Amendment AA2-ASA2-AB68

AB68-ASA2-AA2,7,8 22. Page 136, line 21: increase the dollar amount for fiscal year 2021-22 by $1,000,000 and increase the dollar amount for fiscal year 2022-23 by $1,000,000 for grants for federally qualified health centers.

AB68-ASA2-AA2,7,11 23. Page 136, line 21: increase the dollar amount for fiscal year 2021-22 by $1,000,000 and increase the dollar amount for fiscal year 2022-23 by $1,000,000 for free and charitable clinic grants.

AB68-ASA2-AA2,7,14 24. Page 137, line 4: increase the dollar amount for fiscal year 2021-22 by $2,000,000 for the purpose of a public health campaign aimed at preventing initiation of tobacco and vapor product use as provided under s. 255.15 (3) (d).

AB68-ASA2-AA2,7,18 25. Page 139, line 2: increase the dollar amount for fiscal year 2021-22 by $5,827,600 and increase the dollar amount for fiscal year 2022-23 by $5,827,600 for the purpose of paying anticipated overtime costs at care and treatment residential facilities owned by the department of health services.

AB68-ASA2-AA2,7,24 26. Page 139, line 2: increase the dollar amount for fiscal year 2021-22 by $3,028,200 and increase the dollar amount for fiscal year 2022-23 by $3,028,200 for the purpose of increasing the authorized FTE positions for the department of health services by 36.5 GPR positions, beginning in fiscal year 2021-22, to staff a 14-bed unit for adult forensic patients in the building at the Mendota Mental Health Institute that houses the Mendota Juvenile Treatment Center.

AB68-ASA2-AA2,8,5 27. Page 139, line 8: increase the dollar amount for fiscal year 2021-22 by $2,273,800 and increase the dollar amount for fiscal year 2022-23 by $2,273,800 for the purpose of contracting for treatment delivered under an assertive community treatment model for individuals with serious mental illness that are involved in the criminal justice system.

AB68-ASA2-AA2,8,7 28. Page 139, line 12: increase the dollar amount for fiscal year 2021-22 by $20,000 for the behavioral health bed tracking system grant.

AB68-ASA2-AA2,8,11 29. Page 139, line 22: increase the dollar amount for fiscal year 2021-22 by $3,351,800 and increase the dollar amount for fiscal year 2022-23 by $3,351,800 for the purpose of paying anticipated overtime costs at care and treatment residential facilities owned by the department of health services.

AB68-ASA2-AA2,8,15 30. Page 140, line 19: decrease the dollar amount for fiscal year 2021-22 by $849,788,000 and decrease the dollar amount for fiscal year 2022-23 by $841,925,400 as a result of the expansion of eligibility for the Medical Assistance program.

AB68-ASA2-AA2,8,18 31. Page 140, line 19: decrease the dollar amount for fiscal year 2021-22 by $1,390,700 and decrease the dollar amount for fiscal year 2022-23 by $2,026,500 for the purpose of decreasing the nursing home reimbursement.

AB68-ASA2-AA2,8,21 32. Page 140, line 19: decrease the dollar amount for fiscal year 2021-22 by $5,000,000 and decrease the dollar amount for fiscal year 2022-23 by $5,000,000 for the purpose of decreasing direct care workforce funding.

AB68-ASA2-AA2,9,3 33. Page 140, line 19: decrease the dollar amount for fiscal year 2021-22 by $2,844,100 and decrease the dollar amount for fiscal year 2022-23 by $5,000,000 for the purpose of decreasing personal care reimbursement.

AB68-ASA2-AA2,9,6 34. Page 140, line 19: increase the dollar amount for fiscal year 2021-22 by $1,145,100 and increase the dollar amount for fiscal year 2022-23 by $2,290,200 to increase Medical Assistance reimbursement rates for emergency physician services.

AB68-ASA2-AA2,9,10 35. Page 140, line 19: increase the dollar amount for fiscal year 2021-22 by $1,293,300 and increase the dollar amount for fiscal year 2022-23 by $2,586,700 for the purpose of providing an additional increase to the Medical Assistance reimbursement rates for medication-assisted treatment services.

AB68-ASA2-AA2,9,14 36. Page 140, line 19: increase the dollar amount for fiscal year 2021-22 by $36,696,100 and increase the dollar amount for fiscal year 2022-23 by $39,581,700 for the purpose of increasing the total hospital access payments under the Medical Assistance program.

AB68-ASA2-AA2,9,18 37. Page 140, line 19: increase the dollar amount for fiscal year 2021-22 by $547,500 and increase the dollar amount for fiscal year 2022-23 by $590,700 for the purpose of increasing critical access hospital access payments under the Medical Assistance program.

AB68-ASA2-AA2,9,22 38. Page 140, line 19: increase the dollar amount for fiscal year 2021-22 by $883,800 and increase the dollar amount for fiscal year 2022-23 by $5,302,500 for a 20 percent increase to reimbursement rates for outpatient mental health and substance abuse services on each of January 1, 2022, and January 1, 2023.

AB68-ASA2-AA2,10,3 39. Page 140, line 19: increase the dollar amount for fiscal year 2022-23 by $534,200 for the purpose of increasing by 20 percent the reimbursement rates for child and adolescent day treatment services on January 1, 2023.

AB68-ASA2-AA2,10,7 40. Page 140, line 19: increase the dollar amount for fiscal year 2021-22 by $500,000 and increase the dollar amount for fiscal year 2022-23 by $7,260,000 for the purpose of extending Medical Assistance benefits for postpartum women as described in this act.

AB68-ASA2-AA2,10,12 41. Page 140, line 19: increase the dollar amount for fiscal year 2021-22 by $1,950,200 and increase the dollar amount for fiscal year 2022-23 by $2,103,100 for the purpose of supplemental payments to hospitals that are freestanding pediatric teaching hospitals located in Wisconsin for which 45 percent or more of their total inpatient days are for Medical Assistance recipients.

AB68-ASA2-AA2,10,16 42. Page 140, line 19: increase the dollar amount for fiscal year 2021-22 by $3,274,600 and increase the dollar amount for fiscal year 2022-23 by $3,274,600 for the purpose of providing coverage for room and board costs of Medical Assistance enrollees receiving residential treatment for substance use disorders.

AB68-ASA2-AA2,10,19 43. Page 140, line 19: increase the dollar amount for fiscal year 2022-23 by $803,200 for the purpose of expanding access to Medical Assistance psychosocial services through the use of non-county providers.

AB68-ASA2-AA2,10,23 44. Page 140, line 19: increase the dollar amount for fiscal year 2021-22 by $500,000 and increase the dollar amount for fiscal year 2022-23 by $10,014,000 for the purpose of providing a new Medical Assistance benefit, subject to federal approval, for nonmedical services that contribute to determinants of health.

AB68-ASA2-AA2,11,3 45. Page 140, line 19: increase the dollar amount for fiscal year 2022-23 by $5,701,600 for the purpose of funding coverage of community health worker services under the Medical Assistance program.

AB68-ASA2-AA2,11,6 46. Page 140, line 19: increase the dollar amount for fiscal year 2022-23 by $406,700 for the purpose of providing coverage of doula services under the Medical Assistance program.

AB68-ASA2-AA2,11,11 47. Page 140, line 19: decrease the dollar amount for fiscal year 2021-22 by $1,393,300 and decrease the dollar amount for fiscal year 2022-23 by $2,786,600 for the purpose of increasing reimbursement rates for dental providers that meet quality of care standards, as established by the department of health services, and meet other criteria established under s. 49.45 (24L).

AB68-ASA2-AA2,11,16 48. Page 140, line 19: increase the dollar amount for fiscal year 2021-22 by $3,080,900 and increase the dollar amount for fiscal year 2022-23 by $6,161,700 for the purpose of increasing reimbursement rates for behavioral health treatment services related to autism under the Medical Assistance program by 25 percent, effective January 1, 2022.

AB68-ASA2-AA2,11,20 49. Page 140, line 19: increase the dollar amount for fiscal year 2022-23 by $1,281,900 for the purpose of providing reimbursement under the Medical Assistance program, subject to federal approval, for acupuncture services provided by a certified acupuncturist.

AB68-ASA2-AA2,11,21 50. Page 141, line 2: after that line insert: - See PDF for table

AB68-ASA2-AA2,12,4 51. Page 141, line 7: increase the dollar amount for fiscal year 2021-22 by $5,025,300 and increase the dollar amount for fiscal year 2022-23 by $5,983,000 for the purpose of increasing funding for contractual services and systems costs for the administration of the Medical Assistance and FoodShare programs.

AB68-ASA2-AA2,12,8 52. Page 141, line 8: increase the dollar amount for fiscal year 2021-22 by $1,445,300 and increase the dollar amount for fiscal year 2022-23 by $2,117,000 for the purpose of funding projected workload increases for income maintenance consortia and tribal income maintenance agencies in the 2021-23 biennium.

AB68-ASA2-AA2,12,10 53. Page 141, line 10: increase the dollar amount for fiscal year 2022-23 by $4,027,400 for the FoodShare employment and training program.

AB68-ASA2-AA2,12,14 54. Page 141, line 15: increase the dollar amount for fiscal year 2021-22 by $187,500 and increase the dollar amount for fiscal year 2022-23 by $612,500 for the FoodShare healthy eating incentives and benefit and card processing equipment for farmers markets and direct-marketing farmers as described in this act.

AB68-ASA2-AA2,12,17 55. Page 144, line 16: decrease the dollar amount for fiscal year 2021-22 by $36,696,100 and decrease the dollar amount for fiscal year 2022-23 by $39,581,700 for the purpose of hospital access payments.

AB68-ASA2-AA2,12,20 56. Page 144, line 16: decrease the dollar amount for fiscal year 2021-22 by $547,500 and decrease the dollar amount for fiscal year 2022-23 by $590,700 for the purpose of critical access hospital payments.

AB68-ASA2-AA2,12,23 57. Page 144, line 24: increase the dollar amount for fiscal year 2021-22 by $36,696,100 and increase the dollar amount for fiscal year 2022-23 by $39,581,700 for the purpose of hospital access payments.

AB68-ASA2-AA2,13,3 58. Page 145, line 3: increase the dollar amount for fiscal year 2021-22 by $547,500 and increase the dollar amount for fiscal year 2022-23 by $590,700 for the purpose of critical access hospital payments.

AB68-ASA2-AA2,13,5 59. Page 145, line 6: increase the dollar amount for fiscal year 2022-23 by $300,000 for the purpose of developing a substance use disorder treatment platform.

AB68-ASA2-AA2,13,9 60. Page 145, line 7: increase the dollar amount for fiscal year 2021-22 by $750,000 and increase the dollar amount for fiscal year 2022-23 by $1,250,000 for medication-assisted treatment expansion grants and substance use harm reduction grants as described in this act.

AB68-ASA2-AA2,13,12 61. Page 145, line 7: increase the dollar amount for fiscal year 2022-23 by $1,936,000 for the purpose of providing behavioral health treatment services for individuals who are deaf, hard of hearing, or deaf-blind.

AB68-ASA2-AA2,13,15 62. Page 145, line 7: increase the dollar amount for fiscal year 2021-22 by $450,000 and increase the dollar amount for fiscal year 2022-23 by $450,000 for the purpose of an annual grant to the Milwaukee trauma response team.

AB68-ASA2-AA2,13,19 63. Page 145, line 7: increase the dollar amount for fiscal year 2021-22 by $313,800 and increase the dollar amount for fiscal year 2022-23 by $313,800 for the purpose of supporting a supplemental telephone service to provide backup to staff at peer-run respite centers.

AB68-ASA2-AA2,13,20 64. Page 145, line 12: after that line insert: - See PDF for table

AB68-ASA2-AA2,14,2 65. Page 145, line 14: increase the dollar amount for fiscal year 2021-22 by $500,000 for the child psychiatry consultation program.

AB68-ASA2-AA2,14,7 66. Page 145, line 20: increase the dollar amount for fiscal year 2021-22 by $1,250,000 and increase the dollar amount for fiscal year 2022-23 by $1,250,000 for the purpose of crisis program enhancement grants to establish and enhance law enforcement and behavioral health services emergency response collaboration teams.

AB68-ASA2-AA2,14,11 67. Page 145, line 20: increase the dollar amount for fiscal year 2021-22 by $850,000 and increase the dollar amount for fiscal year 2022-23 by $850,000 for the purpose of a grant each fiscal year to a county with a population of more than 750,000 to enhance mobile crisis teams.

AB68-ASA2-AA2,14,12 68. Page 145, line 20: after that line insert: - See PDF for table - See PDF for table

AB68-ASA2-AA2,14,15 69. Page 149, line 4: increase the dollar amount for fiscal year 2021-22 by $250,000 and increase the dollar amount for fiscal year 2022-23 by $250,000 for the Alzheimer's family and caregiver support program.

