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SB21-SSA1,1494,5 5(3g) Nursing home bed transfer.
SB21-SSA1,1494,7 6(a) In this section, "nursing home" has the meaning given in section 50.01 (3)
7of the statutes.
SB21-SSA1,1494,11 8(b) Notwithstanding sections 150.33, 150.35, and 150.39 of the statutes, from
9the nursing home beds that are available under section 150.31 of the statutes, the
10department of health services shall, following submission of the application under
11paragraph (c), redistribute 3 beds to a nursing home that satisfies all of the following:
SB21-SSA1,1494,13 121. On the effective date of this subdivision, it has a licensed bed capacity of no
13more than 75.
SB21-SSA1,1494,15 142. On the effective date of this subdivision, it is covered by a permit under
15section 647.02 of the statutes.
SB21-SSA1,1494,18 163. On the effective date of this subdivision, it is located in a county that has a
17population of at least 380,000 and that is adjacent to a county that has a population
18of at least of 750,000.
SB21-SSA1,1494,21 19(c) A person may not receive approval for the beds unless the person submits
20to the department of health services, on a form provided by the department, an
21application that meets the requirements under section 150.33 (2) of the statutes.
SB21-SSA1,1495,2 22(3q) Advanced life support training grant. From the appropriation account
23under section 20.435 (1) (ch) of the statutes the department of health services shall
24allocate as a grant to an entity that provides or facilitates advanced life support
25training to physicians, physician's assistants, nurse practitioners, registered nurses,

1and emergency medical technicians — paramedics, who work in rural areas in this
2state, $20,000 in each fiscal year of the 2015-2017 fiscal biennium.
SB21-SSA1,1495,6 3(4f) Healthy aging grant. From the appropriation account under section
420.435 (7) (cx) of the statutes the department of health services shall allocate as a
5grant $200,000 in each fiscal year of the 2015-17 fiscal biennium to a private,
6nonprofit entity that conducts all of the following activities:
SB21-SSA1,1495,8 7(a) Coordinating the implementation of evidence-based health promotion
8programs in healthy aging.
SB21-SSA1,1495,10 9(b) Coordinating with academic and research institutes regarding research on
10healthy aging.
SB21-SSA1,1495,12 11(c) Serving as a statewide clearinghouse on evidence-based disease prevention
12and health promotion programs.
SB21-SSA1,1495,15 13(d) Providing training and technical assistance to the staff of county
14departments, administering agencies, and other providers of services to aging
15populations.
SB21-SSA1,1495,17 16(e) Collecting and disseminating information on disease prevention and health
17promotion in healthy aging populations.
SB21-SSA1,1495,19 18(f) Coordinating public awareness activities related to disease prevention and
19health promotion in aging populations.
SB21-SSA1,1495,21 20(g) Advising the department of health services on public policy issues
21concerning disease prevention and health promotion in aging.
SB21-SSA1,1496,6 22(4u) Labor region methodology study. The department of health services
23shall study the labor region methodology, including the methodology under section
2449.45 (6m) (ar) of the statutes, used to assist with the determination of Medical
25Assistance reimbursement rates, and no later than July 1, 2016, shall submit to the

1legislature under section 13.172 (2) of the statutes an implementation plan for
2incorporating any necessary changes to labor region methodology such that the
3proposed labor region methodology results in adjustments to direct care costs that
4reflect labor costs for nursing homes in each county. The department of health
5services may not implement any proposed changes to labor region methodology
6without the enactment of legislation.
SB21-SSA1,1496,11 7(5) Requirements for FoodShare employment and training program drug
8screening.
The department of health services shall address, in the department's
9biennial budget request under section 16.42 of the statutes for the 2017-19 fiscal
10biennium, any future fiscal impact resulting from actions taken under section 49.79
11(9) (d) of the statutes, as created by this act.
SB21-SSA1,1496,17 12(6) Requirements for assistance for childless adults demonstration project.
13If, during the 2015-17 fiscal biennium, the secretary of the federal department of
14health and human services approves, in whole or in part, the amendment to the
15waiver under section 49.45 (23) (a) of the statutes that is requested under section
1649.45 (23) (g) 1. of the statutes, as created by this act, the department of health
17services shall do all of the following:
SB21-SSA1,1496,22 18(a) Identify, in its quarterly report to the joint committee on finance under
19section 49.45 (2n) of the statutes, any costs incurred or savings realized in the
202015-17 fiscal biennium as a result of actions taken under section 49.45 (23) (g) 1.
21a. to e. of the statutes, as created by this act, as approved by the secretary of the
22federal department of health and human services.
SB21-SSA1,1497,2 23(b) Address, in the department's biennial budget request under section 16.42
24of the statutes for the 2017-19 fiscal biennium, any future fiscal impact resulting
25from actions taken under section 49.45 (23) (g) 1. a. to e. of the statutes, as created

1by this act, as approved by the secretary of the federal department of health and
2human services.
SB21-SSA1,1497,6 3(7) Mental health crisis services grants. From the appropriation account
4under section 20.435 (2) (gk) of the statutes, the department of health services shall
5award a total of $1,500,000 in fiscal year 2015-16 as onetime grants to counties for
6mental health crisis services.
SB21-SSA1,1497,12 7(7g) County-to-county nursing home bed transfers. The department of
8health services shall develop a policy that specifies procedures for applying for, and
9receiving approval of, the transfer of available, licensed nursing home beds among
10counties under section 150.345 of the statutes. The department of health services
11shall submit a report on the resulting policy to the joint committee on finance no later
12than July 1, 2016.
SB21-SSA1,1497,13 13(9) Changes to family care program.
SB21-SSA1,1497,14 14(a) Definitions. In this subsection:
SB21-SSA1,1497,15 151. "Department" means the department of health services.
SB21-SSA1,1497,18 162. "Family care program" means the program under sections 46.2805 to
1746.2895 of the statutes that provides the family care benefit as defined in section
1846.2805 (4) of the statutes.
SB21-SSA1,1497,21 193. "IRIS" means the self-directed services option program, known as Include,
20Respect, I Self-direct, operated by the department under a waiver from the secretary
21of the federal department of health and human services under 42 USC 1396n (c).
SB21-SSA1,1498,8 22(b) Family care in all counties. The department shall request any approval or
23submit any waiver request necessary to the federal department of health and human
24services to administer the family care program in every county in the state. If the
25federal department of health and human services does not disapprove the request,

1the department shall ensure that the family care program is available to eligible
2residents of every county in the state by January 1, 2017, or by a date specified by
3the department, whichever is later. If the department specifies a later date than
4January 1, 2017, it shall submit a notice of that date to the legislative reference
5bureau for publication in the Wisconsin Administrative Register. If the federal
6department of health and human services does not disapprove the request, the
7department is not required to comply with section 46.281 (1g) (b) of the statutes to
8expand the family care program to every county in the state.
SB21-SSA1,1498,12 9(c) Waiver request; generally. Subject to paragraphs (d) and (e), the department
10shall request from the federal department of health and human services a state plan
11amendment or an amendment to the waiver under which the family care program
12and IRIS operate that includes all of the following:
SB21-SSA1,1498,17 131. Providing both long-term care and primary and acute care services through
14integrated health agencies to long-term care consumers whose care is reimbursed
15by the Medical Assistance program and including, to the extent allowable by the
16federal department of health and human services, long-term care consumers who
17receive both Medical Assistance and Medicare funded services.
SB21-SSA1,1498,20 182. Increasing the size of regions currently served by care management
19organizations under the family care program such that each region has sufficient
20population to allow for adequate risk management by integrated health agencies.
SB21-SSA1,1498,21 213. Subject to subdivision 2., designating no fewer than 5 regions in the state.
SB21-SSA1,1498,23 224. Specifying that each one of the regions under subdivision 3. is served by
23multiple integrated health agencies.
SB21-SSA1,1499,9 245. Requiring integrated health agencies to make available a
25consumer-directed option under the long-term care program in which the

1integrated health agency would assist individuals in developing individualized
2support and services plans, ensure that all services are paid according to the plan,
3and assist enrollees in managing all fiscal requirements, including the ability to
4select, direct, and employ persons offering any of the services available under the
5IRIS program as of July 1, 2015, and the ability to manage, using the services of an
6integrated health agency serving as a fiscal intermediary, an individual home and
7community-based services budget allowance based on a functional assessment
8performed by a qualified entity and the availability of family and other caregivers
9who can help provide needed support.
SB21-SSA1,1499,11 106. Modifying the state's long-term care program, including allowing for audits
11of providers, in order to improve accountability in the provision of services.
SB21-SSA1,1499,13 127. Establishing an open enrollment period for the state's long-term care
13program that coincides with the open enrollment period for the Medicare program.
SB21-SSA1,1499,15 148. Requiring that rates paid to integrated health agencies for services are set
15through an independent, actuarial study.
SB21-SSA1,1499,23 169. Preserving, for a minimum of 3 years in each region after the date of
17implementation of the waiver under this paragraph in that region, the requirement
18that an integrated health agency contract for long-term care services with any
19long-term care service provider that agrees to accept the reimbursement rate that
20the integrated health agency pays to similar providers for the same services and
21satisfies any quality of care, utilization, or other criteria that the integrated health
22agency requires of other providers with which it contracts to provide the same
23long-term care services.
SB21-SSA1,1500,3
1(d) Consultation with stakeholders; key principles. Before developing its final
2waiver or state plan amendment request to be submitted to the joint committee on
3finance under paragraph (e), the department shall do all of the following:
SB21-SSA1,1500,6 41. Consult with persons interested in the long-term care program, including
5representatives of consumers of long-term care and long-term care providers and
6the public.
SB21-SSA1,1500,12 72. Submit as part of the quarterly reports on the Medical Assistance program
8due by September 30, 2015, and December 30, 2015, a progress report on the
9development of the waiver request including information regarding outcomes from
10discussions with representatives of consumers of long-term care and long-term care
11providers and any discussions with the federal centers for Medicare and Medicaid
12services.
SB21-SSA1,1500,13 133. Hold no less than 2 public hearings regarding the waiver request.
SB21-SSA1,1500,16 144. Develop the final waiver request in accordance with key principles
15determined by the federal centers for Medicare and Medicaid services to be essential
16elements of a strong, managed long-term services and supports program including:
SB21-SSA1,1500,17 17a. Adequate planning and transition strategies.
SB21-SSA1,1500,18 18b. Engagement of interested persons.
SB21-SSA1,1500,20 19c. Enhanced provision of services in home-based and community-based
20settings.
SB21-SSA1,1500,23 21d. Alignment of payment structures with programmatic goals, including
22improving the health and experience of enrollees and reducing costs through those
23improvements.
SB21-SSA1,1501,3
1e. Support for eligible individuals, including counseling regarding options and
2enrollment from an independent source at no cost to the individual and the
3availability of ombudsman resources.
SB21-SSA1,1501,4 4f. Person-centered processes, including an option to self-direct services.
SB21-SSA1,1501,5 5g. A comprehensive and integrated service package.
SB21-SSA1,1501,6 6h. Qualified providers.
SB21-SSA1,1501,8 7i. Enrollee protections, including systems to manage incidents and appeals
8processes for enrollees.
SB21-SSA1,1501,9 9j. Comprehensive quality assurance and oversight procedures.
SB21-SSA1,1501,19 10(e) Committee approval. No later than April 1, 2016, and before the department
11submits any proposed changes to the state waiver or state plan amendment under
12paragraph (c), the department shall submit a summary of the proposed concept plan
13for the waiver amendment request under paragraph (c) to the joint committee on
14finance for approval or disapproval by the joint committee on finance. The
15procedures under section 13.10 of the statutes do not apply to this paragraph and the
16joint committee on finance may not modify the summary of the proposed concept plan
17submitted under this paragraph. The department may not submit any proposed
18changes to the state waiver or state plan amendment under paragraph (c) unless the
19proposed concept plan is approved by the joint committee on finance.
SB21-SSA1,1501,20 20(f) Implementation of waiver; conformation with statutes.
SB21-SSA1,1502,2 211. Notwithstanding sections 46.2803 to 46.2895 of the statutes and any rules
22promulgated under those sections, if the federal department of health and human
23services approves of a waiver or state plan amendment substantially similar to that
24requested in paragraph (c) and approved by the joint committee on finance under

1paragraph (e), the department may implement any changes to the family care
2program and IRIS in accordance with the approved waiver or state plan amendment.
SB21-SSA1,1502,7 32. If the waiver or state plan amendment request is not approved by the federal
4department of health and human services or if the approved waiver or state plan
5amendment is not substantially similar to that requested under paragraph (c), the
6department may not implement the waiver or state plan amendment and the family
7care program and IRIS shall operate under the statutes in effect on July 1, 2015.
SB21-SSA1,1502,14 83. The department shall include in its 2017-19 biennial budget request any
9proposed statutory changes necessary to conform the statutes to the approved waiver
10or state plan amendment. The department shall maintain statutory language in
11section 46.2895 of the statutes relating to long-term care districts created by tribes
12or bands until the federal department of health and human services approves a
13waiver request related to those long-term care districts, if such a waiver request is
14being pursued.
SB21-SSA1,1502,21 15(g) Other long-term care programs. If the federal department of health and
16human services does not disapprove the request to administer the family care
17program in every county in the state under paragraph (b), the department may elect
18to discontinue enrollment of participants in or administration of any of the programs
19under section 46.271, 46.275, 46.277, 46.278, or 46.2785 of the statutes in a county
20at any time determined by the department that is after the date that the family care
21program is available to all eligible residents of that county.
SB21-SSA1,1502,22 22(9q) Aging and disability resource centers.
SB21-SSA1,1503,2 23(a) By January 1, 2017, the department of health services shall evaluate the
24functional screening and options counseling for reliability and consistency among

1resource centers, as defined in section 46.2805 (10) of the statutes, and submit a
2report to the joint committee on finance on that evaluation.
SB21-SSA1,1503,7 3(b) By no later than July 1, 2016, the department of health services shall assess
4which responsibilities of resource center governing boards described under section
546.283 (6) of the statutes are duplicative of functions performed by the department
6of health services and shall propose changes to the statutory requirements for the
7resource center governing boards to remove any duplication of functions.
SB21-SSA1,1503,13 8(c) By no later than April 1, 2016, the department shall study the integration
9of income maintenance consortia and aging and disability resource centers, as
10defined in section 46.2805 (10) of the statutes, and shall present a report to the joint
11committee on finance with recommendations regarding potential efficiencies that
12may be gained, if any, from the integration of these entities and whether an
13integration would be appropriate considering the responsibilities of each entity.
SB21-SSA1,1503,20 14(10) Merger of divisions into Medicaid services division. Before March 31,
152016, the department of health services shall submit to the state budget office in the
16department of administration a report of the final organization of the merger of the
17division of the department of health services relating to long-term care and the
18division of the department of health services relating to health care access and
19accountability into a single division of the department of health services relating to
20Medicaid services.
SB21-SSA1,1504,2 21(10u) Food safety fees. During the period beginning on the effective date of
22this subsection and ending on July 1, 2016, neither the department of health services
23nor any local health department designated as an agent of the department may
24modify any fee established under section 254.71 of the statutes or, with respect to

1restaurants and temporary restaurants, under section 254.68 or 254.69 (2) of the
2statutes.
SB21-SSA1,1504,3 3(11f) Medical Assistance nonemergency medical transportation.
SB21-SSA1,1504,10 4(a) The department of health services shall, to the extent permitted by the
5contract, modify the contract that is in effect on the effective date of this paragraph
6for the arrangement and reimbursement of nonemergency medical transportation
7services to recipients of Medical Assistance under subchapter IV of chapter 49 of the
8statutes to exclude recipients of Medical Assistance residing in Jefferson, Kenosha,
9Milwaukee, Ozaukee, Racine, Walworth, Washington, and Waukesha counties from
10that contract.
SB21-SSA1,1504,15 11(b) If the department of health services modifies the contract under paragraph
12(a), the department of health services shall make alternative arrangements with
13counties, health maintenance organizations, or transportation providers to provide
14nonemergency medical transportation services to Medical Assistance recipients who
15reside in the counties specified in paragraph (a) no later than January 1, 2016.
SB21-SSA1,9119 16Section 9119. Nonstatutory provisions; Higher Educational Aids
Board.
SB21-SSA1,9120 17Section 9120. Nonstatutory provisions; Historical Society.
SB21-SSA1,9121 18Section 9121. Nonstatutory provisions; Housing and Economic
Development Authority.
SB21-SSA1,9122 19Section 9122. Nonstatutory provisions; Insurance.
SB21-SSA1,1505,7 20(1v) Emergency rule for independent dispute resolution process. Using the
21procedure under section 227.24 of the statutes, the commissioner of insurance may
22promulgate the rules required under section 632.876 of the statutes, as created by
23this act, for the period before the effective date of the permanent rules promulgated

1under section 632.876 of the statutes, as created by this act, but not to exceed the
2period authorized under section 227.24 (1) (c) of the statutes, subject to extension
3under 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
5promulgating a rule under this subsection as an emergency rule is necessary for the
6preservation of the public peace, health, safety, or welfare and is not required to
7provide a finding of emergency for a rule promulgated under this subsection.
SB21-SSA1,9123 8Section 9123. Nonstatutory provisions; Investment Board.
SB21-SSA1,9124 9Section 9124. Nonstatutory provisions; Joint Committee on Finance.
SB21-SSA1,9125 10Section 9125. Nonstatutory provisions; Judicial Commission.
SB21-SSA1,9126 11Section 9126. Nonstatutory provisions; Justice.
SB21-SSA1,1505,12 12(1c) Youth diversion grant reductions.
SB21-SSA1,1505,16 13(a) Notwithstanding the amount specified under section 165.987 (1) of the
14statutes, the department of justice shall reduce the amount of money allocated under
15section 165.987 (1) of the statutes by $179,600 in each of the fiscal years 2015-16 and
162016-17.
SB21-SSA1,1505,20 17(b) Notwithstanding the amount specified under section 165.987 (2) of the
18statutes, the department of justice shall reduce the amount of money allocated under
19section 165.987 (2) of the statutes by $18,400 in each of the fiscal years 2015-16 and
202016-17.
SB21-SSA1,1506,2 21(c) Notwithstanding the amounts specified under section 165.987 (3) of the
22statutes, the department of justice shall reduce the amount of money allocated for
23each 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

1of money allocated for a contract with an unspecified organization that is funded
2under that section by $36,600 in each of the fiscal years 2015-16 and 2016-17.
SB21-SSA1,1506,7 3(1q) Drug law enforcement and interdiction grants. From the appropriation
4account under section 20.455 (2) (kd) of the statutes, the department of justice shall
5award to the Lafayette County Sheriff's Department, for drug law enforcement and
6drug interdiction services, a grant in the amount of $50,000 in fiscal year 2015-16
7and a grant in the amount of $50,000 in fiscal year 2016-17.
SB21-SSA1,9127 8Section 9127. Nonstatutory provisions; Legislature.
SB21-SSA1,1506,9 9(1j) 100th anniversary state capitol commemoration commission.
SB21-SSA1,1506,17 10(a) The joint committee on legislative organization shall establish a committee,
11to be known as the 100th anniversary state capitol commemoration commission,
12consisting of 9 members. Each of the following shall appoint one member: the
13speaker of the assembly, the minority leader of the assembly, the president of the
14senate, the minority leader of the senate, the governor, the supreme court, the
15secretary of administration, the state capitol and executive residence board, and the
16director of the state historical society. The members of the commission shall elect a
17chairperson.
SB21-SSA1,1506,23 18(b) The 100th anniversary state capitol commemoration commission shall plan
19events, including educational programs for children and students, to be held in 2017
20for commemorating the 100th anniversary of the completion of the state capitol. The
21commission may request that individuals and organizations with knowledge of the
22history, construction, and renovation of the state capitol assist the commission in
23planning and executing the commemoration.
SB21-SSA1,1506,25 24(c) Upon completion of the commemoration, the 100th anniversary state capitol
25commemoration commission is dissolved.
SB21-SSA1,9128
1Section 9128. Nonstatutory provisions; Lieutenant Governor.
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