LRB-0697/P2
SWB:skw
2023 - 2024 LEGISLATURE
DOA:......Bollhorst, BB0023 - Ambulance assessment and CPE programs
For 2023-2025 Budget -- Not Ready For Introduction
An Act ...; relating to: the budget.
Analysis by the Legislative Reference Bureau
HEALTH AND HUMAN SERVICES
Medical Assistance
Ambulance assessment and certified public expenditures program
This bill creates an appropriation to make payments from the ambulance service provider trust fund to eligible ambulance service providers as specified under 2021 Wisconsin Act 228. 2021 Wisconsin Act 228 implemented an ambulance service provider assessment on private ambulance service providers for supplemental reimbursements under the Medical Assistance program and a supplemental reimbursement under the Medical Assistance program to public ambulance service providers through certified public expenditures. Currently, DHS administers the Medical Assistance program, which is a joint federal and state program that provides health services to individuals who have limited financial resources. Generally, under the Medical Assistance program, the state provides its share of the funding for benefits and the federal government then contributes its designated share of funding, also known as federal financial participation. 2021 Wisconsin Act 228 imposes on each private ambulance service provider a fee for the privilege of doing business in Wisconsin and established an ambulance service provider trust fund for the fees collected.
The bill also requires DHS to transfer moneys annually from the ambulance service provider trust fund to cover the administrative costs associated with administering the ambulance assessment and making supplemental reimbursements to ambulance providers.
For further information see the state and local fiscal estimate, which will be printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
Section 1. 20.435 (4) (xm) of the statutes is created to read:
20.435 (4) (xm) Ambulance service provider trust fund; ambulance payments. From the ambulance service provider trust fund, all moneys received from the assessment under s. 256.23, except amounts transferred to the appropriation under s. 20.435 (4) (jw) as specified in s. 256.23 (6), to make payments to eligible ambulance service providers as specified under s. 49.45 (3) (em).
****Note: This Section involves a change in an appropriation that must be reflected in the revised schedule in s. 20.005, stats.
Section 2. 49.45 (3) (em) of the statutes is amended to read:
49.45 (3) (em) The department shall expend moneys collected under s. 256.23 (2), less amounts transferred under s. 256.23 (6), to supplement reimbursement for eligible ambulance service providers, as defined in s. 256.23 (1) (a), for services provided under the Medical Assistance program under this subchapter, including services reimbursed on a fee-for-service basis and provided under managed care, by eligible ambulance service providers. Health plans shall be indemnified and held harmless for any errors made by the department or its agents in calculation of any supplemental reimbursement made under this paragraph.
Section 3. 256.23 (6) of the statutes is created to read:
256.23 (6) In each fiscal year, the secretary of administration shall transfer from the ambulance service provider trust fund under s. 25.776 to the appropriation under s. 20.435 (4) (jw) an amount equal to the annual costs of administering the ambulance assessment as specified under this section and making supplemental reimbursements to ambulance service providers under s. 49.45 (3) (em).
(End)