Amendment ASA1-AB133

AB133-ASA1,1149,14 145.245 (7) (d) Except as provided in par. (e), if the income of a person who owns a principal residence that is served by a category 1 or , 2 or 3 failing private sewage system is greater than $32,000, the amount of the grant under this section is limited to the amount determined under par. (c) less 30% of the amount by which the person's income exceeds $32,000.

AB133-ASA1, s. 2236r Section 2236r. 145.245 (11m) (am) of the statutes is created to read:

AB133-ASA1,1149,19 145.245 (11m) (am) Except as provided in par. (d), if funds are sufficient to fully fund all category 1 and 2 failing private sewage systems but not all category 3 failing private sewage systems, the department shall fully fund all category 1 and 2 systems and prorate the funds for category 3 systems on a proportional basis.

AB133-ASA1, s. 2237g Section 2237g. 145.245 (11m) (b) of the statutes is amended to read:

AB133-ASA1,1149,25 145.245 (11m) (b) Except as provided in par. (d), if funds are sufficient to fully fund all category 1 but not all category 2 failing private sewage systems, the department shall fully fund all category 1 systems and , prorate the funds for category 2 systems on a proportional basis and deny the grant applications for all category 3 systems.

AB133-ASA1, s. 2237i Section 2237i. 145.245 (11m) (c) of the statutes is amended to read:

AB133-ASA1,1150,5 145.245 (11m) (c) Except as provided in par. (d), if funds are not sufficient to fully fund all category 1 failing private sewage systems, the department shall fund the category 1 systems on a proportional basis and deny the grant applications for all category 2 and 3 systems.

AB133-ASA1, s. 2238 Section 2238. 145.245 (12m) of the statutes is created to read:

AB133-ASA1,1150,15 145.245 (12m) Loans to governmental units. (a) A governmental unit to which the department allocates funds under sub. (11) for a fiscal year may apply to the department for a loan under this subsection if the department prorates funds under sub. (11m) for that fiscal year. A governmental unit may only use a loan under this subsection to increase the amounts of grants to persons eligible under sub. (5) above the amounts that would be provided without a loan under this subsection or to provide grants to persons eligible under sub. (5) who would otherwise not receive grants, because of the operation of sub. (11m) (c), but the total amount provided to a person under this section may not exceed the amount authorized under sub (7).

AB133-ASA1,1150,22 (b) A loan under this subsection bears no interest. A loan under this subsection may not exceed the difference between the amount of the grant that the governmental unit would have received if the department had not prorated grants under sub. (11) and the amount of the grant that the governmental unit did receive. If the amount available for loans under s. 20.320 (3) (q) in a fiscal year is not sufficient to provide loans to all eligible governmental units applying for loans, the department shall allocate the available funds in the same manner as in sub. (11) (c).

AB133-ASA1,1150,25 (c) A loan approved under this subsection shall be for no longer than 20 years, as determined by the department of administration, and be fully amortized not later than 20 years after the original date of the note.

AB133-ASA1,1151,2 (d) As a condition of receiving a loan under this subsection an applicant shall do all of the following:

AB133-ASA1,1151,4 1. Pledge the security, if any, required by the department of administration under this subsection.

AB133-ASA1,1151,6 2. Demonstrate to the satisfaction of the department of administration the financial capacity to assure sufficient revenues to repay the loan.

AB133-ASA1,1151,10 (e) The department of commerce and the department of administration may enter into a financial assistance agreement with a governmental unit that applies for a loan under this subsection and meets the eligibility requirements for a loan, including the requirements under par. (d).

AB133-ASA1,1151,18 (f) The department of administration, in consultation with the department of commerce, may establish those terms and conditions of a financial assistance agreement that relate to its financial management, including what type of municipal obligation is required for the repayment of the financial assistance. In setting the terms and conditions, the department of administration may consider factors that the department of administration finds are relevant, including the type of obligation evidencing the loan, the pledge of security for the obligation and the applicant's creditworthiness.

AB133-ASA1,1151,22 (g) The department of administration shall make and disburse a loan to an applicant that has entered into a financial assistance agreement under par. (e). The department of administration, in consultation with the department of commerce, shall establish procedures for disbursing loans.

AB133-ASA1,1152,6 (h) If a governmental unit fails to make a principal repayment after its due date, the department of administration shall place on file a certified statement of all amounts due under this subsection. After consulting the department of commerce, the department of administration may collect all amounts due by deducting those amounts from any state payments due the governmental unit or may add a special charge to the amount of taxes apportioned to and levied upon the county under s. 70.60. If the department of administration collects amounts due, it shall remit those amounts to the fund to which they are due and notify the department of commerce of that action.

AB133-ASA1, s. 2240r Section 2240r. 146.185 of the statutes is created to read:

AB133-ASA1,1152,8 146.185 Minority health. (1) In this section:

AB133-ASA1,1152,10 (a) "African American" means a person whose ancestors originated in any of the black racial groups of Africa.

AB133-ASA1,1152,14 (b) "American Indian" means a person who is enrolled as a member of a federally recognized American Indian tribe or band or who possesses documentation of at least one-fourth American Indian ancestry or documentation of tribal recognition as an American Indian.

AB133-ASA1,1152,16 (c) "Asian" means a person whose ancestors originated in Asia south and southeast of the Himalayas and west of Wallace's Line in the Malay Archipelago.

AB133-ASA1,1152,18 (d) "Economically disadvantaged" means having an income that is at or below 125% of the poverty line.

AB133-ASA1,1152,21 (e) "Hispanic" means a person of any race whose ancestors originated in Mexico, Puerto Rico, Cuba, Central America or South America or whose culture or origin is Spanish.

AB133-ASA1,1152,22 (f) "Minority group member" means any of the following:

AB133-ASA1,1152,23 1. An African American.

AB133-ASA1,1152,24 2. An American Indian.

AB133-ASA1,1152,25 3. A Hispanic.

AB133-ASA1,1153,1 4. An Asian.

AB133-ASA1,1153,3 (g) "Nonprofit corporation" means a nonstock corporation organized under ch. 181 that is a nonprofit corporation, as defined in s. 181.0103 (17).

AB133-ASA1,1153,5 (h) "Poverty line" means the nonfarm federal poverty line for the continental United States, as defined by the federal department of labor under 42 USC 9902 (2).

AB133-ASA1,1153,6 (i) "State agency" has the meaning given in s. 16.70 (1).

AB133-ASA1,1153,7 (2) The department shall do all of the following:

AB133-ASA1,1153,10 (a) Identify the barriers to health care that prevent economically disadvantaged minority group members in this state from participating fully and equally in all aspects of life.

AB133-ASA1,1153,12 (b) Conduct statewide hearings on issues of concern to the health interests of economically disadvantaged minority group members.

AB133-ASA1,1153,15 (c) Review, monitor and advise all state agencies with respect to the impact on the health of economically disadvantaged minority group members of current and emerging state policies, procedures, practices, statutes and rules.

AB133-ASA1,1153,21 (d) Work closely with all state agencies, including the board of regents of the University of Wisconsin System and the technical college system board, with the University of Wisconsin Hospitals and Clinics Authority, with the private sector and with groups concerned with issues of the health of economically disadvantaged minority group members to develop long-term solutions to health problems of minority group members.

AB133-ASA1,1153,23 (e) Disseminate information on the status of the health of economically disadvantaged minority group members in this state.

AB133-ASA1,1154,3 (f) Encourage economically disadvantaged minority group members who are students to enter career health care professions, by developing materials that are culturally sensitive and appropriate and that promote health care professions as careers, for use by the University of Wisconsin System, the technical college system and the Medical College of Wisconsin in recruiting the students.

AB133-ASA1,1154,8 (g) Submit a biennial report on the activities of the department under this section that includes recommendations on program policies, procedures, practices and services affecting the health status of economically disadvantaged minority group members, to the appropriate standing committees under s. 13.172 (3) and to the governor.

AB133-ASA1,1154,15 (3) From the appropriation under s. 20.435 (5) (fh), the department shall award grants for activities to improve the health status of economically disadvantaged minority group members. A person may apply, in the manner specified by the department, for a grant of up to $50,000 in each fiscal year to conduct these activities. A grant awarded under this subsection may not exceed 50% of the cost of the activities. An applicant's required contribution for a grant may consist of funding or an in-kind contribution.

AB133-ASA1,1154,19 (4) From the appropriation under s. 20.435 (5) (fh), the department shall award a grant of up to $100,000 in each fiscal year to a private nonprofit corporation that applies, in the manner specified by the department, to conduct a public information campaign on minority health.

AB133-ASA1, s. 2241 Section 2241. 146.19 (2) (intro.) of the statutes is amended to read:

AB133-ASA1,1155,3 146.19 (2) Cooperative American Indian health project grants. (intro.) From the appropriation under s. 20.435 (5) (ek) (ke), the department shall award grants for cooperative American Indian health projects in order to promote cooperation among tribes, tribal agencies, inter-tribal organizations and other agencies and organizations in addressing specific problem areas in the field of American Indian health. A tribe, tribal agency or inter-tribal organization may apply, in the manner specified by the department, for a grant of up to $10,000 to conduct a cooperative American Indian health project, which meets all of the following requirements:

AB133-ASA1, s. 2241c Section 2241c. 146.19 (2m) of the statutes is created to read:

AB133-ASA1,1155,13 146.19 (2m) Grants to tribal health centers. Subject to 1999 Wisconsin Act .... (this act), section 9123 (6tu), from the appropriation under s. 20.435 (5) (ke), the department shall award grants for the provision or purchase of health care services for tribal members and their families to tribal health care entities that provide primary health care, health education and social services to tribal members and their families and to tribal employes. The department shall establish by rule criteria for distributing grants to the health care entities. In developing the criteria, the department shall consider each tribe's financial need, resources available to each tribe and other demographic health status indicators.

AB133-ASA1, s. 2251 Section 2251. 146.56 (1) of the statutes is amended to read:

AB133-ASA1,1155,18 146.56 (1) Not later than July 1, 2001 2002, the department shall develop and implement a statewide trauma care system. The department shall seek the advice of the statewide trauma advisory council under s. 15.197 (25) in developing and implementing the system.

AB133-ASA1, s. 2251d Section 2251d. 146.57 (title) of the statutes is amended to read:

AB133-ASA1,1155,20 146.57 (title) Statewide poison control program system.

AB133-ASA1, s. 2251e Section 2251e. 146.57 (1m) of the statutes is created to read:

AB133-ASA1,1155,22 146.57 (1m) Definitions. In this section:

AB133-ASA1,1155,23 (a) "Appropriate health-oriented background" means one of the following:

AB133-ASA1,1156,3 1. Licensure as an emergency medical technician — basic, emergency medical technician — intermediate or emergency medical technician — paramedic under s. 146.50 (5) (a).

AB133-ASA1,1156,4 2. Licensure as a licensed practical nurse under s. 441.10 (3).

AB133-ASA1,1156,10 3. Completion of a training program directed by a physician specializing in toxicology and, as determined by the medical director of a poison control center, background sufficient to understand and interpret standard poison information resources and to transmit that information understandably to both health professionals and the public under the direct supervision of a staff member specified under sub. (3m) (b) or the medical director.

AB133-ASA1,1156,13 (b) "On-line staff member" means a member of the staff of a poison control center who personally responds to telephone inquiries received by the poison control center.

AB133-ASA1,1156,14 (c) "Pharmacist" has the meaning given in s. 450.01 (15).

AB133-ASA1,1156,15 (d) "Physician" has the meaning given in s. 448.01 (5).

AB133-ASA1,1156,17 (e) "Poison control services" means poison prevention education, and rapid and accurate poison interpretation, poison intervention and management information.

AB133-ASA1,1156,18 (f) "Registered nurse" means a nurse who is licensed under s. 441.06.

AB133-ASA1,1156,20 (g) "School of pharmacy" means a school of pharmacy that is accredited by the American Council on Pharmaceutical Education.

AB133-ASA1,1156,22 (h) "Triage" means assign priority order on the basis of where resources can best be used or are most needed.

AB133-ASA1, s. 2251f Section 2251f. 146.57 (3) (a) of the statutes is amended to read:

AB133-ASA1,1157,8 146.57 (3) (a) The department shall implement a statewide poison control program system, which shall provide poison control services that are available statewide, on a 24-hour per day and 365-day per year basis and shall provide poison information and education to health care professionals and the public. From the appropriation under s. 20.435 (5) (ds), the department shall, if the requirement under par. (b) is met, distribute total funding of not more than $375,000 in each fiscal year to supplement the operation of the program system and to provide for the statewide collection and reporting of poison control data. The department may, but need not, distribute all of the funds in each fiscal year to a single poison control center.

AB133-ASA1, s. 2251g Section 2251g. 146.57 (3m) of the statutes is created to read:

AB133-ASA1,1157,13 146.57 (3m) Requirements of poison control centers. (a) A poison control center shall maintain telephone services capable of providing rapid, accurate and complete poison information that is accessible throughout the state and that is free to users through a statewide toll-free hotline.

AB133-ASA1,1157,15 (b) An on-line staff member who interprets poison exposure data and provides poison intervention and management information shall be one of the following:

AB133-ASA1,1157,16 1. A registered nurse.

AB133-ASA1,1157,17 2. A pharmacist.

AB133-ASA1,1157,18 3. A physician.

AB133-ASA1,1157,20 4. A person who is certified by or eligible for certification by the American Association of Poison Control Centers as a specialist in poison information.

AB133-ASA1,1157,21 5. A school of pharmacy graduate who is in residency training.

AB133-ASA1,1157,23 6. A school of pharmacy enrollee who has completed the 2nd professional practice year.

AB133-ASA1,1158,3 7. A person who was employed as an on-line staff member on May 1, 1994, who has worked in that capacity at the poison control center for at least 3 years and who annually receives at least 16 documented hours of continuing education in interpreting poison exposure data and providing poison intervention and management information.

AB133-ASA1,1158,7 (c) An on-line staff member who is designated as a poison information provider may, if he or she annually receives at least 16 documented hours of job-relevant continuing education and has an appropriate health-oriented background, provide poison information to manage nontoxic exposures and routine follow-up.

AB133-ASA1,1158,11 (d) An on-line staff member who is designated as a poison information provider shall triage incoming telephone calls concerning toxic exposures and, for health care professionals, concerning drug interaction interpretations, and refer such calls to an on-duty staff member under par. (b).

AB133-ASA1, s. 2254 Section 2254. 146.93 (1) (a) of the statutes is amended to read:

AB133-ASA1,1158,16 146.93 (1) (a) From the appropriation under s. 20.435 (1) (4) (gp), the department shall maintain a program for the provision of primary health care services based on the primary health care program in existence on June 30, 1987. The department may promulgate rules necessary to implement the program.

AB133-ASA1, s. 2255 Section 2255. 146.99 of the statutes is amended to read:

AB133-ASA1,1158,25 146.99 Assessments. The department shall, within 90 days after the commencement of each fiscal year, estimate the total amount of expenditures and the department shall assess the estimated total amount under s. 20.435 (1) (4) (gp) to hospitals, as defined in s. 50.33 (2), in proportion to each hospital's respective gross private-pay patient revenues during the hospital's most recently concluded entire fiscal year. Each hospital shall pay its assessment on or before December 1 for the fiscal year. All payments of assessments shall be deposited in the appropriation under s. 20.435 (1) (4) (gp).

AB133-ASA1, s. 2255m Section 2255m. 149.10 (3e) of the statutes is created to read:

AB133-ASA1,1159,2 149.10 (3e) "Fund" means the health insurance risk-sharing plan fund.

AB133-ASA1, s. 2256 Section 2256. 149.12 (2) (d) of the statutes is renumbered 149.12 (2) (d) 1. and amended to read:

AB133-ASA1,1159,7 149.12 (2) (d) 1. Except for a person who is an eligible individual as provided in subd. 2., no person who is 65 years of age or older is eligible for coverage under the plan.

AB133-ASA1, s. 2257 Section 2257. 149.12 (2) (d) 2. of the statutes is created to read:

AB133-ASA1,1159,9 149.12 (2) (d) 2. Subdivision 1. does not apply to any of the following:

AB133-ASA1,1159,10 a. A person who is an eligible individual.