Amendment AA1-ASA2-AB68

AB68-ASA2-AA1,9,2 “ Section 226n. 49.45 (2p) of the statutes is repealed.”.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AB68-ASA2-AA1,9,4 “ Section 229d. 49.45 (23) of the statutes is repealed.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:

AB68-ASA2-AA1,14,4 “ Section 323h. 85.0215 of the statutes is created to read:

AB68-ASA2-AA1,14,5 85.0215 Local supplement. (1) In this section:

AB68-ASA2-AA1,14,7 (a) “Eligible applicant” means a city, village, town, or county or a combination of these or an eligible entity, as defined under 23 USC 133 (h) (4) (B).

AB68-ASA2-AA1,14,9 (b) “Eligible project” means a project eligible for funding under s. 84.12, 84.16, 84.18, or 86.31 (3) or (3t) or 23 USC 133 (h) (3).

AB68-ASA2-AA1,14,13 (2) Funds provided under s. 20.395 (2) (fc) shall be distributed under this section as discretionary grants to reimburse eligible applicants for eligible projects. The department shall solicit and provide discretionary grants under this section until all funds appropriated under s. 20.395 (2) (fc) have been expended.” .

AB68-ASA2-AA1,14,14 35. Page 335, line 15: after that line insert:

AB68-ASA2-AA1,14,15 “ Section 341h. 115.28 (66) of the statutes is created to read:

AB68-ASA2-AA1,14,19 115.28 (66) The Literacy Lab. Annually distribute the amounts appropriated under s. 20.255 (3) (fs) to The Literacy Lab, a Virginia nonstock corporation, to provide evidence-based literacy interventions to pupils in prekindergarten to 3rd grade in this state.”.

AB68-ASA2-AA1,14,20 36. Page 340, line 9: after that line insert:

AB68-ASA2-AA1,14,22 “ Section 362g. Subchapter III of chapter 153 [precedes 153.85] of the statutes is created to read:

AB68-ASA2-AA1,14,23 Chapter 153

AB68-ASA2-AA1,14,24 Subchapter III

AB68-ASA2-AA1,15,2 Opioid and METHAMPHETAMINE data

AB68-ASA2-AA1,15,5 153.85 Definition; opioid and methamphetamine data. In this subchapter, “vendor” means a person awarded the contract following a request for proposals described under s. 153.87.

AB68-ASA2-AA1,15,10 153.87 Opioid and methamphetamine data system. (1) Subject to sub. (3), the department of administration shall issue a request for proposals to establish and maintain an opioid and methamphetamine data system to collect, format, analyze, and disseminate information on opioid and methamphetamine use, which shall include all of the following:

AB68-ASA2-AA1,15,12 (a) Hospital discharge data from visits and stays related to opioid use or overdose.

AB68-ASA2-AA1,15,14 (b) Hospital discharge data from visits and stays related to methamphetamine use or overdose.

AB68-ASA2-AA1,15,15 (c) Ambulance service run data related to opioid use or overdose.

AB68-ASA2-AA1,15,18 (d) The number of opioid-related overdoses in the state, the number of individuals who overdose on opioids, and the opioids on which the individuals overdose.

AB68-ASA2-AA1,15,21 (e) The number of methamphetamine-related overdoses in the state, the number of individuals who overdose on methamphetamines, and the forms of methamphetamines on which the individuals overdose.

AB68-ASA2-AA1,15,22 (f) Death records related to opioid use or overdose.

AB68-ASA2-AA1,15,23 (g) Death records related to methamphetamine use or overdose.

AB68-ASA2-AA1,15,25 (h) The number of opioid treatment centers in the state, by the owner or operator of each opioid treatment center.

AB68-ASA2-AA1,16,2 (i) The number of methamphetamine treatment centers in the state, by the owner or operator of each methamphetamine treatment center.

AB68-ASA2-AA1,16,7 (j) The number of providers in this state that are allowed to prescribe a drug that is a combination of buprenorphine and naloxone, the patient capacity for those prescribers, the number of patients taking such a combination drug, and the number of patients who have discontinued such a combination drug due to successful completion of a treatment program.

AB68-ASA2-AA1,16,12 (k) The number of methadone clinics in the state, the number of patients taking methadone, the number of patients who more than once have been on courses of methadone, the number of patients who have discontinued methadone use due to successful completion of a treatment program, and the number of patients who are receiving methadone treatment for each of the following durations:

AB68-ASA2-AA1,16,13 1. Longer than 12 months.

AB68-ASA2-AA1,16,14 2. Longer than 3 years.

AB68-ASA2-AA1,16,15 3. Longer than 4 years.

AB68-ASA2-AA1,16,16 4. Longer than 5 years.

AB68-ASA2-AA1,16,17 5. Longer than 8 years.

AB68-ASA2-AA1,16,18 6. Longer than 10 years.

AB68-ASA2-AA1,16,21 (L) The amount of naloxone doses dispensed, the total number of naloxone doses administered, and the number of unique patients who have received doses of naloxone.

AB68-ASA2-AA1,16,23 (m) The number of adults in the state who use opioids, the extent to which those adults use opioids, and the type of opioids used.

AB68-ASA2-AA1,17,3 (n) The number of adults in the state who use methamphetamines, the extent to which those adults use methamphetamines, and the forms of methamphetamines used.

AB68-ASA2-AA1,17,5 (o) The number of minors in the state who use opioids, the extent to which those minors use opioids, and the type of opioids used.

AB68-ASA2-AA1,17,8 (p) The number of minors in the state who use methamphetamines, the extent to which those minors use methamphetamines, and the forms of methamphetamines used.

AB68-ASA2-AA1,17,12 (q) The number of minors who enter the child protective services system due to opioid use by a parent or guardian, length of time those minors are in out-of-home care, and the type of reporter who notified child protective services of the needs of the minor.

AB68-ASA2-AA1,17,20 (r) The number of persons who are incarcerated and who are receiving naltrexone for extended-release in injectable suspension, the number of persons who are on extended supervision or probation or on parole and who are receiving extended-release naltrexone, the total number of doses of extended-release naltrexone administered to persons who are incarcerated, on extended supervision or probation, or on parole in this state, and the length of time that persons who are incarcerated, on extended supervision or probation, or on parole are receiving extended-release naltrexone.

AB68-ASA2-AA1,17,22 (s) The number of arrests and convictions related to methadone and the number related to a drug that is a combination of buprenorphine and naloxone.

AB68-ASA2-AA1,17,23 (t) The number of arrests and convictions related to methamphetamines.

AB68-ASA2-AA1,18,2 (2) The opioid and methamphetamine data system under sub. (1) shall identify, to the extent possible, for sub. (1) (a), (b), (c), (d), (e), (f), (g), (j), (k), (m), (n), (o), (p), and (r), the number of individuals who have each of the following forms of health care coverage:

AB68-ASA2-AA1,18,3 (a) Public health care coverage under the Medical Assistance program.