AB56-SA2,8,3
139. Page 144, line 24: decrease the dollar amount for fiscal year 2019-20 by
2$7,400,000 and decrease the dollar amount for fiscal year 2020-21 by $7,400,000 for
3the purpose of making hospital access payments.
AB56-SA2,8,6 440. Page 145, line 3: decrease the dollar amount for fiscal year 2019-20 by
5$300,000 and decrease the dollar amount for fiscal year 2020-21 by $300,000 for the
6purpose of making critical access hospital payments.
AB56-SA2,8,7 741. Page 145, line 16: delete lines 16 to 17 and substitute: - See PDF for table PDF
AB56-SA2,8,8 842. Page 146, line 4: after that line insert: - See PDF for table PDF
AB56-SA2,8,12 943. Page 148, line 10: increase the dollar amount for fiscal year 2019-20 by
10$264,900 and increase the dollar amount for fiscal year 2020-21 by $365,800 for the
11purpose of funding an additional 3.78 FTE PR positions within the bureau of assisted
12living.
AB56-SA2,8,16 1344. Page 148, line 21: increase the dollar amount for fiscal year 2019-20 by
14$155,500 and increase the dollar amount for fiscal year 2020-21 by $214,800 for the
15purpose of funding an additional 2.22 FTE FED positions in the bureau of assisted
16living.
AB56-SA2,9,2 1745. Page 149, line 3: increase the dollar amount for fiscal year 2019-20 by
18$1,680,000 and increase the dollar amount for fiscal year 2020-21 by $1,680,000 for

1the purpose of grants to aging and disability resource centers and tribes to fund 27
2additional dementia care specialists and 3 new tribal dementia care specialists.
AB56-SA2,9,6 346. Page 149, line 3: increase the dollar amount for fiscal year 2019-20 only
4by $61,600 and increase the dollar amount for fiscal year 2020-21 only by $78,200
5for the purpose of funding a 2-year academic detailing primary care clinic dementia
6training pilot program under Section 9119 (3g).
AB56-SA2,9,9 747. Page 149, line 7: increase the dollar amount for fiscal year 2019-20 by
8$1,550,000 and increase the dollar amount for fiscal year 2020-21 by $7,600,000 for
9the purpose of increasing funding for the Birth to 3 Program.
AB56-SA2,9,12 1048. Page 157, line 4: increase the dollar amount for fiscal year 2019-20 by
11$512,500 and increase the dollar amount for fiscal year 2020-21 by $675,000 for the
12purpose of funding services to prevent child abuse or neglect.
AB56-SA2,9,15 1349. Page 231, line 6: decrease the dollar amount for fiscal year 2019-20 by
14$444,700 and decrease the dollar amount for fiscal year 2020-21 by $416,500 for the
15purpose of transferring the moneys for children's long-term care program.
AB56-SA2,9,18 1650. Page 231, line 6: decrease the dollar amount for fiscal year 2020-21 by
17$89,900 for the purpose of providing supportive services delivered under the Medical
18Assistance medical home health benefit for persons with substance abuse disorders.
AB56-SA2,9,21 1951. Page 231, line 6: decrease the dollar amount for fiscal year 2019-20 by
20$1,088,200 and decrease the dollar amount for fiscal year 2020-21 by $1,692,900 for
21the purpose of telehealth reimbursement under the Medical Assistance program.
AB56-SA2,9,23 2252. Page 231, line 6: decrease the dollar amount for fiscal year 2019-20 by
23$100,000 and decrease the dollar amount for fiscal year 2020-21 by $100,000 for the

1purpose of providing mental health assistance to farmers and farm families under
2the appropriation to the department of agriculture, trade and consumer protection.
AB56-SA2,10,3 353. Page 249, line 15: after that line insert:
AB56-SA2,10,4 4 Section 188m. 20.435 (1) (bk) of the statutes is created to read:
AB56-SA2,10,65 20.435 (1) (bk) Healthy aging grant program. The amounts in the schedule for
6grants to an entity that conducts programs in healthy aging.”.
AB56-SA2,10,7 754. Page 249, line 16: delete lines 16 to 18 and substitute:
AB56-SA2,10,8 8 Section 189b. 20.435 (1) (cr) of the statutes is created to read:
AB56-SA2,10,109 20.435 (1) (cr) Minority health grants. The amounts in the schedule for the
10minority health program under s. 250.20 (3) and (4).”.
AB56-SA2,10,11 1155. Page 249, line 24: delete that line and substitute:
AB56-SA2,10,12 12 Section 190b. 20.435 (1) (fj) of the statutes is repealed.”.
AB56-SA2,10,13 1356. Page 249, line 25: delete that line and substitute:
AB56-SA2,10,14 14 Section 191b. 20.435 (1) (kb) of the statutes is repealed.”.
AB56-SA2,10,15 1557. Page 252, line 3: delete that line and substitute:
AB56-SA2,10,17 16“49.685, for distributing grants under s. 146.64, and for reduction of any
17operating”.
AB56-SA2,10,18 1858. Page 253, line 1: delete lines 1 to 4 and substitute:
AB56-SA2,10,19 19 Section 195b. 20.435 (4) (bf) of the statutes is amended to read:
AB56-SA2,10,2220 20.435 (4) (bf) Graduate medical training support grants. As a continuing
21appropriation, the amounts in the schedule to award grants to rural hospitals under
22s. 146.63 and to
support graduate medical training programs under s. 146.64.”.
AB56-SA2,10,23 2359. Page 255, line 2: after that line insert:
AB56-SA2,10,24 24 Section 201c. 20.435 (4) (jw) of the statutes is amended to read:
AB56-SA2,11,8
120.435 (4) (jw) BadgerCare Plus and hospital assessment. All moneys received
2from payment of enrollment fees under the program under s. 49.45 (23), all
moneys
3transferred under s. 50.38 (9), all moneys transferred from the appropriation account
4under par. (jz), and 10 percent of all moneys received from penalty assessments
5under s. 49.471 (9) (c), for administration of the program under s. 49.45 (23), to
6provide a portion of the state share of administrative costs for the BadgerCare Plus
7Medical Assistance program under s. 49.471, and for administration of the hospital
8assessment under s. 50.38.”.
AB56-SA2,11,9 960. Page 255, line 10: delete lines 10 to 14 and substitute:
AB56-SA2,11,10 10 Section 203b. 20.435 (5) (cf) of the statutes is amended to read:
AB56-SA2,11,1411 20.435 (5) (cf) Mobile crisis team Crisis program enhancement grants.
12Biennially, the amounts in the schedule for awarding grants to counties or regions
13to establish certified or enhance crisis programs that create mental health mobile
14crisis teams
under s. 46.536.”.
AB56-SA2,11,15 1561. Page 255, line 15: delete lines 15 to 18 and substitute:
AB56-SA2,11,16 16 Section 204b. 20.435 (5) (ct) of the statutes is created to read:
AB56-SA2,11,1917 20.435 (5) (ct) Mental health consultation program. The amounts in the
18schedule for developing a plan for a mental health consultation program under s.
1951.441. No moneys may be encumbered under this paragraph after June 30, 2021.”.
AB56-SA2,11,20 2062. Page 255, line 18: after that line insert:
AB56-SA2,11,21 21 Section 205c. 20.435 (5) (dg) of the statutes is created to read:
AB56-SA2,11,2422 20.435 (5) (dg) Regional crisis stabilization facilities. The amounts in the
23schedule to provide grants to regional crisis stabilization facilities under s. 51.03
24(7).”.
AB56-SA2,12,1
163. Page 265, line 17: delete that line and substitute:
AB56-SA2,12,2 2 Section 179b. 20.505 (8) (hm) 6e. of the statutes is repealed.”.
AB56-SA2,12,3 364. Page 279, line 8: after that line insert:
AB56-SA2,12,4 4 Section 318f. 20.940 of the statutes is repealed.” .
AB56-SA2,12,5 565. Page 292, line 25: after that line insert:
AB56-SA2,12,6 6 Section 414i. 40.51 (8) of the statutes is amended to read:
AB56-SA2,12,117 40.51 (8) Every health care coverage plan offered by the state under sub. (6)
8shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.728, 632.746
9(1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853,
10632.855, 632.867, 632.87 (3) to (6), 632.885, 632.89, 632.895 (5m) and (8) to (17), and
11632.896.
AB56-SA2,415i 12Section 415i. 40.51 (8m) of the statutes is amended to read:
AB56-SA2,12,1613 40.51 (8m) Every health care coverage plan offered by the group insurance
14board under sub. (7) shall comply with ss. 631.95, 632.728, 632.746 (1) to (8) and (10),
15632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.867,
16632.885, 632.89, and 632.895 (11) (8) and (10) to (17).”.
AB56-SA2,12,18 1766. Page 295, line 23: delete the material beginning with that line and ending
18with page 304, line 9, and substitute:
AB56-SA2,12,19 19 Section 441b. 46.10 (16) of the statutes is amended to read:
AB56-SA2,13,620 46.10 (16) The department shall delegate to county departments under ss.
2151.42 and 51.437 or the local providers of care and services meeting the standards
22established by the department under s. 46.036, the responsibilities vested in the
23department under this section for collection of patient fees for services other than
24those provided at state facilities, those provided to children that are reimbursed

1under a waiver under s. 46.27 (11), 46.275, 46.278, or 46.2785, or those provided
2under the disabled children's long-term support program if the county departments
3or providers meet the conditions that the department determines are appropriate.
4The department may delegate to county departments under ss. 51.42 and 51.437 the
5responsibilities vested in the department under this section for collection of patient
6fees for services provided at the state facilities if the necessary conditions are met.
AB56-SA2,442b 7Section 442b. 46.21 (2m) (b) 1. a. of the statutes is amended to read:
AB56-SA2,13,118 46.21 (2m) (b) 1. a. The powers and duties of the county departments under ss.
946.215, 51.42 and 51.437, including the administration of the long-term support
10community options program under s. 46.27, if the county department under s. 46.215
11is designated as the administering agency under s. 46.27 (3) (b) 1
.
AB56-SA2,443b 12Section 443b. 46.21 (2m) (b) 1. b. of the statutes is repealed.
AB56-SA2,444b 13Section 444b. 46.215 (1) (m) of the statutes is repealed.
AB56-SA2,445b 14Section 445b. 46.22 (1) (b) 1. e. of the statutes is repealed.
AB56-SA2,446b 15Section 446b. 46.23 (3) (bm) of the statutes is repealed.
AB56-SA2,447b 16Section 447b. 46.269 of the statutes is amended to read:
AB56-SA2,14,2 1746.269 Determining financial eligibility for long-term care programs.
18To the extent approved by the federal government, the department or its designee
19shall exclude any assets accumulated in a person's independence account, as defined
20in s. 49.472 (1) (c), and any income or assets from retirement benefits earned or
21accumulated from income or employer contributions while employed and receiving
22state-funded benefits under s. 46.27 or medical assistance under s. 49.472 in
23determining financial eligibility and cost-sharing requirements, if any, for a
24long-term care program under s. 46.27, 46.275 , or 46.277, for the family care
25program that provides the benefit defined in s. 46.2805 (4), for the Family Care

1Partnership program, or for the self-directed services option, as defined in s. 46.2897
2(1).
AB56-SA2,448b 3Section 448b. 46.27 of the statutes is repealed.
AB56-SA2,449b 4Section 449b. 46.271 (1) (c) of the statutes is amended to read:
AB56-SA2,14,75 46.271 (1) (c) The department may contract with an aging unit, as defined in
6s. 46.27 46.82 (1) (a), for administration of services under par. (a) if, by resolution,
7the county board of supervisors of that county so requests the department.
AB56-SA2,450b 8Section 450b. 46.275 (3) (e) of the statutes is repealed.
AB56-SA2,451b 9Section 451b. 46.275 (5) (b) 7. of the statutes is amended to read:
AB56-SA2,14,1310 46.275 (5) (b) 7. Provide services in any community-based residential facility
11unless the county or department uses as a service contract the approved model
12contract developed under s. 46.27 (2) (j), 2017 stats., or a contract that includes all
13of the provisions of the approved model contract.
AB56-SA2,452b 14Section 452b. 46.277 (1m) (at) of the statutes is amended to read:
AB56-SA2,14,1815 46.277 (1m) (at) “Private nonprofit agency" has the meaning specified in s.
1646.27 (1) (bm)
means a nonprofit corporation, as defined in s. 181.0103 (17), that
17provides a program of all-inclusive care for the elderly under 42 USC 1395eee or
181396u-4
.
AB56-SA2,453b 19Section 453b. 46.277 (3) (a) of the statutes is amended to read:
AB56-SA2,15,320 46.277 (3) (a) Sections 46.27 (3) (b) and Section 46.275 (3) (a) and (c) to (e) apply
21applies to county participation in this program, except that services provided in the
22program shall substitute for care provided a person in a skilled nursing facility or
23intermediate care facility who meets the level of care requirements for medical
24assistance reimbursement to that facility rather than for care provided at a state
25center for the developmentally disabled. The number of persons who receive services

