Amendment AA2-ASA1-AB56

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:

AB56-ASA1-AA2,10,20 46.854 Healthy aging grant program. From the appropriation under s. 20.435 (1) (bk), the department shall award in each fiscal year a grant of $250,000 to an entity that conducts programs in healthy aging.”.

AB56-ASA1-AA2,10,21 56. Page 304, line 19: after that line insert:

AB56-ASA1-AA2,10,22 “ Section 487w. 46.995 (4) of the statutes is created to read:

AB56-ASA1-AA2,11,2 46.995 (4) The department shall ensure that any child who is eligible and who applies for the disabled children's long-term support program that is operating under a waiver of federal law receives services under the disabled children's long-term support program that is operating under a waiver of federal law.”.

AB56-ASA1-AA2,11,3 57. Page 346, line 3: delete lines 3 to 5 and substitute:

AB56-ASA1-AA2,11,6 “(u) Prevention services. For services to prevent child abuse or neglect, $5,289,600 in each fiscal year $6,302,100 in fiscal year 2019-20 and $7,464,600 in fiscal year 2020-21.”.

AB56-ASA1-AA2,11,7 58. Page 348, line 15: after that line insert:

AB56-ASA1-AA2,11,8 “ Section 652c. 49.45 (2p) of the statutes is repealed.”.

AB56-ASA1-AA2,11,9 59. Page 348, line 21: after that line insert:

AB56-ASA1-AA2,11,10 “ Section 654f. 49.45 (3) (e) 11. of the statutes is amended to read:

AB56-ASA1-AA2,11,22 49.45 (3) (e) 11. The department shall use a portion of the moneys collected under s. 50.38 (2) (a) to pay for services provided by eligible hospitals, as defined in s. 50.38 (1), other than critical access hospitals, under the Medical Assistance Program under this subchapter, including services reimbursed on a fee-for-service basis and services provided under a managed care system. For state fiscal year 2008-09, total payments required under this subdivision, including both the federal and state share of Medical Assistance, shall equal the amount collected under s. 50.38 (2) (a) for fiscal year 2008-09 divided by 57.75 percent. For each state fiscal year after state fiscal year 2008-09, total payments required under this subdivision, including both the federal and state share of Medical Assistance, shall equal the amount collected under s. 50.38 (2) (a) for the fiscal year divided by 61.68 53.69 percent.

AB56-ASA1-AA2,654h Section 654h. 49.45 (3) (e) 12. of the statutes is amended to read:

AB56-ASA1-AA2,12,8 49.45 (3) (e) 12. The department shall use a portion of the moneys collected under s. 50.38 (2) (b) to pay for services provided by critical access hospitals under the Medical Assistance Program under this subchapter, including services reimbursed on a fee-for-service basis and services provided under a managed care system. For each state fiscal year, total payments required under this subdivision, including both the federal and state share of Medical Assistance, shall equal the amount collected under s. 50.38 (2) (b) for the fiscal year divided by 61.68 53.69 percent.”.

AB56-ASA1-AA2,12,9 60. Page 348, line 21: after that line insert:

AB56-ASA1-AA2,12,10 “ Section 657b. 49.45 (3m) (a) (intro.) of the statutes is amended to read:

AB56-ASA1-AA2,12,17 49.45 (3m) (a) (intro.) Subject to par. (c) and notwithstanding sub. (3) (e), from the appropriations under s. 20.435 (4) (b) and (o), in each fiscal year, the department shall pay to hospitals that serve a disproportionate share of low-income patients an amount equal to the sum of $27,500,000 $56,500,000, as the state share of payments, and the matching federal share of payments. The department may make a payment to a hospital under this subsection under the calculation method described in par. (b) if the hospital meets all of the following criteria:

AB56-ASA1-AA2,658b Section 658b. 49.45 (3m) (b) 3. a. of the statutes is amended to read:

AB56-ASA1-AA2,12,22 49.45 (3m) (b) 3. a. No single hospital receives more than $4,600,000 $9,200,000, except that a hospital that is a free-standing pediatric teaching hospital located in Wisconsin that has a percentage calculated under subd. 1. a. greater than 50 percent may receive up to $12,000,000 each fiscal year.”.

AB56-ASA1-AA2,12,24 61. Page 348, line 23: delete the material beginning with that line and ending with page 349, line 11, and substitute:

AB56-ASA1-AA2,13,14 “49.45 (3p) (a) Subject to par. (c) and notwithstanding sub. (3) (e), from the appropriations under s. 20.435 (4) (b) and (o), in each fiscal year, the department shall pay to hospitals that would are not eligible for payments under sub. (3m) but that meet the criteria under sub. (3m) (a) except that the hospitals do not provide obstetric services 1. and 2. and that, in the most recent year for which information is available, charged at least 6 percent of overall charges for services to the Medical Assistance program for services provided to Medical Assistance recipients an amount equal to the sum of $250,000 $500,000, as the state share of payments, and the matching federal share of payments. The department may make a payment to a hospital under this subsection under a calculation method determined by the department that provides a fee-for-service supplemental payment that increases as the hospital's percentage of inpatient days for Medical Assistance recipients at the hospital the total amount of the hospital's overall charges for services that are charges to the Medical Assistance program increases.”.

AB56-ASA1-AA2,13,15 62. Page 352, line 22: after that line insert:

AB56-ASA1-AA2,13,16 “ Section 667b. 49.45 (6xm) of the statutes is created to read:

AB56-ASA1-AA2,13,20 49.45 (6xm) Pediatric inpatient supplement. (a) From the appropriations under s. 20.435 (4) (b), (o), and (w), the department shall, using a method determined by the department, distribute a total sum of $2,000,000 each state fiscal year to hospitals that meet all of the following criteria:

AB56-ASA1-AA2,13,21 1. The hospital is an acute care hospital located in this state.

AB56-ASA1-AA2,14,2 2. During the hospital's fiscal year, the inpatient days in the hospital's acute care pediatric units and intensive care pediatric units totaled more than 12,000 days, not including neonatal intensive care units. For purposes of this subsection, the hospital's fiscal year is the hospital's fiscal year that ended in the 2nd calendar year preceding the beginning of the state fiscal year.

AB56-ASA1-AA2,14,7 (b) Notwithstanding par. (a), from the appropriations under s. 20.435 (4) (b), (o), and (w), the department may, using a method determined by the department, distribute an additional total sum of $10,000,000 in each state fiscal year to hospitals that are free-standing pediatric teaching hospitals located in Wisconsin that have a percentage calculated under s. 49.45 (3m) (b) 1. a. greater than 45 percent.

AB56-ASA1-AA2,672c Section 672c. 49.45 (23) of the statutes is repealed.

AB56-ASA1-AA2,673g Section 673g. 49.45 (23) (g) of the statutes is repealed.

AB56-ASA1-AA2,674g Section 674g. 49.45 (23b) of the statutes is repealed.

AB56-ASA1-AA2,676m Section 676m. 49.45 (24L) of the statutes is created to read:

AB56-ASA1-AA2,14,15 49.45 (24L) Critical access reimbursement payments to dental providers. (a) Based on the criteria in pars. (b) and (c), the department shall increase reimbursements to dental providers that meet quality of care standards, as established by the department.

AB56-ASA1-AA2,14,17 (b) In order to be eligible for enhanced reimbursement under this subsection, the provider must meet one of the following qualifications:

AB56-ASA1-AA2,14,20 1. For a nonprofit or public provider, 50 percent or more of the individuals served by the provider are individuals who are without dental insurance or are enrolled in the Medical Assistance program.

AB56-ASA1-AA2,14,22 2. For a for-profit provider, 5 percent or more of the individuals served by the provider are enrolled in the Medical Assistance program.

AB56-ASA1-AA2,15,8 (c) For dental services rendered on or after January 1, 2020, by a qualified nonprofit critical access dental provider, the department shall increase reimbursement by 50 percent above the reimbursement rate that would otherwise be paid to that provider. For dental services rendered on or after January 1, 2020, by a qualified for-profit critical access dental provider, the department shall increase reimbursement by 30 percent above the reimbursement rate that would otherwise be paid to that provider. For dental providers rendering services to individuals in managed care under the Medical Assistance program, for services rendered on or after January 1, 2020, the department shall increase reimbursement to pay an additional amount on the basis of the rate that would have been paid to the dental provider had the individual not been enrolled in managed care.

AB56-ASA1-AA2,15,11 (d) If a provider has more than one service location, the thresholds described under par. (b) apply to each location, and payment for each service location would be determined separately.”.

AB56-ASA1-AA2,15,13 63. Page 352, line 24: delete the material beginning with that line and ending with page 353, line 8, and substitute:

AB56-ASA1-AA2,15,23 “49.45 (29w) (b) 1. b. “Telehealth" is means a service provided from a remote location using a combination of interactive video, audio, and externally acquired images through a networking environment between an individual or a provider at an originating site and a provider at a remote location with the service being of sufficient audio and visual fidelity and clarity as to be functionally equivalent to face-to-face contact; or, in circumstances determined by the department, an asynchronous transmission of digital clinical information through a secure electronic communications system from one provider to another provider. “Telehealth" does not include telephone conversations or Internet-based communications between providers or between providers and individuals.”.

AB56-ASA1-AA2,15,24 64. Page 353, line 9: delete that line and substitute:

AB56-ASA1-AA2,16,1 “ Section 678b. 49.45 (29y) (d) of the statutes is repealed.

AB56-ASA1-AA2,679p Section 679p. 49.45 (30y) of the statutes is created to read:

AB56-ASA1-AA2,16,5 49.45 (30y) Certified doula services; pilot project. (a) In this subsection, “certified doula" means an individual who has received certification from a doula certifying organization recognized by the department.

AB56-ASA1-AA2,16,8 (b) For purposes of this subsection, services provided by certified doulas include continuous emotional and physical support during labor and birth of a child and intermittent services during the prenatal and postpartum periods.

AB56-ASA1-AA2,16,13 (c) Subject to par. (d), the department shall reimburse under the Medical Assistance program benefits as provided under this subsection for pregnant women enrolled in the Medical Assistance program who reside in the counties of Brown, Dane, Milwaukee, Rock, or Sheboygan, or another county as determined by the department.

AB56-ASA1-AA2,16,19 (d) The department shall request from the secretary of the federal department of health and human services any approval necessary to allow reimbursement under the Medical Assistance program for services provided by a certified doula. The department may not pay reimbursement unless federal approval is not required or any required federal approval allowing reimbursement under s. 49.46 (2) (b) 12p. is approved and in effect.”.

AB56-ASA1-AA2,16,21 65. Page 353, line 11: delete the material beginning with that line and ending with page 354, line 17, and substitute:

AB56-ASA1-AA2,17,3 “49.45 (41) Mental health crisis Crisis intervention services. (a) In this subsection, “mental health crisis intervention services" means crisis intervention services for the treatment of mental illness, intellectual disability, substance abuse, and dementia that are provided by a mental health crisis intervention program operated by, or under contract with, a county, if the county is certified as a medical assistance provider.

AB56-ASA1-AA2,17,12 (b) If a county elects to become certified as a provider of mental health crisis intervention services, the county may provide mental health crisis intervention services under this subsection in the county to medical assistance recipients through the medical assistance program. A county that elects to provide the services shall pay the amount of the allowable charges for the services under the medical assistance program that is not provided by the federal government. The department shall reimburse the county under this subsection only for the amount of the allowable charges for those services under the medical assistance program that is provided by the federal government.

AB56-ASA1-AA2,681b Section 681b. 49.45 (41) (c) of the statutes is created to read:

AB56-ASA1-AA2,17,16 49.45 (41) (c) Notwithstanding par. (b), if a county elects to deliver crisis intervention services under the Medical Assistance program on a regional basis according to criteria established by the department, all of the following apply:

AB56-ASA1-AA2,17,21 1. After January 1, 2020, the department shall require the county to annually contribute for the crisis intervention services an amount equal to 75 percent of the annual average of the county's expenditures for crisis intervention services under this subsection in calendar years 2016, 2017, and 2018, as determined by the department.

AB56-ASA1-AA2,17,25 2. The department shall reimburse the provider of crisis intervention services in the county the amount of allowable charges for those services under the Medical Assistance program, including both the federal share and nonfederal share of those charges, that exceeds the amount of the county contribution required under subd. 1.