AB43,728,4
149.175 (1) (Lm) Jobs for America's Graduates. For grants to the Jobs for
2America's Graduates-Wisconsin to fund programs that improve social, academic,
3and employment skills of youth who are eligible to receive temporary assistance for
4needy families under 42 USC 601 et seq., $500,000 $1,000,000 in each fiscal year.
AB43,1050 5Section 1050 . 49.175 (1) (ms) of the statutes is created to read:
AB43,728,86 49.175 (1) (ms) Child support debt reduction. For the child support debt
7reduction program for low-income noncustodial parents under s. 49.226, $3,472,000
8in fiscal year 2023-24 and $6,944,000 in fiscal year 2024-25.
AB43,1051 9Section 1051 . 49.175 (1) (o) of the statutes is amended to read:
AB43,728,1210 49.175 (1) (o) Evidence-based substance abuse prevention grants Grants for
11youth services
. For grants awarded under s. 48.545 (2) (c) 48.481, $500,000 in each
12fiscal year.
AB43,1052 13Section 1052. 49.175 (1) (p) of the statutes is amended to read:
AB43,728,1614 49.175 (1) (p) Direct child care services. For direct child care services under s.
1549.155 or 49.257, $376,700,400 $385,628,800 in fiscal year 2021-22 2023-24 and
16$383,900,400 $403,573,700 in fiscal year 2022-23 2024-25.
AB43,1053 17Section 1053. 49.175 (1) (q) of the statutes is amended to read:
AB43,728,2118 49.175 (1) (q) Child care state administration and licensing activities. For state
19administration of child care programs under s. 49.155 and for child care licensing
20activities, $42,117,800 $45,957,600 in fiscal year 2021-22 2023-24 and $41,803,100
21$46,043,900 in fiscal year 2022-23 2024-25.
AB43,1054 22Section 1054. 49.175 (1) (qm) of the statutes is amended to read:
AB43,729,223 49.175 (1) (qm) Quality care for quality kids. For the child care quality
24improvement activities specified in ss. 49.155 (1g) and 49.257, $16,683,700 in each
25fiscal year
and the establishment of an early childhood education center under 2023

1Wisconsin Act .... (this act), section 9106 (3 ), $42,850,900 in fiscal year 2023-24 and
2$42,647,700 in fiscal year 2024-25
.
AB43,1055 3Section 1055. 49.175 (1) (r) of the statutes is amended to read:
AB43,729,74 49.175 (1) (r) Children of recipients of supplemental security income. For
5payments made under s. 49.775 for the support of the dependent children of
6recipients of supplemental security income, $18,564,700 $12,762,400 in fiscal year
72021-22 2023-24 and $18,145,000 $12,188,900 in fiscal year 2022-23 2024-25.
AB43,1056 8Section 1056. 49.175 (1) (s) of the statutes is amended to read:
AB43,729,159 49.175 (1) (s) Kinship care and long-term kinship care assistance. For kinship
10care and long-term kinship care payments under s. 48.57 (3m) (am) and (3n) (am),
11for assessments to determine eligibility for those payments, and for agreements
12under s. 48.57 (3t) with the governing bodies of Indian tribes for the administration
13of the kinship care and long-term kinship care programs within the boundaries of
14the reservations of those tribes, $28,727,100 $43,574,100 in fiscal year 2021-22
152023-24 and $31,441,800 $53,719,500 in fiscal year 2022-23 2024-25.
AB43,1057 16Section 1057. 49.175 (1) (t) of the statutes is amended to read:
AB43,729,2417 49.175 (1) (t) Safety and out-of-home placement services. For services provided
18to ensure the safety of children who the department or a county determines may
19remain at home if appropriate services are provided, and for services provided to
20families with children placed in out-of-home care, $10,314,300 $6,282,400 in each
21fiscal year. To receive funding under this paragraph, a county shall match a
22percentage of the amount received that is equal to the percentage the county is
23required to match for a distribution under s. 48.563 (2) as specified by the schedule
24established by the department under s. 48.569 (1) (d).
AB43,1058 25Section 1058. 49.175 (1) (u) (title) of the statutes is amended to read:
AB43,730,1
149.175 (1) (u) (title) Prevention Child welfare prevention services.
