AB43,1753,2320 (4) 2025-27 biennial budget request. In submitting information under s. 16.42
21for purposes of the 2025-27 biennial budget bill, the department of employee trust
22funds shall include a request for funding for the modernization of the department's
23pension administration system.
AB43,1754,524 (5) Election to continue annuity suspension. No later than 60 days after the
25effective date of this subsection, if an individual who is employed by a covered

1employer under the Wisconsin Retirement System has his or her annuity suspended
2under s. 40.26 (1m), 2021 stats., on the effective date of this subsection and wants
3to continue the suspension, the individual shall notify the department of employee
4trust funds on a form provided by the department. An election to continue the
5suspension is irrevocable.
AB43,9114 6Section 9114. Nonstatutory provisions; Employment Relations
7Commission.
AB43,9115 8Section 9115. Nonstatutory provisions; Ethics Commission.
AB43,9116 9Section 9116. Nonstatutory provisions; Financial Institutions.
AB43,1754,1310 (1) Small business retirement savings board; staggered terms.
11Notwithstanding the length of terms specified for the members of the small business
12retirement savings board under s. 15.185 (6) (b), the members appointed under s.
1315.185 (6) (a) 2., 4., and 6. shall be appointed for initial terms expiring on May 1, 2025.
AB43,9117 14Section 9117. Nonstatutory provisions; Governor.
AB43,9118 15Section 9118. Nonstatutory provisions; Health and Educational
16Facilities Authority.
AB43,9119 17Section 9119. Nonstatutory provisions; Health Services.
AB43,1755,218 (1) Childless adults demonstration project. The department of health
19services shall submit any necessary request to the federal department of health and
20human services for a state plan amendment or waiver of federal Medicaid law or to
21modify or withdraw from any waiver of federal Medicaid law relating to the childless
22adults demonstration project under s. 49.45 (23), 2021 stats., to reflect the
23incorporation of recipients of Medical Assistance under the demonstration project
24into the BadgerCare Plus program under s. 49.471 and the termination of the
25demonstration project. The department of health services may submit a request to

1the federal department of health and human services to modify or withdraw from the
2waiver granted under s. 49.45 (23) (g), 2021 stats.
AB43,1755,93 (2) Community-based psychosocial services. The department of health
4services may promulgate rules, including amending rules promulgated under s.
549.45 (30e) (b), update Medical Assistance program policies, and request any state
6plan amendment or waiver of federal Medicaid law from the federal government
7necessary to provide reimbursement to providers who are not county-based
8providers for psychosocial services provided to Medical Assistance recipients under
9s. 49.45 (30e).
AB43,1755,1310 (3) Childless adults demonstration project reform waiver. The department
11of health services may submit a request to the federal department of health and
12human services to modify or withdraw the waiver granted under s. 49.45 (23) (g),
132021 stats.
AB43,1755,2314 (4) Rules regarding training of certified peer specialists. The department
15of health services may promulgate the rules required under s. 49.45 (30j) (bm) 4. as
16emergency rules under s. 227.24. Notwithstanding s. 227.24 (1) (a) and (3), the
17department of health services is not required to provide evidence that promulgating
18a rule under this subsection as an emergency rule is necessary for the preservation
19of the public peace, health, safety, or welfare and is not required to provide a finding
20of emergency for a rule promulgated under this subsection. Notwithstanding s.
21227.24 (1) (c) and (2), emergency rules promulgated under this subsection remain in
22effect until January 1, 2025, or the date the permanent rules take effect, whichever
23is sooner.
AB43,1756,3
1(5) Early intervention services. The department of health services may
2develop a methodology to allocate moneys under s. 20.435 (7) (bt) across county
3programs.
AB43,1756,164 (6) Emergency rules on psychiatric residential treatment facilities. The
5department of health services may promulgate emergency rules under s. 227.24
6implementing certification of psychiatric residential treatment facilities under s.
751.044, including development of a new provider type and a reimbursement model
8for psychiatric residential treatment facilities under the Medical Assistance
9program under subch. IV of ch. 49. Notwithstanding s. 227.24 (1) (a) and (3), the
10department of health services is not required to provide evidence that promulgating
11a rule under this subsection as an emergency rule is necessary for the preservation
12of the public peace, health, safety, or welfare and is not required to provide a finding
13of emergency for a rule promulgated under this subsection. Notwithstanding s.
