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AB56,191 16Section 191 . 20.435 (1) (kb) of the statutes is repealed.
AB56,192 17Section 192. 20.435 (2) (gk) of the statutes is amended to read:
AB56,387,218 20.435 (2) (gk) Institutional operations and charges. The amounts in the
19schedule for care, other than under s. 51.06 (1r), provided by the centers for the
20developmentally disabled, to reimburse the cost of providing the services and to
21remit any credit balances to county departments that occur on and after
22July 1, 1978, in accordance with s. 51.437 (4rm) (c); for care, other than under s.
2346.043, provided by the mental health institutes, to reimburse the cost of providing
24the services and to remit any credit balances to county departments that occur on and
25after January 1, 1979, in accordance with s. 51.42 (3) (as) 2.; for care of juveniles

1placed at the Mendota juvenile treatment center for whom counties are financially
2responsible under s. 938.357 (3) (d), to reimburse the cost of providing that care;
for
3maintenance of state-owned housing at centers for the developmentally disabled
4and mental health institutes; for repair or replacement of property damaged at the
5mental health institutes or at centers for the developmentally disabled; for
6reimbursing the total cost of using, producing, and providing services, products, and
7care; and to transfer to the appropriation account under sub. (5) (kp) for funding
8centers. All moneys received as payments from medical assistance on and after
9August 1, 1978; as payments from all other sources including other payments under
10s. 46.10 and payments under s. 51.437 (4rm) (c) received on and after July 1, 1978;
11as medical assistance payments, other payments under s. 46.10, and payments
12under s. 51.42 (3) (as) 2. received on and after January 1, 1979; as payments from
13counties for the care of juveniles placed at the Mendota juvenile treatment center;

14as payments for the rental of state-owned housing and other institutional facilities
15at centers for the developmentally disabled and mental health institutes; for the sale
16of electricity, steam, or chilled water; as payments in restitution of property damaged
17at the mental health institutes or at centers for the developmentally disabled; for the
18sale of surplus property, including vehicles, at the mental health institutes or at
19centers for the developmentally disabled; and for other services, products, and care
20shall be credited to this appropriation, except that any payment under s. 46.10
21received for the care or treatment of patients admitted under s. 51.10, 51.15, or 51.20
22for which the state is liable under s. 51.05 (3), of forensic patients committed under
23ch. 971 or 975, admitted under ch. 975, or transferred under s. 51.35 (3), or of patients
24transferred from a state prison under s. 51.37 (5), to the Mendota Mental Health
25Institute or the Winnebago Mental Health Institute shall be treated as general

1purpose revenue — earned, as defined under s. 20.001 (4); and except that moneys
2received under s. 51.06 (6) may be expended only as provided in s. 13.101 (17).
AB56,193 3Section 193. 20.435 (4) (b) of the statutes is amended to read:
AB56,387,214 20.435 (4) (b) Medical Assistance program benefits. Biennially, the amounts
5in the schedule to provide a portion of the state share of Medical Assistance program
6benefits administered under subch. IV of ch. 49, for a portion of the Badger Care
7health care program under s. 49.665, to provide a portion of the Medical Assistance
8program benefits administered under subch. IV of ch. 49 that are not also provided
9under par. (o), to fund the pilot project under s. 46.27 (9) and (10), to provide a portion
10of the facility payments under 1999 Wisconsin Act 9, section 9123 (9m), to fund
11services provided by resource centers under s. 46.283, for services under the family
12care benefit under s. 46.284 (5), for the community options program under s. 46.27,
132017 stats.,
for assisting victims of diseases, as provided in ss. 49.68, 49.683, and
1449.685, for distributing grants under s. 146.64, and for reduction of any operating
15deficits as specified in 2005 Wisconsin Act 15, section 3. Notwithstanding s. 20.002
16(1), the department may transfer from this appropriation account to the
17appropriation account under sub. (5) (kc) funds in the amount of and for the purposes
18specified in s. 46.485. Notwithstanding ss. 20.001 (3) (b) and 20.002 (1), the
19department may credit or deposit into this appropriation account and may transfer
20between fiscal years funds that it transfers from the appropriation account under
21sub. (5) (kc) for the purposes specified in s. 46.485 (3r).
AB56,194 22Section 194. 20.435 (4) (bd) of the statutes is amended to read:
AB56,388,1123 20.435 (4) (bd) Long-term care programs. The amounts in the schedule for
24assessments, case planning, services, administration and risk reserve escrow
25accounts under s. 46.27,
for pilot projects under s. 46.271 (1), to fund services

1provided by resource centers other entities under s. 46.283 (5), for services under the
2family care program under s. 46.284 (5), for services and supports under s. 46.2803
3(2),
and for services provided under the children's community options program under
4s. 46.272, and for the payment of premiums under s. 49.472 (5). Notwithstanding ss.
520.001 (3) (a) and 20.002 (1), the department may under this paragraph transfer
6moneys between fiscal years. Except for moneys authorized for transfer under this
7appropriation or under s. 46.27 (7) (fm) or (g), all moneys under this appropriation
8that are allocated under s. 46.27 and are not spent or encumbered by counties or by
9the department by December 31 of each year shall lapse to the general fund on the
10succeeding January 1 unless transferred to the next calendar year by the joint
11committee on finance.
AB56,195 12Section 195. 20.435 (4) (bf) of the statutes is amended to read:
AB56,388,1513 20.435 (4) (bf) Graduate medical training support grants. As a continuing
14appropriation, the amounts in the schedule to award grants to rural hospitals under
15s. 146.63 and to
support graduate medical training programs under s. 146.64.
AB56,196 16Section 196. 20.435 (4) (bq) of the statutes is repealed.
AB56,197 17Section 197. 20.435 (4) (gm) of the statutes is amended to read:
AB56,389,518 20.435 (4) (gm) Medical assistance; provider refunds and collections. All
19moneys received from provider refunds, third party liability payments, drug rebates,
20audit recoveries, and other collections related to expenditures made from pars. (b),
21(jz), and (w), except for those moneys deposited in the appropriation accounts under
22par. (im) or (in) regardless of the fiscal year in which the expenditure from par. (b),
23(jz), or (w) is made, to provide a portion of the state share of Medical Assistance
24program benefits administered under subch. IV of ch. 49; to provide a portion of the
25Badger Care health care program under s. 49.665; to provide a portion of the Medical

1Assistance program benefits administered under subch. IV of ch. 49 that are not also
2provided under par. (o); to fund the pilot project under s. 46.27 (9) and (10); to fund
3services provided by resource centers under s. 46.283; to fund services under the
4family care benefit under s. 46.284 (5); and to assist victims of diseases, as provided
5in ss. 49.68, 49.683, and 49.685.
AB56,198 6Section 198. 20.435 (4) (hp) of the statutes is amended to read:
AB56,389,137 20.435 (4) (hp) Disabled children's long-term support waivers. All moneys
8received under ss. 46.03 (18) and 46.10 for services for children reimbursed under a
9waiver under s. 46.27 (11), 46.275, or 46.278 or provided under the disabled children's
10long-term support program, as defined in s. 46.011 (1g), for distribution to counties
11according to a formula developed by the department as a portion of the state share
12of payments for services for children under the waiver under s. 46.278 or for services
13provided under the disabled children's long-term support program.
AB56,199 14Section 199. 20.435 (4) (im) of the statutes is amended to read:
AB56,390,615 20.435 (4) (im) Medical assistance; correct payment recovery; collections;
16community services; other recoveries.
All moneys received from the recovery of
17correct medical assistance payments under ss. 49.496 and 49.849, all moneys
18received as collections and other recoveries from providers, drug manufacturers, and
19other 3rd parties under medical assistance performance-based contracts, all moneys
20received from the recovery of costs of care under ss. 46.27 (7g) , 2017 stats., and 49.849
21for enrollees who are ineligible for Medical Assistance, all moneys not appropriated
22under par. (in), and all moneys credited to this appropriation account under s. 49.89
23(7) (f), for payments to counties and tribal governing bodies under s. 49.496 (4) (a),
24for payment of claims under s. 49.849 (5), for payments to the federal government for
25its share of medical assistance benefits recovered, for the state share of medical

1assistance benefits provided under subch. IV of ch. 49, for payments to care
2management organizations for provision of the family care benefit under s. 46.284
3(5), for payments for long-term community support services funded under s. 46.27
4(7) as provided in s. 46.27 (7g) (e) and
49.849 (6) (b), 2017 stats., for administration
5of the waiver program under s. 46.99, and for costs related to collections and other
6recoveries.
AB56,200 7Section 200. 20.435 (4) (in) of the statutes is amended to read:
AB56,390,128 20.435 (4) (in) Community options program; family care; recovery of costs
9administration.
From the moneys received from the recovery of costs of care under
10ss. 46.27 (7g), 2017 stats., and 49.849 for enrollees who are ineligible for medical
11assistance, the amounts in the schedule for administration of the recovery of costs
12of the care.
AB56,201 13Section 201 . 20.435 (4) (jw) of the statutes is amended to read:
AB56,390,2114 20.435 (4) (jw) BadgerCare Plus and hospital assessment. All moneys received
15from payment of enrollment fees under the program under s. 49.45 (23), al
l moneys
16transferred under s. 50.38 (9), all moneys transferred from the appropriation account
17under par. (jz), and 10 percent of all moneys received from penalty assessments
18under s. 49.471 (9) (c), for administration of the program under s. 49.45 (23), to
19provide a portion of the state share of administrative costs for the BadgerCare Plus
20Medical Assistance program under s. 49.471, and for administration of the hospital
21assessment under s. 50.38.
AB56,202 22Section 202. 20.435 (4) (w) of the statutes is amended to read:
AB56,391,323 20.435 (4) (w) Medical Assistance trust fund. From the Medical Assistance
24trust fund, biennially, the amounts in the schedule for meeting costs of medical
25assistance administered under ss. 46.27, 46.275 (5), 46.278 (6), 46.283 (5), 46.284 (5),

149.45, and 49.472 (6), for refunds under s. 50.38 (6) (a) and (6m) (a), and for
2administrative costs associated with augmenting the amount of federal moneys
3received under 42 CFR 433.51.
AB56,203 4Section 203. 20.435 (5) (cf) of the statutes is amended to read:
AB56,391,85 20.435 (5) (cf) Mobile crisis team Crisis program enhancement grants.
6Biennially, the amounts in the schedule for awarding grants to counties or regions
7to establish certified or enhance crisis programs that create mental health mobile
8crisis teams
under s. 46.536.
AB56,204 9Section 204. 20.435 (5) (ct) of the statutes is created to read:
AB56,391,1210 20.435 (5) (ct) Mental health consultation program. The amounts in the
11schedule for developing a plan for a mental health consultation program under s.
1251.441. No moneys may be encumbered under this paragraph after June 30, 2021.
AB56,205 13Section 205. 20.435 (5) (dg) of the statutes is created to read:
AB56,391,1514 20.435 (5) (dg) Regional crisis stabilization facilities. The amounts in the
15schedule to provide grants to regional crisis stabilization facilities under s. 51.03 (7).
AB56,206 16Section 206. 20.435 (6) (gd) of the statutes is created to read:
AB56,391,1917 20.435 (6) (gd) Medical cannabis registry. All moneys received as fees under
18s. 146.44 (2) (a) 4. and (ac) 3. and (4m), for the purposes of the Medical Cannabis
19Registry Program under s. 146.44.
AB56,207 20Section 207 . 20.435 (6) (jm) of the statutes is amended to read:
AB56,392,1221 20.435 (6) (jm) Licensing and support services. The amounts in the schedule
22for the purposes specified in ss. 48.685 (2) (am) and , (b), and (ba), (3) (a) and , (b), and
23(c)
, and (5) (a), 48.686 (2) (am), (3) (am) and (bm), and (5) (a), 49.45 (47), 50.02 (2),
2450.025, 50.065 (2) (am) and (b) 1., (3) (a) and (b), and (5), 50.13, 50.135, 50.36 (2),
2550.49 (2) (b), 50.495, 50.52 (2) (a), 50.57, 50.981, and 146.40 (4r) (b) and (er), and

1subch. VI of ch. 50 and to conduct health facilities plan and rule development
2activities, for accrediting nursing homes, convalescent homes, and homes for the
3aged, to conduct capital construction and remodeling plan reviews under ss. 50.02
4(2) (b) and 50.36 (2), and for the costs of inspecting, licensing or certifying, and
5approving facilities, issuing permits, and providing technical assistance, that are not
6specified under any other paragraph in this subsection. All moneys received under
7ss. 48.685 (8), 48.686 (2) (ag), 49.45 (42) (c), 49.45 (47) (c), 50.02 (2), 50.025, 50.065
8(8), 50.13, 50.36 (2), 50.49 (2) (b), 50.495, 50.52 (2) (a), 50.57, 50.93 (1) (c), and 50.981,
9all moneys received from fees for the costs of inspecting, licensing or certifying, and
10approving facilities, issuing permits, and providing technical assistance, that are not
11specified under any other paragraph in this subsection, and all moneys received
12under s. 50.135 (2) shall be credited to this appropriation account.
AB56,208 13Section 208. 20.435 (7) (b) of the statutes is amended to read:
AB56,393,914 20.435 (7) (b) Community aids and Medical Assistance payments. The
15amounts in the schedule for human services and community mental health services
16under s. 46.40, to fund services provided by resource centers under s. 46.283 (5), to
17fund activities in support of resource center operations, for services under the family
18care benefit under s. 46.284 (5), for Medical Assistance payment adjustments under
19s. 49.45 (52) (a) for services described in s. 49.45 (52) (a) 1., for Medical Assistance
20payments under s. 49.45 (6tw), and for Medical Assistance payments under s. 49.45
21(53) for services described in s. 49.45 (53) that are provided before January 1, 2012.
22Social services disbursements under s. 46.03 (20) (b) may be made from this
23appropriation. Refunds received relating to payments made under s. 46.03 (20) (b)
24for the provision of services for which moneys are appropriated under this paragraph
25shall be returned to this appropriation. Notwithstanding ss. 20.001 (3) (a) and

120.002 (1), the department of health services may transfer funds between fiscal years
2under this paragraph. The department shall deposit into this appropriation funds
3it recovers under ss. 46.495 (2) (b) and 51.423 (15), from prior year audit adjustments
4including those resulting from audits of services under s. 46.26, 1993 stats., or s.
546.27, 2017 stats. Except for amounts authorized to be carried forward under s.
646.45, all funds recovered under ss. 46.495 (2) (b) and 51.423 (15) and all funds
7allocated under s. 46.40 and not spent or encumbered by December 31 of each year
8shall lapse to the general fund on the succeeding January 1 unless carried forward
9to the next calendar year by the joint committee on finance.
AB56,209 10Section 209. 20.437 (1) (bd) of the statutes is renumbered 20.437 (1) (js) and
11amended to read:
AB56,393,1712 20.437 (1) (js) Tribal family services grants. The amounts in the schedule for
13tribal family services grants under s. 48.487. All moneys transferred from the
14appropriation account under s. 20.505 (8) (hm) 12. shall be credited to this
15appropriation account. Notwithstanding s. 20.001 (3) (b), the unencumbered
16balance on June 30 of each odd-numbered year shall revert to the appropriation
17account under s. 20.505 (8) (hm).
AB56,210 18Section 210 . 20.437 (1) (cL) of the statutes is created to read:
AB56,393,2019 20.437 (1) (cL) Seventeen-year-old juvenile justice aids. A sum sufficient for
20the purposes under s. 48.5275.
AB56,211 21Section 211 . 20.437 (1) (cn) of the statutes is created to read:
AB56,393,2322 20.437 (1) (cn) County facility start-up costs. The amounts in the schedule for
23the purposes under s. 48.5276.
AB56,212 24Section 212. 20.437 (1) (cx) of the statutes is amended to read:
AB56,394,7
120.437 (1) (cx) Child welfare services; aids. The amounts in the schedule for
2providing services to children and families under s. 48.48 (17) in a county having a
3population of 750,000 or more, for the cost of subsidized guardianship payments
4under s. 48.623 (1) or (6),
and, to the extent that a demonstration project authorized
5under 42 USC 1320a-9 reduces the cost of providing out-of-home care for children
6in that county, for services for children and families under s. 48.563 (4) in other
7counties having a population of less than 750,000.
AB56,213 8Section 213. 20.437 (1) (dd) of the statutes is amended to read:
AB56,394,199 20.437 (1) (dd) State out-of-home care, guardianship, and adoption services.
10The amounts in the schedule for foster care, institutional child care, and subsidized
11adoptions under ss. 48.48 (12) and 48.52, for the cost of care for children under s.
1249.19 (10) (d), for the cost of subsidized guardianship payments under s. 48.623 (1)
13or (6),
for the cost of placements of children 18 years of age or over in residential care
14centers for children and youth under voluntary agreements under s. 48.366 (3) or
15under orders that terminate as provided in s. 48.355 (4) (b) 4., 48.357 (6) (a) 4., or
1648.365 (5) (b) 4., for the cost of the foster care monitoring system, for the cost of
17services to children with special needs who are under the guardianship of the
18department to prepare those children for adoption, and for the cost of postadoption
19services to children with special needs.
AB56,214 20Section 214. 20.437 (1) (fm) of the statutes is repealed.
AB56,215 21Section 215 . 20.437 (1) (jm) of the statutes is amended to read:
AB56,395,322 20.437 (1) (jm) Licensing activities. All moneys received from licensing
23activities under ss. 48.60, 48.62, 48.625, and 938.22 (7) and from fees under ss.
2448.615, 48.625, 48.685 (8), and 938.22 (7) (b) and (c), for the costs of licensing child
25welfare agencies under s. 48.60, foster homes under s. 48.62, group homes under s.

148.625, and shelter care facilities under s. 938.22 (7) and for the purposes specified
2in s. 48.685 (2) (am) and, (b) , and (ba), (3) (a) and, (b) , and (c), and (5) (a) with respect
3to those entities.
AB56,216 4Section 216. 20.437 (1) (mx) of the statutes is amended to read:
AB56,395,85 20.437 (1) (mx) Federal aid; Milwaukee child welfare services aids. All federal
6moneys received for providing services to children and families under s. 48.48 (17),
7to carry out the purposes for which received and for the cost of subsidized
8guardianship payments under s. 48.623 (1) or (6)
.
AB56,217 9Section 217. 20.437 (1) (pd) of the statutes is amended to read:
AB56,395,2110 20.437 (1) (pd) Federal aid; state out-of-home care, guardianship, and
11adoption services.
All federal moneys received for meeting the costs of providing
12foster care, institutional child care, and subsidized adoptions under ss. 48.48 (12)
13and 48.52, the cost of care for children under s. 49.19 (10) (d), the cost of subsidized
14guardianship payments under s. 48.623 (1) or (6),
the cost of placements of children
1518 years of age or over in residential care centers for children and youth under
16voluntary agreements under s. 48.366 (3) or under orders that terminate as provided
17in s. 48.355 (4) (b) 4., 48.357 (6) (a) 4., or 48.365 (5) (b) 4., the cost of services to
18children with special needs who are under the guardianship of the department to
19prepare those children for adoption, and the cost of postadoption services to children
20with special needs. Disbursements for foster care under s. 49.32 (2) and for the
21purposes described under s. 48.627 may be made from this appropriation.
AB56,218 22Section 218. 20.437 (1) (q) of the statutes is repealed.
AB56,219 23Section 219. 20.437 (2) (ef) of the statutes is created to read:
AB56,395,2524 20.437 (2) (ef) Transform Milwaukee Jobs for Childless Adults. The amounts
25in the schedule for the program under s. 49.164.
AB56,220
1Section 220. 20.437 (2) (em) of the statutes is repealed.
AB56,221 2Section 221. 20.445 (1) (aL) of the statutes is repealed.
AB56,222 3Section 222 . 20.445 (1) (b) of the statutes is amended to read:
AB56,396,74 20.445 (1) (b) Workforce training; programs, grants, and services, and
5contracts
. The amounts in the schedule for the workforce training programs, grants,
6and services under s. 106.27 (1), (1g), (1j), and (1r), and (1u) and for the costs
7associated with contracts entered into under s. 47.07
.
AB56,223 8Section 223. 20.445 (1) (bg) of the statutes is repealed.
AB56,224 9Section 224. 20.445 (1) (bm) of the statutes is amended to read:
AB56,396,1710 20.445 (1) (bm) Workforce training; administration. Biennially, the amounts
11in the schedule for the administration of the local youth apprenticeship grant
12program under s. 106.13 (3m), the youth summer jobs program under s. 106.18, the
13employment transit assistance grant program under s. 106.26, the workforce
14training program under s. 106.27, the teacher development program grants under
15s. 106.272, the career and technical education incentive grant program under s.
16106.273, the technical education equipment grant program under s. 106.275,
and the
17apprentice programs under subch. I of ch. 106.
AB56,225 18Section 225. 20.445 (1) (bt) of the statutes is repealed.
AB56,226 19Section 226. 20.445 (1) (bz) of the statutes is renumbered 20.255 (2) (ck) and
20amended to read:
AB56,396,2321 20.255 (2) (ck) Career and technical education incentive grants. The amounts
22in the schedule for the career and technical education incentive grants under s.
23106.273 115.457 (3).
AB56,227 24Section 227. 20.445 (1) (c) of the statutes is renumbered 20.255 (3) (ck) and
25amended to read:
AB56,397,3
120.255 (3) (ck) Career and technical education completion awards. A sum
2sufficient for the career and technical education completion awards under s. 106.273
3115.457 (4).
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