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AB64-ASA1,1005,16 15(c) Increased use of tiers under section 40.51 (6) of the statutes for state
16employee health insurance premium costs.
AB64-ASA1,1005,18 17(d) Additional utilization of state group health program reserves during 2018
18and 2019 if the group insurance board revises its reserve policy.
AB64-ASA1,1005,23 19(e) Health care plan design changes, with a focus on consumer-driven health
20care, provided that the changes do not increase total employee premium costs under
21the lowest tier plans under section 40.51 (6) of the statutes by more than 10 percent
22during 2018 and 2019. The costs include health insurance premiums, co-pays,
23deductibles, coinsurance, and out-of-pocket expenditures.
AB64-ASA1,1006,3 24(f) Any other state employee health program or health care plan changes,
25provided that they do not increase total employee health insurance premium costs

1under the lowest tier plans under section 40.51 (6) of the statutes by more than 10
2percent during 2018 and 2019. The costs include health insurance premiums,
3co-pays, deductibles, coinsurance, and out-of-pocket expenditures.
AB64-ASA1,9115 4Section 9115. Nonstatutory provisions; Employment Relations
5Commission.
AB64-ASA1,1006,86 (1) Elimination of offices of commissioner. On the effective date of this
7subsection, the 3 offices of commissioner at the Employment Relations Commission
8are eliminated.
AB64-ASA1,9116 9Section 9116. Nonstatutory provisions; Ethics Commission.
AB64-ASA1,9117 10Section 9117. Nonstatutory provisions; Financial Institutions.
AB64-ASA1,9118 11Section 9118. Nonstatutory provisions; Governor.
AB64-ASA1,9119 12Section 9119. Nonstatutory provisions; Health and Educational
13Facilities Authority.
AB64-ASA1,9120 14Section 9120. Nonstatutory provisions; Health Services.
AB64-ASA1,1006,2515 (1) Emergency rules on youth crisis stabilization facilities. The department
16of health services may promulgate emergency rules under section 227.24 of the
17statutes implementing certification of youth crisis stabilization facilities under
18section 51.042 of the statutes. Notwithstanding section 227.24 (1) (a) and (3) of the
19statutes, the department of health services is not required to provide evidence that
20promulgating a rule under this subsection as an emergency rule is necessary for the
21preservation of the public peace, health, safety, or welfare and is not required to
22provide a finding of emergency for a rule promulgated under this subsection.
23Notwithstanding section 227.24 (1) (c) and (2) of the statutes, emergency rules
24promulgated under this subsection remain in effect until July 1, 2019, or the date on
25which permanent rules take effect, whichever is sooner.
AB64-ASA1,1007,14
1(1b) Supplement for youth crisis stabilization facilities. During the 2017-19
2fiscal biennium, the department of health services may submit one or more requests
3to the joint committee on finance under section 13.10 of the statutes to supplement
4the appropriation under section 20.435 (5) (kd) of the statutes in a total of no more
5than $1,245,500 from the appropriation account under section 20.435 (2) (gk) of the
6statutes for the purpose of providing one or more grants to a youth crisis stabilization
7facility under section 51.042 of the statutes. In a submission under this subsection,
8the department of health services shall describe its plan for distributing grant
9moneys, including the conditions the department would specify for the expenditure
10of grant moneys and the criteria the department proposes to use for selecting
11grantees. The department of health services may not issue a request for proposals
12to award grants to a youth crisis stabilization facility until the joint committee on
13finance approves or modifies and approves the department's plan under this
14subsection.
AB64-ASA1,1007,18 15(1c) Youth crisis stabilization facility funding proposal. The department of
16health services shall include in its 2019-21 biennial budget request a proposal for
17funding grants to youth crisis stabilization facilities under section 51.042 of the
18statutes with general fund moneys.
AB64-ASA1,1007,22 19(1g) Peer-run respite center for veterans. The department of health services
20shall include in its 2019-21 biennial budget request a proposal to provide ongoing
21general purpose revenue funding for a peer-run respite center that provides services
22to veterans.
AB64-ASA1,1008,4 23(1t) Grace period for county reports. Notwithstanding sections 51.61 (1) (z)
24and 980.08 (4) (dm) 4. of the statutes, beginning on the effective date of this
25subsection and ending on the first day of the 13th month beginning after the effective

1date of this subsection, the county shall submit a report required under section
2980.08 (4) (dm) of the statutes to the department of health services within 180 days,
3rather than 120 days, following the court order or be subject to action as provided in
4sections 51.61 (1) (z) and 980.08 (4) (dm) 4. of the statutes.
AB64-ASA1,1008,5 5(2) FoodShare employment and training program requirement pilot program.
AB64-ASA1,1008,116 (a) The department of health services may implement a requirement for
7able-bodied adults to participate in the food stamp program's employment and
8training program under section 49.79 (9) of the statutes in no more than 2 vendor
9regions of the food stamp program's employment and training program beginning in
10April 2019. The department may not impose the pilot program requirement under
11this paragraph after June 30, 2020.
AB64-ASA1,1008,15 12(b) The department of health services shall evaluate the pilot program under
13paragraph (a) and, depending on the department's findings, submit a proposal for
14statewide expansion of the requirement to participate in the food stamp program's
15employment and training program in its 2021-23 biennial budget.
AB64-ASA1,1009,2 16(c) During the 2017-19 fiscal biennium, the department of health services shall
17submit a detailed implementation plan for the pilot program under paragraph (a)
18and may submit one or more requests to the joint committee on finance under section
1913.10 of the statutes to supplement the appropriations under section 20.435 (4) (a),
20(bm), (bn), and (bp) of the statutes from the appropriation under section 20.865 (4)
21(a) of the statutes for the purpose of implementing the pilot program under
22paragraph (a). The department of health services may only use moneys for the pilot
23program under paragraph (a) of the statutes if the joint committee on finance
24approves the request under this paragraph. Notwithstanding section 13.101 (3) of

1the statutes, the joint committee on finance is not required to find that an emergency
2exists before making a supplementation under this paragraph.
AB64-ASA1,1009,18 3(2p) Supplement for FoodShare child support and paternity compliance.
4During the 2017-19 fiscal biennium, the department of health services or the
5department of children and families may submit one or more requests to the joint
6committee on finance to supplement the appropriations under section 20.435 (4) (a),
7(bm), and (bn) or 20.437 (2) (a) of the statutes from the appropriation under section
820.865 (4) (a) of the statutes for the purpose of implementing child support and
9paternity compliance for the food stamp program under section 49.79 (6m), (6q), or
10(6t) of the statutes, subject to section 49.79 (6u) of the statutes. If, within 14 days
11after the date of a department's submittal, the cochairpersons of the committee do
12not notify the department that the committee has scheduled a meeting to review the
13request, the supplement is considered approved. If the cochairpersons notify the
14department that the committee has scheduled a meeting to review the request, the
15supplement may be made only upon the approval of the committee. Notwithstanding
16section 13.101 (3) of the statutes, the joint committee on finance is not required to
17find that an emergency exists before making a supplementation under this
18subsection.
AB64-ASA1,1009,24 19(2s) FoodShare employment and training program outcomes report. By
20February 1, 2018, the department of health services shall provide to the joint
21committee on finance an outcome report on the food stamp program's employment
22and training program under section 49.79 (9) of the statutes. The report shall include
23any proposed program improvements and contract modifications necessary based on
24the reported outcomes.
AB64-ASA1,1010,15
1(3t) Rate-based service contracts. If on the effective date of this subsection,
2the amount accumulated by a provider, as defined in section 46.036 (5m) (a) 1. of the
3statutes, from all contract periods ending before that date for all rate-based services,
4as defined in section 46.036 (5m) (a) 2. of the statutes, provided by the provider
5exceeds 10 percent of the provider's total contract amount for all rate-based services
6in the year before the effective date of this subsection, the provider shall provide
7written notice of that excess to all purchasers of that rate-based service and, upon
8the written request of such a purchaser received no later than 6 months after the date
9of the notice, shall return to the purchaser the purchaser's proportional share of that
10excess. If the department of health services under section 46.036 (5m) of the statutes
11determines based on an audit or fiscal review that the amount of the excess identified
12by the provider was incorrect, the department of health services may seek to recover
13funds after the 6-month period has expired. The department of health services shall
14commence any audit or fiscal review under this subsection within 6 years after the
15end of the contract period.
AB64-ASA1,1010,16 16(4g) Physical medicine pilot program.
AB64-ASA1,1010,17 17(a) Definitions. In this subsection:
AB64-ASA1,1010,18 181. “Department” means the department of health services.
AB64-ASA1,1010,20 192. “Medical Assistance program” means the program under subchapter IV of
20chapter 49 of the statutes.
AB64-ASA1,1010,23 213. “Physical medicine” means rehabilitation techniques that aim to enhance
22and restore functional ability and quality of life to persons with physical
23impairments, injuries, or disabilities.
AB64-ASA1,1011,8 24(b) Study. The department shall study best practices for physical medicine and
25the impact the use of physical medicine has on the use and frequency of use of

1prescription and over-the-counter drugs and shall develop a proposal for a physical
2medicine pilot program to minimize prescription of addictive drugs for individuals
3who receive benefits under the Medical Assistance program by using chiropractic
4and physical and occupational therapy services that are reimbursed under the
5Medical Assistance program. In completing the study and developing the proposal
6under this paragraph, the department shall solicit input from persons that are
7interested in physical medicine, including those interested in chiropractic care and
8physical therapy.
AB64-ASA1,1011,13 9(c) Report. No later than April 1, 2018, the department shall submit a report
10of the study and the proposal for the pilot program under paragraph (b) to the
11legislature under section 13.172 (2) of the statutes. The department may not
12implement the pilot program under paragraph (b) unless the legislature directs or
13explicitly authorizes the department to implement the pilot program.
AB64-ASA1,1012,2 14(4k) Family Care Partnership program. By December 31, 2017, the
15department of health services shall submit a request for a waiver of federal Medicaid
16law to the federal department of health and human services to expand the Family
17Care Partnership program, as described in section 49.496 (1) (bk) 3. of the statutes,
18statewide. If the federal department of health and human services approves the
19request, the department of health services shall, within 60 days of receiving notice
20of the approval, submit a plan for expansion of the Family Care Partnership program
21following the guidelines in the waiver to the joint committee on finance for approval.
22The department of health services may expand the Family Care Partnership
23program only as approved by the joint committee on finance. If the federal
24department of health and human services disapproves the request, the department

1of health services shall submit a report to the joint committee on finance describing
2the reasons the request was disapproved.
AB64-ASA1,1012,3 3(5b) Nursing home bed licenses.
AB64-ASA1,1012,5 4(a) In this subsection, “ nursing home" has the meaning given in section 50.01
5(3) of the statutes.
AB64-ASA1,1012,10 6(b) Notwithstanding sections 150.33, 150.35, and 150.39 of the statutes, from
7the nursing home beds that are available under section 150.31 of the statutes, the
8department of health services shall, following submission of the application under
9paragraph (c), redistribute 18 beds to a nursing home that satisfies all of the
10following:
AB64-ASA1,1012,1211 1. On the effective date of this subdivision, it has a licensed bed capacity of no
12more than 30.
AB64-ASA1,1012,1513 2. On the effective date of this subdivision, it is located in a county that has a
14population of at least 27,000, with the population of the county seat of no more than
159,200, and that is adjacent to a county with a population of at least 20,000.
AB64-ASA1,1012,18 163. It has requested the increase in the number of its licensed beds through a
17notice to the department of health services that includes its per diem operating and
18capital rates.
AB64-ASA1,1012,21 19(c) The department of health services shall approve an application from a
20nursing home that meets the qualifications under paragraph (b) within 30 days after
21the department of health services receives the application.
AB64-ASA1,1012,2522 (d) The department of health services shall develop a policy that specifies
23procedures for applying for, and receiving approval of, the transfer of available,
24licensed nursing home beds. The department of health services shall submit a report
25on the resulting policy to the joint committee on finance no later than July 1, 2018.
AB64-ASA1,1013,1
1(5f) Emergency physician services and reimbursement workgroup.
AB64-ASA1,1013,112 (a) Under section 15.04 (1) (c) of the statutes, the department of health services
3shall establish a committee to examine medical services provided in hospital
4emergency departments to Medical Assistance recipients and make
5recommendations regarding potential savings in these services and increases to
6Medical Assistance reimbursement for emergency physician services. To the extent
7the committee determines appropriate, the committee may examine aspects of the
8healthcare system involving emergency care, including patient care practices,
9medication use and prescribing practices, billing and coding administration,
10organization of health care delivery systems, care coordination, patient financial
11incentives, and other aspects.
AB64-ASA1,1013,13 12(b) The committee under paragraph (a) shall consist of all of the following
13members appointed by the secretary of health services:
AB64-ASA1,1013,15 141. Two physicians practicing in Wisconsin representing a statewide
15physician-member organization of emergency physicians.
AB64-ASA1,1013,18 162. Two representatives of the division of the department of health services that
17addresses Medical Assistance services, with experience in emergency physician
18services, codes, and payment.
AB64-ASA1,1013,20 193. One representative who is a hospital emergency department administrator
20employed by a Wisconsin hospital or hospital-based health system.
AB64-ASA1,1013,23 214. One coding and billing specialist from an organization with expertise on and
22in the business of emergency medicine that contracts emergency physicians
23practicing in Wisconsin.
AB64-ASA1,1013,25 24(c) The committee may solicit input from others as it determines is necessary
25and appropriate.
AB64-ASA1,1014,3
1(d) The committee under this subsection must first convene no later than 60
2days after the effective date of this paragraph and meet at least every 45 days until
3arriving at a set of recommendations.
AB64-ASA1,1014,6 4(e) The committee shall report its findings and recommendations to the joint
5committee on finance no later than September 1, 2018, and each recommendation
6must be made on the basis of a consensus of the committee.
AB64-ASA1,1014,7 7(5h) Complex rehabilitation technology.
AB64-ASA1,1014,12 8(a) The department of health services shall submit in proposed form the rules
9required under section 49.45 (9r) of the statutes, including the rules described under
10paragraph (b), to the legislative council staff under section 227.15 (1) of the statutes
11no later than the first day of the 7th month beginning after the effective date of this
12paragraph.
AB64-ASA1,1014,1613 (b) The department of health services shall include in the proposed rules
14submitted under paragraph (a) rules that designate all of the following healthcare
15common procedure coding system codes, which are used in the federal Medicare
16program, as complex rehabilitation technology for the Medical Assistance program:
AB64-ASA1,1015,2 171. Pure complex rehabilitation technology codes of E0637, E0638, E0641,
18E0642, E0986, E1002, E1003, E1004, E1005, E1006, E1007, E1008, E1009, E1010,
19E1011, E1012, E1014, E1037, E1161, E1220, E1228, E1229, E1231, E1232, E1233,
20E1234, E1235, E1236, E1237, E1238, E1239, E2209, E2291, E2292, E2293, E2294,
21E2295, E2300, E2301, E2310, E2311, E2312, E2313, E2321, E2322, E2323, E2324,
22E2325, E2326, E2327, E2328, E2329, E2330, E2331, E2351, E2373, E2374, E2376,
23E2377, E2609, E2610, E2617, E8000, E8001, E8002, K0005, K0835, K0836, K0837,
24K0838, K0839, K0840, K0841, K0842, K0843, K0848, K0849, K0850, K0851, K0852,
25K0853, K0854, K0855, K0856, K0857, K0858, K0859, K0860, K0861, K0862, K0863,

1K0864, K0868, K0869, K0870, K0871, K0877, K0878, K0879, K0880, K0884, K0885,
2K0886, K0890, K0891, and K0898.
AB64-ASA1,1015,8 32. Mixed complex rehabilitation technology product and standard mobility and
4accessory product codes of E0950, E0951, E0952, E0955, E0956, E0957, E0958,
5E0960, E0967, E0978, E0990, E0995, E1015, E1016, E1028, E1029, E1030, E2205,
6E2208, E2231, E2368, E2369, E2370, E2605, E2606, E2607, E2608, E2613, E2614,
7E2615, E2616, E2620, E2621, E2624, E2625, K0004, K0006, K0007, K0008, K0009,
8K0040, K0108, and K0669.
AB64-ASA1,1015,109 (c) The department of health services shall in the proposed rules exempt the
10codes listed in paragraph (b) from any bidding or selective contracting requirements.
AB64-ASA1,1015,15 11(6d) Critical access hospital grant. The department of health services shall
12award a grant of $250,000 in the 2017-19 fiscal biennium to a critical access hospital
13to support the cost of a behavioral health crisis management system. The
14department of health services shall award the grant under this subsection to a
15critical access hospital that meets all of the following criteria:
AB64-ASA1,1015,16 16(a) The hospital presents a proposal that does all of the following:
AB64-ASA1,1015,19 171. Provides in-person triage, assessment, and brief intervention services to
18persons presenting in the hospital emergency department for reasons related to a
19behavioral health crisis.
AB64-ASA1,1015,22 202. Provides the services specified under subdivision 1. through video
21telemedicine consultation to persons presenting in hospital emergency departments,
22other than the hospital's emergency department, in the hospital's region.
AB64-ASA1,1015,24 233. Coordinates the transfer of persons who require care for a behavioral health
24condition to another facility, as appropriate.
AB64-ASA1,1016,3
1(b) The hospital is located in the northwestern part of this state in a county that
2borders Minnesota and that has immediate access to the interstate highway known
3as I 94.
AB64-ASA1,1016,5 4(c) The hospital provides alcohol and drug abuse assessment and treatment
5services and inpatient psychiatric services.
AB64-ASA1,1016,66 (6p) Medical Assistance audit of family planning providers.
AB64-ASA1,1016,87 (a) In this subsection, “covered entity” has the meaning given in 42 USC 256b
8(a) (4) (C) and (K).
AB64-ASA1,1016,149 (b) The office of the inspector general of the department of health services shall
10conduct an audit of all family planning service reimbursements paid to covered
11entities under the Medical Assistance program under subchapter IV of chapter 49
12of the statutes for the period January 1, 2013, to December 31, 2016. The office of
13the inspector general shall conclude the audit under this subsection no later than
14June 30, 2019.
AB64-ASA1,1016,2015 (6t) Community program grants. Notwithstanding the limitations on the
16amount of grants under section 46.48 of the statutes, in the 2019-21 fiscal biennium,
17from the appropriation account under section 20.435 (7) (bc) of the statutes, the
18department of health services may increase the amount of each grant or the number
19of grants awarded under section 46.48 of the statutes to expend the moneys described
20in Section 9220 (5r) of this act.
AB64-ASA1,9121 21Section 9121. Nonstatutory provisions; Higher Educational Aids
22Board.
AB64-ASA1,1017,5 23(1f) Minority teacher loan program. Notwithstanding section 16.42 (1) (e) of
24the statutes, in submitting information under section 16.42 of the statutes for
25purposes of the 2019 biennial budget act, the higher educational aids board shall

1submit information concerning the appropriation under section 20.235 (1) (cr) of the
2statutes as though the total amount appropriated under section 20.235 (1) (cr) of the
3statutes for the 2018-19 fiscal year was $125,000 more than the total amount that
4was actually appropriated under section 20.235 (1) (cr) of the statutes for the
52018-19 fiscal year.
AB64-ASA1,1017,13 6(2f) Teacher loan program. Notwithstanding section 16.42 (1) (e) of the
7statutes, in submitting information under section 16.42 of the statutes for purposes
8of the 2019 biennial budget act, the higher educational aids board shall submit
9information concerning the appropriation under section 20.235 (1) (ct) of the statutes
10as though the total amount appropriated under section 20.235 (1) (ct) of the statutes
11for the 2018-19 fiscal year was $125,000 more than the total amount that was
12actually appropriated under section 20.235 (1) (ct) of the statutes for the 2018-19
13fiscal year.
AB64-ASA1,9122 14Section 9122. Nonstatutory provisions; Historical Society
AB64-ASA1,1017,1515 (1) Circus world museum.
AB64-ASA1,1017,1616 (a) Definitions. In this subsection:
AB64-ASA1,1017,17 171. “Foundation” means the Circus World Museum Foundation, Inc.
AB64-ASA1,1017,19 182. “Lease termination date” means the termination date of the lease agreement
19that is specified in section 44.16 (3) of the statutes.
AB64-ASA1,1017,2520 (b) Employees. If a lease agreement under section 44.16 (1) of the statutes is
21in effect on the effective date of this paragraph, the historical society shall offer
22employment to each individual who is employed by the foundation on the lease
23termination date, but only if vacant authorized or limited term positions are
24available for the individuals to fill and the historical society has funding for the
25positions.
AB64-ASA1,1018,7
1(c) Contracts. If a lease agreement under section 44.16 (1) of the statutes is in
2effect on the effective date of this paragraph, all contracts entered into by the
3foundation that are in effect on the lease termination date remain in effect and are
4transferred to the historical society on the lease termination date. The historical
5society shall carry out any contractual obligations under such a contract until the
6contract is modified or rescinded by the historical society to the extent allowed under
7the contract.
AB64-ASA1,9123 8Section 9123. Nonstatutory provisions; Housing and Economic
9Development Authority.
AB64-ASA1,9124 10Section 9124. Nonstatutory provisions; Insurance.
AB64-ASA1,1018,1111 (1) Transfer of information technology functions.
AB64-ASA1,1018,1612 (a) Assets and liabilities. On the effective date of this paragraph, the assets and
13liabilities of the office of the commissioner of insurance that are primarily related to
14information technology functions, as determined by the secretary of administration,
15become the assets and liabilities of the division of enterprise technology in the
16department of administration.
AB64-ASA1,1018,2217 (b) Positions and employees. On the effective date of this paragraph, 12.5 FTE
18positions and the incumbent employees holding those positions in the office of the
19commissioner of insurance who are performing duties that are primarily related to
20information technology functions, as determined by the secretary of administration,
21are transferred to the division of enterprise technology in the department of
22administration.
AB64-ASA1,1019,423 (c) Employee status. Employees transferred under paragraph (b) have all the
24rights and the same status under chapter 230 of the statutes in the division of
25enterprise technology in the department of administration that they enjoyed in the

1office of the commissioner of insurance immediately before the transfer.
2Notwithstanding section 230.28 (4) of the statutes, no employee transferred under
3paragraph (b) who has attained permanent status in class is required to serve a
4probationary period.
AB64-ASA1,1019,95 (d) Tangible personal property. On the effective date of this paragraph, all
6tangible personal property, including records, of the office of the commissioner of
7insurance that is primarily related to information technology functions, as
8determined by the secretary of administration, is transferred to the division of
9enterprise technology in the department of administration.
AB64-ASA1,1019,1710 (e) Contracts. All contracts entered into by the office of the commissioner of
11insurance in effect on the effective date of this paragraph that are primarily related
12to information technology functions, as determined by the secretary of
13administration, remain in effect and are transferred to the division of enterprise
14technology in the department of administration. The division of enterprise
15technology in the department of administration shall carry out any obligations under
16those contracts unless modified or rescinded by the division of enterprise technology
17in the department of administration to the extent allowed under the contract.
AB64-ASA1,1020,218 (f) Rules and orders. All rules promulgated by the office of the commissioner
19of insurance in effect on the effective date of this paragraph that are primarily
20related to information technology functions remain in effect until their specified
21expiration dates or until amended or repealed by the division of enterprise
22technology in the department of administration. All orders issued by the office of the
23commissioner of insurance in effect on the effective date of this paragraph that are
24primarily related to information technology functions remain in effect until their

1specified expiration dates or until modified or rescinded by the division of enterprise
2technology in the department of administration.
AB64-ASA1,1020,103 (g) Pending matters. Any matter pending with the office of the commissioner
4of insurance on the effective date of this paragraph that is primarily related to
5information technology functions, as determined by the secretary of administration,
6is transferred to the division of enterprise technology in the department of
7administration. All materials submitted to or actions taken by the office of the
8commissioner of insurance with respect to the pending matter are considered as
9having been submitted to or taken by the division of enterprise technology in the
10department of administration.
AB64-ASA1,9125 11Section 9125. Nonstatutory provisions; Investment Board.
AB64-ASA1,9126 12Section 9126. Nonstatutory provisions; Joint Committee on Finance.
AB64-ASA1,9127 13Section 9127. Nonstatutory provisions; Judicial Commission.
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