Amendment CA1-SSA1-SB55

SB55-SSA1-CA1,1043,20 1. The state registrar of vital statistics.

SB55-SSA1-CA1,1043,24 2. Three local registrars, including one from a county with a population that does not exceed 22,000; one from a county with a population that exceeds 22,000 but does not exceed 300,000; and one from a county with a population that exceeds 300,000.

SB55-SSA1-CA1,1044,1 3. Three representatives of the department of health and family services.

SB55-SSA1-CA1,1044,2 4. One genealogist.

SB55-SSA1-CA1,1044,4 (b) By July 1, 2002, the committee appointed under paragraph (a) shall develop an outline of its proposals.

SB55-SSA1-CA1,1044,10 (c) By January 1, 2003, the committee appointed under paragraph (a) shall report its findings and recommendations, including a proposed schedule of fees chargeable for vital records that supports implementation of an on-line electronic filing system and security measures to protect against identity theft, to the legislature in the manner provided under section 13.172 (2) of the statutes and to the governor.".

SB55-SSA1-CA1,1044,16 1675. Page 1336, line 2: delete lines 2 to 4 and substitute "Services. If after supporting the costs specified in section 46.46 of the statutes, as affected by this act, and lapsing the amounts specified in Section 9223 (4z) (b) and (5zk) of this act there remain any moneys in the appropriation account under section 20.435 (8) (mb) of the of the statutes, as affected by this act, those remaining moneys are allocated for costs associated with transferring cases of children in".

SB55-SSA1-CA1,1044,19 1676. Page 1336, line 12: after "administration." insert "The department of health and family services may propose expending or encumbering no more than $2,933,700 under this subsection.".

SB55-SSA1-CA1,1044,20 1677. Page 1336, line 23: after that line insert:

SB55-SSA1-CA1,1045,2 "(9bk) Income augmentation activities. The authorized FTE positions for the department of health and family services are increased by 1.0 FED position on October 1, 2001, to be funded from the appropriation under section 20.435 (8) (mb) of the statutes, for the purpose of performing income augmentation activities under section 46.46 of the statutes.".

SB55-SSA1-CA1,1045,3 1678. Page 1337, line 15: delete "2002" and substitute "2003".

SB55-SSA1-CA1,1045,4 1679. Page 1338, line 2: after that line insert:

SB55-SSA1-CA1,1045,10 "(9wo) Report on potential badger care health care programs savings. The department of health and family services shall study the potential for long-term savings under the badger care health care program under section 49.665 of the statutes, as affected by this act. No later than January 1, 2002, the department of health and family services shall report the results of the study, together with its findings and recommendations, to the joint committee on finance.".

SB55-SSA1-CA1,1045,11 1680. Page 1338, line 20: after that line insert:

SB55-SSA1-CA1,1045,18 "(16r) Plan for services for persons with developmental disabilities. The department of health and family services shall develop a plan to administer and fund services for persons with developmental disabilities. The plan, which shall include any recommended statutory language changes that are needed to implement the plan, shall be included in that department's budget request that is submitted to the department of administration for the 2003-05 biennium. The plan shall include the following components:

SB55-SSA1-CA1,1045,24 (a) Institutional and community-based services for persons with developmental disabilities shall be administered within one administrative subunit of the department of health and family services. The subunit that is designated to administer these services shall be the subunit that is administering community-based services for persons with developmental disabilities on the effective date of this paragraph.

SB55-SSA1-CA1,1046,6 (b) Funding under the medical assistance program for institutional services and home and community-based waiver services for persons with developmental disabilities shall be combined into one appropriation, to the extent permissible under federal law. The funding in this appropriation may not be tied to any specific program or service setting, but shall be individually tailored to enable the person to live in the least restrictive setting appropriate to his or her needs and preferences.

SB55-SSA1-CA1,1046,14 (16rq) Medical assistance waivers for developmental disabilities services. The department of health and family services shall determine whether any new waivers under the medical assistance program are necessary to administer funding for medical assistance services as described in subsection (16r) (b). That department shall apply for any waivers of federal medical assistance statutes and regulations from the federal department of health and human services that the department of health and family services determines are necessary to administer funding for medical assistance services as described in subsection (16r) (b).

SB55-SSA1-CA1,1046,19 (16rr) Written plans of care for personal care services; rules. The department of health and family services shall submit in proposed form the rules required under section 49.45 (2) (a) 24. of the statutes, as created by this act, to the legislative council staff under section 227.15 (1) of the statutes no later than the first day of the fourth month beginning after the effective date of this subsection.

SB55-SSA1-CA1,1046,20 (16rs) Pilot program for long-term care of children with disabilities.

SB55-SSA1-CA1,1046,21 (a) In this subsection:

SB55-SSA1-CA1,1046,24 1. "Administering agency" means a county department under section 46.23, 51.42, or 51.437 of the statutes or a human services agency that administers the program under a contract with such a county department.

SB55-SSA1-CA1,1047,2 2. "Program" means a pilot program that provides a system of long-term care for children with disabilities and their families.

SB55-SSA1-CA1,1047,7 (b) The department of health and family services shall, as soon as possible before July 1, 2002, seek waivers of federal medical assistance statutes and regulations from the federal department of health and human services that are necessary to implement, in pilot sites, the program. If the waivers are granted, the program shall have all of the following characteristics:

SB55-SSA1-CA1,1047,13 1. Eligibility under sections 46.27 (11), 46.275, 46.277, 46.278, 46.985, and 51.44 of the statutes shall be expanded to include children with severe disabilities and long-term care needs and children eligible for medical assistance with high medical costs, and medical assistance coverage of services shall be expanded to include services focused on the needs of children with developmental disabilities and their families.

SB55-SSA1-CA1,1047,15 2. The administration of the program shall be consistent with section 46.985 of the statutes, including a family-centered assessment and planning process.

SB55-SSA1-CA1,1047,19 3. The program shall operate within rate settings based upon a child's level of care and support needs. The department of health and family services shall promulgate rules that specify rates that are consistent with federal medical assistance home and community-based waiver regulations.

SB55-SSA1-CA1,1047,22 4. The department of health and family services shall coordinate supports and services under the program with the medical assistance fee-for-service system, including the prior authorization process.

SB55-SSA1-CA1,1047,23 5. The lead agency for the program shall be an administering agency.

SB55-SSA1-CA1,1048,3 6. Counties in which the program is located shall provide, contract for the provision of, organize, or arrange for long-term care supports for eligible children up to age 24 years, consistent with section 46.985 (1) (b) and (6) (f) of the statutes.

SB55-SSA1-CA1,1048,5 7. Information and assistance services operated under the program shall provide, contract, or arrange for the provision of all of the following:

SB55-SSA1-CA1,1048,7 a. Information and referral services and other assistance at hours that are convenient for the public.

SB55-SSA1-CA1,1048,8 b. Within the limits of available funding, prevention and intervention services.

SB55-SSA1-CA1,1048,9 c. Counseling concerning public and private benefits programs.

SB55-SSA1-CA1,1048,11 d. Assistance with understanding rights of children and parents within the long-term care system.

SB55-SSA1-CA1,1048,14 8. The administering agency shall determine functional and financial eligibility for the program by coordinating with the department of health and family services in completing all of the following:

SB55-SSA1-CA1,1048,16 a. A determination of functional eligibility for the children's long-term support benefit.

SB55-SSA1-CA1,1048,19 b. A determination of financial eligibility and of the maximum amount of cost sharing required for a family who is seeking long-term care services, under standards prescribed by the department of health and family services.

SB55-SSA1-CA1,1048,22 c. Assistance to a child who is eligible for a long-term support benefit and to the child's family with respect to the choice of whether or not to participate in the waiver pilot.

SB55-SSA1-CA1,1048,24 d. Assistance in enrolling in the program, for families who choose to enroll their children.

SB55-SSA1-CA1,1049,2 9. The cost of the program may not exceed the cost of existing services under sections 46.27 (11), 46.275, 46.277, 46.278, 46.985, and 51.44 of the statutes.

SB55-SSA1-CA1,1049,5 10. The program shall blend the costs per child served in the areas of the sites in which services are provided under sections 46.27 (11), 46.275, 46.277, 46.278, 46.985, and 51.44 of the statutes.

SB55-SSA1-CA1,1049,7 11. The department of health and family services may develop a methodology to distribute funding under the program on a per child per month basis.

SB55-SSA1-CA1,1049,9 12. The department of health and family services shall reinvest into the children's long-term support system any funding saved by this new methodology.

SB55-SSA1-CA1,1049,13 13. The department of health and family services shall equitably assign priority on any necessary waiting lists, consistent with criteria prescribed by that department, for children who are eligible for the program, but for whom resources are not available.

SB55-SSA1-CA1,1049,16 14. The department of health and family services shall provide transitional services to families whose children with physical or developmental disabilities are preparing to enter the adult service system.

