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AB56-ASA1-AA2,52,1210 (a) The service is a consultation between a provider at an originating site and
11a provider at a remote location using a combination of interactive video, audio, and
12externally acquired images through a networking environment.
AB56-ASA1-AA2,52,1513 (b) The service is an asynchronous transmission of digital clinical information
14through a secure electronic system from a Medical Assistance recipient or provider
15to a provider.”.
AB56-ASA1-AA2,52,16 1691. Page 489, line 3: after that line insert:
AB56-ASA1-AA2,52,20 17“(2g) Childless adults demonstration project reform waiver. The
18department of health services may submit a request to the federal department of
19health and human services to modify or withdraw the waiver granted under s. 49.45
20(23) (g), 2017 stats.
AB56-ASA1-AA2,52,2121 (3g) Academic detailing training program.
AB56-ASA1-AA2,53,222 (c) In this subsection, “academic detailing” means a teaching model under
23which health care experts are taught techniques for engaging in interactional
24educational outreach to other health care providers and clinical staff to provide

1information on evidence-based practices and successful therapeutic interventions
2with the goal of improving patient care.
AB56-ASA1-AA2,53,53 (d) The department of health services shall establish and implement a 2-year
4academic detailing primary care clinic dementia training program in 10 primary
5care clinics in the state through a contract with the Wisconsin Alzheimer's Institute.
AB56-ASA1-AA2,53,106 (e) The department shall, as part of the training program, provide primary care
7providers with clinical training and access to educational resources on best practices
8for diagnosis and management of common cognitive disorders, and referral
9strategies to dementia specialists for complicated or rare cognitive or behavioral
10disorders.
AB56-ASA1-AA2,53,1211 (f) The department shall ensure that the training program under this
12subsection includes at least the following three components:
AB56-ASA1-AA2,53,14 131. The most current research on effective clinical treatments and practices is
14systematically evaluated by the academic detailing team.
AB56-ASA1-AA2,53,17 152. Information gathered and evaluated under subd. 1. is packaged into an
16easily accessible format that is clinically relevant, rigorously sourced, and
17compellingly formatted.
AB56-ASA1-AA2,53,21 183. Training is provided for clinicians to serve as academic detailers that equips
19them with clinical expertise and proficiency in conducting an interactive educational
20exchange to facilitate individualized learning among participating primary care
21practitioners in the target clinics.”.
AB56-ASA1-AA2,53,22 2292. Page 489, line 14: after that line insert:
AB56-ASA1-AA2,54,6 23“(4c) Childless adults demonstration project. The department of health
24services shall submit any necessary request to the federal department of health and

1human services for a state plan amendment or waiver of federal Medicaid law or to
2modify or withdraw from any waiver of federal Medicaid law relating to the childless
3adults demonstration project under s. 49.45 (23), 2017 stats., to reflect the
4incorporation of recipients of Medical Assistance under the demonstration project
5into the BadgerCare Plus program under s. 49.471 and the termination of the
6demonstration project.”.
AB56-ASA1-AA2,54,7 793. Page 489, line 15: delete lines 15 to 20 and substitute:
AB56-ASA1-AA2,54,13 8“(6b) Evidence-based oral health grants and Seal-A-Smile program.
9Notwithstanding s. 250.10 (1m) (b), in fiscal year 2019-20, the department of health
10services shall, from the appropriation under s. 20.435 (1) (de), award to qualified
11applicants grants totaling $50,000 for fluoride varnish and other evidence-based
12oral health activities, $525,000 for school-based preventive dental services, and
13$100,000 for school-based restorative dental services.”.
AB56-ASA1-AA2,54,14 1494. Page 489, line 20: after that line insert:
AB56-ASA1-AA2,54,21 15“(6d) Prescription drug importation program. The department of health
16services shall submit the first report required under s. 250.048 (5) by the next
17January 1 or July 1, whichever is earliest, that is at least 180 days after the date the
18prescription drug importation program is fully operational under s. 250.048 (4). The
19department of health services shall include in the first 3 reports submitted under s.
20250.048 (5) information on the implementation of the audit functions under s.
21250.048 (1) (n).”.
AB56-ASA1-AA2,54,22 2295. Page 490, line 5: after that line insert:
AB56-ASA1-AA2,55,4 23“(8m) Community-based doulas. From the appropriation under s. 20.435 (4)
24(bm), the department of health services shall in fiscal year 2019-20 allocate $192,000

1to public or private entities, American Indian tribes or tribal organizations, or
2community-based organizations for grants for community-based doulas. The
3recipients of the grants shall use the moneys to identify and train local community
4workers to mentor pregnant women.”.
AB56-ASA1-AA2,55,5 596. Page 490, line 6: delete lines 6 to 11 and substitute:
AB56-ASA1-AA2,55,11 6“(9b) Dental services under Medical Assistance. During the 2019-21 fiscal
7biennium, the department of health services shall allocate a total of $2,000,000 in the
82019-20 fiscal year and $3,000,000 in the 2020-21 fiscal year from all funding
9sources to increase reimbursement rates for dental services that are covered under
10the Medical Assistance program under subch. IV of ch. 49 and that are provided to
11recipients of Medical Assistance who have disabilities.”.
AB56-ASA1-AA2,55,12 1297. Page 490, line 12: delete lines 12 to 16 and substitute:
AB56-ASA1-AA2,55,17 13“(10c) Infant mortality prevention program. The department of health
14services shall allocate 5.0 FTE positions that are authorized for the department of
15health services to staff an infant mortality prevention program. The department of
16health services shall report in its 2021-23 budget request any necessary budget
17adjustments to reflect this allocation of positions.”.
AB56-ASA1-AA2,55,18 1898. Page 491, line 3: delete lines 3 to 15.
AB56-ASA1-AA2,55,21 1999. Page 491, line 20: delete the material beginning with “facilities;" and
20ending with “2020-21" on line 23 and substitute “facilities and an additional 1.5
21percent annual rate increase”.
AB56-ASA1-AA2,55,22 22100. Page 492, line 1: delete lines 1 to 7 and substitute:
AB56-ASA1-AA2,56,3 23“(12b) Medical Assistance reimbursement rate increase for direct care in
24personal care agencies.
The department of health services shall increase the

1Medical Assistance rates paid for direct care to agencies that provide personal care
2services 1.5 percent annually to support staff in those agencies who perform direct
3care.”.
AB56-ASA1-AA2,56,4 4101. Page 492, line 7: after that line insert:
AB56-ASA1-AA2,56,10 5“(13t) Lead exposure and poisoning prevention staff. The authorized FTE
6positions for the department of health services are increased by 1.0 GPR project
7position for the period ending June 30, 2021, and 1.14 GPR positions beginning on
8July 1, 2019, to be funded from the appropriation under s. 20.435 (1) (a), for the
9purpose of administering the department's lead public health outreach initiative and
10for enhancing the department's lead poisoning prevention programs.”.
AB56-ASA1-AA2,56,11 11102. Page 492, line 18: after that line insert:
AB56-ASA1-AA2,56,15 12“(1k) Prescription drug cost survey. The commissioner of insurance shall
13conduct a statistically-valid survey of pharmacies in this state regarding whether
14the pharmacy agreed to not disclose that customer drug benefit cost sharing exceeds
15the cost of the dispensed drug.
AB56-ASA1-AA2,56,2016 (2k) Prescription drug cost reporting positions. The authorized FTE
17positions for the office of the commissioner of insurance are increased by 2.0 PR
18positions, to be funded from the appropriation under s. 20.145 (1) (g), for the purpose
19of administering prescription drug cost reporting and registration of pharmacy
20benefit managers under ss. 632.796, 632.865 (3), and 632.866.”.
AB56-ASA1-AA2,56,21 21103. Page 501, line 11: delete lines 11 to 20.
AB56-ASA1-AA2,56,22 22104. Page 507, line 21: after that line insert:
AB56-ASA1-AA2,57,3
1“(1e) Psychiatric care technicians, correctional officers and youth
2counselors; compensation increase. Section
9101 (4f), (5f), and (6f) of this act takes
3effect on January 1, 2020.”.
AB56-ASA1-AA2,57,4 4105. Page 509, line 1: after that line insert:
AB56-ASA1-AA2,57,6 5“(1c) Medicaid expansion. The treatment of ss. 20.435 (4) (jw) and 49.45 (23)
6takes effect on January 1, 2020.”.
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