SB558,29,2
1c. A county in which the Program of All-Inclusive Care for the Elderly under
242 USC 1396u-4 is available.
SB558,29,53d. A county in which the self-directed services option program under 42 USC
41396n
(c) is available or in which a program operated under an amendment to the
5state medical assistance plan under 42 USC 1396n (j) is available.
SB558,29,76 2. Self-directs all or part of his or her home care services and is an employer
7listed on the provider's income tax forms.
SB558,29,88 3. Is eligible to receive a home care benefit under one of the following:
SB558,29,99 a. The Family Care Program under s. 46.286.
SB558,29,1010b. The Program of All-Inclusive Care for the Elderly, under 42 USC 1396u-4.
SB558,29,1311 c. A program operated under a waiver from the secretary of the federal
12department of health and human services under 42 USC 1396n (c) or 42 USC 1396n
13(b) and (c) or the self-directed services option operated under 42 USC 1396n (c).
SB558,29,1514 d. A program operated under an amendment to the state medical assistance
15plan under 42 USC 1396n (j).
SB558,29,2016 (dm) "Home care" means supportive home care, personal care, and other
17nonprofessional services of a type that may be covered under a medical assistance
18waiver under 42 USC 1396n (c) and that are provided to individuals to assist them
19in meeting their daily living needs, ensuring adequate functioning in their homes,
20and permitting safe access to their communities.
SB558,29,2221 (e) "Provider" means an individual who is hired by a consumer to provide home
22care to the consumer but does not include any of the following:
SB558,29,2423 1. A person, while he or she is providing services in the capacity of an employee
24of any of the following entities:
SB558,29,2525 a. A home health agency licensed under s. 50.49.
SB558,30,1
1b. A personal care provider agency.
SB558,30,22 c. A company or agency providing supportive home care.
SB558,30,33 d. An independent living center, as defined in s. 46.96 (1) (ah).
SB558,30,54 e. A county agency or department under s. 46.215, 46.22, 46.23, 51.42, or
551.437.
SB558,30,76 2. A health care provider, as defined in s. 146.997 (1) (d), acting in his or her
7professional capacity.
SB558,30,168 (f) "Qualified provider" means a provider who meets the qualifications for
9payment through the Family Care Program under s. 46.286, the Program for
10All-Inclusive Care for the Elderly operated under 42 USC 1396u-4, an amendment
11to the state medical assistance plan under 42 USC 1396n (j), or a medical assistance
12waiver program operated under a waiver from the secretary of the federal
13department of health and human services under 42 USC 1396n (c) or 42 USC 1396n
14(b) and (c) and any qualification criteria established in the rules promulgated under
15sub. (7) and who the authority determines is eligible for placement on the registry
16maintained by the authority under s. 52.20 (1).
SB558,30,20 17(2) County participation. (a) A county board of supervisors may require a
18county department under s. 46.215, 46.22, 46.23, 51.42, or 51.437 to follow
19procedures under this section and to pay providers in accordance with agreements
20under subch. V of ch. 111.
SB558,30,2221 (b) If a county acts under par. (a), it shall notify the department and the
22authority of its action.
SB558,30,2523 (c) A county that acts under par. (a) shall compensate providers in accordance
24with any agreement under subch. V of ch. 111 and make any payroll deductions
25authorized by such agreements.
SB558,31,5
1(4) Duties of home care payors. Care management organizations, the state,
2and counties, as described in sub. (1) (cm) 1. a. to d., that pay for the provision of home
3care services to consumers shall provide to the authority the name, address,
4telephone number, date of hire, and date of termination of any provider hired by an
5individual receiving home care services.
SB558,31,6 6(5) Duties of consumers. A consumer shall do all of the following:
SB558,31,97 (a) Inform the authority of the name, address, telephone number, date of hire,
8and date of termination of any provider hired by the consumer to provide home care
9services.
SB558,31,1210 (b) Compensate providers in accordance with any collective bargaining
11agreement that applies to home care providers under subch. V of ch. 111 and make
12any payroll deductions authorized by the agreement.
SB558,31,15 13(6) Providers. (a) A qualified provider providing home care services under this
14section shall be subject to the collective bargaining agreement that applies to home
15care providers under subch. V of ch. 111.
SB558,31,1716 (b) A qualified provider may choose to be placed on the registry maintained by
17the authority under s. 52.20 (1).
