LRBb0612/1
GM/RR/PK/DK/JK:kjf:pg
2005 - 2006 LEGISLATURE
ASSEMBLY AMENDMENT 9,
TO ASSEMBLY SUBSTITUTE AMENDMENT 1,
TO 2005 ASSEMBLY BILL 100
June 21, 2005 - Offered by Representatives Kreuser and Richards.
AB100-ASA1-AA9,1,11 At the locations indicated, amend the substitute amendment as follows:
AB100-ASA1-AA9,1,2 21. Page 17, line 5: after that line insert:
AB100-ASA1-AA9,1,3 3" Section 41u. 15.07 (2) (b) of the statutes is repealed.".
AB100-ASA1-AA9,1,4 42. Page 17, line 6: after that line insert:
AB100-ASA1-AA9,1,5 5" Section 42s. 15.07 (2) (n) of the statutes is created to read:
AB100-ASA1-AA9,1,76 15.07 (2) (n) The chairperson of the health care quality and patient safety board
7shall be designated biennially by the governor.".
AB100-ASA1-AA9,1,8 83. Page 17, line 12: after that line insert:
AB100-ASA1-AA9,1,9 9" Section 45c. 15.07 (3) (bm) 1. of the statutes is repealed.".
AB100-ASA1-AA9,1,10 104. Page 17, line 23: after that line insert:
AB100-ASA1-AA9,1,11 11" Section 48f. 15.105 (13) of the statutes is created to read:
AB100-ASA1-AA9,2,4
115.105 (13) Health care quality and patient safety board. (a) Creation;
2membership.
There is created a health care quality and patient safety board,
3attached to the department of administration under s. 15.03, consisting of the
4following members:
AB100-ASA1-AA9,2,65 1. The secretary of health and family services, the secretary of employee trust
6funds, and the secretary of administration or their designees.
AB100-ASA1-AA9,2,77 2. One physician, as defined in s. 448.01 (5).
AB100-ASA1-AA9,2,88 3. One representative of hospitals.
AB100-ASA1-AA9,2,99 4. One employer purchaser of health care.
AB100-ASA1-AA9,2,1010 5. One representative of the insurance industry.
AB100-ASA1-AA9,2,1211 6. One representative of health maintenance organizations, as defined in s.
12609.01 (2).
AB100-ASA1-AA9,2,1313 7. One member who shall represent the public interest.
AB100-ASA1-AA9,2,1514 (b) Terms. The board members specified in par. (a) 2. to 7. shall be appointed
15for 4-year terms.".
AB100-ASA1-AA9,2,16 165. Page 17, line 24: after that line insert:
AB100-ASA1-AA9,2,17 17" Section 52p. 15.195 (6) of the statutes is repealed.".
AB100-ASA1-AA9,2,18 186. Page 18, line 22: after that line insert:
AB100-ASA1-AA9,2,19 19" Section 57g. 16.03 (3) of the statutes is amended to read:
AB100-ASA1-AA9,2,2320 16.03 (3) Report. The interagency coordinating council shall report at least
21twice annually to the health care quality and patient safety board on health care
22information
in the department of health and family services administration,
23concerning the council's activities under this section.".
AB100-ASA1-AA9,2,24 247. Page 22, line 4: after that line insert:
AB100-ASA1-AA9,3,1
1" Section 72sg. 16.526 (title) of the statutes is repealed and recreated to read:
AB100-ASA1-AA9,3,3 216.526 (title) Revenue obligation program to fund costs of the Medical
3Assistance program.
AB100-ASA1-AA9, s. 72sh 4Section 72sh. 16.526 (1) of the statutes is amended to read:
AB100-ASA1-AA9,3,175 16.526 (1) For purposes of subch. II of ch. 18, the purposes of obtaining proceeds
6to pay the state's anticipated unfunded prior service liability under s. 40.05 (2) (b)
7and of paying the state's unfunded prior service liability under s. 40.05 (2) (b) and the
8state's unfunded liability under s. 40.05 (4) (b), (bc), and (bw) and subch. IX of ch. 40

9fund costs of the Medical Assistance program is a special fund program, and the
10excise tax fund is a special fund. The legislature finds and determines that the excise
11tax fund is a segregated fund consisting of fees, penalties, or excise taxes and that
12financing the special Medical Assistance program to pay the state's unfunded prior
13service liability under s. 40.05 (2) (b) and the state's unfunded liability under s. 40.05
14(4) (b), (bc), and (bw) and subch. IX of ch. 40
fund costs from the net proceeds of
15revenue obligations issued under this section is appropriate and will serve a public
16purpose by improving the quality of, and access of citizens of this state to, health care
17services
.
AB100-ASA1-AA9, s. 72sj 18Section 72sj. 16.526 (2) of the statutes is amended to read:
AB100-ASA1-AA9,4,319 16.526 (2) The net proceeds of revenue obligations issued under subch. II of ch.
2018, as authorized under this section, shall be deposited in a fund in the state treasury,
21or an account maintained by a trustee, created under s. 18.57 (1). The moneys shall
22be applied for ancillary payments and for the provision of reserves, as determined
23by the building commission, and for the payment of part or all of the state's unfunded
24prior service liability under s. 40.05 (2) (b) and the state's unfunded liability under
25s. 40.05 (4) (b), (bc), and (bw) and subch. IX of ch. 40, as determined by the

1department,
costs of the Medical Assistance program, and any remainder shall be
2paid into a retirement liability an excise tax revenue obligation redemption fund
3created under 18.562 (3).
AB100-ASA1-AA9, s. 72sL 4Section 72sL. 16.526 (5) (b) of the statutes is amended to read:
AB100-ASA1-AA9,4,175 16.526 (5) (b) Except as otherwise provided in this paragraph, the secretary
6shall determine the
requirements for funds to be obtained from revenue obligations
7issued under this section
to pay the state's anticipated unfunded prior service
8liability under s. 40.05 (2) (b) and funds used for the payment of the state's unfunded
9prior service liability under s. 40.05 (2) (b) and the state's unfunded liability under
10s. 40.05 (4) (b), (bc), and (bw) and subch. IX of ch. 40, that are to be paid from revenue
11obligations issued under this section, shall be determined by the secretary
costs of
12the Medical Assistance program
. The sum amount of expenditures to be paid from
13revenue obligations issued under this section and appropriation obligations issued
14under s. 16.527, if any
, excluding any appropriation revenue obligations that have
15been defeased under a cash optimization program administered by the building
16commission and any appropriation obligations issued pursuant to s. 16.527 (3) (b) 3.,
17shall not exceed $1,500,000,000 $130,000,000.
AB100-ASA1-AA9, s. 72sm 18Section 72sm. 16.526 (5) (c) of the statutes is created to read:
AB100-ASA1-AA9,4,2119 16.526 (5) (c) For the purpose of s. 18.58 (4), the department is carrying out
20program responsibilities for which the revenue obligations are authorized under this
21section.
AB100-ASA1-AA9, s. 72sp 22Section 72sp. 16.527 (3) (b) 2. of the statutes is amended to read:
AB100-ASA1-AA9,5,223 16.527 (3) (b) 2. The sum of appropriation obligations issued under this section,
24excluding any obligations that have been defeased under a cash optimization
25program administered by the building commission and any obligations issued

1pursuant to subd. 3., and revenue obligations issued under s. 16.526, if any, may not
2exceed $1,500,000,000.".
AB100-ASA1-AA9,5,5 38. Page 164, line 16: increase the dollar amount for fiscal year 2005-06 by
4$2,163,700 and increase the dollar amount for fiscal year 2006-07 by $2,187,800 to
5increase funding for the purpose for which the appropriation is made.
AB100-ASA1-AA9,5,8 69. Page 165, line 24: increase the dollar amount for fiscal year 2005-06 by
7$1,616,400 and increase the dollar amount for fiscal year 2006-07 by $1,616,400 to
8increase funding for the purpose for which the appropriation is made.
AB100-ASA1-AA9,5,11 910. Page 166, line 16: increase the dollar amount for fiscal year 2005-06 by
10$816,600 and increase the dollar amount for fiscal year 2006-07 by $406,300 to
11increase funding for the purpose for which the appropriation is made.
AB100-ASA1-AA9,5,14 1211. Page 167, line 4: increase the dollar amount for fiscal year 2005-06 by
13$250,000 and increase the dollar amount for fiscal year 2006-07 by $250,000 to
14increase funding for coverage of wigs.
AB100-ASA1-AA9,5,17 1512. Page 167, line 4: increase the dollar amount for fiscal year 2005-06 by
16$381,600 and increase the dollar amount for fiscal year 2006-07 by $384,700 to
17increase funding for coverage of bariatric surgery.
