AB150,1001,53 49.02 (5) (cm) Notwithstanding ss. 49.002 (2) and 49.01 (5m), a general An
4emergency medical
relief agency is not required to provide services described in s.
551.42 (3) (ar) 4.
****Note: This is reconciled s. 49.02 (6m). This Section has been affected by drafts with the
following LRB numbers: -0756/4 and -1701/4.
AB150, s. 2706 6Section 2706. 49.02 (6r) of the statutes is repealed.
AB150, s. 2707 7Section 2707. 49.02 (7) (title) of the statutes is created to read:
AB150,1001,88 49.02 (7) (title) Administration of emergency medical relief.
AB150, s. 2708 9Section 2708. 49.02 (7) of the statutes is renumbered 49.02 (7) (b) and
10amended to read:
AB150,1001,1611 49.02 (7) (b) Whenever the authorities charged with the administration of this
12section have reason to believe that a person receiving emergency medical relief is
13engaging in conduct or behavior prohibited in ch. 944 or ss. 940.225, 948.02, 948.025
14or 948.06 to 948.11 they shall promptly notify the law enforcement officials of the
15county thereof, including facts relating to such person's alleged misconduct or illegal
16behavior.
AB150, s. 2709 17Section 2709. 49.02 (7) (a) of the statutes is created to read:
AB150,1001,2018 49.02 (7) (a) The department shall promulgate rules regarding the
19administration of emergency medical relief. The rules shall include all of the
20following:
AB150,1001,2221 1. Procedures that counties, tribal governing bodies and hospitals providing
22emergency medical relief shall follow in making eligibility determinations.
AB150,1002,4
12. Procedures that counties and tribal governing bodies shall follow to obtain
2partial reimbursement for emergency medical relief expenses under s. 49.035 and
3procedures for determining the portion of medical costs under s. 49.035 (2) (cm) that
4are attributable to emergency medical care.
AB150,1002,65 3. Procedures for appealing eligibility determinations under s. 49.015. These
6procedures shall include provision for notice, fair hearing and review.
AB150, s. 2710 7Section 2710. 49.02 (8) of the statutes is renumbered 49.015 (2m) and
8amended to read:
AB150,1002,129 49.015 (2m) (title) Ineligibility due to medical assistance divestment. Any
10person found ineligible for medical assistance because of the divestment provisions
11under s. 49.453 is ineligible for medical care under this section emergency medical
12relief
for the same period during which ineligibility exists under s. 49.453.
AB150, s. 2711 13Section 2711. 49.02 (9) of the statutes is repealed.
AB150, s. 2712 14Section 2712. 49.02 (10) (a) of the statutes is renumbered 49.02 (5) (bm) and
15amended to read:
AB150,1002,2016 49.02 (5) (bm) Except as provided under par. (b), a A county or tribal governing
17body
shall limit its liability for medical or dental care furnished as general
18emergency medical relief, including emergency care provided under sub. (5), to the
19amount payable by medical assistance under ss. 49.43 to 49.47 for care for which a
20medical assistance rate exists.
AB150, s. 2713 21Section 2713. 49.02 (10) (b) of the statutes is repealed.
AB150, s. 2714 22Section 2714. 49.02 (10) (c) of the statutes is repealed.
AB150, s. 2715 23Section 2715. 49.02 (11) of the statutes is amended to read:
AB150,1003,224 49.02 (11) (title) Checking eligibility with department of transportation
25records.
A general An emergency medical relief agency may use vehicle registration

1information from the department of transportation in determining eligibility for
2general emergency medical relief.
AB150, s. 2716 3Section 2716. 49.02 (12) of the statutes is repealed.
****Note: This is reconciled s. 49.02 (12). This Section has been affected by drafts with the
following LRB numbers: -1701/3 and -2153/1.
AB150, s. 2717 4Section 2717. 49.032 of the statutes is repealed.
****Note: This is reconciled s. 49.032. This Section has been affected by drafts with the
following LRB numbers: -1701/3 and -2153/1.
AB150, s. 2718 5Section 2718. 49.035 (title) of the statutes is amended to read:
AB150,1003,6 649.035 (title) State aid for general emergency medical relief.
AB150, s. 2719 7Section 2719. 49.035 (1) of the statutes, as affected by 1995 Wisconsin Act ....
8(this act), is repealed.
****Note: This is reconciled 49.035 (1). This Section has been affected by drafts with the
following LRB numbers: -0756/3 and -1701/3.
AB150, s. 2720 9Section 2720. 49.035 (1) (intro.) of the statutes is amended to read:
AB150,1003,1110 49.035 (1) (intro.) As provided in sub. (4e), the The department shall
11reimburse, as provided in sub. (4e), except for medical costs:
AB150, s. 2721 12Section 2721. 49.035 (1m) of the statutes is created to read:
AB150,1003,1513 49.035 (1m) State reimbursement percentages for tribal governing bodies.
14From the appropriation under s. 20.435 (4) (e), the department shall reimburse a
15tribal governing body for 100% of eligible emergency medical relief costs.
AB150, s. 2722 16Section 2722. 49.035 (2) (intro.) of the statutes is amended to read:
AB150,1003,1817 49.035 (2) (intro.) As Except as provided in sub. (4e) (3), the department shall
18reimburse, as provided in sub. (4e), for general relief medical costs:
AB150, s. 2723 19Section 2723. 49.035 (2) (intro.) of the statutes, as affected by 1995 Wisconsin
20Act .... (this act), is amended to read:
AB150,1004,3
149.035 (2) (title) State reimbursement percentages for counties. (intro.)
2Except as provided in sub. (3), the department shall reimburse, as provided in sub.
3(4e), for general emergency medical relief medical costs:
****Note: This is reconciled 49.035 (2) (intro.). This Section has been affected by drafts with
the following LRB numbers: -0756/3 and -1701/3.
AB150, s. 2724 4Section 2724. 49.035 (2) (b) 7. of the statutes is amended to read:
AB150,1004,75 49.035 (2) (b) 7. Up to 40% of eligible emergency medical relief costs incurred
6by the county on behalf of an individual client that are not more than $10,000 per
7claim period.
AB150, s. 2725 8Section 2725. 49.035 (2) (b) 8. of the statutes is amended to read:
AB150,1004,109 49.035 (2) (b) 8. Up to 70% of eligible emergency medical relief costs incurred
10by the county on behalf of an individual client that exceed $10,000 per claim period.
AB150, s. 2726 11Section 2726. 49.035 (2) (cm) (intro.) of the statutes is amended to read:
AB150,1004,1812 49.035 (2) (cm) (intro.) A If a county operates a comprehensive medical relief
13program in addition to an emergency medical relief program and if the county enrolls
14participants in these programs in a prepaid health care system with a uniform fee
15per person, a
county for up to 60% of the eligible portion of the medical costs for
16individual clients who are enrolled in a prepaid health care system with a uniform
17fee per person
these participants that are attributable to emergency medical care,
18if the following requirements are met:
AB150, s. 2727 19Section 2727. 49.035 (2) (cm) 3. of the statutes is amended to read:
AB150,1005,320 49.035 (2) (cm) 3. The county offers a full range of medical or dental care
21furnished by the general relief agency as general relief, including emergency medical
22treatment and hospitalization, must be available for general relief clients under a
23contract between a general
care to all persons eligible for emergency medical relief

1under s. 49.015 under a contract between the emergency medical
relief agency and
2a health maintenance organization for provision of general relief medical treatment
3and hospitalization
.
AB150, s. 2728 4Section 2728. 49.035 (3) of the statutes is created to read:
AB150,1005,65 49.035 (3) The state may not reimburse a county under this section for the costs
6of providing services described in s. 51.42 (3) (ar) 4.
AB150, s. 2729 7Section 2729. 49.035 (3) of the statutes, as created by 1995 Wisconsin Act ....
8(this act), is amended to read:
AB150,1005,119 49.035 (3) (title) Limitation on state reimbursement. The state may not
10reimburse a county or a tribal governing body under this section for the costs of
11providing services described in s. 51.42 (3) (ar) 4.
****Note: This is reconciled s. 49.035 (3). This Section has been affected by drafts with the
following LRB numbers: -0756/4 and -1701/4.
AB150, s. 2730 12Section 2730. 49.035 (4) (title) of the statutes is created to read:
AB150,1005,1313 49.035 (4) (title) Filing of reimbursement claims.
AB150, s. 2731 14Section 2731. 49.035 (4) of the statutes is renumbered 49.035 (4) (b) and
15amended to read:
AB150,1005,1816 49.035 (4) (b) Claims for reimbursement under subs. (1) and sub. (2) shall be
17filed with the department by March 1 of the year immediately following the calendar
18year in which the costs were incurred.
AB150, s. 2732 19Section 2732. 49.035 (4) (a) of the statutes is created to read:
AB150,1005,2220 49.035 (4) (a) The department, after consulting with all elected tribal
21governing bodies in this state, shall promulgate rules establishing requirements for
22filing claims for reimbursement under sub. (1m).
AB150, s. 2733 23Section 2733 . 49.035 (4e) (title) of the statutes is created to read:
AB150,1006,2
149.035 (4e) (title) Treatment of certain payments to county hospitals and
2mental health complexes.
AB150, s. 2734 3Section 2734 . 49.035 (4e) (a) of the statutes is amended to read:
AB150,1006,114 49.035 (4e) (a) If claims for eligible general emergency medical relief costs at
5the maximum rates under subs. (1) and sub. (2) do not exceed the total of the funds
6available under s. 20.435 (4) (eb) and the payments to county hospitals and county
7mental health complexes under par. (c) for that fiscal year, the department shall
8determine the amount of a county's reimbursement from the appropriation under s.
920.435 (4) (eb) by applying the maximum rates under subs. (1) and sub. (2) to the
10county's eligible costs and subtracting the amount paid to county hospitals and
11county mental health complexes in the county under par. (c).
AB150, s. 2735 12Section 2735 . 49.035 (4e) (a) of the statutes, as affected by 1995 Wisconsin Act
13.... (this act), is amended to read:
AB150,1006,2114 49.035 (4e) (a) If claims for eligible emergency medical relief costs at the
15maximum rates under sub. (2) do not exceed the total of the funds available under
16s. 20.435 (4) (eb) (1) (cb) and the payments to county hospitals and county mental
17health complexes under par. (c) for that fiscal year, the department shall determine
18the amount of a county's reimbursement from the appropriation under s. 20.435 (4)
19(eb)
(1) (cb) by applying the maximum rates under sub. (2) to the county's eligible
20costs and subtracting the amount paid to county hospitals and county mental health
21complexes in the county under par. (c).
****Note: This is reconciled s. 49.035 (4e) (a). This Section has been affected by drafts with
the following LRB numbers: -1701/3 and -2153/1.
AB150, s. 2736 22Section 2736 . 49.035 (4e) (b) of the statutes is amended to read:
AB150,1007,9
149.035 (4e) (b) If claims for eligible general emergency medical relief costs at
2the maximum rates under subs. (1) and sub. (2) do exceed the total of the funds
3available under s. 20.435 (4) (eb) and the payments to county hospitals and county
4mental health complexes under par. (c) for that fiscal year, the department shall
5prorate the funds available under s. 20.435 (4) (eb) among the counties. Under this
6paragraph, the department shall determine the amount of a county's reimbursement
7from the appropriation under s. 20.435 (4) (eb) by subtracting the amount paid to
8county hospitals and county mental health complexes in the county under par. (c)
9from its prorated share of the funds available under s. 20.435 (4) (eb).
AB150, s. 2737 10Section 2737 . 49.035 (4e) (b) of the statutes, as affected by 1995 Wisconsin Act
11.... (this act), is amended to read:
AB150,1007,2012 49.035 (4e) (b) If claims for eligible emergency medical relief costs at the
13maximum rates under sub. (2) do exceed the total of the funds available under s.
1420.435 (4) (eb) (1) (cb) and the payments to county hospitals and county mental
15health complexes under par. (c) for that fiscal year, the department shall prorate the
16funds available under s. 20.435 (4) (eb) (1) (cb) among the counties. Under this
17paragraph, the department shall determine the amount of a county's reimbursement
18from the appropriation under s. 20.435 (4) (eb) (1) (cb) by subtracting the amount
19paid to county hospitals and county mental health complexes in the county under
20par. (c) from its prorated share of the funds available under s. 20.435 (4) (eb) (1) (cb).
****Note: This is reconciled s. 49.035 (4e) (b). This Section has been affected by drafts with
the following LRB numbers: -1701/3 and -2153/1.
AB150, s. 2738 21Section 2738. 49.035 (4e) (c) of the statutes is amended to read:
AB150,1008,422 49.035 (4e) (c) The department shall distribute the payments under s. 49.45
23(6y) and (6z) to county hospitals and county mental health complexes that qualify for

1these payments at the time that the county is paid under par. (a) or (b). For the year
2for which the payment under par. (a) or (b) is made, the county shall treat the
3payments to county hospitals and county mental health complexes as
4reimbursement for general emergency medical relief claims under sub. (4) (b).
AB150, s. 2739 5Section 2739. 49.035 (4m) of the statutes is amended to read:
AB150,1008,116 49.035 (4m) (title) Deadline for reimbursement. The department shall
7reimburse the general emergency medical relief agency for claims submitted under
8sub. (4) (b) on or before the July 31 immediately following the March 1 filing date or
9within 30 days after the effective date of the act that provides funding for the general
10emergency medical relief appropriation from which general emergency medical
11relief claims for reimbursement are paid, whichever is later.
AB150, s. 2740 12Section 2740. 49.035 (5m) of the statutes is amended to read:
AB150,1008,1613 49.035 (5m) (title) Uniform reporting system. The department shall establish
14a uniform reporting system for use by counties and tribal governing bodies to provide
15the department with case and fiscal information relating to general emergency
16medical
relief costs.
AB150, s. 2741 17Section 2741. 49.035 (6) (intro.) of the statutes is amended to read:
AB150,1008,2118 49.035 (6) (title) Reimbursement requirements. (intro.) No county or tribal
19governing body
may receive reimbursement for any general emergency medical
20relief expenditures unless the county or tribal governing body does all of the
21following:
AB150, s. 2742 22Section 2742. 49.035 (6) (am) of the statutes is repealed.
AB150, s. 2743 23Section 2743. 49.035 (6) (b) of the statutes is amended to read:
AB150,1009,524 49.035 (6) (b) Develops and files with the department on or before October 1
25of each year a an emergency medical cost containment plan for the subsequent

1calendar year. The plan shall include provisions limiting the inappropriate use of
2emergency room care and controlling payments to providers and may include
3provisions on supplying case management services
. The department shall approve
4or disapprove the plan within a reasonable period of time after the plan is timely
5filed.
AB150, s. 2744 6Section 2744. 49.035 (6) (c) of the statutes is amended to read:
AB150,1009,87 49.035 (6) (c) Provides information to the department relating to general
8emergency medical relief costs.
AB150, s. 2745 9Section 2745 . 49.035 (6m) of the statutes is amended to read:
AB150,1009,1510 49.035 (6m) (title) Failure to comply with emergency medical relief statutes
11or rules.
Notwithstanding sub. (6), the department may deny any general relief
12claim for partial reimbursement of eligible emergency medical relief costs under this
13section
if the county or tribal governing body fails to comply with the general
14emergency medical relief requirements of contained in this chapter or in rules
15promulgated by the department under s. 49.02 (7) (a)
.
AB150, s. 2746 16Section 2746 . 49.035 (6m) of the statutes, as affected by 1995 Wisconsin Act
17.... (this act), is amended to read:
AB150,1009,2218 49.035 (6m) Notwithstanding sub. (6), the department may deny any claim for
19partial reimbursement of eligible emergency medical relief costs under this section
20if the county or tribal governing body fails to comply with the emergency medical
21relief requirements contained in this chapter subchapter or in rules promulgated by
22the department under s. 49.02 (7) (a).
****Note: This is reconciled s. 49.035 (6m). This Section has been affected by drafts with the
following LRB numbers: -1701/3 and -2153/1.
AB150, s. 2747 23Section 2747. 49.035 (7) of the statutes is repealed.
AB150, s. 2748
1Section 2748. 49.037 of the statutes is repealed.
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