SB55-SSA1-CA1,1049,20 15. The department of health and family services shall determine eligibility for program applicants for state supplemental payments under section 49.77 of the statutes, medical assistance under section 49.46 of the statutes, and the federal food stamp program under 7 USC 2011 to 2029.

SB55-SSA1-CA1,1050,3 (c) If the federal waivers specified under paragraph (b) are approved, the department of health and family services shall, as soon as possible before July 1, 2002, seek enactment of statutory language, including appropriation of necessary funding, to implement the model described under paragraph (b), as approved under the federal waivers. Any new resources for supports and services for long-term care for children with disabilities and their families shall be managed under the program after approval of the federal waivers specified in paragraph (b) and enactment of necessary statutory language to implement the model under paragraph (b).".

SB55-SSA1-CA1,1050,4 1681. Page 1338, line 20: after that line insert:

SB55-SSA1-CA1,1050,8 "(15e) Fifth standard for emergency detention and civil commitment. The repeal of 1995 Wisconsin Act 292, sections 5, 12, 14, 16, 20, 22, 24, 28, 30, 30h, 32, and 37 (1), and the repeal of 1997 Wisconsin Act 35, sections 141, 144, 147, and 605 (1), apply notwithstanding section 990.03 (3) of the statutes.".

SB55-SSA1-CA1,1050,9 1682. Page 1338, line 20: after that line insert:

SB55-SSA1-CA1,1051,6 "(13d) Plan for regional labor cost variations for nursing home reimbursement. For purposes of determining medical assistance reimbursement for allowable direct care costs for facilities with respect to adjustments for regional labor cost variations under section 49.45 (6m) (ar) 1. a. of the statutes, the department of health and family services, together with representative of the nursing home industry and organized labor, shall develop a comprehensive plan that specifies varying regions of the state of Wisconsin with respect to labor costs for nursing home staff. The department of health and family services shall submit the plan, by September 1, 2001, or by the first day of the 2nd month beginning after the effective date of this subsection, whichever is later, to the joint committee on finance for review. If the cochairpersons of the joint committee on finance do not notify the secretary of health and family services within 14 working days after the date on which the plan is submitted that the committee intends to schedule a meeting to review the plan, the department of health and family services shall implement the plan in adjusting standards for medical assistance reimbursement of allowable direct care costs for facilities under section 49.45 (6m) (ar) 1. a. of the statutes. If, within 14 working days after the date on which the plan is submitted, the cochairpersons of the committee notify the secretary of health and family services that the committee intends to schedule a meeting to review the plan, the department of health and family services may implement the plan only upon approval by the committee.".

SB55-SSA1-CA1,1051,7 1683. Page 1338, line 20: after that line insert:

SB55-SSA1-CA1,1051,11 "(18f) Respite facilities; rules. The department of health and family services shall submit in proposed form the rules required under section 50.85 (8) of the statutes, as created by this act, to the legislative council staff under section 227.15 (1) of the statutes no later than October 31, 2002.".

SB55-SSA1-CA1,1051,12 1684. Page 1338, line 20: after that line insert:

SB55-SSA1-CA1,1051,17 "(14b) Sudden infant death syndrome prevention training; rules. The department of health and family services shall submit in proposed form the rules required under section 48.67 of the statutes, as affected by this act, to the legislature under section 227.19 of the statutes no later than the first day of the 6th month beginning after the effective date of this subsection.".

SB55-SSA1-CA1,1051,18 1685. Page 1338, line 20: after that line insert:

SB55-SSA1-CA1,1052,2 "(16mn) Study on funding the health insurance risk-sharing plan. The board of governors of the health insurance risk-sharing plan under chapter 149 of the statutes, as affected by this act, shall conduct a study on alternative funding sources for the health insurance risk-sharing plan. No later than January 1, 2002, the board of governors shall report the results of the study, together with its findings and recommendations, to the standing committees of the legislature on health in the manner provided under section 13.172 (3) of the statutes and to the members of the joint committee on finance.".

SB55-SSA1-CA1,1052,3 1686. Page 1338, line 20: after that line insert:

SB55-SSA1-CA1,1052,9 "(12r) Statewide trauma care system; positions. The authorized FTE positions for the department of health and family services are increased by 2.0 PR project positions, to be funded from the appropriation account under section 20.435 (1) (kx) of the statutes, for the purposes of the statewide trauma care system under section 146.56 of the statutes, as affected by this act, for the period beginning on July 1, 2001, and ending on June 30, 2003.

SB55-SSA1-CA1,1052,17 (12s) Statewide trauma care system; regional advisory trauma councils. From the appropriation account under section 20.435 (1) (kx) of the statutes, the department of health and family services shall expend $25,000 in state fiscal year 2001-02 and $50,000 in state fiscal year 2002-03 for expenses of the regional advisory trauma councils under section 146.56 (1) of the statutes, as affected by this act, and shall distribute $290,000 in state fiscal year 2002-03 as grants to regional advisory trauma councils for performance of activities under the statewide trauma system.".

SB55-SSA1-CA1,1052,18 1687. Page 1338, line 20: after that line insert:

SB55-SSA1-CA1,1053,2 "(13b) Durable medical equipment; customized wheelchair. From the appropriations under section 20.435 (4) (b) and (o) of the statutes, as affected by this act, notwithstanding the denial of a request for prior authorization for durable medical equipment for a customized wheelchair, the department of health and family services shall purchase a customized wheelchair for a resident of the Vernon Manor nursing home in Vernon County who has cerebral palsy and for whom a physician has determined that a customized wheelchair is necessary.".

SB55-SSA1-CA1,1053,3 1688. Page 1338, line 20: after that line insert:

SB55-SSA1-CA1,1053,4 "(14k) Immunization registry.

SB55-SSA1-CA1,1053,15 (a) The department of health and family services shall submit to the joint committee on finance a request to supplement the appropriation account under section 20.435 (4) (bm) of the statutes, as affected by this act, for the purpose of developing and implementing a statewide immunization registry. The request shall include a memorandum of understanding between the department of health and family services and the Marshfield Clinic, on behalf of the Regional Early Childhood Immunization Network, that specifies the amount of moneys allocated under section 49.175 (1) (ze) 9. of the statutes that will be used to support immunization data collection by the Regional Early Childhood Immunization Network, outside of the area currently served by the immunization registry system of the Marshfield Clinic and that results in a savings for the department's immunization registry.

SB55-SSA1-CA1,1054,5 (b) If the cochairpersons of the committee do not notify the secretary of health and family services within 14 working days after receiving the memorandum of understanding and request under paragraph (a) that the cochairpersons have scheduled a meeting for the purpose of reviewing the request, the appropriation account under section 20.435 (4) (bm) of the statutes, as affected by this act, shall be supplemented from the appropriation account under section 20.865 (4) (a) of the statutes, as provided in the request. If, within 14 working days after receiving the proposal, the cochairpersons notify the secretary that the cochairpersons have scheduled a meeting for the purpose of reviewing the request, the appropriation account may be supplemented from the appropriation account under section 20.865 (4) (a) of the statutes only as approved by the committee. Notwithstanding section 13.101 (3) of the statutes, the committee is not required to find that an emergency exists prior to supplementing the appropriation account under section 20.435 (4) (bm) of the statutes, as affected by this act.

SB55-SSA1-CA1,1054,8 (c) Not later than January 1, 2003, the department of health and family services shall submit a report on the immunization registry to the legislature in the manner provided under section 13.172 (2) of the statutes.

SB55-SSA1-CA1,1054,10 (14L) Winnebago Mental Health Institute and Mendota Mental Health Institute position authorizations.

SB55-SSA1-CA1,1054,14 (a) The authorized FTE positions for the department of health and family services are decreased by 1.58 GPR positions, funded from the appropriation under section 20.435 (2) (a) of the statutes, for the purpose of providing care to residents of the Winnebago Mental Health Institute and Mendota Mental Health Institute.

SB55-SSA1-CA1,1054,19 (b) The authorized FTE positions for the department of health and family services are increased by 1.58 PR positions, to be funded from the appropriation under section 20.435 (2) (gk) of the statutes, as affected by this act, for the purpose of providing care to residents of the Winnebago Mental Health Institute and Mendota Mental Health Institute.".

SB55-SSA1-CA1,1054,20 1689. Page 1338, line 20: after that line insert:

SB55-SSA1-CA1,1054,23 "(14e) Milwaukee health clinics grants. In fiscal year 2001-02, from the appropriation account under section 20.435 (5) (fh) of the statutes, as affected by this act, the department of health and family services shall provide all of the following:

SB55-SSA1-CA1,1055,2 (a) One grant in the amount of $273,300 to the Milwaukee Immediate Care Center to allow continued operation of the facility.

SB55-SSA1-CA1,1055,5 (b) One grant in the amount of $226,700 to the Martin Luther King Heritage Health Center to expand primary care examination rooms and to create an emergency care clinic at the Isaac Coggs Community Health Center.".

SB55-SSA1-CA1,1055,6 1690. Page 1338, line 20: after that line insert:

SB55-SSA1-CA1,1055,12 "(15k) Medical assistance provider fraud and abuse; rules. The department of health and family services shall submit in proposed form the rules required under sections 49.45 (2) (a) 10. c., 11. b., and 12. b. and (b) 6m., 7., 8., and 9., (3) (g) 2. and (h) 1n., and (21) (e) of the statutes, as created by this act, to the legislative council staff under section 227.15 (1) of the statutes no later than the first day of the 10th month beginning after the effective date of this subsection.".

SB55-SSA1-CA1,1055,13 1691. Page 1338, line 20: after that line insert:

SB55-SSA1-CA1,1055,14 "(14g) Fees for patient health care records; rules.

SB55-SSA1-CA1,1055,18 (a) The department of health and family services shall submit in proposed form the rules required under section 146.83 (3m) of the statutes, as created by this act, to the legislative council staff under section 227.15 (1) of the statutes no later than the first day of the 10th month beginning after the effective date of this subsection.

SB55-SSA1-CA1,1055,22 (b) To develop the rules under paragraph (a), the secretary of health and family services shall establish an advisory committee composed of members who represent a balance of persons who maintain patient health care records and persons who request patient health care records.".

SB55-SSA1-CA1,1055,23 1692. Page 1338, line 20: after that line insert:

SB55-SSA1-CA1,1056,22 "(13dd) Increase in hospital and health maintenance organization rates of reimbursement. No later than 90 days after the effective date of this subsection, the department of health and family services shall submit to the joint committee on finance a plan for distributing the moneys appropriated in the 2001-03 fiscal biennium under section 20.435 (4) (o) and (w) of the statutes, as affected by this act, for increasing the maximum rate of reimbursement paid to hospitals and health maintenance organizations for outpatient services provided under the medical assistance program under subchapter IV of chapter 49 of the statutes. The plan may not increase the maximum rate of reimbursement paid to hospitals for outpatient services so that the increase results in an increase in the discount rate, which is shown as the difference between the rate of reimbursement paid to fee-for-service providers for the same services that are provided by health maintenance organizations and the rate of payment made to health maintenance organizations for those services, of more than $2,500,000 in each of calendar years 2002 and 2003. If the cochairpersons of the committee do not notify the secretary of health and family services within 14 working days after receiving the plan that the cochairpersons have scheduled a meeting for the purpose of reviewing the plan, the department of health and family services shall implement the plan. If, within 14 working days after receiving the plan, the cochairpersons notify the secretary of health and family services that the cochairpersons have scheduled a meeting for the purpose of reviewing the plan, the department of health and family services may implement the plan only as approved by the committee.".

SB55-SSA1-CA1,1056,23 1693. Page 1338, line 20: after that line insert:

SB55-SSA1-CA1,1056,24 "(15j) Assistive technology and adaptive equipment.

SB55-SSA1-CA1,1057,7 (a) From the appropriation account under section 20.435 (6) (a) of the statutes, the subunit in the department of health and family services that deals with physical disabilities shall expend $15,000 in each of state fiscal years 2001-02 and 2002-03 to administer funding for assistive technology and adaptive equipment for persons with physical disabilities; develop statewide reporting mechanisms, contract performance evaluation, and training; and work with vendors to obtain updated assistive technology and adaptive equipment.

SB55-SSA1-CA1,1057,12 (b) From the appropriation account under section 20.435 (7) (bc) of the statutes, the department of health and family services shall distribute $15,000 in each of state fiscal years 2001-02 and 2002-03 to the Easter Seals Society of Wisconsin, Inc., to provide persons with disabilities in the agricultural industry with specialized assistance regarding adaptations or modifications of agricultural equipment.

SB55-SSA1-CA1,1057,17 (c) From the appropriation account under section 20.435 (7) (bc) of the statutes, the department of health and family services shall expend $20,000 in each of state fiscal years 2001-02 and 2002-03 to provide recycled medical equipment, including wheelchairs, and equipment parts, maintenance, and distribution costs to persons with disabilities.

SB55-SSA1-CA1,1057,23 (d) From the appropriation account under section 20.435 (7) (c) of the statutes, the department of health and family services shall award grants of $18,750 in each of state fiscal years 2001-02 and 2002-03 to each of the eight independent living centers for the severely disabled, to provide information, resources, and assessments for the needs for assistive technology and adaptive equipment of persons with disabilities who are residents of the independent living centers.".