Amendment SSA1-SB40

SB40-SSA1, s. 917 Section 917. 46.27 (7) (fr) 3. c. of the statutes is amended to read:

SB40-SSA1,530,10 46.27 (7) (fr) 3. c. If approved by a resolution of the county board of supervisors, to transfer funds to a family long-term care district.

SB40-SSA1, s. 918 Section 918. 46.27 (9) (a) of the statutes is amended to read:

SB40-SSA1,530,20 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), or (w), or (xd) 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).

SB40-SSA1, s. 919 Section 919. 46.27 (9) (c) of the statutes is amended to read:

SB40-SSA1,531,2 46.27 (9) (c) All long-term community support services provided under this pilot project in lieu of nursing home care shall be consistent with those services described in the participating county's community options plan under sub. (4) (c) 1. and provided under sub. (5) (b). Unless the department has contracted under s. 46.281 (1) (e) 1. 46.284 (2) with an entity other than the county department, each county participating in the pilot project shall assess persons under sub. (6).

SB40-SSA1, s. 920 Section 920. 46.27 (10) (a) 1. of the statutes is amended to read:

SB40-SSA1,531,9 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), or (w), or (xd), or because of increased utilization of nursing home services, as estimated by the department.

SB40-SSA1, s. 921 Section 921. 46.27 (11) (c) 5n. a. of the statutes is repealed.

SB40-SSA1, s. 922 Section 922. 46.275 (1m) (a) of the statutes is amended to read:

SB40-SSA1,531,13 46.275 (1m) (a) "Medical assistance" means aid provided under subch. IV of ch. 49, except s. ss. 49.468 and 49.471.

SB40-SSA1, s. 923 Section 923. 46.275 (5) (a) of the statutes is amended to read:

SB40-SSA1,531,20 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), and (w), and (xd). 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.

SB40-SSA1, s. 924 Section 924. 46.275 (5) (c) of the statutes is amended to read:

SB40-SSA1,532,3 46.275 (5) (c) The total allocation under s. 20.435 (4) (b), (gp), (o), and (w), and (xd) 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.

SB40-SSA1, s. 926 Section 926. 46.277 (1m) (a) of the statutes is amended to read:

SB40-SSA1,532,6 46.277 (1m) (a) "Medical assistance" means aid provided under subch. IV of ch. 49, except s. ss. 49.468 and 49.471.

SB40-SSA1, s. 927 Section 927. 46.277 (3) (d) of the statutes is created to read:

SB40-SSA1,532,12 46.277 (3) (d) The county department or aging unit that administers the program under this section shall, within the time period specified by the department, offer counseling, that is specified by the department, concerning public and private benefit programs to prospective residents of community-based residential facilities who are referred to the county department or aging unit under s. 50.035 (4n).

SB40-SSA1, s. 928 Section 928. 46.277 (5) (d) 1n. a. of the statutes is repealed.

SB40-SSA1, s. 930 Section 930. 46.278 (1m) (b) of the statutes is amended to read:

SB40-SSA1,532,16 46.278 (1m) (b) "Medical assistance" means aid provided under subch. IV of ch. 49, except s. ss. 49.468 and 49.471.

SB40-SSA1, s. 931 Section 931. 46.278 (6) (d) of the statutes is amended to read:

SB40-SSA1,532,23 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 account under s. 20.435 (4) (b) or, (w), or (xd).

SB40-SSA1, s. 932 Section 932. 46.2785 (5) (a) of the statutes is amended to read:

SB40-SSA1,533,3 46.2785 (5) (a) Medical assistance reimbursement for services a county or private agency contracts for or provides under the waiver program shall be made from the appropriation accounts under s. 20.435 (4) (b) and , (o), and (xd).

SB40-SSA1, s. 933 Section 933. 46.28 (1) (f) of the statutes is amended to read:

SB40-SSA1,533,6 46.28 (1) (f) "Victim of domestic abuse" means an individual who has encountered domestic abuse, as defined in s. 46.95 49.165 (1) (a).

SB40-SSA1, s. 934 Section 934. 46.2803 (2) of the statutes is created to read:

SB40-SSA1,533,14 46.2803 (2) Notwithstanding s. 46.27 (7), a county in which a care management organization is operating pursuant to a contract under s. 46.284 (2) or a county in which a program described under s. 46.2805 (1) (a) or (b) is administered may use funds appropriated under 20.435 (7) (bd) and allocated to the county under s. 46.27 (7) to provide community mental health or substance abuse services and supports for persons with mental illness or persons in need of services or supports for substance abuse and to provide services under the Family Support Program under s. 46.985.

SB40-SSA1, s. 935 Section 935. 46.2804 (title) of the statutes is amended to read:

SB40-SSA1,533,17 46.2804 (title) Managed care programs for Client management of managed care long-term care services benefit.

SB40-SSA1, s. 936 Section 936. 46.2804 (1) of the statutes is repealed.

SB40-SSA1, s. 937 Section 937. 46.2804 (2) of the statutes is renumbered 46.2804.

SB40-SSA1, s. 938 Section 938. 46.2805 (5) of the statutes is renumbered 46.2805 (7r) and amended to read:

SB40-SSA1,533,23 46.2805 (7r) "Family Long-term care district" means a special purpose district created under s. 46.2895 (1).

SB40-SSA1, s. 939 Section 939. 46.2805 (6) of the statutes is renumbered 46.2805 (7u) and amended to read:

SB40-SSA1,534,2 46.2805 (7u) "Family Long-term care district board" means the governing board of a family long-term care district.

SB40-SSA1, s. 940 Section 940. 46.2805 (6m) of the statutes is created to read:

SB40-SSA1,534,6 46.2805 (6m) "Family member" means a spouse or an individual related by blood, marriage, or adoption within the 3rd degree of kinship as computed under s. 990.001 (16).

SB40-SSA1, s. 941 Section 941. 46.2805 (6r) of the statutes is created to read:

SB40-SSA1,534,10 46.2805 (6r) "Financial and cost-sharing screening" means a screening to determine financial eligibility under s. 46.286 (1) (b) and cost-sharing under s. 46.286 (2) using a uniform tool prescribed by the department.

SB40-SSA1, s. 942 Section 942. 46.2805 (6v) of the statutes is created to read:

SB40-SSA1,534,15 46.2805 (6v) "Frail elder" means an individual who is 65 years of age or older and has a physical disability or irreversible dementia that restricts the individual's ability to perform normal daily tasks or that threatens the capacity of the individual to live independently.

SB40-SSA1, s. 943 Section 943. 46.2805 (7) of the statutes is amended to read:

SB40-SSA1,534,20 46.2805 (7) "Functional and financial screen screening" means a screen prescribed by the department that is used screening to determine functional eligibility under s. 46.286 (1) (a) and financial eligibility under s. 46.286 (1) (b) using a uniform tool prescribed by the department.

SB40-SSA1, s. 944 Section 944. 46.2805 (7m) of the statutes is repealed.

SB40-SSA1, s. 944r Section 944r. 46.281 (title) of the statutes is amended to read:

SB40-SSA1,534,24 46.281 (title) Powers and duties of the department and the, secretary , and counties; long-term care.

SB40-SSA1, s. 945 Section 945. 46.281 (1) (intro.) of the statutes is renumbered 46.281 (1n) (intro.), and 46.281 (1n) (title), as renumbered, is amended to read:

SB40-SSA1,535,3 46.281 (1n) (title) Duties Other duties of the department.

SB40-SSA1, s. 946 Section 946. 46.281 (1) (c) of the statutes is renumbered 46.281 (1d) and amended to read:

SB40-SSA1,535,13 46.281 (1d) Waiver request. Request The department shall request from the secretary of the federal department of health and human services any waivers of federal medicaid laws necessary to permit the use of federal moneys to provide the family care benefit to recipients of medical assistance. The department shall implement any waiver that is approved and that is consistent with ss. 46.2805 to 46.2895. Regardless of whether a waiver is approved, the department may implement operation of resource centers, care management organizations , and the family care benefit.

SB40-SSA1, s. 947m Section 947m. 46.281 (1) (d) of the statutes is renumbered 46.281 (1g) (b) and amended to read:

SB40-SSA1,536,23 46.281 (1g) (b) In geographic areas in which, in the aggregate, resides no more than 29 percent of the state population that is eligible for the family care benefit, contract with a county, a family care district, a tribe or band, the Great Lakes Inter-Tribal Council, Inc., or with 2 or more of these entities to manage all long-term care programs and administer the family care benefit as care management organizations. If the department proposes to contract with these entities to administer care management organizations the family care benefit in geographic areas in which, in the aggregate, resides more than 29 percent but less than 50 percent of the state population that is eligible for the family care benefit, the department shall first notify the joint committee on finance in writing of the proposed contract. The notification shall include the contract proposal; and an estimate of the fiscal impact of the proposed addition that demonstrates that the addition will be cost neutral, including startup, transitional, and ongoing operational costs and any proposed county contribution. The notification shall also include, for each county affected by the proposal, documentation that the county consents to administration of the family care benefit in the county, the amount of the county's payment or reduction in community aids under s. 46.281 (4), and a proposal by the county for using any savings in county expenditures on long-term care that result from administration of the family care benefit in the county. If the cochairpersons of the committee do not notify the department within 14 working days after the date of the department's notification that the committee has scheduled a meeting for the purpose of reviewing the proposed contract, the department may enter into the proposed contract. If within 14 working days after the date of the department's notification the cochairpersons of the committee notify the department that the committee has scheduled a meeting for the purpose of reviewing the proposed contract, the department may enter into the proposed contract only upon approval of if the committee. The department may contract with these entities to administer care management organizations in geographic areas in which, in the aggregate, resides 50 percent or more of the state population that is eligible for the family care benefit only if specifically authorized by the legislature and if the legislature appropriates necessary funding approves the proposed contract or if the committee fails to act on the proposed contract within 59 working days after the date of the department's notification.

SB40-SSA1, s. 948 Section 948. 46.281 (1) (e) of the statutes is repealed.

SB40-SSA1, s. 949 Section 949. 46.281 (1) (f) of the statutes is renumbered 46.281 (1n) (a).

SB40-SSA1, s. 950 Section 950. 46.281 (1) (g) of the statutes is renumbered 46.281 (1n) (b).

SB40-SSA1, s. 951 Section 951. 46.281 (1) (h) of the statutes is renumbered 46.281 (1n) (c).

SB40-SSA1, s. 952 Section 952. 46.281 (1) (i) of the statutes is repealed.

SB40-SSA1, s. 952m Section 952m. 46.281 (1g) (title) of the statutes is created to read:

SB40-SSA1,537,6 46.281 (1g) (title) Contracting for resource centers and care management organizations.

SB40-SSA1, s. 953 Section 953. 46.281 (1g) (a) of the statutes is created to read:

SB40-SSA1,537,12 46.281 (1g) (a) Subject to par. (b), the department may contract with entities as provided under s. 46.283 (2) to provide the services under s. 46.283 (3) and (4) as resource centers in any geographic area in the state, and may contract with entities as provided under s. 46.284 (2) to administer the family care benefit as care management organizations in any geographic area in the state.

SB40-SSA1, s. 954 Section 954. 46.281 (1n) (d) of the statutes is created to read:

SB40-SSA1,537,16 46.281 (1n) (d) 1. Establish regions for long-term care advisory committees under s. 46.2825, periodically review the boundaries of the regions, and, as appropriate, revise the boundaries.

SB40-SSA1,537,21 2. Specify the number of members that each governing board of a resource center shall appoint to a regional long-term care advisory committee. The total number of committee members shall not exceed 25, and the department shall allot committee membership equally among the governing boards of resource centers operating within the boundaries of the regional long-term care advisory committee.

SB40-SSA1,537,23 3. Provide information and staff assistance to assist regional long-term care advisory committees in performing the duties under s. 46.2825 (2).

SB40-SSA1, s. 954m Section 954m. 46.281 (1n) (e) of the statutes is created to read:

SB40-SSA1,538,11 46.281 (1n) (e) Contract with a person to provide the advocacy services described under s. 16.009 (2) (p) 1. to 5. to actual or potential recipients of the family care benefit who are under age 60 or to their families or guardians. The department may not contract under this paragraph with a county or with a person who has a contract with the department to provide services under s. 46.283 (3) and (4) as a resource center or to administer the family care benefit as a care management organization. The contract under this paragraph shall include as a goal that the provider of advocacy services provide one advocate for every 2,500 individuals under age 60 who receive the family care benefit. The department shall allocate $190,000 for the contract under this paragraph in fiscal year 2007-08 and $525,000 in each subsequent fiscal year.

SB40-SSA1, s. 955 Section 955. 46.281 (2) (title) of the statutes is amended to read:

SB40-SSA1,538,13 46.281 (2) (title) Powers Other powers of the department.

SB40-SSA1, s. 956 Section 956. 46.281 (3) of the statutes is amended to read:

SB40-SSA1,538,23 46.281 (3) Duty of the secretary. The secretary shall certify to each county, hospital, nursing home, community-based residential facility, adult family home and residential care apartment complex the date on which a resource center that serves the area of the county, hospital, nursing home, community-based residential facility, adult family home or residential care apartment complex is first available to provide a perform functional screenings and financial screen and cost-sharing screenings. To facilitate phase-in of services of resource centers, the secretary may certify that the resource center is available for specified groups of eligible individuals or for specified facilities in the county.

SB40-SSA1, s. 956g Section 956g. 46.281 (4) of the statutes is created to read:

SB40-SSA1,539,5 46.281 (4) County contribution. (a) In this subsection, "base amount" means the amount that a county expended in calendar year 2006, as determined by the department, to provide long-term care services to individuals who would have been eligible for the family care benefit in calendar year 2006 if the family care benefit had been available to residents of the county.

SB40-SSA1,539,9 (b) Except as provided in par. (c), each county in which the department has a contract with an entity to administer the family care benefit shall in each year of the contract either pay the department the following amount or agree to reduce the community aids distribution to the county under s. 46.40 (2) by the following amount:

SB40-SSA1,539,12 1. If the base amount for the county is less than or equal to 22 percent of the calendar year 2006 community aids distribution to the county under s. 46.40 (2), the base amount.

SB40-SSA1,539,15 2. If the base amount for the county is greater than 22 percent of the calendar year 2006 community aids distribution to the county under s. 46.40 (2), the following amounts in the following years:

SB40-SSA1,539,17 a. For the first year that the department contracts for administration of the family care benefit in the county, the base amount for the county.

SB40-SSA1,539,22 b. For the 2nd, 3rd, and 4th years that the department contracts for administration of the family care benefit in the county, the amount from the previous year minus 25 percent of the difference between the base amount for the county and 22 percent of the calendar year 2006 community aids distribution to the county under s. 46.40 (2).

SB40-SSA1,539,25 c. For the 5th year and each subsequent year that the department contracts for administration of the family care benefit in the county, 22 percent of the calendar year 2006 community aids distribution to the county under s. 46.40 (2).

SB40-SSA1,540,7 (c) Each county in which the department has a contract with an entity to administer the family care benefit, and in which the department had such a contract before January 1, 2006, shall annually either pay the department or agree to reduce the community aids distribution to the county under s. 46.40 (2) by the amount that the county paid the department, or by which the county's community aids distribution was reduced, in calendar year 2006 to fund the program under ss. 46.2805 to 46.2895.

SB40-SSA1,540,9 (d) The department shall deposit payments made by counties under this subsection in the appropriation account under s. 20.435 (7) (g).

SB40-SSA1, s. 957 Section 957. 46.282 (title) of the statutes is repealed.

SB40-SSA1, s. 958 Section 958. 46.282 (2) of the statutes is repealed.

SB40-SSA1, s. 959 Section 959. 46.282 (3) (title) of the statutes is repealed.

SB40-SSA1, s. 960 Section 960. 46.282 (3) (a) (intro.) of the statutes is repealed.

SB40-SSA1, s. 961 Section 961. 46.282 (3) (a) 1. of the statutes is repealed.