SB11-SA1,9,3 323. Page 51, line 6: after that line insert:
SB11-SA1,9,5 4" Section 123d. 49.45 (23) (a) of the statutes, as affected by 2011 Wisconsin Act
5.... (this act), is amended to read:
SB11-SA1,9,146 49.45 (23) (a) The department shall request a waiver from the secretary of the
7federal department of health and human services to permit the department to
8conduct a demonstration project to provide health care coverage for basic primary
9and preventive care to adults who are under the age of 65, who have family incomes
10not to exceed 200 percent of the poverty line, and who are not otherwise eligible for
11medical assistance under this subchapter, the Badger Care health care program
12under s. 49.665, or Medicare under 42 USC 1395 et seq. If the department
13promulgates a rule under sub. (2m) (c) 10., this paragraph does not apply to the
14extent that it conflicts with the rule.
".
SB11-SA1,9,15 1524. Page 51, line 17: after that line insert:
SB11-SA1,9,17 16" Section 124d. 49.45 (23) (b) of the statutes, as affected by 2011 Wisconsin Act
17.... (this act), is amended to read:
SB11-SA1,9,2418 49.45 (23) (b) If the waiver is granted and in effect, the department may
19promulgate rules defining the health care benefit plan, including more specific
20eligibility requirements and cost-sharing requirements. Unless otherwise provided
21by the department by rule promulgated under sub. (2m) (c), cost
Cost sharing may
22include an annual enrollment fee, which may not exceed $75 per year.
23Notwithstanding s. 227.24 (3), the plan details under this subsection may be
24promulgated as an emergency rule under s. 227.24 without a finding of emergency.

1If the waiver is granted and in effect, the demonstration project under this subsection
2shall begin on January 1, 2009, or on the effective date of the waiver, whichever is
3later.".
SB11-SA1,10,4 425. Page 52, line 3: after that line insert:
SB11-SA1,10,6 5" Section 125d. 49.45 (24g) (c) of the statutes, as affected by 2011 Wisconsin
6Act .... (this act), is amended to read:
SB11-SA1,10,167 49.45 (24g) (c) The department's proposal under par. (a) shall specify increases
8in reimbursement rates for providers that satisfy the conditions under par. (a) 1. or
92., and shall provide for payment of a monthly per-patient care coordination fee to
10those providers. The department shall set the increases in reimbursement rates and
11the monthly per-patient care coordination fee so that together they provide
12sufficient incentive for providers to satisfy a condition under par. (a) 1. or 2. The
13proposal shall specify effective dates for the increases in reimbursement rates and
14the monthly per-patient care coordination fee that are no sooner than July 1, 2011.
15If the department promulgates a rule under sub. (2m) (c) 4., this paragraph does not
16apply to the extent that it conflicts with the rule.
".
SB11-SA1,10,17 1726. Page 52, line 11: after that line insert:
SB11-SA1,10,19 18" Section 126d. 49.45 (24r) (a) of the statutes, as affected by 2011 Wisconsin
19Act .... (this act), is amended to read:
SB11-SA1,11,220 49.45 (24r) (a) The department shall implement any waiver granted by the
21secretary of the federal department of health and human services to permit the
22department to conduct a demonstration project to provide family planning, as
23defined in s. 253.07 (1) (a), under medical assistance to any woman between the ages
24of 15 and 44 whose family income does not exceed 200% of the poverty line for a family

1the size of the woman's family. If the department promulgates a rule under sub. (2m)
2(c) 10., this paragraph does not apply to the extent it conflicts with the rule.
".
SB11-SA1,11,3 327. Page 52, line 19: after that line insert:
SB11-SA1,11,5 4" Section 127d. 49.45 (24r) (b) of the statutes, as affected by 2011 Wisconsin
5Act .... (this act), is amended to read:
SB11-SA1,11,126 49.45 (24r) (b) The department may request an amended waiver from the
7secretary to permit the department to conduct a demonstration project to provide
8family planning to any man between the ages of 15 and 44 whose family income does
9not exceed 200 percent of the poverty line for a family the size of the man's family.
10If the amended waiver is granted, the department may implement the waiver. If the
11department promulgates a rule under sub. (2m) (c) 10., this paragraph does not apply
12to the extent it conflicts with the rule.
".
SB11-SA1,11,13 1328. Page 53, line 7: after that line insert:
SB11-SA1,11,15 14" Section 128d. 49.45 (25g) (c) of the statutes, as affected by 2011 Wisconsin
15Act .... (this act), is amended to read:
SB11-SA1,12,316 49.45 (25g) (c) The department's proposal under par. (b) shall specify increases
17in reimbursement rates for providers that satisfy the conditions under par. (b), and
18shall provide for payment of a monthly per-patient care coordination fee to those
19providers. The department shall set the increases in reimbursement rates and the
20monthly per-patient care coordination fee so that together they provide sufficient
21incentive for providers to satisfy a condition under par. (b) 1. or 2. The proposal shall
22specify effective dates for the increases in reimbursement rates and the monthly
23per-patient care coordination fee that are no sooner than January 1, 2011. The
24increases in reimbursement rates and monthly per-patient care coordination fees

1that are not provided by the federal government shall be paid from the appropriation
2under. s. 20.435 (1) (am). If the department promulgates a rule under sub. (2m) (c)
34., this paragraph does not apply to the extent it conflicts with the rule.
".
SB11-SA1,12,4 429. Page 53, line 13: after that line insert:
SB11-SA1,12,6 5" Section 129d. 49.45 (27) of the statutes, as affected by 2011 Wisconsin Act
6.... (this act), is amended to read:
SB11-SA1,12,117 49.45 (27) Eligibility of aliens. A person who is not a U.S. citizen or an alien
8lawfully admitted for permanent residence or otherwise permanently residing in the
9United States under color of law may not receive medical assistance benefits except
10as provided under 8 USC 1255a (h) (3) or 42 USC 1396b (v), unless otherwise
11provided by the department by rule promulgated under sub. (2m) (c)
.".
SB11-SA1,12,12 1230. Page 54, line 24: after that line insert:
SB11-SA1,12,14 13" Section 130d. 49.45 (39) (b) 1. of the statutes, as affected by 2011 Wisconsin
14Act .... (this act), is amended to read:
SB11-SA1,13,2515 49.45 (39) (b) 1. `Payment for school medical services.' If a school district or a
16cooperative educational service agency elects to provide school medical services and
17meets all requirements under par. (c), the department shall reimburse the school
18district or the cooperative educational service agency for 60% of the federal share of
19allowable charges for the school medical services that it provides , unless otherwise
20provided by the department by rule promulgated under sub. (2m) (c),
and, as
21specified in subd. 2., for allowable administrative costs. If the Wisconsin Center for
22the Blind and Visually Impaired or the Wisconsin Educational Services Program for
23the Deaf and Hard of Hearing elects to provide school medical services and meets all
24requirements under par. (c), the department shall reimburse the department of

1public instruction for 60% of the federal share of allowable charges for the school
2medical services that the Wisconsin Center for the Blind and Visually Impaired or
3the Wisconsin Educational Services Program for the Deaf and Hard of Hearing
4provides, unless otherwise provided by the department by rule promulgated under
5sub. (2m) (c),
and, as specified in subd. 2., for allowable administrative costs. A school
6district, cooperative educational service agency, the Wisconsin Center for the Blind
7and Visually Impaired or the Wisconsin Educational Services Program for the Deaf
8and Hard of Hearing may submit, and the department shall allow, claims for common
9carrier transportation costs as a school medical service unless the department
10receives notice from the federal health care financing administration that, under a
11change in federal policy, the claims are not allowed. If the department receives the
12notice, a school district, cooperative educational service agency, the Wisconsin
13Center for the Blind and Visually Impaired, or the Wisconsin Educational Services
14Program for the Deaf and Hard of Hearing may submit, and the department shall
15allow, unreimbursed claims for common carrier transportation costs incurred before
16the date of the change in federal policy. The department shall promulgate rules
17establishing a methodology for making reimbursements under this paragraph. All
18other expenses for the school medical services provided by a school district or a
19cooperative educational service agency shall be paid for by the school district or the
20cooperative educational service agency with funds received from state or local taxes.
21The school district, the Wisconsin Center for the Blind and Visually Impaired, the
22Wisconsin Educational Services Program for the Deaf and Hard of Hearing, or the
23cooperative educational service agency shall comply with all requirements of the
24federal department of health and human services for receiving federal financial
25participation.".
SB11-SA1,14,1
131. Page 55, line 2: after that line insert:
SB11-SA1,14,3 2" Section 131d. 49.46 (1) (n) of the statutes, as created by 2011 Wisconsin Act
3.... (this act), is repealed.".
SB11-SA1,14,4 432. Page 55, line 7: after that line insert:
SB11-SA1,14,6 5" Section 132d. 49.46 (2) (a) (intro.) of the statutes, as affected by 2011
6Wisconsin Act .... (this act), is amended to read:
SB11-SA1,14,107 49.46 (2) (a) (intro.) Except as provided in par. (be) and unless otherwise
8provided by the department by rule promulgated under s. 49.45 (2m) (c)
, the
9department shall audit and pay allowable charges to certified providers for medical
10assistance on behalf of recipients for the following federally mandated benefits:".
SB11-SA1,14,11 1133. Page 55, line 12: after that line insert:
SB11-SA1,14,13 12" Section 133d. 49.46 (2) (b) (intro.) of the statutes, as affected by 2011
13Wisconsin Act .... (this act), is amended to read:
SB11-SA1,14,1714 49.46 (2) (b) (intro.) Except as provided in pars. (be) and (dc) and unless
15otherwise provided by the department by rule promulgated under s. 49.45 (2m) (c)
,
16the department shall audit and pay allowable charges to certified providers for
17medical assistance on behalf of recipients for the following services:".
SB11-SA1,14,18 1834. Page 55, line 20: after that line insert:
SB11-SA1,14,20 19" Section 134d. 49.465 (2) (intro.) of the statutes, as affected by 2011 Wisconsin
20Act .... (this act), is amended to read:
SB11-SA1,15,321 49.465 (2) (intro.) Unless otherwise provided by the department by rule
22promulgated under s. 49.45 (2m) (c), a
A pregnant woman is eligible for medical
23assistance benefits, as provided under sub. (3), during the period beginning on the
24day on which a qualified provider determines, on the basis of preliminary

1information, that the woman's family income does not exceed the highest level for
2eligibility for benefits under s. 49.46 (1) or 49.47 (4) (am) or (c) 1. and ending as
3follows:".
SB11-SA1,15,4 435. Page 55, line 25: after that line insert:
SB11-SA1,15,6 5" Section 135d. 49.47 (4) (a) (intro.) of the statutes, as affected by 2011
6Wisconsin Act .... (this act), is amended to read:
SB11-SA1,15,107 49.47 (4) (a) (intro.) Unless otherwise provided by the department by rule
8under s. 49.45 (2m) (c), any
Any individual who meets the limitations on income and
9resources under pars. (b) to (c) and who complies with pars. (cm) and (cr) shall be
10eligible for medical assistance under this section if such individual is:".
SB11-SA1,15,11 1136. Page 56, line 13: after that line insert:
SB11-SA1,15,13 12" Section 138d. 49.47 (5) (c) of the statutes, as created by 2011 Wisconsin Act
13.... (this act), is repealed.".
SB11-SA1,15,14 1437. Page 56, line 17: after that line insert:
SB11-SA1,15,16 15" Section 139d. 49.47 (6) (a) (intro.) of the statutes, as affected by 2011
16Wisconsin Act .... (this act), is amended to read:
SB11-SA1,15,1917 49.47 (6) (a) (intro.) Unless otherwise provided by the department by rule
18promulgated under s. 49.45 (2m) (c), the
The department shall audit and pay charges
19to certified providers for medical assistance on behalf of the following:".
SB11-SA1,15,20 2038. Page 56, line 21: after that line insert:
SB11-SA1,15,22 21" Section 140d. 49.471 (13) of the statutes, as created by 2011 Wisconsin Act
22.... (this act), is repealed.".
SB11-SA1,15,23 2339. Page 57, line 2: after that line insert:
SB11-SA1,16,2
1" Section 141d. 49.472 (3) (intro.) of the statutes, as affected by 2011 Wisconsin
2Act .... (this act), is amended to read:
SB11-SA1,16,63 49.472 (3) Eligibility. (intro.) Except as provided in sub. (6) (a) and unless
4otherwise provided by the department by rule promulgated under s. 49.45 (2m) (c)
,
5an individual is eligible for and shall receive medical assistance under this section
6if all of the following conditions are met:".
SB11-SA1,16,7 740. Page 57, line 8: after that line insert:
SB11-SA1,16,9 8" Section 142d. 49.472 (4) (b) (intro.) of the statutes, as affected by 2011
9Wisconsin Act .... (this act), is amended to read:
SB11-SA1,16,1410 49.472 (4) (b) (intro.) The department may waive monthly premiums that are
11calculated to be below $10 per month. Unless otherwise provided by the department
12by rule promulgated under s. 49.45 (2m) (c), the
The department may not assess a
13monthly premium for any individual whose income level, after adding the
14individual's earned income and unearned income, is below 150% of the poverty line.".
SB11-SA1,16,15 1541. Page 57, line 14: after that line insert:
SB11-SA1,16,17 16" Section 143d. 49.473 (2) (intro.) of the statutes, as affected by 2011 Wisconsin
17Act .... (this act), is amended to read:
SB11-SA1,16,2218 49.473 (2) (intro.) Unless otherwise provided by the department by rule
19promulgated under s. 49.45 (2m) (c), a
A woman is eligible for medical assistance as
20provided under sub. (5) if, after applying to the department or a county department,
21the department or a county department determines that she meets all of the
22following requirements:".
SB11-SA1,16,23 2342. Page 57, line 21: after that line insert:
SB11-SA1,17,2
1" Section 144d. 49.473 (5) of the statutes, as affected by 2011 Wisconsin Act
2.... (this act), is amended to read:
SB11-SA1,17,83 49.473 (5) The department shall audit and pay, from the appropriation
4accounts under s. 20.435 (4) (b) and (o), allowable charges to a provider who is
5certified under s. 49.45 (2) (a) 11. for medical assistance on behalf of a woman who
6meets the requirements under sub. (2) for all benefits and services specified under
7s. 49.46 (2), unless otherwise provided by the department by rule promulgated under
8s. 49.45 (2m) (c)
.".
SB11-SA1,17,10 943. Page 58, line 15: delete "half of all actuarially required" and substitute "all
10employee required".
SB11-SA1,17,11 1144. Page 58, line 17: delete "actuarially".
SB11-SA1,17,12 1245. Page 60, line 5: after that line insert:
SB11-SA1,17,13 13" Section 151d. 66.0509 (1m) of the statutes is created to read:
SB11-SA1,17,1714 66.0509 (1m) (a) A local governmental unit, as defined in s. 66.0131 (1) (a), that
15does not have a civil service system on the effective date of this subsection .... [LRB
16inserts date], shall establish a grievance system not later than the first day of the 4th
17month beginning after the effective date of this subsection .... [LRB inserts date].
SB11-SA1,17,2218 (b) To comply with the grievance system that is required under par. (a), a local
19governmental unit may establish either a civil service system under any provision
20authorized by law, to the greatest extent practicable, if no specific provision for the
21creation of a civil service system applies to that local governmental unit, or establish
22a grievance procedure as described under par. (d).
SB11-SA1,18,3
1(c) Any civil service system that is established under any provision of law, and
2any grievance procedure that is created under this subsection, shall contain at least
3all of the following provisions:
SB11-SA1,18,44 1. A grievance procedure that addresses employee terminations.
SB11-SA1,18,55 2. Employee discipline.
SB11-SA1,18,66 3. Workplace safety.
SB11-SA1,18,87 (d) If a local governmental unit creates a grievance procedure under this
8subsection, the procedure shall contain at least all of the following elements:
SB11-SA1,18,109 1. A written document specifying the process that a grievant and an employer
10must follow.
SB11-SA1,18,1111 2. A hearing before an impartial hearing officer.
SB11-SA1,18,1312 3. An appeal process in which the highest level of appeal is the governing body
13of the local governmental unit.
SB11-SA1,18,1814 (e) If an employee of a local governmental unit is covered by a civil service
15system on the effective date of this subsection .... [LRB inserts date], and if that
16system contains provisions that address the provisions specified in par. (c), the
17provisions that apply to the employee under his or her existing civil service system
18continue to apply to that employee.".
SB11-SA1,18,19 1946. Page 60, line 16: after that line insert:
SB11-SA1,18,21 20" Section 153g. 66.1105 (2) (k) of the statutes is renumbered 66.1105 (2) (k) 1.
21and amended to read:
SB11-SA1,19,822 66.1105 (2) (k) 1. "Tax incremental district" means a contiguous geographic
23area within a city defined and created by resolution of the local legislative body,
24consisting solely of whole units of property as are assessed for general property tax

1purposes, other than railroad rights-of-way, rivers or highways. Railroad
2rights-of-way, rivers or highways may be included in a tax incremental district only
3if they are continuously bounded on either side, or on both sides, by whole units of
4property as are assessed for general property tax purposes which are in the tax
5incremental district. "Tax incremental district" does not include any area identified
6as a wetland on a map under s. 23.32, except for an area identified on such a map that
7has been converted in compliance with state law so that it is no longer a wetland and
8except as provided in subd. 2.
SB11-SA1, s. 153m 9Section 153m. 66.1105 (2) (k) 2. of the statutes is created to read:
SB11-SA1,19,1410 66.1105 (2) (k) 2. For an area that is identified as a wetland on a map under
11s. 23.32 and that is within the boundaries of a tax incremental district or is part of
12a tax incremental district parcel, the area shall be considered part of the tax
13incremental district for determining the applicability of exemptions from or
14compliance with water quality standards that are applicable to wetlands.".
SB11-SA1,19,15 1547. Page 60, line 17: after that line insert:
SB11-SA1,19,17 16" Section 154m. 71.05 (6) (b) 47. of the statutes, as created by 2011 Wisconsin
17Act 5
, is amended to read:
SB11-SA1,20,1218 71.05 (6) (b) 47. An amount equal to the increase in the number of full-time
19equivalent employees employed by the taxpayer in this state during the taxable year,
20multiplied by $4,000 for a business with gross receipts of no greater than $5,000,000
21in the taxable year or $2,000 for a business with gross receipts greater than
22$5,000,000 in the taxable year. For purposes of this subdivision, the increase in the
23number of full-time equivalent employees employed by the taxpayer in this state
24during the taxable year is determined by subtracting from the number of full-time

1equivalent employees employed by the taxpayer in this state during the taxable year,
2as determined by computing the average employee count from the taxpayer's
3quarterly unemployment insurance reports or other information as required by the
4department for the taxable year, the number of full-time equivalent employees
5employed by the taxpayer in this state during the immediately preceding taxable
6year, as determined by computing the average employee count from the taxpayer's
7quarterly unemployment insurance reports or other information as required by the
8department for the immediately preceding taxable year. No person may claim a
9deduction under this subdivision if the person may claim a credit deduction under
10this subchapter based on the person relocating the person's business from another
11state to this state and in an amount equal to the person's tax liability. The
12department shall promulgate rules to administer this subdivision.".
SB11-SA1,20,13 1348. Page 109, line 17: after that line insert:
SB11-SA1,20,14 14" Section 325m. 230.08 (2) (e) 7. of the statutes is amended to read:
SB11-SA1,20,1515 230.08 (2) (e) 7. Justice — 3 5.".
SB11-SA1,20,16 1649. Page 113, line 9: delete lines 9 to 16.
SB11-SA1,20,18 1750. Page 124, line 3: delete the material beginning with "In addition" and
18ending with "of 2011." on line 6.
SB11-SA1,20,19 1951. Page 125, line 5: after that line insert:
SB11-SA1,21,6 20"(cq) The department of employee trust funds may not expend any moneys from
21the appropriation under section 20.515 (1) (d) of the statutes, as created by this act,
22for funding the cost of the study under this subsection unless the department
23submits a spending plan to the joint committee on finance. If the cochairpersons of
24the joint committee on finance do not notify the department within 14 working days

1after the date of the department's submittal of the plan that the committee has
2scheduled a meeting to review the plan, the plan may be implemented and moneys
3may be expended as proposed by the department. If, within 14 days after the date
4of the department's submittal of the plan, the cochairpersons of the committee notify
5the department that the committee has scheduled a meeting to review the plan,
6moneys may be expended only after the plan has been approved by the committee.".
SB11-SA1,21,7 752. Page 127, line 22: after that line insert:
SB11-SA1,21,8 8" Section 9129. Nonstatutory provisions; Justice.
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