SB21-SSA1,1800 19Section 1800. 49.45 (39) (bm) of the statutes is created to read:
SB21-SSA1,561,2320 49.45 (39) (bm) Excess state share. Any portion of the state share under this
21subsection in excess of $42,200,000 in fiscal year 2015-16 and in excess of
22$41,700,000 in fiscal year 2016-17 and each fiscal year thereafter shall be deposited
23in the Medical Assistance trust fund.
SB21-SSA1,1801 24Section 1801. 49.45 (39m) of the statutes is created to read:
SB21-SSA1,562,10
149.45 (39m) State plan amendment for pharmacist reimbursement. The
2department shall submit to the federal department of health and human services an
3amendment to the state Medical Assistance plan to permit Medical Assistance
4reimbursement to pharmacists who meet the training requirements specified by the
5department to administer vaccines, as determined by the department, to a person 6
6to 18 years of age. The department shall provide Medical Assistance reimbursement
7under this subsection if the federal department of health and human services
8approves the amendment to the state Medical Assistance plan. A pharmacist or
9pharmacy shall enroll in the federal Vaccines for Children Program under 42 USC
101396s
to be eligible for Medical Assistance reimbursement under this subsection.
SB21-SSA1,1802 11Section 1802. 49.45 (41) (b) of the statutes is amended to read:
SB21-SSA1,562,2112 49.45 (41) (b) If a county elects to become certified as a provider of mental
13health crisis intervention services, the county may provide mental health crisis
14intervention services under this subsection in the county to medical assistance
15recipients through the medical assistance program. A county that elects to provide
16the services shall pay the amount of the allowable charges for the services under the
17medical assistance program that is not provided by the federal government. From
18the appropriation account under s. 20.435 (5) (bL), the
The department shall
19reimburse the county under this subsection only for the amount of the allowable
20charges for those services under the medical assistance program that is provided by
21the federal government.
SB21-SSA1,1803 22Section 1803. 49.452 of the statutes is created to read:
SB21-SSA1,563,2 2349.452 Counting promissory notes as assets for certain Medical
24Assistance programs.
(1) In this section, "promissory note" means a written,
25unconditional agreement, given in return for goods, money loaned, or services

1rendered, under which one party promises to pay another party a specified sum of
2money at a specified time or on demand.
SB21-SSA1,563,5 3(2) If an individual's assets are counted when determining or redetermining
4the individual's financial eligibility for Medical Assistance, the department shall
5include a promissory note as a countable asset if all of the following apply:
SB21-SSA1,563,86 (a) The individual applying for or receiving benefits under Medical Assistance
7or his or her spouse provided the goods, money loaned, or services rendered for the
8promissory note.
SB21-SSA1,563,109 (b) The promissory note was entered into or purchased on or after the effective
10date of this paragraph .... [LRB inserts date].
SB21-SSA1,563,1211 (c) The promissory note is negotiable, assignable, and enforceable and does not
12contain any terms making it unmarketable.
SB21-SSA1,563,18 13(3) A promissory note is presumed to be negotiable and its asset value is the
14outstanding principal balance at the time the individual applies for Medical
15Assistance or at the time the individual's eligibility for Medical Assistance is
16redetermined, unless the individual shows by credible evidence from a
17knowledgeable source that the note is nonnegotiable or has a different current
18market value, which will then be considered the asset value.
SB21-SSA1,1804 19Section 1804. 49.453 (4c) (am) of the statutes is created to read:
SB21-SSA1,563,2320 49.453 (4c) (am) Notwithstanding par. (a), for purposes of sub. (2), the purchase
21of or entering into a promissory note by an individual or his or her spouse on or after
22the effective date of this paragraph .... [LRB inserts date], is a transfer of assets for
23less than fair market value unless all of the following apply:
SB21-SSA1,563,2424 1. The promissory note satisfies the requirements under par. (a) 1. to 3.
SB21-SSA1,564,2
12. The promissory note is negotiable, assignable, and enforceable and does not
2contain any terms making it unmarketable.
SB21-SSA1,1805 3Section 1805. 49.453 (4c) (b) of the statutes is renumbered 49.453 (4c) (b) 1.
4and amended to read:
SB21-SSA1,564,95 49.453 (4c) (b) 1. The value of a promissory note , purchased before the effective
6date of this subdivision .... [LRB inserts date], a
loan, or a mortgage that does not
7satisfy the requirements under par. (a) 1. to 3. is the outstanding balance due on the
8date that the individual applies for medical assistance for nursing facility services
9or other long-term care services described in sub. (2).
SB21-SSA1,1806 10Section 1806. 49.453 (4c) (b) 2. of the statutes is created to read:
SB21-SSA1,564,1711 49.453 (4c) (b) 2. The value of a promissory note purchased or entered into on
12or after the effective date of this subdivision .... [LRB inserts date], that does not
13satisfy the requirements under par. (am) 1. and 2. is the outstanding balance due on
14the date that the individual applies for Medical Assistance for nursing facility
15services or other long-term care services described in sub. (2) or on the date that the
16individual's eligibility for Medical Assistance for nursing facility services or other
17long-term care services described in sub. (2) is redetermined.
SB21-SSA1,1807 18Section 1807. 49.46 (2) (b) 12t. of the statutes is created to read:
SB21-SSA1,564,2119 49.46 (2) (b) 12t. Subject to the limitations under s. 49.45 (30x), licensed
20midwife services provided by a certified professional midwife licensed under s.
21440.982.
SB21-SSA1,1808 22Section 1808. 49.46 (2) (b) 14m. of the statutes is created to read:
SB21-SSA1,564,2523 49.46 (2) (b) 14m. Subject to par. (bt), substance abuse treatment services
24provided by a medically monitored treatment service or a transitional residential
25treatment service.
SB21-SSA1,1809
1Section 1809. 49.46 (2) (bt) of the statutes is created to read:
SB21-SSA1,565,62 49.46 (2) (bt) 1. For the purposes of par. (b) 14m., a "medically monitored
3treatment service" is a 24-hour, community-based service providing observation,
4monitoring, and treatment by a multidisciplinary team under supervision of a
5physician, with a minimum of 12 hours of counseling provided per week for each
6patient.
SB21-SSA1,565,107 2. For the purposes of par. (b) 14m., a "transitional residential treatment
8service" is a clinically supervised, peer-supported, therapeutic environment with
9clinical involvement providing substance abuse treatment in the form of counseling
10for 3 to 11 hours provided per week for each patient.
SB21-SSA1,565,1411 3. If approval by the federal department of health and human services of a state
12plan amendment or waiver request is necessary for federal reimbursement of the
13services under par. (b) 14m., the department is not required to pay for services
14described in par. (b) 14m. if the department does not receive the necessary approval.
SB21-SSA1,565,1715 4. The department may not provide reimbursement for services under par. (b)
1614m. that are provided before July 1, 2016, or before the date of approval of the state
17plan amendment or waiver request described under subd. 3., whichever is later.
SB21-SSA1,1810 18Section 1810. 49.471 (8) (d) 1. a. of the statutes is amended to read:
SB21-SSA1,565,2019 49.471 (8) (d) 1. a. A pregnant woman, except as provided in pars. par. (cr) 1.
20c. and (fm) 4.
SB21-SSA1,1811 21Section 1811. 49.471 (8) (f) of the statutes is repealed.
SB21-SSA1,1812 22Section 1812. 49.471 (8) (fm) of the statutes is repealed.
SB21-SSA1,1813 23Section 1813. 49.471 (8) (g) of the statutes is repealed.
SB21-SSA1,1814 24Section 1814. 49.472 (5) of the statutes is amended to read:
SB21-SSA1,566,4
149.472 (5) Community options participants. From the appropriation under s.
220.435 (7) (4) (bd), the department may pay all or a portion of the monthly premium
3calculated under sub. (4) (a) for an individual who is a participant in the community
4options program under s. 46.27 (11).
SB21-SSA1,1817 5Section 1817. 49.682 (title) of the statutes is amended to read:
SB21-SSA1,566,6 649.682 (title) Recovery from estates ; disease aids and funeral expenses.
SB21-SSA1,1818 7Section 1818. 49.682 (1) (a) of the statutes is amended to read:
SB21-SSA1,566,108 49.682 (1) (a) "Client" means a person who receives or received aid under s.
949.68, 49.683, or 49.685 or a person on whose behalf funeral, burial, or cemetery
10expenses aid was provided under s. 49.785
.
SB21-SSA1,1819b 11Section 1819b. 49.682 (1) (d) of the statutes is renumbered 49.682 (1) (d)
12(intro.) and amended to read:
SB21-SSA1,566,1313 49.682 (1) (d) (intro.) "Nonclient surviving spouse" means any of the following:
SB21-SSA1,566,16 141. A person who was married to a client while when the client was receiving or
15received
services or aid for which the cost may be recovered under sub. (2) (a) and who
16survived the client.
SB21-SSA1,1819c 17Section 1819c. 49.682 (1) (d) 2. of the statutes is created to read:
SB21-SSA1,566,2218 49.682 (1) (d) 2. A person who was married to a client on whose behalf funeral,
19burial, or cemetery expenses aid was provided under s. 49.785, who was married to
20the client at the client's death or when the client was receiving or received any of the
21benefits described in s. 49.785 (1c) that made the client an eligible recipient under
22s. 49.785, or at both times, and who survived the client.
SB21-SSA1,1820 23Section 1820. 49.682 (2) (am) of the statutes is created to read:
SB21-SSA1,567,3
149.682 (2) (am) The department shall file a claim against the estate of a client,
2and against the estate of a nonclient surviving spouse, for the amount of aid under
3s. 49.785 paid to or on behalf of the client.
SB21-SSA1,1821 4Section 1821. 49.682 (2) (bm) 1. of the statutes is amended to read:
SB21-SSA1,567,75 49.682 (2) (bm) 1. Property that is subject to the department's claim under par.
6(a) or (am) in the estate of a client or in the estate of a nonclient surviving spouse is
7all property of a decedent that is included in the estate.
SB21-SSA1,1822 8Section 1822. 49.682 (2) (bm) 2. of the statutes is amended to read:
SB21-SSA1,567,139 49.682 (2) (bm) 2. There is a presumption, consistent with s. 766.31, which may
10be rebutted, that all property in the estate of the nonclient surviving spouse was
11marital property held with the client and that 100 percent of the property in the
12estate of the nonclient surviving spouse is subject to the department's claim under
13par. (a) or (am).
SB21-SSA1,1823 14Section 1823. 49.682 (2) (c) (intro.) of the statutes is amended to read:
SB21-SSA1,567,1815 49.682 (2) (c) (intro.) The court shall reduce the amount of a claim under par.
16(a) or (am) by up to the amount specified in s. 861.33 (2) if necessary to allow the
17decedent's heirs or the beneficiaries of the decedent's will to retain the following
18personal property:
SB21-SSA1,1824 19Section 1824. 49.682 (3) of the statutes is amended to read:
SB21-SSA1,567,2520 49.682 (3) The department shall administer the program under this section
21and may contract with an entity to administer all or a portion of the program,
22including gathering and providing the department with information needed to
23recover payment of aid provided under s. 49.68, 49.683, or 49.685, or 49.785. All
24funds received under this subsection, net of any amount claimed under s. 49.849 (5),
25shall be remitted for deposit in the general fund.
SB21-SSA1,1825
1Section 1825. 49.682 (4) (a) of the statutes is amended to read:
SB21-SSA1,568,52 49.682 (4) (a) The department may recover amounts under this section for the
3provision of aid provided under s. 49.68, 49.683, or 49.685 paid on and after
4September 1, 1995, and for the provision of aid provided under s. 49.785 paid on or
5after the effective date of this paragraph .... [LRB inserts date]
.
SB21-SSA1,1826 6Section 1826. 49.682 (4) (b) of the statutes is amended to read:
SB21-SSA1,568,107 49.682 (4) (b) The department may file a claim under sub. (2) (a) only with
8respect to a client who dies after September 1, 1995. The department may file a claim
9under sub. (2) (am) only with respect to a client who dies after the effective date of
10this paragraph .... [LRB inserts date].
SB21-SSA1,1827 11Section 1827. 49.682 (5) of the statutes is amended to read:
SB21-SSA1,568,1712 49.682 (5) The department shall promulgate rules establishing standards for
13determining whether the application of this section with respect to a claim under
14sub. (2) (a)
would work an undue hardship in individual cases. If the department
15determines that the application of this section with respect to a claim under sub. (2)
16(a) would work an undue hardship in a particular case, the department shall waive
17application of this section in that case.
SB21-SSA1,1830 18Section 1830. 49.78 (5) of the statutes is amended to read:
SB21-SSA1,569,219 49.78 (5) Personnel examinations. Statewide examinations to ascertain
20qualifications of applicants in any county department administering aid to families
21with dependent children shall be given by the administrator of the division director
22of the bureau
of merit recruitment and selection in the office of state employment
23relations
department of administration. The office of state employment relations
24department of administration shall be reimbursed for actual expenditures incurred
25in the performance of its functions under this section from the appropriations

1available to the department of children and families for administrative
2expenditures.
SB21-SSA1,1831 3Section 1831. 49.785 (1m) (d) of the statutes is created to read:
SB21-SSA1,569,84 49.785 (1m) (d) If the recipient, or the recipient's spouse or another person,
5owns a life insurance policy insuring the recipient's life and the face value of the
6policy is more than $3,000, any amount that the department would be obligated to
7pay under sub. (1) shall be reduced by one dollar for every dollar by which the face
8value of the policy exceeds $3,000.
SB21-SSA1,1831p 9Section 1831p. 49.785 (1r) of the statutes is created to read:
SB21-SSA1,569,1110 49.785 (1r) A funeral home, cemetery, or crematorium that receives payment
11under sub. (1) shall be exempt from paying any of the following fees:
SB21-SSA1,569,1212 (a) Fees for services rendered by a coroner.
SB21-SSA1,569,1413 (b) Fees assessed for the signing of a death certificate by a coroner or medical
14examiner.
SB21-SSA1,569,1515 (c) Fees assessed by a county related to transportation services.
SB21-SSA1,1832 16Section 1832. 49.785 (2) of the statutes is created to read:
SB21-SSA1,569,1917 49.785 (2) The department shall pursue recovery of any amounts paid under
18sub. (1) from the estate of the recipient and from the estate of any surviving spouse
19or former spouse of the recipient as provided in ss. 49.682 and 49.849.
SB21-SSA1,1832p 20Section 1832p. 49.79 (1m) of the statutes is created to read:
SB21-SSA1,569,2221 49.79 (1m) Welfare recipient. An individual who is a recipient under the food
22stamp program is considered to be a welfare recipient for purposes of 21 USC 862b.
SB21-SSA1,1832r 23Section 1832r. 49.79 (7c) of the statutes is created to read:
SB21-SSA1,570,524 49.79 (7c) Reduction of benefits to pay cost of replacement cards. (a) If a
25recipient under the food stamp program requests replacement of a lost or stolen

1electronic benefit transfer card, the department shall deduct from the recipient's
2benefit account the allowable costs incurred by the state, as determined by the
3department, to replace the lost or stolen electronic benefit transfer card. Amounts
4deducted under this paragraph shall be transferred to the appropriation account
5under s. 20.435 (4) (jd).
SB21-SSA1,570,106 (b) The department shall inform the food and nutrition service of the federal
7department of agriculture of its plan to implement the policy under par. (a). The plan
8shall specify how the department intends to account for card replacement fees and
9shall identify the replacement threshold, frequency, and circumstances in which the
10fee will be applicable.
SB21-SSA1,1833 11Section 1833. 49.79 (9) (d) of the statutes is created to read:
SB21-SSA1,570,1712 49.79 (9) (d) 1. The department shall promulgate rules to develop and
13implement a drug screening, testing, and treatment policy to screen and, if indicated,
14test and treat participants in an employment and training program under this
15subsection who are able-bodied adults for use of a controlled substance without a
16valid prescription for the controlled substance. The policy shall include at least all
17of the following elements:
SB21-SSA1,570,2118 a. Only participants for whom there is a reasonable suspicion of use of a
19controlled substance without a valid prescription for the controlled substance may
20be subjected to testing. The policy shall include mechanisms for the determination
21of a reasonable suspicion to require submission to a drug test.
SB21-SSA1,571,222 b. If a participant tests negative for use of a controlled substance, or tests
23positive for the use of a controlled substance but presents evidence satisfactory to the
24department that the individual possesses a valid prescription for each controlled
25substance for which the individual tests positive, the individual will have

1satisfactorily completed the substance abuse testing requirements under this
2paragraph.
SB21-SSA1,571,63 c. If a participant tests positive for use of a controlled substance for which he
4or she does not have a valid prescription, then the individual must participate in
5state-sponsored substance abuse treatment to remain eligible for the employment
6and training program.
SB21-SSA1,571,217 d. While participating in state-sponsored treatment, an individual who has
8tested positive for the use of a controlled substance without a valid prescription for
9the controlled substance shall submit to random testing for the use of a controlled
10substance, and the test results must be negative, or positive with evidence of a valid
11prescription, in order for the individual to remain eligible for the employment and
12training program under this subsection. If a test result is positive and the individual
13does not have a valid prescription for the controlled substance for which the
14individual tests positive, the individual may begin treatment again one time and will
15remain eligible for the employment and training program. If the individual
16completes treatment and tests negative for use of a controlled substance, or tests
17positive for the use of a controlled substance but presents evidence satisfactory to the
18department that the individual possesses a valid prescription for each controlled
19substance for which the individual tests positive, the individual will have
20satisfactorily completed the substance abuse screening and testing requirements
21under this paragraph.
SB21-SSA1,571,2522 2. Subject to the promulgation of rules under subd. 1., the department shall
23screen and, if indicated, test and treat participants in an employment and training
24program under this subsection who are able-bodied adults for illegal use of a
25controlled substance without a valid prescription for the controlled substance.
SB21-SSA1,1833t
1Section 1833t. 49.83 of the statutes is amended to read:
SB21-SSA1,572,15 249.83 Limitation on giving information. Except as provided under ss.
349.25 and 49.32 (6m), (9), (10), and (10m), no person may use or disclose information
4concerning applicants and recipients of relief funded by a relief block grant, aid to
5families with dependent children, Wisconsin Works under ss. 49.141 to 49.161, social
6services, child and spousal support and establishment of paternity and medical
7support liability services under s. 49.22, or supplemental payments under s. 49.77
8for any purpose not connected with the administration of the programs, except that
9the departments of children and families and health services may disclose, including
10by transmitting or granting access to electronic data, such information, including
11social security numbers, to the department of revenue for the sole purposes of
12administering state taxes, including verifying refundable individual income tax
13credits, and collecting debts owed to the department of revenue. Any person
14violating this section may be fined not less than $25 nor more than $500 or
15imprisoned in the county jail not less than 10 days nor more than one year or both.
SB21-SSA1,1834b 16Section 1834b. 49.849 (1) (c) of the statutes is renumbered 49.849 (1) (c)
17(intro.) and amended to read:
SB21-SSA1,572,1918 49.849 (1) (c) (intro.) "Nonrecipient surviving spouse" means any of the
19following:
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