SB558,31,21 18(7) Department rule making. The department may promulgate rules defining
19terms, specifying which services constitute home care, establishing the qualification
20criteria that apply under sub. (1) (f), and establishing procedures for implementation
21of this section.
SB558,66 22Section 66. 46.48 (9m) of the statutes is created to read:
SB558,32,223 46.48 (9m) Quality home care. The department shall award a grant to the
24Wisconsin Quality Home Care Authority for the purpose of providing services to

1recipients and providers of home care under s. 46.2898 and ch. 52 and may award
2grants to counties to facilitate transition to procedures established under s. 46.2898.
SB558,67 3Section 67. 49.825 (3) (b) 4. of the statutes is created to read:
SB558,32,94 49.825 (3) (b) 4. The department may enter into a memorandum of
5understanding, as described in s. 111.70 (3m), with the certified representative of the
6county employees performing services under this section for the unit. If there is a
7dispute as to hours or conditions of employment that remains between the
8department and the certified representative after a good faith effort to resolve it, the
9department may unilaterally resolve the dispute.
SB558,68 10Section 68. 49.826 (3) (b) 4. of the statutes is created to read:
SB558,32,1611 49.826 (3) (b) 4. The department may enter into a memorandum of
12understanding, as described in s. 111.70 (3p), with the certified representative of the
13county employees performing services under this section in the county for the unit.
14If there is a dispute as to hours or conditions of employment that remains between
15the department and the certified representative after a good faith effort to resolve
16it, the department may unilaterally resolve the dispute.
SB558,69 17Section 69. Chapter 52 of the statutes is created to read:
SB558,32,1818 CHAPTER 52
SB558,32,1919 QUALITY HOME CARE
SB558,32,20 2052.01 Definitions. In this chapter:
SB558,32,21 21(1) "Authority" means the Wisconsin Quality Home Care Authority.
SB558,32,22 22(2) "Board" means the board of directors of the authority.
SB558,32,23 23(3) "Care management organization" has the meaning given in s. 46.2805 (1).
SB558,32,24 24(3m) "Consumer" has the meaning given in s. 46.2898 (1) (cm).
SB558,32,25 25(4) "Department" means the department of health services.
SB558,33,1
1(5) "Family Care Program" means the benefit program described in s. 46.286.
SB558,33,3 2(6) "Home care provider" means an individual who is a qualified provider under
3s. 46.2898 (1) (f).
SB558,33,6 4(7) "Medical assistance waiver program" means a program operated under a
5waiver from the secretary of the federal department of health and human services
6under 42 USC 1396n (c) or 42 USC 1396n (b) and (c).
SB558,33,8 7(8) "Program of All-Inclusive Care for the Elderly" means the program
8operated under 42 USC 1396u-4.
SB558,33,12 952.05 Creation and organization of authority. (1) Creation and
10membership of board.
There is created a public body corporate and politic to be
11known as the "Wisconsin Quality Home Care Authority." The members of the board
12shall consist of the following members:
SB558,33,1313 (a) The secretary of the department of health services or his or her designee.
SB558,33,1514 (b) The secretary of the department of workforce development or his or her
15designee.
SB558,33,1616 (c) The following, to be appointed by the governor to serve 3-year terms:
SB558,33,1717 1. One representative from the state assembly.
SB558,33,1818 2. One representative from the state senate.
SB558,33,1919 3. One representative of care management organizations.
SB558,33,2220 4. One representative of county departments, under s. 46.215, 46.22, 46.23,
2151.42, or 51.437, selected from counties where the Family Care Program is not
22available.
SB558,33,2323 5. One representative of the board for people with developmental disabilities.
SB558,33,2424 6. One representative of the council on physical disabilities.
SB558,33,2525 7. One representative of the council on mental health.
SB558,34,1
18. One representative of the board on aging and long-term care.
SB558,34,42 9. Eleven individuals, each of whom is a current or former recipient of home
3care services through the Family Care Program or a medical assistance waiver
4program or an advocate for or representative of consumers of home care services.
SB558,34,6 5(3) Chairperson. Annually, the governor shall appoint one member of the
6board to serve as the chairperson.
SB558,34,11 7(4) Executive committee. (a) The board shall elect an executive committee.
8The executive committee shall consist of the chair of the board, the secretary of the
9department of health services or his or her designee, the secretary of the department
10of workforce development or his or her designee, and 3 persons selected from board
11members appointed under sub. (1) (c) 9.
