Amendment SSA1-SB40

SB40-SSA1, s. 1638 Section 1638. 49.665 (4) (ap) 2. of the statutes is repealed.

SB40-SSA1, s. 1639 Section 1639. 49.665 (4) (at) 1. a. of the statutes is amended to read:

SB40-SSA1,760,23 49.665 (4) (at) 1. a. Except as provided in subd. 1. b., the department shall establish a lower maximum income level for the initial eligibility determination if funding under s. 20.435 (4) (bc), (jz), (p), and (x), and (xd) is insufficient to accommodate the projected enrollment levels for the health care program under this section. The adjustment may not be greater than necessary to ensure sufficient funding.

SB40-SSA1, s. 1640 Section 1640. 49.665 (4) (at) 1. cm. of the statutes is amended to read:

SB40-SSA1,761,11 49.665 (4) (at) 1. cm. Notwithstanding s. 20.001 (3) (b), if, after reviewing the plan submitted under subd. 1. b., the joint committee on finance determines that the amounts appropriated under s. 20.435 (4) (bc), (jz), (p), and (x), and (xd) are insufficient to accommodate the projected enrollment levels, the committee may transfer appropriated moneys from the general purpose revenue appropriation account of any state agency, as defined in s. 20.001 (1), other than a sum sufficient appropriation account, to the appropriation account under s. 20.435 (4) (bc) (b) to supplement the health care program under this section if the committee finds that the transfer will eliminate unnecessary duplication of functions, result in more efficient and effective methods for performing programs, or more effectively carry out legislative intent, and that legislative intent will not be changed by the transfer.

SB40-SSA1, s. 1641 Section 1641. 49.665 (4) (at) 2. of the statutes is amended to read:

SB40-SSA1,761,17 49.665 (4) (at) 2. If, after the department has established a lower maximum income level under subd. 1., projections indicate that funding under s. 20.435 (4) (bc), (jz), (p), and (x), and (xd) is sufficient to raise the level, the department shall, by state plan amendment, raise the maximum income level for initial eligibility, but not to exceed 185% of the poverty line.

SB40-SSA1, s. 1641d Section 1641d. 49.665 (4g) of the statutes is created to read:

SB40-SSA1,761,25 49.665 (4g) Disease management program. Based on the health conditions identified by the physical health risk assessments, if performed under sub. (4m), the department shall develop and implement, for individuals who are eligible under sub. (4), disease management programs that are similar to that developed and followed by the Marshfield Clinic in this state under the Physician Group Practice Demonstration Program authorized under 42 USC 1315 (e) and (f). These programs shall have at least the following characteristics:

SB40-SSA1,762,3 (a) The use of information science to improve health care delivery by summarizing a patient's health status and providing reminders for preventive measures.

SB40-SSA1,762,5 (b) Educating health care providers on health care process improvement by developing best practice models.

SB40-SSA1,762,8 (c) The improvement and expansion of care management programs to assist in standardization of best practices, patient education, support systems, and information gathering.

SB40-SSA1,762,10 (d) Establishment of a system of provider compensation that is aligned with clinical quality, practice management, and cost of care.

SB40-SSA1,762,12 (e) Focus on patient care interventions for certain chronic conditions, to reduce hospital admissions.

SB40-SSA1, s. 1641e Section 1641e. 49.665 (4m) of the statutes is created to read:

SB40-SSA1,762,18 49.665 (4m) Physical health risk assessment. The department shall encourage each individual who is determined on or after the effective date of this subsection .... [revisor inserts date], to be eligible under sub. (4) to receive a physical health risk assessment as part of the first physical examination the individual receives under Badger Care.

SB40-SSA1, s. 1642 Section 1642. 49.665 (5m) of the statutes is repealed and recreated to read:

SB40-SSA1,762,22 49.665 (5m) Information about Badger Care recipients. The department shall obtain and share information about Badger Care health care program recipients as provided in s. 49.475.

SB40-SSA1, s. 1644 Section 1644. 49.665 (7) (a) 1. of the statutes is amended to read:

SB40-SSA1,763,2 49.665 (7) (a) 1. Notwithstanding sub. (4) (a) 3m. and (ap) 2., the department shall mail information verification forms to the employers of the individuals required to provide the verifications under sub. (4) (a) 3m. and (ap) 2. to obtain the information specified.

SB40-SSA1, s. 1646 Section 1646. 49.686 (6) of the statutes is created to read:

SB40-SSA1,763,9 49.686 (6) Health Insurance Risk-Sharing Plan pilot program. (a) Subject to par. (b), the department shall conduct a 3-year pilot program, to begin on October 1, 2007, under which the department may pay premiums for coverage under the Health Insurance Risk-Sharing Plan under subch. II of ch. 149, and pay copayments under that plan for prescription drugs for which reimbursement may be provided under sub. (2), for individuals who satisfy all of the following:

SB40-SSA1,763,10 1. The individuals are eligible for reimbursement under this section.

SB40-SSA1,763,11 2. The individuals are currently taking antiretroviral drugs.

SB40-SSA1,763,12 3. The individuals do not have health insurance coverage.

SB40-SSA1,763,16 4. The individuals are not eligible for premium subsidies under s. 252.16 or 252.17 because they are not on unpaid medical leave, are not unable to continue employment, and have not had to reduce their employment hours because of an illness or medical condition arising from or related to HIV.

SB40-SSA1,763,18 (b) The pilot program shall be open to a minimum of 100 participants, with more participants if the department determines that it is cost-effective.

SB40-SSA1,763,21 (c) The department may promulgate rules for the administration of the pilot program. Notwithstanding s. 227.24 (3), rules under this paragraph may be promulgated as emergency rules under s. 227.24 without a finding of emergency.

SB40-SSA1, s. 1650 Section 1650. 49.687 (6) of the statutes is created to read:

SB40-SSA1,763,25 49.687 (6) The department shall obtain and share information about individuals who receive benefits under s. 49.68, 49.683, or 49.685 as provided in s. 49.475.

SB40-SSA1, s. 1651 Section 1651. 49.688 (5) (a) (intro.) of the statutes is amended to read:

SB40-SSA1,764,7 49.688 (5) (a) (intro.) Beginning on September 1, 2002, except as provided in sub. (7) (b), as a condition of participation by a pharmacy or pharmacist in the program under s. 49.45, 49.46, or 49.47, or 49.471, the pharmacy or pharmacist may not charge a person who presents a valid prescription order and a card indicating that he or she meets eligibility requirements under sub. (2) an amount for a prescription drug under the order that exceeds the following:

SB40-SSA1, s. 1652 Section 1652. 49.688 (7) (a) of the statutes is amended to read:

SB40-SSA1,764,25 49.688 (7) (a) Except as provided in par. (b), from the appropriation accounts under s. 20.435 (4) (bv), (j), and (pg), and (xh), beginning on September 1, 2002, the department shall, under a schedule that is identical to that used by the department for payment of pharmacy provider claims under medical assistance, provide to pharmacies and pharmacists payments for prescription drugs sold by the pharmacies or pharmacists to persons eligible under sub. (2) who have paid the deductible specified under sub. (3) (b) 1. or 2. or who, under sub. (3) (b) 1., are not required to pay a deductible. The payment for each prescription drug under this paragraph shall be at the program payment rate, minus any copayment paid by the person under sub. (5) (a) 2. or 4., and plus, if applicable, incentive payments that are similar to those provided under s. 49.45 (8v). The department shall devise and distribute a claim form for use by pharmacies and pharmacists under this paragraph and may limit payment under this paragraph to those prescription drugs for which payment claims are submitted by pharmacists or pharmacies directly to the department. The department may apply to the program under this section the same utilization and cost control procedures that apply under rules promulgated by the department to medical assistance under subch. IV of ch. 49.

SB40-SSA1, s. 1653 Section 1653. 49.688 (7) (b) of the statutes is amended to read:

SB40-SSA1,765,9 49.688 (7) (b) During any period in which funding under s. 20.435 (4) (bv) and, (pg), and (xh) is completely expended for the payments specified in par. (a), the requirements of par. (a) and subs. (3) (c), (5), and (6) (a) and (b) do not apply to drugs purchased during that period, but the department shall continue to accept applications and determine eligibility under sub. (4) and shall indicate to applicants that the eligibility of program participants to purchase prescription drugs as specified in sub. (3), under the requirements of sub. (5), is conditioned on the availability of funding under s. 20.435 (4) (bv) and, (pg), and (xh).

SB40-SSA1, s. 1655 Section 1655. 49.688 (8m) of the statutes is repealed and recreated to read:

SB40-SSA1,765,12 49.688 (8m) The department shall obtain and share information about participants in the program under this section as provided in s. 49.475.

SB40-SSA1, s. 1656 Section 1656. 49.775 (2) (bm) of the statutes is amended to read:

SB40-SSA1,765,22 49.775 (2) (bm) The custodial parent assigns to the state any right of the custodial parent or of the dependent child to support from any other person. No amount of support that begins to accrue after the individual ceases to receive payments under this section may be considered assigned to the state. Any money that is received by the department of workforce development children and families under an assignment to the state under this paragraph and that is not the federal share of support shall be paid to the custodial parent. The department of workforce development children and families shall pay the federal share of support assigned under this paragraph as required under federal law or waiver.

SB40-SSA1, s. 1657 Section 1657. 49.78 (4) of the statutes is amended to read:

SB40-SSA1,766,5 49.78 (4) Rules; merit system. The department of workforce development children and families shall promulgate rules for the efficient administration of aid to families with dependent children in agreement with the requirement for federal aid, including the establishment and maintenance of personnel standards on a merit basis. The provisions of this section relating to personnel standards on a merit basis supersede any inconsistent provisions of any law relating to county personnel. This subsection shall not be construed to invalidate the provisions of s. 46.22 (1) (d).

SB40-SSA1, s. 1658 Section 1658. 49.78 (5) of the statutes is amended to read:

SB40-SSA1,766,14 49.78 (5) Personnel examinations. Statewide examinations to ascertain qualifications of applicants in any county department administering aid to families with dependent children shall be given by the administrator of the division of merit recruitment and selection in the office of state employment relations. The office of state employment relations shall be reimbursed for actual expenditures incurred in the performance of its functions under this section from the appropriations available to the department of health and family services children and families for administrative expenditures.

SB40-SSA1, s. 1659 Section 1659. 49.78 (7) of the statutes is amended to read:

SB40-SSA1,766,21 49.78 (7) County personnel systems. Pursuant to rules promulgated under sub. (4), the department of workforce development children and families where requested by the county shall delegate to that county, without restriction because of enumeration, any or all of the authority of the department of workforce development's authority children and families under sub. (4) to establish and maintain personnel standards including salary levels.

SB40-SSA1, s. 1660 Section 1660. 49.785 (1) (intro.) of the statutes is amended to read:

SB40-SSA1,767,5 49.785 (1) (intro.) Except as provided in sub. (1m), if any recipient of benefits under s. 49.148, 49.46 or 49.77, or under 42 USC 1381 to 1385 in effect on May 8, 1980, specified in sub. (1c) dies and the estate of the deceased recipient is insufficient to pay the funeral, burial, and cemetery expenses of the deceased recipient, the county or applicable tribal governing body or organization responsible for burial of the recipient shall pay, to the person designated by the county department under s. 46.215, 46.22, or 46.23 or applicable tribal governing body or organization responsible for the burial of the recipient, all of the following:

SB40-SSA1, s. 1661 Section 1661. 49.785 (1c) of the statutes is created to read:

SB40-SSA1,767,7 49.785 (1c) All of the following are eligible recipients under this section:

SB40-SSA1,767,9 (a) A recipient of benefits under s. 49.148, 49.46, or 49.77, or under 42 USC 1381 to 1385 in effect on May 8, 1980.

SB40-SSA1,767,10 (b) A recipient of benefits under s. 49.471 who is any of the following:

SB40-SSA1,767,12 1. A pregnant woman or a child under 6 years of age with a family income not exceeding 185 percent of the poverty line at the time of death.

SB40-SSA1,767,14 2. A child at least 6 years of age but less than 19 years of age with a family income not exceeding 100 percent of the poverty line at the time of death.

SB40-SSA1,767,16 3. A parent or caretaker relative with a family income not exceeding 50 percent of the poverty line at the time of death.

SB40-SSA1, s. 1662 Section 1662. 49.79 (1) (b) of the statutes is repealed.

SB40-SSA1, s. 1663 Section 1663. 49.79 (1) (d) of the statutes is repealed.

SB40-SSA1, s. 1664 Section 1664. 49.79 (1) (e) of the statutes is repealed.

SB40-SSA1, s. 1665 Section 1665. 49.79 (1) (g) of the statutes is created to read:

SB40-SSA1,767,22 49.79 (1) (g) "Wisconsin Works employment position" has the meaning given in s. 49.141 (1) (r).

SB40-SSA1, s. 1666 Section 1666. 49.79 (2) (a) of the statutes is repealed.

SB40-SSA1, s. 1667 Section 1667. 49.79 (2) (b) of the statutes is renumbered 49.79 (2).

SB40-SSA1, s. 1667f Section 1667f. 49.79 (8m) of the statutes is created to read:

SB40-SSA1,768,4 49.79 (8m) Applicants from correctional institutions. (a) The department shall allow a prisoner who is applying for the food stamp program from a correctional institution in anticipation of being released from the institution to use the address of the correctional institution as his or her address on the application.

SB40-SSA1,768,8 (b) The department shall allow an employee of a correctional institution who has been authorized by a prisoner of the institution to act on his or her behalf in matters related to the food stamp program to receive and conduct telephone calls on behalf of the prisoner in matters related to the food stamp program.

SB40-SSA1, s. 1668 Section 1668. 49.79 (9) (a) 2. of the statutes, as affected by 2007 Wisconsin Act .... (this act), is amended to read:

SB40-SSA1,768,14 49.79 (9) (a) 2. The department may not require an individual who is a recipient under the food stamp program and who is the caretaker of a child under the age of 12 26 weeks to participate in any employment and training program under this subsection.

SB40-SSA1, s. 1669 Section 1669. 49.79 (10) of the statutes is repealed.

SB40-SSA1, s. 1670 Section 1670. 49.81 (intro.) of the statutes is amended to read:

SB40-SSA1,768,21 49.81 Public assistance recipients' bill of rights. (intro.) The department of health and family services, the department of workforce development children and families, and all public assistance and relief-granting agencies shall respect rights for recipients of public assistance. The rights shall include all rights guaranteed by the U.S. constitution and the constitution of this state, and in addition shall include:

SB40-SSA1, s. 1671 Section 1671. 49.81 (4) of the statutes is amended to read:

SB40-SSA1,769,2 49.81 (4) The right to a speedy determination of the recipient's status or eligibility for public assistance, to notice of any proposed change in such status or eligibility, and, in the case of assistance granted under s. 49.19, 49.46, 49.468 or, 49.47, or 49.471, to a speedy appeals process for resolving contested determinations.

SB40-SSA1, s. 1672 Section 1672. 49.82 (1) of the statutes is amended to read:

SB40-SSA1,769,13 49.82 (1) Departments to advise counties. The department of health and family services and the department of workforce development children and families shall advise all county officers charged with the administration of requirements relating to public assistance programs under this chapter and shall render all possible assistance in securing compliance therewith, including the preparation of necessary forms and reports. The department of health and family services and the department of workforce development children and families shall also publish any information that those departments consider advisable to acquaint persons entitled to public assistance, and the public generally, with the laws governing public assistance under this chapter.

SB40-SSA1, s. 1673 Section 1673. 49.82 (2) of the statutes is renumbered 49.82 (2) (a) and amended to read:

SB40-SSA1,769,22 49.82 (2) (a) Proof shall be provided Except as provided in par. (b), for each person included in an application for public assistance under this chapter, except for a child who is eligible for medical assistance under s. 49.46 or 49.47 because of 42 USC 1396a (e) (4) or an unborn child who is eligible for coverage under the Badger Care health care program under s. 49.665 (4) (ap), proof shall be provided of his or her social security number or that an application for a social security number has been made.

SB40-SSA1, s. 1674 Section 1674. 49.82 (2) (b) of the statutes is created to read:

SB40-SSA1,769,24 49.82 (2) (b) Paragraph (a) does not apply to any of the following:

SB40-SSA1,770,2 1. A child who is eligible for medical assistance under s. 49.46 or 49.47 because of 42 USC 1396a (e) (4).

SB40-SSA1,770,4 2. An unborn child who is eligible for coverage under the Badger Care health care program under s. 49.665 (4) (ap).

SB40-SSA1,770,9 3. A person who is applying for medical assistance under subch. IV, coverage under the Badger Care health care program under s. 49.665, or coverage under the program for prescription drug assistance for elderly persons under s. 49.688 and who refuses to obtain a social security number because of well-established religious objections, as defined in 42 CFR 435.910 (h) (2).

SB40-SSA1, s. 1675 Section 1675 . 49.82 (2) (b) 1. of the statutes, as created by 2007 Wisconsin Act .... (this act), is amended to read:

SB40-SSA1,770,13 49.82 (2) (b) 1. A child who is eligible for medical assistance under s. 49.46 or, 49.47, or 49.471 because of 42 USC 1396a (e) (4).

SB40-SSA1, s. 1676 Section 1676 . 49.82 (2) (b) 2. of the statutes, as created by 2007 Wisconsin Act .... (this act), is amended to read:

SB40-SSA1,770,17 49.82 (2) (b) 2. An unborn child who is eligible for coverage under s. 49.471 or the Badger Care health care program under s. 49.665 (4) (ap).

SB40-SSA1, s. 1677 Section 1677. 49.83 of the statutes is amended to read:

SB40-SSA1,771,4 49.83 Limitation on giving information. Except as provided under s. 49.32 (9), (10), and (10m), no person may use or disclose information concerning applicants and recipients of relief funded by a relief block grant, aid to families with dependent children, Wisconsin Works under ss. 49.141 to 49.161, social services, child and spousal support and establishment of paternity and medical support liability services under s. 49.22, or supplemental payments under s. 49.77 for any purpose not connected with the administration of the programs, except that the department of workforce development children and families may disclose such information to the department of revenue for the sole purpose of administering state taxes. Any person violating this section may be fined not less than $25 nor more than $500 or imprisoned in the county jail not less than 10 days nor more than one year or both.

SB40-SSA1, s. 1678 Section 1678. 49.84 (6) of the statutes is created to read:

SB40-SSA1,771,7 49.84 (6) (a) In this subsection, "department" means the department of health and family services.