1provided by the program under this paragraph may not exceed the number of
2nursing home beds, other than beds specified in sub. (5g) (b), that are delicensed as
3part of a plan submitted by the facility and approved by the department.
AB56-SA2,454b 4Section 454b. 46.277 (5) (d) 2. (intro.) and b. of the statutes are consolidated,
5renumbered 46.277 (5) (d) 2. and amended to read:
AB56-SA2,15,136 46.277 (5) (d) 2. No county may use funds received under this section to provide
7residential services in any community-based residential facility, as defined in s.
850.01 (1g), unless one of the following applies: b. The the department approves the
9provision of services in a community-based residential facility that entirely consists
10of independent apartments, each of which has an individual lockable entrance and
11exit and individual separate kitchen, bathroom, sleeping and living areas, to
12individuals who are eligible under this section and are physically disabled or are at
13least 65 years of age.
AB56-SA2,455b 14Section 455b. 46.277 (5) (d) 2. a. of the statutes is repealed.
AB56-SA2,456b 15Section 456b. 46.277 (5) (d) 3. of the statutes is amended to read:
AB56-SA2,15,2216 46.277 (5) (d) 3. If subd. 2. a. or b. applies, no county may use funds received
17under this section to pay for services provided to a person who resides or intends to
18reside in a community-based residential facility and who is initially applying for the
19services, if the projected cost of services for the person, plus the cost of services for
20existing participants, would cause the county to exceed the limitation under sub. (3)
21(c). The department may grant an exception to the requirement under this
22subdivision, under the conditions specified by rule, to avoid hardship to the person.
AB56-SA2,457b 23Section 457b. 46.277 (5) (f) of the statutes is amended to read:
AB56-SA2,16,324 46.277 (5) (f) No county or private nonprofit agency may use funds received
25under this subsection to provide services in any community-based residential

1facility unless the county or agency uses as a service contract the approved model
2contract developed under s. 46.27 (2) (j), 2017 stats., or a contract that includes all
3of the provisions of the approved model contract.
AB56-SA2,458b 4Section 458b. 46.278 (4) (a) of the statutes is amended to read:
AB56-SA2,16,125 46.278 (4) (a) Sections 46.27 (3) (b) and Section 46.275 (3) (a) and (c) to (e) apply
6applies to county participation in a program, except that services provided in the
7program shall substitute for care provided a person in an intermediate care facility
8for persons with an intellectual disability or in a brain injury rehabilitation facility
9who meets the intermediate care facility for persons with an intellectual disability
10or brain injury rehabilitation facility level of care requirements for medical
11assistance reimbursement to that facility rather than for care provided at a state
12center for the developmentally disabled.
AB56-SA2,459b 13Section 459b. 46.2803 of the statutes is repealed.
AB56-SA2,460b 14Section 460b. 46.2805 (1) (b) of the statutes is amended to read:
AB56-SA2,16,1715 46.2805 (1) (b) A demonstration program known as the Wisconsin partnership
16Family Care Partnership program under a federal waiver authorized under 42 USC
171315 1396n.
AB56-SA2,461b 18Section 461b. 46.281 (1d) of the statutes is amended to read:
AB56-SA2,17,219 46.281 (1d) Waiver request. The department shall request from the secretary
20of the federal department of health and human services any waivers of federal
21medicaid laws necessary to permit the use of federal moneys to provide the family
22care benefit and the self-directed services option to recipients of medical assistance.
23The department shall implement any waiver that is approved and that is consistent
24with ss. 46.2805 to 46.2895. Regardless of whether a waiver is approved, the

1department may implement operation of resource centers, care management
2organizations, and the family care benefit.
AB56-SA2,462b 3Section 462b. 46.281 (1n) (d) of the statutes is repealed.
AB56-SA2,463b 4Section 463b. 46.281 (3) of the statutes is repealed.
AB56-SA2,464b 5Section 464b. 46.2825 of the statutes is repealed.
AB56-SA2,465b 6Section 465b. 46.283 (3) (f) of the statutes is amended to read:
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