Amendment AA3-SB70

2023 - 2024 LEGISLATURE

ASSEMBLY AMENDMENT 3, TO SENATE BILL 70

June 29, 2023 - Offered by Representatives Drake, Bare, Joers, Andraca, C. Anderson, Vining, Madison, Clancy, Haywood, Subeck, Sinicki, J. Anderson, Hong, Neubauer, Emerson, Jacobson, Ohnstad, Palmeri, Ratcliff, Conley, Snodgrass, Shelton, Cabrera, Baldeh, Considine, Moore Omokunde, Billings, Goyke, Stubbs, Myers, Ortiz-Velez and Shankland.

SB70-AA3,1,2 At the locations indicated, amend the bill, as shown by senate substitute amendment 2, as follows:

SB70-AA3,1,9 1. Page 47, line 19: increase the dollar amount for fiscal year 2023-24 by $36,600 and increase the dollar amount for fiscal year 2024-25 by $47,000 to increase the authorized FTE positions by 0.5 PR position to administer diversity, equity, and inclusion activities overseen by the office of the commissioner of insurance in collaboration with the chief equity officer in the department of administration and with other agency equity officers to identify opportunities to advance equity in government operations.

SB70-AA3,1,13 2. Page 47, line 19: increase the dollar amount for fiscal year 2023-24 by $358,000 and increase the dollar amount for fiscal year 2024-25 by $477,400 for the purpose of increasing the authorized FTE positions by 5.0 PR positions in the division of financial regulation in the office of the commissioner of insurance.

SB70-AA3,2,5 3. Page 47, line 19: increase the dollar amount for fiscal year 2023-24 by $341,400 and increase the dollar amount for fiscal year 2024-25 by $455,100 for the purpose of increasing the authorized FTE positions by 5.0 PR positions in the division of market regulation and enforcement in the office of the commissioner of insurance.

SB70-AA3,2,9 4. Page 47, line 19: increase the dollar amount for fiscal year 2023-24 by $46,900 and increase the dollar amount for fiscal year 2024-25 by $45,300 for the purpose of supporting the ongoing operations of the helpline operated by the board on aging and long-term care.

SB70-AA3,2,12 5. Page 47, line 19: increase the dollar amount for fiscal year 2023-24 by $702,300 and increase the dollar amount for fiscal year 2024-25 by $702,300 to restore funding for operations of the office of the commissioner of insurance.

SB70-AA3,2,17 6. Page 47, line 19: increase the dollar amount for fiscal year 2023-24 by $106,900 and increase the dollar amount for fiscal year 2024-25 by $142,500 to increase the authorized FTE positions by 1.0 PR position to establish a designated program manager for the reinsurance program under subch. VII of ch. 601 known as the Wisconsin Healthcare Stability Plan.

SB70-AA3,2,23 7. Page 47, line 19: increase the dollar amount for fiscal year 2023-24 by $1,968,300 and increase the dollar amount for fiscal year 2024-25 by $1,885,800 to increase the authorized FTE positions by 16.0 PR positions for the purpose of administering new initiatives related to prescription drug supply chain regulation and consumer assistance in the prescription drug affordability review board under s. 15.735 (1).

SB70-AA3,2,24 8. Page 64, line 14: delete that line and substitute: - See PDF for table

SB70-AA3,3,4 9. Page 147, line 8: increase the dollar amount for fiscal year 2023-24 by $1,000,000 and increase the dollar amount for fiscal year 2024-25 by $1,000,000 for the purpose of funding HIV/AIDS-related services under the Mike Johnson Life Care and Early Intervention Services grant.

SB70-AA3,3,9 10. Page 147, line 8: increase the dollar amount for fiscal year 2023-24 by $500,000 and increase the dollar amount for fiscal year 2024-25 by $500,000 for the purpose of funding interventions to respond to adverse childhood experiences, trauma, and toxic stress and to build resilience, with a goal of preventing substance use disorders and other adverse health outcomes.

SB70-AA3,3,12 11. Page 147, line 8: increase the dollar amount for fiscal year 2023-24 by $109,800 and increase the dollar amount for fiscal year 2024-25 by $109,800 for the purpose of funding increased costs of supplies and services for public health services.

SB70-AA3,3,17 12. Page 147, line 8: increase the dollar amount for fiscal year 2023-24 by $66,800 and increase the dollar amount for fiscal year 2024-25 by $87,300 to increase the authorized FTE positions for the department of health services by 1.0 GPR position to create a suicide and self-harm prevention coordinator position in the injury prevention program maintained by the department under s. 225.20.

SB70-AA3,3,22 13. Page 147, line 12: increase the dollar amount for fiscal year 2023-24 by $720,000 and increase the dollar amount for fiscal year 2024-25 by $720,000 for the purpose of reimbursing ambulance service providers for epinephrine auto-injectors or draw-up epinephrine kits for each ambulance operating in the state under s. 256.158.

SB70-AA3,4,4 14. Page 147, line 12: increase the dollar amount for fiscal year 2023-24 by $1,500,000 and increase the dollar amount for fiscal year 2024-25 by $1,500,000 for the purpose of awarding grants to persons in this state for research into spinal cord injuries under s. 255.45.

SB70-AA3,4,8 15. Page 147, line 12: increase the dollar amount for fiscal year 2023-24 by $1,680,000 and increase the dollar amount for fiscal year 2024-25 by $1,680,000 for the purpose of awarding grants to free-standing pediatric teaching hospitals under s. 253.19.

SB70-AA3,4,11 16. Page 147, line 12: increase the dollar amount for fiscal year fiscal year 2024-25 by $4,172,000 for the purpose of implementing a pilot program to provide electrocardiogram screenings under Section 9119 (1w) of this act.

SB70-AA3,4,16 17. Page 147, line 12: increase the dollar amount for fiscal year 2023-24 by $833,000 and increase the dollar amount for fiscal year 2024-25 by $850,600 to increase the authorized FTE positions for the department of health services by 1.0 GPR position and to support programs within the department of health services office for the promotion of independent living.

SB70-AA3,4,19 18. Page 147, line 12: increase the dollar amount for fiscal year 2023-24 by $600,000 and increase the dollar amount for fiscal year 2024-25 by $600,000 for the purpose of healthy aging grants under s. 46.854.

SB70-AA3,4,23 19. Page 147, line 12: increase the dollar amount for fiscal year 2023-24 by $250,000 and increase the dollar amount for fiscal year 2024-25 by $250,000 for the purpose of funding grants to an organization that supports and provides services to individuals with amyotrophic lateral sclerosis under s. 46.48 (36).

SB70-AA3,5,3 20. Page 147, line 12: increase the dollar amount for fiscal year 2023-24 by $900,000 and increase the dollar amount for fiscal year 2024-25 by $900,000 for the purpose of funding a low-value care analysis grant.

SB70-AA3,5,6 21. Page 147, line 12: increase the dollar amount for fiscal year 2023-24 by $500,000 and increase the dollar amount for fiscal year 2024-25 by $500,000 to create a suicide prevention grant program.

SB70-AA3,5,10 22. Page 147, line 14: increase the dollar amount for fiscal year 2023-24 by $100,000 and increase the dollar amount for fiscal year 2024-25 by $100,000 for the purpose of increasing funding available for Alzheimer's training and information grants under s. 46.856.

SB70-AA3,5,14 23. Page 148, line 3: increase the dollar amount for fiscal year 2023-24 by $200,000 and increase the dollar amount for fiscal year 2024-25 by $200,000 for the purpose of increasing funding available for the life-span respite care program under s. 46.986 (2).

SB70-AA3,6,2 24. Page 148, line 13: increase the dollar amount for fiscal year 2023-24 by $233,600 and increase the dollar amount for fiscal year 2024-25 by $271,400 for the purpose of managing and improving emergency medical services data systems, to begin certifying applicants as emergency medical responders under broader eligibility criteria that do not require passage of the emergency medical responder examination developed by the National Registry of Emergency Medical Technicians, and to increase the authorized FTE positions within the department of health services by 2.0 GPR positions to implement the modified emergency medical responder training, examination, and certification standards and procedures and to manage emergency medical services licensing, monitoring, and reporting systems and data.

SB70-AA3,6,9 25. Page 149, line 16: increase the dollar amount for fiscal year 2023-24 by $349,000 and increase the dollar amount for fiscal year 2024-25 by $425,600 to increase the authorized FTE positions in the department of health services by 4.0 GPR positions, including an environmental health specialist and a public health nurse in the lead poisoning prevention program in the division of public health within the department of health services, to oversee lead hazard investigations and outreach and prevention programs.

SB70-AA3,6,15 26. Page 149, line 16: increase the dollar amount for fiscal year 2023-24 by $1,121,200 and increase the dollar amount for fiscal year 2024-25 by $1,383,400 to increase the authorized FTE positions in the department of health services by 12.5 GPR positions to fund environmental health specialist positions in regional division of public health offices across the state to support local and tribal health departments in meeting increased demand for lead hazard investigations.

SB70-AA3,6,18 27. Page 149, line 16: increase the dollar amount for fiscal year 2023-24 by $6,003,400 and increase the dollar amount for fiscal year 2024-25 by $6,003,400 for the purpose of grant funding for lead poisoning outreach and prevention activities.

SB70-AA3,6,22 28. Page 150, line 1: increase the dollar amount for fiscal year 2023-24 by $335,000 and increase the dollar amount for fiscal year 2024-25 by $670,000 for the purpose of supporting tobacco and vaping cessation services that are responsive and tailored to Native American cultures.

SB70-AA3,7,3 29. Page 150, line 4: decrease the dollar amount for fiscal year 2023-24 by $250,000 and decrease the dollar amount for fiscal year 2024-25 by $250,000 for the purpose of grants to free and charitable clinics.

SB70-AA3,7,6 30. Page 152, line 4: increase the dollar amount for fiscal year 2023-24 by $1,600 and increase the dollar amount for fiscal year 2024-25 by $1,600 for the purpose of funding increased costs of supplies and services for public health services.

SB70-AA3,7,11 31. Page 152, line 9: decrease the dollar amount for fiscal year 2023-24 by $6,116,600 and decrease the dollar amount for fiscal year 2024-25 by $6,365,400 for the purpose of reducing the authorized FTE positions for the department of health services by 56.77 GPR positions in fiscal year 2023-24 and by 59.10 GPR positions in fiscal year 2024-25.

SB70-AA3,7,14 32. Page 152, line 9: increase the dollar amount for fiscal year 2023-24 by $4,000 and increase the dollar amount for fiscal year 2024-25 by $4,000 for the purpose of funding increased costs of supplies and services for centralized services.

SB70-AA3,7,18 33. Page 152, line 9: increase the dollar amount for fiscal year 2023-24 by $220,100 and increase the dollar amount for fiscal year 2024-25 by $220,100 for the purpose of funding increased costs of supplies and services at Sand Ridge Secure Treatment Center.

SB70-AA3,7,22 34. Page 152, line 9: increase the dollar amount for fiscal year 2023-24 by $1,200,800 and increase the dollar amount for fiscal year 2024-25 by $1,200,800 for the purpose of funding increased costs of supplies and services at Mendota Mental Health Institute.

SB70-AA3,8,4 35. Page 152, line 9: increase the dollar amount for fiscal year 2023-24 by $187,700 and increase the dollar amount for fiscal year 2024-25 by $187,700 for the purpose of funding increased costs of supplies and services at Winnebago Mental Health Institute.

SB70-AA3,8,8 36. Page 152, line 9: increase the dollar amount for fiscal year 2023-24 by $2,100 and increase the dollar amount for fiscal year 2024-25 by $2,100 for the purpose of funding increased costs of supplies and services at Southern Wisconsin Center.

SB70-AA3,8,12 37. Page 152, line 9: increase the dollar amount for fiscal year 2023-24 by $1,400 and increase the dollar amount for fiscal year 2024-25 by $1,400 for the purpose of funding increased costs of supplies and services at Northern Wisconsin Center.

SB70-AA3,8,16 38. Page 152, line 9: increase the dollar amount for fiscal year 2023-24 by $1,800 and increase the dollar amount for fiscal year 2024-25 by $1,800 for the purpose of funding increased costs of supplies and services at Central Wisconsin Center.

SB70-AA3,8,20 39. Page 152, line 9: increase the dollar amount for fiscal year 2023-24 by $244,600 and increase the dollar amount for fiscal year 2024-25 by $244,600 for the purpose of funding increased costs of supplies and services at Wisconsin Resource Center.

SB70-AA3,8,24 40. Page 152, line 9: decrease the dollar amount for fiscal year 2023-24 by $526,000 and decrease the dollar amount for fiscal year 2024-25 by $526,000 for the purpose of adjusting supplemental funding for overtime pay expenditures at Sand Ridge Secure Treatment Center.

SB70-AA3,9,4 41. Page 152, line 9: increase the dollar amount for fiscal year 2023-24 by $1,407,400 and increase the dollar amount for fiscal year 2024-25 by $1,407,400 for the purpose of adjusting supplemental funding for overtime pay expenditures at Mendota Mental Health Institute.

SB70-AA3,9,8 42. Page 152, line 9: increase the dollar amount for fiscal year 2023-24 by $4,359,100 and increase the dollar amount for fiscal year 2024-25 by $4,359,100 for the purpose of adjusting funding for variable nonfood supplies and services at Sand Ridge Secure Treatment Center.

SB70-AA3,9,12 43. Page 152, line 9: increase the dollar amount for fiscal year 2023-24 by $259,600 and increase the dollar amount for fiscal year 2024-25 by $259,600 for the purpose of adjusting supplemental funding for overtime pay expenditures at Wisconsin Resource Center.

SB70-AA3,9,16 44. Page 152, line 9: increase the dollar amount for fiscal year 2023-24 by $6,939,600 and increase the dollar amount for fiscal year 2024-25 by $6,393,600 for the purpose of adjusting funding for variable nonfood supplies and services at Mendota Mental Health Institute.

SB70-AA3,9,20 45. Page 152, line 9: increase the dollar amount for fiscal year 2023-24 by $2,196,000 and increase the dollar amount for fiscal year 2024-25 by $2,196,000 for the purpose of adjusting funding for variable nonfood supplies and services at Winnebago Mental Health Institute.

SB70-AA3,9,23 46. Page 152, line 9: decrease the dollar amount for fiscal year 2023-24 by $19,900 and decrease the dollar amount for fiscal year 2024-25 by $19,900 for the purpose of adjusting funding for food costs at Sand Ridge Secure Treatment Center.

SB70-AA3,10,3 47. Page 152, line 9: decrease the dollar amount for fiscal year 2023-24 by $69,800 and decrease the dollar amount for fiscal year 2024-25 by $69,800 for the purpose of adjusting funding for food costs at Winnebago Mental Health Institute.

SB70-AA3,10,6 48. Page 152, line 9: increase the dollar amount for fiscal year 2023-24 by $312,600 and increase the dollar amount for fiscal year 2024-25 by $312,600 for the purpose of adjusting funding for food costs at Mendota Mental Health Institute.

SB70-AA3,10,9 49. Page 152, line 9: increase the dollar amount for fiscal year 2023-24 by $572,400 and increase the dollar amount for fiscal year 2024-25 by $572,400 for the purpose of adjusting funding for food costs at Wisconsin Resource Center.

SB70-AA3,10,12 50. Page 152, line 9: increase the dollar amount for fiscal year 2023-24 by $5,201,000 and increase the dollar amount for fiscal year 2024-25 by $5,501,200 for the purpose of funding electronic health records costs.

SB70-AA3,10,16 51. Page 152, line 9: decrease the dollar amount for fiscal year 2023-24 by $876,300 and decrease the dollar amount for fiscal year 2024-25 by $876,300 for the purpose of adjusting funding for variable nonfood supplies and services at Wisconsin Resource Center.

SB70-AA3,10,20 52. Page 152, line 9: decrease the dollar amount for fiscal year 2023-24 by $328,100 and decrease the dollar amount for fiscal year 2024-25 by $328,100 for the purpose of adjusting supplemental funding for overtime pay expenditures at Winnebago Mental Health Institute.

SB70-AA3,10,23 53. Page 153, line 3: increase the dollar amount for fiscal year 2023-24 by $10,100 and increase the dollar amount for fiscal year 2024-25 by $86,900 for fuel and utilities costs at the care and treatment facilities.

SB70-AA3,11,4 54. Page 153, line 9: decrease the dollar amount for fiscal year 2023-24 by $356,400 and decrease the dollar amount for fiscal year 2024-25 by $356,400 for the purpose of adjusting supplemental funding for overtime pay expenditures at Southern Wisconsin Center.

SB70-AA3,11,8 55. Page 153, line 9: decrease the dollar amount for fiscal year 2023-24 by $1,032,500 and decrease the dollar amount for fiscal year 2024-25 by $1,032,500 for the purpose of adjusting supplemental funding for overtime pay expenditures at Winnebago Mental Health Institute.

SB70-AA3,11,12 56. Page 153, line 9: increase the dollar amount for fiscal year 2023-24 by $323,500 and increase the dollar amount for fiscal year 2024-25 by $323,500 for the purpose of adjusting supplemental funding for overtime pay expenditures at Mendota Mental Health Institute.

SB70-AA3,11,15 57. Page 153, line 9: increase the dollar amount for fiscal year 2023-24 by $453,400 and increase the dollar amount for fiscal year 2024-25 by $453,400 for the purpose of adjusting funding for food costs at Winnebago Mental Health Institute.

SB70-AA3,11,20 58. Page 153, line 9: increase the dollar amount for fiscal year 2023-24 by $6,751,000 and increase the dollar amount for fiscal year 2024-25 by $8,757,600 to increase the authorized FTE positions in the department of health services by 92.0 PR positions, beginning in 2023-24, to expand the intensive treatment program at Northern Wisconsin Center for up to 12 additional residents.

SB70-AA3,12,2 59. Page 153, line 9: increase the dollar amount for fiscal year 2023-24 by $6,116,600 and increase the dollar amount for fiscal year 2024-25 by $6,365,400 for the purpose of increasing the authorized FTE positions for the department of health services by 56.77 PR positions in fiscal year 2023-24 and by 59.10 PR positions in fiscal year 2024-25.

SB70-AA3,12,6 60. Page 153, line 9: decrease the dollar amount for fiscal year 2023-24 by $21,800 and decrease the dollar amount for fiscal year 2024-25 by $21,800 for the purpose of adjusting supplemental funding for overtime pay expenditures at Northern Wisconsin Center.

SB70-AA3,12,9 61. Page 153, line 9: increase the dollar amount for fiscal year 2023-24 by $4,279,900 and increase the dollar amount for fiscal year 2024-25 by $4,536,300 for the purpose of funding electronic health records costs.

SB70-AA3,12,13 62. Page 153, line 9: decrease the dollar amount for fiscal year 2023-24 by $304,300 and decrease the dollar amount for fiscal year 2024-25 by $304,300 for the purpose of adjusting supplemental funding for overtime pay expenditures at Central Wisconsin Center.

SB70-AA3,12,17 63. Page 153, line 9: increase the dollar amount for fiscal year 2023-24 by $1,136,900 and increase the dollar amount for fiscal year 2024-25 by $1,136,900 for the purpose of adjusting funding for variable nonfood supplies and services at Northern Wisconsin Center.

SB70-AA3,12,20 64. Page 153, line 9: increase the dollar amount for fiscal year 2023-24 by $7,000 and increase the dollar amount for fiscal year 2024-25 by $7,000 for the purpose of adjusting funding for food costs at Mendota Mental Health Institute.

SB70-AA3,12,23 65. Page 153, line 9: increase the dollar amount for fiscal year 2023-24 by $14,500 and increase the dollar amount for fiscal year 2024-25 by $14,500 for the purpose of adjusting funding for food costs at Central Wisconsin Center.

SB70-AA3,13,4 66. Page 153, line 9: increase the dollar amount for fiscal year 2023-24 by $322,600 and increase the dollar amount for fiscal year 2024-25 by $322,600 for the purpose of adjusting funding for variable nonfood supplies and services at Mendota Mental Health Institute.

SB70-AA3,13,8 67. Page 153, line 9: increase the dollar amount for fiscal year 2023-24 by $26,832,200 and increase the dollar amount for fiscal year 2024-25 by $26,832,200 for the purpose of adjusting funding for variable nonfood supplies and services at Winnebago Mental Health Institute.

SB70-AA3,13,12 68. Page 153, line 9: increase the dollar amount for fiscal year 2023-24 by $4,038,400 and increase the dollar amount for fiscal year 2024-25 by $4,038,400 for the purpose of adjusting funding for variable nonfood supplies and services at Southern Wisconsin Center.

SB70-AA3,13,16 69. Page 153, line 9: increase the dollar amount for fiscal year 2023-24 by $13,859,100 and increase the dollar amount for fiscal year 2024-25 by $13,859,100 for the purpose of adjusting funding for variable nonfood supplies and services at Central Wisconsin Center.

SB70-AA3,13,19 70. Page 153, line 9: increase the dollar amount for fiscal year 2023-24 by $13,700 and increase the dollar amount for fiscal year 2024-25 by $13,700 for the purpose of adjusting funding for food costs at Southern Wisconsin Center.

SB70-AA3,13,22 71. Page 153, line 9: increase the dollar amount for fiscal year 2023-24 by $34,600 and increase the dollar amount for fiscal year 2024-25 by $34,600 for the purpose of adjusting funding for food costs at Northern Wisconsin Center.

SB70-AA3,14,6 72. Page 154, line 2: increase the dollar amount for fiscal year 2023-24 by $66,800 and increase the dollar amount for fiscal year 2024-25 by $87,300 to increase the authorized FTE positions by 2.0 GPR positions to establish a team dedicated to reimbursement structures and challenges related to Native American tribes and bands within the division of the department of health services that is responsible for medicaid services.

SB70-AA3,14,11 73. Page 154, line 2: increase the dollar amount for fiscal year 2023-24 by $314,400 and increase the dollar amount for fiscal year 2024-25 by $314,400 for the purpose of contracting for the administration of a certified public expenditure program to increase medical assistance reimbursement to ambulance service providers owned by local governments.

SB70-AA3,14,15 74. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $8,309,500 and increase the dollar amount for fiscal year 2024-25 by $8,309,500 for the purpose of supporting the room and board costs for residential substance use disorder treatment under s. 49.46 (2) (b) 8m.

SB70-AA3,14,18 75. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $15,000,000 and increase the dollar amount for fiscal year 2024-25 by $15,000,000 for the purpose of increasing personal care reimbursement rates.

SB70-AA3,14,23 76. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $17,194,500 and increase the dollar amount for fiscal year 2024-25 by $71,525,000 for the purpose of funding costs associated with continuing the American Rescue Plan Act home and community-based services waiver program rate increase of 5 percent from April 1, 2024, through June 30, 2025.

SB70-AA3,15,5 77. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $15,000,000 and increase the dollar amount for fiscal year 2024-25 by $15,000,000 to increase the direct care and services portion of the capitation rates the department of health services provides to managed care organizations to fund long-term care services for individuals enrolled in the Family Care program.

SB70-AA3,15,9 78. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $24,263,100 and increase the dollar amount for fiscal year 2024-25 by $49,572,800 for the purpose of increasing Medical Assistance reimbursement rates for patient evaluation and management to 80 percent of federal Medicare rates.

SB70-AA3,15,13 79. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $4,165,500 and increase the dollar amount for fiscal year 2024-25 by $8,510,700 for the purpose of increasing Medical Assistance reimbursement rates for emergency department patient evaluation to 56 percent of federal Medicare rates.

SB70-AA3,15,18 80. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $2,180,500 and increase the dollar amount for fiscal year 2024-25 by $4,455,200 for the purpose of increasing Medical Assistance reimbursement rates for mental health and substance use disorder services and for child and adolescent day treatment by 10 percent in aggregate.

SB70-AA3,15,22 81. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $1,249,000 and increase the dollar amount for fiscal year 2024-25 by $2,551,800 for the purpose of increasing Medical Assistance reimbursement for adaptive behavioral treatment.