This is the preview version of the Wisconsin State Legislature site.
Please see http://docs.legis.wisconsin.gov for the production version.
LRBb0036/2
TD/JC/SW/EL:all
2021 - 2022 LEGISLATURE
ASSEMBLY AMENDMENT 2,
TO ASSEMBLY SUBSTITUTE AMENDMENT 2,
TO ASSEMBLY BILL 68
June 29, 2021 - Offered by Representatives Subeck, Anderson, Andraca, Baldeh,
Billings, Bowen, Brostoff, Cabrera, Conley, Considine, Doyle, Drake,
Emerson, Goyke, Haywood, Hebl, Hesselbein, Hintz, Hong, McGuire, B.
Meyers
, Milroy, Moore Omokunde, L. Myers, Neubauer, Ohnstad,
Ortiz-Velez, Pope, Riemer, S. Rodriguez, Shankland, Shelton, Sinicki,
Snodgrass, Spreitzer, Stubbs, Vining and Vruwink.
AB68-ASA2-AA2,1,11 At the locations indicated, amend the substitute amendment as follows:
AB68-ASA2-AA2,1,2 21. Page 8, line 9: after that line insert:
AB68-ASA2-AA2,1,3 3 Section 9g. 15.07 (3) (bm) 7. of the statutes is created to read:
AB68-ASA2-AA2,1,54 15.07 (3) (bm) 7. The prescription drug affordability review board shall meet
5at least 4 times each year.
AB68-ASA2-AA2,9m 6Section 9m. 15.197 (20) of the statutes is created to read:
AB68-ASA2-AA2,1,97 15.197 (20) Spinal cord injury council. (a) There is created in the department
8of health services a spinal cord injury council that, except as provided in par. (b),
9consists of the following members appointed by the department for 2-year terms:
AB68-ASA2-AA2,1,1110 1. One member representing the University of Wisconsin School of Medicine
11and Public Health.
AB68-ASA2-AA2,1,1212 2. One member representing the Medical College of Wisconsin.
AB68-ASA2-AA2,2,1
13. One member who has a spinal cord injury.
AB68-ASA2-AA2,2,22 4. One member who is a family member of a person with a spinal cord injury.
AB68-ASA2-AA2,2,33 5. One member who is a veteran who has a spinal cord injury.
AB68-ASA2-AA2,2,54 6. One member who is a physician specializing in the treatment of spinal cord
5injuries.
AB68-ASA2-AA2,2,66 7. One member who is a researcher in the field of neurosurgery.
AB68-ASA2-AA2,2,87 8. One member who is a researcher employed by the veterans health
8administration of the U.S. department of veterans affairs.
AB68-ASA2-AA2,2,119 (b) If the department of health services is unable to appoint a member specified
10in par. (a) 1. to 8., the department of health services may appoint a member
11representing the general public in lieu of the member so specified.”.
AB68-ASA2-AA2,2,12 122. Page 8, line 14: after that line insert:
AB68-ASA2-AA2,2,13 13 Section 10m. 15.735 of the statutes is created to read:
AB68-ASA2-AA2,2,16 1415.735 Same; attached board. (1) There is created a prescription drug
15affordability review board attached to the office of the commissioner of insurance
16under s. 15.03. The board shall consist of the following members:
AB68-ASA2-AA2,2,1717 (a) The commissioner of insurance or his or her designee.
AB68-ASA2-AA2,2,2118 (b) Two members appointed for 4-year terms who represent the
19pharmaceutical drug industry, including pharmaceutical drug manufacturers and
20wholesalers. At least one of the members appointed under this paragraph shall be
21a licensed pharmacist.
AB68-ASA2-AA2,2,2322 (c) Two members appointed for 4-year terms who represent the health
23insurance industry, including insurers and pharmacy benefit managers.
AB68-ASA2-AA2,3,3
1(d) Two members appointed for 4-year terms who represent the health care
2industry, including hospitals, physicians, pharmacies, and pharmacists. At least one
3of the members appointed under this paragraph shall be a licensed practitioner.
AB68-ASA2-AA2,3,54 (e) Two members appointed for 4-year terms who represent the interests of the
5public.
AB68-ASA2-AA2,3,8 6(2) A member appointed under sub. (1) may not be an employee of, a board
7member of, or a consultant to a drug manufacturer or trade association for drug
8manufacturers.
AB68-ASA2-AA2,3,13 9(3) Any conflict of interest, including any financial or personal association, that
10has the potential to bias or has the appearance of biasing an individual's decision in
11matters related to the board or the conduct of the board's activities shall be
12considered and disclosed when appointing that individual to the board under sub.
