Amendment AA1-ASA2-AB68

AB68-ASA2-AA1,5,15 “20.395 (2) (fq) Local roads improvement discretionary supplement. From the general fund, as As a continuing appropriation, the amounts in the schedule for the local roads improvement discretionary supplemental supplement grant program under s. 86.31 (3s) 85.0215.”.

AB68-ASA2-AA1,5,16 22. Page 247, line 1: after that line insert:

AB68-ASA2-AA1,5,17 “ Section 61n. 20.435 (1) (cr) of the statutes is amended to read:

AB68-ASA2-AA1,5,21 20.435 (1) (cr) Minority health grants. The amounts in the schedule for the minority health program under s. 250.20 (3) and (4), for the Black women's health grants under s. 250.20 (7), and for the infant and maternal mortality grants under s. 250.20 (8).”.

AB68-ASA2-AA1,5,22 23. Page 247, line 7: after that line insert:

AB68-ASA2-AA1,5,23 “ Section 63h. 20.435 (1) (fh) of the statutes is amended to read:

AB68-ASA2-AA1,6,2 20.435 (1) (fh) Community health services. The amounts in the schedule for grants under s. 250.15 and grants for community health workers under s. 250.16.”.

AB68-ASA2-AA1,6,3 24. Page 248, line 3: after that line insert:

AB68-ASA2-AA1,6,4 “ Section 65g. 20.435 (4) (jw) of the statutes is amended to read:

AB68-ASA2-AA1,6,12 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.

AB68-ASA2-AA1,65k Section 65k. 20.435 (5) (ef) of the statutes is created to read:

AB68-ASA2-AA1,6,16 20.435 (5) (ef) Suicide prevention programming grants. Biennially, the amounts in the schedule for suicide prevention programming grants under s. 51.72 and for grants related to preventing suicide by firearm under s. 51.73.”.

AB68-ASA2-AA1,6,17 25. Page 249, line 14: after that line insert:

AB68-ASA2-AA1,6,18 “ Section 72h. 20.455 (5) (ec) of the statutes is created to read:

AB68-ASA2-AA1,6,20 20.455 (5) (ec) Victim services grants. The amounts in the schedule to provide grants for victim services under s. 165.932 and to administer the grant program.”.

AB68-ASA2-AA1,6,21 26. Page 250, line 25: after that line insert:

AB68-ASA2-AA1,6,22 “ Section 77g. 20.505 (1) (am) of the statutes is created to read:

AB68-ASA2-AA1,6,24 20.505 (1) (am) Miscellaneous projects. The amounts in the schedule for the grants awarded under 2021 Wisconsin Act .... (this act), section 9101 (6h).

AB68-ASA2-AA1,77h Section 77h. 20.505 (1) (am) of the statutes, as created by 2021 Wisconsin Act .... (this act), is repealed.

AB68-ASA2-AA1,77p Section 77p. 20.505 (1) (bg) of the statutes is created to read:

AB68-ASA2-AA1,7,6 20.505 (1) (bg) Opioid and methamphetamine data system. As a continuing appropriation, the amounts in the schedule for implementing the data system under subch. III of ch. 153.”.

AB68-ASA2-AA1,7,7 27. Page 276, line 19: after that line insert:

AB68-ASA2-AA1,7,8 “ Section 175d. 36.11 (3) (d) (intro.) of the statutes is amended to read:

AB68-ASA2-AA1,7,11 36.11 (3) (d) (intro.) Each Except as provided in sub. (47m) (c), each institution that has any of the following applicants shall charge a uniform application fee to that group of applicants:

AB68-ASA2-AA1,175k Section 175k. 36.11 (47m) (title) of the statutes is amended to read:

AB68-ASA2-AA1,7,14 36.11 (47m) (title) Service members; priority registration; application fee exemption.

AB68-ASA2-AA1,175m Section 175m. 36.11 (47m) (c) of the statutes is created to read:

AB68-ASA2-AA1,7,18 36.11 (47m) (c) The board shall ensure that no application fee is charged to any service member who applies for admission to any college campus or institution or to any program offered at a college campus or institution.

AB68-ASA2-AA1,175r Section 175r. 36.25 (40) of the statutes is created to read:

AB68-ASA2-AA1,7,23 36.25 (40) Partnership program for the Lake Superior Research Institute. (a) The board shall establish a partnership program between the University of Wisconsin-Superior's Lake Superior Research Institute and northern Wisconsin communities.

AB68-ASA2-AA1,8,2 (b) The program under par. (a) shall be designed to accomplish all of the following objectives:

AB68-ASA2-AA1,8,4 1. To remove barriers and provide easy access to research and testing services for homeowners and businesses.

AB68-ASA2-AA1,8,6 2. To provide follow-up assistance and recommendations to solve environmental issues.

AB68-ASA2-AA1,8,7 3. To secure external funding to solve environmental issues.

AB68-ASA2-AA1,8,8 4. To develop highly visible outreach events.

