Amendment AA2-ASA2-AB68

AB68-ASA2-AA2,45,8 5. No credit may be claimed under this subsection by nonresidents or part-year residents of this state.

AB68-ASA2-AA2,45,9 6. Qualified expenses may not include any of the following:

AB68-ASA2-AA2,45,10 a. General food, clothing, or transportation expenses.

AB68-ASA2-AA2,45,12 b. Ordinary household maintenance or repair expenses that are not directly related or necessary for the care of the qualified family member.

AB68-ASA2-AA2,45,13 c. Any amount that is paid or reimbursed by insurance or other means.

AB68-ASA2-AA2,45,16 7. No credit may be allowed under this subsection for a taxable year covering a period of less than 12 months, except for a taxable year closed by reason of the death of the taxpayer.

AB68-ASA2-AA2,45,18 (d) Administration. Subsection (9e) (d), to the extent that it applies to the credit under that subsection, applies to the credit under this subsection.”.

AB68-ASA2-AA2,45,19 93. Page 302, line 15: after that line insert:

AB68-ASA2-AA2,45,20 “ Section 259m. 71.10 (4) (hd) of the statutes is created to read:

AB68-ASA2-AA2,45,21 71.10 (4) (hd) Family caregiver tax credit under s. 71.07 (8p).”.

AB68-ASA2-AA2,45,22 94. Page 337, line 10: after that line insert:

AB68-ASA2-AA2,45,23 “ Section 351k. 120.13 (2) (g) of the statutes is amended to read:

AB68-ASA2-AA2,46,4 120.13 (2) (g) Every self-insured plan under par. (b) shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.729, 632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.798, 632.85, 632.853, 632.855, 632.862, 632.867, 632.87 (4) to (6), 632.871, 632.885, 632.89, 632.895 (9) to (17), 632.896, and 767.513 (4).

AB68-ASA2-AA2,351n Section 351n. 120.13 (2) (g) of the statutes, as affected by 2021 Wisconsin Act .... (this act), section 351k, is amended to read:

AB68-ASA2-AA2,46,10 120.13 (2) (g) Every self-insured plan under par. (b) shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.728, 632.729, 632.746 (1) and (10) (a) 2. and (b) 2., 632.747 (3), 632.798, 632.85, 632.853, 632.855, 632.862, 632.867, 632.87 (4) to (6), 632.871, 632.885, 632.89, 632.895 (9) (8) to (17), 632.896, and 767.513 (4).”.

AB68-ASA2-AA2,46,11 95. Page 340, line 11: after that line insert:

AB68-ASA2-AA2,46,12 “ Section 363k. 185.983 (1) (intro.) of the statutes is amended to read:

AB68-ASA2-AA2,46,20 185.983 (1) (intro.) Every voluntary nonprofit health care plan operated by a cooperative association organized under s. 185.981 shall be exempt from chs. 600 to 646, with the exception of ss. 601.04, 601.13, 601.31, 601.41, 601.42, 601.43, 601.44, 601.45, 611.26, 611.67, 619.04, 623.11, 623.12, 628.34 (10), 631.17, 631.89, 631.93, 631.95, 632.72 (2), 632.729, 632.745 to 632.749, 632.775, 632.79, 632.795, 632.798, 632.85, 632.853, 632.855, 632.862, 632.867, 632.87 (2) to (6), 632.871, 632.885, 632.89, 632.895 (5) and (8) to (17), 632.896, and 632.897 (10) and chs. 609, 620, 630, 635, 645, and 646, but the sponsoring association shall:

AB68-ASA2-AA2,363m Section 363m. 185.983 (1) (intro.) of the statutes, as affected by 2021 Wisconsin Act ....(this act), section 363k, is amended to read:

AB68-ASA2-AA2,47,6 185.983 (1) (intro.) Every voluntary nonprofit health care plan operated by a cooperative association organized under s. 185.981 shall be exempt from chs. 600 to 646, with the exception of ss. 601.04, 601.13, 601.31, 601.41, 601.42, 601.43, 601.44, 601.45, 611.26, 611.67, 619.04, 623.11, 623.12, 628.34 (10), 631.17, 631.89, 631.93, 631.95, 632.72 (2), 632.728, 632.729, 632.745 to 632.749, 632.775, 632.79, 632.795, 632.798, 632.85, 632.853, 632.855, 632.862, 632.867, 632.87 (2) to (6), 632.871, 632.885, 632.89, 632.895 (5) and (8) to (17), 632.896, and 632.897 (10) and chs. 609, 620, 630, 635, 645, and 646, but the sponsoring association shall:”.

AB68-ASA2-AA2,47,7 96. Page 340, line 22: after that line insert:

AB68-ASA2-AA2,47,9 “ Section 365d. 250.15 (1) of the statutes is renumbered 250.15 (1) (intro.) and amended to read:

AB68-ASA2-AA2,47,10 250.15 (1) Definition Definitions. (intro.) In this section, “ community:

AB68-ASA2-AA2,47,12 (a) “Community health center" means a health care entity that provides primary health care, health education and social services to low-income individuals.

AB68-ASA2-AA2,365f Section 365f. 250.15 (1) (b) of the statutes is created to read:

AB68-ASA2-AA2,47,17 250.15 (1) (b) “Free and charitable clinics” means health care organizations that use a volunteer and staff model to provide health services to uninsured, underinsured, underserved, economically and socially disadvantaged, and vulnerable populations and that meet all of the following criteria:

AB68-ASA2-AA2,47,19 1. The organizations are nonprofit and tax exempt or are a part of a larger nonprofit, tax-exempt organization.

AB68-ASA2-AA2,47,20 2. The organizations are located in this state or serve residents in this state.

AB68-ASA2-AA2,47,23 3. The organizations restrict eligibility to receive services to individuals who are uninsured, underinsured, or have limited or no access to primary, specialty, or prescription care.

AB68-ASA2-AA2,47,24 4. The organizations provide one or more of the following services:

AB68-ASA2-AA2,48,1 a. Medical care.

AB68-ASA2-AA2,48,2 b. Mental health care.

AB68-ASA2-AA2,48,3 c. Dental care.

AB68-ASA2-AA2,48,4 d. Prescription medications.

AB68-ASA2-AA2,48,7 5. The organizations use volunteer health care professionals, nonclinical volunteers, and partnerships with other health care providers to provide the services under subd. 4.

AB68-ASA2-AA2,48,11 6. The organizations are not federally-qualified health centers as defined in 42 USC 1396d (l) (2) and do not receive reimbursement from the federal centers for medicare and medicaid services under a federally-qualified health center payment methodology.

AB68-ASA2-AA2,365j Section 365j. 250.15 (2) (d) of the statutes is created to read:

AB68-ASA2-AA2,48,13 250.15 (2) (d) To free and charitable clinics, $2,500,000.

AB68-ASA2-AA2,365m Section 365m. 250.20 (7) of the statutes is created to read:

AB68-ASA2-AA2,48,18 250.20 (7) Black women's health grants. From the appropriation under s. 20.435 (1) (cr), the department shall annually award grants in the total amount of $1,750,000 to community-serving organizations that are led by Black women that improve Black women's health in Dane, Milwaukee, Rock, and Kenosha Counties.

AB68-ASA2-AA2,365r Section 365r. 250.20 (8) of the statutes is created to read:

AB68-ASA2-AA2,48,23 250.20 (8) Infant and maternal mortality grants. From the appropriation under s. 20.435 (1) (cr), the department shall annually award grants in the total amount of $1,750,000 to organizations that work to reduce racial disparities related to infant and maternal mortality.”.

AB68-ASA2-AA2,49,2 97. Page 340, line 23: delete the material beginning with that line and ending with page 341, line 2, and substitute:

AB68-ASA2-AA2,49,3 “ Section 366. 254.151 (1m) (g) of the statutes is amended to read:

AB68-ASA2-AA2,49,7 254.151 (1m) (g) In each fiscal year, $125,000 $175,000 to fund lead screening and outreach activities at a community-based human service agency that provides primary health care, health education and social services to low-income individuals in 1st class cities.”.

AB68-ASA2-AA2,49,8 98. Page 341, line 2: after that line insert:

AB68-ASA2-AA2,49,9 “ Section 366g. 255.15 (3) (d) of the statutes is created to read:

AB68-ASA2-AA2,49,13 255.15 (3) (d) From the appropriation under s. 20.435 (1) (fm), the department may develop and implement a public health campaign aimed at the prevention of initiation of tobacco and vapor product use and may award grants for local and regional organizations working on youth vaping and providing cessation services.

AB68-ASA2-AA2,366m Section 366m. 255.15 (4) of the statutes is amended to read:

AB68-ASA2-AA2,49,21 255.15 (4) Reports. Not later than April 15, 2002 2022, and annually thereafter, the department shall submit to the governor and to the chief clerk of each house of the legislature for distribution under s. 13.172 (2) a report that evaluates the success of the grant program programs under sub. (3). The report shall specify the number of grants awarded during the immediately preceding fiscal year and the purpose for which each grant was made. The report shall also specify donations and grants accepted by the department under sub. (5).

AB68-ASA2-AA2,366r Section 366r. 255.45 of the statutes is created to read:

AB68-ASA2-AA2,49,24 255.45 Spinal cord injury research grants and symposia. (1) Definitions. In this section:

AB68-ASA2-AA2,50,1 (a) “Council” means the spinal cord injury council.

AB68-ASA2-AA2,50,2 (b) “Grant program” means the program established under sub. (2).

AB68-ASA2-AA2,50,9 (2) Grant program. The department shall establish a program to award grants to persons in this state for research into spinal cord injuries. The purpose of the grants is to support research into new and innovative treatments and rehabilitative efforts for the functional improvement of people with spinal cord injuries, and research topics may include pharmaceutical, medical device, brain stimulus, and rehabilitative approaches and techniques. Grant recipients shall agree to present their research findings at symposia held by the department under sub. (3).

AB68-ASA2-AA2,50,12 (3) Symposia. The department may hold symposia every 2 years for recipients of grants under the grant program to present findings of research supported by the grants.

AB68-ASA2-AA2,50,16 (4) Grant reports. By January 15 of each year, the department shall submit an annual report to the appropriate standing committees of the legislature under s. 13.172 (3) that identifies the recipients of grants under the grant program and the purposes for which the grants were used.

AB68-ASA2-AA2,50,17 (5) Council. (a) The council shall do all of the following:

AB68-ASA2-AA2,50,19 1. Develop criteria for the department to evaluate and award grants under the grant program.

AB68-ASA2-AA2,50,21 2. Review and make recommendations to the department on applications submitted under the grant program.

AB68-ASA2-AA2,50,22 3. Perform other duties specified by the department.

AB68-ASA2-AA2,51,2 (b) Each member of the council shall disclose in a written statement any financial interest in any organization that the council recommends to receive a grant under the grant program. The council shall include the written statements with its recommendations to the department on grant applications.”.

AB68-ASA2-AA2,51,3 99. Page 354, line 23: after that line insert:

AB68-ASA2-AA2,51,4 “ Section 411d. 601.41 (13) of the statutes is created to read:

AB68-ASA2-AA2,51,10 601.41 (13) Value-based diabetes medication pilot project. The commissioner shall develop a pilot project to direct a pharmacy benefit manager, as defined in s. 632.865 (1) (c), and a pharmaceutical manufacturer to create a value-based, sole-source arrangement to reduce the costs of prescription medication used to treat diabetes. The commissioner may promulgate rules to implement this subsection.

AB68-ASA2-AA2,411f Section 411f. 601.415 (14) of the statutes is created to read:

AB68-ASA2-AA2,51,17 601.415 (14) Patient pharmacy benefits tool. (a) From the appropriation under s. 20.145 (1) (a), beginning in the 2022-23 fiscal year, the office shall award grants in a total amount of up to $500,000 each fiscal year to health care providers to develop and implement a tool for prescribers to disclose the cost of prescription drugs for patients. The tool must be usable by physicians and other prescribers to determine the cost of prescription drugs for their patients.

AB68-ASA2-AA2,51,19 (b) Any health care provider that receives a grant under par. (a) shall contribute matching funds equal to at least 50 percent of the grant amount awarded.

AB68-ASA2-AA2,411h Section 411h. 601.575 of the statutes is created to read:

AB68-ASA2-AA2,52,2 601.575 Prescription drug importation program. (1) Importation program requirements. The commissioner, in consultation with persons interested in the sale and pricing of prescription drugs and appropriate officials and agencies of the federal government, shall design and implement a prescription drug importation program for the benefit of residents of this state, that generates savings for residents, and that satisfies all of the following:

AB68-ASA2-AA2,52,5 (a) The commissioner shall designate a state agency to become a licensed wholesale distributor or to contract with a licensed wholesale distributor and shall seek federal certification and approval to import prescription drugs.

AB68-ASA2-AA2,52,8 (b) The prescription drug importation program under this section shall comply with relevant requirements of 21 USC 384, including safety and cost savings requirements.

AB68-ASA2-AA2,52,11 (c) The prescription drug importation program under this section shall import prescription drugs from Canadian suppliers regulated under any appropriate Canadian or provincial laws.

AB68-ASA2-AA2,52,14 (d) The prescription drug importation program under this section shall have a process to sample the purity, chemical composition, and potency of imported prescription drugs.

AB68-ASA2-AA2,52,18 (e) The prescription drug importation program under this section shall import only those prescription drugs for which importation creates substantial savings for residents of the state and only those prescription drugs that are not brand-name drugs and that have fewer than 4 competitor prescription drugs in the United States.

AB68-ASA2-AA2,52,21 (f) The commissioner shall ensure that prescription drugs imported under the program under this section are not distributed, dispensed, or sold outside of the state.

AB68-ASA2-AA2,52,23 (g) The prescription drug importation program under this section shall ensure all of the following:

AB68-ASA2-AA2,52,25 1. Participation by any pharmacy or health care provider in the program is voluntary.

AB68-ASA2-AA2,53,2 2. Any pharmacy or health care provider participating in the program has the appropriate license or other credential in this state.

AB68-ASA2-AA2,53,5 3. Any pharmacy or health care provider participating in the program charges a consumer or health plan the actual acquisition cost of the imported prescription drug that is dispensed.

AB68-ASA2-AA2,53,9 (h) The prescription drug importation program under this section shall ensure that a payment by a health plan or health insurance policy for a prescription drug imported under the program reimburses no more than the actual acquisition cost of the imported prescription drug that is dispensed.

AB68-ASA2-AA2,53,12 (i) The prescription drug importation program under this section shall ensure that any health plan or health insurance policy participating in the program does all of the following:

AB68-ASA2-AA2,53,14 1. Maintains a formulary and claims payment system with current information on prescription drugs imported under the program.

AB68-ASA2-AA2,53,17 2. Bases cost-sharing amounts for participants or insureds under the plan or policy on no more than the actual acquisition cost of the prescription drug imported under the program that is dispensed to the participant or insured.

AB68-ASA2-AA2,53,20 3. Demonstrates to the commissioner or a state agency designated by the commissioner how premiums under the policy or plan are affected by savings on prescription drugs imported under the program.

AB68-ASA2-AA2,53,23 (j) Any wholesale distributor importing prescription drugs under the program under this section shall limit its profit margin to the amount established by the commissioner or a state agency designated by the commissioner.

AB68-ASA2-AA2,54,3 (k) The prescription drug importation program under this section may not import any generic prescription drug that would violate federal patent laws on branded products in this country.

AB68-ASA2-AA2,54,8 (L) The prescription drug importation program under this section shall comply to the extent practical and feasible, before the prescription drug to be imported comes into the possession of the state's wholesale distributor and fully after the prescription drug to be imported is in the possession of the state's wholesale distributor, with tracking and tracing requirements of 21 USC 360eee to 360eee-1.

AB68-ASA2-AA2,54,11 (m) The prescription drug importation program under this section shall establish a fee or other mechanism to finance the program that does not jeopardize significant savings to residents of the state.