13(1).”.
AB68-ASA2-AA2,3,14 143. Page 36, line 18: after that line insert: - See PDF for table PDF
AB68-ASA2-AA2,3,17 154. Page 36, line 19: increase the dollar amount for fiscal year 2022-23 by
16$3,000,000 for the purpose of developing and implementing a state-based health
17insurance exchange as described in this act.
AB68-ASA2-AA2,3,20 185. Page 36, line 19: increase the dollar amount for fiscal year 2022-23 by
19$900,000 for an analysis and actuarial study for the development of a public option
20health insurance plan.
AB68-ASA2-AA2,4,5 216. Page 36, line 19: increase the dollar amount for fiscal year 2021-22 by
22$1,701,000 to provide $500,000 in onetime implementation costs for establishing an
23office of prescription drug affordability in the office of the commissioner of insurance

1and $1,201,000 to authorize 16.0 PR positions within the office of prescription drug
2affordability, including 5.0 insurance examiners, 4.0 policy initiatives advisors, 2.0
3attorneys, 1.0 insurance program manager, 2.0 insurance administrators, and 2.0
4operations program associates and increase the dollar amount for fiscal year
52022-23 by $1,533,900 for the purpose of funding these authorized positions.
AB68-ASA2-AA2,4,11 67. Page 134, line 4: increase the dollar amount for fiscal year 2021-22 by
7$1,564,300 and increase the dollar amount for fiscal year 2022-23 by $2,044,100 for
8the purpose of increasing the authorized FTE positions for the department of health
9services by 23.0 GPR positions, including 17.0 permanent positions and 6.0 4-year
10project positions, beginning in fiscal year 2021-22, for the bureau of communicable
11diseases to prevent and respond to future outbreaks of communicable disease.
AB68-ASA2-AA2,4,16 128. Page 134, line 4: increase the dollar amount for fiscal year 2021-22 by
13$189,300 and increase the dollar amount for fiscal year 2022-23 by $246,000 for the
14purpose of increasing the authorized FTE positions for the department of health
15services by 3.0 GPR positions, beginning in fiscal year 2021-22, to create a field team
16in the bureau of communicable diseases dedicated to harm reduction.
AB68-ASA2-AA2,4,23 179. Page 134, line 4: increase the dollar amount for fiscal year 2021-22 by
18$162,400 and increase the dollar amount for fiscal year 2022-23 by $213,500 for the
19purpose of increasing the authorized FTE positions for the department of health
20services by 2.0 GPR positions, beginning in fiscal year 2021-22, to create a data
21analysis team in the office of health informatics consisting of a senior statistician and
22a modeler, dedicated to analyzing health metrics and creating predictive models to
23inform public health responses.
AB68-ASA2-AA2,5,6
110. Page 134, line 4: increase the dollar amount for fiscal year 2021-22 by
2$116,600 and increase the dollar amount for fiscal year 2022-23 by $153,100 for the
3purpose of converting 2.0 FED positions in the department of health services to 2.0
4GPR positions, beginning in fiscal year 2021-22, to support 1.0 state trauma
5coordinator and 1.0 trauma program associate with state funds rather than funds
6received under the federal hospital preparedness program.
AB68-ASA2-AA2,5,11 711. Page 134, line 4: increase the dollar amount for fiscal year 2021-22 by
8$100,000 and increase the dollar amount for fiscal year 2022-23 by $100,000 for the
9purpose of contracting for the services of one full-time web developer in the division
10of public health to translate the Internet pages of the department of health services
11into multiple languages.
AB68-ASA2-AA2,5,16 1212. Page 134, line 4: increase the dollar amount for fiscal year 2021-22 by
13$66,200 and increase the dollar amount for fiscal year 2022-23 by $88,200 for the
14purpose of increasing the authorized FTE positions for the department of health
15services by 1.0 GPR position, beginning in fiscal year 2021-22, to create an
16interdepartmental team to promote health in all policies.
AB68-ASA2-AA2,5,21 1713. Page 134, line 4: increase the dollar amount for fiscal year 2022-23 by
18$87,600 for the purpose of increasing the authorized FTE positions for the
19department of health services by 1.0 GPR position, beginning in fiscal year 2022-23,
20to oversee a self-reported compliance program for ambulance medical equipment
21and operational requirements and conduct inspections as necessary.
AB68-ASA2-AA2,5,24 2214. Page 134, line 8: increase the dollar amount for fiscal year 2021-22 by
23$655,000 and increase the dollar amount for fiscal year 2022-23 by $655,000 for
24grants to support health information exchange activities.
AB68-ASA2-AA2,6,6
115. Page 134, line 8: increase the dollar amount for fiscal year 2021-22 by
2$500,000 and increase the dollar amount for fiscal year 2022-23 by $500,000 for the
3purpose of awarding a grant in each fiscal year to an entity to connect and convene
4efforts among state agencies, public and private sector organizations, and
5community organizations to support a statewide public health strategy to advance
6Black women's health.
AB68-ASA2-AA2,6,7 716. Page 135, line 2: after that line insert: - See PDF for table PDF
AB68-ASA2-AA2,6,11 817. Page 135, line 6: increase the dollar amount for fiscal year 2021-22 by
9$5,000,000 and increase the dollar amount for fiscal year 2022-23 by $5,000,000 for
10the purpose of grants to local public health departments to prevent and control
11communicable diseases.
AB68-ASA2-AA2,6,15 1218. Page 135, line 7: increase the dollar amount for fiscal year 2021-22 by
13$125,000 and increase the dollar amount for fiscal year 2022-23 by $125,000 for the
14purpose of awarding a grant to an organization to train and assist guardians for
15individuals found to be incompetent under ch. 54.
AB68-ASA2-AA2,6,19 1619. Page 135, line 13: increase the dollar amount for fiscal year 2021-22 by
17$3,500,000 and increase the dollar amount for fiscal year 2022-23 by $3,500,000 for
18the purpose of Black women's health grants under s. 250.20 (7) and for infant and
19maternal mortality grants under s. 250.20 (8).
AB68-ASA2-AA2,6,22 2020. Page 135, line 17: increase the dollar amount for fiscal year 2021-22 by
21$321,800 and increase the dollar amount for fiscal year 2022-23 by $321,800 for the
22purpose of increasing funding for the hearing aid assistance program.
AB68-ASA2-AA2,7,5
121. Page 136, line 9: increase the dollar amount for fiscal year 2021-22 by
2$961,800 and increase the dollar amount for fiscal year 2022-23 by $1,054,800 for
3the purpose of increasing the authorized FTE positions for the department of health
4services by 1.0 GPR position, beginning in fiscal year 2021-22, to resume the Window
5Plus lead exposure prevention program.
AB68-ASA2-AA2,7,8 622. Page 136, line 21: increase the dollar amount for fiscal year 2021-22 by
7$1,000,000 and increase the dollar amount for fiscal year 2022-23 by $1,000,000 for
8grants for federally qualified health centers.
AB68-ASA2-AA2,7,11 923. Page 136, line 21: increase the dollar amount for fiscal year 2021-22 by
10$1,000,000 and increase the dollar amount for fiscal year 2022-23 by $1,000,000 for
11free and charitable clinic grants.
AB68-ASA2-AA2,7,14 1224. Page 137, line 4: increase the dollar amount for fiscal year 2021-22 by
13$2,000,000 for the purpose of a public health campaign aimed at preventing
14initiation of tobacco and vapor product use as provided under s. 255.15 (3) (d).
AB68-ASA2-AA2,7,18 1525. Page 139, line 2: increase the dollar amount for fiscal year 2021-22 by
16$5,827,600 and increase the dollar amount for fiscal year 2022-23 by $5,827,600 for
17the purpose of paying anticipated overtime costs at care and treatment residential
18facilities owned by the department of health services.
AB68-ASA2-AA2,7,24 1926. Page 139, line 2: increase the dollar amount for fiscal year 2021-22 by
20$3,028,200 and increase the dollar amount for fiscal year 2022-23 by $3,028,200 for
21the purpose of increasing the authorized FTE positions for the department of health
22services by 36.5 GPR positions, beginning in fiscal year 2021-22, to staff a 14-bed
23unit for adult forensic patients in the building at the Mendota Mental Health
24Institute that houses the Mendota Juvenile Treatment Center.
AB68-ASA2-AA2,8,5
127. Page 139, line 8: increase the dollar amount for fiscal year 2021-22 by
2$2,273,800 and increase the dollar amount for fiscal year 2022-23 by $2,273,800 for
3the purpose of contracting for treatment delivered under an assertive community
4treatment model for individuals with serious mental illness that are involved in the
5criminal justice system.
AB68-ASA2-AA2,8,7 628. Page 139, line 12: increase the dollar amount for fiscal year 2021-22 by
7$20,000 for the behavioral health bed tracking system grant.
AB68-ASA2-AA2,8,11 829. Page 139, line 22: increase the dollar amount for fiscal year 2021-22 by
9$3,351,800 and increase the dollar amount for fiscal year 2022-23 by $3,351,800 for
10the purpose of paying anticipated overtime costs at care and treatment residential
11facilities owned by the department of health services.
AB68-ASA2-AA2,8,15 1230. Page 140, line 19: decrease the dollar amount for fiscal year 2021-22 by
13$849,788,000 and decrease the dollar amount for fiscal year 2022-23 by
14$841,925,400 as a result of the expansion of eligibility for the Medical Assistance
15program.
AB68-ASA2-AA2,8,18 1631. Page 140, line 19: decrease the dollar amount for fiscal year 2021-22 by
17$1,390,700 and decrease the dollar amount for fiscal year 2022-23 by $2,026,500 for
18the purpose of decreasing the nursing home reimbursement.
AB68-ASA2-AA2,8,21 1932. Page 140, line 19: decrease the dollar amount for fiscal year 2021-22 by
20$5,000,000 and decrease the dollar amount for fiscal year 2022-23 by $5,000,000 for
21the purpose of decreasing direct care workforce funding.
AB68-ASA2-AA2,9,3
133. Page 140, line 19: decrease the dollar amount for fiscal year 2021-22 by
2$2,844,100 and decrease the dollar amount for fiscal year 2022-23 by $5,000,000 for
3the purpose of decreasing personal care reimbursement.
AB68-ASA2-AA2,9,6 434. Page 140, line 19: increase the dollar amount for fiscal year 2021-22 by
5$1,145,100 and increase the dollar amount for fiscal year 2022-23 by $2,290,200 to
6increase Medical Assistance reimbursement rates for emergency physician services.
AB68-ASA2-AA2,9,10 735. Page 140, line 19: increase the dollar amount for fiscal year 2021-22 by
8$1,293,300 and increase the dollar amount for fiscal year 2022-23 by $2,586,700 for
9the purpose of providing an additional increase to the Medical Assistance
10reimbursement rates for medication-assisted treatment services.
AB68-ASA2-AA2,9,14 1136. Page 140, line 19: increase the dollar amount for fiscal year 2021-22 by
12$36,696,100 and increase the dollar amount for fiscal year 2022-23 by $39,581,700
13for the purpose of increasing the total hospital access payments under the Medical
14Assistance program.
AB68-ASA2-AA2,9,18 1537. Page 140, line 19: increase the dollar amount for fiscal year 2021-22 by
16$547,500 and increase the dollar amount for fiscal year 2022-23 by $590,700 for the
17purpose of increasing critical access hospital access payments under the Medical
18Assistance program.
AB68-ASA2-AA2,9,22 1938. Page 140, line 19: increase the dollar amount for fiscal year 2021-22 by
20$883,800 and increase the dollar amount for fiscal year 2022-23 by $5,302,500 for
21a 20 percent increase to reimbursement rates for outpatient mental health and
22substance abuse services on each of January 1, 2022, and January 1, 2023.
AB68-ASA2-AA2,10,3
139. Page 140, line 19: increase the dollar amount for fiscal year 2022-23 by
2$534,200 for the purpose of increasing by 20 percent the reimbursement rates for
3child and adolescent day treatment services on January 1, 2023.
AB68-ASA2-AA2,10,7 440. Page 140, line 19: increase the dollar amount for fiscal year 2021-22 by
5$500,000 and increase the dollar amount for fiscal year 2022-23 by $7,260,000 for
6the purpose of extending Medical Assistance benefits for postpartum women as
7described in this act.
AB68-ASA2-AA2,10,12 841. Page 140, line 19: increase the dollar amount for fiscal year 2021-22 by
9$1,950,200 and increase the dollar amount for fiscal year 2022-23 by $2,103,100 for
10the purpose of supplemental payments to hospitals that are freestanding pediatric
11teaching hospitals located in Wisconsin for which 45 percent or more of their total
12inpatient days are for Medical Assistance recipients.
AB68-ASA2-AA2,10,16 1342. Page 140, line 19: increase the dollar amount for fiscal year 2021-22 by
14$3,274,600 and increase the dollar amount for fiscal year 2022-23 by $3,274,600 for
15the purpose of providing coverage for room and board costs of Medical Assistance
16enrollees receiving residential treatment for substance use disorders.
Loading...
Loading...