Amendment AA2-ASA1-AB56

LRBb0573/1

TD/SB/KP/MM:all

2019 - 2020 LEGISLATURE

ASSEMBLY AMENDMENT 2, TO ASSEMBLY SUBSTITUTE AMENDMENT 1, TO ASSEMBLY BILL 56

June 25, 2019 - Offered by Representatives Kolste, Anderson, Riemer, Subeck, C. Taylor, Billings, Bowen, Brostoff, Cabrera, Considine, Crowley, Doyle, Emerson, Fields, Goyke, Gruszynski, Haywood, Hebl, Hesselbein, Hintz, McGuire, B. Meyers, Milroy, L. Myers, Neubauer, Ohnstad, Pope, Sargent, Shankland, Sinicki, Spreitzer, Stubbs, Stuck, Vining, Vruwink and Zamarripa.

AB56-ASA1-AA2,1,1 At the locations indicated, amend the substitute amendment as follows:

AB56-ASA1-AA2,1,5 1. Page 36, line 5: increase the dollar amount for fiscal year 2019-20 by $127,900 and increase the dollar amount for fiscal year 2020-21 by $127,900 for the purpose of funding 1.07 FTE positions to administer the Wisconsin healthcare stability plan.

AB56-ASA1-AA2,1,10 2. Page 36, line 5: increase the dollar amount for fiscal year 2019-20 by $541,300 and increase the dollar amount for fiscal year 2020-21 by $541,300 for the purpose of funding 5.10 FTE positions to provide health insurance education and outreach activities, including assisting individuals with enrolling in the health insurance exchange.

AB56-ASA1-AA2,2,3 3. Page 134, line 4: increase the dollar amount for fiscal year 2019-20 by $172,500 and increase the dollar amount for fiscal year 2020-21 by $222,900 for the purpose of lead exposure and poisoning prevention activities.

AB56-ASA1-AA2,2,4 4. Page 134, line 12: after that line insert: - See PDF for table

AB56-ASA1-AA2,2,10 5. Page 135, line 20: increase the dollar amount for fiscal year 2019-20 by $489,500 and increase the dollar amount for fiscal year 2020-21 by $489,500 for the purpose of increasing the authorized FTE positions for the department of health services by 4.6 GPR positions, beginning in fiscal year 2019-20, in the division of public health, to expand dental services to recipients under the Medical Assistance program, BadgerCare Plus, and other low-income patients.

AB56-ASA1-AA2,2,13 6. Page 136, line 10: increase the dollar amount for fiscal year 2019-20 by $1,687,100 and increase the dollar amount for fiscal year 2020-21 by $4,821,500 for the purpose of lead abatement grants, training, and outreach.

AB56-ASA1-AA2,2,16 7. Page 136, line 19: increase the dollar amount for fiscal year 2019-20 by $193,600 and increase the dollar amount for fiscal year 2020-21 by $193,600 for the purpose of increasing funding for the women's health block grant program.

AB56-ASA1-AA2,2,19 8. Page 137, line 4: increase the dollar amount for fiscal year 2019-20 by $3,300,000 and increase the dollar amount for fiscal year 2020-21 by $3,300,000 for the purpose of awarding tobacco use control grants.

AB56-ASA1-AA2,2,22 9. Page 138, line 18: increase the dollar amount for fiscal year 2019-20 by $3,871,700 and increase the dollar amount for fiscal year 2020-21 by $11,014,200 for the purpose of lead abatement grants, training, and outreach.

AB56-ASA1-AA2,3,3 10. Page 139, line 22: increase the dollar amount for fiscal year 2019-20 by $1,076,900 for the purpose of creating a separate admissions unit and increasing evening and nighttime supervisory staff at Winnebago Mental Health Institute.

AB56-ASA1-AA2,3,7 11. Page 140, line 19: increase the dollar amount for fiscal year 2019-20 by $1,422,800 and increase the dollar amount for fiscal year 2020-21 by $1,422,800 for the purpose of increasing pay-for-performance incentives to BadgerCare Plus health maintenance organizations to conduct blood-lead testing for children.

AB56-ASA1-AA2,3,11 12. Page 140, line 19: decrease the dollar amount for fiscal year 2019-20 by $159,473,300 and decrease the dollar amount for fiscal year 2020-21 by $165,011,600 for the purpose of expanding eligibility under the Medical Assistance program under s. 49.471 (4) (a) 4. and 8.

AB56-ASA1-AA2,3,15 13. Page 140, line 19: increase the dollar amount for fiscal year 2019-20 by $5,760,000 and increase the dollar amount for fiscal year 2020-21 by $12,437,600 for the purpose of dental access incentive payments under s. 49.45 (24L) beginning January 1, 2020.

AB56-ASA1-AA2,3,20 14. Page 140, line 19: increase the dollar amount for fiscal year 2019-20 only by $192,000 to provide onetime grants for community-based doulas under Section 9119 (8m) and increase the dollar amount for fiscal year 2020-21 by $426,700 for the purpose of providing reimbursement for certified doula services provided through the Medical Assistance program in select counties, beginning in fiscal year 2020-21.

AB56-ASA1-AA2,3,23 15. Page 140, line 19: decrease the dollar amount for fiscal year 2019-20 by $1,750,000 and decrease the dollar amount for fiscal year 2020-21 by $1,750,000 for the purpose of making payments to rural critical care hospitals.

AB56-ASA1-AA2,4,4 16. Page 140, line 19: increase the dollar amount for fiscal year 2019-20 by $10,000,000 and increase the dollar amount for fiscal year 2020-21 by $10,000,000 for the purpose of funding a pediatric supplemental hospital payment under s. 49.45 (6xm).

AB56-ASA1-AA2,4,8 17. Page 140, line 19: decrease the dollar amount for fiscal year 2019-20 by $7,700,000 and decrease the dollar amount for fiscal year 2020-21 by $7,700,000 for the purpose of making hospital access payments and critical access hospital payments.

AB56-ASA1-AA2,4,12 18. Page 140, line 19: increase the dollar amount for fiscal year 2020-21 by $22,500,000 for the purpose of providing as a benefit in the Medical Assistance program nonmedical services that contribute to the determinants of health under s. 49.46 (2) (b) 21.

AB56-ASA1-AA2,4,15 19. Page 140, line 19: increase the dollar amount for fiscal year 2020-21 by $9,255,000 for the purpose of extending Medical Assistance eligibility for post-partum women.

AB56-ASA1-AA2,4,20 20. Page 140, line 19: decrease the dollar amount for fiscal year 2019-20 by $11,474,100 and decrease the dollar amount for fiscal year 2020-21 by $7,783,400 for the purpose of reimbursing under the Medical Assistance program direct care to nursing facilities and intermediate care facilities for persons with an intellectual disability.

AB56-ASA1-AA2,4,24 21. Page 140, line 19: decrease the dollar amount for fiscal year 2019-20 by $13,947,900 and decrease the dollar amount for fiscal year 2020-21 by $16,150,900 for the purpose of reimbursing personal care services under the Medical Assistance program.

AB56-ASA1-AA2,5,4 22. Page 140, line 19: increase the dollar amount for fiscal year 2019-20 by $2,454,300 and increase the dollar amount for fiscal year 2020-21 by $2,454,300 for the purpose of eliminating copayments for prescription drugs for Medical Assistance enrollees.

AB56-ASA1-AA2,5,9 23. Page 140, line 19: increase the dollar amount for fiscal year 2019-20 by $8,732,100 and increase the dollar amount for fiscal year 2020-21 by $18,217,800 for the purpose of funding an increase of Medical Assistance reimbursement rates for mental health, behavioral health, and psychiatric services provided by physicians and medical clinics, effective January 1, 2020.

AB56-ASA1-AA2,5,13 24. Page 140, line 19: increase the dollar amount for fiscal year 2020-21 by $2,000,000 for the purpose of funding incentive grants to behavioral health providers that adopt electronic health records systems or participate in the state's health information exchange.

AB56-ASA1-AA2,5,16 25. Page 140, line 19: increase the dollar amount for fiscal year 2019-20 by $6,613,900 and decrease the dollar amount for fiscal year 2020-21 by $872,700 for the purpose of providing the cost to continue Medical Assistance benefits.

AB56-ASA1-AA2,5,19 26. Page 140, line 19: increase the dollar amount for fiscal year 2019-20 by $1,088,200 and increase the dollar amount for fiscal year 2020-21 by $1,692,900 for the purpose of telehealth reimbursement under the Medical Assistance program.

AB56-ASA1-AA2,5,23 27. Page 140, line 19: increase the dollar amount for fiscal year 2019-20 by $406,000 and increase the dollar amount for fiscal year 2020-21 by $609,000 for the purpose of providing dental services to Medical Assistance recipients who have disabilities.

AB56-ASA1-AA2,6,3 28. Page 140, line 19: increase the dollar amount for fiscal year 2020-21 by $89,900 for the purpose of providing supportive services delivered under the Medical Assistance medical home health benefit for persons with substance abuse disorders.

AB56-ASA1-AA2,6,8 29. Page 140, line 19: decrease the dollar amount for fiscal year 2019-20 by $6,000,000 and decrease the dollar amount for fiscal year 2020-21 by $9,000,000 for the purpose of funding the direct care and services portion of the capitation rates provided to care management organizations that administer Family Care in recognition of the direct caregiver workforce challenges facing the state.

AB56-ASA1-AA2,6,9 30. Page 141, line 15: delete lines 15 and 16 and substitute: - See PDF for table

AB56-ASA1-AA2,6,10 31. Page 142, line 18: delete lines 18 and 19 and substitute: - See PDF for table

AB56-ASA1-AA2,6,14 32. Page 144, line 8: increase the dollar amount for fiscal year 2019-20 by $2,077,300 and increase the dollar amount for fiscal year 2020-21 by $2,077,300 for the purpose of increasing pay-for-performance incentives to BadgerCare Plus health maintenance organizations to conduct blood-lead testing for children.

AB56-ASA1-AA2,6,15 33. Page 144, line 14: delete lines 14 and 15 and substitute: - See PDF for table

AB56-ASA1-AA2,7,2 34. Page 144, line 16: increase the dollar amount for fiscal year 2019-20 by $7,700,000 and increase the dollar amount for fiscal year 2020-21 by $7,700,000 for the purpose of making hospital access payments and critical access hospital payments.

AB56-ASA1-AA2,7,5 35. Page 144, line 16: decrease the dollar amount for fiscal year 2019-20 by $2,316,200 and increase the dollar amount for fiscal year 2020-21 by $5,359,700 for the purpose of providing the cost to continue Medical Assistance benefits.

AB56-ASA1-AA2,7,8 36. Page 144, line 24: decrease the dollar amount for fiscal year 2019-20 by $7,400,000 and decrease the dollar amount for fiscal year 2020-21 by $7,400,000 for the purpose of making hospital access payments.

AB56-ASA1-AA2,7,11 37. Page 145, line 3: decrease the dollar amount for fiscal year 2019-20 by $300,000 and decrease the dollar amount for fiscal year 2020-21 by $300,000 for the purpose of making critical access hospital payments.

AB56-ASA1-AA2,7,12 38. Page 145, line 16: delete lines 16 and 17 and substitute: - See PDF for table

AB56-ASA1-AA2,7,13 39. Page 146, line 4: after that line insert: - See PDF for table

AB56-ASA1-AA2,7,17 40. Page 149, line 3: increase the dollar amount for fiscal year 2019-20 only by $61,600 and increase the dollar amount for fiscal year 2020-21 only by $78,200 for the purpose of funding a 2-year academic detailing primary care clinic dementia training pilot program under Section 9119 (3g).

AB56-ASA1-AA2,8,2 41. Page 149, line 3: increase the dollar amount for fiscal year 2019-20 by $1,680,000 and increase the dollar amount for fiscal year 2020-21 by $1,680,000 for the purpose of grants to aging and disability resource centers and tribes to fund 27 additional dementia care specialists and 3 new tribal dementia care specialists.

AB56-ASA1-AA2,8,5 42. Page 149, line 7: increase the dollar amount for fiscal year 2019-20 by $1,550,000 and increase the dollar amount for fiscal year 2020-21 by $7,600,000 for the purpose of increasing funding for the Birth to 3 Program.

AB56-ASA1-AA2,8,8 43. Page 157, line 4: increase the dollar amount for fiscal year 2019-20 by $512,500 and increase the dollar amount for fiscal year 2020-21 by $675,000 for the purpose of funding services to prevent child abuse or neglect.

AB56-ASA1-AA2,8,11 44. Page 231, line 6: decrease the dollar amount for fiscal year 2019-20 by $1,088,200 and decrease the dollar amount for fiscal year 2020-21 by $1,692,900 for the purpose of telehealth reimbursement under the Medical Assistance program.

AB56-ASA1-AA2,8,14 45. Page 231, line 6: decrease the dollar amount for fiscal year 2020-21 by $89,900 for the purpose of providing supportive services delivered under the Medical Assistance medical home health benefit for persons with substance abuse disorders.

