Amendment SA4-SSA2-SB70

SB70-SSA2-SA4,13,2 66. Page 153, line 9: decrease the dollar amount for fiscal year 2023-24 by $304,300 and decrease the dollar amount for fiscal year 2024-25 by $304,300 for the purpose of adjusting supplemental funding for overtime pay expenditures at Central Wisconsin Center.

SB70-SSA2-SA4,13,6 67. Page 153, line 9: decrease the dollar amount for fiscal year 2023-24 by $1,032,500 and decrease the dollar amount for fiscal year 2024-25 by $1,032,500 for the purpose of adjusting supplemental funding for overtime pay expenditures at Winnebago Mental Health Institute.

SB70-SSA2-SA4,13,10 68. Page 153, line 9: increase the dollar amount for fiscal year 2023-24 by $323,500 and increase the dollar amount for fiscal year 2024-25 by $323,500 for the purpose of adjusting supplemental funding for overtime pay expenditures at Mendota Mental Health Institute.

SB70-SSA2-SA4,13,14 69. Page 153, line 9: decrease the dollar amount for fiscal year 2023-24 by $21,800 and decrease the dollar amount for fiscal year 2024-25 by $21,800 for the purpose of adjusting supplemental funding for overtime pay expenditures at Northern Wisconsin Center.

SB70-SSA2-SA4,13,19 70. Page 153, line 9: increase the dollar amount for fiscal year 2023-24 by $6,751,000 and increase the dollar amount for fiscal year 2024-25 by $8,757,600 to increase the authorized FTE positions in the department of health services by 92.0 PR positions, beginning in 2023-24, to expand the intensive treatment program at Northern Wisconsin Center for up to 12 additional residents.

SB70-SSA2-SA4,13,24 71. Page 153, line 9: increase the dollar amount for fiscal year 2023-24 by $6,116,600 and increase the dollar amount for fiscal year 2024-25 by $6,365,400 for the purpose of increasing the authorized FTE positions for the department of health services by 56.77 PR positions in fiscal year 2023-24 and by 59.10 PR positions in fiscal year 2024-25.

SB70-SSA2-SA4,14,6 72. Page 154, line 2: increase the dollar amount for fiscal year 2023-24 by $66,800 and increase the dollar amount for fiscal year 2024-25 by $87,300 to increase the authorized FTE positions by 2.0 GPR positions to establish a team dedicated to reimbursement structures and challenges related to Native American tribes and bands within the division of the department of health services that is responsible for medicaid services.

SB70-SSA2-SA4,14,11 73. Page 154, line 2: increase the dollar amount for fiscal year 2023-24 by $314,400 and increase the dollar amount for fiscal year 2024-25 by $314,400 for the purpose of contracting for the administration of a certified public expenditure program to increase medical assistance reimbursement to ambulance service providers owned by local governments.

SB70-SSA2-SA4,14,14 74. Page 154, line 4: decrease the dollar amount for fiscal year 2023-24 by $841,240,100 and decrease the dollar amount for fiscal year 2024-25 by $759,177,800 as a result of expanding eligibility for the Medical Assistance program.

SB70-SSA2-SA4,14,19 75. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $2,693,600 and increase the dollar amount for fiscal year 2024-25 by $2,739,100 for the purpose of supplemental payments to hospitals that are freestanding pediatric teaching hospitals located in Wisconsin for which 45 percent or more of their total inpatient days are for Medical Assistance recipients.

SB70-SSA2-SA4,14,22 76. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $309,300 and increase the dollar amount for fiscal year 2024-25 by $315,300 for dwelling lead investigations conducted by local public health departments.

SB70-SSA2-SA4,15,2 77. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $4,092,600 and increase the dollar amount for fiscal year 2024-25 by $2,888,800 to support the cost of a health information exchange incentive payment program for certain health care providers.

SB70-SSA2-SA4,15,5 78. Page 154, line 4: increase the dollar amount for fiscal year 2024-25 by $4,641,700 for the purpose of providing coverage for continuous glucose monitoring devices and insulin pumps for diabetic care as a pharmacy benefit.

SB70-SSA2-SA4,15,8 79. Page 154, line 4: increase the dollar amount for fiscal year 2024-25 by $1,268,100 for the purpose of reimbursement of certified peer specialist services under the Medical Assistance program.

SB70-SSA2-SA4,15,11 80. Page 154, line 4: increase the dollar amount for fiscal year 2024-25 by $691,900 for the purpose of expanding access to medical assistance psychosocial rehabilitation services through the use of non-county providers.

SB70-SSA2-SA4,15,14 81. Page 154, line 4: increase the dollar amount for fiscal year 2024-25 by $449,300 for the purpose of funding Medical Assistance coverage of doula services pursuant to s. 49.46 (2) (b) 12p.

SB70-SSA2-SA4,15,18 82. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $1,000,000 and increase the dollar amount for fiscal year 2024-25 by $1,000,000 for the purpose of increasing funding for Covering Wisconsin to assist residents of this state in obtaining health insurance and navigating the insurance marketplace.

SB70-SSA2-SA4,15,22 83. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $8,309,500 and increase the dollar amount for fiscal year 2024-25 by $8,309,500 for the purpose of supporting the room and board costs for residential substance use disorder treatment under s. 49.46 (2) (b) 8m.

SB70-SSA2-SA4,16,3 84. Page 154, line 4: increase the dollar amount for fiscal year 2024-25 by $6,562,000 for the purpose of funding coverage of community health worker services under the Medical Assistance program pursuant to s. 49.46 (2) (b) 9m.

SB70-SSA2-SA4,16,7 85. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $1,220,300 and increase the dollar amount for fiscal year 2024-25 by $2,499,000 for the purpose of funding reimbursement for schools when the school acts as the originating site for Medical Assistance services that are delivered by telehealth.

SB70-SSA2-SA4,16,10 86. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $113,687,700 and increase the dollar amount for fiscal year 2024-25 by $240,502,500 for the purpose of providing the cost to continue Medical Assistance benefits.

SB70-SSA2-SA4,16,14 87. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $21,712,600 and increase the dollar amount for fiscal year 2024-25 by $24,235,200 for the purpose of assuming the full nonfederal share of community support program costs.

SB70-SSA2-SA4,16,18 88. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $8,741,200 and increase the dollar amount for fiscal year 2024-25 by $17,859,500 for the purpose of increasing base Medical Assistance reimbursement for hospital services beginning on January 1, 2024.

SB70-SSA2-SA4,16,22 89. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $1,249,000 and increase the dollar amount for fiscal year 2024-25 by $2,551,800 for the purpose of increasing Medical Assistance reimbursement for adaptive behavioral treatment.

SB70-SSA2-SA4,17,5 90. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $2,180,500 and increase the dollar amount for fiscal year 2024-25 by $4,455,200 for the purpose of increasing Medical Assistance reimbursement rates for mental health and substance use disorder services and for child and adolescent day treatment by 10 percent in aggregate.

SB70-SSA2-SA4,17,9 91. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $4,165,500 and increase the dollar amount for fiscal year 2024-25 by $8,510,700 for the purpose of increasing Medical Assistance reimbursement rates for emergency department patient evaluation to 56 percent of federal Medicare rates.

SB70-SSA2-SA4,17,13 92. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $24,263,100 and increase the dollar amount for fiscal year 2024-25 by $49,572,800 for the purpose of increasing Medical Assistance reimbursement rates for patient evaluation and management to 80 percent of federal Medicare rates.

SB70-SSA2-SA4,17,18 93. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $15,000,000 and increase the dollar amount for fiscal year 2024-25 by $15,000,000 to increase the direct care and services portion of the capitation rates the department of health services provides to managed care organizations to fund long-term care services for individuals enrolled in the Family Care program.

SB70-SSA2-SA4,17,23 94. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $17,194,500 and increase the dollar amount for fiscal year 2024-25 by $71,525,000 for the purpose of funding costs associated with continuing the American Rescue Plan Act home and community-based services waiver program rate increase of 5 percent from April 1, 2024, through June 30, 2025.

SB70-SSA2-SA4,18,3 95. Page 154, line 4: increase the dollar amount for fiscal year 2023-24 by $15,000,000 and increase the dollar amount for fiscal year 2024-25 by $15,000,000 for the purpose of increasing personal care reimbursement rates.

SB70-SSA2-SA4,18,7 96. Page 154, line 7: increase the dollar amount for fiscal year 2023-24 by $721,500 and increase the dollar amount for fiscal year 2024-25 by $733,700 for the purpose of increasing funding for grants to establish new and existing residency programs.

SB70-SSA2-SA4,18,10 97. Page 154, line 11: increase the dollar amount for fiscal year 2023-24 by $300,000 and increase the dollar amount for fiscal year 2024-25 by $300,000 for the purpose of funding grants to support community dental health coordinators.

SB70-SSA2-SA4,18,14 98. Page 154, line 11: increase the dollar amount for fiscal year 2023-24 by $23,069,500 and increase the dollar amount for fiscal year 2024-25 by $26,169,600 to fund contracted services for the administration of the Medical Assistance program and the FoodShare program.

SB70-SSA2-SA4,18,17 99. Page 154, line 12: increase the dollar amount for fiscal year 2023-24 by $340,500 and increase the dollar amount for fiscal year 2024-25 by $342,200 for income maintenance administration.

SB70-SSA2-SA4,18,21 100. Page 154, line 12: increase the dollar amount for fiscal year 2023-24 by $302,700 and increase the dollar amount for fiscal year 2024-25 by $611,400 to increase base GPR funding for income maintenance consortia and tribal agencies by 2 percent in fiscal year 2023-24 and by an additional 2 percent in fiscal year 2024-25.

SB70-SSA2-SA4,19,3 101. Page 154, line 12: increase the dollar amount for fiscal year 2023-24 by $375,000 and increase the dollar amount for fiscal year 2024-25 by $375,000 for local fraud prevention and investigations programs.

SB70-SSA2-SA4,19,6 102. Page 154, line 14: increase the dollar amount for fiscal year 2023-24 by $3,924,400 and increase the dollar amount for fiscal year 2024-25 by $5,023,600 for the FoodShare employment and training program.

SB70-SSA2-SA4,19,10 103. Page 154, line 16: decrease the dollar amount for fiscal year 2023-24 by $396,800 and decrease the dollar amount for fiscal year 2024-25 by $152,800 for the purpose of reflecting reestimates of the cost of payments under the Wisconsin funeral and cemetery aids program.

SB70-SSA2-SA4,19,13 104. Page 154, line 20: increase the dollar amount for fiscal year 2023-24 by $6,605,100 and increase the dollar amount for fiscal year 2024-25 by $5,477,800 for the purpose of reflecting a reestimate of SeniorCare benefit costs.

SB70-SSA2-SA4,19,16 105. Page 154, line 25: increase the dollar amount for fiscal year 2024-25 by $9,600,000 for the purpose of providing coverage for continuous glucose monitoring devices and insulin pumps for diabetic care as a pharmacy benefit.

SB70-SSA2-SA4,19,20 106. Page 157, line 13: decrease the dollar amount for fiscal year 2023-24 by $58,358,200 and decrease the dollar amount for fiscal year 2024-25 by $54,069,800 to reflect that the current nonschool entity share of the federal matching funds would no longer be deposited in the general fund.

SB70-SSA2-SA4,19,23 107. Page 157, line 21: increase the dollar amount for fiscal year 2023-24 by $298,691,500 and decrease the dollar amount for fiscal year 2024-25 by $21,588,100 for the purpose of providing the cost to continue Medical Assistance benefits.

SB70-SSA2-SA4,20,4 108. Page 158, line 14: increase from base the dollar amount for fiscal year 2023-24 by $3,411,900 and increase from base the dollar amount for fiscal year 2024-25 by $5,432,300 for the purpose of reflecting a reestimate of forensic and civil mental health contract costs.

SB70-SSA2-SA4,20,8 109. Page 158, line 14: increase the dollar amount for fiscal year 2023-24 by $33,700 and increase the dollar amount for fiscal year 2024-25 by $33,700 for the purpose of funding increased costs of supplies and services for care and treatment services.

SB70-SSA2-SA4,20,13 110. Page 158, line 14: increase the dollar amount for fiscal year 2023-24 by $4,949,200 and increase the dollar amount for fiscal year 2024-25 by $4,949,200 for the purpose of supporting treatment services delivered under an assertive community treatment model for individuals with serious mental illness that are involved in the criminal justice system.

SB70-SSA2-SA4,20,17 111. Page 158, line 14: increase the dollar amount for fiscal year 2023-24 by $63,800 and increase the dollar amount for fiscal year 2024-25 by $78,500 to increase the authorized FTE positions within the office of children's mental health in the department of health services under s. 15.194 (1) by 1.0 GPR position.

SB70-SSA2-SA4,20,20 112. Page 158, line 14: increase the dollar amount for fiscal year 2024-25 by $1,576,600 for the purpose of awarding grants to mental health and substance abuse providers to help support the employment of qualified treatment trainees.

SB70-SSA2-SA4,20,23 113. Page 158, line 14: increase the dollar amount for fiscal year 2023-24 by $30,000 and increase the dollar amount for fiscal year 2024-25 by $30,000 to support the cost to maintain a substance use disorder treatment platform.

SB70-SSA2-SA4,21,4 114. Page 158, line 15: increase the dollar amount for fiscal year 2023-24 by $1,644,000 and increase the dollar amount for fiscal year 2024-25 by $1,644,000 to support stimulant use prevention and treatment programs and services under s. 46.48 (34).

SB70-SSA2-SA4,21,6 115. Page 158, line 15: increase the dollar amount for fiscal year 2024-25 by $1,790,000 to support psychiatric residential treatment facilities.

SB70-SSA2-SA4,21,10 116. Page 158, line 15: increase the dollar amount for fiscal year 2023-24 by $7,500,000 and increase the dollar amount for fiscal year 2024-25 by $15,000,000 for the purpose of funding health care provider innovation grants and related contracted program administration and evaluation costs.

SB70-SSA2-SA4,21,14 117. Page 158, line 15: increase the dollar amount for fiscal year 2023-24 by $2,000,000 and increase the dollar amount for fiscal year 2024-25 by $2,000,000 for the purpose of awarding grants for the purchase of opioid antagonists under s. 46.48 (33).

SB70-SSA2-SA4,21,16 118. Page 158, line 15: increase the dollar amount for fiscal year 2024-25 by $621,000 to support the pilot project under Section 9119 (2u) of this act.

SB70-SSA2-SA4,21,19 119. Page 158, line 15: increase the dollar amount for fiscal year 2023-24 by $450,000 and increase the dollar amount for fiscal year 2024-25 by $450,000 for the purpose of awarding grants to peer-run respite centers under s. 46.48 (31).

SB70-SSA2-SA4,21,20 120. Page 159, line 1: delete lines 1 and 2 and substitute: - See PDF for table

SB70-SSA2-SA4,21,21 121. Page 159, line 2: after that line insert: - See PDF for table

SB70-SSA2-SA4,22,1 122. Page 159, line 2: after that line insert: - See PDF for table

SB70-SSA2-SA4,22,2 123. Page 159, line 7: delete lines 7 and 8 and substitute: - See PDF for table

SB70-SSA2-SA4,22,3 124. Page 159, line 11: delete lines 11 and 12.

SB70-SSA2-SA4,22,6 125. Page 160, line 9: decrease the dollar amount for fiscal year 2023-24 by $996,400 and decrease the dollar amount for fiscal year 2024-25 by $996,400 for the purpose of reducing program revenue funding for youth crisis stabilization grants.

SB70-SSA2-SA4,22,9 126. Page 160, line 9: decrease the dollar amount for fiscal year 2023-24 by $450,000 and decrease the dollar amount for fiscal year 2024-25 by $450,000 for the purpose of reducing program revenue funding for peer-run respite center grants.

SB70-SSA2-SA4,22,14 127. Page 161, line 6: increase the dollar amount for fiscal year 2023-24 by $1,114,500 and increase the dollar amount for fiscal year 2024-25 by $1,420,500 to increase the authorized FTE positions for the department of health services by 32.0 GPR positions within the division of the department responsible for assisted living facility licensing.

SB70-SSA2-SA4,23,2 128. Page 161, line 6: increase the dollar amount for fiscal year 2023-24 by $266,000 and increase the dollar amount for fiscal year 2024-25 by $326,700 to increase the authorized FTE positions for the department of health services by 4.0 GPR positions, beginning in fiscal year 2023-24, to increase staffing in the division of the department responsible for caregiver quality.

SB70-SSA2-SA4,23,6 129. Page 161, line 6: increase the dollar amount for fiscal year 2023-24 by $48,400 and increase the dollar amount for fiscal year 2024-25 by $48,400 for the purpose of funding increased costs of supplies and services for quality assurance services.

SB70-SSA2-SA4,23,11 130. Page 161, line 16: increase the dollar amount for fiscal year 2023-24 by $284,200 and increase the dollar amount for fiscal year 2024-25 by $351,300 to increase the authorized FTE positions for the department of health services by 4.2 PR positions, beginning in fiscal year 2023-24, to increase staffing in the division of the department responsible for caregiver quality.

SB70-SSA2-SA4,23,16 131. Page 162, line 13: increase the dollar amount for fiscal year 2023-24 by $4,138,300 and increase the dollar amount for fiscal year 2024-25 by $9,499,200 for the purpose of increasing funding for adult protective services training, needs assessments for tribal adult protective services, guardian support and elder justice training grants, and other adult protective services.

SB70-SSA2-SA4,23,21 132. Page 162, line 13: increase the dollar amount for fiscal year 2024-25 by $15,153,600 to fund, for the 3-month period from April 1 to June 30, 2025, implementation of a minimum fee schedule for certain home and community based services, specifically, residential care and supportive home care services, the state provides through its long-term care waiver programs.

SB70-SSA2-SA4,24,2 133. Page 162, line 13: increase the dollar amount for fiscal year 2024-25 by $627,600 to fund the Wisconsin Personal Caregiver Workforce Careers Program to continue enrolling an additional 5,000 caregivers into the professional certificate program.

SB70-SSA2-SA4,24,7 134. Page 162, line 13: increase the dollar amount for fiscal year 2023-24 by $250,000 and increase the dollar amount for fiscal year 2024-25 by $250,000 for the purpose of increasing the maximum amount of funding the department of health services may provide under the Alzheimer's family and caregiver support program under s. 46.40 (8).

SB70-SSA2-SA4,24,11 135. Page 162, line 13: increase the dollar amount for fiscal year 2023-24 by $5,654,300 and increase the dollar amount for fiscal year 2024-25 by $11,308,600 for the purpose of increasing balance allocations and funding expanded caregiver support services at aging and disability resource centers.

SB70-SSA2-SA4,24,15 136. Page 162, line 13: increase the dollar amount for fiscal year 2024-25 by $8,546,300 for the purpose of continuing to fund through the end of the 2023-25 fiscal biennium projects started with onetime GPR savings and FED funds realized through the federal American Rescue Plan Act.

SB70-SSA2-SA4,24,19 137. Page 162, line 14: increase the dollar amount for fiscal year 2024-25 by $1,936,000 for the purpose of awarding grants to a statewide provider of behavioral health treatment services for individuals who are deaf, hard of hearing, or deaf-blind under s. 46.48 (3m).

SB70-SSA2-SA4,24,23 138. Page 162, line 14: increase the dollar amount for fiscal year 2023-24 by $260,000 and increase the dollar amount for fiscal year 2024-25 by $260,000 for the purpose of awarding grants to regional peer recovery centers for individuals experiencing mental health and substance abuse issues under s. 46.48 (37).

SB70-SSA2-SA4,25,3 139. Page 162, line 17: increase the dollar amount for fiscal year 2023-24 by $3,086,500 and increase the dollar amount for fiscal year 2024-25 by $6,173,100 for the purpose of providing services to additional children under s. 51.44 (5) (bm).

SB70-SSA2-SA4,25,4 140. Page 162, line 18: delete that line and substitute: - See PDF for table

SB70-SSA2-SA4,25,8 141. Page 163, line 13: increase the dollar amount for fiscal year 2023-24 by $556,400 and increase the dollar amount for fiscal year 2024-25 by $638,000 for the purpose of translating the website and forms for the department of health services into multiple languages.

SB70-SSA2-SA4,25,14 142. Page 163, line 19: increase the dollar amount for fiscal year 2023-24 by $74,800 and increase the dollar amount for fiscal year 2024-25 by $96,100 to increase the authorized FTE positions by 1.0 GPR position to establish an agency equity officer responsible for collaborating with the chief equity officer in the department of health services and with other agency equity officers to identify opportunities to advance equity in government operations.

SB70-SSA2-SA4,25,17 143. Page 218, line 3: increase the dollar amount for fiscal year 2024-25 by $529,200 for the purpose of implementing the easy enrollment program for health care coverage under s. 71.03 (9).

SB70-SSA2-SA4,25,18 144. Page 265, line 18: delete lines 18 to 21 and substitute:

SB70-SSA2-SA4,25,19 “ Section 108m. 20.435 (5) (ck) of the statutes is created to read:

SB70-SSA2-SA4,25,22 20.435 (5) (ck) Crisis urgent care and observation facilities. The amounts in the schedule for grants to develop and support crisis urgent care and observation facilities under s. 51.036 and for administration of the grant program.”.

SB70-SSA2-SA4,26,1 145. Page 265, line 22: delete lines 22 to 25 and substitute:

SB70-SSA2-SA4,26,2 “ Section 109u. 20.435 (7) (d) of the statutes is created to read:

SB70-SSA2-SA4,26,5 20.435 (7) (d) Complex patient pilot program. Biennially, the amounts in the schedule for the complex patient pilot program under 2023 Wisconsin Act .... (this act), section 9119 (4u).

SB70-SSA2-SA4,109r Section 109r. 20.435 (7) (d) of the statutes, as affected by 2023 Wisconsin Act .... (this act), is repealed.”.

SB70-SSA2-SA4,26,8 146. Page 296, line 7: delete lines 7 to 11 and substitute:

SB70-SSA2-SA4,26,9 “ Section 245m. 46.40 (8) of the statutes is amended to read:

SB70-SSA2-SA4,26,13 46.40 (8) Alzheimer's family and caregiver support allocation. Subject to sub. (9), for services to persons with Alzheimer's disease and their caregivers under s. 46.87, the department shall distribute not more than $2,808,900 $3,308,900 in each fiscal year.”.

SB70-SSA2-SA4,26,14 147. Page 318, line 5: delete lines 5 to 15.