Date of enactment: October 21, 2025
2025 Senate Bill 183   Date of publication*: October 22, 2025
2025 WISCONSIN ACT 36
An Act to amend 79.05 (2) (c); to create 256.04 (3) of the statutes; relating to: reimbursement of emergency services under the Medical Assistance program when a patient is not transported, reporting on changes to the scope of practice of emergency medical responders and emergency medical services practitioners, and eligibility for the expenditure restraint incentive program.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
36,1Section 1. 79.05 (2) (c) of the statutes is amended to read:
79.05 (2) (c) Its municipal budget; exclusive of principal and interest on long-term debt and exclusive of revenue sharing payments under s. 66.0305, payments of premiums under s. 66.0137 (5) (c) 1. and 1m., expenditures of amounts levied under s. 66.0602 (3) (h), revenues generated from a tax imposed under s. 77.701, payments received under s. 79.038, expenditures of payments due to the termination of a tax incremental district under s. 79.096 (3), recycling fee payments under s. 289.645, expenditures of grant payments under s. 16.297 (1m), unreimbursed expenses related to an emergency declared under s. 323.10, expenditures from moneys received pursuant to P.L. 111-5, grants received from the state or federal government for the purpose of providing law enforcement, fire protection, or emergency medical services, and expenditures made pursuant to a purchasing agreement with a school district whereby the municipality makes purchases on behalf of the school district; for the year of the statement under s. 79.015 increased over its municipal budget as adjusted under sub. (6); exclusive of principal and interest on long-term debt and exclusive of revenue sharing payments under s. 66.0305, payments of premiums under s. 66.0137 (5) (c) 1. and 1m., expenditures of amounts levied under s. 66.0602 (3) (h), revenues generated from a tax imposed under s. 77.701, payments received under s. 79.038, expenditures of payments due to the termination of a tax incremental district under s. 79.096 (3), recycling fee payments under s. 289.645, expenditures of grant payments under s. 16.297 (1m), unreimbursed expenses related to an emergency declared under s. 323.10, expenditures from moneys received pursuant to P.L. 111-5, grants received from the state or federal government for the purpose of providing law enforcement, fire protection, or emergency medical services, and expenditures made pursuant to a purchasing agreement with a school district whereby the municipality makes purchases on behalf of the school district; for the year before that year by less than the sum of the inflation factor and the valuation factor, rounded to the nearest 0.10 percent.
36,2Section 2. 256.04 (3) of the statutes is created to read:
256.04 (3) Annually, no later than September 15, in consultation with the department of health services and the technical college system board, submit a report to the chief clerk of each house of the legislature for distribution to the legislature under s. 13.172 (2) on state and national changes to the scope of practice of emergency medical responders, emergency medical services practitioners, or any equivalent practitioners in other jurisdictions and how those scope of practice changes may affect training for emergency medical responders and emergency medical services practitioners in this state.
36,3Section 3. Nonstatutory provisions.
(1) Medical Assistance reimbursement rates for nontransport ambulance services. For dates of service beginning with January 1, 2027, the department of health services shall increase reimbursement rates for services provided and reimbursable under the healthcare common procedure coding system code A0998 with a description of “ambulance response and treatment, no transport” from the current maximum allowable reimbursement rate under the Medical Assistance program to a maximum allowable reimbursement rate of $175.
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