:
SB70-AA3,73,217 20.435 (1) (ca) State stockpile of personal protective equipment. Biennially, the
18amounts in the schedule for the establishment and maintenance of a state stockpile

1of personal protective equipment under s. 252.02 (8), including associated storage
2and warehousing.
SB70-AA3,2 3Section 2. 252.02 (8) of the statutes is created to read:
SB70-AA3,73,54 252.02 (8) The department may establish and maintain a state stockpile of
5personal protective equipment.”.
SB70-AA3,73,6 6191. Page 374, line 11: after that line insert:
SB70-AA3,73,7 7 Section 57. 49.45 (25r) of the statutes is created to read:
SB70-AA3,73,88 49.45 (25r) Community health worker services. (a) In this subsection:
SB70-AA3,73,109 1. “Community health services” means services provided by a community
10health worker.
SB70-AA3,73,1811 2. “Community health worker” means a frontline public health worker who is
12a trusted member of or has a close understanding of the community served, enabling
13the worker to serve as a liaison, link, or intermediary between health and social
14services and the community to facilitate access to services and improve the quality
15and cultural competence of service delivery, and who builds individual and
16community capacity by increasing health knowledge and self-sufficiency through a
17range of activities such as outreach, community education, informal counseling,
18social support, and advocacy.
SB70-AA3,74,219 (b) The department shall request any necessary waiver from, or submit any
20necessary amendments to the state Medical Assistance plan to, the secretary of the
21federal department of health and human services to provide community health
22services to eligible Medical Assistance recipients. If the waiver or state plan
23amendment is granted, the department shall reimburse certified providers for those
24community health services approved by the federal department of health and human

1services for Medical Assistance coverage and as provided to Medical Assistance
2recipients under s. 49.46 (2) (b) 9m.
SB70-AA3,58 3Section 58. 49.46 (2) (b) 9m. of the statutes is created to read:
SB70-AA3,74,44 49.46 (2) (b) 9m. Community health services, as specified under s. 49.45 (25r).”.
SB70-AA3,74,5 5192. Page 374, line 11: after that line insert:
SB70-AA3,74,6 6 Section 9219. Fiscal changes; Health Services.
SB70-AA3,74,15 7(1) Mendota juvenile treatment center staffing. In the schedule under s.
820.005 (3) for the appropriation to the department of health services under s. 20.435
9(2) (gk), the dollar amount for fiscal year 2023-24 is increased by $9,075,800 to
10increase the authorized FTE positions by 114.5 PR positions to expand the capacity
11of the Mendota Juvenile Treatment Center. In the schedule under s. 20.005 (3) for
12the appropriation to the health services under s. 20.435 (2) (gk), the dollar amount
13for fiscal year 2024-25 is increased by $15,616,000 to increase the authorized FTE
14positions by 174.0 PR positions to expand the capacity of the Mendota Juvenile
15Treatment Center.”.
SB70-AA3,74,16 16193. Page 374, line 11: after that line insert:
SB70-AA3,74,17 17 Section 59. 49.45 (30) (a) of the statutes is repealed.
SB70-AA3,60 18Section 60. 49.45 (30) (b) of the statutes is renumbered 49.45 (30) and
19amended to read:
SB70-AA3,75,220 49.45 (30) Service provided by community support programs. The department
21shall reimburse a provider of county that provides services under s. 49.46 (2) (b) 6.
22L. only for the amount of the allowable charges for those services under the Medical
23Assistance program
that is provided by the federal government and for the amount

