SB55-SSA1, s. 1731m 23Section 1731m. 49.33 (1) (c) of the statutes is repealed.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SB55-SSA1, s. 1732b 3Section 1732b. 49.33 (2) of the statutes is repealed and recreated to read: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17(this act), is repealed and recreated to read: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.
SB55-SSA1,626,1211 3. Distribute the allocation under the distribution method that is developed,
12unless a county has failed to comply with par. (b) 2m subd. 2. bm.
SB55-SSA1,626,1713 4. If the federal department of health and human services approves for state
14expenditure in a fiscal year amounts under s. 20.435 (4) (o) and (w) that result in a
15lesser allocation amount than that allocated under this subsection paragraph,
16allocate not more than the lesser amount so approved by the federal department of
17health and human services.
SB55-SSA1,626,2218 5. If the federal department of health and human services approves for state
19expenditure in a fiscal year amounts under s. 20.435 (4) (o) and (w) that result in a
20lesser allocation amount than that allocated under this subsection paragraph,
21submit a revision of the method developed under par. (b) subd. 2. for approval by the
22joint committee on finance in that state fiscal year.
SB55-SSA1,626,2523 6. If the federal department of health and human services disallows use of the
24allocation of matching federal medical assistance funds distributed under par. (c)
25subd. 3., apply the requirements under sub. (6m) (br).
SB55-SSA1, s. 1776
1Section 1776. 49.45 (6u) (intro.) of the statutes is amended to read:
SB55-SSA1,627,142 49.45 (6u) Supplemental payments to certain facilities. (intro.)
3Notwithstanding sub. (6m), from the appropriation under s. 20.435 (4) (o), for
4reduction of operating deficits, as defined under criteria developed by the
5department, incurred by a facility, as defined under sub. (6m) (a) 3., that is
6established under s. 49.70 (1) or that is owned and operated by a city, village or town,
7the department may not distribute to these facilities more than $38,600,000
8$40,100,000 in each fiscal year, as determined by the department, except that the
9department shall also distribute for this same purpose from the appropriation under
10s. 20.435 (4) (o) any additional federal medical assistance moneys that were not
11anticipated before enactment of the biennial budget act or other legislation affecting
12s. 20.435 (4) (o)
. The total amount that a county certifies under this subsection may
13not exceed 100% of otherwise-unreimbursed care. In distributing funds under this
14subsection, the department shall perform all of the following:
SB55-SSA1, s. 1777 15Section 1777. 49.45 (6u) (ag) of the statutes is created to read:
SB55-SSA1,627,1716 49.45 (6u) (ag) In this subsection, "facility" has the meaning given in sub. (6m)
17(a) 3.
SB55-SSA1, s. 1778 18Section 1778. 49.45 (6u) (bm) of the statutes is created to read:
SB55-SSA1,628,219 49.45 (6u) (bm) In state fiscal years in which $115,200,000 or more in federal
20financial participation relating to facilities is received under 42 CFR 433.51, from the
21appropriations under s. 20.435 (4) (o) and (w), for reduction of operating deficits, as
22defined under criteria developed by the department, incurred by a facility that is
23established under s. 49.70 (1) or that is owned and operated by a city, village, or town,
24the department may not distribute to these facilities more than $77,100,000 in each

1fiscal year, as determined by the department under a methodology as specified in the
2state plan for services under 42 USC 1396.
SB55-SSA1, s. 1779 3Section 1779. 49.45 (6x) (a) of the statutes is amended to read:
SB55-SSA1,628,94 49.45 (6x) (a) Notwithstanding sub. (3) (e), from the appropriations under s.
520.435 (4) (b) and, (o), and (w), the department shall distribute not more than
6$4,748,000 in each fiscal year, to provide funds to an essential access city hospital,
7except that the department may not allocate funds to an essential access city hospital
8to the extent that the allocation would exceed any limitation under 42 USC 1396b
9(i) (3).
SB55-SSA1, s. 1780 10Section 1780. 49.45 (6y) (a) of the statutes is amended to read:
SB55-SSA1,628,2011 49.45 (6y) (a) Notwithstanding sub. (3) (e), from the appropriations under s.
1220.435 (4) (b) and, (o), and (w), the department shall distribute funding in each fiscal
13year to provide supplemental payment to hospitals that enter into a contract under
14s. 49.02 (2) to provide health care services funded by a relief block grant, as
15determined by the department, for hospital services that are not in excess of the
16hospitals' customary charges for the services, as limited under 42 USC 1396b (i) (3).
17If no relief block grant is awarded under this chapter or if the allocation of funds to
18such hospitals would exceed any limitation under 42 USC 1396b (i) (3), the
19department may distribute funds to hospitals that have not entered into a contract
20under s. 49.02 (2).
SB55-SSA1, s. 1781 21Section 1781. 49.45 (6y) (am) of the statutes is amended to read:
SB55-SSA1,629,322 49.45 (6y) (am) Notwithstanding sub. (3) (e), from the appropriations under s.
2320.435 (4) (b), (h) and, (o), and (w), the department shall distribute funding in each
24fiscal year to provide supplemental payments to hospitals that enter into contracts
25under s. 49.02 (2) with a county having a population of 500,000 or more to provide

1health care services funded by a relief block grant, as determined by the department,
2for hospital services that are not in excess of the hospitals' customary charges for the
3services, as limited under 42 USC 1396b (i) (3).
SB55-SSA1, s. 1782 4Section 1782. 49.45 (6z) (a) (intro.) of the statutes is amended to read:
SB55-SSA1,629,155 49.45 (6z) (a) (intro.) Notwithstanding sub. (3) (e), from the appropriations
6under s. 20.435 (4) (b) and, (o), and (w), the department shall distribute funding in
7each fiscal year to supplement payment for services to hospitals that enter into a
8contract under s. 49.02 (2) to provide health care services funded by a relief block
9grant under this chapter, if the department determines that the hospitals serve a
10disproportionate number of low-income patients with special needs. If no medical
11relief block grant under this chapter is awarded or if the allocation of funds to such
12hospitals would exceed any limitation under 42 USC 1396b (i) (3), the department
13may distribute funds to hospitals that have not entered into a contract under s. 49.02
14(2). The department may not distribute funds under this subsection to the extent
15that the distribution would do any of the following:
SB55-SSA1, s. 1783 16Section 1783. 49.45 (8) (b) of the statutes is amended to read:
SB55-SSA1,629,2117 49.45 (8) (b) Reimbursement under s. 20.435 (4) (b) and, (o), and (w) for home
18health services provided by a certified home health agency or independent nurse
19shall be made at the home health agency's or nurse's usual and customary fee per
20patient care visit, subject to a maximum allowable fee per patient care visit that is
21established under par. (c).
SB55-SSA1, s. 1787m 22Section 1787m. 49.45 (22) of the statutes is amended to read:
SB55-SSA1,630,223 49.45 (22) (a) If the department contracts with health maintenance
24organizations for the provision of medical assistance it shall give special

1consideration to health maintenance organizations that provide or that contract to
2provide comprehensive, specialized health care services to pregnant teenagers.
SB55-SSA1,630,11 3(b) If the department contracts with health maintenance organizations for the
4provision of medical assistance, the department shall determine which medical
5assistance recipients who have attained the age of 2 but have not attained the age
6of 6 and who are at risk for lead poisoning have not received lead screening from those
7health maintenance organizations. The department shall report annually to the
8appropriate standing committees of the legislature under s. 13.172 (3) on the
9percentage of medical assistance recipients under the age of 2 who received a lead
10screening test in that year provided by a health maintenance organization compared
11with the percentage that the department set as a goal for that year.
SB55-SSA1, s. 1787mg 12Section 1787mg. 49.45 (22) (c) of the statutes is created to read:
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