Amendment AA9-ASA1-AB100

AB100-ASA1-AA9,10,1 23. Page 291, line 21: after that line insert:

AB100-ASA1-AA9,10,3 " Section 322g. 20.435 (5) (ab) of the statutes, as affected by 2005 Wisconsin Act .... (this act), is amended to read:

AB100-ASA1-AA9,10,7 20.435 (5) (ab) Child abuse and neglect prevention and universal home visitation grants. The amounts in the schedule for child abuse and neglect prevention grants under s. 46.515 and for universal home visitation grants under s. 46.516.".

AB100-ASA1-AA9,10,8 24. Page 294, line 10: after that line insert:

AB100-ASA1-AA9,10,9 " Section 330d. 20.435 (7) (bd) of the statutes is amended to read:

AB100-ASA1-AA9,11,2 20.435 (7) (bd) Community options program; pilot projects; family care benefit. The amounts in the schedule for assessments, case planning, services, administration and risk reserve escrow accounts under s. 46.27, for pilot projects under s. 46.271 (1), to fund services provided by resource centers under s. 46.283 (5), for services under the family care benefit under s. 46.284 (5) and for the payment of premiums under s. 49.472 (5). If the department transfers funds to this appropriation account from the appropriation account under sub. (4) (b), the amounts in the schedule for the fiscal year for which the transfer is made are increased by the amount of the transfer for the purposes specified in s. 49.45 (6v) (6L). Notwithstanding ss. 20.001 (3) (a) and 20.002 (1), the department may under this paragraph transfer moneys between fiscal years. Except for moneys authorized for transfer under this appropriation account or under s. 46.27 (7) (fm) or (g), all moneys under this appropriation account that are allocated under s. 46.27 and are not spent or encumbered by counties or by the department by December 31 of each year shall lapse to the general fund on the succeeding January 1 unless transferred to the next calendar year by the joint committee on finance.".

AB100-ASA1-AA9,11,3 25. Page 309, line 9: after that line insert:

AB100-ASA1-AA9,11,4 " Section 397c. 20.505 (1) (sd) of the statutes is amended to read:

AB100-ASA1-AA9,11,18 20.505 (1) (sd) Revenue obligation proceeds to pay the state's unfunded liability under the Wisconsin Retirement System fund costs of the Medical Assistance program. As a continuing appropriation, all proceeds from revenue obligations that are issued under subch. II of ch. 18, as authorized under s. 16.526, and deposited in a fund in the state treasury, or in an account maintained by a trustee, created under s. 18.57 (1), as authorized under s. 16.526 (2), to pay part or all of the state's unfunded prior service liability under s. 40.05 (2) (b) and the state's unfunded liability under s. 40.05 (4) (b), (bc), and (bw) and subch. IX of ch. 40, as determined by the department of administration be transferred to the health care quality improvement fund, and to provide for reserves and to make ancillary payments, as determined by the building commission, and the remainder to be transferred to a retirement liability an excise tax revenue obligation redemption fund created under s. 18.562 (3). Estimated disbursements under this paragraph shall not be included in the schedule under s. 20.005.

AB100-ASA1-AA9, s. 397h Section 397h. 20.505 (1) (sh) of the statutes is amended to read:

AB100-ASA1-AA9,12,3 20.505 (1) (sh) Excise tax fund — revenue obligation repayment. From the excise tax fund, a sum sufficient to pay a retirement liability an excise tax revenue obligation redemption fund created under s. 18.562 (3) the amount needed to pay the principal of and premium, if any, and interest on revenue obligations issued under subch. II of ch. 18, as authorized under s. 16.526, and to make ancillary payments authorized by the authorizing resolution for the revenue obligations. Estimated disbursements under this paragraph shall not be included in the schedule under s. 20.005.

AB100-ASA1-AA9, s. 397p Section 397p. 20.505 (1) (sm) of the statutes is amended to read:

AB100-ASA1-AA9,12,10 20.505 (1) (sm) Excise tax fund — provision of reserves and payment of ancillary costs relating to revenue obligations. From the excise tax fund, a sum sufficient to provide for reserves and for ancillary payments relating to revenue obligations issued under subch. II of ch. 18, as authorized under s. 16.526 and the resolution authorizing the revenue obligations. Estimated disbursements under this paragraph shall not be included in the schedule under s. 20.005.

AB100-ASA1-AA9, s. 397t Section 397t. 20.505 (1) (sp) of the statutes is amended to read:

AB100-ASA1-AA9,12,21 20.505 (1) (sp) Revenue obligation debt service. From a retirement liability an excise tax revenue obligation redemption fund created under s. 18.562 (3), all moneys received by the fund for the payment of principal of and premium, if any, and interest on revenue obligations issued under subch. II of ch. 18, as authorized under s. 16.526, and for ancillary payments authorized by the authorizing resolution for the revenue obligations. All moneys received by the fund are irrevocably appropriated in accordance with subch. II of ch. 18 and further established in resolutions authorizing the issuance of the revenue obligations under. s. 16.526 and setting forth the distribution of funds to be received thereafter. Estimated disbursements under this paragraph shall not be included in the schedule under s. 20.005.".

AB100-ASA1-AA9,12,22 26. Page 309, line 11: after that line insert:

AB100-ASA1-AA9,12,23 " Section 402j. 20.505 (4) (i) of the statutes is created to read:

AB100-ASA1-AA9,13,3 20.505 (4) (i) Health care quality and patient safety board; gifts and grants. All money received from gifts, grants, bequests, and devises to the health care quality and patient safety board, for the purposes for which made.".

AB100-ASA1-AA9,13,4 27. Page 309, line 25: after that line insert:

AB100-ASA1-AA9,13,5 " Section 409j. 20.505 (4) (q) of the statutes is created to read:

AB100-ASA1-AA9,13,9 20.505 (4) (q) Health care quality and patient safety board; general program operations. Biennially, from the health care quality improvement fund, the amounts in the schedule for general program operations of the health care quality and patient safety board.

AB100-ASA1-AA9, s. 409L Section 409L. 20.505 (4) (qb) of the statutes is created to read:

AB100-ASA1-AA9,13,13 20.505 (4) (qb) Health care quality and patient safety board; grants or loans. As a continuing appropriation, from the health care quality improvement fund, the amounts in the schedule for grants or loans under s. 153.076.".

AB100-ASA1-AA9,13,14 28. Page 349, line 20: after that line insert:

AB100-ASA1-AA9,13,15 " Section 521r. 25.17 (1) (gd) of the statutes is created to read:

AB100-ASA1-AA9,13,16 25.17 (1) (gd) Health care quality improvement fund (s. 25.775);".

AB100-ASA1-AA9,13,17 29. Page 355, line 12: after that line insert:

AB100-ASA1-AA9,13,18 " Section 538m. 25.775 of the statutes is created to read:

AB100-ASA1-AA9,13,21 25.775 Health care quality improvement fund. There is created a separate nonlapsible trust fund designated as the health care quality improvement fund, consisting of all of the following:

AB100-ASA1-AA9,13,23 (1) All moneys transferred under 2005 Wisconsin Act .... (this act), section 9225 (1).

AB100-ASA1-AA9,13,24 (2) All moneys received from s. 20.505 (1) (sd).

AB100-ASA1-AA9,14,1 (3) In each fiscal year, $250,000 of the assessments paid under s. 153.60.

AB100-ASA1-AA9,14,2 (4) Repayment of any loans made under s. 153.076 (2).

AB100-ASA1-AA9,14,3 (5) All moneys transferred under s. 16.518 (4).

AB100-ASA1-AA9, s. 538n Section 538n. 25.775 (1) of the statutes, as created by 2005 Wisconsin Act .... (this act), is repealed.

AB100-ASA1-AA9, s. 538p Section 538p. 25.775 (5) of the statutes, as created by 2005 Wisconsin Act .... (this act), is repealed.".

AB100-ASA1-AA9,14,8 30. Page 439, line 21: after that line insert:

AB100-ASA1-AA9,14,9 " Section 857h. 46.27 (9) (a) of the statutes is amended to read:

AB100-ASA1-AA9,14,18 46.27 (9) (a) The department may select up to 5 counties that volunteer to participate in a pilot project under which they will receive certain funds allocated for long-term care. The department shall allocate a level of funds to these counties equal to the amount that would otherwise be paid under s. 20.435 (4) (b), (gp), (r), (rg), or (w) to nursing homes for providing care because of increased utilization of nursing home services, as estimated by the department. In estimating these levels, the department shall exclude any increased utilization of services provided by state centers for the developmentally disabled. The department shall calculate these amounts on a calendar year basis under sub. (10).

AB100-ASA1-AA9, s. 857i Section 857i. 46.27 (9) (a) of the statutes, as affected by 2005 Wisconsin Act .... (this act), is amended to read:

AB100-ASA1-AA9,15,5 46.27 (9) (a) The department may select up to 5 counties that volunteer to participate in a pilot project under which they will receive certain funds allocated for long-term care. The department shall allocate a level of funds to these counties equal to the amount that would otherwise be paid under s. 20.435 (4) (b), (gp), (r), (rg), or (w) to nursing homes for providing care because of increased utilization of nursing home services, as estimated by the department. In estimating these levels, the department shall exclude any increased utilization of services provided by state centers for the developmentally disabled. The department shall calculate these amounts on a calendar year basis under sub. (10).

AB100-ASA1-AA9, s. 857m Section 857m. 46.27 (10) (a) 1. of the statutes is amended to read:

AB100-ASA1-AA9,15,12 46.27 (10) (a) 1. The department shall determine for each county participating in the pilot project under sub. (9) a funding level of state medical assistance expenditures to be received by the county. This level shall equal the amount that the department determines would otherwise be paid under s. 20.435 (4) (b), (gp), (r), (rg), or (w) because of increased utilization of nursing home services, as estimated by the department.

AB100-ASA1-AA9, s. 857n Section 857n. 46.27 (10) (a) 1. of the statutes, as affected by 2005 Wisconsin Act .... (this act), is amended to read:

AB100-ASA1-AA9,15,20 46.27 (10) (a) 1. The department shall determine for each county participating in the pilot project under sub. (9) a funding level of state medical assistance expenditures to be received by the county. This level shall equal the amount that the department determines would otherwise be paid under s. 20.435 (4) (b), (gp), (r), (rg), or (w) because of increased utilization of nursing home services, as estimated by the department.".

AB100-ASA1-AA9,15,21 31. Page 439, line 22: after that line insert:

AB100-ASA1-AA9,15,22 " Section 862x. 46.275 (5) (a) of the statutes is amended to read:

AB100-ASA1-AA9,16,4 46.275 (5) (a) Medical Assistance reimbursement for services a county, or the department under sub. (3r), provides under this program is available from the appropriation accounts under s. 20.435 (4) (b), (gp), (o), (r), (rg), and (w). If 2 or more counties jointly contract to provide services under this program and the department approves the contract, Medical Assistance reimbursement is also available for services provided jointly by these counties.

AB100-ASA1-AA9,16,6 " Section 862y. 46.275 (5) (a) of the statutes, as affected by 2005 Wisconsin Act .... (this act), is amended to read:

AB100-ASA1-AA9,16,12 46.275 (5) (a) Medical Assistance reimbursement for services a county, or the department under sub. (3r), provides under this program is available from the appropriation accounts under s. 20.435 (4) (b), (gp), (o), (r), (rg), and (w). If 2 or more counties jointly contract to provide services under this program and the department approves the contract, Medical Assistance reimbursement is also available for services provided jointly by these counties.".

AB100-ASA1-AA9,16,13 32. Page 440, line 2: after that line insert:

AB100-ASA1-AA9,16,14 " Section 865p. 46.275 (5) (c) of the statutes is amended to read:

AB100-ASA1-AA9,16,21 46.275 (5) (c) The total allocation under s. 20.435 (4) (b), (gp), (o), (r), (rg), and (w) to counties and to the department under sub. (3r) for services provided under this section may not exceed the amount approved by the federal department of health and human services. A county may use funds received under this section only to provide services to persons who meet the requirements under sub. (4) and may not use unexpended funds received under this section to serve other developmentally disabled persons residing in the county.

AB100-ASA1-AA9, s. 865q Section 865q. 46.275 (5) (c) of the statutes, as affected by 2005 Wisconsin Act .... (this act), is amended to read:

AB100-ASA1-AA9,17,7 46.275 (5) (c) The total allocation under s. 20.435 (4) (b), (gp), (o), (r), (rg), and (w) to counties and to the department under sub. (3r) for services provided under this section may not exceed the amount approved by the federal department of health and human services. A county may use funds received under this section only to provide services to persons who meet the requirements under sub. (4) and may not use unexpended funds received under this section to serve other developmentally disabled persons residing in the county.".

AB100-ASA1-AA9,17,8 33. Page 440, line 8: delete "who has resided in a nursing".

AB100-ASA1-AA9,17,9 34. Page 440, line 9: delete "home for at least 100 consecutive days".

AB100-ASA1-AA9,17,10 35. Page 440, line 16: after that line insert:

AB100-ASA1-AA9,17,11 " Section 870g. 46.278 (6) (d) of the statutes is amended to read:

AB100-ASA1-AA9,17,17 46.278 (6) (d) If a county makes available nonfederal funds equal to the state share of service costs under a waiver received under sub. (3), the department may, from the appropriation under s. 20.435 (4) (o), provide reimbursement for services that the county provides under this section to persons who are in addition to those who may be served under this section with funds from the appropriation under s. 20.435 (4) (b), (r), (rg), or (w).

AB100-ASA1-AA9, s. 870h Section 870h. 46.278 (6) (d) of the statutes, as affected by 2005 Wisconsin Act .... (this act), is amended to read:

AB100-ASA1-AA9,18,2 46.278 (6) (d) If a county makes available nonfederal funds equal to the state share of service costs under a waiver received under sub. (3), the department may, from the appropriation under s. 20.435 (4) (o), provide reimbursement for services that the county provides under this section to persons who are in addition to those who may be served under this section with funds from the appropriation under s. 20.435 (4) (b), (r), (rg), or (w).".

AB100-ASA1-AA9,18,3 36. Page 444, line 18: after that line insert:

AB100-ASA1-AA9,18,4 " Section 873s. 46.283 (5) of the statutes is amended to read:

AB100-ASA1-AA9,18,9 46.283 (5) Funding. From the appropriation accounts under s. 20.435 (4) (b), (bm), (gp), (pa), (r), (rg), and (w) and (7) (b), (bd), and (md), the department may contract with organizations that meet standards under sub. (3) for performance of the duties under sub. (4) and shall distribute funds for services provided by resource centers.

AB100-ASA1-AA9, s. 873t Section 873t. 46.283 (5) of the statutes, as affected by 2005 Wisconsin Act .... (this act), is amended to read:

AB100-ASA1-AA9,18,16 46.283 (5) Funding. From the appropriation accounts under s. 20.435 (4) (b), (bm), (gp), (pa), (r), (rg), and (w) and (7) (b), (bd), and (md), the department may contract with organizations that meet standards under sub. (3) for performance of the duties under sub. (4) and shall distribute funds for services provided by resource centers.

AB100-ASA1-AA9, s. 873u Section 873u. 46.284 (5) (a) of the statutes is amended to read:

AB100-ASA1-AA9,18,24 46.284 (5) (a) From the appropriation accounts under s. 20.435 (4) (b), (g), (gp), (im), (o), (r), (rg), and (w) and (7) (b) and (bd), the department shall provide funding on a capitated payment basis for the provision of services under this section. Notwithstanding s. 46.036 (3) and (5m), a care management organization that is under contract with the department may expend the funds, consistent with this section, including providing payment, on a capitated basis, to providers of services under the family care benefit.

AB100-ASA1-AA9, s. 873v Section 873v. 46.284 (5) (a) of the statutes, as affected by 2005 Wisconsin Act .... (this act), is amended to read:

AB100-ASA1-AA9,19,9 46.284 (5) (a) From the appropriation accounts under s. 20.435 (4) (b), (g), (gp), (im), (o), (r), (rg), and (w) and (7) (b) and (bd), the department shall provide funding on a capitated payment basis for the provision of services under this section. Notwithstanding s. 46.036 (3) and (5m), a care management organization that is under contract with the department may expend the funds, consistent with this section, including providing payment, on a capitated basis, to providers of services under the family care benefit.".

AB100-ASA1-AA9,19,10 37. Page 447, line 22: after that line insert:

AB100-ASA1-AA9,19,11 " Section 887g. 46.515 (1) (i) of the statutes is repealed.

AB100-ASA1-AA9, s. 888g Section 888g. 46.515 (1) (j) of the statutes is repealed.".

AB100-ASA1-AA9,19,13 38. Page 448, line 16: after that line insert:

AB100-ASA1-AA9,19,15 " Section 890g. 46.515 (2) of the statutes, as affected by 2005 Wisconsin Act .... (this act), is amended to read:

AB100-ASA1-AA9,20,8 46.515 (2) Funds provided. If a county or Indian tribe applies and is selected by the department under sub. (5) to participate in the program under this section, the department shall award, from the appropriation under s. 20.435 (5) (ab), a grant annually to be used only for the purposes specified in sub. (4) (a) and (am). The minimum amount of a grant is $10,000. The department shall determine the amount of a grant awarded to a county, other than a county with a population of 500,000 or more, or Indian tribe in excess of the minimum amount based on the number of births that are funded by medical assistance under subch. IV of ch. 49 in that county or the reservation of that Indian tribe in proportion to the number of births that are funded by medical assistance under subch. IV of ch. 49 in all of the counties and the reservations of all of the Indian tribes to which grants are awarded under this section. The department shall determine the amount of a grant awarded to a county with a population of 500,000 or more in excess of the minimum amount based on 60% of the number of births that are funded by medical assistance under subch. IV of ch. 49 in that county in proportion to the number of births that are funded by medical assistance under subch. IV of ch. 49 in all of the counties and the reservations of all of the Indian tribes to which grants are awarded under this section.

AB100-ASA1-AA9, s. 891g Section 891g. 46.515 (3) (title) of the statutes is repealed.

AB100-ASA1-AA9, s. 892g Section 892g. 46.515 (3) (a) of the statutes is repealed.

AB100-ASA1-AA9, s. 893g Section 893g. 46.515 (3) (b) of the statutes is renumbered 46.515 (3) and amended to read:

AB100-ASA1-AA9,20,17 46.515 (3) Joint application permitted. Two or more counties and Indian tribes may submit a joint application to the department. Each county or Indian tribe in a joint application shall be counted as a separate county or Indian tribe for the purpose of limiting the number of counties and Indian tribes selected in each state fiscal biennium.

AB100-ASA1-AA9, s. 894g Section 894g. 46.516 of the statutes is created to read:

AB100-ASA1-AA9,20,20 46.516 Universal home visitation services. (1) Definitions. In this section:

AB100-ASA1-AA9,20,22 (a) "County department" means a county department of human services or social services under s. 46.215, 46.22, or 46.23.

AB100-ASA1-AA9,20,24 (b) "Indian tribe" means a federally recognized American Indian tribe or band in this state.

AB100-ASA1-AA9,20,25 (c) "Local health department" has the meaning given in s. 250.01 (4).

AB100-ASA1-AA9,21,4 (d) "Local partnership" means any combination of 2 or more county departments, local health departments, Indian tribes, and private nonprofit agencies that have agreed to implement jointly a program of universal home visitation services under this section.

AB100-ASA1-AA9,21,6 (e) "Organization" means a county department, local health department, Indian tribe, private nonprofit agency, or local partnership.

AB100-ASA1-AA9,21,8 (f) "Private nonprofit agency" means a nonstock corporation organized under ch. 181 that is a nonprofit corporation, as defined in s. 181.0103 (17).