Amendment ASA1-AB75

AB75-ASA1,1806,9 1. For services provided during the period from October 1, 2008, through September 30, 2009, the federal Medical Assistance percentages for federal fiscal year 2009 that are published in the federal register on November 28, 2007, on pages 67304 to 67306.

AB75-ASA1,1806,13 2. For services provided during the period from October 1, 2009, through December 31, 2010, the federal Medical Assistance percentages for federal fiscal year 2010 that are published in the federal register on November 26, 2008, on pages 72051 to 72053.

AB75-ASA1,1806,17 (b) For services under section 49.45 (30m) (a) 1. of the statutes, the department of health services shall calculate the portion of the payment that is not provided by the federal government, and that the county shall provide, using the applicable federal Medical Assistance percentages under paragraph (a) 1. and 2.

AB75-ASA1,1806,18 (4f) Medical assistance transportation manager reports.

AB75-ASA1,1806,25 (a) Before contracting with an entity to provide management services for transportation to obtain nonemergency medical care, as specified under section 49.46 (2) (b) 3. of the statutes, as affected by this act, the department of health services shall submit a report to the joint committee on finance that describes the steps taken by the department of health services to guarantee that the entity with which the department of health services contracts will be required to do all of the following:

AB75-ASA1,1807,2 1. Coordinate management activities, on an ongoing basis, with existing local transit systems.

AB75-ASA1,1807,5 2. Guarantee adequate access, as defined by the department of health services, to nonemergency medical transportation services for medical assistance recipients throughout the state, including in rural counties.

AB75-ASA1,1807,9 (b) 1. In this paragraph, "transportation manager" means the entity with which the department of health services contracts to provide management for transportation services under section 49.46 (2) (b) 3. of the statutes, as affected by this act.

AB75-ASA1,1807,11 2. Before January 31, 2011, the department of health services shall prepare and submit to the joint committee on finance a report that analyzes all of the following:

AB75-ASA1,1807,14 a. Whether, through December 31, 2010, the transportation manager achieved savings or other efficiencies in the delivery of transportation services to medical assistance recipients.

AB75-ASA1,1807,16 b. Whether the transportation manager helped enable the state to claim additional federal financial participation for common carrier services.

AB75-ASA1,1807,18 c. How the transportation manager affected access to services for medical assistance recipients statewide.

AB75-ASA1,1807,23 (5d) Veterans homes exemption from nursing home bed assessment. Notwithstanding section 50.14 (2) of the statutes, the Wisconsin Veterans Home at King and the Wisconsin Veterans Home at Union Grove are not required to pay the per-bed assessment on nursing homes under section 50.14 (2) (am) of the statutes during the fiscal biennium in which this subsection takes effect.

AB75-ASA1,1808,9 (5f) Study of family child care provider health insurance coverage. The department of health services shall conduct a study of the health insurance coverage of child care providers certified under section 48.651 of the statutes, as affected by this act, and of child care providers licensed under section 48.65 of the statutes, as affected by this act, or under section 48.69 of the statutes who provide care and supervision for not more than 8 children who are not related to those child care providers to determine the efficacy of the legislature authorizing that department to request from the secretary of the federal department of health and human services a medical assistance waiver to expand eligibility for benefits under the BadgerCare Plus Medical Assistance program under section 49.471 of the statutes, as affected by this act, to those child care providers.

AB75-ASA1,1808,13 (5i) Hospital assessment payments. Notwithstanding 2009 Wisconsin Act 2, section 9122 (1) (a), the amounts of the 2 hospital assessment payments imposed on eligible hospitals under section 50.38 (2) of the statutes for the second fiscal year of the fiscal biennium in which this subsection takes effect need not be equal.

AB75-ASA1,1809,3 (5u) Seal-a-smile dental sealant program. The department of health services shall determine whether any federal moneys are available in federal fiscal year 2009-10 for the school-based dental sealant program under section 250.10 (1m) (b) of the statutes, as affected by this act, and, if such moneys are available, shall apply for them. If the department receives federal moneys for the school-based dental sealant program, it shall allocate to the recipient of the grant for the school-based dental sealant program under section 250.10 (1m) (b) of the statutes, as affected by this act, an amount of the federal moneys that is equal to moneys donated to the grant recipient by individuals and organizations for the school-based dental sealant program. The grant recipient shall use moneys allocated by the department of health services under this subsection to make grants for dental services, and may not use the moneys for its administrative costs. Federal moneys allocated by the department of health services under this subsection for the school-based dental sealant program shall be in addition to moneys appropriated for the program under section 20.435 (1) (de) of the statutes, as affected by this act.

AB75-ASA1,1809,6 (5v) Short-term funding changes; grants. From the appropriation account under section 20.435 (1) (gm) of the statutes, as affected by this act, the department of health services shall allocate all of the following:

AB75-ASA1,1809,12 (a) To subsidize premium payments under sections 252.16 and 252.17 of the statutes, as affected by this act, for individuals with human immunodeficiency virus and for the reimbursement or supplement of the reimbursement of azidothymidine, pentamidine, and certain other drugs under section 49.686 of the statutes, as affected by this act, $363,100 in the second fiscal year of the fiscal biennium in which this paragraph takes effect.

AB75-ASA1,1809,15 (b) For the poison control program under section 255.35 of the statutes, as affected by this act, $102,200 in each fiscal year of the fiscal biennium in which this paragraph takes effect.

AB75-ASA1,1809,18 (c) For community health services grants under section 250.15 of the statutes, as affected by this act, $255,500 in each fiscal year of the fiscal biennium in which this paragraph takes effect.

AB75-ASA1,1809,20 (d) To the AIDS Network in Madison, Wisconsin, $25,000 in each fiscal year of the fiscal biennium in which this paragraph takes effect.

AB75-ASA1,1810,2 (e) To a health center located at Lincoln Plaza on South 108th Street in Milwaukee County that performs colposcopies for low-income women and performs loop electrosurgical excision procedures, $16,300 in each fiscal year of the fiscal biennium in which this paragraph takes effect to provide loop electrosurgical excision procedures and provide follow-up care, including hysterectomies, for patients treated for cervical cancer.

AB75-ASA1,1810,5 (f) To the Marquette University School of Dentistry, $8,800 in each fiscal year of the fiscal biennium in which this paragraph takes effect for clinical education under section 250.10 (1m) (a) of the statutes, as affected by this act.

AB75-ASA1,1810,8 (g) To Lakes Community Dental Center in Ashland County, $25,000 in each fiscal year of the fiscal biennium in which this paragraph takes effect for dental services.

AB75-ASA1,1810,10 (h) To La Crosse Community Dental, $25,000 in each fiscal year of the fiscal biennium in which this paragraph takes effect for dental services.

AB75-ASA1,1810,14 (i) To Health Care for the Homeless in Milwaukee, $25,000 in each fiscal year of the fiscal biennium in which this paragraph takes effect for primary health care services and other services described under section 46.972 of the statutes, as affected by this act.

AB75-ASA1,1810,17 (j) Twenty-five thousand dollars in each fiscal year of the fiscal biennium in which this paragraph takes effect, for services under section 253.16 of the statutes, as affected by this act, to reduce fetal and infant mortality and morbidity.

AB75-ASA1,1810,24 (5w) Independent living center appropriation base amount. Notwithstanding section 16.42 (1) (e) of the statutes, in submitting information under section 16.42 of the statutes for purposes of the 2011-13 biennial budget bill, the department of health services shall submit information concerning the appropriation under section 20.435 (7) (c) of the statutes as though the amount appropriated under that appropriation for the second fiscal year of the fiscal biennium in which this subsection takes effect had been $983,500.

AB75-ASA1,1811,7 (5x) Income maintenance management reports. The department of health services shall provide to the joint committee on finance copies of all reports documenting its management of the Milwaukee County income maintenance programs, including all monthly Milwaukee County Enrollment Services reports, that the department is required to provide to the plaintiffs in the litigation commenced against department officials and others, known as West v. Timberlake, under a settlement agreement entered into on April 16, 2009.

AB75-ASA1,1811,14 (6i) 2009-11 independent rural hospital supplements. From the appropriation account under section 20.435 (4) (b) of the statutes and, if the federal government authorizes federal financial participation under the federal Medicaid program for payments under this subsection, from the appropriation account under section 20.435 (4) (o) of the statutes, the department of health services shall pay each independent, rural, hospital that is located in a county that borders another state and that is not a critical access hospital the following amounts:

AB75-ASA1,1811,16 (a) In the first fiscal year of the fiscal biennium in which this paragraph takes effect, $300,000.

AB75-ASA1,1811,18 (b) In the second fiscal year of the fiscal biennium in which this paragraph takes effect, $400,000.

AB75-ASA1,1811,24 (6v) Poison control funding. Notwithstanding section 16.42 (1) (e) of the statutes, in submitting information under section 16.42 of the statutes for the purposes of the 2011-13 biennial budget bill, the department of health services shall submit information concerning the appropriation under section 20.435 (1) (ds) of the statutes, as affected by this act, as though the amount in the schedule for fiscal year 2010-11 had been $425,000.

AB75-ASA1,1812,11 (7i) Committee on preservation of intermediate care facilities for the mentally retarded. The secretary of the department of health services shall appoint a committee to study and report on the need for existing intermediate care facilities for the mentally retarded in maintaining an effective, high-quality, planned system of services for persons with developmental disabilities. The membership of the committee shall include at least one member of the senate, at least one member of the assembly, representatives of operators and administrators of intermediate care facilities for the mentally retarded, and representatives of consumer advocates. The department of health services shall submit the committee's report, and any recommendations made by the committee, to the joint committee on finance by December 1, 2009.

AB75-ASA1,1812,17 (7v) Community health services grants funding. Notwithstanding section 16.42 (1) (e) of the statutes, in submitting information under section 16.42 of the statutes for the purposes of the 2011-13 biennial budget bill, the department of health services shall submit information concerning the appropriation under section 20.435 (1) (fh) of the statutes, as affected by this act, as though the amount in the schedule for fiscal year 2010-11 had been $6,100,000.

AB75-ASA1,1812,21 (8v) Birth defect prevention and surveillance report. Before December 1, 2009, the department of health services shall prepare and submit to the appropriate standing committees of the legislature under section 13.172 (3) of the statutes, a report including all of the following:

AB75-ASA1,1812,23 (a) Recommendations for improving the birth defect prevention and surveillance system under section 253.12 of the statutes.

AB75-ASA1,1812,25 (b) Standards for measuring the birth defect prevention and surveillance system performance.

AB75-ASA1,1813,2 (c) Individual privacy considerations involved in any recommendations under paragraph (a).

AB75-ASA1,1813,4 (d) A review of potential federal and private funding sources for the birth defect prevention and surveillance system.

AB75-ASA1,1813,5 (10q) Medical Assistance quality and cost reduction report.

AB75-ASA1,1813,8 (a) Before January 1, 2010, the department of health services shall submit to the legislature in the manner provided under section 13.172 (2) of the statutes a report that discusses all of the following proposals:

AB75-ASA1,1813,12 1. Requiring all managed care organizations that serve medical assistance recipients to provide or contract with a prenatal care coordination program and requiring that all pregnant medical assistance recipients be enrolled in that prenatal care coordination program.

AB75-ASA1,1813,16 2. Requiring all managed care organizations that serve medical assistance recipients to assign to each enrollee who receives medical assistance benefits a primary care provider who would receive a monthly payment for each patient for care coordination services.

AB75-ASA1,1813,22 3. Requiring all managed care organizations that serve medical assistance recipients to have a chronic disease management and case coordination program in place for every patient who receives medical assistance benefits and who is diagnosed with diabetes, asthma, congestive heart failure, coronary artery disease, or a primary or secondary behavioral health diagnosis, including substance abuse and depression.

AB75-ASA1,1813,25 4. Expanding the use of special needs programs to provide case management services for children who receive medical assistance benefits with medically complex conditions.

AB75-ASA1,1814,2 5. Creating a surveillance system for adverse events that result in poor patient outcomes and include reporting of health care associated infections.

AB75-ASA1,1814,4 6. Requiring all medical assistance providers to participate in care coordination incentive programs.

AB75-ASA1,1814,11 7. Modifying how health maintenance organizations deliver services to medical assistance recipients, such as requiring health maintenance organizations to make available a toll-free, 24 hours per day, 7 days per week triage hotline and help desk staffed by nurses; provide prenatal case coordination; institute a chronic disease management program, including substance abuse screening and intervention and other lifestyle screening and intervention; report health care associated infections; and institute care coordination incentives.

AB75-ASA1,1814,14 8. Reducing funding to support the administrative component of the capitation payments the department of health services makes to health maintenance organizations for medical assistance recipients.

AB75-ASA1,1814,18 9. Reducing fee-for-service payments to health care providers in cases in which a patient, who receives medical assistance benefits, is readmitted to a hospital within 30 days of release from a hospital following treatment for the same condition, or following a preventable, adverse event.

AB75-ASA1,1814,25 10. Prohibiting inclusion of a provision in a contract between the department of health services and a managed care organization that would allow any managed care organization, or an agency with which the managed care organization contracts, to withhold, as confidential, proprietary, or a trade secret, information on provider payment rates pertaining to medical assistance recipients and modifying section 19.36 (5) of the statutes to specify that, in that subsection, information on provider payment rates is not a trade secret.

AB75-ASA1,1815,2 (b) The report under paragraph (a) shall include a discussion of all of the following for each proposal under paragraph (a) 1. to 10.:

AB75-ASA1,1815,4 1. The potential effect on improving the quality of care for medical assistance recipients.

AB75-ASA1,1815,5 2. The estimated savings that may result by implementation.

AB75-ASA1,1815,6 3. The feasibility of implementation.

AB75-ASA1, s. 9123 Section 9123. Nonstatutory provisions; Higher Educational Aids Board.

AB75-ASA1, s. 9124 Section 9124. Nonstatutory provisions; Historical Society.

AB75-ASA1, s. 9125 Section 9125. Nonstatutory provisions; Housing and Economic Development Authority.

AB75-ASA1, s. 9126 Section 9126. Nonstatutory provisions; Insurance.

AB75-ASA1,1815,15 (1) Rules for uniform application. The commissioner of insurance shall submit in proposed form the rules required under section 601.41 (10) (a) of the statutes, as created by this act, to the legislative council staff under section 227.15 (1) of the statutes no later than the first day of the 12th month beginning after the effective date of this subsection.

AB75-ASA1, s. 9127 Section 9127. Nonstatutory provisions; Investment Board.

AB75-ASA1, s. 9128 Section 9128. Nonstatutory provisions; Joint Committee on Finance.

AB75-ASA1, s. 9129 Section 9129. Nonstatutory provisions; Judicial Commission.

AB75-ASA1, s. 9130 Section 9130. Nonstatutory provisions; Justice.

AB75-ASA1,1816,2 (1q) Request to investigate income maintenance fraud. It is requested that the department of justice investigate whether county administrative fraud was committed before May 1, 2009, in connection with the administration of any income maintenance program, as defined in section 49.78 (1) (b) of the statutes, in Milwaukee County.

AB75-ASA1, s. 9131 Section 9131. Nonstatutory provisions; Legislature.

AB75-ASA1,1816,4 (2f) Audit of Milwaukee child welfare program.

AB75-ASA1,1816,8 (a) Performance evaluation audit. The legislative audit bureau shall conduct a performance evaluation audit of the programs administered by the bureau of Milwaukee child welfare in the department of children and families. The audit shall address all of the following:

AB75-ASA1,1816,10 1. The timeliness of the bureau in investigating allegations of child abuse or neglect.

AB75-ASA1,1816,13 2. The effectiveness of the out-of-home care and in-home safety services provided by the bureau in achieving safety and permanence for children, including the effectiveness of the bureau in coordinating its services.

AB75-ASA1,1816,16 3. The effectiveness of the bureau in achieving the performance standards required under an agreement entered into to settle Jeanine B. et al. v. James Doyle et al., No. 93-C-547 (E.D. Wis.).

AB75-ASA1,1816,22 (b) Financial audit. The legislative audit bureau shall conduct a financial audit of the bureau of Milwaukee child welfare in the department of children and families. The audit shall address the funding of the programs administered by the bureau and the appropriateness of the expenditures made by the bureau and by contractors of the bureau. The audit shall also address issues concerning turnover, qualifications, training, workloads, and salaries of the staff of the bureau.

AB75-ASA1,1816,25 (c) Report. The legislative audit bureau shall file a report of the audits conducted under paragraphs (a) and (b) as described in section 13.94 (1) (b) of the statutes by July 1, 2010.

AB75-ASA1, s. 9132 Section 9132. Nonstatutory provisions; Lieutenant Governor.

AB75-ASA1, s. 9133 Section 9133. Nonstatutory provisions; Local Government.

AB75-ASA1,1817,4 (1) Levy limits. The repeal of 2007 Wisconsin Act 20, sections 1878d and 9441 (6n), applies notwithstanding section 990.03 of the statutes.

AB75-ASA1, s. 9134 Section 9134. Nonstatutory provisions; Lower Wisconsin State Riverway Board.

AB75-ASA1, s. 9135 Section 9135. Nonstatutory provisions; Medical College of Wisconsin.

AB75-ASA1, s. 9136 Section 9136. Nonstatutory provisions; Military Affairs.

AB75-ASA1,1817,14 (1x) Disaster aid report. The department of military affairs, before expending any amount in excess of $1,347,000 from the appropriation under section 20.465 (3) (e) of the statutes during either fiscal year of the 2009-11 biennium, shall submit a report to the joint committee on finance indicating the amount of required additional funding necessary to match federal disaster aid, when the required match funding will be needed, and if any potential funding source in lieu of general purpose revenue may be used to provide the required match.

AB75-ASA1, s. 9137 Section 9137. Nonstatutory provisions; Natural Resources.

AB75-ASA1,1817,16 (1) Clean water fund bonding amounts.

AB75-ASA1,1817,19 (a) In this subsection, "federal economic stimulus funds" means federal moneys received by the state, pursuant to federal legislation enacted during the 111th Congress for the purpose of reviving the economy of the United States.

AB75-ASA1,1818,2 (b) Notwithstanding the authority of this state to contract public debt for the purposes of the clean water fund program in the total amount specified under section 20.866 (2) (tc) of the statutes, as affected by this act, the state may not obligate, in fiscal years 2009-10 and 2010-11, a total amount exceeding $697,643,200 unless the department of administration first takes into account any federal economic stimulus funds received for purposes of the clean water fund program.

AB75-ASA1,1818,8 (1q) Grant for recycling bins. In fiscal year 2010-11, the department of natural resources shall provide a grant of $46,000 from the appropriation under section 20.370 (6) (bu) of the statutes, as affected by this act, to the Town of Wrightstown in Brown County to purchase recycling bins. The department shall allocate the grant under this subsection before calculating grants under section 287.23 of the statutes for fiscal year 2010-11.

AB75-ASA1,1818,19 (2) Hazardous waste fee emergency rules. The department of natural resources may promulgate the rule required under section 289.67 (2) (de) of the statutes, as created by this act, using the procedure under section 227.24 of the statutes before promulgating a permanent rule. Notwithstanding section 227.24 (1) (c) and (2) of the statutes, an emergency rule promulgated under this subsection remains in effect until July 1, 2011, or the date on which the permanent rule takes effect, whichever is sooner. Notwithstanding section 227.24 (1) (a) and (3) of the statutes, the department is not required to provide evidence that promulgating a rule under this subsection as an emergency rule is necessary for the preservation of public peace, health, safety, or welfare and is not required to provide a finding of emergency for a rule promulgated under this subsection.

AB75-ASA1,1819,4 (3c) Nonresident boat sticker rules. Using the procedure under section 227.24 of the statutes, the department of natural resources may promulgate rules under section 30.527 (4) (c) of the statutes, as created by this act, which shall remain in effect until the date on which permanent rules take effect, but not to exceed the period authorized under section 227.24 (1) (c) and (2) of the statutes. Notwithstanding section 227.24 (1) (a), (2) (b), and (3) of the statutes, the department is not required to provide evidence that promulgating a rule under this subsection as an emergency rule is necessary for the preservation of public peace, health, safety, or welfare and is not required to provide a finding of emergency for a rule promulgated under this subsection.

AB75-ASA1,1819,12 (3d) Services provided by recreational vehicle dealers. If the department of natural resources establishes a system to authorize and train recreational vehicle dealers to provide services necessary to register all-terrain vehicles under section 23.33 of the statutes, boats under section 30.52 of the statutes, as affected by this act, or snowmobiles under section 350.12 of the statutes, the department of natural resources shall in fiscal year 2009-10, to the extent possible, authorize and train those recreational vehicle dealers that are nearest to service centers closed by the department of natural resources in fiscal year 2009-10 to provide those services.