AB56-ASA1-AA2,8,15 46. Page 249, line 15: after that line insert:

AB56-ASA1-AA2,8,16 “ Section 188m. 20.435 (1) (bk) of the statutes is created to read:

AB56-ASA1-AA2,8,18 20.435 (1) (bk) Healthy aging grant program. The amounts in the schedule for grants to an entity that conducts programs in healthy aging.”.

AB56-ASA1-AA2,8,19 47. Page 249, line 16: delete lines 16 to 18 and substitute:

AB56-ASA1-AA2,8,20 “ Section 189b. 20.435 (1) (cr) of the statutes is created to read:

AB56-ASA1-AA2,8,22 20.435 (1) (cr) Minority health grants. The amounts in the schedule for the minority health program under s. 250.20 (3) and (4).”.

AB56-ASA1-AA2,8,23 48. Page 249, line 25: delete that line and substitute:

AB56-ASA1-AA2,8,24 “ Section 191b. 20.435 (1) (kb) of the statutes is repealed.”.

AB56-ASA1-AA2,9,1 49. Page 255, line 2: after that line insert:

AB56-ASA1-AA2,9,2 “ Section 201c. 20.435 (4) (jw) of the statutes is amended to read:

AB56-ASA1-AA2,9,10 20.435 (4) (jw) BadgerCare Plus and hospital assessment. All moneys received from payment of enrollment fees under the program under s. 49.45 (23), all moneys transferred under s. 50.38 (9), all moneys transferred from the appropriation account under par. (jz), and 10 percent of all moneys received from penalty assessments under s. 49.471 (9) (c), for administration of the program under s. 49.45 (23), to provide a portion of the state share of administrative costs for the BadgerCare Plus Medical Assistance program under s. 49.471, and for administration of the hospital assessment under s. 50.38.”.

AB56-ASA1-AA2,9,11 50. Page 255, line 10: delete lines 10 to 14 and substitute:

AB56-ASA1-AA2,9,12 “ Section 203b. 20.435 (5) (cf) of the statutes is amended to read:

AB56-ASA1-AA2,9,16 20.435 (5) (cf) Mobile crisis team Crisis program enhancement grants. Biennially, the amounts in the schedule for awarding grants to counties or regions to establish certified or enhance crisis programs that create mental health mobile crisis teams under s. 46.536.”.

AB56-ASA1-AA2,9,17 51. Page 255, line 15: delete lines 15 to 18 and substitute:

AB56-ASA1-AA2,9,18 “ Section 204b. 20.435 (5) (ct) of the statutes is created to read:

AB56-ASA1-AA2,9,21 20.435 (5) (ct) Mental health consultation program. The amounts in the schedule for developing a plan for a mental health consultation program under s. 51.441. No moneys may be encumbered under this paragraph after June 30, 2021.”.

AB56-ASA1-AA2,9,22 52. Page 255, line 18: after that line insert:

AB56-ASA1-AA2,9,23 “ Section 205c. 20.435 (5) (dg) of the statutes is created to read:

AB56-ASA1-AA2,10,3 20.435 (5) (dg) Regional crisis stabilization facilities. The amounts in the schedule to provide grants to regional crisis stabilization facilities under s. 51.03 (7).”.

AB56-ASA1-AA2,10,4 53. Page 265, line 17: delete that line and substitute:

AB56-ASA1-AA2,10,5 “ Section 279b. 20.505 (8) (hm) 6e. of the statutes is repealed.”.

AB56-ASA1-AA2,10,6 54. Page 304, line 10: delete lines 10 to 18 and substitute:

AB56-ASA1-AA2,10,7 “ Section 484p. 46.536 of the statutes is amended to read:

AB56-ASA1-AA2,10,15 46.536 Mobile crisis team Crisis program enhancement grants. From the appropriation under s. 20.435 (5) (cf), the department shall award grants in the total amount of $250,000 in each fiscal biennium to counties or regions comprised of multiple counties to establish certified or enhance crisis programs that create mental health mobile crisis teams to serve individuals having mental health crises in rural areas. The department shall award a grant under this section in an amount equal to one-half the amount of money the county or region provides to establish certified or enhance crisis programs that create mobile crisis teams.”.

AB56-ASA1-AA2,10,16 55. Page 304, line 19: after that line insert:

AB56-ASA1-AA2,10,17 “ Section 486m. 46.854 of the statutes is created to read: