AB40-SA36,61 22Section 61. 40.51 (7) (b) of the statutes is repealed.
AB40-SA36,62 23Section 62. 40.62 (2) of the statutes is amended to read:
AB40-SA36,25,224 40.62 (2) Sick leave accumulation shall be determined in accordance with rules
25of the department, any collective bargaining agreement under subch. I, V, or VI of

1ch. 111, and ss. 13.121 (4), 36.30, 49.825 (4) (d) and (5) (d), 49.826 (4) (d), 230.35 (2),
2233.10, 238.04 (8), 757.02 (5) and 978.12 (3).
AB40-SA36,63 3Section 63. 40.80 (3) of the statutes is amended to read:
AB40-SA36,25,54 40.80 (3) Any action taken under this section shall apply to employees covered
5by a collective bargaining agreement under subch. V or VI of ch. 111.
AB40-SA36,64 6Section 64. 40.81 (3) of the statutes is amended to read:
AB40-SA36,25,87 40.81 (3) Any action taken under this section shall apply to employees covered
8by a collective bargaining agreement under subch. IV or , V, or VI of ch. 111.
AB40-SA36,65 9Section 65. 40.95 (1) (a) 2. of the statutes is amended to read:
AB40-SA36,25,1110 40.95 (1) (a) 2. The employee has his or her compensation established in a
11collective bargaining agreement under subch. V or VI of ch. 111.
AB40-SA36,66 12Section 66. 46.284 (4) (m) of the statutes is created to read:
AB40-SA36,25,1613 46.284 (4) (m) Compensate providers, as defined in s. 46.2898 (1) (e), in
14accordance with any agreement under subch. V of ch. 111 relating to a provider hired
15directly by an enrollee and make any payroll deductions authorized by those
16agreements.
AB40-SA36,67 17Section 67. 46.2895 (8) (a) 1. of the statutes is amended to read:
AB40-SA36,26,718 46.2895 (8) (a) 1. If the long-term care district offers employment to any
19individual who was previously employed by a county, which participated in creating
20the district and at the time of the offer had not withdrawn or been removed from the
21district under sub. (14), and who while employed by the county performed duties
22relating to the same or a substantially similar function for which the individual is
23offered employment by the district and whose wages, hours, and conditions of
24employment
were established in a collective bargaining agreement with the county
25under subch. IV of ch. 111 that is in effect on the date that the individual commences

1employment with the district, with respect to that individual, abide by the terms of
2the collective bargaining agreement concerning the individual's wages and, if
3applicable, vacation allowance, sick leave accumulation, sick leave bank, holiday
4allowance, funeral leave allowance, personal day allowance, or paid time off
5allowance
until the time of the expiration of that collective bargaining agreement or
6adoption of a collective bargaining agreement with the district under subch. IV of ch.
7111 covering the individual as an employee of the district, whichever occurs first.
AB40-SA36,68 8Section 68. 46.2898 of the statutes is created to read:
AB40-SA36,26,9 946.2898 Quality home care. (1) Definitions. In this section:
AB40-SA36,26,1010 (a) "Authority" means the Wisconsin Quality Home Care Authority.
AB40-SA36,26,1111 (b) "Care management organization" has the meaning given in s. 46.2805 (1).
AB40-SA36,26,1312 (cm) "Consumer" means an adult who receives home care services and who
13meets all of the following criteria:
AB40-SA36,26,1414 1. Is a resident of any of the following:
AB40-SA36,26,1515 a. A county that has acted under sub. (2) (a).
AB40-SA36,26,1616 b. A county in which the Family Care Program under s. 46.286 is available.
AB40-SA36,26,1817 c. A county in which the Program of All-Inclusive Care for the Elderly under
1842 USC 1396u-4 is available.
AB40-SA36,26,2119d. A county in which the self-directed services option program under 42 USC
201396n
(c) is available or in which a program operated under an amendment to the
21state medical assistance plan under 42 USC 1396n (j) is available.
AB40-SA36,26,2322 2. Self-directs all or part of his or her home care services and is an employer
23listed on the provider's income tax forms.
AB40-SA36,26,2424 3. Is eligible to receive a home care benefit under one of the following:
AB40-SA36,26,2525 a. The Family Care Program under s. 46.286.
AB40-SA36,27,1
1b. The Program of All-Inclusive Care for the Elderly, under 42 USC 1396u-4.
AB40-SA36,27,42 c. A program operated under a waiver from the secretary of the federal
3department of health and human services under 42 USC 1396n (c) or 42 USC 1396n
4(b) and (c) or the self-directed services option operated under 42 USC 1396n (c).
AB40-SA36,27,65 d. A program operated under an amendment to the state medical assistance
6plan under 42 USC 1396n (j).
AB40-SA36,27,117 (dm) "Home care" means supportive home care, personal care, and other
8nonprofessional services of a type that may be covered under a medical assistance
9waiver under 42 USC 1396n (c) and that are provided to individuals to assist them
10in meeting their daily living needs, ensuring adequate functioning in their homes,
11and permitting safe access to their communities.
AB40-SA36,27,1312 (e) "Provider" means an individual who is hired by a consumer to provide home
13care to the consumer but does not include any of the following:
AB40-SA36,27,1514 1. A person, while he or she is providing services in the capacity of an employee
15of any of the following entities:
AB40-SA36,27,1616 a. A home health agency licensed under s. 50.49.
AB40-SA36,27,1717 b. A personal care provider agency.
AB40-SA36,27,1818 c. A company or agency providing supportive home care.
AB40-SA36,27,1919 d. An independent living center, as defined in s. 46.96 (1) (ah).
AB40-SA36,27,2120 e. A county agency or department under s. 46.215, 46.22, 46.23, 51.42, or
2151.437.
AB40-SA36,27,2322 2. A health care provider, as defined in s. 146.997 (1) (d), acting in his or her
23professional capacity.
AB40-SA36,28,724 (f) "Qualified provider" means a provider who meets the qualifications for
25payment through the Family Care Program under s. 46.286, the Program for

1All-Inclusive Care for the Elderly operated under 42 USC 1396u-4, an amendment
2to the state medical assistance plan under 42 USC 1396n (j), or a medical assistance
3waiver program operated under a waiver from the secretary of the federal
4department of health and human services under 42 USC 1396n (c) or 42 USC 1396n
5(b) and (c) and any qualification criteria established in the rules promulgated under
6sub. (7) and who the authority determines is eligible for placement on the registry
7maintained by the authority under s. 52.20 (1).
AB40-SA36,28,11 8(2) County participation. (a) A county board of supervisors may require a
9county department under s. 46.215, 46.22, 46.23, 51.42, or 51.437 to follow
10procedures under this section and to pay providers in accordance with agreements
11under subch. V of ch. 111.
AB40-SA36,28,1312 (b) If a county acts under par. (a), it shall notify the department and the
13authority of its action.
AB40-SA36,28,1614 (c) A county that acts under par. (a) shall compensate providers in accordance
15with any agreement under subch. V of ch. 111 and make any payroll deductions
16authorized by such agreements.
AB40-SA36,28,21 17(4) Duties of home care payors. Care management organizations, the state,
18and counties, as described in sub. (1) (cm) 1. a. to d., that pay for the provision of home
19care services to consumers shall provide to the authority the name, address,
20telephone number, date of hire, and date of termination of any provider hired by an
21individual receiving home care services.
AB40-SA36,28,22 22(5) Duties of consumers. A consumer shall do all of the following:
AB40-SA36,28,2523 (a) Inform the authority of the name, address, telephone number, date of hire,
24and date of termination of any provider hired by the consumer to provide home care
25services.
AB40-SA36,29,3
1(b) Compensate providers in accordance with any collective bargaining
2agreement that applies to home care providers under subch. V of ch. 111 and make
3any payroll deductions authorized by the agreement.
AB40-SA36,29,6 4(6) Providers. (a) A qualified provider providing home care services under this
5section shall be subject to the collective bargaining agreement that applies to home
6care providers under subch. V of ch. 111.
AB40-SA36,29,87 (b) A qualified provider may choose to be placed on the registry maintained by
8the authority under s. 52.20 (1).
AB40-SA36,29,12 9(7) Department rule making. The department may promulgate rules defining
10terms, specifying which services constitute home care, establishing the qualification
11criteria that apply under sub. (1) (f), and establishing procedures for implementation
12of this section.
AB40-SA36,69 13Section 69. 46.48 (9m) of the statutes is created to read:
AB40-SA36,29,1714 46.48 (9m) Quality home care. The department shall award a grant to the
15Wisconsin Quality Home Care Authority for the purpose of providing services to
16recipients and providers of home care under s. 46.2898 and ch. 52 and may award
17grants to counties to facilitate transition to procedures established under s. 46.2898.
AB40-SA36,70 18Section 70. 49.825 (3) (b) 4. of the statutes is created to read:
AB40-SA36,29,2419 49.825 (3) (b) 4. The department may enter into a memorandum of
20understanding, as described in s. 111.70 (3m), with the certified representative of the
21county employees performing services under this section for the unit. If there is a
22dispute as to hours or conditions of employment that remains between the
23department and the certified representative after a good faith effort to resolve it, the
24department may unilaterally resolve the dispute.
AB40-SA36,71 25Section 71. 49.826 (3) (b) 4. of the statutes is created to read:
AB40-SA36,30,6
149.826 (3) (b) 4. The department may enter into a memorandum of
2understanding, as described in s. 111.70 (3p), with the certified representative of the
3county employees performing services under this section in the county for the unit.
4If there is a dispute as to hours or conditions of employment that remains between
5the department and the certified representative after a good faith effort to resolve
6it, the department may unilaterally resolve the dispute.
AB40-SA36,72 7Section 72. Chapter 52 of the statutes is created to read:
AB40-SA36,30,88 CHAPTER 52
AB40-SA36,30,99 QUALITY HOME CARE
AB40-SA36,30,10 1052.01 Definitions. In this chapter:
AB40-SA36,30,11 11(1) "Authority" means the Wisconsin Quality Home Care Authority.
AB40-SA36,30,12 12(2) "Board" means the board of directors of the authority.
AB40-SA36,30,13 13(3) "Care management organization" has the meaning given in s. 46.2805 (1).
AB40-SA36,30,14 14(3m) "Consumer" has the meaning given in s. 46.2898 (1) (cm).
AB40-SA36,30,15 15(4) "Department" means the department of health services.
AB40-SA36,30,16 16(5) "Family Care Program" means the benefit program described in s. 46.286.
AB40-SA36,30,18 17(6) "Home care provider" means an individual who is a qualified provider under
18s. 46.2898 (1) (f).
AB40-SA36,30,21 19(7) "Medical assistance waiver program" means a program operated under a
20waiver from the secretary of the federal department of health and human services
21under 42 USC 1396n (c) or 42 USC 1396n (b) and (c).
AB40-SA36,30,23 22(8) "Program of All-Inclusive Care for the Elderly" means the program
23operated under 42 USC 1396u-4.
AB40-SA36,31,2 2452.05 Creation and organization of authority. (1) Creation and
25membership of board.
There is created a public body corporate and politic to be

1known as the "Wisconsin Quality Home Care Authority." The members of the board
2shall consist of the following members:
AB40-SA36,31,33 (a) The secretary of the department of health services or his or her designee.
AB40-SA36,31,54 (b) The secretary of the department of workforce development or his or her
5designee.
AB40-SA36,31,66 (c) The following, to be appointed by the governor to serve 3-year terms:
AB40-SA36,31,77 1. One representative from the state assembly.
AB40-SA36,31,88 2. One representative from the state senate.
AB40-SA36,31,99 3. One representative of care management organizations.
AB40-SA36,31,1210 4. One representative of county departments, under s. 46.215, 46.22, 46.23,
1151.42, or 51.437, selected from counties where the Family Care Program is not
12available.
AB40-SA36,31,1313 5. One representative of the board for people with developmental disabilities.
AB40-SA36,31,1414 6. One representative of the council on physical disabilities.
AB40-SA36,31,1515 7. One representative of the council on mental health.
AB40-SA36,31,1616 8. One representative of the board on aging and long-term care.
AB40-SA36,31,1917 9. Eleven individuals, each of whom is a current or former recipient of home
18care services through the Family Care Program or a medical assistance waiver
19program or an advocate for or representative of consumers of home care services.
AB40-SA36,31,21 20(3) Chairperson. Annually, the governor shall appoint one member of the
21board to serve as the chairperson.
AB40-SA36,32,2 22(4) Executive committee. (a) The board shall elect an executive committee.
23The executive committee shall consist of the chair of the board, the secretary of the
24department of health services or his or her designee, the secretary of the department

1of workforce development or his or her designee, and 3 persons selected from board
2members appointed under sub. (1) (c) 9.
AB40-SA36,32,33 (b) The executive committee may do the following:
AB40-SA36,32,54 1. Hire an executive director who is not a member of the board and serves at
5the pleasure of the board.
AB40-SA36,32,66 2. Hire employees to carry out the duties of the authority.
AB40-SA36,32,77 3. Engage in contracts for services to carry out the duties of the authority.
AB40-SA36,32,9 8(5) Terms. The terms of members of the board appointed under sub. (1) (c) shall
9expire on July 1.
AB40-SA36,32,14 10(6) Quorum. A majority of the members of the board constitutes a quorum for
11the purpose of conducting its business and exercising its powers and for all other
12purposes, notwithstanding the existence of any vacancies. Action may be taken by
13the board upon a vote of a majority of the members present. Meetings of the members
14of the board may be held anywhere within the state.
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