AB68-ASA2-AA2,14,18 70. Page 149, line 4: increase the dollar amount for fiscal year 2021-22 by $60,000 for the purpose of conducting a one-year tailored caregiver assessment and referral pilot program.

AB68-ASA2-AA2,15,3 71. Page 149, line 4: increase the dollar amount for fiscal year 2021-22 by $2,395,000 and increase the dollar amount for fiscal year 2022-23 by $4,573,000 for the purpose of expanding services at the aging and disability resource centers.

AB68-ASA2-AA2,15,7 72. Page 149, line 8: increase the dollar amount for fiscal year 2021-22 by $3,300,000 and increase the dollar amount for fiscal year 2022-23 by $6,600,000 for the purpose of expanding eligibility for services provided under the Birth to 3 program as provided under s. 51.44 (5) (bm).

AB68-ASA2-AA2,15,12 73. Page 230, line 3: decrease the dollar amount for fiscal year 2021-22 by $5,827,600 and decrease the dollar amount for fiscal year 2022-23 by $5,827,600 for the purpose of paying anticipated overtime costs at care and treatment residential facilities owned by the department of health services from an appropriation to the department of health services.

AB68-ASA2-AA2,15,17 74. Page 230, line 3: decrease the dollar amount for fiscal year 2021-22 by $650,000 and decrease the dollar amount for fiscal year 2022-23 by $1,600,000 for the purpose of paying for medication-assisted treatment expansion grants, methamphetamine addiction treatment grants, and a substance use disorder treatment platform from appropriations to the department of health services.

AB68-ASA2-AA2,15,20 75. Page 230, line 3: decrease the dollar amount for fiscal year 2022-23 by $4,027,400 for the purpose of paying for the FoodShare employment and training program from an appropriation to the department of health services.

AB68-ASA2-AA2,16,2 76. Page 230, line 5: decrease the dollar amount for fiscal year 2021-22 by $3,351,800 and decrease the dollar amount for fiscal year 2022-23 by $3,351,800 for the purpose of paying anticipated overtime costs at care and treatment residential facilities owned by the department of health services from an appropriation to the department of health services.

AB68-ASA2-AA2,16,3 77. Page 240, line 17: after that line insert:

AB68-ASA2-AA2,16,4 “ Section 27m. 20.145 (1) (a) of the statutes is created to read:

AB68-ASA2-AA2,16,6 20.145 (1) (a) State operations. The amounts in the schedule for general program operations.

AB68-ASA2-AA2,27r Section 27r. 20.145 (1) (g) (intro.) of the statutes is amended to read:

AB68-ASA2-AA2,16,17 20.145 (1) (g) General program operations. (intro.) The amounts in the schedule for general program operations, including organizational support services and oversight of care management organizations, development of a public option health insurance plan, and operation of a state-based exchange under s. 601.59, and for transferring to the appropriation account under s. 20.435 (4) (kv) the amount allocated by the commissioner of insurance. Notwithstanding s. 20.001 (3) (a), at the end of each fiscal year, the unencumbered balance in this appropriation account that exceeds 10 percent of that fiscal year's expenditure under this appropriation shall lapse to the general fund. All of the following shall be credited to this appropriation account:

AB68-ASA2-AA2,27t Section 27t. 20.145 (1) (g) 5. of the statutes is created to read:

AB68-ASA2-AA2,16,19 20.145 (1) (g) 5. All moneys received under s. 601.59.”.

AB68-ASA2-AA2,16,20 78. Page 247, line 1: after that line insert:

AB68-ASA2-AA2,16,21 “ Section 61g. 20.435 (1) (cd) of the statutes is created to read:

AB68-ASA2-AA2,16,23 20.435 (1) (cd) Spinal cord injury research. A sum sufficient not to exceed $3,000,000 for grants and symposia under s. 255.45 (2) and (3).

AB68-ASA2-AA2,61m Section 61m. 20.435 (1) (cr) of the statutes is amended to read:

AB68-ASA2-AA2,17,4 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-AA2,17,6 79. Page 247, line 10: delete the material beginning with that line and ending with page 248, line 3, and substitute:

AB68-ASA2-AA2,17,7 “ Section 65. 20.435 (4) (b) of the statutes is amended to read:

AB68-ASA2-AA2,18,2 20.435 (4) (b) Medical Assistance program benefits. Biennially, the amounts in the schedule to provide a portion of the state share of Medical Assistance program benefits administered under subch. IV of ch. 49, for a portion of the Badger Care health care program under s. 49.665, to provide a portion of the Medical Assistance program benefits administered under subch. IV of ch. 49 that are not also provided under par. (o), to provide payments to federally recognized American Indian tribes or bands in this state under and for the administration of s. 49.45 (5g), to provide a portion of the facility payments under 1999 Wisconsin Act 9, section 9123 (9m), to fund services provided by resource centers under s. 46.283, for services under the family care benefit under s. 46.284 (5), for the community options program under s. 46.27, 2017 stats., for assisting victims of diseases, as provided in ss. 49.68, 49.683, and 49.685, and for reduction of any operating deficits as specified in 2005 Wisconsin Act 15, section 3. Notwithstanding s. 20.002 (1), the department may transfer from this appropriation account to the appropriation account under sub. (5) (kc) funds in the amount of and for the purposes specified in s. 46.485. Notwithstanding ss. 20.001 (3) (b) and 20.002 (1), the department may credit or deposit into this appropriation account and may transfer between fiscal years funds that it transfers from the appropriation account under sub. (5) (kc) for the purposes specified in s. 46.485 (3r).”.

AB68-ASA2-AA2,18,3 80. Page 248, line 3: after that line insert:

AB68-ASA2-AA2,18,4 “ Section 65d. 20.435 (4) (bh) of the statutes is created to read:

AB68-ASA2-AA2,18,7 20.435 (4) (bh) Behavioral health technology grants. The amounts in the schedule to provide grants to behavioral health providers to implement electronic health records systems and connect to health information exchanges.

AB68-ASA2-AA2,65f Section 65f. 20.435 (4) (bq) of the statutes is repealed.

AB68-ASA2-AA2,65h Section 65h. 20.435 (4) (bt) of the statutes is amended to read:

AB68-ASA2-AA2,18,16 20.435 (4) (bt) Healthy eating incentive pilot program incentives . As a continuing appropriation, the amounts in the schedule to contract with an entity to administer the healthy eating incentive program under s. 49.79 (7r) . No moneys may be expended under this paragraph after December 31, 2019, except for moneys encumbered on or before that date and to provide electronic benefit transfer and credit and debit card processing equipment and services to farmers markets and farmers who sell directly to consumers.

AB68-ASA2-AA2,65k Section 65k. 20.435 (4) (jw) of the statutes is amended to read:

AB68-ASA2-AA2,19,2 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-AA2,65n Section 65n. 20.435 (5) (bh) of the statutes is created to read:

AB68-ASA2-AA2,19,6 20.435 (5) (bh) Training for methamphetamine addiction treatment. The amounts in the schedule for grants to provide trainings to substance use disorder treatment providers on treatment models for methamphetamine addiction.

AB68-ASA2-AA2,65p Section 65p. 20.435 (5) (ch) of the statutes is created to read:

AB68-ASA2-AA2,19,9 20.435 (5) (ch) Crisis response grants. The amounts in the schedule for grants for crisis response under s. 51.035.

AB68-ASA2-AA2,65s Section 65s. 20.435 (5) (cj) of the statutes is created to read:

AB68-ASA2-AA2,19,12 20.435 (5) (cj) County crisis call center support grants. The amounts in the schedule for awarding grants for county crisis call center support under s. 46.537.”.

AB68-ASA2-AA2,19,13 81. Page 278, line 15: after that line insert:

AB68-ASA2-AA2,19,14 “ Section 180d. 40.51 (8) of the statutes is amended to read:

AB68-ASA2-AA2,19,19 40.51 (8) Every health care coverage plan offered by the state under sub. (6) shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.729, 632.746 (1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.862, 632.867, 632.87 (3) to (6), 632.871, 632.885, 632.89, 632.895 (5m) and (8) to (17), and 632.896.

AB68-ASA2-AA2,180e Section 180e. 40.51 (8) of the statutes, as affected by 2021 Wisconsin Act .... (this act), section 180d, is amended to read:

AB68-ASA2-AA2,20,2 40.51 (8) Every health care coverage plan offered by the state under sub. (6) shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.728, 632.729, 632.746 (1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.862, 632.867, 632.87 (3) to (6), 632.871, 632.885, 632.89, 632.895 (5m) and (8) to (17), and 632.896.