AB100-ASA1-AA9,5,21 1813. Page 167, line 4: increase the dollar amount for fiscal year 2005-06 by
19$1,783,300 and increase the dollar amount for fiscal year 2006-07 by $2,388,900 to
20increase funding for home health, personal care, and private duty nursing services
21under Medical Assistance.
AB100-ASA1-AA9,5,22 2214. Page 169, line 22: after that line insert: - See PDF for table PDF
AB100-ASA1-AA9,6,2 115. Page 170, line 13: increase the dollar amount for fiscal year 2006-07 by
2$1,096,100 to increase funding for the purposes for which the appropriation is made.
AB100-ASA1-AA9,6,3 316. Page 205, line 7: delete lines 7 to 9.
AB100-ASA1-AA9,6,4 417. Page 207, line 20: after that line insert: - See PDF for table PDF
AB100-ASA1-AA9,6,5 518. Page 208, line 19: after that line insert: - See PDF for table PDF
AB100-ASA1-AA9,6,6 619. Page 289, line 21: after that line insert:
AB100-ASA1-AA9,6,7 7" Section 310g. 20.435 (4) (b) of the statutes is amended to read:
AB100-ASA1-AA9,7,16
120.435 (4) (b) Medical Assistance program benefits. Biennially, the amounts
2in the schedule to provide a portion of the state share of Medical Assistance program
3benefits administered under s. 49.45, to provide a portion of the Medical Assistance
4program benefits administered under s. 49.45 that are not also provided under par.
5(o), to fund the pilot project under s. 46.27 (9) and (10), to provide a portion of the
6facility payments under 1999 Wisconsin Act 9, section 9123 (9m), to fund services
7provided by resource centers under s. 46.283, and for services under the family care
8benefit under s. 46.284 (5). Notwithstanding s. 20.002 (1), the department may
9transfer from this appropriation account to the appropriation account under sub. (7)
10(kb) funds in the amount of and for the purposes specified in s. 46.485.
11Notwithstanding ss. 20.001 (3) (b) and 20.002 (1), the department may credit or
12deposit into this appropriation account and may transfer between fiscal years funds
13that it transfers from the appropriation account under sub. (7) (kb) for the purposes
14specified in s. 46.485 (3r). Notwithstanding s. 20.002 (1), the department may
15transfer from this appropriation account to the appropriation account under sub. (7)
16(bd) funds in the amount and for the purposes specified in s. 49.45 (6v) (6L).".
AB100-ASA1-AA9,7,17 1720. Page 290, line 8: after that line insert:
AB100-ASA1-AA9,7,18 18" Section 312r. 20.435 (4) (gp) of the statutes is amended to read:
AB100-ASA1-AA9,8,1019 20.435 (4) (gp) Medical assistance; hospital assessments. All moneys received
20under s. 146.99, to provide a portion of the state share of Medical Assistance program
21benefits administered under s. 49.45, to provide a portion of Medical Assistance
22program benefits administered under s. 49.45 that are not also provided under par.
23(o), to fund the pilot project under s. 46.27 (9) and (10), to provide a portion of the
24facility payments under 1999 Wisconsin Act 9, section 9123 (9m), to fund services

1provided by resource centers under s. 46.283, and for services under the family care
2benefit under s. 46.284 (5). Notwithstanding s. 20.002 (1), the department may
3transfer from this appropriation account to the appropriation account under sub. (7)
4(kb) funds in the amount of and for the purposes specified in s. 46.485.
5Notwithstanding ss. 20.001 (3) (b) and 20.002 (1), the department may credit or
6deposit into this appropriation account and may transfer between fiscal years funds
7that it transfers from the appropriation account under sub. (7) (kb) for the purposes
8specified in s. 46.485 (3r). Notwithstanding s. 20.002 (1), the department may
9transfer from this appropriation account to the appropriation account under sub. (7)
10(bd) funds in the amount and for the purposes specified in s. 49.45 (6v) (6L).".
AB100-ASA1-AA9,8,11 1121. Page 290, line 9: delete that line and substitute:
AB100-ASA1-AA9,8,13 12" Section 313mg. 20.435 (4) (hg) of the statutes is renumbered 20.435 (1) (hg)
13and amended to read:
AB100-ASA1-AA9,8,1814 20.435 (1) (hg) General program operations; health care information. The
15amounts in the schedule to fund the activities of the department of health and family
16services and the board on health care information under ch. 153. The contract fees
17paid under s. 153.05 (6m) and assessments paid under s. 153.60, less $250,000 in
18assessments paid in each fiscal year,
shall be credited to this appropriation account.".
AB100-ASA1-AA9,8,19 1922. Page 291, line 6: after that line insert:
AB100-ASA1-AA9,8,20 20" Section 317h. 20.435 (4) (r) of the statutes is created to read:
AB100-ASA1-AA9,9,521 20.435 (4) (r) Health care quality improvement fund; Medical Assistance. From
22the health care quality improvement fund, as a continuing appropriation, the
23amounts in the schedule to provide a portion of the state share of Medical Assistance
24program benefits administered under s. 49.45, to provide a portion of the Medical

1Assistance program benefits administered under s. 49.45 that are not also provided
2under par. (o), to fund the pilot project under s. 46.27 (9) and (10), to provide a portion
3of the facility payments under 1999 Wisconsin Act 9, section 9123 (9m), to fund
4services provided by resource centers under s. 46.283, and for services under the
5family care benefit under s. 46.284 (5).
AB100-ASA1-AA9, s. 317k 6Section 317k. 20.435 (4) (rg) of the statutes is created to read:
AB100-ASA1-AA9,9,157 20.435 (4) (rg) Health care quality improvement fund; Medical Assistance
8payments.
From the health care quality improvement fund, a sum sufficient equal
9to the amounts transferred under s. 16.518 (4), to provide a portion of the state share
10of Medical Assistance program benefits administered under s. 49.45, to provide a
11portion of the Medical Assistance program benefits administered under s. 49.45 that
12are not also provided under par. (o), to fund the pilot project under s. 46.27 (9) and
13(10), to provide a portion of the facility payments under 1999 Wisconsin Act 9, section
149123 (9m), to fund services provided by resource centers under s. 46.283, and for
15services under the family care benefit under s. 46.284 (5).
AB100-ASA1-AA9, s. 317m 16Section 317m. 20.435 (4) (rg) of the statutes, as created by 2005 Wisconsin Act
17.... (this act), is repealed.
AB100-ASA1-AA9, s. 317p 18Section 317p. 20.435 (4) (rm) of the statutes is created to read:
AB100-ASA1-AA9,9,2419 20.435 (4) (rm) Health care quality improvement fund; hospital supplemental
20payments.
From the health care quality improvement fund, the amounts in the
21schedule to provide payments for direct graduate medical education, a major
22managed care supplement, a pediatric services supplement, rural hospital
23supplements under s. 49.45 (5m) (am), and an essential access city hospital under
24s. 49.45 (6x) (a).".
AB100-ASA1-AA9,10,1
123. Page 291, line 21: after that line insert:
AB100-ASA1-AA9,10,3 2" Section 322g. 20.435 (5) (ab) of the statutes, as affected by 2005 Wisconsin
3Act .... (this act), is amended to read:
AB100-ASA1-AA9,10,74 20.435 (5) (ab) Child abuse and neglect prevention and universal home
5visitation
grants. The amounts in the schedule for child abuse and neglect
6prevention grants under s. 46.515 and for universal home visitation grants under s.
746.516
.".
AB100-ASA1-AA9,10,8 824. Page 294, line 10: after that line insert:
AB100-ASA1-AA9,10,9 9" Section 330d. 20.435 (7) (bd) of the statutes is amended to read:
AB100-ASA1-AA9,11,210 20.435 (7) (bd) Community options program; pilot projects; family care benefit.
11The amounts in the schedule for assessments, case planning, services,
12administration and risk reserve escrow accounts under s. 46.27, for pilot projects
13under s. 46.271 (1), to fund services provided by resource centers under s. 46.283 (5),
14for services under the family care benefit under s. 46.284 (5) and for the payment of
15premiums under s. 49.472 (5). If the department transfers funds to this
16appropriation account from the appropriation account under sub. (4) (b), the
17amounts in the schedule for the fiscal year for which the transfer is made are
18increased by the amount of the transfer for the purposes specified in s. 49.45 (6v) (6L).
19Notwithstanding ss. 20.001 (3) (a) and 20.002 (1), the department may under this
20paragraph transfer moneys between fiscal years. Except for moneys authorized for
21transfer under this appropriation account or under s. 46.27 (7) (fm) or (g), all moneys
22under this appropriation account that are allocated under s. 46.27 and are not spent
23or encumbered by counties or by the department by December 31 of each year shall

1lapse to the general fund on the succeeding January 1 unless transferred to the next
2calendar year by the joint committee on finance.".
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