SB55-SSA1, s. 1725ag 24Section 1725ag. 49.197 (4) of the statutes is amended to read:
SB55-SSA1,612,7
149.197 (4) County and tribal error reduction. The department shall provide
2funds from the appropriations under s. 20.445 (3) (dz), and (L) and (Lm) and federal
3matching funds from the appropriations under s. 20.445 (3) (md), (n) and (nL) to
4counties and governing bodies of federally recognized American Indian tribes
5administering medical assistance under subch. IV, aid to families with dependent
6children under s. 49.19 or the food stamp program under 7 USC 2011 to 2029 to offset
7administrative costs of reducing payment errors in those programs.
SB55-SSA1, s. 1725am 8Section 1725am. 49.197 (4) of the statutes, as affected by 2001 Wisconsin Act
9.... (this act), is amended to read:
SB55-SSA1,612,1910 49.197 (4) County and tribal error reduction. The department shall provide
11funds from the appropriations under s. 20.445 (3) (dz), (kx), and (L) and federal
12matching funds from the appropriations under s. 20.445 (3) (n) and (nL) to counties
13and governing bodies of federally recognized American Indian tribes administering
14medical assistance under subch. IV, aid to families with dependent children under
15s. 49.19 or the food stamp program under 7 USC 2011 to 2029
or, if the department
16of health and family services contracts with the department under sub. (5), the
17medical assistance program under subch. IV and the food stamp program under 7
18USC 2011
to 2036
to offset administrative costs of reducing payment errors in those
19programs.
SB55-SSA1, s. 1725b 20Section 1725b. 49.197 (5) of the statutes is created to read:
SB55-SSA1,612,2521 49.197 (5) Contracts for medical assistance and food stamps. The
22department of health and family services may contract with the department to
23investigate suspected fraudulent activity on the part of recipients of medical
24assistance under subch. IV or recipients of food stamp benefits under the food stamp
25program under 7 USC 2011 to 2036 as provided in this section.
SB55-SSA1, s. 1725c
1Section 1725c. 49.22 (6) of the statutes is amended to read:
SB55-SSA1,613,102 49.22 (6) The department shall establish, pursuant to federal and state laws,
3rules and regulations, a uniform system of fees for services provided under this
4section to individuals not receiving aid under s. 46.261, 49.19 or 49.47; benefits under
5s. 49.124, 49.148 or, 49.155, or 49.79; foster care maintenance payments under 42
6USC 670
to 679a; or kinship care payments under s. 48.57 (3m) or long-term kinship
7care payments under s. 48.57 (3n). The system of fees may take into account an
8individual's ability to pay. Any fee paid and collected under this subsection may be
9retained by the county providing the service except for the fee specified in 42 USC
10653
(e) (2) for federal parent locator services.
SB55-SSA1, s. 1726 11Section 1726. 49.30 (2) of the statutes is amended to read:
SB55-SSA1,613,2112 49.30 (2) From the appropriation appropriations under s. 20.445 (3) (dz) and
13(md)
, the department shall reimburse a county or applicable tribal governing body
14or organization for any amount that the county or applicable tribal governing body
15or organization is required to pay under sub. (1). From the appropriation
16appropriations under s. 20.445 (3) (dz) and (md), the department shall reimburse a
17county or applicable tribal governing body or organization for cemetery expenses or
18for funeral and burial expenses for persons described under sub. (1) that the county
19or applicable tribal governing body or organization is not required to pay under subs.
20(1) and (1m) only if the department approves the reimbursement due to unusual
21circumstances.
SB55-SSA1, s. 1727 22Section 1727. 49.32 (2) (d) of the statutes is amended to read:
SB55-SSA1,613,2423 49.32 (2) (d) The department shall disburse from state or federal funds or both
24the entire amount and charge the county for its share under s. 49.33 (8) and (9).
SB55-SSA1, s. 1728m 25Section 1728m. 49.32 (7) (b) of the statutes is amended to read:
SB55-SSA1,614,9
149.32 (7) (b) The department shall conduct a program to periodically match the
2records of recipients of medical assistance under s. 49.46, 49.468 or 49.47, aid to
3families with dependent children under s. 49.19 and the food stamp program under
47 USC 2011 to 2029
and, if the department of health and family services contracts
5with the department under s. 49.197 (5), recipients of medical assistance under
6subch. IV and food stamp benefits under the food stamp program under 7 USC 2011
7to 2036
with the records of recipients under those programs in other states. If an
8agreement with the other states can be obtained, matches with records of states
9contiguous to this state shall be conducted at least annually.
SB55-SSA1, s. 1729m 10Section 1729m. 49.32 (7) (c) of the statutes is amended to read:
SB55-SSA1,614,1811 49.32 (7) (c) The department shall conduct a program to periodically match the
12address records of recipients of medical assistance under s. 49.46, 49.468 or 49.47,
13aid to families with dependent children under s. 49.19 and the food stamp program
14under 7 USC 2011 to 2029
and, if the department of health and family services
15contracts with the department under s. 49.197 (5), recipients of medical assistance
16under subch. IV and food stamp benefits under the food stamp program under 7 USC
172011
to 2036
to verify residency and to identify recipients receiving duplicate or
18fraudulent payments.
SB55-SSA1, s. 1730b 19Section 1730b. 49.32 (7) (d) of the statutes is amended to read:
SB55-SSA1,615,320 49.32 (7) (d) The department, with assistance from the department of
21corrections, shall conduct a program to periodically match the records of persons
22confined in state correctional facilities with the records of recipients of medical
23assistance under s. 49.46, 49.468 or 49.47,
aid to families with dependent children
24under s. 49.19 and the food stamp program under 7 USC 2011 to 2029 and, if the
25department of health and family services contracts with the department under s.

149.197 (5), recipients of medical assistance under subch. IV and food stamp benefits
2under the food stamp program under 7 USC 2011 to 2036
to identify recipients who
3may be ineligible for benefits.
SB55-SSA1, s. 1730f 4Section 1730f. 49.32 (10) (a) (intro.) of the statutes is amended to read:
SB55-SSA1,615,105 49.32 (10) (a) (intro.) Each county department under s. 46.215, 46.22, or 46.23
6may release the current address of a recipient of food stamps or of aid under s. 49.19,
7and each Wisconsin works agency may release the current address of a participant
8in Wisconsin works under ss. 49.141 to 49.161 or, if administering the food stamp
9program, of a food stamp recipient
, to a law enforcement officer if the officer meets
10all of the following conditions:
SB55-SSA1, s. 1731g 11Section 1731g. 49.33 (1) (b) of the statutes is amended to read:
SB55-SSA1,615,1612 49.33 (1) (b) "Income maintenance program" means aid to families with
13dependent children under s. 49.19, Wisconsin works under ss. 49.141 to 49.161,
the
14medical assistance program under subch. IV of ch. 49, the badger care health care
15program under s. 49.665, the child care program under s. 49.155,
or the food stamp
16program under 7 USC 2011 to 2029 2036.
SB55-SSA1, s. 1731gc 17Section 1731gc. 49.33 (1) (b) of the statutes, as affected by 2001 Wisconsin Act
18.... (this act), is amended to read:
SB55-SSA1,615,2219 49.33 (1) (b) "Income maintenance program" means the medical assistance
20program under subch. IV of ch. 49, the badger care health care program under s.
2149.665, the child care program under s. 49.155, or the food stamp program under 7
22USC 2011
to 2036.
SB55-SSA1, s. 1731m 23Section 1731m. 49.33 (1) (c) of the statutes is repealed.
SB55-SSA1, s. 1731t 24Section 1731t. 49.33 (1) (cr) of the statutes is created to read:
SB55-SSA1,616,2
149.33 (1) (cr) "Tribal governing body" means an elected governing body of a
2federally recognized American Indian tribe.
