AB133-SSA1-SA1,172,15 15" Section 1466m. 49.665 (1) (bq) of the statutes is created to read:
AB133-SSA1-SA1,172,1716 49.665 (1) (bq) "Eligible individual" means an individual who is eligible under
17sub. (4) (ag) for health care coverage under this section.
AB133-SSA1-SA1, s. 1466q 18Section 1466q. 49.665 (1) (c) of the statutes is renumbered 49.665 (1) (c)
19(intro.) and amended to read:
AB133-SSA1-SA1,172,2120 49.665 (1) (c) (intro.) "Employer-subsidized health care coverage" means one
21of the following:
AB133-SSA1-SA1,173,2 221. With respect to a family eligible under sub. (4) (a), family coverage under a
23group health insurance plan offered by an employer for which the employer pays at

1least 80% of the cost, excluding any deductibles or copayments that may be required
2under the plan.
AB133-SSA1-SA1, s. 1466t 3Section 1466t. 49.665 (1) (c) 2. of the statutes is created to read:
AB133-SSA1-SA1,173,84 49.665 (1) (c) 2. With respect to an eligible individual, coverage under a group
5health insurance plan offered by the eligible individual's employer, or by the
6employer of a family member of the eligible individual, for which the eligible
7individual qualifies and for which the employer pays at least 80% of the cost,
8excluding any deductibles or copayments that may be required under the plan.".
AB133-SSA1-SA1,173,9 9680. Page 733, line 11: after "(4)" insert "and to eligible individuals".
AB133-SSA1-SA1,173,11 10681. Page 733, line 17: after "household" insert "or individual coverage
11offered by the employer of an eligible individual,
".
AB133-SSA1-SA1,173,12 12682. Page 734, line 9: after that line insert:
AB133-SSA1-SA1,173,13 13" Section 1470m. 49.665 (4) (ag) of the statutes is created to read:
AB133-SSA1-SA1,173,1614 49.665 (4) (ag) Beginning on July 1, 2001, an individual is eligible for health
15care coverage under this section if the individual meets all of the following
16requirements:
AB133-SSA1-SA1,173,1817 1. The individual is employed by a child care provider as a child care worker
18for at least 30 hours per week.
AB133-SSA1-SA1,173,2219 2. The individual's income does not exceed 185% of the poverty line, except that
20an individual who is already receiving health care coverage under this section may
21have an income that does not exceed 200% of the poverty line. The department shall
22establish by rule the criteria to be used to determine income.
AB133-SSA1-SA1,174,323 3. The individual does not have access to employer-subsidized health care
24coverage and has not had access to employer-subsidized health care coverage within

1the time period established by the department by rule, but not to exceed 18 months,
2immediately preceding application for health care coverage under this section. The
3department may establish exceptions to this subdivision by rule.
AB133-SSA1-SA1,174,64 4. The individual meets all other requirements established by the department
5by rule. The department may not require that an individual under this paragraph
6be a parent as a condition of eligibility.".
AB133-SSA1-SA1,174,7 7683. Page 736, line 5: delete "or" and substitute " a".
AB133-SSA1-SA1,174,8 8684. Page 736, line 6: after "parent," insert "or an eligible individual".
AB133-SSA1-SA1,174,9 9685. Page 736, line 9: delete "or" and substitute " a".
AB133-SSA1-SA1,174,12 10686. Page 736, line 10: delete that line and substitute "parent or an eligible
11individual
to contribute more than 3% of the family's, child's or eligible individual's
12income toward the cost".
AB133-SSA1-SA1,174,13 13687. Page 736, line 19: delete "or" and substitute " a".
AB133-SSA1-SA1,174,16 14688. Page 736, line 20: delete that line and substitute "parent or an eligible
15individual
to contribute more than 3% of the family's, child's or eligible individual's
16income unless the joint".
AB133-SSA1-SA1,174,17 17689. Page 736, line 22: delete "family" and substitute "family,".
AB133-SSA1-SA1,174,20 18690. Page 736, line 23: delete that line and substitute "child or an eligible
19individual
to contribute more than 3.5% of the family's, child's or eligible individual's
20income toward the cost".
AB133-SSA1-SA1,174,21 21691. Page 737, line 1: delete "or" and substitute " a".
AB133-SSA1-SA1,174,22 22692. Page 737, line 2: after "parent," insert "or an eligible individual".
AB133-SSA1-SA1,174,23 23693. Page 737, line 3: after that line insert:
AB133-SSA1-SA1,175,1
1" Section 1476b. 49.665 (5) (c) of the statutes is amended to read:
AB133-SSA1-SA1,175,42 49.665 (5) (c) The department may establish by rule requirements for wage
3withholding as a means of collecting the family's or eligible individual's share of the
4cost of the health care coverage under this section.".
AB133-SSA1-SA1,175,5 5694. Page 739, line 8: after that line insert:
AB133-SSA1-SA1,175,6 6" Section 1483m. 49.74 of the statutes is amended to read:
AB133-SSA1-SA1,175,9 749.74 (title) Institutions subject to chapter chapters 150 and 196. Any
8institution created under the authority of s. 49.70, 49.71, 49.72 or 49.73 is subject to
9ch. 150 and subch. II of ch. 196.".
AB133-SSA1-SA1,175,10 10695. Page 739, line 8: after that line insert:
AB133-SSA1-SA1,175,11 11" Section 1483k. 49.775 (2) (a) of the statutes is amended to read:
AB133-SSA1-SA1,175,1412 49.775 (2) (a) The custodial parent is a recipient of eligible for supplemental
13security income under 42 USC 1381 to 1383c or of for state supplemental payments
14under s. 49.77, or both.
AB133-SSA1-SA1, s. 1483L 15Section 1483L. 49.775 (2) (b) of the statutes is amended to read:
AB133-SSA1-SA1,175,1816 49.775 (2) (b) If the dependent child has 2 custodial parents, each custodial
17parent receives is eligible for supplemental security income under 42 USC 1381 to
181383c or for state supplemental payments under s. 49.77, or both.".
AB133-SSA1-SA1,175,19 19696. Page 739, line 9: delete lines 9 to 12 and substitute:
AB133-SSA1-SA1,175,20 20" Section 1483t. 49.775 (1) (a) of the statutes is amended to read:
AB133-SSA1-SA1,176,321 49.775 (1) (a) "Custodial parent" has the meaning given in s. 49.141 (1) (b)
22means, with respect to a dependent child, a parent who is a recipient of supplemental
23security income under 42 USC 1381 to 1383d or of state supplemental payments
24under s. 49.77, or both, and who resides with a dependent child and, if there has been

1a determination of legal custody with respect to the dependent child, has legal
2custody of that child. For the purposes of this paragraph, "legal custody" has the
3meaning given in s. 767.001 (2) (a)
.
AB133-SSA1-SA1, s. 1483u 4Section 1483u. 49.775 (1) (b) of the statutes is amended to read:
AB133-SSA1-SA1,176,95 49.775 (1) (b) "Dependent child" has the meaning given in s. 49.141 (1) (c)
6means a person who is the son or daughter of a custodial parent, who resides with
7that parent and who is under the age of 18 or, if the person is a full-time student at
8a secondary school or a vocational or technical equivalent and is reasonably expected
9to complete the program before attaining the age of 19, is under the age of 19
.
AB133-SSA1-SA1, s. 1483v 10Section 1483v. 49.775 (1) (c) of the statutes is created to read:
AB133-SSA1-SA1,176,1511 49.775 (1) (c) "Grandchild" means a person who is the son or daughter of a
12custodial parent's dependent child who resides with the dependent child and, if there
13has been a determination of legal custody with respect to that person, of whom the
14dependent child has legal custody. For the purposes of this paragraph, "legal
15custody" has the meaning given in s. 767.001 (2) (a).
AB133-SSA1-SA1, s. 1483w 16Section 1483w. 49.775 (1) (d) of the statutes is created to read:
AB133-SSA1-SA1,176,1717 49.775 (1) (d) "Parent" has the meaning given in s. 49.141 (1) (j).
AB133-SSA1-SA1, s. 1483x 18Section 1483x. 49.775 (2) (intro.) of the statutes is amended to read:
AB133-SSA1-SA1,176,2319 49.775 (2) Supplemental payments. (intro.) Subject to sub. (3), from the
20appropriation under s. 20.435 (7) (ky),
the department shall make a monthly
21payment in the amount specified in sub. (4) to a custodial parent for the support of
22each dependent child of the custodial parent, and for the support of each grandchild,
23if all of the following conditions are met:
AB133-SSA1-SA1, s. 1483y 24Section 1483y. 49.775 (2) (a) of the statutes is repealed.
AB133-SSA1-SA1, s. 1483z 25Section 1483z. 49.775 (2) (c) of the statutes is amended to read:
AB133-SSA1-SA1,177,4
149.775 (2) (c) The dependent child and grandchild, if any, of the custodian
2custodial parent meets meet the eligibility criteria under the aid to families with
3dependent children program under s. 49.19 (1) to (19) or would meet the eligibility
4criteria under s. 49.19 but for the application of s. 49.19 (20).
AB133-SSA1-SA1, s. 1483zb 5Section 1483zb. 49.775 (2) (d) of the statutes is amended to read:
AB133-SSA1-SA1,177,76 49.775 (2) (d) The dependent child or the grandchild does not receive
7supplemental security income under 42 USC 1381 to 1383d.
AB133-SSA1-SA1, s. 1484b 8Section 1484b. 49.775 (4) of the statutes is renumbered 49.775 (4) (a) and
9amended to read:
AB133-SSA1-SA1,177,1210 49.775 (4) Payment amount. (a) The payment under sub. (2) is $100 $250 per
11month per for one dependent child and $150 per month for each additional dependent
12child and, except as provided in par. (b), $150 per month for each grandchild
.
AB133-SSA1-SA1, s. 1484c 13Section 1484c. 49.775 (4) (b) of the statutes is created to read:
AB133-SSA1-SA1,177,1614 49.775 (4) (b) If the custodial parent receives a payment under s. 48.57 (3m)
15for the care and maintenance of a child, no payment may be made under this section
16with respect to that child.".
AB133-SSA1-SA1,177,17 17697. Page 739, line 23: after that line insert:
AB133-SSA1-SA1,177,18 18" Section 1488m. 49.857 (1) (d) 12. of the statutes is amended to read:
AB133-SSA1-SA1,177,2119 49.857 (1) (d) 12. A license or certificate of registration issued under s. 138.09,
20138.12, 217.06, 218.01, 218.02, 218.04, 218.05 or, 224.72, 224.93 or subch. III of ch.
21551.".
AB133-SSA1-SA1,177,22 22698. Page 742, line 12: after that line insert:
AB133-SSA1-SA1,178,2 23"(d) For performance of a financial screen, the person, if seeking admission or
24about to be admitted on a private pay basis, waives the requirement under s. 46.283

1(4) (g), unless the person will be eligible for medical assistance within 6 months after
2performance of the financial screen.".
AB133-SSA1-SA1,178,3 3699. Page 743, line 11: after that line insert:
AB133-SSA1-SA1,178,7 4"(d) For performance of a financial screen, the person, if seeking admission or
5about to be admitted on a private pay basis, waives the requirement under s. 46.283
6(4) (g), unless the person will be eligible for medical assistance within 6 months after
7performance of the financial screen.".
AB133-SSA1-SA1,178,8 8700. Page 745, line 25: after that line insert:
AB133-SSA1-SA1,178,12 9"(d) For performance of a financial screen, the person, if seeking admission or
10about to be admitted on a private pay basis, waives the requirement under s. 46.283
11(4) (g), unless the person will be eligible for medical assistance within 6 months after
12performance of the financial screen.".
AB133-SSA1-SA1,178,13 13701. Page 748, line 18: after that line insert:
AB133-SSA1-SA1,178,17 14"4. For performance of a financial screen, the person, if seeking admission or
15about to be admitted on a private pay basis, waives the requirement under s. 46.283
16(4) (g), unless the person will be eligible for medical assistance within 6 months after
17performance of the financial screen.".
AB133-SSA1-SA1,178,22 18702. Page 749, line 17: after "(1)" insert ". For performance of a financial
19screen, the individual who consents, if seeking admission for the individual or if the
20individual is about to be admitted on a private pay basis, may waive the requirement
21under s. 46.283 (4) (g), unless the person will be eligible for medical assistance within
226 months after performance of the financial screen
".
AB133-SSA1-SA1,178,23 23703. Page 750, line 3: after that line insert:
AB133-SSA1-SA1,178,24 24" Section 1524m. 50.36 (1) of the statutes is amended to read:
AB133-SSA1-SA1,179,12
150.36 (1) The department shall promulgate, adopt, amend and enforce such
2rules and standards for hospitals for the construction, maintenance and operation
3of the hospitals deemed necessary to provide safe and adequate care and treatment
4of the patients in the hospitals and to protect the health and safety of the patients
5and employes; and nothing contained herein shall pertain to a person licensed to
6practice medicine and surgery or dentistry. The building codes and construction
7standards of the department of commerce shall apply to all hospitals and the
8department may adopt additional construction codes and standards for hospitals,
9provided they are not lower than the requirements of the department of commerce.
10Except for the construction codes and standards of the department of commerce and
11except as provided in s. 50.39 (3) and subch. II of ch. 196, the department shall be the
12sole agency to adopt and enforce rules and standards pertaining to hospitals.".
AB133-SSA1-SA1,179,13 13704. Page 752, line 10: after that line insert:
AB133-SSA1-SA1,179,14 14" Section 1531p. 50.94 of the statutes is created to read:
AB133-SSA1-SA1,179,15 1550.94 Certain admissions to facilities. (1) In this section:
AB133-SSA1-SA1,179,1716 (a) "Close friend" means a person who is at least 18 years of age and who has
17exhibited special care and concern for the incapacitated individual.
AB133-SSA1-SA1,179,2018 (b) "Incapacitated" means unable to receive and evaluate information
19effectively or to communicate decisions to such an extent that the individual lacks
20the capacity to manage his or her health care decisions.
AB133-SSA1-SA1,180,3 21(2) A person under sub. (3) may, except as provided in sub. (5), make decisions
22related to care in a hospice on behalf of an incapacitated individual who does not have
23a valid living will or a valid power of attorney for health care and who has not been
24adjudicated incompetent under ch. 880, if, to the best knowledge of the physician who

1oversees the care, no person who is listed under sub. (3) in the same order of priority
2as, or higher in priority than, the person who is making the decisions disagrees with
3the proposed decisions.
AB133-SSA1-SA1,180,5 4(3) The following persons, in the following order of priority, may serve as a
5substitute decision maker under sub. (2):
AB133-SSA1-SA1,180,66 (a) The spouse of the incapacitated individual.
AB133-SSA1-SA1,180,77 (b) An adult child of the incapacitated individual.
AB133-SSA1-SA1,180,88 (c) A parent of the incapacitated individual.
AB133-SSA1-SA1,180,99 (d) An adult sibling of the incapacitated individual.
AB133-SSA1-SA1,180,1010 (e) A close friend of the incapacitated individual.
AB133-SSA1-SA1,180,20 11(4) A determination that an individual is incapacitated for purposes of sub. (2)
12shall be made by 2 physicians, as defined in s. 448.01 (5), or by one physician and one
13licensed psychologist, as defined in s. 455.01 (4), who personally examine the
14individual and sign a statement specifying that the individual is incapacitated. Mere
15old age, eccentricity or physical disability, either singly or together, are insufficient
16to make a finding that an individual is incapacitated. Neither of the individuals who
17make a finding that an individual is incapacitated may be a relative, as defined in
18s. 242.01 (11), of the individual or have knowledge that he or she is entitled to or has
19a claim on any portion of the individual's estate. A copy of the statement shall be
20included in the individual's records in the facility to which he or she is admitted.
AB133-SSA1-SA1,180,25 21(5) A person who serves as a substitute decision maker under sub. (2) may not
22authorize expenditures related to care in a hospice for the incapacitated individual
23if the incapacitated individual has an agent under a durable power of attorney, as
24defined in s. 243.07 (1) (a), who may authorize expenditures related to care in a
25hospice.".
AB133-SSA1-SA1,181,1
1705. Page 759, line 13: after that line insert:
AB133-SSA1-SA1,181,2 2" Section 1572g. 51.437 (4rm) (c) 2. b. of the statutes is amended to read:
AB133-SSA1-SA1,181,223 51.437 (4rm) (c) 2. b. Bill the county department of developmental disabilities
4services for services provided on or after December 31, 1997, at $48 per day, if an
5independent professional review established under 42 USC 1396a (a) (31) designates
6the person served as appropriate for community care, including persons who have
7been admitted for more than 180 consecutive days and for whom the cost of care in
8the community would be less than $184 $200 per day. The department of health and
9family services shall use money it receives from the county department of
10developmental disabilities services to offset the state's share of medical assistance.
11Payment is due from the county department of developmental disabilities services
12within 60 days of the billing date, subject to provisions of the contract. If the
13department of health and family services does not receive any payment within 60
14days, it shall deduct all or part of the amount due from any payment the department
15of health and family services is required to make to the county department of
16developmental disabilities services. The department of health and family services
17shall first use collections received under s. 46.10 as a result of care at a center for the
18developmentally disabled to reduce the costs paid by medical assistance, and shall
19remit the remainder to the county department of developmental disabilities services
20up to the portion billed. The department of health and family services shall use the
21appropriation under s. 20.435 (2) (gk) to remit collection credits and other
22appropriate refunds to county departments of developmental disabilities services.".
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