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AB56-SA2,29,23 2275. Page 352, line 24: delete the material beginning with that line and ending
23with page 353, line 8, and substitute:
AB56-SA2,30,10
1“49.45 (29w) (b) 1. b. “Telehealth" is means a service provided from a remote
2location using a combination of interactive video, audio, and externally acquired
3images through a networking environment between an individual or a provider at
4an originating site and a provider at a remote location with the service being of
5sufficient audio and visual fidelity and clarity as to be functionally equivalent to
6face-to-face contact; or, in circumstances determined by the department, an
7asynchronous transmission of digital clinical information through a secure
8electronic communications system from one provider to another provider
.
9“Telehealth" does not include telephone conversations or Internet-based
10communications between providers or between providers and individuals.”.
AB56-SA2,30,11 1176. Page 353, line 9: delete that line and substitute:
AB56-SA2,30,12 12 Section 678b. 49.45 (29y) (d) of the statutes is repealed.
AB56-SA2,679p 13Section 679p. 49.45 (30y) of the statutes is created to read:
AB56-SA2,30,1614 49.45 (30y) Certified doula services; pilot project. (a) In this subsection,
15“certified doula" means an individual who has received certification from a doula
16certifying organization recognized by the department.
AB56-SA2,30,1917 (b) For purposes of this subsection, services provided by certified doulas include
18continuous emotional and physical support during labor and birth of a child and
19intermittent services during the prenatal and postpartum periods.
AB56-SA2,30,2420 (c) Subject to par. (d), the department shall reimburse under the Medical
21Assistance program benefits as provided under this subsection for pregnant women
22enrolled in the Medical Assistance program who reside in the counties of Brown,
23Dane, Milwaukee, Rock, or Sheboygan, or another county as determined by the
24department.
AB56-SA2,31,6
1(d) The department shall request from the secretary of the federal department
2of health and human services any approval necessary to allow reimbursement under
3the Medical Assistance program for services provided by a certified doula. The
4department may not pay reimbursement unless federal approval is not required or
5any required federal approval allowing reimbursement under s. 49.46 (2) (b) 12p. is
6approved and in effect.”.
AB56-SA2,31,8 777. Page 353, line 11: delete the material beginning with that line and ending
8with page 354, line 17, and substitute:
AB56-SA2,31,14 9“49.45 (41) Mental health crisis Crisis intervention services. (a) In this
10subsection, “mental health crisis intervention services" means crisis intervention
11services for the treatment of mental illness, intellectual disability, substance abuse,
12and dementia
that are provided by a mental health crisis intervention program
13operated by, or under contract with, a county, if the county is certified as a medical
14assistance provider.
AB56-SA2,31,2315 (b) If a county elects to become certified as a provider of mental health crisis
16intervention services, the county may provide mental health crisis intervention
17services under this subsection in the county to medical assistance recipients through
18the medical assistance program. A county that elects to provide the services shall
19pay the amount of the allowable charges for the services under the medical
20assistance program that is not provided by the federal government. The department
21shall reimburse the county under this subsection only for the amount of the allowable
22charges for those services under the medical assistance program that is provided by
23the federal government.
AB56-SA2,681b 24Section 681b. 49.45 (41) (c) of the statutes is created to read:
AB56-SA2,32,3
149.45 (41) (c) Notwithstanding par. (b), if a county elects to deliver crisis
2intervention services under the Medical Assistance program on a regional basis
3according to criteria established by the department, all of the following apply:
AB56-SA2,32,74 1. After January 1, 2020, the department shall require the county to annually
5contribute for the crisis intervention services an amount equal to 75 percent of the
6county's expenditures for crisis intervention services under this subsection in
7calendar year 2017, as determined by the department.
AB56-SA2,32,118 2. The department shall reimburse the provider of crisis intervention services
9in the county the amount of allowable charges for those services under the Medical
10Assistance program, including both the federal share and nonfederal share of those
11charges, that exceeds the amount of the county contribution required under subd. 1.
AB56-SA2,32,1512 3. If a county submits a certified cost report under s. 49.45 (52) (b) to claim
13federal medical assistance funds, the claim based on certified costs made by a county
14for amounts under subd. 2. may not include any part of the nonfederal share of the
15amount under subd. 2.”.
AB56-SA2,32,17 1678. Page 354, line 23: delete the material beginning with that line and ending
17with page 355, line 6, and substitute:
AB56-SA2,32,18 18 Section 683b. 49.45 (47) (dm) of the statutes is created to read:
AB56-SA2,33,219 49.45 (47) (dm) Every 24 months, on a schedule determined by the department,
20an adult day care center shall submit through an online system prescribed by the
21department a report in the form and containing the information that the department
22requires, including payment of any fee due under par. (c). If a complete report is not
23timely filed, the department shall issue a warning to the operator of the adult day
24care center. The department may revoke an adult day care center's certification for

1failure to timely and completely report within 60 days after the report date
2established under the schedule determined by the department.”.
AB56-SA2,33,3 379. Page 355, line 6: after that line insert:
AB56-SA2,33,4 4 Section 685b. 49.46 (1) (a) 1m. of the statutes is amended to read:
AB56-SA2,33,85 49.46 (1) (a) 1m. Any pregnant woman whose income does not exceed the
6standard of need under s. 49.19 (11) and whose pregnancy is medically verified.
7Eligibility continues to the last day of the month in which the 60th day or, if approved
8by the federal government, the 365th day
after the last day of the pregnancy falls.”.
AB56-SA2,33,9 980. Page 355, line 21: after that line insert:
AB56-SA2,33,10 10 Section 688b. 49.46 (1) (j) of the statutes is amended to read:
AB56-SA2,33,1511 49.46 (1) (j) An individual determined to be eligible for benefits under par. (a)
129. remains eligible for benefits under par. (a) 9. for the balance of the pregnancy and
13to the last day of the month in which the 60th day or, if approved by the federal
14government, the 365th day
after the last day of the pregnancy falls without regard
15to any change in the individual's family income.”.
AB56-SA2,33,16 1681. Page 356, line 2: after that line insert:
AB56-SA2,33,17 17 Section 690p. 49.46 (2) (b) 12p. of the statutes is created to read:
AB56-SA2,33,1918 49.46 (2) (b) 12p. Subject to the limitations under s. 49.45 (30y), services
19provided by a certified doula.”.
AB56-SA2,33,20 2082. Page 356, line 4: delete lines 4 and 5 and substitute:
AB56-SA2,33,22 21“49.46 (2) (b) 15. Mental health crisis Crisis intervention services under s.
2249.45 (41).”.
AB56-SA2,33,23 2383. Page 356, line 5: after that line insert:
AB56-SA2,33,24 24 Section 691d. 49.46 (2) (b) 21. of the statutes is created to read:
AB56-SA2,34,2
149.46 (2) (b) 21. Subject to par. (bv), nonmedical services that contribute to the
2determinants of health.
AB56-SA2,691g 3Section 691g. 49.46 (2) (bv) of the statutes is created to read:
AB56-SA2,34,104 49.46 (2) (bv) The department shall determine those services under par. (b) 21.
5that contribute to the determinants of health. The department shall seek any
6necessary state plan amendment or request any waiver of federal Medicaid law to
7implement this paragraph. The department is not required to provided the services
8under this paragraph as a benefit under the Medical Assistance program if the
9federal department of health and human services does not provide federal financial
10participation for the services under this paragraph.
AB56-SA2,694h 11Section 694h. 49.463 of the statutes is repealed.
AB56-SA2,695b 12Section 695b. 49.47 (4) (ag) 2. of the statutes is amended to read:
AB56-SA2,34,1513 49.47 (4) (ag) 2. Pregnant and the woman's pregnancy is medically verified
14Eligibility continues to the last day of the month in which the 60th day or, if approved
15by the federal government, the 365th day
after the last day of the pregnancy falls.”.
AB56-SA2,34,16 1684. Page 356, line 23: after that line insert:
AB56-SA2,34,17 17 Section 699c. 49.471 (1) (cr) of the statutes is created to read:
AB56-SA2,34,1918 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a
19federal medical assistance percentage described under 42 USC 1396d (y) or (z).
AB56-SA2,700c 20Section 700c. 49.471 (4) (a) 4. b. of the statutes is amended to read:
AB56-SA2,34,2321 49.471 (4) (a) 4. b. The individual's family income does not exceed 100 133
22percent of the poverty line before application of the 5 percent income disregard under
2342 CFR 435.603 (d)
.
AB56-SA2,701c 24Section 701c. 49.471 (4) (a) 8. of the statutes is created to read:
AB56-SA2,35,1
149.471 (4) (a) 8. An individual who meets all of the following criteria:
AB56-SA2,35,22 a. The individual is an adult under the age of 65.
AB56-SA2,35,43 b. The adult has a family income that does not exceed 133 percent of the poverty
4line, except as provided in sub. (4g).
AB56-SA2,35,65 c. The adult is not otherwise eligible for the Medical Assistance program under
6this subchapter or the Medicare program under 42 USC 1395 et seq.
AB56-SA2,702c 7Section 702c. 49.471 (4g) of the statutes is created to read:
AB56-SA2,35,158 49.471 (4g) Medicaid expansion; federal medical assistance percentage. For
9services provided to individuals described under sub. (4) (a) 8., the department shall
10comply with all federal requirements to qualify for the highest available enhanced
11federal medical assistance percentage. The department shall submit any
12amendment to the state medical assistance plan, request for a waiver of federal
13Medicaid law, or other approval request required by the federal government to
14provide services to the individuals described under sub. (4) (a) 8. and qualify for the
15highest available enhanced federal medical assistance percentage.
AB56-SA2,703b 16Section 703b. 49.471 (6) (b) of the statutes is amended to read:
AB56-SA2,35,2117 49.471 (6) (b) A pregnant woman who is determined to be eligible for benefits
18under sub. (4) remains eligible for benefits under sub. (4) for the balance of the
19pregnancy and to the last day of the month in which the 60th day or, if approved by
20the federal government, the 365th day
after the last day of the pregnancy falls
21without regard to any change in the woman's family income.
AB56-SA2,704b 22Section 704b. 49.471 (6) (L) of the statutes is created to read:
AB56-SA2,36,323 49.471 (6) (L) The department shall request from the federal department of
24health and human services approval of a state plan amendment, a waiver of federal
25Medicaid law, or approval of a demonstration project to maintain eligibility for

1post-partum women to the last day of the month in which the 365th day after the
2last day of the pregnancy falls under ss. 49.46 (1) (a) 1m. and 9. and (j), 49.47 (4) (ag)
32., and 49.471 (4) (a) 1g. and 1m., (6) (b), and (7) (b) 1.
AB56-SA2,705b 4Section 705b. 49.471 (7) (b) 1. of the statutes is amended to read:
AB56-SA2,36,155 49.471 (7) (b) 1. A pregnant woman whose family income exceeds 300 percent
6of the poverty line may become eligible for coverage under this section if the
7difference between the pregnant woman's family income and the applicable income
8limit under sub. (4) (a) is obligated or expended for any member of the pregnant
9woman's family for medical care or any other type of remedial care recognized under
10state law or for personal health insurance premiums or for both. Eligibility obtained
11under this subdivision continues without regard to any change in family income for
12the balance of the pregnancy and to the last day of the month in which the 60th day
13or, if approved by the federal government, the 365th day after the last day of the
14woman's pregnancy falls. Eligibility obtained by a pregnant woman under this
15subdivision extends to all pregnant women in the pregnant woman's family.”.
AB56-SA2,36,16 1685. Page 357, line 18: after that line insert:
AB56-SA2,36,17 17 Section 711c. 49.686 (3) (d) of the statutes is amended to read:
AB56-SA2,36,2318 49.686 (3) (d) Has applied for coverage under and has been denied eligibility
19for medical assistance within 12 months prior to application for reimbursement
20under sub. (2). This paragraph does not apply to an individual who is eligible for
21benefits under the demonstration project for childless adults under s. 49.45 (23)
22BadgerCare Plus under s. 49.471 (4) (a) 8. or to an individual who is eligible for
23benefits under BadgerCare Plus under s. 49.471 (11).”.
AB56-SA2,36,24 2486. Page 358, line 10: after that line insert:
AB56-SA2,37,1
1 Section 726m. 49.855 (3) of the statutes is amended to read:
AB56-SA2,37,252 49.855 (3) Receipt of a certification by the department of revenue shall
3constitute a lien, equal to the amount certified, on any state tax refunds or credits
4owed to the obligor. The lien shall be foreclosed by the department of revenue as a
5setoff under s. 71.93 (3), (6), and (7). When the department of revenue determines
6that the obligor is otherwise entitled to a state tax refund or credit, it shall notify the
7obligor that the state intends to reduce any state tax refund or credit due the obligor
8by the amount the obligor is delinquent under the support, maintenance, or receiving
9and disbursing fee order or obligation, by the outstanding amount for past support,
10or medical expenses, or birth expenses under the court order, or by the amount due
11under s. 46.10 (4), 49.345 (4), or 301.12 (4). The notice shall provide that within 20
12days the obligor may request a hearing before the circuit court rendering the order
13under which the obligation arose. Within 10 days after receiving a request for
14hearing under this subsection, the court shall set the matter for hearing. Pending
15further order by the court or a circuit court commissioner, the department of children
16and families or its designee, whichever is appropriate, is prohibited from disbursing
17the obligor's state tax refund or credit. A circuit court commissioner may conduct the
18hearing. The sole issues at that hearing shall be whether the obligor owes the
19amount certified and, if not and it is a support or maintenance order, whether the
20money withheld from a tax refund or credit shall be paid to the obligor or held for
21future support or maintenance, except that the obligor's ability to pay shall also be
22an issue at the hearing if the obligation relates to an order under s. 767.805 (4) (d)
231. or 767.89 (3) (e) 1.
regarding birth expenses and the order specifies that the court
24found that the obligor's income was at or below the poverty line established under
2542 USC 9902 (2).
AB56-SA2,727m
1Section 727m. 49.855 (4m) (b) of the statutes is amended to read:
AB56-SA2,39,52 49.855 (4m) (b) The department of revenue may provide a certification that it
3receives under sub. (1), (2m), (2p), or (2r) to the department of administration. Upon
4receipt of the certification, the department of administration shall determine
5whether the obligor is a vendor or is receiving any other payments from this state,
6except for wages, retirement benefits, or assistance under s. 45.352, 1971 stats., s.
745.40 (1m), this chapter, or ch. 46, 108, or 301. If the department of administration
8determines that the obligor is a vendor or is receiving payments from this state,
9except for wages, retirement benefits, or assistance under s. 45.352, 1971 stats., s.
1045.40 (1m), this chapter, or ch. 46, 108, or 301, it shall begin to withhold the amount
11certified from those payments and shall notify the obligor that the state intends to
12reduce any payments due the obligor by the amount the obligor is delinquent under
13the support, maintenance, or receiving and disbursing fee order or obligation, by the
14outstanding amount for past support, or medical expenses, or birth expenses under
15the court order, or by the amount due under s. 46.10 (4), 49.345 (4), or 301.12 (4). The
16notice shall provide that within 20 days after receipt of the notice the obligor may
17request a hearing before the circuit court rendering the order under which the
18obligation arose. An obligor may, within 20 days after receiving notice, request a
19hearing under this paragraph. Within 10 days after receiving a request for hearing
20under this paragraph, the court shall set the matter for hearing. A circuit court
21commissioner may conduct the hearing. Pending further order by the court or circuit
22court commissioner, the department of children and families or its designee,
23whichever is appropriate, may not disburse the payments withheld from the obligor.
24The sole issues at the hearing are whether the obligor owes the amount certified and,
25if not and it is a support or maintenance order, whether the money withheld shall be

1paid to the obligor or held for future support or maintenance, except that the obligor's
2ability to pay is also an issue at the hearing if the obligation relates to an order under
3s. 767.805 (4) (d) 1. or 767.89 (3) (e) 1.
regarding birth expenses and the order specifies
4that the court found that the obligor's income was at or below the poverty line
5established under 42 USC 9902 (2).”.
AB56-SA2,39,7 687. Page 358, line 11: delete the material beginning with that line and ending
7with page 359, line 11, and substitute:
AB56-SA2,39,8 8 Section 728b. 50.03 (3) (b) (intro.) of the statutes is amended to read:
AB56-SA2,39,139 50.03 (3) (b) (intro.) The application for a license and, except as otherwise
10provided in this subchapter,
the report of a licensee shall be in writing upon forms
11provided by the department and shall contain such information as the department
12requires, including the name, address and type and extent of interest of each of the
13following persons:
AB56-SA2,729b 14Section 729b. 50.03 (4) (c) 1. of the statutes is amended to read:
AB56-SA2,39,2415 50.03 (4) (c) 1. A community-based residential facility license is valid until it
16is revoked or suspended under this section. Every 24 months, on a schedule
17determined by the department, a community-based residential facility licensee
18shall submit through an online system prescribed by the department a biennial
19report in the form and containing the information that the department requires,
20including payment of the fees required any fee due under s. 50.037 (2) (a). If a
21complete biennial report is not timely filed, the department shall issue a warning to
22the licensee. The department may revoke a community-based residential facility
23license for failure to timely and completely report within 60 days after the report date
24established under the schedule determined by the department.
