(f) Credential fees.
Notwithstanding sections 463.10 (3), 463.12 (3), and 463.25 2
(2) (b) of the statutes, fees for the issuance and renewal of licenses and permits issued 3
under sections 463.10, 463.12, and 463.25 of the statutes shall, for years 2015 and 4
2016, be according to the rules described under paragraph (e).
(3g) Nursing home bed transfer.
(a) In this section, "nursing home" has the meaning given in section 50.01 (3) 7
of the statutes.
(b) Notwithstanding sections 150.33, 150.35, and 150.39 of the statutes, from 9
the nursing home beds that are available under section 150.31 of the statutes, the 10
department of health services shall, following submission of the application under 11
paragraph (c), redistribute 3 beds to a nursing home that satisfies all of the following:
1. On the effective date of this subdivision, it has a licensed bed capacity of no 13
more than 75.
2. On the effective date of this subdivision, it is covered by a permit under 15
section 647.02 of the statutes.
3. On the effective date of this subdivision, it is located in a county that has a 17
population of at least 380,000 and that is adjacent to a county that has a population 18
of at least of 750,000.
(c) A person may not receive approval for the beds unless the person submits 20
to the department of health services, on a form provided by the department, an 21
application that meets the requirements under section 150.33 (2) of the statutes.
22(3q) Advanced life support training grant.
From the appropriation account 23
under section 20.435 (1) (ch) of the statutes the department of health services shall 24
allocate as a grant to an entity that provides or facilitates advanced life support 25
training to physicians, physician's assistants, nurse practitioners, registered nurses,
and emergency medical technicians — paramedics, who work in rural areas in this 2
state, $20,000 in each fiscal year of the 2015-2017 fiscal biennium.
3(4f) Healthy aging grant.
From the appropriation account under section 4
20.435 (7) (cx) of the statutes the department of health services shall allocate as a 5
grant $200,000 in each fiscal year of the 2015-17 fiscal biennium to a private, 6
nonprofit entity that conducts all of the following activities:
Coordinating the implementation of evidence-based health promotion 8
programs in healthy aging.
Coordinating with academic and research institutes regarding research on 10
Serving as a statewide clearinghouse on evidence-based disease prevention 12
and health promotion programs.
Providing training and technical assistance to the staff of county 14
departments, administering agencies, and other providers of services to aging 15
Collecting and disseminating information on disease prevention and health 17
promotion in healthy aging populations.
Coordinating public awareness activities related to disease prevention and 19
health promotion in aging populations.
Advising the department of health services on public policy issues 21
concerning disease prevention and health promotion in aging.
22(4u) Labor region methodology study.
The department of health services 23
shall study the labor region methodology, including the methodology under section 24
49.45 (6m) (ar) of the statutes, used to assist with the determination of Medical 25
Assistance reimbursement rates, and no later than July 1, 2016, shall submit to the
legislature under section 13.172 (2) of the statutes an implementation plan for 2
incorporating any necessary changes to labor region methodology such that the 3
proposed labor region methodology results in adjustments to direct care costs that 4
reflect labor costs for nursing homes in each county. The department of health 5
services may not implement any proposed changes to labor region methodology 6
without the enactment of legislation.
(5) Requirements for FoodShare employment and training program drug
The department of health services shall address, in the department's 9
biennial budget request under section 16.42 of the statutes for the 2017-19 fiscal 10
biennium, any future fiscal impact resulting from actions taken under section 49.79 11
(9) (d) of the statutes, as created by this act.
(6) Requirements for assistance for childless adults demonstration project. 13
If, during the 2015-17 fiscal biennium, the secretary of the federal department of 14
health and human services approves, in whole or in part, the amendment to the 15
waiver under section 49.45 (23) (a) of the statutes that is requested under section 16
49.45 (23) (g) 1. of the statutes, as created by this act, the department of health 17
services shall do all of the following:
(a) Identify, in its quarterly report to the joint committee on finance under 19
section 49.45 (2n) of the statutes, any costs incurred or savings realized in the 20
2015-17 fiscal biennium as a result of actions taken under section 49.45 (23) (g) 1. 21
a. to e. of the statutes, as created by this act, as approved by the secretary of the 22
federal department of health and human services.
(b) Address, in the department's biennial budget request under section 16.42 24
of the statutes for the 2017-19 fiscal biennium, any future fiscal impact resulting 25
from actions taken under section 49.45 (23) (g) 1. a. to e. of the statutes, as created
by this act, as approved by the secretary of the federal department of health and 2
(7) Mental health crisis services grants.
From the appropriation account 4
under section 20.435 (2) (gk) of the statutes, the department of health services shall 5
award a total of $1,500,000 in fiscal year 2015-16 as onetime grants to counties for 6
mental health crisis services.
7(7g) County-to-county nursing home bed transfers.
The department of 8
health services shall develop a policy that specifies procedures for applying for, and 9
receiving approval of, the transfer of available, licensed nursing home beds among 10
counties under section 150.345 of the statutes. The department of health services 11
shall submit a report on the resulting policy to the joint committee on finance no later 12
than July 1, 2016.
(9) Changes to family care program.
In this subsection:
"Department" means the department of health services.
"Family care program" means the program under sections 46.2805 to 17
46.2895 of the statutes that provides the family care benefit as defined in section 18
46.2805 (4) of the statutes.
"IRIS" means the self-directed services option program, known as Include, 20
Respect, I Self-direct, operated by the department under a waiver from the secretary 21
of the federal department of health and human services under 42 USC 1396n
Family care in all counties.
The department shall request any approval or 23
submit any waiver request necessary to the federal department of health and human 24
services to administer the family care program in every county in the state. If the 25
federal department of health and human services does not disapprove the request,
the department shall ensure that the family care program is available to eligible 2
residents of every county in the state by January 1, 2017, or by a date specified by 3
the department, whichever is later. If the department specifies a later date than 4
January 1, 2017, it shall submit a notice of that date to the legislative reference 5
bureau for publication in the Wisconsin Administrative Register. If the federal 6
department of health and human services does not disapprove the request, the 7
department is not required to comply with section 46.281 (1g) (b) of the statutes to 8
expand the family care program to every county in the state.
Waiver request; generally.
Subject to paragraphs (d) and (e), the department 10
shall request from the federal department of health and human services a state plan 11
amendment or an amendment to the waiver under which the family care program 12
and IRIS operate that includes all of the following:
Providing both long-term care and primary and acute care services through 14
integrated health agencies to long-term care consumers whose care is reimbursed 15
by the Medical Assistance program and including, to the extent allowable by the 16
federal department of health and human services, long-term care consumers who 17
receive both Medical Assistance and Medicare funded services.
Increasing the size of regions currently served by care management 19
organizations under the family care program such that each region has sufficient 20
population to allow for adequate risk management by integrated health agencies.
Subject to subdivision 2., designating no fewer than 5 regions in the state.
Specifying that each one of the regions under subdivision 3. is served by 23
multiple integrated health agencies.
Requiring integrated health agencies to make available a 25
consumer-directed option under the long-term care program in which the
integrated health agency would assist individuals in developing individualized 2
support and services plans, ensure that all services are paid according to the plan, 3
and assist enrollees in managing all fiscal requirements, including the ability to 4
select, direct, and employ persons offering any of the services available under the 5
IRIS program as of July 1, 2015, and the ability to manage, using the services of an 6
integrated health agency serving as a fiscal intermediary, an individual home and 7
community-based services budget allowance based on a functional assessment 8
performed by a qualified entity and the availability of family and other caregivers 9
who can help provide needed support.
Modifying the state's long-term care program, including allowing for audits 11
of providers, in order to improve accountability in the provision of services.
Establishing an open enrollment period for the state's long-term care 13
program that coincides with the open enrollment period for the Medicare program.
Requiring that rates paid to integrated health agencies for services are set 15
through an independent, actuarial study.
Preserving, for a minimum of 3 years in each region after the date of 17
implementation of the waiver under this paragraph in that region, the requirement 18
that an integrated health agency contract for long-term care services with any 19
long-term care service provider that agrees to accept the reimbursement rate that 20
the integrated health agency pays to similar providers for the same services and 21
satisfies any quality of care, utilization, or other criteria that the integrated health 22
agency requires of other providers with which it contracts to provide the same 23
long-term care services.
Consultation with stakeholders; key principles.
Before developing its final 2
waiver or state plan amendment request to be submitted to the joint committee on 3
finance under paragraph (e), the department shall do all of the following:
Consult with persons interested in the long-term care program, including 5
representatives of consumers of long-term care and long-term care providers and 6
Submit as part of the quarterly reports on the Medical Assistance program 8
due by September 30, 2015, and December 30, 2015, a progress report on the 9
development of the waiver request including information regarding outcomes from 10
discussions with representatives of consumers of long-term care and long-term care 11
providers and any discussions with the federal centers for Medicare and Medicaid 12
Hold no less than 2 public hearings regarding the waiver request.
Develop the final waiver request in accordance with key principles 15
determined by the federal centers for Medicare and Medicaid services to be essential 16
elements of a strong, managed long-term services and supports program including:
Adequate planning and transition strategies.
Engagement of interested persons.
Enhanced provision of services in home-based and community-based 20
Alignment of payment structures with programmatic goals, including 22
improving the health and experience of enrollees and reducing costs through those 23
Support for eligible individuals, including counseling regarding options and 2
enrollment from an independent source at no cost to the individual and the 3
availability of ombudsman resources.
Person-centered processes, including an option to self-direct services.
A comprehensive and integrated service package.
Enrollee protections, including systems to manage incidents and appeals 8
processes for enrollees.
Comprehensive quality assurance and oversight procedures.
No later than April 1, 2016, and before the department 11
submits any proposed changes to the state waiver or state plan amendment under 12
paragraph (c), the department shall submit a summary of the proposed concept plan 13
for the waiver amendment request under paragraph (c) to the joint committee on 14
finance for approval or disapproval by the joint committee on finance. The 15
procedures under section 13.10 of the statutes do not apply to this paragraph and the 16
joint committee on finance may not modify the summary of the proposed concept plan 17
submitted under this paragraph. The department may not submit any proposed 18
changes to the state waiver or state plan amendment under paragraph (c) unless the 19
proposed concept plan is approved by the joint committee on finance.
Implementation of waiver; conformation with statutes.
1. Notwithstanding sections 46.2803 to 46.2895 of the statutes and any rules 22
promulgated under those sections, if the federal department of health and human 23
services approves of a waiver or state plan amendment substantially similar to that 24
requested in paragraph (c) and approved by the joint committee on finance under
paragraph (e), the department may implement any changes to the family care 2
program and IRIS in accordance with the approved waiver or state plan amendment.
If the waiver or state plan amendment request is not approved by the federal 4
department of health and human services or if the approved waiver or state plan 5
amendment is not substantially similar to that requested under paragraph (c), the 6
department may not implement the waiver or state plan amendment and the family 7
care program and IRIS shall operate under the statutes in effect on July 1, 2015.
The department shall include in its 2017-19 biennial budget request any 9
proposed statutory changes necessary to conform the statutes to the approved waiver 10
or state plan amendment. The department shall maintain statutory language in 11
section 46.2895 of the statutes relating to long-term care districts created by tribes 12
or bands until the federal department of health and human services approves a 13
waiver request related to those long-term care districts, if such a waiver request is 14
Other long-term care programs.
If the federal department of health and 16
human services does not disapprove the request to administer the family care 17
program in every county in the state under paragraph (b), the department may elect 18
to discontinue enrollment of participants in or administration of any of the programs 19
under section 46.271, 46.275, 46.277, 46.278, or 46.2785 of the statutes in a county 20
at any time determined by the department that is after the date that the family care 21
program is available to all eligible residents of that county.
22(9q) Aging and disability resource centers.
(a) By January 1, 2017, the department of health services shall evaluate the 24
functional screening and options counseling for reliability and consistency among
resource centers, as defined in section 46.2805 (10) of the statutes, and submit a 2
report to the joint committee on finance on that evaluation.
By no later than July 1, 2016, the department of health services shall assess 4
which responsibilities of resource center governing boards described under section 5
46.283 (6) of the statutes are duplicative of functions performed by the department 6
of health services and shall propose changes to the statutory requirements for the 7
resource center governing boards to remove any duplication of functions.
By no later than April 1, 2016, the department shall study the integration 9
of income maintenance consortia and aging and disability resource centers, as 10
defined in section 46.2805 (10) of the statutes, and shall present a report to the joint 11
committee on finance with recommendations regarding potential efficiencies that 12
may be gained, if any, from the integration of these entities and whether an 13
integration would be appropriate considering the responsibilities of each entity.
(10) Merger of divisions into Medicaid services division.
Before March 31, 15
2016, the department of health services shall submit to the state budget office in the 16
department of administration a report of the final organization of the merger of the 17
division of the department of health services relating to long-term care and the 18
division of the department of health services relating to health care access and 19
accountability into a single division of the department of health services relating to 20
21(10u) Food safety fees.
During the period beginning on the effective date of 22
this subsection and ending on July 1, 2016, neither the department of health services 23
nor any local health department designated as an agent of the department may 24
modify any fee established under section 254.71 of the statutes or, with respect to
restaurants and temporary restaurants, under section 254.68 or 254.69 (2) of the 2
3(11f) Medical Assistance nonemergency medical transportation.
(a) The department of health services shall, to the extent permitted by the 5
contract, modify the contract that is in effect on the effective date of this paragraph 6
for the arrangement and reimbursement of nonemergency medical transportation 7
services to recipients of Medical Assistance under subchapter IV of chapter 49 of the 8
statutes to exclude recipients of Medical Assistance residing in Jefferson, Kenosha, 9
Milwaukee, Ozaukee, Racine, Walworth, Washington, and Waukesha counties from 10
If the department of health services modifies the contract under paragraph 12
(a), the department of health services shall make alternative arrangements with 13
counties, health maintenance organizations, or transportation providers to provide 14
nonemergency medical transportation services to Medical Assistance recipients who 15
reside in the counties specified in paragraph (a) no later than January 1, 2016.
Nonstatutory provisions; Higher Educational Aids
Nonstatutory provisions; Historical Society.
Nonstatutory provisions; Housing and Economic
(1v) Emergency rule for independent dispute resolution process.
Using the 21
procedure under section 227.24 of the statutes, the commissioner of insurance may 22
promulgate the rules required under section 632.876 of the statutes, as created by 23
this act, for the period before the effective date of the permanent rules promulgated
under section 632.876 of the statutes, as created by this act, but not to exceed the 2
period authorized under section 227.24 (1) (c) of the statutes, subject to extension 3
under section 227.24 (2) of the statutes. Notwithstanding section 227.24 (1) (a), (2) 4
(b), and (3) of the statutes, the commissioner is not required to provide evidence that 5
promulgating a rule under this subsection as an emergency rule is necessary for the 6
preservation of the public peace, health, safety, or welfare and is not required to 7
provide a finding of emergency for a rule promulgated under this subsection.
Nonstatutory provisions; Investment Board.
Nonstatutory provisions; Joint Committee on Finance.
Nonstatutory provisions; Judicial Commission.
12(1c) Youth diversion grant reductions.
Notwithstanding the amount specified under section 165.987 (1) of the 14
statutes, the department of justice shall reduce the amount of money allocated under 15
section 165.987 (1) of the statutes by $179,600 in each of the fiscal years 2015-16 and 16
Notwithstanding the amount specified under section 165.987 (2) of the 18
statutes, the department of justice shall reduce the amount of money allocated under 19
section 165.987 (2) of the statutes by $18,400 in each of the fiscal years 2015-16 and 20
Notwithstanding the amounts specified under section 165.987 (3) of the 22
statutes, the department of justice shall reduce the amount of money allocated for 23
each of the contracts for a specified county that are funded under that section by 24
$53,800 in each of the fiscal years 2015-16 and 2016-17 and shall reduce the amount
of money allocated for a contract with an unspecified organization that is funded 2
under that section by $36,600 in each of the fiscal years 2015-16 and 2016-17.
3(1q) Drug law enforcement and interdiction grants.
From the appropriation 4
account under section 20.455 (2) (kd) of the statutes, the department of justice shall 5
award to the Lafayette County Sheriff's Department, for drug law enforcement and 6
drug interdiction services, a grant in the amount of $50,000 in fiscal year 2015-16 7
and a grant in the amount of $50,000 in fiscal year 2016-17.
9(1j) 100th anniversary state capitol commemoration commission.
The joint committee on legislative organization shall establish a committee, 11
to be known as the 100th anniversary state capitol commemoration commission, 12
consisting of 9 members. Each of the following shall appoint one member: the 13
speaker of the assembly, the minority leader of the assembly, the president of the 14
senate, the minority leader of the senate, the governor, the supreme court, the 15
secretary of administration, the state capitol and executive residence board, and the 16
director of the state historical society. The members of the commission shall elect a 17
The 100th anniversary state capitol commemoration commission shall plan 19
events, including educational programs for children and students, to be held in 2017 20
for commemorating the 100th anniversary of the completion of the state capitol. The 21
commission may request that individuals and organizations with knowledge of the 22
history, construction, and renovation of the state capitol assist the commission in 23
planning and executing the commemoration.
Upon completion of the commemoration, the 100th anniversary state capitol 25
commemoration commission is dissolved.