AB43,1059 2Section 1059. 49.175 (1) (y) of the statutes is repealed.
AB43,1060 3Section 1060. 49.175 (1) (z) of the statutes is amended to read:
AB43,730,164 49.175 (1) (z) Grants to the Boys and Girls Clubs of America. For grants to the
5Wisconsin Chapter of the Boys and Girls Clubs of America to fund programs that
6improve social, academic, and employment skills of youth who are eligible to receive
7temporary assistance for needy families under 42 USC 601 et seq., focusing on study
8habits, intensive tutoring in math and English, and exposure to career options and
9role models, $2,807,000 $3,307,000 in each fiscal year. Grants provided under this
10paragraph may not be used by the grant recipient to replace funding for programs
11that are being funded, when the grant proceeds are received, with moneys other than
12those from the appropriations specified in sub. (1) (intro.). The total amount of the
13grants includes funds for the BE GREAT: Graduate program in the amount of
14matching funds that the program provides, up to $1,532,000 in each fiscal year, to
15be used only for activities for which federal Temporary Assistance for Needy Families
16block grant moneys may be used.
AB43,1061 17Section 1061. 49.175 (1) (zh) of the statutes is amended to read:
AB43,730,2218 49.175 (1) (zh) Earned income tax credit supplement. For the transfer of
19moneys from the appropriation account under s. 20.437 (2) (md) to the appropriation
20account under s. 20.835 (2) (kf) for the earned income tax credit, $63,600,000
21$109,020,000 in fiscal year 2021-22 2023-24 and $66,600,000 $111,260,000 in fiscal
22year 2022-23 2024-25.
AB43,1062 23Section 1062 . 49.19 (1) (a) 2. a. of the statutes is amended to read:
AB43,731,924 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
AB43,1063 10Section 1063 . 49.19 (4) (d) (intro.) of the statutes is amended to read:
AB43,731,1311 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:
AB43,1064 14Section 1064 . 49.19 (4) (d) 1. of the statutes is amended to read:
AB43,731,1615 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
AB43,1065 17Section 1065 . 49.19 (4) (d) 2. of the statutes is amended to read:
AB43,731,2118 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
AB43,1066 22Section 1066 . 49.19 (4) (d) 3. of the statutes is amended to read:
AB43,731,2523 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
AB43,1067
1Section 1067. 49.19 (4) (d) 4. of the statutes is amended to read:
AB43,732,42 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
AB43,1068 5Section 1068 . 49.19 (4) (d) 5. of the statutes is amended to read:
AB43,732,96 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
AB43,1069 10Section 1069 . 49.226 of the statutes is created to read:
AB43,732,14 1149.226 Child support debt reduction. (1) The department shall establish
12a program to provide a noncustodial child support debt reduction. A noncustodial
13parent qualifies to receive $1,500 in debt reduction under this section if all of the
14following apply:
AB43,732,1615 (a) The noncustodial parent completes an eligible employment program, as
16defined by the department in rules promulgated under sub. (3).
AB43,732,1817 (b) The custodial parent agrees to reducing child support debt owed up to the
18amount of the benefit paid.
AB43,732,20 19(2) A noncustodial parent may not receive debt reduction under sub. (1) more
20than once in any 12-month period.
AB43,732,23 21(3) The department shall promulgate rules to implement this section,
22including rules to determine how debt reduction provided under sub. (1) is
23apportioned among multiple child support orders.
AB43,1070 24Section 1070 . 49.345 (2) of the statutes is amended to read:
AB43,733,21
149.345 (2) Except as provided in sub. (14) (b) and (c), any person, including a
2person placed under s. 48.32 (1) (am) or (b), 48.345 (3), 48.357 (1) or (2m), 938.183,
3938.34 (3) or (4d), or 938.357 (1), (2m), (4), or (5) (e), receiving care, maintenance,
4services, and supplies provided by any institution in this state, in which the state is
5chargeable with all or part of the person's care, maintenance, services, and supplies,
6and the person's property and estate, including the homestead, and the spouse of the
7person, and the spouse's property and estate, including the homestead, and, in the
8case of a minor child, the parents of the person, and their property and estates,
9including their homestead, and, in the case of a foreign child described in s. 48.839
10(1) who became dependent on public funds for his or her primary support before an
11order granting his or her adoption, the resident of this state appointed guardian of
12the child by a foreign court who brought the child into this state for the purpose of
13adoption, and his or her property and estate, including his or her homestead, shall
14be liable for the cost of the care, maintenance, services, and supplies in accordance
15with the fee schedule established by the department under s. 49.32 (1). If a spouse,
16widow surviving spouse, or minor, or an incapacitated person may be lawfully
17dependent upon the property for his or her support, the court shall release all or such
18part of the property and estate from the charges that may be necessary to provide for
19the person. The department shall make every reasonable effort to notify the liable
20persons as soon as possible after the beginning of the maintenance, but the notice or
21the receipt of the notice is not a condition of liability.
AB43,1071 22Section 1071 . 49.37 of the statutes, as affected by 2023 Wisconsin Act .... (this
23act), is repealed.
AB43,1072 24Section 1072. 49.37 (2) of the statutes is amended to read:
AB43,734,3
149.37 (2) Upon completion of the demonstration project under sub. (1) and by
2June 30, 2023 2024, the department of children and families shall conduct an
3evaluation of the demonstration project.
AB43,1073 4Section 1073 . 49.43 (12) of the statutes is amended to read:
AB43,734,75 49.43 (12) “Spouse" means the legal husband or wife of person to whom the
6beneficiary is legally married, whether or not the person is eligible for medical
7assistance.
AB43,1074 8Section 1074. 49.45 (2p) of the statutes is repealed.
AB43,1075 9Section 1075 . 49.45 (2t) of the statutes is repealed.
AB43,1076 10Section 1076. 49.45 (3) (e) 11. of the statutes is amended to read:
AB43,734,2211 49.45 (3) (e) 11. The department shall use a portion of the moneys collected
12under s. 50.38 (2) (a) to pay for services provided by eligible hospitals, as defined in
13s. 50.38 (1), other than critical access hospitals, under the Medical Assistance
14Program under this subchapter, including services reimbursed on a fee-for-service
15basis and services provided under a managed care system. For state fiscal year
162008-09, total payments required under this subdivision, including both the federal
17and state share of Medical Assistance, shall equal the amount collected under s.
1850.38 (2) (a) for fiscal year 2008-09 divided by 57.75 percent. For each state fiscal
19year after state fiscal year 2008-09, total payments required under this subdivision,
20including both the federal and state share of Medical Assistance, shall equal the
21amount collected under s. 50.38 (2) (a) for the fiscal year divided by 61.68 44.21
22percent.
AB43,1077 23Section 1077. 49.45 (3) (e) 12. of the statutes is amended to read:
AB43,735,624 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 44.21
6percent.
AB43,1078 7Section 1078. 49.45 (3) (em) of the statutes is amended to read:
AB43,735,158 49.45 (3) (em) The department shall expend moneys collected under s. 256.23
9(2), less amounts transferred under s. 256.23 (6), to supplement reimbursement for
10eligible ambulance service providers, as defined in s. 256.23 (1) (a), for services
11provided under the Medical Assistance program under this subchapter, including
12services reimbursed on a fee-for-service basis and provided under managed care, by
13eligible ambulance service providers. Health plans shall be indemnified and held
14harmless for any errors made by the department or its agents in calculation of any
15supplemental reimbursement made under this paragraph.
AB43,1079 16Section 1079. 49.45 (6xm) of the statutes is created to read:
AB43,735,2017 49.45 (6xm) Pediatric inpatient supplement. (a) From the appropriations
18under s. 20.435 (4) (b), (o), and (w), the department shall, using a method determined
19by the department, distribute a total sum of $2,000,000 in each state fiscal year to
20hospitals that meet all of the following criteria:
AB43,735,2121 1. The hospital is an acute care hospital located in this state.
AB43,736,222 2. During the hospital's fiscal year, the inpatient days in the hospital's acute
23care pediatric units and intensive care pediatric units totaled more than 12,000 days,
24not including neonatal intensive care units. For purposes of this subdivision, the

1hospital's fiscal year is the hospital's fiscal year that ended in the 2nd calendar year
2preceding the beginning of the state fiscal year.
AB43,736,73 (b) Notwithstanding par. (a), from the appropriations under s. 20.435 (4) (b),
4(o), and (w), the department may, using a method determined by the department,
5distribute an additional total sum of $10,000,000 in each state fiscal year to hospitals
6that are free-standing pediatric teaching hospitals located in Wisconsin that have
7a percentage calculated under s. 49.45 (3m) (b) 1. a. greater than 45 percent.
AB43,1080 8Section 1080. 49.45 (7m) of the statutes is created to read:
AB43,736,169 49.45 (7m) Pay-for-performance; health information exchange. The
10department shall develop and implement for non-hospital providers in the Medical
11Assistance program, including physicians, clinics, health departments, home health
12agencies, and post-acute care facilities, a payment system based on performance to
13incentivize participation in health information data sharing to facilitate better
14patient care, reduced costs, and easier access to patient information. The
15department shall establish performance metrics for the payment system under this
16subsection that satisfy all of the following:
AB43,736,1817 (a) The metric shall include participation by providers in a health information
18exchange at a minimum level of patient record access.
AB43,736,2019 (b) The payment under the payment system shall increase as the participation
20level in the health information exchange increases.
AB43,736,2121 (c) The payment system shall begin in the 2024 rate year.
AB43,736,2322 (d) For purposes of the payment system, the department shall seek any
23available federal moneys.
AB43,1081 24Section 1081 . 49.45 (23) of the statutes is repealed.
AB43,1082 25Section 1082 . 49.45 (23b) of the statutes is repealed.
AB43,1083
1Section 1083. 49.45 (30) (a) of the statutes is repealed.
AB43,1084 2Section 1084. 49.45 (30) (b) of the statutes is renumbered 49.45 (30) and
3amended to read:
AB43,737,94 49.45 (30) Service provided by community support programs. The department
5shall reimburse a provider of county that provides services under s. 49.46 (2) (b) 6.
6L. only for the amount of the allowable charges for those services under the Medical
7Assistance program
that is provided by the federal government and for the amount
8of the allowable charges for those services under the Medical Assistance program
9that is not provided by the federal government
.
AB43,1085 10Section 1085. 49.45 (30e) (a) 2. of the statutes is repealed.
AB43,1086 11Section 1086. 49.45 (30e) (b) 3. of the statutes is amended to read:
AB43,737,1412 49.45 (30e) (b) 3. Requirements for certification of community-based
13psychosocial service programs. The department may certify county-based providers
14and providers that are not county-based providers.
AB43,1087 15Section 1087. 49.45 (30e) (c) of the statutes is renumbered 49.45 (30e) (c) 1.
16and amended to read:
AB43,737,2317 49.45 (30e) (c) 1. A For a county that elects to make provide the services under
18s. 49.46 (2) (b) 6. Lm. available shall reimburse a provider of the services for the
19amount of the allowable charges for those services under the medical assistance
20program that is not provided by the federal government. The
, the department shall
21reimburse the provider county only for the amount of the allowable charges for those
22services under the medical assistance Medical Assistance program that is provided
23by the federal government.
AB43,1088 24Section 1088. 49.45 (30e) (c) 2. of the statutes is created to read:
AB43,738,3
149.45 (30e) (c) 2. The department shall reimburse a provider that is not a
2county-based provider for services under s. 49.46 (2) (b) 6. Lm. for both the federal
3and nonfederal share of a fee schedule that is determined by the department.
AB43,1089 4Section 1089. 49.45 (30e) (d) of the statutes is amended to read:
AB43,738,125 49.45 (30e) (d) Provision of services on regional basis. Notwithstanding par.
6(c) 1. and subject to par. (e), in counties that elect to deliver provide the services under
7s. 49.46 (2) (b) 6. Lm. through the Medical Assistance program on a regional basis
8according to criteria established by the department, the department shall reimburse
9a provider of the services for the amount of the allowable charges for those services
10under the Medical Assistance program that is provided by the federal government
11and for the amount of the allowable charges that is not provided by the federal
12government.
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