LRB-3066/2
ALL:all:jf
2005 - 2006 LEGISLATURE
May 24, 2005 - Introduced by Representative Kaufert, cosponsored by Senator S.
Fitzgerald
. Referred to Joint Committee on Finance.
AB438,1,7 1An Act to amend 20.435 (4) (b); to create 25.77 (7) of the statutes; and to affect
22003 Wisconsin Act 100, section 1 (1) (a); relating to: increasing funding for
3the Department of Corrections and the University of Wisconsin System for
4energy-related and utility-related expenses; the Senior Care Program;
5transferring moneys from the general fund to the Medical Assistance trust
6fund; supplemental Medical Assistance payments to nursing homes; general
7fund statutory balance; and making appropriations.
Analysis by the Legislative Reference Bureau
Correctional system
This bill increases the amount of money appropriated to the Department of
Corrections for energy-related and utility-related expenses for the 2004-05 fiscal
year.
Education
This bill increases the University of Wisconsin System energy costs
appropriation by $22,500,000 for the 2004-05 fiscal year.
Health and Family Services
Under current law, under the jointly funded federal-state program known as
"Senior Care," state residents aged at least 65 years may, after paying an annual

enrollment fee and an annual deductible that is based on income, purchase
prescription generic drugs for a copayment of $5 and prescription nongeneric drugs
for a copayment of $15.
This bill increases a general purpose revenue appropriation account for the
Senior Care Program by $2,000,000 for fiscal year 2004-05.
Under current law, the Medical Assistance (MA) trust fund is a segregated fund
into which must be deposited federal moneys paid as the result of certain
intergovernmental transfers, public funds used as the basis for the
intergovernmental transfers, a portion of moneys received from annual assessments
imposed by the Department of Health and Family Services (DHFS) on nursing
homes and intermediate care facilities for the mentally retarded and, under 2003
Wisconsin Act 129
, an amount of money from the general fund. Appropriations from
the MA trust fund are authorized to meet costs of reimbursing MA health care
provider reimbursement, administrative costs associated with augmenting
intergovernmental transfers, nursing home MA reimbursement, supplemental MA
payments to county nursing homes and certain care management organizations, and
reimbursement to counties for providing public money as the basis for
intergovernmental transfers.
This bill transfers $75,000,000 from the general fund to the MA trust fund.
Under current law, in the fiscal biennium 2003-2005, DHFS must under
certain criteria distribute from the MA trust fund any federal MA moneys received
as the result of intergovernmental transfers, if the moneys were not anticipated and
budgeted as revenue under 2003 Wisconsin Act 33 (the 2003-05 biennial budget act),
to reduce any operating deficits incurred by nursing homes owned or operated by
counties, cities, villages, or towns.
This bill requires DHFS in fiscal year 2004-05 to distribute, both from the MA
trust fund and from an MA appropriation account of general purpose revenues, for
reduction of operating deficits of publicly owned or operated nursing homes, an
amount equal to any unanticipated federal MA moneys received as the result of
intergovernmental transfers.
State government
Current statutes contain a rule of proceeding that prohibits a structural
imbalance in the general fund. This bill provides that this rule does not apply to the
legislature in enacting this act.
For further information see the state and local fiscal estimate, which will be
printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB438, s. 1 1Section 1. 20.435 (4) (b) of the statutes is amended to read:
AB438,3,18
120.435 (4) (b) Medical Assistance program benefits. Biennially, the amounts
2in the schedule to provide a portion of the state share of Medical Assistance program
3benefits administered under s. 49.45, to provide a portion of the Medical Assistance
4program benefits administered under s. 49.45 that are not also provided under par.
5(o), to fund the pilot project under s. 46.27 (9) and (10), to provide a portion of the
6facility payments under 1999 Wisconsin Act 9, section 9123 (9m), to fund services
7provided by resource centers under s. 46.283, and for services under the family care
8benefit under s. 46.284 (5), and for reduction of any operating deficits as specified in
92005 Wisconsin Act .... (this act), section 3
. Notwithstanding s. 20.002 (1), the
10department may transfer from this appropriation account to the appropriation
11account under sub. (7) (kb) funds in the amount of and for the purposes specified in
12s. 46.485. Notwithstanding ss. 20.001 (3) (b) and 20.002 (1), the department may
13credit or deposit into this appropriation account and may transfer between fiscal
14years funds that it transfers from the appropriation account under sub. (7) (kb) for
15the purposes specified in s. 46.485 (3r). Notwithstanding s. 20.002 (1), the
16department may transfer from this appropriation account to the appropriation
17account under sub. (7) (bd) funds in the amount and for the purposes specified in s.
1849.45 (6v).
AB438, s. 2 19Section 2. 25.77 (7) of the statutes is created to read:
AB438,3,2120 25.77 (7) All moneys transferred under 2005 Wisconsin Act .... (this act), section
219221 (2).
AB438, s. 3 22Section 3 . 2003 Wisconsin Act 100, section 1 (1) (a) is amended to read:
AB438,4,1023[2003 Wisconsin Act 100] Section 1 (1) (a) Notwithstanding the limitation
24under section 49.45 (6u) (am) (intro.) of the statutes on supplemental payments for
25reduction of operating deficits incurred by nursing homes owned or operated by

1counties, cities, villages, or towns, in fiscal years 2003-04 and 2004-05, the
2department of health and family services shall from the appropriation accounts
3under section 20.435 (4) (b) of the statutes, as affected by this act, and section 20.435
4(4)
(w) of the statutes distribute for this purpose, under criteria specified in section
549.45 (6u) (am) 1. to 7. of the statutes, any additional federal Medical Assistance
6moneys received, based on the funds of counties, cities, villages, and towns that are
7transferred to the Medical Assistance trust fund, certified under 42 CFR 433.51 (b),
8reimbursed under section 20.435 (4) (wp) of the statutes, and used as the nonfederal
9share of Medical Assistance funding, that were not anticipated and budgeted as
10revenue under 2003 Wisconsin Act 33.
AB438, s. 9130 11Section 9130. Nonstatutory provisions; legislature.
AB438,4,1412 (1) Exemption from certain legislative rules of proceedings. Section 20.003
13(4m) of the statutes shall not apply to the actions of the legislature in enacting this
14act.
AB438, s. 9209 15Section 9209. Appropriation changes; corrections.
AB438,4,2016 (1) Energy costs. In the schedule under section 20.005 (3) of the statutes for
17the appropriation to the department of corrections under section 20.410 (1) (f) of the
18statutes, as affected by the acts of 2005, the dollar amount is increased by $7,300,000
19for fiscal year 2004-05 to increase funding for the purposes for which the
20appropriation is made.
AB438, s. 9221 21Section 9221. Appropriation changes; health and family services.
AB438,5,222 (1) Senior Care Program. In the schedule under section 20.005 (3) of the
23statutes for the appropriation to the department of health and family services under
24section 20.435 (4) (bv) of the statutes, as affected by the acts of 2005, the dollar

1amount is increased by $2,000,000 for fiscal year 2004-05 for the purpose for which
2the appropriation is made.
AB438,5,43 (2) Transfer to Medical Assistance trust fund. There is transferred from the
4general fund to the Medical Assistance trust fund $75,000,000.
AB438, s. 9252 5Section 9252. Appropriation changes; University of Wisconsin
System.
AB438,5,106 (1) Energy costs. In the schedule under section 20.005 (3) of the statutes for
7the appropriation to the University of Wisconsin System under section 20.285 (1) (c)
8of the statutes, as affected by the acts of 2005, the dollar amount is increased by
9$22,500,000 for fiscal year 2004-05 to increase the funding for the purposes for which
10the appropriation is made.
AB438,5,1111 (End)
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