Amendment SSA1-SB21

SB21-SSA1,1499,11 6. Modifying the state's long-term care program, including allowing for audits of providers, in order to improve accountability in the provision of services.

SB21-SSA1,1499,13 7. Establishing an open enrollment period for the state's long-term care program that coincides with the open enrollment period for the Medicare program.

SB21-SSA1,1499,15 8. Requiring that rates paid to integrated health agencies for services are set through an independent, actuarial study.

SB21-SSA1,1499,23 9. Preserving, for a minimum of 3 years in each region after the date of implementation of the waiver under this paragraph in that region, the requirement that an integrated health agency contract for long-term care services with any long-term care service provider that agrees to accept the reimbursement rate that the integrated health agency pays to similar providers for the same services and satisfies any quality of care, utilization, or other criteria that the integrated health agency requires of other providers with which it contracts to provide the same long-term care services.

SB21-SSA1,1500,3 (d) Consultation with stakeholders; key principles. Before developing its final waiver or state plan amendment request to be submitted to the joint committee on finance under paragraph (e), the department shall do all of the following:

SB21-SSA1,1500,6 1. Consult with persons interested in the long-term care program, including representatives of consumers of long-term care and long-term care providers and the public.

SB21-SSA1,1500,12 2. Submit as part of the quarterly reports on the Medical Assistance program due by September 30, 2015, and December 30, 2015, a progress report on the development of the waiver request including information regarding outcomes from discussions with representatives of consumers of long-term care and long-term care providers and any discussions with the federal centers for Medicare and Medicaid services.

SB21-SSA1,1500,13 3. Hold no less than 2 public hearings regarding the waiver request.

SB21-SSA1,1500,16 4. Develop the final waiver request in accordance with key principles determined by the federal centers for Medicare and Medicaid services to be essential elements of a strong, managed long-term services and supports program including:

SB21-SSA1,1500,17 a. Adequate planning and transition strategies.

SB21-SSA1,1500,18 b. Engagement of interested persons.

SB21-SSA1,1500,20 c. Enhanced provision of services in home-based and community-based settings.

SB21-SSA1,1500,23 d. Alignment of payment structures with programmatic goals, including improving the health and experience of enrollees and reducing costs through those improvements.

SB21-SSA1,1501,3 e. Support for eligible individuals, including counseling regarding options and enrollment from an independent source at no cost to the individual and the availability of ombudsman resources.

SB21-SSA1,1501,4 f. Person-centered processes, including an option to self-direct services.

SB21-SSA1,1501,5 g. A comprehensive and integrated service package.

SB21-SSA1,1501,6 h. Qualified providers.

SB21-SSA1,1501,8 i. Enrollee protections, including systems to manage incidents and appeals processes for enrollees.

SB21-SSA1,1501,9 j. Comprehensive quality assurance and oversight procedures.

SB21-SSA1,1501,19 (e) Committee approval. No later than April 1, 2016, and before the department submits any proposed changes to the state waiver or state plan amendment under paragraph (c), the department shall submit a summary of the proposed concept plan for the waiver amendment request under paragraph (c) to the joint committee on finance for approval or disapproval by the joint committee on finance. The procedures under section 13.10 of the statutes do not apply to this paragraph and the joint committee on finance may not modify the summary of the proposed concept plan submitted under this paragraph. The department may not submit any proposed changes to the state waiver or state plan amendment under paragraph (c) unless the proposed concept plan is approved by the joint committee on finance.

SB21-SSA1,1501,20 (f) Implementation of waiver; conformation with statutes.

SB21-SSA1,1502,2 1. Notwithstanding sections 46.2803 to 46.2895 of the statutes and any rules promulgated under those sections, if the federal department of health and human services approves of a waiver or state plan amendment substantially similar to that requested in paragraph (c) and approved by the joint committee on finance under paragraph (e), the department may implement any changes to the family care program and IRIS in accordance with the approved waiver or state plan amendment.

SB21-SSA1,1502,7 2. If the waiver or state plan amendment request is not approved by the federal department of health and human services or if the approved waiver or state plan amendment is not substantially similar to that requested under paragraph (c), the department may not implement the waiver or state plan amendment and the family care program and IRIS shall operate under the statutes in effect on July 1, 2015.

SB21-SSA1,1502,14 3. The department shall include in its 2017-19 biennial budget request any proposed statutory changes necessary to conform the statutes to the approved waiver or state plan amendment. The department shall maintain statutory language in section 46.2895 of the statutes relating to long-term care districts created by tribes or bands until the federal department of health and human services approves a waiver request related to those long-term care districts, if such a waiver request is being pursued.

SB21-SSA1,1502,21 (g) Other long-term care programs. If the federal department of health and human services does not disapprove the request to administer the family care program in every county in the state under paragraph (b), the department may elect to discontinue enrollment of participants in or administration of any of the programs under section 46.271, 46.275, 46.277, 46.278, or 46.2785 of the statutes in a county at any time determined by the department that is after the date that the family care program is available to all eligible residents of that county.

SB21-SSA1,1502,22 (9q) Aging and disability resource centers.

SB21-SSA1,1503,2 (a) By January 1, 2017, the department of health services shall evaluate the functional screening and options counseling for reliability and consistency among resource centers, as defined in section 46.2805 (10) of the statutes, and submit a report to the joint committee on finance on that evaluation.

SB21-SSA1,1503,7 (b) By no later than July 1, 2016, the department of health services shall assess which responsibilities of resource center governing boards described under section 46.283 (6) of the statutes are duplicative of functions performed by the department of health services and shall propose changes to the statutory requirements for the resource center governing boards to remove any duplication of functions.

SB21-SSA1,1503,13 (c) By no later than April 1, 2016, the department shall study the integration of income maintenance consortia and aging and disability resource centers, as defined in section 46.2805 (10) of the statutes, and shall present a report to the joint committee on finance with recommendations regarding potential efficiencies that may be gained, if any, from the integration of these entities and whether an integration would be appropriate considering the responsibilities of each entity.

SB21-SSA1,1503,20 (10) Merger of divisions into Medicaid services division. Before March 31, 2016, the department of health services shall submit to the state budget office in the department of administration a report of the final organization of the merger of the division of the department of health services relating to long-term care and the division of the department of health services relating to health care access and accountability into a single division of the department of health services relating to Medicaid services.

SB21-SSA1,1504,2 (10u) Food safety fees. During the period beginning on the effective date of this subsection and ending on July 1, 2016, neither the department of health services nor any local health department designated as an agent of the department may modify any fee established under section 254.71 of the statutes or, with respect to restaurants and temporary restaurants, under section 254.68 or 254.69 (2) of the statutes.

SB21-SSA1,1504,3 (11f) Medical Assistance nonemergency medical transportation.

SB21-SSA1,1504,10 (a) The department of health services shall, to the extent permitted by the contract, modify the contract that is in effect on the effective date of this paragraph for the arrangement and reimbursement of nonemergency medical transportation services to recipients of Medical Assistance under subchapter IV of chapter 49 of the statutes to exclude recipients of Medical Assistance residing in Jefferson, Kenosha, Milwaukee, Ozaukee, Racine, Walworth, Washington, and Waukesha counties from that contract.

SB21-SSA1,1504,15 (b) If the department of health services modifies the contract under paragraph (a), the department of health services shall make alternative arrangements with counties, health maintenance organizations, or transportation providers to provide nonemergency medical transportation services to Medical Assistance recipients who reside in the counties specified in paragraph (a) no later than January 1, 2016.

SB21-SSA1,9119 Section 9119. Nonstatutory provisions; Higher Educational Aids Board.

SB21-SSA1,9120 Section 9120. Nonstatutory provisions; Historical Society.

SB21-SSA1,9121 Section 9121. Nonstatutory provisions; Housing and Economic Development Authority.

SB21-SSA1,9122 Section 9122. Nonstatutory provisions; Insurance.

SB21-SSA1,1505,7 (1v) Emergency rule for independent dispute resolution process. Using the procedure under section 227.24 of the statutes, the commissioner of insurance may promulgate the rules required under section 632.876 of the statutes, as created by this act, for the period before the effective date of the permanent rules promulgated under section 632.876 of the statutes, as created by this act, but not to exceed the period authorized under section 227.24 (1) (c) of the statutes, subject to extension under section 227.24 (2) of the statutes. Notwithstanding section 227.24 (1) (a), (2) (b), and (3) of the statutes, the commissioner is not required to provide evidence that promulgating a rule under this subsection as an emergency rule is necessary for the preservation of the public peace, health, safety, or welfare and is not required to provide a finding of emergency for a rule promulgated under this subsection.

SB21-SSA1,9123 Section 9123. Nonstatutory provisions; Investment Board.

SB21-SSA1,9124 Section 9124. Nonstatutory provisions; Joint Committee on Finance.

SB21-SSA1,9125 Section 9125. Nonstatutory provisions; Judicial Commission.

SB21-SSA1,9126 Section 9126. Nonstatutory provisions; Justice.

SB21-SSA1,1505,12 (1c) Youth diversion grant reductions.

SB21-SSA1,1505,16 (a) Notwithstanding the amount specified under section 165.987 (1) of the statutes, the department of justice shall reduce the amount of money allocated under section 165.987 (1) of the statutes by $179,600 in each of the fiscal years 2015-16 and 2016-17.

SB21-SSA1,1505,20 (b) Notwithstanding the amount specified under section 165.987 (2) of the statutes, the department of justice shall reduce the amount of money allocated under section 165.987 (2) of the statutes by $18,400 in each of the fiscal years 2015-16 and 2016-17.

SB21-SSA1,1506,2 (c) Notwithstanding the amounts specified under section 165.987 (3) of the statutes, the department of justice shall reduce the amount of money allocated for each of the contracts for a specified county that are funded under that section by $53,800 in each of the fiscal years 2015-16 and 2016-17 and shall reduce the amount of money allocated for a contract with an unspecified organization that is funded under that section by $36,600 in each of the fiscal years 2015-16 and 2016-17.

SB21-SSA1,1506,7 (1q) Drug law enforcement and interdiction grants. From the appropriation account under section 20.455 (2) (kd) of the statutes, the department of justice shall award to the Lafayette County Sheriff's Department, for drug law enforcement and drug interdiction services, a grant in the amount of $50,000 in fiscal year 2015-16 and a grant in the amount of $50,000 in fiscal year 2016-17.

SB21-SSA1,9127 Section 9127. Nonstatutory provisions; Legislature.

SB21-SSA1,1506,9 (1j) 100th anniversary state capitol commemoration commission.

SB21-SSA1,1506,17 (a) The joint committee on legislative organization shall establish a committee, to be known as the 100th anniversary state capitol commemoration commission, consisting of 9 members. Each of the following shall appoint one member: the speaker of the assembly, the minority leader of the assembly, the president of the senate, the minority leader of the senate, the governor, the supreme court, the secretary of administration, the state capitol and executive residence board, and the director of the state historical society. The members of the commission shall elect a chairperson.

SB21-SSA1,1506,23 (b) The 100th anniversary state capitol commemoration commission shall plan events, including educational programs for children and students, to be held in 2017 for commemorating the 100th anniversary of the completion of the state capitol. The commission may request that individuals and organizations with knowledge of the history, construction, and renovation of the state capitol assist the commission in planning and executing the commemoration.

SB21-SSA1,1506,25 (c) Upon completion of the commemoration, the 100th anniversary state capitol commemoration commission is dissolved.

SB21-SSA1,9128 Section 9128. Nonstatutory provisions; Lieutenant Governor.

SB21-SSA1,9129 Section 9129. Nonstatutory provisions; Local Government.

SB21-SSA1,1507,7 (1) Crime prevention funding board. Upon the creation of a crime prevention funding board, the initial members of the board specified under section 59.54 (28) (c) of the statutes shall declare that they are serving on the board, or appoint their designees, not later than the first day of the 4th month beginning after a board is created.

SB21-SSA1,1507,16 (3f) Local room tax. With regard to a municipality which collects a room tax on May 13, 1994, with the form that the municipality submits to the department of revenue on or before May 1, 2016, as described under section 66.0615 (4) (a) of the statutes, the municipality shall also include a copy of its room tax ordinance that was in effect on May 13, 1994. In addition, the municipality shall also include with the form a copy of the municipality's financial statement that was completed nearest in time to May 13, 1994, and that shows the percentage of room tax revenue that the municipality retained for its own purposes other than purposes related to tourism promotion and development.

SB21-SSA1,1507,17 (3u) Metropolitan sewerage districts.

SB21-SSA1,1507,21 (a) Notwithstanding section 200.09 (1) (a) of the statutes, as affected by this act, the terms of the members of a metropolitan sewerage district that contains a 2nd class city with a population of 200,000 or more expire on the effective date of this subsection.

SB21-SSA1,1507,24 (b) Notwithstanding section 200.09 (1) (b) of the statutes, as created by this act, the initial members of a commission appointed under section 200.09 (1) (b) of the statutes, as created by this act, shall be appointed for the following terms:

SB21-SSA1,1508,4 1. One member appointed by the executive council of the towns, one member appointed by the executive council of the cities and villages, and one member appointed by the mayor of the 2nd class city, for a term expiring 3 years after the initial appointment.

SB21-SSA1,1508,7 2. One member appointed by the executive council of the cities and villages and 2 members appointed by the mayor of the 2nd class city, for a term expiring 2 years after the initial appointment.

SB21-SSA1,1508,10 3. One member appointed by the executive council of the cities and villages and 2 members appointed by the mayor of the 2nd class city, for a term expiring one year after the initial appointment.

SB21-SSA1,9130 Section 9130. Nonstatutory provisions; Medical College of Wisconsin.

SB21-SSA1,9131 Section 9131. Nonstatutory provisions; Military Affairs.

SB21-SSA1,9132 Section 9132. Nonstatutory provisions; Natural Resources.

SB21-SSA1,1508,21 (1) Relocation of division of forestry headquarters. The department of natural resources shall develop a plan to move the headquarters of the division of forestry from the city of Madison to a northern location in this state. In the plan, the department of natural resources shall provide in detail the costs of relocating the headquarters, a timeline for implementing the relocation, and a list of options for northern locations in this state. The department of natural resources shall complete the plan in time for the plan to be included in the department of natural resources' 2017-19 biennial budget request.

SB21-SSA1,1509,3 (1q) Car-killed deer report. The department of natural resources shall prepare a report on the program under section 29.349 (4) of the statutes, as created by this act, including an account of the cost-effectiveness of the program, the number of deer collected, and any recommendations regarding the program. Before January 1, 2017, the department shall submit the report to the governor, to the joint committee on finance, and to appropriate standing committees of the legislature, as determined by the speaker of the assembly and the president of the senate.

SB21-SSA1,1509,14 (1v) Report on funding of fish and wildlife management activities. The department of natural resources shall prepare a report on a plan to address the insufficiency of revenues from hunting and fishing approval fees to cover the cost of activities of the department that relate to fish and wildlife management. The department shall prepare this report in consultation with stakeholders, including hunters, anglers, trappers, and conservationists. The report shall include recommendations for program reductions and hunting and fishing approval fee increases necessary to ensure that the revenue from hunting and fishing approval fees is sufficient to cover the cost of fish and wildlife management activities. Before January 1, 2017, the department of natural resources shall submit the report to the joint committee on finance.

SB21-SSA1,1509,21 (3d) Layoff procedures for certain employees of the department of natural resources. The layoff procedures under section 230.34 (2) (a) of the statutes shall not apply to employees holding the 11.0 FTE SEG education-related positions and the 18.4 FTE SEG science services positions, funded from the appropriation accounts under section 20.370 (1) (mu), (2) (hq), (3) (fj), (mt), (mu), and (my), (4) (mu) and (mz), and (9) (iq), (mu), and (mz) of the statutes during the 2013-15 fiscal biennium, that are eliminated by this act.

SB21-SSA1,1510,2 (3f) Audit of moneys received for forestry activities. The joint legislative audit committee is requested to direct the legislative audit bureau to perform an audit of the moneys received by the department of natural resources for forestry activities and how those moneys are spent. If the committee directs the legislative audit bureau to perform an audit, the bureau shall file its report as described under section 13.94 (1) (b) of the statutes on or before June 30, 2017.

SB21-SSA1,1510,10 (4c) Southeastern Wisconsin Fox River commission. The department of natural resources shall provide in fiscal year 2015-16, from the appropriation under section 20.370 (5) (cq) of the statutes, as affected by this act, $200,000 to the Southeastern Wisconsin Fox River commission. The commission may use this funding for activities that are required or authorized under subchapter VI of chapter 33 of the statutes and that are consistent with the commission's implementation plan. The activities for which this funding is used may include the activities required under section 33.56 (1), (2), and (3) of the statutes.

SB21-SSA1,1510,11 (4f) State parks study and report.

SB21-SSA1,1510,13 (a) In this subsection, "department" means the department of natural resources.

SB21-SSA1,1510,16 (b) The department shall study options for additional sources of revenue for operating and maintaining state parks. The department shall study at least all of the following options:

SB21-SSA1,1510,19 1. Using revenue generated from a program under which a person may voluntarily purchase a state park vehicle admission sticker when the person registers a vehicle with the department of transportation.

SB21-SSA1,1510,22 2. Using revenue generated from increased camping fees at state parks based on local market conditions or seasonal demand, based on the amenities or facilities offered by a park, or based on other features or conditions of a park.

SB21-SSA1,1511,2 (c) The department shall prepare a report containing the results of its study conducted under paragraph (b). The report shall include revenue estimates from the options studied under paragraph (b) and shall include recommendations for closing the structural imbalance between the revenue generated from state park and camping fees and the cost to operate and maintain state parks.

SB21-SSA1,1511,7 (d) The department shall submit the report under paragraph (c) on or before December 1, 2016, to the joint committee on finance, the governor, and the appropriate standing committees of the legislature, as determined by the speaker of the assembly and the president of the senate, in the manner provided under section 13.172 (3) of the statutes.

SB21-SSA1,1511,8 (4v) Initial funding of forest management activities on federal land.

SB21-SSA1,1511,15 (a) The department of natural resources shall submit to the cochairpersons of the joint committee on finance before January 1, 2016, a report on activities conducted under section 28.15 of the statutes since the effective date of this paragraph that were funded by the appropriation account under section 20.370 (1) (mv) of the statutes. The department shall include in the report a plan for use of moneys allocated for the purpose of supporting activities under section 28.15 of the statutes in fiscal year 2016-17.

SB21-SSA1,1511,20 (b) The department shall submit to the cochairpersons of the joint committee on finance before January 1, 2016, a written request to supplement the appropriation under section 20.370 (1) (mv) of the statutes for the 2016-17 fiscal year for the purpose of paying the initial costs of administering and implementing a cooperative agreement and any contracts entered into under section 28.15 of the statutes.

SB21-SSA1,1512,2 (c) If the cochairpersons of the joint committee on finance do not notify the department that the committee has scheduled a meeting for the purpose of reviewing the request within 14 working days after the date on which the department submits the request, the supplement is approved. If, within 14 working days after the date on which the department submits the request, the cochairpersons notify the department that the committee has scheduled a meeting for the purpose of reviewing the request, the supplement may occur only as approved by the committee.

SB21-SSA1,1512,4 (d) The supplement shall be paid from the appropriation account under section 20.865 (4) (u) of the statutes.

SB21-SSA1,1512,10 (4vw) State forest plan variance. On or before June 30, 2016, the department of natural resources shall propose a variance to the master plans of all state forests except for the southern state forests, as defined in section 27.016 (1) (c) of the statutes, and except for Governor Knowles State Forest to incorporate the requirements in section 28.04 (3) (am) of the statutes, as created by this act, with respect to land classified as a forest production area.

SB21-SSA1,1512,15 (4vx) State forest plan amendment. Before March 1, 2017, the department of natural resources shall amend the master plans of all state forests except for the southern state forests, as defined in section 27.016 (1) (c) of the statutes, and except for Governor Knowles State Forest so that 75 percent of all the land in those state forests combined is classified as a forest production area.

SB21-SSA1,9133 Section 9133. Nonstatutory provisions; Public Defender Board

SB21-SSA1,9134 Section 9134. Nonstatutory provisions; Public Instruction.

SB21-SSA1,1512,22 (2) Optional participation in cooperative educational service agencies. Notwithstanding section 116.065 (2) of the statutes, if a school board adopts a resolution to withdraw from a cooperative education service agency under section 116.065 (1) of the statutes, as affected by this act, by no later than 30 days after the effective date of this subsection, the resolution is effective July 1, 2015.