SB558,34,1212 (b) The executive committee may do the following:
SB558,34,1413 1. Hire an executive director who is not a member of the board and serves at
14the pleasure of the board.
SB558,34,1515 2. Hire employees to carry out the duties of the authority.
SB558,34,1616 3. Engage in contracts for services to carry out the duties of the authority.
SB558,34,18 17(5) Terms. The terms of members of the board appointed under sub. (1) (c) shall
18expire on July 1.
SB558,34,23 19(6) Quorum. A majority of the members of the board constitutes a quorum for
20the purpose of conducting its business and exercising its powers and for all other
21purposes, notwithstanding the existence of any vacancies. Action may be taken by
22the board upon a vote of a majority of the members present. Meetings of the members
23of the board may be held anywhere within the state.
SB558,35,5 24(7) Vacancies. Each member of the board shall hold office until a successor is
25appointed and qualified unless the member vacates or is removed from his or her

1office. A member who serves as a result of holding another office or position vacates
2his or her office as a member when he or she vacates the other office or position. A
3member who ceases to qualify for office vacates his or her office. A vacancy on the
4board shall be filled in the same manner as the original appointment to the board for
5the remainder of the unexpired term, if any.
SB558,35,9 6(8) Compensation. The members of the board are not entitled to compensation
7for the performance of their duties. The authority may reimburse members of the
8board for actual and necessary expenses incurred in the discharge of their official
9duties as provided by the board.
SB558,35,12 10(9) Employment of board member. It is not a conflict of interest for a board
11member to engage in private or public employment or in a profession or business,
12except to the extent prohibited by law, while serving as a member of the board.
SB558,35,16 1352.10 Powers of authority. The authority shall have all the powers
14necessary or convenient to carry out the purposes and provisions of this chapter and
15s. 46.2898. In addition to all other powers granted the authority under this chapter,
16the authority may:
SB558,35,18 17(1) Adopt policies and procedures to govern its proceedings and to carry out its
18duties as specified in this chapter.
SB558,35,20 19(2) Employ, appoint, engage, compensate, transfer, or discharge necessary
20personnel.
SB558,35,22 21(3) Make or enter into contracts, including contracts for the provision of legal
22or accounting services.
SB558,35,23 23(4) Award grants for the purposes set forth in this chapter.
SB558,35,24 24(5) Buy, lease, or sell real or personal property.
SB558,35,25 25(6) Sue and be sued.
SB558,36,2
1(7) Accept gifts, grants, or assistance funds and use them for the purposes of
2this chapter.
SB558,36,3 3(8) Collect fees for its services.
SB558,36,4 452.20 Duties of authority. The authority shall:
SB558,36,7 5(1) Establish and maintain a registry of eligible home care providers who
6choose to be on the registry for purposes of employment by consumers and provide
7referral services for consumers in need of home care services.
SB558,36,15 8(2) Determine the eligibility of individuals for placement on the registry. For
9purposes of determining eligibility, the authority shall apply the criteria described
10in s. 46.2898 (1) (f), including any qualifying criteria established by the department
11under s. 46.2898 (7). The authority shall also develop an appeal process for denial
12of placement on or removal of a provider from the registry consistent with the terms
13of the medical assistance waiver programs, the Family Care Program, an
14amendment to the state medical assistance plan under 42 USC 1396n (j), or the
15Program of All-Inclusive Care for the Elderly, as determined by the department.
SB558,36,20 16(3) Comply with any conditions necessary for consumers receiving home care
17services to receive federal medical assistance funding through a medical assistance
18waiver program, the Family Care Program, an amendment to the state medical
19assistance plan under 42 USC 1396n (j), or the Program of All-Inclusive Care for the
20Elderly.
SB558,36,23 21(4) Develop and operate recruitment and retention programs to expand the
22pool of home care providers qualified and available to provide home care services to
23consumers.
SB558,37,3
1(5) Maintain a list of home care providers included in a collective bargaining
2unit under s. 111.825 (2g) and provide the list of home care providers to the
3department at the department's request.
SB558,37,6 4(6) Notify home care providers providing home care services of any procedures
5for remaining a qualified provider under s. 46.2898 (1) (f) set forth by the department
6or the authority.
SB558,37,7 7(7) Provide orientation activities and skills training for home care providers.
SB558,37,10 8(8) Provide training and support for consumers hiring a home care provider
9regarding the duties and responsibilities of employers and skills needed to be
10effective employers.
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