AB68-ASA2-AA1,8,11 5. To create a direct conduit to fully equipped laboratory space and scientific expertise and to fully integrate the institute as the applied-environmental research arm for the region.

AB68-ASA2-AA1,8,14 (c) The program under par. (a) shall utilize permanent staff and student employees to coordinate directly with county health and conservation departments and with state, tribal, and local entities to develop regional priorities and solutions.

AB68-ASA2-AA1,8,16 (d) Costs associated with the program under par. (a) shall be funded from the appropriation account under s. 20.285 (1) (bm).”.

AB68-ASA2-AA1,8,17 28. Page 277, line 19: after that line insert:

AB68-ASA2-AA1,8,18 “ Section 179g. 38.274 of the statutes is created to read:

AB68-ASA2-AA1,8,22 38.274 Farmer tuition assistance grants. (1) From the appropriation under s. 20.292 (1) (fm), and subject to sub. (2), the board shall make grants to current or prospective farmers in this state for the purpose of paying no more than 50 percent of tuition costs for enrolling in district courses on farm management or farm finance.

AB68-ASA2-AA1,8,24 (2) A current or prospective farmer may receive grants under sub. (1) that total no more than $1,000 per year for no more than 3 years.”.

AB68-ASA2-AA1,9,1 29. Page 290, line 22: after that line insert:

AB68-ASA2-AA1,9,2 “ Section 226n. 49.45 (2p) of the statutes is repealed.”.

AB68-ASA2-AA1,9,3 30. Page 292, line 12: after that line insert:

AB68-ASA2-AA1,9,4 “ Section 229d. 49.45 (23) of the statutes is repealed.

AB68-ASA2-AA1,229f Section 229f. 49.45 (23b) (title) of the statutes is amended to read:

AB68-ASA2-AA1,9,7 49.45 (23b) (title) Childless adults demonstration project reform waiver implementation required.

AB68-ASA2-AA1,229h Section 229h. 49.45 (23b) (b) of the statutes is amended to read:

AB68-ASA2-AA1,9,12 49.45 (23b) (b) Beginning as soon as practicable after October 31, 2018, and ending no sooner than December 31, 2023, the department shall do all of the following with regard to the childless adults demonstration project under sub. (23) s. 49.471 (4) (a) 8.:

AB68-ASA2-AA1,9,18 1. Require in each month persons, except exempt individuals, who are eligible to receive Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. and who are at least 19 years of age but have not attained the age of 50 to participate in, document, and report 80 hours per calendar month of community engagement activities. The department, after finding good cause, may grant a temporary exemption from the requirement under this subdivision upon request of a Medical Assistance recipient.

AB68-ASA2-AA1,9,21 2. Require persons with incomes of at least 50 percent of the poverty line to pay premiums in accordance with par. (c) as a condition of eligibility for Medical Assistance under sub. (23) s. 49.471 (4) (a) 8.

AB68-ASA2-AA1,9,23 3. Require as a condition of eligibility for Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. completion of a health risk assessment.

AB68-ASA2-AA1,10,3 4. Charge recipients of Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. an $8 copayment for nonemergency use of the emergency department in accordance with 42 USC 1396o-1 (e) (1) and 42 CFR 447.54.

AB68-ASA2-AA1,10,8 5. Disenroll from Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. for 6 months any individual who does not pay a required premium under subd. 2. and any individual who is required under subd. 1. to participate in a community engagement activity but who does not participate for 48 aggregate months in the community engagement activity.

AB68-ASA2-AA1,229p Section 229p. 49.45 (23b) (c) of the statutes is amended to read:

AB68-ASA2-AA1,10,15 49.45 (23b) (c) 1. Persons who are eligible for the demonstration project under sub. (23) s. 49.471 (4) (a) 8. and who have monthly household income that exceeds 50 percent of the poverty line shall pay a monthly premium amount of $8 per household. A person who is eligible to receive an item or service furnished by an Indian health care provider is exempt from the premium requirement under this subdivision.

AB68-ASA2-AA1,10,21 2. The department may disenroll under par. (b) 5. a person for nonpayment of a required monthly premium only at annual eligibility redetermination after providing notice and reasonable opportunity for the person to pay. If a person who is disenrolled for nonpayment of premiums pays all owed premiums or becomes exempt from payment of premiums, he or she may reenroll in Medical Assistance under sub. (23) s. 49.471 (4) (a) 8.

AB68-ASA2-AA1,10,25 3. The department shall reduce the amount of the required household premium by up to half for a recipient of Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. who does not engage in certain behaviors that increase health risks or who attests to actively managing certain unhealthy behaviors.

AB68-ASA2-AA1,229s Section 229s. 49.45 (23b) (e) of the statutes is amended to read:

AB68-ASA2-AA1,11,6 49.45 (23b) (e) Before December 31, 2023, the demonstration project requirements under this subsection may not be withdrawn and the department may not request from the federal government withdrawal, suspension, or termination of the demonstration project requirements under this subsection unless legislation has been enacted specifically allowing for the withdrawal, suspension, or termination.”.

AB68-ASA2-AA1,11,7 31. Page 293, line 3: after that line insert:

AB68-ASA2-AA1,11,8 “ Section 232g. 49.471 (1) (cr) of the statutes is created to read:

AB68-ASA2-AA1,11,10 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a federal medical assistance percentage described under 42 USC 1396d (y) or (z).

AB68-ASA2-AA1,232i Section 232i. 49.471 (4) (a) 4. b. of the statutes is amended to read:

AB68-ASA2-AA1,11,14 49.471 (4) (a) 4. b. The individual's family income does not exceed 100 133 percent of the poverty line before application of the 5 percent income disregard under 42 CFR 435.603 (d).

AB68-ASA2-AA1,232k Section 232k. 49.471 (4) (a) 8. of the statutes is created to read:

AB68-ASA2-AA1,11,16 49.471 (4) (a) 8. An individual who meets all of the following criteria:

AB68-ASA2-AA1,11,17 a. The individual is an adult under the age of 65.

AB68-ASA2-AA1,11,19 b. The individual has a family income that does not exceed 133 percent of the poverty line, except as provided in sub. (4g).

AB68-ASA2-AA1,11,21 c. The individual is not otherwise eligible for the Medical Assistance program under this subchapter or the Medicare program under 42 USC 1395 et seq.

AB68-ASA2-AA1,232m Section 232m. 49.471 (4g) of the statutes is created to read:

AB68-ASA2-AA1,12,8 49.471 (4g) Medicaid expansion; federal medical assistance percentage. For services provided to individuals described under sub. (4) (a) 8., the department shall comply with all federal requirements to qualify for the highest available enhanced federal medical assistance percentage. The department shall submit any amendment to the state medical assistance plan, request for a waiver of federal Medicaid law, or other approval request required by the federal government to provide services to the individuals described under sub. (4) (a) 8. and qualify for the highest available enhanced federal medical assistance percentage. Sections 20.940 and 49.45 (2t) do not apply to a submission to the federal government under this subsection.”.

AB68-ASA2-AA1,12,9 32. Page 294, line 2: after that line insert:

AB68-ASA2-AA1,12,10 “ Section 235n. 49.686 (3) (d) of the statutes is amended to read:

AB68-ASA2-AA1,12,16 49.686 (3) (d) Has applied for coverage under and has been denied eligibility for medical assistance within 12 months prior to application for reimbursement under sub. (2). This paragraph does not apply to an individual who is eligible for benefits under the demonstration project for childless adults under s. 49.45 (23) or to an individual who is eligible for benefits under BadgerCare Plus under s. 49.471 (4) (a) 8. or (11).”.

AB68-ASA2-AA1,12,17 33. Page 295, line 17: after that line insert:

AB68-ASA2-AA1,12,18 “ Section 238c. 51.72 of the statutes is created to read:

AB68-ASA2-AA1,12,23 51.72 Suicide prevention programming grants. (1) From the appropriation under s. 20.435 (5) (ef), the department shall award grants to organizations or coalitions of organizations, which may include a city, village, town, county, or federally recognized American Indian tribe or band in this state, for suicide prevention programming.

AB68-ASA2-AA1,13,3 (2) The department may not award a grant under sub. (1) unless the recipient contributes matching funds or in-kind services having a value equal to at least 20 percent of the grant.

AB68-ASA2-AA1,13,5 (3) The department may award a grant to a recipient under sub. (1) for an amount up to $25,000 in a particular fiscal year.

AB68-ASA2-AA1,238g Section 238g. 51.73 of the statutes is created to read:

AB68-ASA2-AA1,13,11 51.73 Grants to prevent suicide by firearm. (1) From the appropriation under s. 20.435 (5) (ef), the department shall award grants to organizations or coalitions of organizations, which may include a city, village, town, county, or federally recognized American Indian tribe or band in this state for any of the following purposes:

AB68-ASA2-AA1,13,13 (a) To train staff at a firearm retailer or firearm range on how to recognize a person who may be considering suicide.

AB68-ASA2-AA1,13,15 (b) To provide suicide prevention materials for distribution at a firearm retailer or firearm range.

AB68-ASA2-AA1,13,16 (c) To provide voluntary, temporary firearm storage.

AB68-ASA2-AA1,13,19 (2) The department may not award a grant under sub. (1) unless the recipient contributes matching funds or in-kind services having a value equal to at least 20 percent of the grant.

AB68-ASA2-AA1,14,2 (3) The department may not award a grant to a recipient under sub. (1) for an amount that exceeds $5,000. The department may not award a grant under sub. (1) having a duration of more than one year and may not automatically renew a grant awarded under sub. (1). This subsection shall not be construed to prevent an organization or coalition of organizations from reapplying for a grant in consecutive years. In awarding grants under sub. (1), the department shall give preference to organizations or coalitions of organizations that have not previously received a grant under this section.”.

AB68-ASA2-AA1,14,3 34. Page 330, line 15: after that line insert: