Wisconsin Legislature: Medical assistance

MA reimbursement rate increase for direct care in nursing homes and intermediate care facilities [Sec. 9119 (11); A.Sub.Amdt.1: further revisions] - AB56

MA services provided through telehealth and communications technology: DHS required to provide reimbursement; conditions, definitions, and emergency rule provisions - AB410

MA services provided through telehealth and communications technology: DHS required to provide reimbursement; conditions, definitions, and emergency rule provisions - SB380

MA state plan amendments, changes to reimbursement rates, and supplemental payments: repeal requirement DHS submit to JCF for approval [Sec. 653; original bill only] - AB56

MA state plan amendments, changes to reimbursement rates, and supplemental payments: repeal requirement DHS submit to JCF for approval [Sec. 653] - SB59

Medicaid expansion; DHS duties and BadgerCare Plus Core eliminated [Sec. 201, 652, 672, 699-702, 711, 9119 (4), 9419 (2); original bill only] - AB56

Medicaid expansion; DHS duties and BadgerCare Plus Core eliminated - AB394

Medicaid expansion; DHS duties and BadgerCare Plus Core eliminated - SB361

Medicaid expansion; DHS duties and BadgerCare Plus Core eliminated [Sec. 201, 652, 672, 699-702, 711, 9119 (4), 9419 (2)] - SB59

Mental health consultation reimbursement sunset repealed [Sec. 678] - AB56

Mental health consultation reimbursement sunset repealed [Sec. 678] - SB59

Nonmedical services that contribute to the determinants of health as a MA benefit: DHS to seek a way to provide [Sec. 692, 693; original bill only] - AB56

Nonmedical services that contribute to the determinants of health as a MA benefit: DHS to seek a way to provide [Sec. 692, 693] - SB59

Peer recovery coach services under MA: reimbursement revision and continuation of care and overdose treatment providers provision - SB582

Peer recovery coach services under MA: reimbursement revision and continuation of care and overdose treatment providers provision [A.Amdt.1: DHS emergency rule authority added re training] - AB650

Personal care services reimbursement under MA increased; eligibility for BadgerCare Plus and BadgerCare Plus Core expanded; DHS required to apply for Medicaid expansion - AB255

Physical health services reimbursement rates under MA appropriation increased; acupuncture by a certified acupuncturist made reimbursable under MA; DHS duties - AB648

Physical health services reimbursement rates under MA appropriation increased; acupuncture by a certified acupuncturist made reimbursable under MA; DHS duties - SB600

Postpartum women receiving substance abuse-related health services under BadgerCare Plus while pregnant: extend benefits for one year after last day of pregnancy - SB630

Postpartum women receiving substance abuse-related health services under BadgerCare Plus while pregnant: extend benefits for one year after last day of pregnancy - AB693

Pregnant women eligible for MA: DHS to seek approval to extend post-partum coverage [Sec. 685, 688, 695, 703-705; original bill only] - AB56

Pregnant women eligible for MA: DHS to seek approval to extend post-partum coverage [Sec. 685, 688, 695, 703-705] - SB59

Pregnant women eligible for MA: DHS to seek approval to extend post-partum coverage - SB324

Pregnant women eligible for MA: DHS to seek approval to extend post-partum coverage - AB346

Public health emergency dashboard: Wisconsin Hospital Association Information Center to prepare and publish certain information on the 2020 declared emergency; DHS to develop, under MA, a pay-for-performance system to incentivize participation in the health information exchange [Sec. 77, 105 (20)] - AB1038

Public health emergency dashboard: Wisconsin Hospital Association Information Center to prepare and publish certain information on the 2020 declared emergency; DHS to develop, under MA, a pay-for-performance system to incentivize participation in the health information exchange [Sec. 77, 105 (20)] - SB932

Savings account program in the MA program: eliminate DHS requirement to establish [Sec. 684; original bill only] - AB56

Savings account program in the MA program: eliminate DHS requirement to establish [Sec. 684] - SB59

``Telehealth" definition expanded; DHS to develop MA reimbursement method for providers [Sec. 677, 9119 (2)] - AB56

``Telehealth" definition expanded; DHS to develop MA reimbursement method for providers [Sec. 677, 9119 (2)] - SB59

Telehealth services, including audio-only telephone: insurers prohibited from denying coverage for services before set date; MA coverage from 2019 WisAct 56 provision - SB913

Transport of individuals for emergency detention: law enforcement agency may contract with another law enforcement agency, ambulance service provider, or third-party vendor; DHS reimbursement to counties from MA program provision - SB565

Transport of individuals for emergency detention: law enforcement agency may contract with another law enforcement agency, ambulance service provider, or third-party vendor; DHS reimbursement to counties from MA program provision [A.Amdt.1: DHS to establish criteria for third-party vendors] - AB633

Volunteer Health Care Provider Program: allowing nonprofit agencies providing volunteer health care services to MA recipients who are primarily homeless to participate - AB162

Volunteer Health Care Provider Program: allowing nonprofit agencies providing volunteer health care services to MA recipients who are primarily homeless to participate - SB155

Graduate medical education grants from DHS combined and eligibility expanded [Sec. 190, 195, 1764-1767] - AB56

Graduate medical education grants from DHS combined and eligibility expanded [Sec. 190, 195, 1764-1767] - SB59

Nutritional counseling certification: Chiropractic Examining Board to approve postgraduate nutrition programs and administrative rules revised [Admin.Code Chir 12.03] [introduction required by s. 277.19 (5) (e)] - AB1018

Nutritional counseling certification: Chiropractic Examining Board to approve postgraduate nutrition programs and administrative rules revised [Admin.Code Chir 12.03] [introduction required by s. 277.19 (5) (e)] - SB904

Pelvic exam on anesthetized or unconscious patient: requiring hospitals to have policy on written and verbal informed consent before medical student may perform - SB635

Pelvic exam on anesthetized or unconscious patient: requiring hospitals to have policy on written and verbal informed consent before medical student may perform - AB694

Spinal cord injury research grants and symposia created, report required; Spinal Cord Injury Council created in HEAB - SB373

Spinal cord injury research grants and symposia created, report required; Spinal Cord Injury Council created in HEAB - AB393

Genetic counseling regulations and licensing; Genetic Counselors Affiliated Credentialing Board created; JRCCP may report - AB686

Genetic counseling regulations and licensing; Genetic Counselors Affiliated Credentialing Board created; JRCCP may report - SB620

Interstate Medical Licensure Compact: repeal provision of 2015 WisAct 116 that authorizes repeal of the statutes authorizing the compact - SB74

Interstate Medical Licensure Compact: repeal provision of 2015 WisAct 116 that authorizes repeal of the statutes authorizing the compact - AB70

Neonatal abstinence syndrome: MEB to issue treatment best practices guidelines - SB580

Neonatal abstinence syndrome: MEB to issue treatment best practices guidelines - AB649

Neuroimmune disorders in children (including PANS and PANDAS): pediatricians and pediatric specialists required to view MEB approved presentations or webinars; DHS duties - SB648

Neuroimmune disorders in children (including PANS and PANDAS): pediatricians and pediatric specialists required to view MEB approved presentations or webinars; DHS duties - AB722

Physician assistant regulation and licensure changes; Physician Assistant Examining Board created, prohibitions and penalty provisions; JRCCP may report - SB515

Physician assistant regulation and licensure changes; Physician Assistant Examining Board created, prohibitions and penalty provisions; JRCCP may report - AB575

Respiratory care: temporary certificate to practice issued by MEB modified - AB558

Respiratory care: temporary certificate to practice issued by MEB modified - SB500

Selective abortions and disability-selective abortion prohibited; civil remedies and injunctive relief provisions - AB182

Suicide prevention: continuing education requirement for physicians, psychologists, school psychologists, social workers, marriage and family therapists, professional counselors, substance abuse counselors, and prevention specialists - AB526

Suicide prevention: continuing education requirement for physicians, psychologists, school psychologists, social workers, marriage and family therapists, professional counselors, substance abuse counselors, and prevention specialists - SB520

Temporary practice by physicians at recreational or educational camps allowed, conditions specified - AB428

Temporary practice by physicians at recreational or educational camps allowed, conditions specified - SB399

Dentists authorized to administer vaccines; training, liability insurance, and Wisconsin Immunization Registry provisions - AB864

Health care provider credentials issued by DSPS: exemption from renewal during the 2020 public health emergency; former health care providers may obtain temporary credentials under certain conditions; fee provision [Sec. 86, 105 (4), (5)] [A.Amdt.4: temporary credentials for former health care providers provision revised, health care facility and malpractice insurance provisions added] - AB1038

Health care providers from another state: temporary credentials from DSPS that expire 90 days after the conclusion of the 2020 public health emergency, fee provision [Sec. 105 (6), (7)] [A.Amdt.4: further revisions, health care facility and medical malpractice provisions added, fee provision removed] - AB1038

Insurance law changes re fraternals, Injured Patients and Families Compensation Fund, corporate governance annual disclosure initial filing deadline, confidentiality of information, placement of surplus lines insurance, financial statements of property service contract providers - SB482

Insurance law changes re fraternals, Injured Patients and Families Compensation Fund, corporate governance annual disclosure initial filing deadline, confidentiality of information, placement of surplus lines insurance, financial statements of property service contract providers - AB550

Loss of society and companionship of parent in medical malpractice cases: claim by minor or adult child - AB940

Medical malpractice: limit on noneconomic damages increased - AB995

Out-of-state physician or nurse anesthetist temporarily authorized to practice in Wisconsin re 2020 public health emergency: fulfilling liability insurance requirement [Sec. 105 (2)] - SB932

Out-of-state physician or nurse anesthetist temporarily authorized to practice in Wisconsin re 2020 public health emergency: fulfilling liability insurance requirement [Sec. 105 (2)] - AB1038

Defined network plan or PP plan enrollee receiving services from health care provider not in the plan’s network: disclosure, notice, billing, and mediation requirements created; provider not in network but at an in-network facility and emergency services provisions - SB313

Defined network plan or PP plan enrollee receiving services from health care provider not in the plan’s network: disclosure, notice, billing, and mediation requirements created; provider not in network but at an in-network facility and emergency services provisions - AB329

``Eligible employee” for group health plan coverage: definition amended to account for the normal work week of fire fighters - AB455

``Eligible employee” for group health plan coverage: definition amended to account for the normal work week of fire fighters - SB475

Health plan requirements re coverage of preventive services, essential health benefits, and individuals with preexisting conditions; benefit limits, rates, and OCI duties [Sec. 414, 415, 775, 1686, 1801, 2070-2076, 2079-2092, 2097-2108, 9323 (1), 9423 (2); original bill only] - AB56

Health plan requirements re coverage of preventive services, essential health benefits, and individuals with preexisting conditions; benefit limits, rates, and OCI duties - SB37

Health plan requirements re coverage of preventive services, essential health benefits, and individuals with preexisting conditions; benefit limits, rates, and OCI duties [Sec. 414, 415, 775, 1686, 1801, 2070-2076, 2079-2092, 2097-2108, 9323 (1), 9423 (2)] - SB59

Medical services from a provider outside of network: disclosure, notice, billing, and arbitration requirements for defined network or PP plan providers created; OIC duties - AB1016

Medical services from a provider outside of network: disclosure, notice, billing, and arbitration requirements for defined network or PP plan providers created; OIC duties - SB894

Pharmacy benefit manager regulation and registration with OCI established; audits of pharmacists or pharmacies requirements; insurance policy cannot restrict or penalize pharmacy for informing insured of price differences of prescribed drug or device; drug substitution, cost sharing limitation, and choice of provider provisions - AB114

Pharmacy benefit manager regulation and registration with OCI established; audits of pharmacists or pharmacies requirements; insurance policy cannot restrict or penalize pharmacy for informing insured of price differences of prescribed drug or device; drug substitution, cost sharing limitation, and choice of provider provisions - SB100