1of the allowable charges for those services under the Medical Assistance program
2that is not provided by the federal government
.
SB70-AA3,61 3Section 61. 49.45 (52) (a) 1. of the statutes is amended to read:
SB70-AA3,75,164 49.45 (52) (a) 1. If the department provides the notice under par. (c) selecting
5the payment procedure in this paragraph, the department may, from the
6appropriation account under s. 20.435 (7) (b), make Medical Assistance payment
7adjustments to county departments under s. 46.215, 46.22, 46.23, 51.42, or 51.437
8or to local health departments, as defined in s. 250.01 (4), as appropriate, for covered
9services under s. 49.46 (2) (a) 2. and 4. d. and f. and (b) 6. b., c., f., fm., g., j., k., L.,
10Lm., and m., 9., 12., 12m., 13., 15., and 16., except for services specified under s. 49.46
11(2) (b) 6. b. and c. provided to children participating in the early intervention program
12under s. 51.44. Payment adjustments under this paragraph shall include the state
13share of the payments. The total of any payment adjustments under this paragraph
14and Medical Assistance payments made from appropriation accounts under s. 20.435
15(4) (b), (gm), (o), and (w), may not exceed applicable limitations on payments under
1642 USC 1396a (a) (30) (A).
SB70-AA3,62 17Section 62. 49.45 (52) (b) 1. of the statutes is amended to read:
SB70-AA3,75,2318 49.45 (52) (b) 1. Annually, a county department under s. 46.215, 46.22, 46.23,
1951.42, or 51.437 shall submit a certified cost report that meets the requirements of
20the federal department of health and human services for covered services under s.
2149.46 (2) (a) 2. and 4. d. and f. and (b) 6. b., c., f., fm., g., j., k., L., Lm., and m., 9., 12.,
2212m., 13., 15., and 16., except for services specified under s. 49.46 (2) (b) 6. b. and c.
23provided to children participating in the early intervention program under s. 51.44.”.
SB70-AA3,75,24 24194. Page 374, line 11: after that line insert:
SB70-AA3,76,1
1 Section 63. 146.63 (5) of the statutes is amended to read:
SB70-AA3,76,42 146.63 (5) Term of grants. The department may not distribute a grant under
3sub. (2) (a) for a term that is more than 5 years to a rural hospital or group of rural
4hospitals for a term that is more than 3 years.”.
SB70-AA3,76,5 5195. Page 374, line 11: after that line insert:
SB70-AA3,76,6 6 Section 64. 20.435 (7) (b) of the statutes is amended to read:
SB70-AA3,77,47 20.435 (7) (b) Community aids and Medical Assistance payments. The
8amounts in the schedule for human services and community mental health services
9under s. 46.40, to fund services provided by resource centers under s. 46.283 (5), to
10fund activities in support of resource center operations, for services under the family
11care benefit under s. 46.284 (5), for grants to federally recognized American Indian
12tribes and bands located in this state under s. 46.41,
for Medical Assistance payment
13adjustments under s. 49.45 (52) (a) for services described in s. 49.45 (52) (a) 1., for
14Medical Assistance payments under s. 49.45 (6tw), and for Medical Assistance
15payments under s. 49.45 (53) for services described in s. 49.45 (53) that are provided
16before January 1, 2012. Social services disbursements under s. 46.03 (20) (b) may
17be made from this appropriation. Refunds received relating to payments made under
18s. 46.03 (20) (b) for the provision of services for which moneys are appropriated under
19this paragraph shall be returned to this appropriation. Notwithstanding ss. 20.001
20(3) (a) and 20.002 (1), the department of health services may transfer funds between
21fiscal years under this paragraph. The department shall deposit into this
22appropriation funds it recovers under ss. 46.495 (2) (b) and 51.423 (15), from prior
23year audit adjustments including those resulting from audits of services under s.
2446.26, 1993 stats., or s. 46.27, 2017 stats. Except for amounts authorized to be

1carried forward under s. 46.45, all funds recovered under ss. 46.495 (2) (b) and 51.423
2(15) and all funds allocated under s. 46.40 and not spent or encumbered by December
331 of each year shall lapse to the general fund on the succeeding January 1 unless
4carried forward to the next calendar year by the joint committee on finance.
SB70-AA3,65 5Section 65. 46.41 of the statutes is created to read:
SB70-AA3,77,12 646.41 Grants for tribal long-term care system development. From the
7appropriation under s. 20.435 (7) (b), the department shall annually allocate not
8more than $5,500,000 in each fiscal year to federally recognized American Indian
9tribes and bands located in this state for capital improvements to tribal facilities
10serving tribal members with long-term care needs and for improvements and
11repairs to homes of tribal members with long-term care needs to enable tribal
12members to receive long-term care services at home.”.
SB70-AA3,77,13 13196. Page 374, line 11: after that line insert:
SB70-AA3,77,14 14 Section 9119. Nonstatutory provisions; Health Services.
SB70-AA3,77,19 15(1g) GPR-earned. In the appropriation under s. 20.435 (2) (a), the department
16of health services may retain up to $5,900,000 in fiscal year 2023-24 and up to
17$6,000,000 in fiscal year 2024-25 of Medical Assistance reimbursements received by
18the Northern Wisconsin Center, the Southern Wisconsin Center, and the Central
19Wisconsin Center for depreciation and interest costs.”.
SB70-AA3,77,20 20197. Page 374, line 11: after that line insert:
SB70-AA3,77,21 21 Section 66. 51.445 of the statutes is repealed.”.
SB70-AA3,77,22 22198. Page 374, line 11: after that line insert:
SB70-AA3,77,23 23 Section 67. 20.435 (5) (by) of the statutes is repealed.”.
SB70-AA3,77,24 24199. Page 374, line 11: after that line insert:
SB70-AA3,78,1
1 Section 68. 20.435 (5) (cc) of the statutes is created to read:
SB70-AA3,78,32 20.435 (5) (cc) Youth crisis stabilization facilities; grants. The amounts in the
3schedule for grants under s. 51.042 (3m).”.
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