SB21,1599 5Section 1599. 46.284 (3) (b) 10. of the statutes is amended to read:
SB21,668,86 46.284 (3) (b) 10. Coverage statewide or for a geographic area specified by the
7department if the department grants the applicant an exception to statewide
8coverage
.
SB21,1600 9Section 1600. 46.284 (3) (b) 11. of the statutes is amended to read:
SB21,668,1210 46.284 (3) (b) 11. The ability to develop strong linkages with systems and
11services that are not directly within the scope of the applicant's responsibility but
12that are important to the target group that it proposes to serve, including.
SB21,668,15 1311m. If the department chooses to make primary and acute health care services
14part of the family care benefit, the ability to provide or provide access to primary and
15acute health care services under s. 49.46 (2) as determined by the department
.
SB21,1601 16Section 1601. 46.284 (3m) of the statutes is repealed.
SB21,1602 17Section 1602. 46.284 (4) (e) of the statutes is amended to read:
SB21,669,418 46.284 (4) (e) Provide, within guidelines established by the department, a
19mechanism self-directed services option by which an enrollee may arrange for,
20manage, and monitor his or her family care benefit directly or with the assistance of
21another person chosen by the enrollee. The care management organization shall
22provide each enrollee with a form on which the enrollee shall indicate whether he or
23she has been offered the self-directed services option under this paragraph and
24whether he or she has accepted or declined the self-directed services option. If the
25enrollee accepts the option, the care management organization shall monitor the

1enrollee's use of a fixed budget for purchase of services or support items from any
2qualified provider, monitor the health and safety of the enrollee, and provide
3assistance in management of the enrollee's budget and services at a level tailored to
4the enrollee's need and desire for the assistance.
SB21,1603 5Section 1603. 46.284 (5) (a) of the statutes is amended to read:
SB21,669,126 46.284 (5) (a) From the appropriation accounts under s. 20.435 (4) (b), (bd), (g),
7(gm), (h), (im), (o), and (w) and (7) (b), (bd), and (g), the department shall provide
8funding on a capitated payment basis for the provision of services under this section.
9Notwithstanding s. 46.036 (3) and (5m), a care management organization that is
10under contract with the department may expend the funds, consistent with this
11section, including providing payment, on a capitated basis, to providers of services
12under the family care benefit.
SB21,1604 13Section 1604. 46.284 (5) (d) 4. of the statutes is amended to read:
SB21,669,2414 46.284 (5) (d) 4. The requirement that a care management organization place
15funds in a risk reserve and maintain the risk reserve in an interest-bearing escrow
16account with a financial institution, as defined in s. 69.30 (1) (b) , or invest funds as
17specified in s. 46.2895 (4) (j) 2. or 3
. Moneys in the risk reserve or invested as specified
18in this subdivision may be expended only for the provision of services under this
19section. If a care management organization ceases participation under this section,
20the funds in the risk reserve or invested as specified in this subdivision, minus any
21contribution of moneys other than those specified in par. (c), shall be returned to the
22department. The department shall expend the moneys for the payment of
23outstanding debts to providers of family care benefit services and for the
24continuation of family care benefit services to enrollees.
SB21,1605 25Section 1605. 46.284 (6) of the statutes is amended to read:
SB21,670,6
146.284 (6) Governing board. A care management organization shall have a
2governing board that reflects the ethnic and economic diversity of the geographic
3area served by the care management organization. At least one-fourth of the
4members of the governing board shall be representative of the client group or groups
5whom the care management organization is contracted to serve or those clients'

6enrollees or the enrollees' family members, guardians, or other advocates.
SB21,1606 7Section 1606. 46.284 (7) (a) of the statutes is amended to read:
SB21,670,108 46.284 (7) (a) A care management organization may provide information as
9required to comply with s. 16.009 (2) (p) or 49.45 (4) or as necessary for the
10department to administer the family care program under ss. 46.2805 to 46.2895.
SB21,1607 11Section 1607. 46.284 (7) (b) of the statutes is amended to read:
SB21,670,1912 46.284 (7) (b) Notwithstanding ss. 48.78 (2) (a), 49.45 (4), 49.83, 51.30, 51.45
13(14) (a), 55.22 (3), 146.82, 252.11 (7), 253.07 (3) (c) and 938.78 (2) (a), a care
14management organization acting under this section may exchange confidential
15information about a client, as defined in s. 46.287 (1), without the informed consent
16of the client, under s. 46.21 (2m) (c), 46.215 (1m), 46.22 (1) (dm), 46.23 (3) (e), 46.283
17(7), 46.2895 (10), 51.42 (3) (e) or 51.437 (4r) (b) in the county of the care management
18organization, if necessary to enable the care management organization to perform
19its duties or to coordinate the delivery of services to the client.
SB21,1608 20Section 1608. 46.285 (intro.) and (1) of the statutes are consolidated,
21renumbered 46.285 and amended to read:
SB21,671,5 2246.285 Operation of resource center and care management
23organization.
In order to meet federal requirements and assure federal financial
24participation in funding of the family care benefit, a county, a tribe or band, a
25long-term care district
or an organization, including a private, nonprofit

1corporation, may not directly operate both a resource center and a care management
2organization, except as follows: (1) For that for an entity with which the department
3has contracted under s. 46.281 (1) (e) 1., 2005 stats., provision of the services
4specified under s. 46.283 (3) (b), (e), (f) and (g) shall be structurally separate from the
5provision of services of the care management organization by January 1, 2001.
SB21,1609 6Section 1609. 46.285 (2) of the statutes is repealed.
SB21,1610 7Section 1610. 46.286 (3g) of the statutes is created to read:
SB21,671,118 46.286 (3g) Transferring care management organizations. An enrollee may
9transfer his or her enrollment to a different care management organization but only
10during an open enrollment period specified by the department, unless the enrollee
11meets an exception specified by the department.
SB21,1611 12Section 1611. 46.287 (2) (c) of the statutes is amended to read:
SB21,671,1613 46.287 (2) (c) Information regarding the availability of advocacy services and
14notice of adverse actions taken and appeal rights shall be provided to a client by the
15resource center or other contracted entity under s. 46.283 (2) or care management
16organization in a form and manner that is prescribed by the department by rule.
SB21,1612 17Section 1612. 46.2895 of the statutes, as affected by 2015 Wisconsin Act ....
18(this act), is repealed.
SB21,1613 19Section 1613. 46.2895 (1) (a) (intro.) of the statutes is amended to read:
SB21,672,220 46.2895 (1) (a) (intro.) A Except as provided in par. (f), a county, a tribe or band,
21or any combination of counties or tribes or bands, may create a special purpose
22district that is termed a "long-term care district", that is a local unit of government,
23that is separate and distinct from, and independent of, the state and the county or
24tribe or band that created it, and that has the powers and duties specified in this

1section, if each county or tribe or band that participates in creating the district does
2all of the following:
SB21,1614 3Section 1614. 46.2895 (1) (a) 1. b. of the statutes is amended to read:
SB21,672,84 46.2895 (1) (a) 1. b. Specifies the long-term care district's primary purpose,
5which shall be to operate, under contract with the department, a resource center
6under s. 46.283, a care management organization under s. 46.284, or a program
7described under s. 46.2805 (1) (a) or (b) of all-inclusive care for the elderly or the
8Family Care Partnership Program
.
SB21,1615 9Section 1615. 46.2895 (1) (c) of the statutes is amended to read:
SB21,672,1310 46.2895 (1) (c) A long-term care district may not operate a care management
11organization under s. 46.284 or, a program described under s. 46.2805 (1) (a) or (b)
12of all-inclusive care for the elderly, or the Family Care Partnership Program if the
13district operates a resource center under s. 46.283.
SB21,1616 14Section 1616. 46.2895 (1) (f) of the statutes is created to read:
SB21,672,1615 46.2895 (1) (f) No county, tribe, band, or combination of counties, tribes, or
16bands, may create a long-term care district after June 30, 2015.
SB21,1617 17Section 1617. 46.2895 (4) (intro.) of the statutes is amended to read:
SB21,672,2118 46.2895 (4) Powers. (intro.) Subject to sub. subs. (1) (c) and (12m), a long-term
19care district has all the powers necessary or convenient to carry out the purposes and
20provisions of the family care program ss. 46.2805 to 46.2895. In addition to all these
21powers, a long-term care district may do all of the following:
SB21,1618 22Section 1618. 46.2895 (4) (dm) of the statutes is amended to read:
SB21,673,223 46.2895 (4) (dm) Subject to sub. (1) (c), enter into a contract with the
24department to operate a the program described under s. 46.2805 (1) (a) or (b) of

1all-inclusive care for the elderly or the Family Care Partnership Program
and
2provide services related to the contracted services.
SB21,1619 3Section 1619. 46.2895 (8) (a) (intro.) of the statutes is amended to read:
SB21,673,54 46.2895 (8) (a) (intro.) A Subject to sub. (12m), a long-term care district board
5that is created at least in part by a county shall do all of the following:
SB21,1620 6Section 1620. 46.2895 (12m) of the statutes is created to read:
SB21,673,97 46.2895 (12m) Required dissolution. A long-term care district that exists on
8June 30, 2015, shall dissolve under the procedures in sub. (13) before June 30, 2017,
9or before a date established by the department, whichever is later.
SB21,1621 10Section 1621. 46.2896 of the statutes is created to read:
SB21,673,11 1146.2896 Counting promissory notes as assets. (1) In this section:
SB21,673,1512 (a) "Long-term care program" means the long-term care program under s.
1346.27, 46.275, 46.277, 46.278, or 46.2785; the family care program providing the
14benefit under s. 46.286; the Family Care Partnership program; or the long-term care
15program defined in s. 46.2899 (1), 2013 stats.
SB21,673,1916 (b) "Promissory note" means a written, unconditional agreement, given in
17return for goods, money loaned, or services rendered, under which one party
18promises to pay another party a specified sum of money at a specified time or on
19demand.
SB21,673,22 20(2) When determining or redetermining an individual's financial eligibility for
21a long-term care program, the department shall include a promissory note as a
22countable asset if all of the following apply:
SB21,673,2523 (a) The individual applying for or receiving benefits under the long-term care
24program or his or her spouse provided the goods, money loaned, or services rendered
25for the promissory note.
SB21,674,2
1(b) The promissory note was entered into or purchased on or after the effective
2date of this paragraph .... [LRB inserts date].
SB21,674,43 (c) The promissory note is negotiable, assignable, and enforceable and does not
4contain any terms making it unmarketable.
SB21,674,10 5(3) A promissory note is presumed to be negotiable and its asset value is the
6outstanding principal balance at the time the individual applies for the long-term
7care program or at the time the individual's eligibility for the long-term care
8program is redetermined, unless the individual shows by credible evidence from a
9knowledgeable source that the note is nonnegotiable or has a different current
10market value, which will then be considered the asset value.
SB21,1622 11Section 1622. 46.2897 of the statutes is repealed.
SB21,1623 12Section 1623. 46.2899 (1) of the statutes is repealed.
SB21,1624 13Section 1624. 46.2899 (3) of the statutes is amended to read:
SB21,674,2214 46.2899 (3) Eligibility. The department shall consider as eligible for the
15waiver program described under sub. (2) only individuals who are receiving
16post-secondary education in a setting that is distinguishable from the institution.
17The department shall set the financial eligibility requirements and functional
18eligibility requirements for the waiver program described under sub. (2) the same as
19the financial eligibility requirements and functional eligibility requirements for the
20self-directed services option of the family care program, as defined in s. 46.2805
21(4m),
except for the requirement to be an individual who is developmentally disabled
22and who is receiving post-secondary education on the grounds of a institution.
SB21,1625 23Section 1625. 46.2899 (4) of the statutes is amended to read:
SB21,675,324 46.2899 (4) Services and benefits. The department shall provide the same
25services under the waiver program described in sub. (2) as it provides under the

1self-directed services option of the family care program, as defined in s. 46.2805
2(4m)
. The department shall determine the funding amount for a waiver program
3participant under this section.
SB21,1626 4Section 1626. 46.29 (1) (intro.) of the statutes is amended to read:
SB21,675,85 46.29 (1) (intro.) From the appropriation account under s. 20.435 (7) (4) (a), the
6department shall distribute at least $16,100 in each fiscal year for operation of the
7council on physical disabilities. The council on physical disabilities shall do all of the
8following:
SB21,1627 9Section 1627. 46.29 (3) (d) of the statutes is amended to read:
SB21,675,1110 46.29 (3) (d) The director of the office administrator of the division of state
11employment relations
personnel management in the department of administration.
SB21,1628 12Section 1628. 46.29 (3) (e) of the statutes is amended to read:
SB21,675,1413 46.29 (3) (e) The secretary of safety and professional services financial
14institutions and professional standards
.
SB21,1629 15Section 1629. 46.29 (3) (g) of the statutes is amended to read:
SB21,675,1616 46.29 (3) (g) The president of the University of Wisconsin System Authority.
SB21,1630 17Section 1630. 46.295 (1) of the statutes is amended to read:
SB21,675,2118 46.295 (1) The department may, on the request of any hearing-impaired
19person, city, village, town, or county or private agency, provide funds from the
20appropriation accounts under s. 20.435 (4) (hs) and (7) (d) and (hs) to reimburse
21interpreters for hearing-impaired persons for the provision of interpreter services.
SB21,1631 22Section 1631. 46.40 (1) (a) of the statutes is amended to read:
SB21,676,323 46.40 (1) (a) Within the limits of available federal funds and of the
24appropriations under s. 20.435 (7) (b) and (o), the department shall distribute funds
25for community social, mental health, developmental disabilities, and alcohol and

1other drug abuse services and for services under ss. 46.87 , 46.985, and 51.421 to
2county departments under ss. 46.215, 46.22, 46.23, 51.42, and 51.437 and to county
3aging units, as provided in subs. (2), (2m), (8), and (7) to (9).
SB21,1632 4Section 1632. 46.40 (7) of the statutes is repealed.
SB21,1633 5Section 1633. 46.40 (7m) of the statutes is created to read:
SB21,676,86 46.40 (7m) State community mental health allocation. For community
7mental health services, the department shall distribute not less than $24,348,700 in
8each fiscal year.
SB21,1634 9Section 1634. 46.40 (14m) of the statutes is amended to read:
SB21,676,1510 46.40 (14m) County community aids budgets. Before December 1 of each year,
11each county department under ss. 46.215, 46.22, 46.23, 51.42 and 51.437 and each
12tribal governing body shall submit to the department a proposed budget for the
13expenditure of funds allocated under this section or carried forward under s. 46.45
14(3) (a). The proposed budget shall be submitted on a form developed by the
15department and approved by the department of administration.
SB21,1635 16Section 1635. 46.45 (3) (a) of the statutes is amended to read:
SB21,677,417 46.45 (3) (a) Except as provided in par. (b), at the request of a county, tribal
18governing body, or private nonprofit organization, the department shall carry
19forward up to 3% of the total amount allocated to the county, tribal governing body,
20or nonprofit organization for a calendar year, not including the amount allocated to
21the county under s. 46.40 (7), which amount may be carried forward as provided in
22par. (c)
. All funds carried forward for a tribal governing body or nonprofit
23organization and all funds allocated under s. 46.40 (2m) carried forward for a county
24shall be used for the purpose for which the funds were originally allocated. Other
25funds carried forward under this paragraph may be used for any purpose under s.

120.435 (7) (b), except that a county may not use any funds carried forward under this
2paragraph for administrative or staff costs. An allocation of carried-forward funding
3under this paragraph does not affect a county's base allocations under s. 46.40 (2),
4(2m), (8), and (9).
SB21,1636 5Section 1636. 46.45 (3) (c) of the statutes is repealed.
SB21,1637 6Section 1637. 46.45 (6) (a) of the statutes is renumbered 46.45 (6) and
7amended to read:
SB21,677,128 46.45 (6) The department may carry forward 10% of any funds specified in sub.
9(3) (a) that are not carried forward under sub. (3) (a) for emergencies, for justifiable
10unit services costs above planned levels, and for increased costs due to population
11shifts. An allocation of carried-forward funding under this paragraph does not affect
12a county's base allocations under s. 46.40 (2), (2m), (8), and (9).
SB21,1638 13Section 1638. 46.45 (6) (b) of the statutes is repealed.
SB21,1639 14Section 1639. 46.56 (3) (a) 4. of the statutes is repealed.
SB21,1640 15Section 1640. 46.56 (10) of the statutes is repealed.
SB21,1641 16Section 1641. 46.82 (3) (a) 19. of the statutes is amended to read:
SB21,677,2017 46.82 (3) (a) 19. If an aging unit under sub. (1) (a) 1. or 2. and if authorized
18under s. 46.283 (1) (a) 1., apply to the department to operate a resource center under
19s. 46.283 and, if the department contracts with the county under s. 46.283 (2), operate
20the resource center.
SB21,1642 21Section 1642. 46.82 (3) (a) 20. of the statutes is amended to read:
SB21,678,222 46.82 (3) (a) 20. If an aging unit under sub. (1) (a) 1. or 2. and if authorized
23under s. 46.284 (1) (a) 1., apply to the department to operate a care management
24organization under s. 46.284 and, if the department contracts with the county under

1s. 46.284 (2), operate the care management organization and, if appropriate, place
2funds in a risk reserve.
SB21,1643 3Section 1643. 46.90 (5m) (br) 5. of the statutes is amended to read:
SB21,678,84 46.90 (5m) (br) 5. Refer the case to the department of safety and professional
5services
financial institutions and professional standards if the financial
6exploitation, neglect, self-neglect, or abuse involves an individual who is required
7to be registered under s. 202.13 or 202.14 or to hold a credential, as defined in s.
8440.01 (2) (a), under chs. 440 to 460.
SB21,1644 9Section 1644. 46.90 (5m) (br) 5g. of the statutes is repealed.
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