AB56-SA2,730b
1Section 730b. 50.033 (2m) of the statutes is amended to read:
AB56-SA2,40,92 50.033 (2m) Reporting. Every 24 months, on a schedule determined by the
3department, a licensed adult family home shall submit through an online system
4prescribed by the department
a biennial report in the form and containing the
5information that the department requires, including payment of the any fee required
6due under sub. (2). If a complete biennial report is not timely filed, the department
7shall issue a warning to the licensee. The department may revoke the license for
8failure to timely and completely report within 60 days after the report date
9established under the schedule determined by the department.”.
AB56-SA2,40,11 1088. Page 359, line 22: delete the material beginning with that line and ending
11with page 360, line 9, and substitute:
AB56-SA2,40,12 12 Section 732b. 50.034 (2m) of the statutes is created to read:
AB56-SA2,40,2113 50.034 (2m) Reporting. Every 24 months, on a schedule determined by the
14department, a residential care apartment complex shall submit through an online
15system prescribed by the department a report in the form and containing the
16information that the department requires, including payment of any fee required
17under sub. (1). If a complete report is not timely filed, the department shall issue a
18warning to the operator of the residential care apartment complex. The department
19may revoke a residential care apartment complex's certification or registration for
20failure to timely and completely report within 60 days after the report date
21established under the schedule determined by the department.”.
AB56-SA2,40,22 2289. Page 363, line 8: after that line insert:
AB56-SA2,40,23 23 Section 746t. 51.03 (7) of the statutes is created to read:
AB56-SA2,41,4
151.03 (7) From the appropriation under s. 20.435 (5) (dg), the department shall
2award grants to regional crisis stabilization facilities for adults. The department
3shall establish criteria for a regional crisis stabilization facility to receive a grant
4under this subsection.”.
AB56-SA2,41,6 590. Page 364, line 14: delete the material beginning with that line and ending
6with page 365, line 8, and substitute:
AB56-SA2,41,7 7 Section 750b. 51.422 (1) of the statutes is amended to read:
AB56-SA2,41,158 51.422 (1) Program creation. The department shall create 2 or 3 new, regional
9comprehensive opioid treatment programs, and in the 2017-19 fiscal biennium,
10shall create 2 or 3 additional regional comprehensive opioid and methamphetamine
11treatment programs, to provide treatment for opioid and opiate addiction and
12methamphetamine addiction in underserved, high-need areas. The department
13shall obtain and review proposals for opioid and methamphetamine treatment
14programs in accordance with its request-for-proposal procedures. A program under
15this section may not offer methadone treatment.
AB56-SA2,751b 16Section 751b. 51.422 (2) of the statutes is amended to read:
AB56-SA2,42,217 51.422 (2) Program components. An opioid or methamphetamine treatment
18program created under this section shall offer an assessment to individuals in need
19of service to determine what type of treatment is needed. The program shall
20transition individuals to a certified residential program, if that level of treatment is
21necessary. The program shall provide counseling, medication-assisted treatment,
22including both long-acting opioid antagonist and partial agonist medications that
23have been approved by the federal food and drug administration if for treating opioid
24addiction, and abstinence-based treatment. The program shall transition

1individuals who have completed treatment to county-based or private
2post-treatment care.”.
AB56-SA2,42,3 391. Page 365, line 9: delete lines 9 to 16 and substitute:
AB56-SA2,42,4 4 Section 752b. 51.441 of the statutes is created to read:
AB56-SA2,42,11 551.441 Comprehensive mental health consultation program. The
6department shall convene a statewide group of interested persons, including at least
7one representative of the Medical College of Wisconsin, to develop a concept paper,
8business plan, and standards for a comprehensive mental health consultation
9program that incorporates general psychiatry, geriatric psychiatry, addiction
10medicine and psychiatry, a perinatal psychiatry consultation program, and the child
11psychiatry consultation program under s. 51.442.”.
AB56-SA2,42,12 1292. Page 369, line 19: after that line insert:
AB56-SA2,42,13 13 Section 775i. 66.0137 (4) of the statutes is amended to read:
AB56-SA2,42,2014 66.0137 (4) Self-insured health plans. If a city, including a 1st class city, or
15a village provides health care benefits under its home rule power, or if a town
16provides health care benefits, to its officers and employees on a self-insured basis,
17the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
18632.728, 632.746 (1) and (10) (a) 2. and (b) 2., 632.747 (3), 632.798, 632.85, 632.853,
19632.855, 632.867, 632.87 (4) to (6), 632.885, 632.89, 632.895 (9) (8) to (17), 632.896,
20and 767.513 (4).”.
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