SB55-SSA1, s. 1732b 3Section 1732b. 49.33 (2) of the statutes is repealed and recreated to read:
SB55-SSA1,616,94 49.33 (2) Contracts. (a) Annually, the department and the department of
5health and family services shall, jointly, contract with county departments under ss.
646.215, 46.22, and 46.23, and may, jointly, contract with tribal governing bodies, to
7reimburse the county departments and tribal governing bodies for the reasonable
8cost of administering the medical assistance program under subch. IV and the
9badger care health care program under s. 49.665.
SB55-SSA1,616,1510 (b) Annually, the department shall contract with county departments under ss.
1146.215, 46.22, and 46.23, and may, jointly, contract with tribal governing bodies, to
12reimburse the county departments and tribal governing bodies for the reasonable
13cost of administering income maintenance programs, other than the medical
14assistance program under subch. IV and the badger care health care program under
15s. 49.665.
SB55-SSA1, s. 1732c 16Section 1732c. 49.33 (2) of the statutes, as affected by 2001 Wisconsin Act ....
17(this act), is repealed and recreated to read:
SB55-SSA1,616,2118 49.33 (2) Contracts. Annually, the department of health and family services
19shall contract with county departments under ss. 46.215, 46.22, and 46.23 to
20reimburse the county departments for the reasonable cost of administering income
21maintenance programs.
SB55-SSA1, s. 1737 22Section 1737. 49.33 (8) (a) of the statutes is amended to read:
SB55-SSA1,617,1323 49.33 (8) (a) The From the appropriation accounts under ss. 20.445 (3) (dz),
24(kx), (md), and (nL) and subject to par. (b), the
department shall reimburse each
25county and tribal governing body that contracts with the department and the

1department of health and family services under sub. (2) (a)
for reasonable costs of
2income maintenance relating to the administration of the programs under this
3subchapter and subch. IV according to
administering the medical assistance
4program under subch. IV and the badger care health care program under s. 49.665
5and that contracts with the department under sub. (2) (b) for the reasonable costs of
6administering income maintenance programs other than the medical assistance
7program under subch. IV and the badger care health care program under s. 49.665.
8The amount of each reimbursement paid under this paragraph shall be calculated
9using
a formula based on workload within the limits of available state and federal
10funds under s. 20.445 (3) (dz), (kx), (md), and (nL) by contract under s. 49.33 (2). The
11amount of reimbursement calculated under this paragraph and par. (b) is in addition
12to any reimbursement provided to a county or tribal governing body for fraud and
13error reduction under s. 49.197 (1m) and (4).
SB55-SSA1, s. 1737c 14Section 1737c. 49.33 (8) (a) of the statutes, as affected by 2001 Wisconsin Act
15.... (this act), is amended to read:
SB55-SSA1,618,516 49.33 (8) (a) From the appropriation accounts under ss. 20.445 (3) (dz), (kx),
17(md), and (nL)
s. 20.435 (4) (bn) and (nn) and subject to par. (b), the department of
18health and family services
shall reimburse each county and tribal governing body
19that contracts with the department and the department of health and family services
20under sub. (2) (a) for reasonable costs of administering the medical assistance
21program under subch. IV and the badger care health care program under s. 49.665
22and that contracts with the department under sub. (2) (b) for the reasonable costs of
23administering
income maintenance programs other than the medical assistance
24program under subch. IV and the badger care health care program under s. 49.665
.
25The amount of each reimbursement paid under this paragraph shall be calculated

1using a formula based on workload within the limits of available state and federal
2funds under s. 20.445 (3) (dz), (kx), (md), and (nL) 20.435 (4) (bn) and (nn) by contract
3under s. 49.33 (2). The amount of reimbursement calculated under this paragraph
4and par. (b) is in addition to any reimbursement provided to a county or tribal
5governing body for fraud and error reduction under s. 49.197 (1m) and (4).
SB55-SSA1, s. 1738 6Section 1738. 49.33 (8) (b) of the statutes is amended to read:
SB55-SSA1,618,117 49.33 (8) (b) The department may adjust the amounts determined under par.
8(a) for workload changes and computer network activities performed by counties a
9county or tribal governing body and may reduce the amount of any reimbursement
10if federal reimbursement is withheld due to audits, quality control samples, or
11program reviews
.
SB55-SSA1, s. 1739 12Section 1739. 49.33 (9) of the statutes is repealed.
SB55-SSA1, s. 1740 13Section 1740. 49.33 (10) (a) of the statutes is amended to read:
SB55-SSA1,618,2314 49.33 (10) (a) The Each county treasurer and each director of a county
15department under s. 46.215, 46.22, or 46.23 and each tribal governing body shall
16certify monthly under oath to the department in such manner as the department
17prescribes the claim of the county for state reimbursement under subs. sub. (8) and
18(9) and
(a). The department shall review each claim of reimbursement and, if the
19department approves such the claim it, the department shall certify to the
20department of administration for reimbursement to the county for amounts due
21under these subsections sub. (8) (a) and payment claimed to be made to the counties
22monthly. The department may make advance payments prior to the beginning of
23each month equal to one-twelfth of the contracted amount.
SB55-SSA1, s. 1740am 24Section 1740am. 49.33 (10) (a) of the statutes, as affected by 2001 Wisconsin
25Act .... (this act), is amended to read:
SB55-SSA1,619,12
149.33 (10) (a) Each county treasurer and director of a county department under
2s. 46.215, 46.22, or 46.23 and each tribal governing body shall certify monthly under
3oath to the department of health and family services in such manner as the
4department of health and family services prescribes the claim of the county for state
5reimbursement under sub. (8) (a). The department of health and family services
6shall review each claim of reimbursement and, if the department of health and
7family services
approves the claim, the department of health and family services
8shall certify to the department of administration for reimbursement to the county for
9amounts due under sub. (8) (a) and payment claimed to be made to the counties
10monthly. The department of health and family services may make advance
11payments prior to the beginning of each month equal to one-twelfth of the contracted
12amount.
SB55-SSA1, s. 1740bg 13Section 1740bg. 49.33 (10) (b) of the statutes is amended to read:
SB55-SSA1,619,2114 49.33 (10) (b) To facilitate prompt reimbursement the certificate of the
15department may be based on the certified statements of the county officers or tribal
16governing body executives
filed under par. (a). Funds recovered from audit
17adjustments from a prior fiscal year may be included in subsequent certifications
18only to pay counties owed funds as a result of any audit adjustment. By September
1930 annually, the department shall submit a report to the appropriate standing
20committees under s. 13.172 (3) on funds recovered and paid out during the previous
21calendar year as a result of audit adjustments.
SB55-SSA1, s. 1740bq 22Section 1740bq. 49.33 (10) (b) of the statutes, as affected by 2001 Wisconsin
23Act .... (this act), is amended to read:
SB55-SSA1,620,724 49.33 (10) (b) To facilitate prompt reimbursement the certificate of the
25department of health and family services may be based on the certified statements

1of the county officers or tribal governing body executives filed under par. (a). Funds
2recovered from audit adjustments from a prior fiscal year may be included in
3subsequent certifications only to pay counties owed funds as a result of any audit
4adjustment. By September 30 annually, the department of health and family
5services
shall submit a report to the appropriate standing committees under s.
613.172 (3) on funds recovered and paid out during the previous calendar year as a
7result of audit adjustments.
SB55-SSA1, s. 1741 8Section 1741. 49.36 (1) of the statutes is renumbered 49.36 (1) (intro.) and
9amended to read:
SB55-SSA1,620,1010 49.36 (1) (intro.) In this section, "custodial:
SB55-SSA1,620,12 11(a) "Custodial parent" means a parent who lives with his or her child for
12substantial periods of time.
SB55-SSA1, s. 1742 13Section 1742. 49.36 (1) (b) of the statutes is created to read:
SB55-SSA1,620,1514 49.36 (1) (b) "Tribal governing body" means an elected tribal governing body
15of a federally recognized American Indian tribe or band.
SB55-SSA1, s. 1743 16Section 1743. 49.36 (2) of the statutes is amended to read:
SB55-SSA1,620,2417 49.36 (2) The department may contract with any county , tribal governing body,
18or Wisconsin works agency to administer a work experience and job training program
19for parents who are not custodial parents and who fail to pay child support or to meet
20their children's needs for support as a result of unemployment or underemployment.
21The program may provide the kinds of work experience and job training services
22available from the program under s. 49.193, 1997 stats., or s. 49.147 (3) or (4). The
23program may also include job search and job orientation activities. The department
24shall fund the program from the appropriation under s. 20.445 (3) (dz).
SB55-SSA1, s. 1744 25Section 1744. 49.36 (4) of the statutes is amended to read:
SB55-SSA1,621,4
149.36 (4) When a person completes 16 weeks of participation in a program
2under this section, the county, tribal governing body, or Wisconsin works agency
3operating the program shall inform the clerk of courts, by affidavit, of that
4completion.
SB55-SSA1, s. 1745 5Section 1745. 49.36 (5) of the statutes is amended to read:
SB55-SSA1,621,96 49.36 (5) A person participating in work experience as part of the program
7under this section is considered an employee of the county, tribal governing body, or
8Wisconsin works agency administering the program under this section for purposes
9of worker's compensation benefits only.
SB55-SSA1, s. 1746 10Section 1746. 49.36 (6) of the statutes is amended to read:
SB55-SSA1,621,1411 49.36 (6) A county, tribal governing body, or Wisconsin works agency
12administering the program under this section shall reimburse a person for
13reasonable transportation costs incurred because of participation in a program
14under this section up to a maximum of $25 per month.
SB55-SSA1, s. 1747 15Section 1747. 49.36 (7) of the statutes is amended to read:
SB55-SSA1,621,2116 49.36 (7) The department shall pay a county, tribal governing body, or
17Wisconsin works agency not more than $400 for each person who participates in the
18program under this section in the region in which the county, tribal governing body,
19or Wisconsin works agency administers the program under this section. The county,
20tribal governing body,
or Wisconsin works agency shall pay any additional costs of
21the program.
SB55-SSA1, s. 1748 22Section 1748. 49.43 (8) of the statutes is amended to read:
SB55-SSA1,621,2523 49.43 (8) "Medical assistance" means any services or items under ss. 49.45 to
2449.472 49.473, except s. 49.472 (6), and under ss. 49.49 to 49.497, or any payment or
25reimbursement made for such services or items.
SB55-SSA1, s. 1749
1Section 1749. 49.45 (2) (a) 3. of the statutes is amended to read:
SB55-SSA1,622,72 49.45 (2) (a) 3. Determine the eligibility of persons for medical assistance,
3rehabilitative, and social services under ss. 49.46, 49.468, and 49.47 and rules and
4policies adopted by the department and may shall, under a contract under s. 49.33
5(2) (a),
designate this function to the county department under s. 46.215, 46.22, or
646.23 or, to the extent permitted by federal law or a waiver from federal secretary of
7health and human services to a Wisconsin works agency
a tribal governing body.
SB55-SSA1, s. 1750 8Section 1750. 49.45 (2) (a) 3m. of the statutes is created to read:
SB55-SSA1,622,129 49.45 (2) (a) 3m. If the department does not contract with the department of
10workforce development under s. 49.197 (5), establish a program to investigate
11suspected fraudulent activity on the part of recipients of medical assistance and
12establish a program to reduce errors in the payments of medical assistance.
SB55-SSA1, s. 1765 13Section 1765. 49.45 (5m) (am) of the statutes is amended to read:
SB55-SSA1,622,2114 49.45 (5m) (am) Notwithstanding sub. (3) (e), from the appropriations under
15s. 20.435 (4) (b) and, (o), and (w), the department shall distribute not more than
16$2,256,000 in each fiscal year, to provide supplemental funds to rural hospitals that,
17as determined by the department, have high utilization of inpatient services by
18patients whose care is provided from governmental sources, and to provide
19supplemental funds to critical access hospitals, except that the department may not
20distribute funds to a rural hospital or to a critical access hospital to the extent that
21the distribution would exceed any limitation under 42 USC 1396b (i) (3).
SB55-SSA1, s. 1766 22Section 1766. 49.45 (5r) of the statutes is repealed.
SB55-SSA1, s. 1767 23Section 1767. 49.45 (6b) of the statutes is amended to read:
SB55-SSA1,623,524 49.45 (6b) Centers for the developmentally disabled. From the
25appropriation under s. 20.435 (2) (gk), the department may reimburse the cost of

1services provided by the centers for the developmentally disabled. Reimbursement
2to the centers for the developmentally disabled shall be reduced following each
3placement made under s. 46.275 that involves a relocation from a center for the
4developmentally disabled, by $184 $200 per day, beginning in fiscal year 1999-2000
52001-02, and by $190 $225 per day, beginning in fiscal year 2000-01 2002-03.
SB55-SSA1, s. 1768 6Section 1768. 49.45 (6m) (ag) (intro.) of the statutes is amended to read:
SB55-SSA1,623,137 49.45 (6m) (ag) (intro.) Payment for care provided in a facility under this
8subsection made under s. 20.435 (4) (b), (pa) or, (o), or (w) shall, except as provided
9in pars. (bg), (bm), and (br), be determined according to a prospective payment
10system updated annually by the department. The payment system shall implement
11standards that are necessary and proper for providing patient care and that meet
12quality and safety standards established under subch. II of ch. 50 and ch. 150. The
13payment system shall reflect all of the following:
SB55-SSA1, s. 1769 14Section 1769. 49.45 (6m) (ar) 1. a. of the statutes is amended to read:
SB55-SSA1,623,2115 49.45 (6m) (ar) 1. a. The department shall establish standards for payment of
16allowable direct care costs, for facilities that do not primarily serve the
17developmentally disabled, that take into account direct care costs for a sample of all
18of those facilities in this state and separate standards for payment of allowable direct
19care costs, for facilities that primarily serve the developmentally disabled, that take
20into account direct care costs for a sample of all of those facilities in this state. The
21standards shall be adjusted by the department for regional labor cost variations.
SB55-SSA1, s. 1771 22Section 1771. 49.45 (6t) (intro.) of the statutes is amended to read:
SB55-SSA1,624,823 49.45 (6t) County department and local health department operating
24deficit reduction.
(intro.) From the appropriation under s. 20.435 (4) (o), for
25reduction of operating deficits, as defined under criteria developed by the

1department, incurred by a county department under s. 46.215, 46.22, 46.23, or 51.42
2or by a local health department, as defined in s. 250.01 (4), for services provided
3under s. 49.46 (2) (a) 4. d. and (b) 6. f., fm., j., k. and, L., and Lm., 9. and, 15., and 18.,
4for case management services under s. 49.46 (2) (b) 12. and for mental health day
5treatment services for minors provided under the authorization under 42 USC 1396d
6(r) (5), the department shall allocate up to $4,500,000 moneys in each fiscal year to
7these county departments, or local health departments as determined by the
8department, and shall perform all of the following:
SB55-SSA1, s. 1772 9Section 1772. 49.45 (6t) (intro.) of the statutes, as affected by 2001 Wisconsin
10Act .... (this act), is repealed and recreated to read:
SB55-SSA1,624,2111 49.45 (6t) County department and local health department operating
12deficit reduction.
