Amendment SA2-AB56

AB56-SA2,89,9 “(2b) Medical Assistance reimbursement for services provided through telehealth. The department of health services shall develop, by rule, a method of reimbursing providers under the Medical Assistance program for a service that is covered by the Medical Assistance program under subch. IV of ch. 49 and that satisfies any of the following:

AB56-SA2,89,12 (a) The service is a consultation between a provider at an originating site and a provider at a remote location using a combination of interactive video, audio, and externally acquired images through a networking environment.

AB56-SA2,89,15 (b) The service is an asynchronous transmission of digital clinical information through a secure electronic system from a Medical Assistance recipient or provider to a provider.”.

AB56-SA2,89,16 110. Page 489, line 3: after that line insert:

AB56-SA2,89,20 “(2g) Childless adults demonstration project reform waiver. The department of health services may submit a request to the federal department of health and human services to modify or withdraw the waiver granted under s. 49.45 (23) (g), 2017 stats.

AB56-SA2,89,21 (3g) Academic detailing training program.

AB56-SA2,90,2 (a) In this subsection, “academic detailing” means a teaching model under which health care experts are taught techniques for engaging in interactional educational outreach to other health care providers and clinical staff to provide information on evidence-based practices and successful therapeutic interventions with the goal of improving patient care.

AB56-SA2,90,5 (b) The department of health services shall establish and implement a 2-year academic detailing primary care clinic dementia training program in 10 primary care clinics in the state through a contract with the Wisconsin Alzheimer's Institute.

AB56-SA2,90,10 (c) The department shall, as part of the training program, provide primary care providers with clinical training and access to educational resources on best practices for diagnosis and management of common cognitive disorders, and referral strategies to dementia specialists for complicated or rare cognitive or behavioral disorders.

AB56-SA2,90,12 (d) The department shall ensure that the training program under this subsection includes at least the following three components:

AB56-SA2,90,14 1. The most current research on effective clinical treatments and practices is systematically evaluated by the academic detailing team.

AB56-SA2,90,17 2. Information gathered and evaluated under subd. 1. is packaged into an easily accessible format that is clinically relevant, rigorously sourced, and compellingly formatted.

AB56-SA2,90,21 3. Training is provided for clinicians to serve as academic detailers that equips them with clinical expertise and proficiency in conducting an interactive educational exchange to facilitate individualized learning among participating primary care practitioners in the target clinics.”.

AB56-SA2,90,22 111. Page 489, line 14: after that line insert:

AB56-SA2,91,6 “(4c) Childless adults demonstration project. The department of health services shall submit any necessary request to the federal department of health and human services for a state plan amendment or waiver of federal Medicaid law or to modify or withdraw from any waiver of federal Medicaid law relating to the childless adults demonstration project under s. 49.45 (23), 2017 stats., to reflect the incorporation of recipients of Medical Assistance under the demonstration project into the BadgerCare Plus program under s. 49.471 and the termination of the demonstration project.”.

AB56-SA2,91,7 112. Page 489, line 15: delete lines 15 to 20 and substitute:

AB56-SA2,91,13 “(6b) Evidence-based oral health grants and Seal-A-Smile program. Notwithstanding s. 250.10 (1m) (b), in fiscal year 2019-20, the department of health services shall, from the appropriation under s. 20.435 (1) (de), award to qualified applicants grants totaling $50,000 for fluoride varnish and other evidence-based oral health activities, $525,000 for school-based preventive dental services, and $100,000 for school-based restorative dental services.”.

AB56-SA2,91,14 113. Page 489, line 20: after that line insert:

AB56-SA2,91,21 “(6d) Prescription drug importation program. The department of health services shall submit the first report required under s. 250.048 (5) by the next January 1 or July 1, whichever is earliest, that is at least 180 days after the date the prescription drug importation program is fully operational under s. 250.048 (4). The department of health services shall include in the first 3 reports submitted under s. 250.048 (5) information on the implementation of the audit functions under s. 250.048 (1) (n).”.

AB56-SA2,91,22 114. Page 490, line 5: after that line insert:

AB56-SA2,92,4 “(8m) Community-based doulas. From the appropriation under s. 20.435 (4) (bm), the department of health services shall in fiscal year 2019-20 allocate $192,000 to public or private entities, American Indian tribes or tribal organizations, or community-based organizations for grants for community-based doulas. The recipients of the grants shall use the moneys to identify and train local community workers to mentor pregnant women.”.

AB56-SA2,92,5 115. Page 490, line 6: delete lines 6 to 11 and substitute:

AB56-SA2,92,11 “(9b) Dental services under Medical Assistance. During the 2019-21 fiscal biennium, the department of health services shall allocate a total of $2,000,000 in the 2019-20 fiscal year and $3,000,000 in the 2020-21 fiscal year from all funding sources to increase reimbursement rates for dental services that are covered under the Medical Assistance program under subch. IV of ch. 49 and that are provided to recipients of Medical Assistance who have disabilities.”.

AB56-SA2,92,12 116. Page 490, line 11: after that line insert:

AB56-SA2,92,20 “(9r) Wisconsin chronic disease program. In fiscal year 2019-20, the department of health services shall allocate $3,782,200 from the appropriation under s. 20.435 (4) (e) and $983,500 from the appropriation under s. 20.435 (4) (je) to fund the Wisconsin Chronic Disease Program as provided under ss. 49.68, 49.683, and 49.685. In fiscal year 2020-21, the department of health services shall allocate $3,939,300 from the appropriation under s. 20.435 (4) (e) and $1,027,300 from the appropriation under s. 20.435 (4) (je) to fund the Wisconsin Chronic Disease Program as provided under ss. 49.68, 49.683, and 49.685.”.

AB56-SA2,92,21 117. Page 490, line 12: delete lines 12 to 16 and substitute:

AB56-SA2,93,2 “(10c) Infant mortality prevention program. The department of health services shall allocate 5.0 FTE positions that are authorized for the department of health services to staff an infant mortality prevention program. The department of health services shall report in its 2021-23 budget request any necessary budget adjustments to reflect this allocation of positions.”.

AB56-SA2,93,3 118. Page 490, line 16: after that line insert:

AB56-SA2,93,13 “(10d) Dispatcher assisted cardiopulmonary resuscitation. Beginning in fiscal year 2019-20, the department of health services shall allocate $105,900 each fiscal year to assist public safety answering points in complying with dispatcher training requirements on telephonic assistance on administering cardiopulmonary resuscitation enacted in 2017 Wisconsin Act 296, including $75,900 under 20.435 (1) (cj) for the department of health services to distribute, either as grants to public safety answering points or by contracting with an entity to provide training to public safety answering points, and $30,000 to fund supplies and services for the program under the department of health services general program operations appropriation under s. 20.435 (1) (a).”.

AB56-SA2,93,14 119. Page 491, line 3: delete lines 3 to 15.

AB56-SA2,93,15 120. Page 491, line 15: after that line insert:

AB56-SA2,93,20 “(10s) One-time funding for information technology infrastructure improvements. In fiscal year 2019-20, the department of health services shall allocate $500,000 on a one-time basis to fund information technology infrastructure improvements as part of an automated licensing project and to enable assisted living providers to enter reports online.”.

AB56-SA2,93,24 121. Page 491, line 20: delete the material beginning with “facilities;" and ending with “2020-21" on line 23 and substitute “facilities and an additional $15,000,000, as the state share of payments, and the matching federal share of payments in each of fiscal years 2019-20 and 2020-21”.

AB56-SA2,94,1 122. Page 492, line 1: delete lines 1 to 7 and substitute:

AB56-SA2,94,8 “(12b) Medical Assistance reimbursement rate increase for direct care in personal care agencies. The department of health services shall increase the Medical Assistance rates paid for direct care to agencies that provide personal care services by $15,300,000, as the state share of payments and the matching federal share of payments in fiscal year 2019-20 and $21,600,000, as the state share of payments and the matching federal share of payments in fiscal year 2020-21 to support staff in those agencies who perform direct care.”.

AB56-SA2,94,9 123. Page 492, line 7: after that line insert:

AB56-SA2,94,15 “(13) Lead exposure and poisoning prevention staff. The authorized FTE positions for the department of health services are increased by 1.0 GPR project position for the period ending June 30, 2021, and 1.14 GPR positions beginning on July 1, 2019, to be funded from the appropriation under s. 20.435 (1) (a), for the purpose of administering the department's lead public health outreach initiative and for enhancing the department's lead poisoning prevention programs.”.

AB56-SA2,94,16 124. Page 492, line 18: after that line insert:

AB56-SA2,94,20 “(1k) Prescription drug cost survey. The commissioner of insurance shall conduct a statistically valid survey of pharmacies in this state regarding whether the pharmacy agreed to not disclose that customer drug benefit cost sharing exceeds the cost of the dispensed drug.

AB56-SA2,95,2 (2k) Prescription drug cost reporting positions. The authorized FTE positions for the office of the commissioner of insurance are increased by 2.0 PR positions, to be funded from the appropriation under s. 20.145 (1) (g), for the purpose of administering prescription drug cost reporting and registration of pharmacy benefit managers under ss. 632.796, 632.865 (3), and 632.866.”.

AB56-SA2,95,3 125. Page 501, line 11: delete lines 11 to 20.

AB56-SA2,95,4 126. Page 505, line 11: after that line insert:

AB56-SA2,95,9 “(2m) Elimination of birth cost recovery. The treatment of ss. 49.45 (19) (a) and (c), 49.855 (3) (with respect to the elimination of statutory reference to court authority to issue new orders for birth expenses) and (4m) (b), 767.805 (4) (d), and 767.89 (3) (e) first applies to an order or judgment relating to paternity issued on the effective date of this subsection.”.

AB56-SA2,95,10 127. Page 505, line 16: after that line insert:

AB56-SA2,95,12 “(1i) Coverage of individuals with preexisting conditions, essential health benefits, and preventive services.

AB56-SA2,95,21 (a) For policies and plans containing provisions inconsistent with these sections, the treatment of ss. 40.51 (8) and (8m), 66.0137 (4), 120.13 (2) (g), 185.983 (1) (intro.), 609.713, 609.847, 625.12 (1) (a) and (e) and (2), 625.15 (1), 628.34 (3) (a), 632.728, 632.746 (1) (a) and (b), (2) (a), (c), (d), and (e), (3) (a) and (d) 1., 2., and 3., (5), and (8) (a) (intro.), 632.748 (2), 632.76 (2) (a) and (ac) 1., 2., and 3., 632.795 (4) (a), 632.895 (8) (d), (13m), (14) (a) 1. i., j., and k. to o., (b), (c) and (d) 3., (14m), (16m) (b), and (17) (b) 2. and (c), and 632.897 (11) (a) first applies to policy or plan years beginning on January 1 of the year following the year in which this paragraph takes effect, except as provided in par. (b).

AB56-SA2,96,7 (b) For policies and plans that are affected by a collective bargaining agreement containing provisions inconsistent with these sections, the treatment of ss. 40.51 (8) and (8m), 66.0137 (4), 120.13 (2) (g), 185.983 (1) (intro.), 609.713, 609.847, 625.12 (1) (a) and (e) and (2), 625.15 (1), 628.34 (3) (a), 632.728, 632.746 (1) (a) and (b), (2) (a), (c), (d), and (e), (3) (a) and (d) 1., 2., and 3., (5), and (8) (a) (intro.), 632.748 (2), 632.76 (2) (a) and (ac) 1., 2., and 3., 632.795 (4) (a), 632.895 (8) (d), (13m), (14) (a) 1. i., j., and k. to o., (b), (c) and (d) 3., (14m), (16m) (b), and (17) (b) 2. and (c), and 632.897 (11) (a) first applies to policy or plan years beginning on the effective date of this paragraph or on the day on which the collective bargaining agreement is entered into, extended, modified, or renewed, whichever is later.”.

AB56-SA2,96,8 128. Page 509, line 1: after that line insert:

AB56-SA2,96,10 “(1c) Medicaid expansion. The treatment of ss. 20.435 (4) (jw) and 49.45 (23) takes effect on January 1, 2020.”.

AB56-SA2,96,11 129. Page 509, line 6: after that line insert:

AB56-SA2,96,20 “(1i) Coverage of individuals with preexisting conditions, essential health benefits, and preventive services. The treatment of ss. 40.51 (8) and (8m), 66.0137 (4), 120.13 (2) (g), 185.983 (1) (intro.), 609.713, 609.847, 625.12 (1) (a) and (e) and (2), 625.15 (1), 628.34 (3) (a), 632.728, 632.746 (1) (a) and (b), (2) (a), (c), (d), and (e), (3) (a) and (d) 1., 2., and 3., (5), and (8) (a) (intro.), 632.748 (2), 632.76 (2) (a) and (ac) 1., 2., and 3., 632.795 (4) (a), 632.895 (8) (d), (13m), (14) (a) 1. i., j., and k. to o., (b), (c) and (d) 3., (14m), (16m) (b), and (17) (b) 2. and (c), and 632.897 (11) (a) and Section 9323 (1i) of this act take effect on the first day of the 4th month beginning after publication.”.

AB56-SA2,96,21 (End)

This proposal may contain a health insurance mandate requiring a social and financial impact report under s. 601.423, stats.