Amendment AA2-ASA2-AB68

AB68-ASA2-AA2,16,17 20.145 (1) (g) General program operations. (intro.) The amounts in the schedule for general program operations, including organizational support services and oversight of care management organizations, development of a public option health insurance plan, and operation of a state-based exchange under s. 601.59, and for transferring to the appropriation account under s. 20.435 (4) (kv) the amount allocated by the commissioner of insurance. Notwithstanding s. 20.001 (3) (a), at the end of each fiscal year, the unencumbered balance in this appropriation account that exceeds 10 percent of that fiscal year's expenditure under this appropriation shall lapse to the general fund. All of the following shall be credited to this appropriation account:

AB68-ASA2-AA2,27t Section 27t. 20.145 (1) (g) 5. of the statutes is created to read:

AB68-ASA2-AA2,16,19 20.145 (1) (g) 5. All moneys received under s. 601.59.”.

AB68-ASA2-AA2,16,20 78. Page 247, line 1: after that line insert:

AB68-ASA2-AA2,16,21 “ Section 61g. 20.435 (1) (cd) of the statutes is created to read:

AB68-ASA2-AA2,16,23 20.435 (1) (cd) Spinal cord injury research. A sum sufficient not to exceed $3,000,000 for grants and symposia under s. 255.45 (2) and (3).

AB68-ASA2-AA2,61m Section 61m. 20.435 (1) (cr) of the statutes is amended to read:

AB68-ASA2-AA2,17,4 20.435 (1) (cr) Minority health grants. The amounts in the schedule for the minority health program under s. 250.20 (3) and (4), for the Black women's health grants under s. 250.20 (7), and for the infant and maternal mortality grants under s. 250.20 (8).”.

AB68-ASA2-AA2,17,6 79. Page 247, line 10: delete the material beginning with that line and ending with page 248, line 3, and substitute:

AB68-ASA2-AA2,17,7 “ Section 65. 20.435 (4) (b) of the statutes is amended to read:

AB68-ASA2-AA2,18,2 20.435 (4) (b) Medical Assistance program benefits. Biennially, the amounts in the schedule to provide a portion of the state share of Medical Assistance program benefits administered under subch. IV of ch. 49, for a portion of the Badger Care health care program under s. 49.665, to provide a portion of the Medical Assistance program benefits administered under subch. IV of ch. 49 that are not also provided under par. (o), to provide payments to federally recognized American Indian tribes or bands in this state under and for the administration of s. 49.45 (5g), to provide a portion of the facility payments under 1999 Wisconsin Act 9, section 9123 (9m), to fund services provided by resource centers under s. 46.283, for services under the family care benefit under s. 46.284 (5), for the community options program under s. 46.27, 2017 stats., for assisting victims of diseases, as provided in ss. 49.68, 49.683, and 49.685, and for reduction of any operating deficits as specified in 2005 Wisconsin Act 15, section 3. Notwithstanding s. 20.002 (1), the department may transfer from this appropriation account to the appropriation account under sub. (5) (kc) funds in the amount of and for the purposes specified in s. 46.485. Notwithstanding ss. 20.001 (3) (b) and 20.002 (1), the department may credit or deposit into this appropriation account and may transfer between fiscal years funds that it transfers from the appropriation account under sub. (5) (kc) for the purposes specified in s. 46.485 (3r).”.

AB68-ASA2-AA2,18,3 80. Page 248, line 3: after that line insert:

AB68-ASA2-AA2,18,4 “ Section 65d. 20.435 (4) (bh) of the statutes is created to read:

AB68-ASA2-AA2,18,7 20.435 (4) (bh) Behavioral health technology grants. The amounts in the schedule to provide grants to behavioral health providers to implement electronic health records systems and connect to health information exchanges.

AB68-ASA2-AA2,65f Section 65f. 20.435 (4) (bq) of the statutes is repealed.

AB68-ASA2-AA2,65h Section 65h. 20.435 (4) (bt) of the statutes is amended to read:

AB68-ASA2-AA2,18,16 20.435 (4) (bt) Healthy eating incentive pilot program incentives. As a continuing appropriation, the amounts in the schedule to contract with an entity to administer the healthy eating incentive program under s. 49.79 (7r) . No moneys may be expended under this paragraph after December 31, 2019, except for moneys encumbered on or before that date and to provide electronic benefit transfer and credit and debit card processing equipment and services to farmers markets and farmers who sell directly to consumers.

AB68-ASA2-AA2,65k Section 65k. 20.435 (4) (jw) of the statutes is amended to read:

AB68-ASA2-AA2,19,2 20.435 (4) (jw) BadgerCare Plus and hospital assessment. All moneys received from payment of enrollment fees under the program under s. 49.45 (23), all moneys transferred under s. 50.38 (9), all moneys transferred from the appropriation account under par. (jz), and 10 percent of all moneys received from penalty assessments under s. 49.471 (9) (c), for administration of the program under s. 49.45 (23), to provide a portion of the state share of administrative costs for the BadgerCare Plus Medical Assistance program under s. 49.471, and for administration of the hospital assessment under s. 50.38.

AB68-ASA2-AA2,65n Section 65n. 20.435 (5) (bh) of the statutes is created to read:

AB68-ASA2-AA2,19,6 20.435 (5) (bh) Training for methamphetamine addiction treatment. The amounts in the schedule for grants to provide trainings to substance use disorder treatment providers on treatment models for methamphetamine addiction.

AB68-ASA2-AA2,65p Section 65p. 20.435 (5) (ch) of the statutes is created to read:

AB68-ASA2-AA2,19,9 20.435 (5) (ch) Crisis response grants. The amounts in the schedule for grants for crisis response under s. 51.035.

AB68-ASA2-AA2,65s Section 65s. 20.435 (5) (cj) of the statutes is created to read:

AB68-ASA2-AA2,19,12 20.435 (5) (cj) County crisis call center support grants. The amounts in the schedule for awarding grants for county crisis call center support under s. 46.537.”.

AB68-ASA2-AA2,19,13 81. Page 278, line 15: after that line insert:

AB68-ASA2-AA2,19,14 “ Section 180d. 40.51 (8) of the statutes is amended to read:

AB68-ASA2-AA2,19,19 40.51 (8) Every health care coverage plan offered by the state under sub. (6) shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.729, 632.746 (1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.862, 632.867, 632.87 (3) to (6), 632.871, 632.885, 632.89, 632.895 (5m) and (8) to (17), and 632.896.

AB68-ASA2-AA2,180e Section 180e. 40.51 (8) of the statutes, as affected by 2021 Wisconsin Act .... (this act), section 180d, is amended to read:

AB68-ASA2-AA2,20,2 40.51 (8) Every health care coverage plan offered by the state under sub. (6) shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.728, 632.729, 632.746 (1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.862, 632.867, 632.87 (3) to (6), 632.871, 632.885, 632.89, 632.895 (5m) and (8) to (17), and 632.896.

AB68-ASA2-AA2,180g Section 180g. 40.51 (8m) of the statutes is amended to read:

AB68-ASA2-AA2,20,7 40.51 (8m) Every health care coverage plan offered by the group insurance board under sub. (7) shall comply with ss. 631.95, 632.729, 632.746 (1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.862, 632.867, 632.871, 632.885, 632.89, and 632.895 (11) to (17).

AB68-ASA2-AA2,180h Section 180h. 40.51 (8m) of the statutes, as affected by 2021 Wisconsin Act .... (this act), section 180g, is amended to read:

AB68-ASA2-AA2,20,13 40.51 (8m) Every health care coverage plan offered by the group insurance board under sub. (7) shall comply with ss. 631.95, 632.728, 632.729, 632.746 (1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.862, 632.867, 632.871, 632.885, 632.89, and 632.895 (11) (8) and (10) to (17).”.

AB68-ASA2-AA2,20,14 82. Page 281, line 16: delete “$2,808,900" and substitute “ $3,058,900".

AB68-ASA2-AA2,20,15 83. Page 281, line 17: after that line insert:

AB68-ASA2-AA2,20,16 “ Section 190d. 46.48 (3m) of the statutes is created to read:

AB68-ASA2-AA2,20,21 46.48 (3m) Deaf, hard of hearing, and deaf-blind behavioral health treatment center. The department may distribute not more than $1,936,000 in each fiscal year, beginning in fiscal year 2022-23, to a statewide provider of behavioral health treatment services for individuals who are deaf, hard of hearing, or deaf-blind.

AB68-ASA2-AA2,190f Section 190f. 46.48 (6) of the statutes is created to read:

AB68-ASA2-AA2,21,2 46.48 (6) Trauma response teams. The department shall annually award a grant equal to $450,000 for the Milwaukee trauma response team. Notwithstanding sub. (1), grants awarded under this subsection shall be from the appropriation under s. 20.435 (5) (bc).

AB68-ASA2-AA2,190f Section 190f. 46.48 (7) of the statutes is created to read:

AB68-ASA2-AA2,21,8 46.48 (7) Medication-assisted treatment grants. The department shall award up to $500,000 in fiscal year 2021-22 and up to $1,000,000 annually thereafter to develop or support entities that offer medication-assisted treatment. Notwithstanding sub. (1), grants awarded under this subsection shall be from the appropriation under s. 20.435 (5) (bc).

AB68-ASA2-AA2,190h Section 190h. 46.48 (9) of the statutes is created to read:

AB68-ASA2-AA2,21,14 46.48 (9) Substance use harm reduction grant. The department may annually award up to $250,000 to organizations with comprehensive harm reduction strategies for the development or support of substance use harm reduction programs, as determined by the department. Notwithstanding sub. (1), grants awarded under this subsection shall be from the appropriation under s. 20.435 (5) (bc).”.

AB68-ASA2-AA2,21,15 84. Page 281, line 23: after that line insert:

AB68-ASA2-AA2,21,17 “ Section 191c. 46.536 of the statutes is renumbered 46.536 (intro.) and amended to read:

AB68-ASA2-AA2,21,20 46.536 Crisis program enhancement grants. (intro.) From the appropriation under s. 20.435 (5) (cf), the department shall award all of the following grants:

AB68-ASA2-AA2,22,2 (1) A in the total amount of $250,000 in each fiscal biennium to counties or regions comprised of multiple counties to establish or enhance crisis programs to serve individuals having crises in rural areas. The department shall award a grant under this section subsection in an amount equal to one-half the amount of money the county or region provides to establish or enhance crisis programs.

AB68-ASA2-AA2,191e Section 191e. 46.536 (2) of the statutes is created to read:

AB68-ASA2-AA2,22,7 46.536 (2) At least $1,250,000 in each fiscal year to establish and enhance law enforcement and behavioral health services emergency response collaboration programs. Grant recipients under this subsection shall match at least 25 percent of the grant amount awarded for the purpose that the grant is received.

AB68-ASA2-AA2,191g Section 191g. 46.536 (3) of the statutes is created to read:

AB68-ASA2-AA2,22,10 46.536 (3) At least $850,000 in each fiscal year to a county with a population of more than 750,000 to enhance mobile crisis teams.

AB68-ASA2-AA2,191j Section 191j. 46.537 of the statutes is created to read:

AB68-ASA2-AA2,22,18 46.537 County crisis call center support grants. From the appropriation under s. 20.435 (5) (cj), the department shall award grants to support mental health professionals to provide supervision and consultation to individuals who support crisis call center services. Each county or multicounty program that receives supervision and consultation services from a grant recipient described under this section shall contribute at least 10 percent of the costs of the services that the grant recipient incurs for the purpose that the grant is received.

AB68-ASA2-AA2,191k Section 191k. 46.87 (5m) of the statutes is amended to read:

AB68-ASA2-AA2,23,2 46.87 (5m) A person is financially eligible for the program under this section if the joint income of the person with Alzheimer's disease and that person's spouse, if any, is $48,000 $55,000 per year or less, unless the department sets a higher limitation on income eligibility by rule. In determining joint income for purposes of this subsection, the administering agency shall subtract any expenses attributable to the Alzheimer's-related needs of the person with Alzheimer's disease or of the person's caregiver.

AB68-ASA2-AA2,191m Section 191m. 46.977 (1) (intro.) and (a) of the statutes are consolidated, renumbered 46.977 (1) and amended to read:

AB68-ASA2-AA2,23,6 46.977 (1) Definitions Definition. In this section : (a) “Guardian", “guardian” has the meaning given in s. 54.01 (10).

AB68-ASA2-AA2,191p Section 191p. 46.977 (1) (b) of the statutes is renumbered 46.977 (2) (ag) and amended to read:

AB68-ASA2-AA2,23,11 46.977 (2) (ag) “Organization" In this subsection, “organization” means a private, nonprofit agency or a county department under s. 46.215, 46.22, 46.23, 51.42 or 51.437.

AB68-ASA2-AA2,191r Section 191r. 46.977 (2) (a) of the statutes is renumbered 46.977 (2) (am) and amended to read:

AB68-ASA2-AA2,23,18 46.977 (2) (am) From the appropriation under s. 20.435 (1) (cg), the department may under this section subsection, based on the criteria under par. (c), award grants to applying organizations for the purpose of training and assisting guardians for individuals found incompetent under ch. 54. No grant may be paid unless the awardee provides matching funds equal to 10 percent of the amount of the award.

AB68-ASA2-AA2,191s Section 191s. 46.977 (2) (b) (intro.) of the statutes is amended to read:

AB68-ASA2-AA2,23,21 46.977 (2) (b) (intro.) Organizations awarded grants under par. (a) (am) shall do all of the following:

AB68-ASA2-AA2,191u Section 191u. 46.977 (2) (c) of the statutes is amended to read:

AB68-ASA2-AA2,23,25 46.977 (2) (c) In reviewing applications for grants under par. (am), the department shall consider the extent to which the proposed program will effectively train and assist guardians for individuals found incompetent under ch. 54.

AB68-ASA2-AA2,191w Section 191w. 46.977 (3) of the statutes is created to read:

AB68-ASA2-AA2,24,3 46.977 (3) Grant for initial training. (a) The department shall award a grant to develop, administer, and conduct the guardian training required under s. 54.26.

AB68-ASA2-AA2,24,7 (b) The department shall require the grantee to have expertise in state guardianship law, experience with technical assistance and support to guardians and wards, and knowledge of common challenges and questions encountered by guardians and wards.

AB68-ASA2-AA2,24,12 (c) The grantee selected to develop training that meets the requirements under s. 54.26 (1) shall develop plain-language, web-based training modules using adult-learning design principles that can be accessed for free by training topic and in formats that maximize accessibility, with printed versions available for free upon request.

AB68-ASA2-AA2,191y Section 191y. 46.995 (4) of the statutes is created to read:

AB68-ASA2-AA2,24,17 46.995 (4) The department shall ensure that any child who is eligible and who applies for the disabled children's long-term support program that is operating under a waiver of federal law receives services under the disabled children's long-term support program that is operating under a waiver of federal law.”.

AB68-ASA2-AA2,24,18 85. Page 290, line 22: after that line insert:

AB68-ASA2-AA2,24,19 “ Section 226g. 49.45 (2p) of the statutes is repealed.

AB68-ASA2-AA2,226m Section 226m. 49.45 (3) (e) 11. of the statutes is amended to read:

AB68-ASA2-AA2,25,11 49.45 (3) (e) 11. The department shall use a portion of the moneys collected under s. 50.38 (2) (a) to pay for services provided by eligible hospitals, as defined in s. 50.38 (1), other than critical access hospitals, under the Medical Assistance Program under this subchapter, including services reimbursed on a fee-for-service basis and services provided under a managed care system. For state fiscal year 2008-09, total payments required under this subdivision, including both the federal and state share of Medical Assistance, shall equal the amount collected under s. 50.38 (2) (a) for fiscal year 2008-09 divided by 57.75 percent. For each state fiscal year after state fiscal year 2008-09, total payments required under this subdivision, including both the federal and state share of Medical Assistance, shall equal the amount collected under s. 50.38 (2) (a) for the fiscal year divided by 61.68 percent, except that if the department has expanded eligibility under section 2001 (a) (1) (C) of the Patient Protection and Affordable Care Act, P.L. 111-148, for the Medical Assistance program under this subchapter, the amount collected for the fiscal year shall be divided by 53.69 percent.

AB68-ASA2-AA2,226r Section 226r. 49.45 (3) (e) 12. of the statutes is amended to read:

AB68-ASA2-AA2,25,23 49.45 (3) (e) 12. The department shall use a portion of the moneys collected under s. 50.38 (2) (b) to pay for services provided by critical access hospitals under the Medical Assistance Program under this subchapter, including services reimbursed on a fee-for-service basis and services provided under a managed care system. For each state fiscal year, total payments required under this subdivision, including both the federal and state share of Medical Assistance, shall equal the amount collected under s. 50.38 (2) (b) for the fiscal year divided by 61.68 percent, except that if the department has expanded eligibility under section 2001 (a) (1) (C) of the Patient Protection and Affordable Care Act, P.L. 111-148, for the Medical Assistance program under this subchapter, the amount collected for the fiscal year shall be divided by 53.69 percent.”.

AB68-ASA2-AA2,25,24 86. Page 291, line 7: delete lines 7 to 10 and substitute:

AB68-ASA2-AA2,26,4 “49.45 (3m) (b) 3. a. No single hospital receives more than $4,600,000 $7,950,000, except that in the 2021-23 fiscal biennium the department may increase proportionately the maximum a single hospital may receive if the state is eligible for an enhanced federal medical assistance percentage under federal law.” .

AB68-ASA2-AA2,26,6 87. Page 291, line 11: delete the material beginning with that line and ending with page 292, line 12, and substitute:

AB68-ASA2-AA2,26,7 “ Section 229. 49.45 (5g) of the statutes is created to read:

AB68-ASA2-AA2,26,17 49.45 (5g) Payments to tribes. (a) Tribal care coordination agreements. A tribal health care provider's care coordination agreement with a nontribal health care provider shall meet federal requirements, including that a service provided by the nontribal health care provider be at the request of the tribal health care provider on behalf of a tribal member who remains in the tribal health care provider's care according to the care coordination agreement; that both the tribal health care provider and nontribal health care provider are providers, as defined in s. 49.43 (10); that an established relationship exists between the tribal health care provider and the tribal member; and that the care be provided pursuant to a written care coordination agreement.

AB68-ASA2-AA2,27,3 (b) Amount and distribution of payments. 1. From the appropriation account under s. 20.435 (4) (b), the department shall make payments to eligible governing bodies of federally recognized American Indian tribes or bands or tribal health care providers in an amount and manner determined by the department. The department shall determine payment amounts on the basis of the difference between the state share of medical assistance payments paid for services rendered to tribal members for whom a care coordination agreement with nontribal health care providers is in place and the state share of medical assistance payments that would have been paid for those services absent a care coordination agreement with nontribal partners.

AB68-ASA2-AA2,27,6 2. The department shall withhold from the payments under subd. 1. the state share of administrative costs associated with carrying out this subsection, not to exceed 10 percent of the amounts calculated in subd. 1.

AB68-ASA2-AA2,27,9 3. Federally recognized American Indian tribes or bands may use funds paid under this subsection for health-related purposes. The department shall consult biennially with tribes to determine the timing and distribution of payments.”.

AB68-ASA2-AA2,27,10 88. Page 292, line 12: after that line insert:

AB68-ASA2-AA2,27,11 “ Section 229c. 49.45 (6xm) of the statutes is created to read:

AB68-ASA2-AA2,27,15 49.45 (6xm) Pediatric inpatient supplement. (a) From the appropriations under s. 20.435 (4) (b), (o), and (w), the department shall, using a method determined by the department, distribute a total sum of $2,000,000 each state fiscal year to hospitals that meet all of the following criteria: