SB111,1033 10Section 1033. 49.46 (1) (a) 1m. of the statutes is amended to read:
SB111,754,1411 49.46 (1) (a) 1m. Any pregnant woman whose income does not exceed the
12standard of need under s. 49.19 (11) and whose pregnancy is medically verified.
13Eligibility continues to the last day of the month in which the 60th 365th day after
14the last day of the pregnancy falls.
SB111,1034 15Section 1034. 49.46 (1) (j) of the statutes is amended to read:
SB111,754,1916 49.46 (1) (j) An individual determined to be eligible for benefits under par. (a)
179. remains eligible for benefits under par. (a) 9. for the balance of the pregnancy and
18to the last day of the month in which the 60th 365th day after the last day of the
19pregnancy falls without regard to any change in the individual's family income.
SB111,1035 20Section 1035. 49.46 (2) (b) 8m. of the statutes is created to read:
SB111,754,2221 49.46 (2) (b) 8m. Room and board for residential substance use disorder
22treatment.
SB111,1036 23Section 1036. 49.46 (2) (b) 9m. of the statutes is created to read:
SB111,754,2424 49.46 (2) (b) 9m. Community health services, as specified under s. 49.45 (25r).
SB111,1037 25Section 1037 . 49.46 (2) (b) 11m. of the statutes is created to read:
SB111,755,2
149.46 (2) (b) 11m. Subject to par. (bx), acupuncture provided by an
2acupuncturist who holds a certificate under ch. 451.
SB111,1038 3Section 1038. 49.46 (2) (b) 12p. of the statutes is created to read:
SB111,755,54 49.46 (2) (b) 12p. Doula services provided by a certified doula, as specified
5under s. 49.45 (30t).
SB111,1039 6Section 1039. 49.46 (2) (b) 24. of the statutes is created to read:
SB111,755,87 49.46 (2) (b) 24. Subject to par. (bv), nonmedical services that contribute to the
8determinants of health.
SB111,1040 9Section 1040. 49.46 (2) (bv) of the statutes is created to read:
SB111,755,1610 49.46 (2) (bv) The department shall determine those services under par. (b) 24.
11that contribute to the determinants of health. The department shall seek any
12necessary state plan amendment or request any waiver of federal Medicaid law to
13implement this paragraph. The department is not required to provide the services
14under this paragraph as a benefit under the Medical Assistance program if the
15federal department of health and human services does not provide federal financial
16participation for the services under this paragraph.
SB111,1041 17Section 1041 . 49.46 (2) (bx) of the statutes is created to read:
SB111,755,2418 49.46 (2) (bx) The department shall submit to the federal department of health
19and human services any request for a state plan amendment, waiver, or other federal
20approval necessary to provide reimbursement for the benefit under par. (b) 11m. If
21the federal department approves the request or if no federal approval is necessary,
22the department shall provide the benefit and reimbursement under par. (b) 11m. If
23the federal department disapproves the request, the department may not provide the
24benefit or reimbursement for the benefit described under par. (b) 11m.
SB111,1042 25Section 1042. 49.47 (4) (ag) 2. of the statutes is amended to read:
SB111,756,3
149.47 (4) (ag) 2. Pregnant and the woman's pregnancy is medically verified
2Eligibility continues to the last day of the month in which the 60th 365th day after
3the last day of the pregnancy falls.
SB111,1043 4Section 1043 . 49.471 (1) (b) 2. of the statutes is amended to read:
SB111,756,55 49.471 (1) (b) 2. A stepfather, stepmother stepparent, stepbrother, or stepsister.
SB111,1044 6Section 1044 . 49.471 (1) (cr) of the statutes is created to read:
SB111,756,87 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a
8federal medical assistance percentage described under 42 USC 1396d (y) or (z).
SB111,1045 9Section 1045 . 49.471 (4) (a) 4. b. of the statutes is amended to read:
SB111,756,1210 49.471 (4) (a) 4. b. The individual's family income does not exceed 100 133
11percent of the poverty line before application of the 5 percent income disregard under
1242 CFR 435.603 (d)
.
SB111,1046 13Section 1046 . 49.471 (4) (a) 8. of the statutes is created to read:
SB111,756,1414 49.471 (4) (a) 8. An individual who meets all of the following criteria:
SB111,756,1515 a. The individual is an adult under the age of 65.
SB111,756,1716 b. The adult has a family income that does not exceed 133 percent of the poverty
17line, except as provided in sub. (4g).
SB111,756,1918 c. The adult is not otherwise eligible for the Medical Assistance program under
19this subchapter or the Medicare program under 42 USC 1395 et seq.
SB111,1047 20Section 1047 . 49.471 (4g) of the statutes is created to read:
SB111,757,321 49.471 (4g) Medicaid expansion; federal medical assistance percentage. For
22services provided to individuals described under sub. (4) (a) 8., the department shall
23comply with all federal requirements to qualify for the highest available enhanced
24federal medical assistance percentage. The department shall submit any
25amendment to the state medical assistance plan, request for a waiver of federal

1Medicaid law, or other approval request required by the federal government to
2provide services to the individuals described under sub. (4) (a) 8. and qualify for the
3highest available enhanced federal medical assistance percentage.
SB111,1048 4Section 1048. 49.471 (6) (b) of the statutes is amended to read:
SB111,757,95 49.471 (6) (b) A pregnant woman who is determined to be eligible for benefits
6under sub. (4) remains eligible for benefits under sub. (4) for the balance of the
7pregnancy and to the last day of the month in which the 60th 365th day after the last
8day of the pregnancy falls without regard to any change in the woman's family
9income.
SB111,1049 10Section 1049. 49.471 (6) (L) of the statutes is created to read:
SB111,757,2111 49.471 (6) (L) The department shall request from the federal department of
12health and human services approval of a state plan amendment, a waiver of federal
13Medicaid law, or approval of a demonstration project to maintain eligibility for
14postpartum women to the last day of the month in which the 365th day after the last
15day of the pregnancy falls under ss. 49.46 (1) (a) 1m. and 9. and (j), 49.47 (4) (ag) 2.,
16and 49.471 (4) (a) 1g. and 1m., (6) (b), and (7) (b) 1. The department shall cover and
17provide reimbursement for services under ss. 49.46 (1) (a) 1m. and 9. and (j), 49.47
18(4) (ag) 2., and 49.471 (4) (a) 1g. and 1m., (6) (b), and (7) (b) 1. regardless of whether
19a state plan amendment, waiver of federal Medicaid law, or approval of a
20demonstration project related to coverage or reimbursement of these services is
21granted by the federal department of human services.
SB111,1050 22Section 1050. 49.471 (7) (b) 1. of the statutes is amended to read:
SB111,758,823 49.471 (7) (b) 1. A pregnant woman whose family income exceeds 300 percent
24of the poverty line may become eligible for coverage under this section if the
25difference between the pregnant woman's family income and the applicable income

1limit under sub. (4) (a) is obligated or expended for any member of the pregnant
2woman's family for medical care or any other type of remedial care recognized under
3state law or for personal health insurance premiums or for both. Eligibility obtained
4under this subdivision continues without regard to any change in family income for
5the balance of the pregnancy and to the last day of the month in which the 60th 365th
6day after the last day of the woman's pregnancy falls. Eligibility obtained by a
7pregnant woman under this subdivision extends to all pregnant women in the
8pregnant woman's family.
SB111,1051 9Section 1051 . 49.485 of the statutes is renumbered 20.9315 (19) and amended
10to read:
SB111,758,1611 20.9315 (19) Whoever knowingly presents or causes to be presented to any
12officer, employee, or agent of this state a false claim for medical assistance shall
13forfeit not less than $5,000 nor more than $10,000, plus 3 times the amount of the
14damages that were sustained by the state or would have been sustained by the state,
15whichever is greater, as a result of the false claim.
The attorney general may bring
16an action on behalf of the state to recover any forfeiture incurred under this section.
SB111,1052 17Section 1052 . 49.686 (3) (d) of the statutes is amended to read:
SB111,758,2318 49.686 (3) (d) Has applied for coverage under and has been denied eligibility
19for medical assistance within 12 months prior to application for reimbursement
20under sub. (2). This paragraph does not apply to an individual who is eligible for
21benefits under the demonstration project for childless adults under s. 49.45 (23) or
22to an individual
who is eligible for benefits under BadgerCare Plus under s. 49.471
23(4) (a) 8. or (11).
SB111,1053 24Section 1053 . 49.79 (1) (b) of the statutes is amended to read:
SB111,759,4
149.79 (1) (b) “Controlled substance" has the meaning given in 21 USC 802 (6),
2except “controlled substance” does not include tetrahydrocannabinols in any form,
3including tetrahydrocannabinols contained in marijuana, obtained from marijuana,
4or chemically synthesized
.
SB111,1054 5Section 1054. 49.79 (7r) (d) of the statutes is created to read:
SB111,759,86 49.79 (7r) (d) The department may expend from the appropriation under s.
720.435 (4) (bt) no more than $425,000 per fiscal year for the pilot program under this
8subsection.
SB111,1055 9Section 1055. 49.79 (9) (a) 1g. of the statutes is amended to read:
SB111,759,1810 49.79 (9) (a) 1g. Except as provided in subds. 2. and 3., beginning October 1,
112019,
the department shall require, to the extent allowed by the federal government,
12all
able-bodied adults without dependents in this state to participate in the
13employment and training program under this subsection, except for able-bodied
14adults without dependents who are employed, as determined by the department.
15The department may require other able individuals who are 18 to 60 years of age, or
16a subset of those individuals to the extent allowed by the federal government, who
17are not participants in a Wisconsin Works employment position to participate in the
18employment and training program under this subsection.
SB111,1056 19Section 1056. 49.79 (9) (d) of the statutes is repealed.
SB111,1057 20Section 1057. 49.79 (9) (f) of the statutes is repealed.
SB111,1058 21Section 1058. 49.791 of the statutes is repealed.
SB111,1059 22Section 1059 . 49.90 (4) of the statutes is amended to read:
SB111,760,2423 49.90 (4) The circuit court shall in a summary way hear the allegations and
24proofs of the parties and by order require maintenance from these relatives, if they
25have sufficient ability, considering their own future maintenance and making

1reasonable allowance for the protection of the property and investments from which
2they derive their living and their care and protection in old age, in the following
3order: First the husband or wife spouse; then the father and the mother parents; and
4then the grandparents in the instances in which sub. (1) (a) 2. applies. The order
5shall specify a sum which that will be sufficient for the support of the dependent
6person under sub. (1) (a) 1. or the maintenance of a child of a dependent person under
7sub. (1) (a) 2., to be paid weekly or monthly, during a period fixed by the order or until
8the further order of the court. If the court is satisfied that any such relative is unable
9wholly to maintain the dependent person or the child, but is able to contribute to the
10person's support or the child's maintenance, the court may direct 2 or more of the
11relatives to maintain the person or the child and prescribe the proportion each shall
12contribute. If the court is satisfied that these relatives are unable together wholly
13to maintain the dependent person or the child, but are able to contribute to the
14person's support or the child's maintenance, the court shall direct a sum to be paid
15weekly or monthly by each relative in proportion to ability. Contributions directed
16by court order, if for less than full support, shall be paid to the department of health
17services or the department of children and families, whichever is appropriate, and
18distributed as required by state and federal law. An order under this subsection that
19relates to maintenance required under sub. (1) (a) 2. shall specifically assign
20responsibility for and direct the manner of payment of the child's health care
21expenses, subject to the limitations under subs. (1) (a) 2. and (11). Upon application
22of any party affected by the order and upon like notice and procedure, the court may
23modify such an order. Obedience to such an order may be enforced by proceedings
24for contempt.
SB111,1060 25Section 1060. 50.379 of the statutes is created to read:
SB111,761,1
150.379 Designated caregivers. (1) Definitions. In this section:
SB111,761,72 (a) “Aftercare assistance” means any assistance provided by a caregiver to a
3patient under this section after the patient's discharge and related to the patient's
4condition at the time of discharge, including assisting with basic activities of daily
5living or instrumental activities of daily living, or carrying out medical or nursing
6tasks, such as managing wound care, assisting in administering medications, or
7operating medical equipment.
SB111,761,118 (b) “Caregiver” means any individual, including a relative, partner, friend,
9neighbor, or other person who has a significant relationship with a patient, who is
10designated as a caregiver under this section to provide aftercare assistance to that
11patient.
SB111,761,1312 (c) “Discharge” means a patient's exit or release from a hospital to the patient's
13residence following an inpatient admission.
SB111,761,1414 (d) “Hospital” has the meaning given in s. 50.33 (2).
SB111,761,1515 (e) “Incapacitated” has the meaning given in s. 50.94 (1) (b).
SB111,761,1816 (f) “Residence” means a dwelling that the patient considers to be his or her
17home. “Residence” does not include any rehabilitation facility, hospital, nursing
18home, assisted living facility, or group home licensed by the department.
SB111,761,23 19(2) Caregiver designation. (a) A hospital shall provide a patient or, if
20applicable, a patient's legal guardian at least one opportunity to designate at least
21one caregiver no later than 24 hours following the patient's admission to a hospital
22and before the patient's discharge or transfer to another hospital or facility licensed
23by the department.
SB111,762,224 (b) If a patient is unconscious or otherwise incapacitated upon admission to the
25hospital, the hospital shall provide the patient or, if applicable, the patient's legal

1guardian with an opportunity to designate a caregiver within 24 hours following the
2patient's recovery of his or her consciousness or capacity.
SB111,762,53 (c) If a patient or a patient's legal guardian declines to designate a caregiver
4under this section, the hospital shall promptly document that information in the
5patient's medical record.
SB111,762,96 (d) If a patient or the patient's legal guardian designates a caregiver under this
7section, the hospital shall promptly record the designation of the caregiver, the
8relationship of the caregiver to the patient, and the name, telephone number, and
9address of the caregiver in the patient's medical record.
SB111,762,1110 (e) Nothing in this section requires a patient or a patient's legal guardian to
11designate a caregiver.
SB111,762,1412 (f) A patient may elect to change a designated caregiver at any time. The
13hospital shall, within 24 hours, record in the patient's medical record any
14designation change and any new information required under par. (d).
SB111,762,1615 (g) Designation of a caregiver under the provisions of this section does not
16obligate any individual to perform aftercare assistance for the patient.
SB111,762,22 17(3) Release of medical information. (a) If a patient or a patient's legal
18guardian designates an individual as a caregiver under this section, the hospital
19shall promptly request the written consent of the patient or the patient's legal
20guardian to release medical information to the patient's designated caregiver
21following the hospital's established procedures for releasing personal health
22information and in accordance with applicable federal and state law.
SB111,763,223 (b) If a patient or the patient's legal guardian declines to consent to the release
24of medical information to the patient's designated caregiver, the hospital is not

1required to provide notice to the caregiver or provide information contained in the
2patient's discharge plan as required under subs. (4) and (5).
SB111,763,5 3(4) Notification and instruction to designated caregiver. Subject to sub. (3),
4if a patient or a patient's legal guardian designates a caregiver under this section,
5a hospital shall do all of the following:
SB111,763,106 (a) Notify the patient's designated caregiver of the patient's discharge or
7transfer to another hospital or facility licensed by the department as soon as possible,
8which may be after the patient's physician issues a discharge order, but not less than
94 hours before the patient's actual discharge or transfer to the other hospital or
10facility.
SB111,763,1411 (b) No less than 24 hours before a patient's discharge from a hospital, consult
12with the designated caregiver along with the patient regarding the caregiver's
13capabilities and limitations and issue a written discharge plan that describes a
14patient's aftercare assistance needs at the patient's residence.
SB111,763,16 15(5) Discharge plan. (a) For purposes of this section, a hospital shall include
16in a discharge plan at least all of the following:
SB111,763,1817 1. The name and contact information of the caregiver designated under this
18section.
SB111,763,2119 2. A description of all aftercare assistance tasks necessary to maintain the
20patient's ability to reside at home, taking into account the capabilities of the
21caregiver.
SB111,763,2422 3. Contact information for any health care, community resources, and
23long-term services and supports necessary to successfully carry out the patient's
24discharge plan.
SB111,764,3
1(b) A hospital issuing a discharge plan under this section shall provide
2caregivers with instruction in all aftercare assistance tasks described in the
3discharge plan, and must include at least all of the following:
SB111,764,84 1. A live demonstration of the tasks performed by a hospital employee or
5individual with whom the hospital has a contractual relationship authorized to
6perform the aftercare assistance task, provided in a culturally competent manner
7and in accordance with the hospital's requirements to provide language access
8services under state and federal law.
SB111,764,109 2. An opportunity for the caregiver and patient to ask questions about the
10aftercare assistance tasks.
SB111,764,1311 3. Answers to the caregiver's and patient's questions provided in a culturally
12competent manner and in accordance with the hospital's requirements to provide
13language access services under state and federal law.
SB111,764,16 14(6) No interference with authorized decision making. Nothing in this section
15shall be construed to interfere with the rights of a person authorized by law to make
16health care decisions on behalf of a patient.
SB111,764,19 17(7) No right of action. Nothing in this section shall be construed to create a
18private right of action against a hospital, a hospital employee, or any authorized
19agent of the hospital, or to otherwise supercede or replace existing rights or remedies.
SB111,1061 20Section 1061. 51.035 of the statutes is created to read:
SB111,764,25 2151.035 Crisis response system; grants. (1) From the appropriation under
22s. 20.435 (5) (ch), the department shall award grants under this section to entities
23to provide a continuum of crisis response services, including mental health crisis
24urgent care and observation centers, crisis stabilization and inpatient psychiatric
25beds, and crisis stabilization facilities.
SB111,765,3
1(2) From the appropriation under s. 20.435 (5) (ch), the department shall award
2no more than 5 grants to fund services at facilities providing crisis stabilization
3services, based on criteria established by the department.
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