14227.24 (1) (c) and (2), emergency rules promulgated under this subsection remain in
15effect until July 1, 2025, or the date on which permanent rules take effect, whichever
16is sooner.
AB43,1757,517 (7) Low-value care analysis grant. From the appropriation under s. 20.435 (1)
18(b), in the 2023-24 and 2024-25 fiscal years, the department of health services shall
19award a grant in an amount not to exceed $900,000 in each fiscal year to an
20organization for the purpose of conducting a data analysis of claims under the
21medical assistance program administered by the department of health services and
22claims under health care coverage plans offered by the state under s. 40.51 (6) to
23identify low-value care. The recipient of the grant under this subsection shall report
24the organization's findings, including any recommendations for providing effective
25and efficient care, to the department of health services and the department of

1employee trust funds. The department of health services and the department of
2employee trust funds shall distribute the findings reported under this subsection to
3health care providers that provide services covered by the medical assistance
4program or a health care coverage plan and to health maintenance organizations and
5insurance companies that provide health insurance to state employees.
AB43,1757,156 (8) Medical Assistance hospital reimbursement. The department of health
7services shall increase the Medical Assistance rates paid to hospitals by a budgeted
8sum of $7,605,400 as the state share of payments, and provide the matching share
9of payments, in fiscal year 2023-24, and by a budgeted sum of $15,506,100 as the
10state share of payments, and provide the matching share of payments, in fiscal year
112024-25. The increases under this subsection may apply only if the department has
12expanded eligibility under section 2001 (a) (1) (C) of the Patient Protection and
13Affordable Care Act, P.L. 111-148, for the Medical Assistance program under subch.
14IV of ch. 49. The department shall limit payments to hospitals under this subsection
15at the upper payment limit as required under 42 CFR 447.272.
AB43,1757,2416 (9) Primary care reimbursement under Medical Assistance. The department
17of health services shall increase the Medical Assistance rates paid for primary care
18services by a budgeted sum of $21,110,400 as the state share of payments, and
19provide the matching federal share of payments, in fiscal year 2023-24, and by a
20budgeted sum of $43,040,400 as the state share of payments, and provide the
21matching federal share of payments, in fiscal year 2024-25. The increases under this
22subsection may apply only if the department of health services has expanded
23eligibility under section 2001 (a) (1) (C) of the Patient Protection and Affordable Care
24Act, P.L. 111-148, for the Medical Assistance program under subch. IV of ch. 49.
AB43,1758,3
1(10) Spinal cord injury council; initial appointments. Notwithstanding the
2length of terms specified for the members of the spinal cord injury council under s.
315.197 (20) (a) (intro.), initial appointments to the council shall be made as follows:
AB43,1758,64 (a) The members appointed under s. 15.197 (20) (a) 1., 3., 5., and 7., or in lieu
5of those members under s. 15.197 (20) (b), shall be appointed for terms expiring on
6July 1, 2025.
AB43,1758,97 (b) The members appointed under s. 15.197 (20) (a) 2., 4., 6., and 8., or in lieu
8of those members under s. 15.197 (20) (b), shall be appointed for terms expiring on
9July 1, 2026.
AB43,1758,1710 (11) Electrocardiogram screening pilot program. The department of health
11services shall develop a pilot program to provide electrocardiogram screenings for
12participants in middle school and high school athletics programs in Milwaukee and
13Waukesha Counties. From the appropriation under s. 20.435 (1) (b), in fiscal year
142024-25, the department shall award $4,172,000 in grants to local health
15departments, as defined under s. 250.01 (4), to implement the pilot program under
16this subsection. Participation in the pilot program by participants in middle school
17and high school athletics programs shall be optional.
AB43,1758,2118 (12) Health care workforce pilot project. The department of health services
19shall distribute $621,000 in fiscal year 2024-25 to support a pilot project in Dane
20County relating to the impact of the COVID-19 pandemic on the health care
21workforce.
AB43,1758,2222 (13) Complex patient pilot program.
AB43,1758,2323 (a) In this subsection, “department” means the department of health services.
AB43,1759,324 (b) The department shall form an advisory group to assist with development
25and implementation of a complex patient pilot program. The secretary of health

1services, or his or her designee, shall be the chair of the advisory group. Members
2of the advisory group under this paragraph shall have clinical, financial, or
3administrative expertise in government programs, acute care, or post-acute care.
AB43,1759,64 (c) The department shall use its request-for-proposal procedure to select
5partnership groups to be designated as participating sites for the complex patient
6pilot program under this subsection.
AB43,1759,127 (d) The advisory group formed under this subsection shall develop a request
8for proposal for the complex patient pilot program that includes eligibility
9requirements. For purposes of the pilot program under this subsection, only
10partnerships of hospitals and post-acute facilities are eligible to submit proposals.
11An eligible partnership shall include at least one hospital and at least one post-acute
12facility, but may include more than one hospital or post-acute facility.
AB43,1759,1513 (e) Each partnership group that applies to the department to be designated as
14a site for the complex patient pilot program shall specifically address all of the
15following issues:
AB43,1759,1616 1. The number of beds that would be set aside in the post-acute facility.
AB43,1759,1817 2. The goals of the partnership during the pilot program and after the pilot
18program.
AB43,1759,1919 3. The types of complex patients for whom care would be provided.
AB43,1759,2120 4. Expertise to successfully implement the proposal, including a discussion of
21at least all of the following issues:
AB43,1759,2222 a. Experience of the partners working together.
AB43,1759,2323 b. Plan for staffing the unit.
AB43,1759,2424 c. Ability to electronically exchange health information.
AB43,1759,2525 d. Clinical expertise.
AB43,1760,1
1e. Hospital and post-acute facility survey history over the past 3 years.
AB43,1760,22 f. Acute care partner readmissions history over the past 3 years.
AB43,1760,33 g. Discharge planning and patient intake resources.
AB43,1760,84 h. Stability of finances to support the proposal, including matching funds that
5could be dedicated to the pilot program under this subsection. No applicant is
6required to provide matching funds or a contribution, but the advisory group and the
7department of health services may take into consideration the availability of
8matching funds or a contribution in evaluating an application.
AB43,1760,109 5. The per diem rate requested to adequately compensate the hospital or
10hospitals and the post-acute facility or facilities.
AB43,1760,1111 6. A post-acute bed reserve rate.
AB43,1760,1312 7. Anticipated impediments to successful implementation and how the
13applicant partnership group intends to overcome the anticipated impediments.
AB43,1760,1414 (f) The advisory group formed under this subsection shall do all of the following:
AB43,1760,1815 1. Determine and recommend to the department an amount of the funding
16budgeted for the complex patient pilot program under s. 20.435 (7) (d) to be reserved
17for reconciliation to ensure that participants in the pilot program are held harmless
18from unanticipated financial loss.
AB43,1760,2519 2. Develop a methodology to evaluate the complex patient pilot program,
20including a recommendation on whether the department should contract with an
21independent organization to evaluate the complex patient pilot program. The
22department may contract with an independent organization to complete the
23evaluation described under this subdivision and, if the department does so, the
24department may pay the fee of the organization selected from the appropriation
25under s. 20.435 (7) (d).
AB43,1761,3
13. Make recommendations to the secretary of health services regarding which
2partnership groups should receive designation as a participating site for the complex
3patient pilot program.
AB43,1761,74 (g) 1. No later than 90 days after the effective date of this subdivision, the
5advisory group shall complete development of the request for proposal for
6partnership groups to be designated as participating sites in the complex patient
7pilot program and provide its recommendations to the secretary of health services.
AB43,1761,128 2. No later than 150 days after the effective date of this subdivision, the
9advisory group shall review all applications submitted in response to the request for
10proposal and select up to 4 partnership groups to recommend to the secretary of
11health services for designation as participating sites for the complex patient pilot
12program under this subsection.
AB43,1761,2113 3. Between 6 months and 18 months after the effective date of this subdivision,
14the partnership groups designated by the department as participating sites in the
15complex patient pilot program shall implement the pilot program and meet quarterly
16with both the department and the advisory group or any independent organization
17hired by the department for the purpose of evaluating the pilot program to discuss
18experiences relating to the pilot program. From the appropriation under s. 20.435
19(7) (d), the department shall provide payments to partnership groups designated as
20participating sites for care provided during the course of the pilot program under this
21subsection.
AB43,1762,222 4. No later than June 30, 2025, the advisory group or any independent
23organization hired by the department for the purpose of evaluating the complex
24patient pilot program shall complete and submit to the secretary of health services

1an evaluation of the complex patient pilot program under this subsection, including
2a written report and recommendations.
AB43,9120 3Section 9120. Nonstatutory provisions; Higher Educational Aids
4Board.
AB43,9121 5Section 9121. Nonstatutory provisions; Historical Society.
AB43,9122 6Section 9122. Nonstatutory provisions; Housing and Economic
7Development Authority.
AB43,9123 8Section 9123. Nonstatutory provisions; Insurance.
AB43,1762,149 (1) Staggered terms for board. Notwithstanding the length of terms specified
10for the members of the board under s. 15.735 (1) (b) to (e), 2 of the initial members
11shall be appointed for terms expiring on May 1, 2025; 2 of the initial members shall
12be appointed for terms expiring on May 1, 2026; 2 of the initial members shall be
13appointed for terms expiring on May 1, 2027; and 2 of the initial members shall be
14appointed for terms expiring on May 1, 2028.
AB43,1762,2115 (2) Prescription drug importation program. The commissioner of insurance
16shall submit the first report required under s. 601.575 (5) by the next January 1 or
17July 1, whichever is earliest, that is at least 180 days after the date the prescription
18drug importation program is fully operational under s. 601.575 (4). The
19commissioner of insurance shall include in the first 3 reports submitted under s.
20601.575 (5) information on the implementation of the audit functions under s.
21601.575 (1) (n).
AB43,1762,2522 (3) Public option health insurance plan. The office of the commissioner of
23insurance may expend from the appropriation under s. 20.145 (1) (a) in fiscal year
242023-24 not more than $1,000,000 for the development of a public option health
25insurance plan.
AB43,1763,3
1(4) Prescription drug purchasing entity. During the 2023-25 fiscal biennium,
2the office of the commissioner of insurance shall conduct a study on the viability of
3creating or implementing a state prescription drug purchasing entity.
AB43,9124 4Section 9124. Nonstatutory provisions; Investment Board.
AB43,9125 5Section 9125. Nonstatutory provisions; Joint Committee on Finance.
AB43,9126 6Section 9126. Nonstatutory provisions; Judicial Commission.
AB43,9127 7Section 9127. Nonstatutory provisions; Justice.
AB43,9128 8Section 9128. Nonstatutory provisions; Legislature.
AB43,1763,149 (1) Joint legislative council study. The joint legislative council shall study
10the implementation of the marijuana tax and regulation provided under subch. IV
11of ch. 139 and identify uses for the revenues generated by the tax. The joint
12legislative council shall report its findings, conclusions, and recommendations to the
13joint committee on finance no later than 2 years after the effective date of this
14subsection.
AB43,9129 15Section 9129. Nonstatutory provisions; Lieutenant Governor.
AB43,9130 16Section 9130. Nonstatutory provisions; Local Government.
AB43,1763,2217 (1) Levy limit exception for regional planning commission charges. For the
18purposes of a levy imposed by a city, village, town, or county in December 2023, the
19base amount to which s. 66.0602 (2) applies does not include any amount that the city,
20village, town, or county levied in the immediately preceding year to pay for the city's,
21village's, town's, or county's share of a regional planning commission's budget as
22charged by the commission under s. 66.0309 (14) (a) to (c).
AB43,9131 23Section 9131. Nonstatutory provisions; Military Affairs.
AB43,1764,324 (1) Payment to town of Silver Cliff to rebuild public safety building
25destroyed by a tornado.
Notwithstanding the requirements under s. 323.31, from

1the appropriation under s. 20.465 (3) (b), in the 2023-24 fiscal year, the department
2of military affairs shall provide a payment of $1,000,000 to the town of Silver Cliff
3for the town to rebuild its public safety building that was destroyed by a tornado.
AB43,9132 4Section 9132. Nonstatutory provisions; Natural Resources.
AB43,1764,175 (1) Emergency rule-making authority; Great Lakes erosion control
6revolving loan program.
The department of natural resources may use the
7procedure under s. 227.24 to promulgate emergency rules under s. 23.1991 for the
8period before the date on which permanent rules under s. 23.1991 take effect.
9Notwithstanding s. 227.24 (1) (c) and (2), emergency rules promulgated under this
10subsection remain in effect until the first day of the 25th month beginning after the
11effective date of the emergency rules, the date on which the permanent rules take
12effect, or the effective date of the repeal of the emergency rules, whichever is earliest.
13Notwithstanding s. 227.24 (1) (a) and (3), the department of natural resources is not
14required to provide evidence that promulgating a rule under this subsection as
15emergency rules is necessary for the preservation of public peace, health, safety, or
16welfare and is not required to provide a finding of emergency for a rule promulgated
17under this subsection.
AB43,1765,518 (2) Emergency rule-making authority; Mississippi River erosion control
19revolving loan program.
The department of natural resources may use the
20procedure under s. 227.24 to promulgate emergency rules under s. 23.1993 for the
21period before the date on which permanent rules under s. 23.1993 take effect.
22Notwithstanding s. 227.24 (1) (c) and (2), emergency rules promulgated under this
23subsection remain in effect until the first day of the 25th month beginning after the
24effective date of the emergency rules, the date on which the permanent rules take
25effect, or the effective date of the repeal of the emergency rules, whichever is earliest.

1Notwithstanding s. 227.24 (1) (a) and (3), the department of natural resources is not
2required to provide evidence that promulgating a rule under this subsection as
3emergency rules is necessary for the preservation of public peace, health, safety, or
4welfare and is not required to provide a finding of emergency for a rule promulgated
5under this subsection.
AB43,1765,76 (3) Emergency rules for PFAS in drinking water, groundwater, surface
7water, solid waste, beds of navigable waters, and contaminated soil and sediment.
AB43,1765,138 (a) The department of natural resources shall promulgate emergency rules
9under s. 227.24 establishing acceptable levels and standards, performance
10standards, monitoring requirements, and required response actions for any
11perfluoroalkyl or polyfluoroalkyl substance or group or class of such substances that
12the department determines may be harmful to human health or the environment in
13the following:
AB43,1765,14 141. Drinking water under s. 281.17 (8).
AB43,1765,15 152. Groundwater under ss. 160.07 (5) and 160.15.
AB43,1765,17 163. Surface water from point sources under ss. 283.11 (4) and 283.21 and from
17nonpoint sources under s. 281.16.
AB43,1765,19 184. Air under s. 285.27 (2) (bm), if the standards are needed to provide adequate
19protection for public health or welfare.
AB43,1765,20 205. Solid waste and solid waste facilities under chs. 289 and 291.
AB43,1765,21 216. Beds of navigable waters under s. 30.20.
AB43,1765,22 227. Soil and sediment under chs. 289 and 292.
AB43,1765,2423 (b) The department of natural resources shall promulgate emergency rules
24under s. 227.24 to do all of the following:
AB43,1766,4
11. Add any perfluoroalkyl or polyfluoroalkyl substance or group or class of such
2substances that the department determines may be harmful to human health or the
3environment to the list of toxic pollutants under s. 283.21 (1) (a) for purposes of
4setting toxic effluent standards or prohibitions under s. 283.11 (4).
AB43,1766,8 52. Add to the list of hazardous constituents under s. 291.05 (4) any
6perfluoroalkyl or polyfluoroalkyl substance or group or class of such substances for
7which the department determines that the listing is necessary to protect public
8health, safety, or welfare.
AB43,1766,10 93. Administer and enforce ch. 292 in relation to remedial actions involving
10perfluoroalkyl or polyfluoroalkyl substances or a group or class of such substances.
AB43,1766,1611 (c) Notwithstanding any finding required under par. (a) or (b), emergency rules
12promulgated under pars. (a) and (b) shall include, at a minimum, perfluorooctane
13sulfonic acid, perfluorooctanoic acid, perfluorohexane sulfonic acid,
14perfluorononanoic acid, and perfluorobutane sulfonic acid and shall include
15provisions for enforcing these standards, including requiring sampling, monitoring,
16testing, and response actions.
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