AB75-SSA1-CA1,51,53 49.02 (1e) Relief agencies. If a county or tribal governing agency body is
4eligible to receive a relief block grant, the county or tribal governing body shall
5establish or designate a relief agency to administer relief under this section.
AB75-SSA1-CA1, s. 1134r 6Section 1134r. 49.02 (2) (b) of the statutes is amended to read:
AB75-SSA1-CA1,51,117 49.02 (2) (b) The contract between the relief agency and the private health care
8provider provides that all records of the health care provider relating to the
9administration and provision of the health care services shall be open to inspection
10at all reasonable hours by authorized representatives of the county tribal governing
11body
and the department.
AB75-SSA1-CA1, s. 1134t 12Section 1134t. 49.02 (2) (f) of the statutes is amended to read:
AB75-SSA1-CA1,51,1613 49.02 (2) (f) The contract prohibits the health care provider from holding an
14individual recipient of health care services funded under this section liable for the
15difference between the costs of the health care services and the amount paid to the
16health care provider by the county tribal governing body for the services.".
AB75-SSA1-CA1,51,17 17260. Page 557, line 20: delete that line.
AB75-SSA1-CA1,51,19 18261. Page 559, line 16: delete the material beginning with that line and
19ending with page 560, line 12.
AB75-SSA1-CA1,51,20 20262. Page 563, line 12: after that line insert:
AB75-SSA1-CA1,51,21 21" Section 1161c. 49.147 (4m) of the statutes is created to read:
AB75-SSA1-CA1,52,522 49.147 (4m) Subsidized private sector employment. (a) Subject to pars. (b) and
23(cm), the department shall establish and administer a subsidized private sector
24employment program, under which participants shall be paid the benefits under s.

149.148 (1) (d) for work in projects that the department determines would serve a
2useful public purpose or projects the cost of which is partially or wholly offset by
3revenue generated from such projects. An individual may participate in a project
4under this subsection for a maximum of 6 months, with an opportunity for an
5extension.
AB75-SSA1-CA1,52,76 (b) Subject to par. (cm), the department shall begin operating the program
7under this subsection only if all of the following occur:
AB75-SSA1-CA1,52,118 1. The secretary structures the subsidized private sector employment program
9in such a manner that the total cost for a participant in the program under this
10subsection does not exceed what the total cost would be for the participant in the
11community service job program administered under sub. (4).
AB75-SSA1-CA1,52,1512 2. The secretary determines that the cash flow to a participant in the subsidized
13private sector employment program under this subsection, including the advance
14payment of any tax credit, is not less than what the cash flow would be to the
15participant in the community service job program administered under sub. (4).
AB75-SSA1-CA1,52,2016 3. The secretary determines that administering the subsidized private sector
17employment program in the manner provided under this subsection is permitted
18under federal law or under a waiver, or an amendment to a waiver, approved by the
19federal department of health and human services for the operation of Wisconsin
20Works.
AB75-SSA1-CA1,53,321 (c) 1. If the secretary of children and families determines that a waiver, or an
22amendment to a waiver, is necessary to administer the subsidized private sector
23employment program in the manner provided under this subsection, the secretary
24of children and families shall no later than September 30, 2009, request the waiver
25or the amendment to the waiver from the secretary of the federal department of

1health and human services to permit the secretary of children and families to
2administer the subsidized private sector employment program in the manner
3provided under this subsection.
AB75-SSA1-CA1,53,84 2. If the secretary determines that administering the subsidized private sector
5employment program in the manner provided under this subsection would
6necessitate changes in the federal Temporary Assistance for Needy Families block
7grant program legislation under 42 USC 601 et seq., the secretary shall pursue the
8necessary changes to the federal legislation.
AB75-SSA1-CA1,53,109 (cm) 1. Except as provided in subd. 2., the department may not begin operating
10the program under this subsection before January 1, 2011.
AB75-SSA1-CA1,53,1611 2. If the department determines that a waiver, an amendment to a waiver, or
12changes in the federal Temporary Assistance for Needy Families block grant
13program legislation are necessary for administering the subsidized private sector
14employment program in the manner provided under this section, the department
15may not begin operating the program under this subsection before the later of the
16following:
AB75-SSA1-CA1,53,1817 a. The waiver or waiver amendment is approved and in effect or the federal
18legislation changes are adopted and in effect, or both, whichever is applicable.
AB75-SSA1-CA1,53,1919 b. January 1, 2011.
AB75-SSA1-CA1,53,2120 (d) 1. The department shall promulgate rules for the establishment and
21administration of the program under this subsection.
AB75-SSA1-CA1,54,422 2. The department may promulgate emergency rules under s. 227.24 for the
23establishment and administration of this subsection for the period before the
24effective date of any permanent rules promulgated under subd. 1., but not to exceed
25the period authorized under s. 227.24 (1) (c) and (2). Notwithstanding s. 227.24 (1)

1(a), (2) (b), and (3), the department is not required to provide evidence that
2promulgating a rule under this subdivision as an emergency rule is necessary for the
3preservation of the public peace, health, safety, or welfare and is not required to
4provide a finding of emergency for a rule promulgated under this subdivision.".
AB75-SSA1-CA1,54,5 5263. Page 564, line 13: after that line insert:
AB75-SSA1-CA1,54,6 6" Section 1172c. 49.148 (1) (intro.) of the statutes is amended to read:
AB75-SSA1-CA1,54,97 49.148 (1) Benefit and wage levels for participants in employment positions.
8(intro.) A participant in a Wisconsin works Works employment position shall receive
9the following wages or benefits:".
AB75-SSA1-CA1,54,10 10264. Page 564, line 23: after that line insert:
AB75-SSA1-CA1,54,11 11" Section 1173c. 49.148 (1) (d) of the statutes is created to read:
AB75-SSA1-CA1,54,1412 49.148 (1) (d) Subsidized private sector employment. 1. In this paragraph,
13"benefits" means compensation in the form of the state or federal minimum wage,
14whichever is higher.
AB75-SSA1-CA1,54,1715 2. For a participant in subsidized private sector employment under s. 49.147
16(4m), a monthly grant of not more than $25, as well as benefits for each hour actually
17worked in subsidized private sector employment, up to 20 hours per week.".
AB75-SSA1-CA1,54,18 18265. Page 572, line 21: delete "48.57 (3m) or" and substitute "48.57 (3m) or".
AB75-SSA1-CA1,54,19 19266. Page 572, line 22: delete "(3n)" and substitute "(3n) or".
AB75-SSA1-CA1,54,20 20267. Page 573, line 1: delete lines 1 to 10.
AB75-SSA1-CA1,54,22 21268. Page 573, line 13: delete "with a kinship care" and substitute "with a
22kinship care".
AB75-SSA1-CA1,55,2
1269. Page 573, line 14: delete that line and substitute "relative under s. 48.57
2(3m) or with a long-term kinship care relative under s. 48.57".
AB75-SSA1-CA1,55,3 3270. Page 573, line 15: delete "(3n) or" and substitute "(3n) or".
AB75-SSA1-CA1,55,5 4271. Page 573, line 20: delete "48.57 (3m) or (3n) or" and substitute "48.57
5(3m) or (3n) or".
AB75-SSA1-CA1,55,6 6272. Page 574, line 11: delete lines 11 to 24.
AB75-SSA1-CA1,55,7 7273. Page 575, line 19: delete lines 19 and 20.
AB75-SSA1-CA1,55,8 8274. Page 578, line 21: delete that line and substitute:
AB75-SSA1-CA1,55,12 9"49.155 (6g) Authorized child care hours. (a) 1. In this paragraph,
10"department" means the department or the county department or agency
11determining and authorizing the amount of child care for which an individual may
12receive a subsidy under this section.
AB75-SSA1-CA1,55,1413 2. Except as provided in subd. 3., the department shall authorize no more than
1412 hours of child care per day per child.
AB75-SSA1-CA1,55,1715 3. The department may authorize more than 12 hours, not exceeding 16 hours,
16of child care per day for a child whose parent provides written documentation of work
17or transportation requirements that exceed 12 hours in a day.
AB75-SSA1-CA1,55,2318 4. If the authorized hours of child care per day for a child will be reduced from
19more than 12 to 12 or less because the child's parent does not provide the written
20documentation required under subd. 3., the department shall provide to the child's
21parent who is receiving the subsidy under this section and to the child's child care
22provider 4 weeks' notice of the reduction in authorized hours before actually reducing
23the child's authorized hours.
AB75-SSA1-CA1,55,2424 (am) If".
AB75-SSA1-CA1,56,2
1275. Page 579, line 9: delete "parents" and substitute "parent who is receiving
2the subsidy under this section".
AB75-SSA1-CA1,56,3 3276. Page 579, line 16: delete "(a)" and substitute "(am)".
AB75-SSA1-CA1,56,5 4277. Page 579, line 19: delete "parents" and substitute "parent who is
5receiving the subsidy under this section".
AB75-SSA1-CA1,56,6 6278. Page 581, line 6: after that line insert:
AB75-SSA1-CA1,56,7 7" Section 1216k. 49.162 of the statutes is created to read:
AB75-SSA1-CA1,56,9 849.162 Transitional jobs demonstration project. (1) In this section,
9"Wisconsin Works" has the meaning given in s. 49.141 (1) (p).
AB75-SSA1-CA1,56,13 10(2) Subject to sub. (3) (b), the department shall conduct a demonstration
11project, beginning on January 1, 2010, that offers transitional jobs to low-income
12adults. To be eligible to participate in the demonstration project, an individual must
13satisfy all of the following criteria:
AB75-SSA1-CA1,56,1414 (a) Be at least 21 but not more than 64 years of age.
AB75-SSA1-CA1,56,1515 (b) Be ineligible for Wisconsin Works.
AB75-SSA1-CA1,56,1716 (c) Have an annual household income that is below 150 percent of the poverty
17line.
AB75-SSA1-CA1,56,1818 (d) Be unemployed for at least 4 weeks.
AB75-SSA1-CA1,56,1919 (e) Be ineligible to receive unemployment insurance benefits.
AB75-SSA1-CA1,57,2 20(3) (a) The department shall provide up to 2,500 transitional jobs under the
21demonstration project. The jobs shall be allocated among Milwaukee County, Dane
22County, Racine County, Kenosha County, Rock County, Brown County, and other
23regions of the state, as determined by the department, in the same proportion as the

1total number of Wisconsin Works participants are allocated among those counties
2and other regions as of June 30, 2009.
AB75-SSA1-CA1,57,53 (b) The department shall seek federal funds to pay for the cost of operating the
4demonstration project, and may conduct the project only to the extent that the
5department obtains federal funds.
AB75-SSA1-CA1,57,76 (c) The department shall promulgate rules for the operation of the
7demonstration project under this section.".
AB75-SSA1-CA1,57,8 8279. Page 585, line 18: delete lines 18 to 23 and substitute:
AB75-SSA1-CA1,57,10 9" Section 1242b. 49.175 (1) (s) of the statutes, as affected by 2009 Wisconsin
10Act .... (this act), is amended to read:
AB75-SSA1-CA1,57,1411 49.175 (1) (s) Kinship care and, long-term kinship care, and foster care
12assistance.
For the kinship care and long-term kinship care programs under s. 48.57
13(3m), (3n), and (3p) and for foster care for relatives under s. 48.62, $24,435,000 in
14fiscal year 2009-10 and $24,435,000 in fiscal year 2010-11.".
AB75-SSA1-CA1,57,16 15280. Page 593, line 8: delete the material beginning with that line and ending
16with page 594, line 3.
AB75-SSA1-CA1,57,17 17281. Page 596, line 3: delete lines 3 to 14.
AB75-SSA1-CA1,57,19 18282. Page 597, line 3: delete the material beginning with that line and ending
19with page 598, line 9.
AB75-SSA1-CA1,57,20 20283. Page 609, line 13: after that line insert:
AB75-SSA1-CA1,57,21 21" Section 1292n. 49.45 (6u) (am) (intro.) of the statutes is amended to read:
AB75-SSA1-CA1,58,722 49.45 (6u) (am) (intro.) Notwithstanding sub. (6m), from the appropriations
23under s. 20.435 (4) (o), and (w), for reduction of operating deficits, as defined under
24the methodology used by the department in December 2000, incurred by a facility

1that is established under s. 49.70 (1) or that is owned and operated by a city, village,
2or town, and as payment to care management organizations, the department may not
3shall distribute to these facilities and to care management organizations more than
4$37,100,000
a total of $39,100,000 in each fiscal year, as determined by the
5department
. The total amount that a county certifies under this subsection may not
6exceed 100% of otherwise-unreimbursed care. In distributing funds under this
7subsection, the department shall perform all of the following:".
AB75-SSA1-CA1,58,8 8284. Page 609, line 23: delete lines 23 and 24.
AB75-SSA1-CA1,58,9 9285. Page 610, line 3: delete that line and substitute:
AB75-SSA1-CA1,58,10 10" Section 1294m. 49.45 (6y) (b) of the statutes is amended to read:
AB75-SSA1-CA1,58,1311 49.45 (6y) (b) The department need not promulgate as rules under ch. 227 the
12procedures, methods of distribution, and criteria required for distribution under
13pars. (a) and (am) par. (a).".
AB75-SSA1-CA1,58,14 14286. Page 610, line 4: delete lines 4 and 5.
AB75-SSA1-CA1,58,15 15287. Page 611, line 13: after that line insert:
AB75-SSA1-CA1,58,16 16" Section 1301c. 49.45 (24d) of the statutes is created to read:
AB75-SSA1-CA1,58,1917 49.45 (24d) Primary care provider; managed care organizations. (a) In this
18subsection, "managed care organization" includes a health maintenance
19organization, a limited service health organization, and a preferred provider plan.
AB75-SSA1-CA1,58,2220 (b) In a contract with a managed care organization to provide medical
21assistance, the department shall require the managed care organization to assign to
22each enrollee who receives medical assistance a primary care provider.
AB75-SSA1-CA1,59,3
1(c) The managed care organization under contract under par. (b) shall pay to
2the primary care provider a monthly fee per each patient who is a recipient of medical
3assistance for care coordination.".
AB75-SSA1-CA1,59,4 4288. Page 618, line 14: after that line insert:
AB75-SSA1-CA1,59,5 5" Section 1313h. 49.45 (43m) of the statutes is created to read:
AB75-SSA1-CA1,59,96 49.45 (43m) Case management for children with medically complex
7conditions.
The department shall provide case management services to an
8individual who is under 19 years of age and who is a recipient of medical assistance
9and who has a medically complex condition.".
AB75-SSA1-CA1,59,10 10289. Page 619, line 12: after that line insert:
AB75-SSA1-CA1,59,11 11" Section 1313p. 49.45 (44g) of the statutes is created to read:
AB75-SSA1-CA1,59,1412 49.45 (44g) Prenatal care coordination; managed care organizations. (a) In
13this subsection, "managed care organization" includes a health maintenance
14organization, a limited service health organization, and a preferred provider plan.
AB75-SSA1-CA1,59,1815 (b) In a contract with a managed care organization to provide medical
16assistance, the department shall require the managed care organization to provide
17or contract with a prenatal care coordination program to serve recipients of medical
18assistance.
AB75-SSA1-CA1,59,2119 (c) The managed care organization under contract under par. (b) shall ensure
20that each enrollee who is pregnant and who is a recipient of medical assistance is
21enrolled in the prenatal care coordination program under par. (b).".
AB75-SSA1-CA1,59,22 22290. Page 619, line 22: after that line insert:
AB75-SSA1-CA1,59,23 23" Section 1315n. 49.45 (50m) of the statutes is created to read:
AB75-SSA1-CA1,60,3
149.45 (50m) Chronic disease management; managed care organizations. (a)
2In this subsection, "managed care organization" includes a health maintenance
3organization, a limited service health organization, and a preferred provider plan.
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