(intro.) From the appropriation under s. 20.435 (4) (o), for
13reduction of operating deficits, as defined under criteria developed by the
14department, incurred by a county department under s. 46.215, 46.22, 46.23, or 51.42
15or by a local health department, as defined in s. 250.01 (4), for services provided
16under s. 49.46 (2) (a) 4. d. and (b) 6. f., fm., j., k., L., and Lm., 9., and 15., for case
17management services under s. 49.46 (2) (b) 12. and for mental health day treatment
18services for minors provided under the authorization under 42 USC 1396d (r) (5), the
19department shall allocate moneys in each fiscal year to these county departments,
20or local health departments as determined by the department, and shall perform all
21of the following:
SB55-SSA1, s. 1773 22Section 1773. 49.45 (6t) (a) of the statutes is amended to read:
SB55-SSA1,625,523 49.45 (6t) (a) For the reduction of operating deficits incurred by the county
24departments or local health departments, estimate the availability of federal
25medicaid funds that may be matched to county, city, town, or village funds that are

1expended for costs in excess of reimbursement for services provided under s. 49.46
2(2) (a) 4. d. and (b) 6. f., fm., j., k. and, L., and Lm., 9. and , 15., and 18., for case
3management services under s. 49.46 (2) (b) 12. and for mental health day treatment
4services for minor minors provided under the authorization under 42 USC 1396d (r)
5(5).
SB55-SSA1, s. 1774 6Section 1774. 49.45 (6t) (a) of the statutes, as affected by 2001 Wisconsin Act
7.... (this act), is repealed and recreated to read:
SB55-SSA1,625,148 49.45 (6t) (a) For the reduction of operating deficits incurred by the county
9departments or local health departments, estimate the availability of federal
10medicaid funds that may be matched to county, city, town, or village funds that are
11expended for costs in excess of reimbursement for services provided under s. 49.46
12(2) (a) 4. d. and (b) 6. f., fm., j., k., L., and Lm., 9., and 15., for case management
13services under s. 49.46 (2) (b) 12. and for mental health day treatment services for
14minors provided under the authorization under 42 USC 1396d (r) (5).
SB55-SSA1, s. 1775 15Section 1775. 49.45 (6u) of the statutes, as affected by 2001 Wisconsin Act ....
16(this act), is renumbered 49.45 (6u) (am), and 49.45 (6u) (am) (intro.) and 2. (intro.)
17and b., 3., 4., 5. and 6., as renumbered, are amended to read:
SB55-SSA1,626,318 49.45 (6u) (am) (intro.) Notwithstanding sub. (6m), in state fiscal years in
19which less than $115,200,000 in federal financial participation relating to facilities
20is received under 42 CFR 433.51,
from the appropriation appropriations under s.
2120.435 (4) (o) and (w), for reduction of operating deficits, as defined under criteria
22developed
the methodology used by the department in December, 2000, incurred by
23a facility that is established under s. 49.70 (1) or that is owned and operated by a city,
24village, or town, the department may not distribute to these facilities more than
25$40,100,000 $37,100,000 in each fiscal year, as determined by the department. The

1total amount that a county certifies under this subsection may not exceed 100% of
2otherwise-unreimbursed care. In distributing funds under this subsection, the
3department shall perform all of the following:
SB55-SSA1,626,64 2. (intro.) Based on the amount estimated available under par. (a) subd. 1.,
5develop a method to distribute this allocation to the individual facilities that have
6incurred operating deficits that shall include:
SB55-SSA1,626,107 b. Agreement by the county in which is located the facility established under
8s. 49.70 (1) and agreement by the city, village, or town that owns and operates the
9facility that the applicable county, city, village, or town shall provide funds to match
10federal medical assistance matching funds under this subsection paragraph.
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