SB55-SSA1,645,823 49.665 (4) (at) 1. c. Notwithstanding s. 20.001 (3) (b), if, after reviewing the plan
24submitted under subd. 1. b., the joint committee on finance determines that the
25amounts appropriated under s. 20.435 (4) (bc), (jz), (p), and (x) are insufficient to

1accommodate the projected enrollment levels, the committee may transfer
2appropriated moneys from the general purpose revenue appropriation account of any
3state agency, as defined in s. 20.001 (1), other than a sum sufficient appropriation
4account, to the appropriation account under s. 20.435 (4) (bc) to supplement the
5health care program under this section if the committee finds that the transfer will
6eliminate unnecessary duplication of functions, result in more efficient and effective
7methods for performing programs or more effectively carry out legislative intent, and
8that legislative intent will not be changed by the transfer.

SB55-SSA1,645,1410 49.665 (4) (at) 2. If, after the department has established a lower maximum
11income level under subd. 1., projections indicate that funding under s. 20.435 (4) (bc),
12(jz) and, (p), and (x) is sufficient to raise the level, the department shall, by state plan
13amendment, raise the maximum income level for initial eligibility, but not to exceed
14185% of the poverty line.

SB55-SSA1,646,616 49.68 (3) (b) The From the appropriation accounts under ss. 20.435 (4) (e) and
17(je), the state shall pay the cost of medical treatment required as a direct result of
18chronic renal disease of certified patients from the date of certification, including the
19cost of administering recombinant human erythropoietin to appropriate patients,
20whether the treatment is rendered in an approved facility in the state or in a dialysis
21or transplantation center which is approved as such by a contiguous state, subject
22to the conditions specified under par. (d). Approved facilities may include a hospital
23in-center dialysis unit or a nonhospital dialysis center which is closely affiliated with
24a home dialysis program supervised by an approved facility. Aid shall also be
25provided for all reasonable expenses incurred by a potential living-related donor,

1including evaluation, hospitalization, surgical costs and postoperative follow-up to
2the extent that these costs are not reimbursable under the federal medicare program
3or other insurance. In addition, all expenses incurred in the procurement,
4transportation and preservation of cadaveric donor kidneys shall be covered to the
5extent that these costs are not otherwise reimbursable. All donor-related costs are
6chargeable to the recipient and reimbursable under this subsection.

SB55-SSA1,646,98 49.683 (2) Approved costs for medical care under sub. (1) shall be paid from the
9appropriation accounts under s. 20.435 (4) (e) and (je).

SB55-SSA1,646,1611 49.685 (2) Assistance program. The From the appropriation accounts under
12s. 20.435 (4) (e) and (je), the department shall establish a program of financial
13assistance to persons suffering from hemophilia and other related congenital
14bleeding disorders. The program shall assist such persons to purchase the blood
15derivatives and supplies necessary for home care. The program shall be
16administered through the comprehensive hemophilia treatment centers.

SB55-SSA1,646,19 1849.687 (title) Disease aids; patient financial and liability requirements;
19rebate agreements.

SB55-SSA1,647,321 49.687 (2) The department shall develop and implement a sliding scale of
22patient liability for kidney disease aid under s. 49.68, cystic fibrosis aid under s.
2349.683 and hemophilia treatment under s. 49.685, based on the patient's ability to
24pay for treatment. To ensure that the needs for treatment of patients with lower
25incomes receive priority within the availability of funds under s. 20.435 (4) (e) and

1(je), the department shall revise the sliding scale for patient liability by January 1,
21994, and shall, every 3 years thereafter by January 1, review and, if necessary,
3revise the sliding scale.

SB55-SSA1,647,105 49.687 (3) The department or an entity with which the department contracts
6shall provide to a drug manufacturer that sells drugs for prescribed use in this state
7documents designed for use by the manufacturer in entering into a rebate agreement
8with the department or entity that is modeled on the rebate agreement specified
9under 42 USC 1396r-8. The department or entity may enter into a rebate agreement
10under this subsection that shall include all of the following as requirements:

SB55-SSA1,647,1611 (a) That, as a condition of coverage for prescription drugs of a manufacturer
12under s. 49.68, 49.683, or 49.685, the manufacturer shall make rebate payments for
13each prescription drug of the manufacturer that is prescribed for and purchased by
14persons who meet eligibility criteria under s. 49.68, 49.683, or 49.685, to the state
15treasurer to be credited to the appropriation under s. 20.435 (4) (je), each calendar
16quarter or according to a schedule established by the department.

SB55-SSA1,647,2217 (b) That the amount of the rebate payment shall be determined by a method
18specified in 42 USC 1396r-8 (c), except that, if the average manufacturer price for
19a prescription drug exceeds the average manufacturer price of the drug as of
20December 31, 2000, or the first calendar quarter after the day on which the drug was
21first available, as adjusted for inflation, the rebate amount shall increase by the
22amount of the difference.

SB55-SSA1,648,3

149.79 (2) (b) An individual who fails to comply with the work requirements of
2the employment and training program under s. 49.13 (2) (a) is ineligible to
3participate in the food stamp program as specified under s. 49.13 (3).

SB55-SSA1,648,95 49.79 (9) Fraud investigations and error reduction activities. If the
6department does not contract with the department of workforce development under
7s. 49.197 (5), the department shall establish and administer a program to investigate
8fraudulent activity on the part of recipients of food stamps and to reduce errors in
9the payments of benefits under the food stamp program.

SB55-SSA1,648,1311 49.79 (10) Contract for employment and training program. The department
12shall contract with the department of workforce development to administer the
13employment and training program under s. 49.13.

SB55-SSA1,648,2415 49.85 (1) County department Department notification requirement. If a
16county department under s. 46.215, 46.22, or 46.23 , or a governing body of a federally
17recognized American Indian tribe or band or a Wisconsin works agency determines
18that the department of health and family services may recover an amount under s.
1949.497 or that the department of workforce development may recover an amount
20under s. 49.125, 49.161, or 49.195 (3), the county department or governing body shall
21notify the affected department of the determination. If a Wisconsin works agency
22determines that the department of workforce development may recover an amount
23under s. 49.161 or 49.195 (3), the Wisconsin works agency shall notify the
24department of workforce development of the determination.

SB55-SSA1,649,123 49.85 (1) Department notification requirement. If a county department
4under s. 46.215, 46.22, or 46.23 or a governing body of a federally recognized
5American Indian tribe or band determines that the department of health and family
6services may recover an amount under s. 49.497 or that the department of workforce
7development may recover an amount under s. 49.125, 49.161, or 49.195 (3), or 49.793,
8the county department or governing body shall notify the affected department of the
9determination. If a Wisconsin works agency determines that the department of
10workforce development may recover an amount under s. 49.161 or 49.195 (3), the
11Wisconsin works agency shall notify the department of workforce development of the
12determination.