SB1, s. 1523 22Section 1523. 49.45 (3) (L) 2. of the statutes is amended to read:
SB1,696,323 49.45 (3) (L) 2. The department may not pay a provider for a designated health
24service that is authorized under this section or s. 49.46 or, 49.47, or 49.471, that is
25provided as the result of a referral made to the provider by a physician and that,

1under 42 USC 1396b (s), if made on behalf of a beneficiary of medicare under the
2requirements of 42 USC 1395nn, as amended to August 10, 1993, would result in the
3denial of payment for the service under 42 USC 1395nn.
SB1, s. 1524 4Section 1524. 49.45 (3) (m) of the statutes is amended to read:
SB1,696,215 49.45 (3) (m) To be certified under sub. (2) (a) 11. to provide transportation by
6specialized medical vehicle, a person must have at least one human service vehicle,
7as defined in s. 340.01 (23g), that satisfies the requirements imposed under s. 110.05
8for a vehicle that is used to transport a person in a wheelchair. If a certified provider
9uses 2 or more vehicles to provide transportation by specialized medical vehicle, at
10least 2 of the vehicles must be human service vehicles that satisfy the requirements
11imposed under s. 110.05 for a vehicle that is used to transport a person in a
12wheelchair, and any 3rd or additional vehicle must be a human service vehicle to
13which the equipment required under s. 110.05 for transporting a person in a
14wheelchair may be added. The department shall pay for transportation by
15specialized medical vehicle under s. 49.46 (2) (b) 3. or 49.471 (11) (m) that is provided
16in a human service vehicle that is not equipped to transport a person in a wheelchair
17if the person being transported does not use a wheelchair. The reimbursement rate
18for transportation by specialized medical vehicle provided in a vehicle that is not
19equipped to accommodate a wheelchair shall be the same as for transportation by
20specialized medical vehicle provided in a vehicle that is equipped to accommodate a
21wheelchair.
SB1, s. 1524y 22Section 1524y. 49.45 (5m) (title) of the statutes is amended to read:
SB1,696,2423 49.45 (5m) (title) Supplemental funding for rural and critical access
24hospitals.
SB1, s. 1525 25Section 1525. 49.45 (5m) (am) of the statutes is amended to read:
SB1,697,10
149.45 (5m) (am) Notwithstanding sub. (3) (e), from the appropriation accounts
2under s. 20.435 (4) (b), (gp), (o), and (w), and (xd), the department shall distribute not
3more than $2,256,000 in each fiscal year 2007-08 and not more than $5,256,000 in
4fiscal year 2008-09 and each fiscal year thereafter
, to provide supplemental funds
5to rural hospitals that, as determined by the department, have high utilization of
6inpatient services by patients whose care is provided from governmental sources,
7and to provide supplemental funds to critical access hospitals, except that the
8department may not distribute funds to a rural hospital or to a critical access hospital
9to the extent that the distribution would exceed any limitation under 42 USC 1396b
10(i) (3).
SB1, s. 1526 11Section 1526. 49.45 (6c) (d) 1. of the statutes is amended to read:
SB1,698,612 49.45 (6c) (d) 1. No payment may be made under sub. (6m) to a facility or to
13an institution for mental diseases for the care of an individual who is otherwise
14eligible for medical assistance under s. 49.46 or, 49.47, or 49.471, who has
15developmental disability or mental illness and for whom under par. (b) or (c) it is
16determined that he or she does not need facility care, unless it is determined that the
17individual requires active treatment for developmental disability or active
18treatment for mental illness and has continuously resided in a facility or institution
19for mental diseases for at least 30 months prior to the date of the determination. If
20that individual requires active treatment and has so continuously resided, he or she
21shall be offered the choice of receiving active treatment for developmental disability
22or active treatment for mental illness in the facility or institution for mental diseases
23or in an alternative setting. A facility resident who has developmental disability or
24mental illness, for whom under par. (c) it is determined that he or she does not need
25facility care and who has not continuously resided in a facility for at least 30 months

1prior to the date of the determination, may not continue to reside in the facility after
2December 31, 1993, and shall, if the department so determines, be relocated from the
3facility after March 31, 1990, and before December 31, 1993. The county department
4shall be responsible for securing alternative residence on behalf of an individual who
5is required to be relocated from a facility under this subdivision, and the facility shall
6cooperate with the county department in the relocation.
SB1, s. 1527 7Section 1527. 49.45 (6c) (d) 2. of the statutes is amended to read:
SB1,698,148 49.45 (6c) (d) 2. Payment may be made under sub. (6m) to a facility or
9institution for mental diseases for the care of an individual who is otherwise eligible
10for medical assistance under s. 49.46 or, 49.47, or 49.471 and who has developmental
11disability or mental illness and is determined under par. (b) or (c) to need facility care,
12regardless of whether it is determined under par. (b) or (c) that the individual does
13or does not require active treatment for developmental disability or active treatment
14for mental illness.
SB1, s. 1528 15Section 1528. 49.45 (6m) (ag) (intro.) of the statutes is amended to read:
SB1,698,2216 49.45 (6m) (ag) (intro.) Payment for care provided in a facility under this
17subsection made under s. 20.435 (4) (b), (gp), (o), (pa), or (w), or (xd) shall, except as
18provided in pars. (bg), (bm), and (br), be determined according to a prospective
19payment system updated annually by the department. The payment system shall
20implement standards that are necessary and proper for providing patient care and
21that meet quality and safety standards established under subch. II of ch. 50 and ch.
22150. The payment system shall reflect all of the following:
SB1, s. 1530h 23Section 1530h. 49.45 (6m) (ar) 1. a. of the statutes is amended to read:
SB1,699,1224 49.45 (6m) (ar) 1. a. The department shall establish standards for payment of
25allowable direct care costs under par. (am) 1. bm., for facilities that do not primarily

1serve the developmentally disabled, that take into account direct care costs for a
2sample of all of those facilities in this state and separate standards for payment of
3allowable direct care costs, for facilities that primarily serve the developmentally
4disabled, that take into account direct care costs for a sample of all of those facilities
5in this state. The standards shall be adjusted by the department for regional labor
6cost variations. The department shall treat as a single labor region the counties of
7Dane, Iowa, Columbia, and Sauk, and Rock and shall adjust payment so that the
8direct care cost targets of facilities in Dane, Iowa, Columbia, and Sauk counties are
9not reduced as a result of including facilities in Rock County in this labor region
. For
10facilities in Douglas, Pierce, and St. Croix counties, the department shall perform the
11adjustment by use of the wage index that is used by the federal department of health
12and human services for hospital reimbursement under 42 USC 1395 to 1395ggg.
SB1, s. 1532 13Section 1532 . 49.45 (6m) (br) 1. of the statutes is amended to read:
SB1,699,2314 49.45 (6m) (br) 1. Notwithstanding s. 20.410 (3) (cd), 20.435 (4) (bt) or (7) (b)
15or 20.445 (3) 20.437 (2) (dz), the department shall reduce allocations of funds to
16counties in the amount of the disallowance from the appropriation account under s.
1720.435 (4) (bt) or (7) (b), or the department shall direct the department of workforce
18development
children and families to reduce allocations of funds to counties or
19Wisconsin works Works agencies in the amount of the disallowance from the
20appropriation account under s. 20.445 (3) 20.437 (2) (dz) or direct the department of
21corrections to reduce allocations of funds to counties in the amount of the
22disallowance from the appropriation account under s. 20.410 (3) (cd), in accordance
23with s. 16.544 to the extent applicable.
SB1, s. 1533 24Section 1533. 49.45 (6m) (m) of the statutes is created to read:
SB1,700,4
149.45 (6m) (m) To hold a bed in a facility, the department may pay the full
2payment rate under this subsection for up to 30 days for services provided to a person
3during the pendency of an undue hardship determination, as provided in s. 49.453
4(8) (b) 3.
SB1, s. 1534 5Section 1534. 49.45 (6v) (b) of the statutes is amended to read:
SB1,700,116 49.45 (6v) (b) The department shall, each year, submit to the joint committee
7on finance a report for the previous fiscal year, except for the 1997-98 fiscal year, that
8provides information on the utilization of beds by recipients of medical assistance in
9facilities and a discussion and detailed projection of the likely balances,
10expenditures, encumbrances and carry over of currently appropriated amounts in
11the appropriation accounts under s. 20.435 (4) (b), (gp), and (o), and (xd).
SB1, s. 1535 12Section 1535. 49.45 (6x) (a) of the statutes is amended to read:
SB1,700,1813 49.45 (6x) (a) Notwithstanding sub. (3) (e), from the appropriation accounts
14under s. 20.435 (4) (b), (gp), (o), and (w), and (xd), the department shall distribute not
15more than $4,748,000 in each fiscal year, to provide funds to an essential access city
16hospital, except that the department may not allocate funds to an essential access
17city hospital to the extent that the allocation would exceed any limitation under 42
18USC 1396b
(i) (3).
SB1, s. 1536 19Section 1536. 49.45 (6y) (a) of the statutes is amended to read:
SB1,701,420 49.45 (6y) (a) Notwithstanding sub. (3) (e), from the appropriation accounts
21under s. 20.435 (4) (b), (gp), (o), and (w), and (xd), the department shall may
22distribute funding in each fiscal year to provide supplemental payment to hospitals
23that enter into a contract under s. 49.02 (2) to provide health care services funded
24by a relief block grant, as determined by the department, for hospital services that
25are not in excess of the hospitals' customary charges for the services, as limited under

142 USC 1396b (i) (3). If no relief block grant is awarded under this chapter or if the
2allocation of funds to such hospitals would exceed any limitation under 42 USC
31396b
(i) (3), the department may distribute funds to hospitals that have not entered
4into a contract under s. 49.02 (2).
SB1, s. 1537 5Section 1537. 49.45 (6y) (am) of the statutes is amended to read:
SB1,701,126 49.45 (6y) (am) Notwithstanding sub. (3) (e), from the appropriation accounts
7under s. 20.435 (4) (b), (h), (gp), (o), and (w), and (xd), the department shall distribute
8funding in each fiscal year to provide supplemental payments to hospitals that enter
9into contracts under s. 49.02 (2) with a county having a population of 500,000 or more
10to provide health care services funded by a relief block grant, as determined by the
11department, for hospital services that are not in excess of the hospitals' customary
12charges for the services, as limited under 42 USC 1396b (i) (3).
SB1, s. 1538 13Section 1538 . 49.45 (6z) (a) (intro.) of the statutes is amended to read: