Amendment SA1-SSA1-SB40

SB40-SSA1-SA1, s. 765hb Section 765hb. 40.05 (4g) (d) of the statutes is created to read:

SB40-SSA1-SA1,81,8 40.05 (4g) (d) This subsection shall not apply to an eligible employee who is receiving health care coverage under the Healthy Wisconsin Plan under ch. 260 while on active duty in the U.S. armed forces.

SB40-SSA1-SA1, s. 765ib Section 765ib. 40.51 (1) of the statutes is amended to read:

SB40-SSA1-SA1,81,15 40.51 (1) The procedures and provisions pertaining to enrollment, premium transmitted and coverage of eligible employees for health care benefits shall be established by contract or rule except as otherwise specifically provided by this chapter. Notwithstanding subs. (6) and (7), an eligible employee who is covered under the Healthy Wisconsin Plan under ch. 260 may not receive coverage under this subchapter for any coverage provided the employee under ch. 260.

SB40-SSA1-SA1, s. 765jb Section 765jb. 40.51 (2) of the statutes is amended to read:

SB40-SSA1-SA1,82,7 40.51 (2) Except as provided in subs. (10), (10m), (11) and (16), any eligible employee may become covered by group health insurance benefits under this subchapter by electing coverage within 30 days of being hired, to be effective as of the first day of the month which begins on or after the date the application is received by the employer, or by electing coverage prior to becoming eligible for any employer contribution towards the premium cost as provided in s. 40.05 (4) (a) to be effective upon becoming eligible for employer contributions. An eligible employee who is not insured, but who is eligible for an employer contribution under s. 40.05 (4) (ag) 1., may elect coverage prior to becoming eligible for an employer contribution under s. 40.05 (4) (ag) 2., with the coverage to be effective upon becoming eligible for the increase in the employer contribution. Any employee who does not so elect at one of these times, or who subsequently cancels the insurance, shall not thereafter become insured unless the employee furnishes evidence of insurability satisfactory to the insurer, at the employee's own expense or obtains coverage subject to contractual waiting periods. The method to be used shall be specified in the health insurance contract.

SB40-SSA1-SA1, s. 765kb Section 765kb. 40.51 (6) of the statutes is renumbered 40.51 (6) (a) and amended to read:

SB40-SSA1-SA1,82,18 40.51 (6) (a) This state shall offer to all of its eligible employees described in subs. (10), (10m), and (16) at least 2 insured or uninsured health care coverage plans providing substantially equivalent hospital and medical benefits, including a health maintenance organization or a preferred provider plan, if those health care plans are determined by the group insurance board to be available in the area of the place of employment and are approved by the group insurance board. The group insurance board shall place each of the plans into one of 3 tiers established in accordance with standards adopted by the group insurance board. The tiers shall be separated according to the employee's share of premium costs.

SB40-SSA1-SA1, s. 765Lb Section 765Lb. 40.51 (6) (b) of the statutes is created to read:

SB40-SSA1-SA1,82,22 40.51 (6) (b) The state may offer to its employees coverage for health care benefits not provided to the employees under the Healthy Wisconsin Plan under ch. 260.

SB40-SSA1-SA1, s. 765nb Section 765nb. 40.51 (7) of the statutes is amended to read:

SB40-SSA1-SA1,83,6 40.51 (7) Any employer, other than the state, may offer to all of its employees a health care coverage plan coverage for health care benefits not provided to the employees under the Healthy Wisconsin Plan under ch. 260 through a program offered by the group insurance board. Notwithstanding sub. (2) and ss. 40.05 (4) and 40.52 (1), the department may by rule establish different eligibility standards or contribution requirements for such employees and employers and may by rule limit the categories of employers, other than the state, which may be included as participating employers under this subchapter.

SB40-SSA1-SA1, s. 765pb Section 765pb. 40.51 (8) of the statutes is amended to read:

SB40-SSA1-SA1,83,11 40.51 (8) Every health care coverage plan offered by the state under sub. (6) (a) shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.746 (1) to (8) and (10), 632.747, 632.748, 632.83, 632.835, 632.85, 632.853, 632.855, 632.87 (3) to (6), 632.895 (5m) and (8) to (14), and 632.896.

SB40-SSA1-SA1, s. 765qb Section 765qb. 40.51 (8m) of the statutes is amended to read:

SB40-SSA1-SA1,83,16 40.51 (8m) Every health care coverage plan offered by the group insurance board under sub. subs. (6) (b) and (7) shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.746 (1) to (8) and (10), 632.747, 632.748, 632.83, 632.835, 632.85, 632.853, 632.855, and 632.895 (11) to (14) 632.87 (3) to (6).

SB40-SSA1-SA1, s. 765rb Section 765rb. 40.52 (1) (intro.) of the statutes is amended to read:

SB40-SSA1-SA1,83,21 40.52 (1) (intro.) The group insurance board shall establish by contract a standard health insurance plan in which all insured employees shall participate except as otherwise provided in this chapter. The Except as provided in sub. (1m), the standard plan shall provide:

SB40-SSA1-SA1, s. 765sb Section 765sb. 40.52 (1m) of the statutes is created to read:

SB40-SSA1-SA1,83,25 40.52 (1m) The standard health insurance plan described under sub. (1) shall not provide employees any health care coverage that the employees receive under the Healthy Wisconsin Plan under ch. 260.

SB40-SSA1-SA1, s. 765tb Section 765tb. 40.52 (2) of the statutes is amended to read:

SB40-SSA1-SA1,84,16 40.52 (2) Health insurance benefits under this subchapter shall be integrated, with exceptions determined appropriate by the group insurance board, with benefits under federal plans for hospital and health care for the aged and disabled and with benefits provided under the Healthy Wisconsin Plan under ch. 260. Exclusions and limitations with respect to benefits and different rates may be established for persons eligible under federal plans for hospital and health care for the aged and disabled in recognition of the utilization by persons within the age limits eligible under the federal program and for employees who receive benefits under the Healthy Wisconsin Plan under ch. 260. The plan may include special provisions for spouses and other dependents covered under a plan established under this subchapter where one spouse is eligible under federal plans for hospital and health care for the aged or under the Healthy Wisconsin Plan under ch. 260 but the others are not eligible because of age or other reasons. As part of the integration, the department may, out of premiums collected under s. 40.05 (4), pay premiums for the federal health insurance.

SB40-SSA1-SA1, s. 765ub Section 765ub. 40.98 (2) (a) 1. of the statutes is amended to read:

SB40-SSA1-SA1,85,3 40.98 (2) (a) 1. The department shall design an actuarially sound health care coverage program for employers that includes more than one group health care coverage plan and that provides coverage beginning not later than January 1, 2001. The health care coverage program shall be known as the "Private Employer Health Care Purchasing Alliance". In designing the health care coverage program, the department shall consult with the office of the commissioner of insurance and may consult with the departments of commerce and health and family services. The health care coverage program may not be implemented until it is approved by the board. The health care coverage program shall not provide employees any health care coverage that the employees receive under the Healthy Wisconsin Plan under ch. 260.".

SB40-SSA1-SA1,85,4 310. Page 485, line 17: after that line insert:

SB40-SSA1-SA1,85,5 " Section 767. 40.05 (4) (bw) of the statutes is amended to read:

SB40-SSA1-SA1,85,16 40.05 (4) (bw) On converting accumulated unused sick leave to credits for the payment of health insurance premiums under par. (b), the department shall add additional credits, calculated in the same manner as are credits under par. (b), that are based on a state employee's accumulated sabbatical leave or earned vacation leave from the state employee's last year of service prior to retirement, or both. The department shall apply the credits awarded under this paragraph for the payment of health insurance premiums only after the credits awarded under par. (b) are exhausted. This paragraph applies only to state employees who are eligible for accumulated unused sick leave conversion under par. (b) and who are entitled to the benefits under this paragraph pursuant to a collective bargaining agreement under subch. V or VI of ch. 111.

SB40-SSA1-SA1, s. 768 Section 768. 40.05 (4g) (a) 4. of the statutes is amended to read:

SB40-SSA1-SA1,85,22 40.05 (4g) (a) 4. Has received a military leave of absence under s. 230.32 (3) (a) or 230.35 (3), under a collective bargaining agreement under subch. V or VI of ch. 111 or under rules promulgated by the director of the office of state employment relations or is eligible for reemployment with the state under s. 21.79 after completion of his or her service in the U.S. armed forces.

SB40-SSA1-SA1, s. 769 Section 769. 40.05 (5) (intro.) of the statutes is amended to read:

SB40-SSA1-SA1,86,5 40.05 (5) Income continuation insurance premiums. (intro.) For the income continuation insurance provided under subch. V the employee shall pay the amount remaining after the employer has contributed the following or, if different, the amount determined under a collective bargaining agreement under subch. I or, V, or VI of ch. 111 or s. 230.12 or 233.10:

SB40-SSA1-SA1, s. 770 Section 770. 40.05 (5) (b) 4. of the statutes is amended to read:

SB40-SSA1-SA1,86,9 40.05 (5) (b) 4. The accrual and crediting of sick leave shall be determined in accordance with ss. 13.121 (4), 36.30, 230.35 (2), 233.10 and 757.02 (5) and subch. I or, V, or VI of ch. 111.

SB40-SSA1-SA1, s. 771 Section 771. 40.05 (6) (a) of the statutes is amended to read:

SB40-SSA1-SA1,86,18 40.05 (6) (a) Except as otherwise provided in accordance with a collective bargaining agreement under subch. I or, V, or VI of ch. 111 or s. 230.12 or 233.10, each insured employee under the age of 70 and annuitant under the age of 65 shall pay for group life insurance coverage a sum, approved by the group insurance board, which shall not exceed 60 cents monthly for each $1,000 of group life insurance, based upon the last amount of insurance in force during the month for which earnings are paid. The equivalent premium may be fixed by the group insurance board if the annual compensation is paid in other than 12 monthly installments.

SB40-SSA1-SA1, s. 778 Section 778. 40.62 (2) of the statutes is amended to read:

SB40-SSA1-SA1,86,22 40.62 (2) Sick leave accumulation shall be determined in accordance with rules of the department, any collective bargaining agreement under subch. I or, V, or VI of ch. 111, and ss. 13.121 (4), 36.30, 230.35 (2), 233.10, 757.02 (5) and 978.12 (3).

SB40-SSA1-SA1, s. 779 Section 779. 40.80 (3) of the statutes is amended to read:

SB40-SSA1-SA1,86,25 40.80 (3) Any action taken under this section shall apply to employees covered by a collective bargaining agreement under subch. V or VI of ch. 111.

SB40-SSA1-SA1, s. 780 Section 780. 40.81 (3) of the statutes is amended to read:

SB40-SSA1-SA1,87,3 40.81 (3) Any action taken under this section shall apply to employees covered by a collective bargaining agreement under subch. IV or , V, or VI of ch. 111.

SB40-SSA1-SA1, s. 781 Section 781. 40.95 (1) (a) 2. of the statutes is amended to read:

SB40-SSA1-SA1,87,6 40.95 (1) (a) 2. The employee has his or her compensation established in a collective bargaining agreement under subch. V or VI of ch. 111.".

SB40-SSA1-SA1,87,8 311. Page 487, line 23: delete "purchases are approved by" and substitute "school board consults with".

SB40-SSA1-SA1,87,10 312. Page 487, line 24: after "libraries" insert "and the computers and software are housed in the school library".

SB40-SSA1-SA1,87,11 313. Page 532, line 13: after that line insert:

SB40-SSA1-SA1,87,12 " Section 929. 46.277 (5) (g) 3. of the statutes is amended to read:

SB40-SSA1-SA1,88,2 46.277 (5) (g) 3. If it is likely that the number of individuals for whom an enhanced reimbursement for services is provided under subd. 1. and who are diverted from imminent entry into nursing homes will exceed 150, the department may submit a request to the joint committee on finance secretary of administration for approval to provide enhanced reimbursement for services provided under subd. 1. for diversion from imminent entry into nursing homes for a number of individuals in excess of 150. Notwithstanding s. 13.101 (3) (a), the committee is not required to find that an emergency exists. If the cochairpersons of the committee do not notify the secretary within 14 working days after the date of the department's submittal that the committee intends to schedule a meeting to review the request, approval of the request is granted. If, within 14 working days after the date of the department's request submittal, the cochairpersons of the committee notify the secretary that the committee intends to schedule a meeting to review the request, the request may be granted only as approved by the committee.".

SB40-SSA1-SA1,88,3 314. Page 538, line 11: after that line insert:

SB40-SSA1-SA1,88,4 " Section 954mb. 46.281 (1n) (f) of the statutes is created to read:

SB40-SSA1-SA1,88,8 46.281 (1n) (f) From the appropriation under s. 20.435 (7) (b), provide $75,000 annually to Grant County to provide, with respect to issues concerning family care benefits, liaison services between the county and a managed care organization and advocacy services on behalf of the county.".

SB40-SSA1-SA1,88,9 315. Page 574, line 22: after that line insert:

SB40-SSA1-SA1,88,10 " Section 1116e. 46.48 (18) of the statutes is created to read:

SB40-SSA1-SA1,88,14 46.48 (18) Outreach services. The department shall distribute $84,000 in each fiscal year as grants to community organizations in southeastern and south central Wisconsin to provide outreach services relating to health, mental health, housing, assisted living, domestic violence, and other services.".

SB40-SSA1-SA1,88,15 316. Page 658, line 8: after that line insert:

SB40-SSA1-SA1,88,16 " Section 1413c. 49.148 (1m) (title) of the statutes is amended to read:

SB40-SSA1-SA1,88,17 49.148 (1m) (title) Custodial parent of infant; unmarried, pregnant woman.

SB40-SSA1-SA1, s. 1414c Section 1414c. 49.148 (1m) (a) (intro.) of the statutes is created to read:

SB40-SSA1-SA1,88,20 49.148 (1m) (a) (intro.) Any of the following may receive a monthly grant of $673:

SB40-SSA1-SA1, s. 1415c Section 1415c. 49.148 (1m) (a) of the statutes is renumbered 49.148 (1m) (a) 1. and amended to read:

SB40-SSA1-SA1,89,5 49.148 (1m) (a) 1. A An individual who meets the eligibility requirements under s. 49.145 (2) and (3) and who is a custodial parent of a child who is 12 weeks old or less and who meets the eligibility requirements under s. 49.145 (2) and (3) may receive a monthly grant of $673, unless another adult member of the custodial parent's Wisconsin works Works group is participating in, or is eligible to participate in, a Wisconsin works Works employment position or is employed in unsubsidized employment, as defined in s. 49.147 (1) (c).

SB40-SSA1-SA1,89,7 (bm) A Wisconsin works Works agency may not require a participant under this subsection to participate in any employment positions.

SB40-SSA1-SA1,89,13 (c) 1. Receipt of a grant under this subsection by a participant under par. (a) 1. does not constitute participation in a Wisconsin works Works employment position for purposes of the time limits under s. 49.145 (2) (n) or 49.147 (3) (c), (4) (b) or (5) (b) 2. if the child is born to the participant not more than 10 months after the date that the participant was first determined to be eligible for assistance under s. 49.19 or for a Wisconsin works Works employment position.

SB40-SSA1-SA1, s. 1416c Section 1416c. 49.148 (1m) (a) 2. of the statutes is created to read:

SB40-SSA1-SA1,89,19 49.148 (1m) (a) 2. An unmarried woman who would be eligible under s. 49.145 except that she is not a custodial parent of a dependent child and who is in the 3rd trimester of a pregnancy that is medically verified and that is shown by medical documentation to be at risk and to render the woman unable to participate in the workforce.

SB40-SSA1-SA1, s. 1417c Section 1417c. 49.148 (1m) (b) of the statutes is renumbered 49.148 (1m) (c) 2. and amended to read:

SB40-SSA1-SA1,90,6 49.148 (1m) (c) 2. Receipt of a grant under this subsection by a participant under par. (a) 1. constitutes participation in a Wisconsin works Works employment position for purposes of the time limits under ss. 49.145 (2) (n) and 49.147 (3) (c), (4) (b) or (5) (b) 2. if the child is born to the participant more than 10 months after the date that the participant was first determined to be eligible for assistance under s. 49.19 or for a Wisconsin works Works employment position unless the child was conceived as a result of a sexual assault in violation of s. 940.225 (1), (2), or (3) in which the mother did not indicate a freely given agreement to have sexual intercourse or of incest in violation of s. 944.06 or 948.06 and that incest or sexual assault has been reported to a physician and to law enforcement authorities.

SB40-SSA1-SA1, s. 1418c Section 1418c. 49.148 (1m) (c) (intro.) of the statutes is created to read:

SB40-SSA1-SA1,90,9 49.148 (1m) (c) (intro.) For purposes of the time limits under ss. 49.145 (2) (n) and 49.147 (3) (c), (4) (b), and (5) (b) 2., all of the following apply:

SB40-SSA1-SA1, s. 1419c Section 1419c. 49.148 (1m) (c) 3. of the statutes is created to read:

SB40-SSA1-SA1,90,13 49.148 (1m) (c) 3. Receipt of a grant under this subsection by a participant under par. (a) 2. does not constitute participation in a Wisconsin Works employment position.".

SB40-SSA1-SA1,90,14 317. Page 661, line 6: after that line insert:

SB40-SSA1-SA1,90,15 " Section 1433c. 49.159 (4) of the statutes is amended to read:

SB40-SSA1-SA1,90,20 49.159 (4) Pregnant women. A pregnant woman whose pregnancy is medically verified, who would be eligible under s. 49.145 except that she is not a custodial parent of a dependent child, and who does not satisfy the requirements under s. 49.148 (1m) (a) 2. is eligible for employment training and job search assistance services provided by the Wisconsin works Works agency.".

SB40-SSA1-SA1,90,21 318. Page 661, line 23: delete "$44,068,500" and substitute "$44,390,300".

SB40-SSA1-SA1,90,22 319. Page 661, line 24: delete "$43,392,200" and substitute "$44,035,900".

SB40-SSA1-SA1,90,23 320. Page 700, line 24: after that line insert:

SB40-SSA1-SA1,90,24 " Section 1530h. 49.45 (6m) (ar) 1. a. of the statutes is amended to read:

SB40-SSA1-SA1,91,14 49.45 (6m) (ar) 1. a. The department shall establish standards for payment of allowable direct care costs under par. (am) 1. bm., for facilities that do not primarily serve the developmentally disabled, that take into account direct care costs for a sample of all of those facilities in this state and separate standards for payment of allowable direct care costs, for facilities that primarily serve the developmentally disabled, that take into account direct care costs for a sample of all of those facilities in this state. The standards shall be adjusted by the department for regional labor cost variations. The department shall treat as a single labor region the counties of Dane, Iowa, Columbia, and Sauk, and Rock and shall adjust payment so that the direct care cost targets of facilities in Dane, Iowa, Columbia, and Sauk counties are not reduced as a result of including facilities in Rock County in this labor region. For facilities in Douglas, Pierce, and St. Croix counties, the department shall perform the adjustment by use of the wage index that is used by the federal department of health and human services for hospital reimbursement under 42 USC 1395 to 1395ggg.".

SB40-SSA1-SA1,91,16 321. Page 710, line 8: delete "work together to develop" and substitute "approve".

SB40-SSA1-SA1,91,17 322. Page 710, line 13: delete "developed" and substitute "approved".

SB40-SSA1-SA1,91,18 323. Page 750, line 18: after that line insert:

SB40-SSA1-SA1,91,19 " Section 1608h. 49.473 (2) (c) of the statutes is amended to read:

SB40-SSA1-SA1,91,23 49.473 (2) (c) The woman is not covered under the Healthy Wisconsin Plan under ch. 260 and is not eligible for any other health care coverage that qualifies as creditable coverage in 42 USC 300gg (c), excluding the coverage specified in 42 USC 300gg (c) (1) (F).".

SB40-SSA1-SA1,91,24 324. Page 762, line 18: after that line insert:

SB40-SSA1-SA1,92,1 " Section 1641r. 49.665 (5) (ag) of the statutes is repealed.".

SB40-SSA1-SA1,92,2 325. Page 763, line 2: after that line insert:

SB40-SSA1-SA1,92,3 " Section 1645d. 49.68 (3) (d) 1. of the statutes is amended to read:

SB40-SSA1-SA1,92,18 49.68 (3) (d) 1. No aid may be granted under this subsection unless if the recipient has no other form of aid available from the federal medicare Medicare program, from private health, accident, sickness, medical, and or hospital insurance coverage, or from other health care coverage specified by rule under s. 49.687 (1m), excluding the Healthy Wisconsin Plan under ch. 260. If insufficient aid is available from other sources and if the recipient has paid an amount equal to the annual medicare Medicare deductible amount specified in subd. 2., the state shall pay the difference in cost to a qualified recipient. If at any time sufficient federal or private insurance aid or other health care coverage becomes available during the treatment period, state aid under this subsection shall be terminated or appropriately reduced. Any patient who is eligible for the federal medicare Medicare program shall register and pay the premium for medicare Medicare medical insurance coverage where permitted, and shall pay an amount equal to the annual medicare Medicare deductible amounts required under 42 USC 1395e and 1395L (b), prior to becoming eligible for state aid under this subsection.