AB100-ASA1,1439,2
23250.10 Grant for dental services. From the appropriation under s. 20.435
24(1) (5) (de), the department shall provide funding in each fiscal year to the Marquette
25University School of Dentistry for the provision of dental services by the Marquette
1University School of Dentistry in correctional centers in Milwaukee County and
2clinics in the city of Milwaukee.
AB100-ASA1,1439,104
252.08
(3) Inpatient care
for quarantined pulmonary tuberculosis patients,
5and inpatient care exceeding 30 days for
other pulmonary tuberculosis patients
, who
6are not eligible for federal medicare benefits, for medical assistance under subch. V
7of ch. 49 or for health care services funded by a relief block grant under subch. II of
8ch. 49 may be reimbursed if provided by a facility contracted by the department. If
9the patient has private health insurance, the state shall pay the difference between
10health insurance payments and total charges.
AB100-ASA1,1439,1412
252.10
(6) (g) The reimbursement by the state under pars. (a) to (f) shall apply
13only to funds that the department allocates for the reimbursement under the
14appropriation under s. 20.435
(1) (5) (e).
AB100-ASA1,1439,2416
252.10
(7) Drugs necessary for the treatment of mycobacterium tuberculosis
17shall be purchased by the department from the appropriation under s. 20.435
(1) (5) 18(e) and dispensed to patients through the public health dispensaries or through
19health care providers, as defined in s. 146.81 (1), other than social workers, marriage
20and family therapists or professional counselors certified under ch. 457,
21speech-language pathologists or audiologists licensed under subch. II of ch. 459,
22speech and language pathologists licensed by the department of
education public
23instruction or, on or after July 1, 1995, and no later than June 30, 1999, dietitians
24certified under subch. IV of ch. 448.
AB100-ASA1, s. 2438
25Section
2438. 252.12 (2) (a) (intro.) of the statutes is amended to read:
AB100-ASA1,1440,4
1252.12
(2) (a)
Acquired immunodeficiency syndrome services. (intro.) From the
2appropriations under s. 20.435 (1) (a) and
(5) (am), the department shall distribute
3funds for the provision of services to individuals with or at risk of contracting
4acquired immunodeficiency syndrome, as follows:
AB100-ASA1,1440,156
252.12
(2) (a) 8. `Life care and early intervention services.' The department
7shall award not more than
$1,647,700 $1,894,900 in each year in grants to applying
8organizations for the provision of needs assessments; assistance in procuring
9financial, medical, legal, social and pastoral services; counseling and therapy;
10homecare services and supplies; advocacy; and case management services. These
11services shall include early intervention services. The department shall also award
12not more than $74,000 in each year from the appropriation under s. 20.435 (7) (md)
13for the services under this subdivision. The state share of payment for case
14management services that are provided under s. 49.45 (25) (be) to recipients of
15medical assistance shall be paid from the appropriation under s. 20.435
(1) (5) (am).
AB100-ASA1, s. 2441
17Section
2441. 252.12 (2) (c) (intro.) of the statutes is amended to read:
AB100-ASA1,1440,2218
252.12
(2) (c)
HIV prevention grants. (intro.) From the appropriation under
19s. 20.435
(7) (3) (md), the department shall award to applying nonprofit corporations
20or public agencies up to $75,000 in each fiscal year, on a competitive basis, as grants
21for services to prevent HIV. Criteria for award of the grants shall include all of the
22following:
AB100-ASA1,1441,3
1252.14
(1) (ar) 8. A speech-language pathologist or audiologist licensed under
2subch. II of ch. 459 or a speech and language pathologist licensed by the department
3of
education public instruction.
AB100-ASA1,1441,6
5252.16 (title)
Continuation coverage Health insurance premium
6subsidies.
AB100-ASA1,1441,99
252.16
(1) (ar) "Dependent" has the meaning given in s. 635.02 (3c).
AB100-ASA1,1441,1611
252.16
(1) (b) "Group health plan" means an insurance policy or a partially or
12wholly uninsured plan or program, that provides hospital, medical or other health
13coverage to members of a group
, whether or not dependents of the members are also
14covered. The term includes a medicare supplement policy, as defined in s. 600.03
15(28r), but does not include a medicare replacement policy, as defined in s. 600.03
16(28p), or a long-term care insurance policy, as defined in s. 600.03 (28g).
AB100-ASA1,1441,2418
252.16
(1) (c) "Individual health policy" means an insurance policy or a
19partially or wholly uninsured plan or program, that provides hospital, medical or
20other health coverage to an individual on an individual basis and not as a member
21of a group, whether or not dependents of the individual are also covered. The term
22includes a medicare supplement policy, as defined in s. 600.03 (28r), but does not
23include a medicare replacement policy, as defined in s. 600.03 (28p), or a long-term
24care insurance policy, as defined in s. 600.03 (28g).
AB100-ASA1,1442,1
1252.16
(1) (d) "Medicare" has the meaning given in s. 49.498 (1) (f).
AB100-ASA1,1442,93
252.16
(2) Subsidy program. From the appropriation under s. 20.435
(1) (5) 4(am), the department shall distribute funding in each fiscal year to subsidize the
5premium costs under s. 252.17 (2) and, under this subsection, the premium costs for
6continuation health insurance coverage available to an individual who has HIV
7infection and who is unable to continue his or her employment or must reduce his or
8her hours because of an illness or medical condition arising from or related to HIV
9infection.
AB100-ASA1,1442,1311
252.16
(3) (b) Has a family income, as defined by rule under sub. (6), that does
12not exceed
200% 300% of the federal poverty line, as defined under
42 USC 9902 (2),
13for a family the size of the individual's family.
AB100-ASA1,1442,1716
252.16
(3) (dm) Has, or is eligible for, health insurance coverage under a group
17health plan or an individual health policy.
AB100-ASA1,1442,2419
252.16
(3) (e) 1. Contact the individual's
employer or former employer or
the
20administrator of the group health plan under which the individual is covered, health
21insurer to verify the individual's eligibility for
continuation coverage
under the group
22health plan or individual health policy and the premium and any other conditions
23of coverage, to make premium payments as provided in sub. (4) and for other
24purposes related to the administration of this section.
AB100-ASA1,1443,4
1252.16
(3) (e) 1m. Contact the individual's employer or former employer to
2verify that the individual's employment has been terminated or that his or her hours
3have been reduced and for other purposes related to the administration of this
4section.
AB100-ASA1,1443,86
252.16
(3) (e) 2. Make any necessary disclosure to the individual's
employer or 7former employer or
the administrator of the group health plan under which the
8individual is covered health insurer regarding the individual's HIV status.
AB100-ASA1,1444,513
252.16
(4) (a) Except as provided in pars. (b) and
(c) (d), if an individual satisfies
14sub. (3), the department shall pay the full amount of each premium payment for
15continuation coverage that is due from the individual under s. 632.897 (2) (d), 29 USC
161162 (3) or 42 USC 300bb-2 (3), whichever is applicable the individual's health
17insurance coverage under the group health plan or individual health policy under
18sub. (3) (dm), on or after the date on which the individual becomes eligible for a
19subsidy under sub. (3).
The Except as provided in pars. (b) and (d), the department
20may not refuse to shall pay the full amount of each premium payment
because the
21continuation coverage that is available to the individual who satisfies sub. (3) 22regardless of whether the individual's health insurance coverage under sub. (3) (dm) 23includes coverage of the individual's
spouse and dependents. Except as provided in
24par. (b), the department shall terminate the payments under this section when the
25individual's
continuation health insurance coverage ceases
, or when the individual
1no longer satisfies sub. (3)
or upon the expiration of 29 months after the continuation
2coverage began, whichever occurs first. The department may not make payments
3under this section for premiums for
a conversion policy or plan that is available to
4an individual under s. 632.897 (4) or (6), 29 USC 1162 (5) or 42 USC 300bb-2 (5) 5medicare.
AB100-ASA1,1444,97
252.16
(4) (b) The obligation of the department to make payments under this
8section is subject to the availability of funds in the appropriation under s. 20.435
(1) 9(5) (am).
AB100-ASA1,1444,2112
252.16
(4) (d) For an individual who satisfies sub. (3) and who has a family
13income, as defined by rule under sub. (6) (a), that exceeds 200% but does not exceed
14300% of the federal poverty line, as defined under
42 USC 9902 (2), for a family the
15size of the individual's family, the department shall pay a portion of the amount of
16each premium payment for the individual's health insurance coverage. The portion
17that the department pays shall be determined according to a schedule established
18by the department by rule under sub. (6) (c). The department shall pay the portion
19of the premium determined according to the schedule regardless of whether the
20individual's health insurance coverage under sub. (3) (dm) includes coverage of the
21individual's dependents.
AB100-ASA1,1445,1123
252.16
(5) Application process. The department may establish, by rule, a
24procedure under which an individual who does not satisfy sub. (3) (b), (c) 2. or
(d) (dm) 25may submit to the department an application for a premium subsidy under this
1section that the department shall hold until the individual satisfies each
2requirement of sub. (3), if the department determines that the procedure will assist
3the department to make premium payments in a timely manner once the individual
4satisfies each requirement of sub. (3). If an application is submitted by an employed
5individual under a procedure established by rule under this subsection, the
6department may not contact the individual's employer or
the administrator of the
7group health plan under which the individual is covered, health insurer unless the
8individual authorizes the department, in writing, to make that contact and to make
9any necessary disclosure to the individual's employer or
the administrator of the
10group health plan under which the individual is covered health insurer regarding the
11individual's HIV status.
AB100-ASA1,1445,1513
252.16
(6) (b) Establish a procedure for making payments under this section
14that ensures that the payments are actually used to pay premiums for
continuation 15health insurance coverage available to individuals who satisfy sub. (3).
AB100-ASA1,1445,2217
252.16
(6) (c) Establish a premium contribution schedule for individuals who
18have a family income, as defined by rule under par. (a), that exceeds 200% but does
19not exceed 300% of the federal poverty line, as defined under
42 USC 9902 (2), for
20a family the size of the individual's family. In establishing the schedule under this
21paragraph, the department shall take into consideration both income level and
22family size.
AB100-ASA1,1446,424
252.17
(2) Subsidy program. The department shall establish and administer
25a program to subsidize, from the appropriation under s. 20.435
(1) (5) (am), as
1provided in s. 252.16 (2), the premium costs for coverage under a group health plan
2that are paid by an individual who has HIV infection and who is on unpaid medical
3leave from his or her employment because of an illness or medical condition arising
4from or related to HIV infection.
AB100-ASA1,1446,86
252.17
(4) (b) The obligation of the department to make payments under this
7section is subject to the availability of funds in the appropriation under s. 20.435
(1) 8(5) (am).
AB100-ASA1, s. 2468
9Section
2468. 253.06 of the statutes is renumbered 253.06 (2) and amended
10to read:
AB100-ASA1,1446,2011
253.06
(2) From the appropriation under s. 20.435
(1) (5) (em), the department
12shall supplement the provision of supplemental foods, nutrition education and other
13services, including nutritional counseling, to low-income women, infants and
14children who meet the eligibility criteria under the federal special supplemental food
15program for women, infants and children authorized under
42 USC 1786. To the
16extent that funds are available under this section and to the extent that funds are
17available under
42 USC 1786, the department shall provide the supplemental food,
18nutrition education and other services authorized under this section and shall
19administer that provision in every county. The department may enter into contracts
20for this purpose.
AB100-ASA1,1446,2222
253.06
(1) Definitions. In this section:
AB100-ASA1,1446,2523
(a) "Authorized food" means food identified by the department in accordance
24with
7 CFR 246.10 as acceptable for use under the federal special supplemental food
25program for women, infants and children under
42 USC 1786.
AB100-ASA1,1447,3
1(b) "Authorized vendor" means a vendor that has been authorized by the
2department to accept drafts from participants and have the drafts redeemed by the
3department.
AB100-ASA1,1447,54
(c) "Draft" means the negotiable instrument distributed by the department for
5use by a participant to purchase authorized food.
AB100-ASA1,1447,86
(cm) "Food distribution center" means an entity, other than a vendor, that is
7under contract with the department under sub. (3m) to distribute authorized food to
8participants.
AB100-ASA1,1447,109
(d) "Participant" means a person who is eligible for services under this section
10and who receives services under this section.
AB100-ASA1,1447,1311
(dm) "Proxy" means a person who has been designated in writing by a
12participant or by the department to obtain and exchange drafts for authorized food
13on behalf of the participant.
AB100-ASA1,1447,1414
(e) "Vendor" means a grocery store or pharmacy that sells authorized food.
AB100-ASA1,1447,1615
(f) "Vendor stamp" means a rubber stamp provided to a vendor or food
16distribution center by the department for the purpose of validating drafts.
AB100-ASA1,1447,1818
253.06
(2) (title)
Use of funds.
AB100-ASA1,1447,2120
253.06
(3) Authorization of vendors. (a) The department may authorize a
21vendor to accept drafts only if the vendor meets all of the following conditions:
AB100-ASA1,1447,2222
1. The vendor submits to the department a completed application.
AB100-ASA1,1447,2423
2. The vendor meets the minimum requirements for authorization, as
24established by the department by rule under sub. (5) (a) 1.
AB100-ASA1,1448,6
13. The vendor does not have any outstanding fines, forfeitures, recoupment
2assessments or enforcement assessments that were levied against that vendor for a
3violation of this section or for a violation of rules promulgated under this section.
4This subdivision does not apply if the vendor has contested the fine, forfeiture,
5recoupment assessment or enforcement assessment and has not exhausted
6administrative or judicial review.
AB100-ASA1,1448,107
4. The vendor is fit and qualified, as determined by the department. In
8determining whether a vendor is fit and qualified, the department shall consider any
9relevant conviction of the vendor or any of the vendor's employes for civil or criminal
10violations substantially related to the operation of a grocery store or pharmacy.
AB100-ASA1,1448,1411
(bg) The department may limit the number of vendors that it authorizes under
12this subsection if the department determines that the number of vendors already
13authorized under this subsection is sufficient to permit participants to obtain
14authorized food conveniently.
AB100-ASA1,1448,1815
(bm) The department shall approve or deny initial authorization within 90
16days after the receipt of a completed application. If the application is denied, the
17department shall give the applicant reasons, in writing, for the denial and shall
18inform the applicant of the right to appeal that decision under sub. (6).
AB100-ASA1,1448,2019
(c) The department may not redeem drafts submitted by a person who is not
20an authorized vendor except as provided in sub. (3m).
AB100-ASA1,1448,2422
253.06
(3m) Food distribution centers. (a) The department may contract for
23an alternative system of authorized food distribution with an entity other than a
24vendor only if the entity meets all of the following requirements:
AB100-ASA1,1449,2
11. The entity meets the minimum requirements established by the department
2by rule under sub. (5) (a) 1.
AB100-ASA1,1449,83
2. The entity does not have any outstanding fines, forfeitures, recoupment
4assessments or enforcement assessments that were levied against that entity for a
5violation of this section or for a violation of rules promulgated under this section.
6This subdivision does not apply if the entity has contested the fine, forfeiture,
7recoupment assessment or enforcement assessment and has not exhausted
8administrative or judicial review.
AB100-ASA1,1449,99
3. The entity is fit and qualified, as determined by the department.
AB100-ASA1,1449,1110
(b) The department shall redeem valid drafts submitted by a food distribution
11center.
