Amendment SSA1-AB68

AB68-SSA1,1004 Section 1004 . 49.175 (1) (g) of the statutes is amended to read:

AB68-SSA1,552,11 49.175 (1) (g) State administration of public assistance programs and overpayment collections. For state administration of public assistance programs and the collection of public assistance overpayments, $16,671,200 $17,363,300 in fiscal year 2019-20 2021-22 and $17,268,300 $17,625,100 in fiscal year 2020-21 2022-23.

AB68-SSA1,1005 Section 1005 . 49.175 (1) (i) of the statutes is amended to read:

AB68-SSA1,552,16 49.175 (1) (i) Emergency assistance. For emergency assistance under s. 49.138 and for transfer to the department of administration for low-income energy or weatherization assistance programs, $6,000,000 in each fiscal year $10,829,500 in fiscal year 2021-22 and $9,936,400 in fiscal year 2022-23.

AB68-SSA1,1006 Section 1006 . 49.175 (1) (j) of the statutes is amended to read:

AB68-SSA1,552,21 49.175 (1) (j) Grants for providing civil legal services. For the grants under s. 49.1635 (5) to Wisconsin Trust Account Foundation, Inc., for distribution to programs that provide civil legal services to low-income families, $500,000 $1,000,000 in each fiscal year.

AB68-SSA1,1007 Section 1007 . 49.175 (1) (k) of the statutes is amended to read:

AB68-SSA1,553,2 49.175 (1) (k) Transform Milwaukee and Transitional Jobs programs. For contract costs under the Transform Milwaukee Jobs program and the Transitional Jobs program under s. 49.163, $8,500,000 $12,100,000 in fiscal year 2019-20 2021-22 and $9,500,000 $14,700,000 in fiscal year 2020-21 2022-23.

AB68-SSA1,1008 Section 1008. 49.175 (1) (Lm) of the statutes is created to read:

AB68-SSA1,553,7 49.175 (1) (Lm) Jobs for America's Graduates. For grants to the Jobs for America's Graduates to fund programs that improve social, academic, and employment skills of youth who are eligible to receive temporary assistance for needy families under 42 USC 601 et seq., $500,000 in each fiscal year.

AB68-SSA1,1009 Section 1009. 49.175 (1) (o) of the statutes is amended to read:

AB68-SSA1,553,11 49.175 (1) (o) Evidence-based substance abuse prevention grants Grants for youth services. For grants awarded under s. 48.545 (2) (c) 48.481, $500,000 in each fiscal year.

AB68-SSA1,1010 Section 1010 . 49.175 (1) (p) of the statutes is amended to read:

AB68-SSA1,553,15 49.175 (1) (p) Direct child care services. For direct child care services under s. 49.155 or 49.257, $357,097,500 in fiscal year 2019-20 and $365,700,400 $311,236,600 in each fiscal year 2020-21.

AB68-SSA1,1011 Section 1011 . 49.175 (1) (q) of the statutes is amended to read:

AB68-SSA1,553,20 49.175 (1) (q) Child care state administration and licensing activities. For state administration of child care programs under s. 49.155 and for child care licensing activities, $40,152,100 $42,678,900 in fiscal year 2019-20 2021-22 and $41,555,200 $41,922,600 in fiscal year 2020-21 2022-23.

AB68-SSA1,1012 Section 1012 . 49.175 (1) (qm) of the statutes is amended to read:

AB68-SSA1,553,25 49.175 (1) (qm) Quality care for quality kids. For the child care quality improvement activities specified in ss. 49.133, 49.155 (1g), and 49.257, $16,532,900 $33,847,900 in fiscal year 2019-20 2021-22 and $16,683,700 $34,484,700 in fiscal year 2020-21 2022-23.

AB68-SSA1,1013 Section 1013. 49.175 (1) (r) of the statutes is amended to read:

AB68-SSA1,554,5 49.175 (1) (r) Children of recipients of supplemental security income. For payments made under s. 49.775 for the support of the dependent children of recipients of supplemental security income, $25,013,300 in each fiscal year $18,564,700 in fiscal year 2021-22 and $18,145,000 in fiscal year 2022-23.

AB68-SSA1,1014 Section 1014 . 49.175 (1) (s) of the statutes is amended to read:

AB68-SSA1,554,13 49.175 (1) (s) Kinship care and long-term kinship care assistance. For kinship care and long-term kinship care payments under s. 48.57 (3m) (am) and (3n) (am), for assessments to determine eligibility for those payments, and for agreements under s. 48.57 (3t) with the governing bodies of Indian tribes for the administration of the kinship care and long-term kinship care programs within the boundaries of the reservations of those tribes, $26,640,000 $28,727,100 in fiscal year 2019-20 2021-22 and $28,159,200 $31,441,800 in fiscal year 2020-21 2022-23.

AB68-SSA1,1015 Section 1015 . 49.175 (1) (t) of the statutes is amended to read:

AB68-SSA1,554,22 49.175 (1) (t) Safety and out-of-home placement services. For services provided to ensure the safety of children who the department or a county determines may remain at home if appropriate services are provided, and for services provided to families with children placed in out-of-home care, $8,314,300 in fiscal year 2019-20 and $9,314,300 in each fiscal year 2020-21. To receive funding under this paragraph, a county shall match a percentage of the amount received that is equal to the percentage the county is required to match for a distribution under s. 48.563 (2) as specified by the schedule established by the department under s. 48.569 (1) (d).

AB68-SSA1,1016 Section 1016 . 49.175 (1) (u) of the statutes is amended to read:

AB68-SSA1,555,3 49.175 (1) (u) Prevention services. For services to prevent child abuse or neglect, $5,789,600 in fiscal year 2019-20 and $6,789,600 $7,289,600 in each fiscal year 2020-21.

AB68-SSA1,1017 Section 1017. 49.175 (1) (x) of the statutes is created to read:

AB68-SSA1,555,6 49.175 (1) (x) Internet assistance program. For the Internet assistance program under s. 49.168, $10,000,000 in each fiscal year.

AB68-SSA1,1018 Section 1018 . 49.175 (1) (z) of the statutes is amended to read:

AB68-SSA1,555,20 49.175 (1) (z) Grants to the Boys and Girls Clubs of America. For grants to the Wisconsin Chapter of the Boys and Girls Clubs of America to fund programs that improve social, academic, and employment skills of youth who are eligible to receive temporary assistance for needy families under 42 USC 601 et seq., focusing on study habits, intensive tutoring in math and English, and exposure to career options and role models, $2,675,000 $2,807,000 in each fiscal year. Grants provided under this paragraph may not be used by the grant recipient to replace funding for programs that are being funded, when the grant proceeds are received, with moneys other than those from the appropriations specified in sub. (1) (intro.). The total amount of the grants includes funds for the BE GREAT: Graduate program in the amount of matching funds that the program provides, up to $1,400,000 $1,532,000 in each fiscal year, to be used only for activities for which federal Temporary Assistance for Needy Families block grant moneys may be used.

AB68-SSA1,1019 Section 1019 . 49.175 (1) (zh) of the statutes is amended to read:

AB68-SSA1,555,25 49.175 (1) (zh) Earned income tax credit supplement. For the transfer of moneys from the appropriation account under s. 20.437 (2) (md) to the appropriation account under s. 20.835 (2) (kf) for the earned income tax credit, $116,716,400 in fiscal year 2021-22 and $69,700,000 in each fiscal year 2022-23.

AB68-SSA1,1020 Section 1020. 49.19 (1) (a) 2. a. of the statutes is amended to read:

AB68-SSA1,556,12 49.19 (1) (a) 2. a. Is living with a parent; a blood relative, including those of half-blood, and including first cousins, nephews or nieces and persons of preceding generations as denoted by prefixes of grand, great or great-great; a stepfather, stepmother stepparent, stepbrother, or stepsister; a person who legally adopts the child or is the adoptive parent of the child's parent, a natural or legally adopted child of such person or a relative of an adoptive parent; or a spouse of any person named in this subparagraph subd. 2. a. even if the marriage is terminated by death or divorce; and is living in a residence maintained by one or more of these relatives as the child's or their own home, or living in a residence maintained by one or more of these relatives as the child's or their own home because the parents of the child have been found unfit to have care and custody of the child; or

AB68-SSA1,1021 Section 1021 . 49.19 (4) (d) (intro.) of the statutes is amended to read:

AB68-SSA1,556,16 49.19 (4) (d) (intro.) Aid may be granted to the mother or stepmother parent or stepparent of a dependent child if he or she is without a husband spouse or if he or she:

AB68-SSA1,1022 Section 1022 . 49.19 (4) (d) 1. of the statutes is amended to read:

AB68-SSA1,556,19 49.19 (4) (d) 1. Is the wife spouse of a husband person who is incapacitated for gainful work by mental or physical disability; or

AB68-SSA1,1023 Section 1023 . 49.19 (4) (d) 2. of the statutes is amended to read:

AB68-SSA1,556,24 49.19 (4) (d) 2. Is the wife spouse of a husband person who is incarcerated or who is a convicted offender permitted to live at home but precluded from earning a wage because the husband person is required by a court imposed sentence to perform unpaid public work or unpaid community service; or

AB68-SSA1,1024 Section 1024 . 49.19 (4) (d) 3. of the statutes is amended to read:

AB68-SSA1,557,3 49.19 (4) (d) 3. Is the wife spouse of a husband person who has been committed to the department pursuant to ch. 975, irrespective of the probable period of such commitment; or

AB68-SSA1,1025 Section 1025 . 49.19 (4) (d) 4. of the statutes is amended to read:

AB68-SSA1,557,7 49.19 (4) (d) 4. Is the wife spouse of a husband person who has continuously abandoned or failed to support him or her, if proceedings have been commenced against the husband person under ch. 769; or

AB68-SSA1,1026 Section 1026 . 49.19 (4) (d) 5. of the statutes is amended to read:

AB68-SSA1,557,12 49.19 (4) (d) 5. Has been divorced and is without a husband spouse or legally separated from his or her husband spouse and is unable through use of the provisions of law to compel his or her former husband spouse to adequately support the child for whom aid is sought; or

AB68-SSA1,1027 Section 1027. 49.343 (1g) of the statutes is amended to read:

AB68-SSA1,557,25 49.343 (1g) Establishment of rates. For services provided beginning on January 1, 2011, the department shall establish the per client rate that a residential care center for children and youth or a group home may charge for its services, and the per client administrative rate that a child welfare agency may charge for the administrative portion of its foster care services, as provided in this section. In establishing rates for a placement specified in s. 938.357 (4) (c) 1. or 2., 2019 stats., the department shall consult with the department of corrections. A residential care center for children and youth and a group home shall charge all purchasers the same rate for the same services and a child welfare agency shall charge all purchasers the same administrative rate for the same foster care services. The department shall determine the levels of care created under the rules promulgated under s. 48.62 (8) to which this section applies.

AB68-SSA1,1028 Section 1028 . 49.345 (2) of the statutes is amended to read:

AB68-SSA1,558,22 49.345 (2) Except as provided in sub. (14) (b) and (c), any person, including a person placed under s. 48.32 (1) (am) or (b), 48.345 (3), 48.357 (1) or (2m), 938.183, 938.34 (3) or (4d), or 938.357 (1), (2m), (4), or (5) (e), receiving care, maintenance, services, and supplies provided by any institution in this state, in which the state is chargeable with all or part of the person's care, maintenance, services, and supplies, and the person's property and estate, including the homestead, and the spouse of the person, and the spouse's property and estate, including the homestead, and, in the case of a minor child, the parents of the person, and their property and estates, including their homestead, and, in the case of a foreign child described in s. 48.839 (1) who became dependent on public funds for his or her primary support before an order granting his or her adoption, the resident of this state appointed guardian of the child by a foreign court who brought the child into this state for the purpose of adoption, and his or her property and estate, including his or her homestead, shall be liable for the cost of the care, maintenance, services, and supplies in accordance with the fee schedule established by the department under s. 49.32 (1). If a spouse, widow surviving spouse, or minor, or an incapacitated person may be lawfully dependent upon the property for his or her support, the court shall release all or such part of the property and estate from the charges that may be necessary to provide for the person. The department shall make every reasonable effort to notify the liable persons as soon as possible after the beginning of the maintenance, but the notice or the receipt of the notice is not a condition of liability.

AB68-SSA1,1029 Section 1029 . 49.345 (2) of the statutes, as affected by 2021 Wisconsin Act .... (this act), is amended to read:

AB68-SSA1,559,21 49.345 (2) Except as provided in sub. (14) (b) and (c), any person, including a person placed under s. 48.32 (1) (am) or (b), 48.345 (3), 48.357 (1) or (2m), 938.183, 938.34 (3) or (4d), or 938.357 (1), (2m), (4), or (5) (e), receiving care, maintenance, services, and supplies provided by any institution in this state, in which the state is chargeable with all or part of the person's care, maintenance, services, and supplies, and the person's property and estate, including the homestead, and the spouse of the person, and the spouse's property and estate, including the homestead, and, in the case of a minor child, the parents of the person, and their property and estates, including their homestead, and, in the case of a foreign child described in s. 48.839 (1) who became dependent on public funds for his or her primary support before an order granting his or her adoption, the resident of this state appointed guardian of the child by a foreign court who brought the child into this state for the purpose of adoption, and his or her property and estate, including his or her homestead, shall be liable for the cost of the care, maintenance, services, and supplies in accordance with the fee schedule established by the department under s. 49.32 (1). If a spouse, surviving spouse, or minor, or an incapacitated person may be lawfully dependent upon the property for his or her support, the court shall release all or such part of the property and estate from the charges that may be necessary to provide for the person. The department shall make every reasonable effort to notify the liable persons as soon as possible after the beginning of the maintenance, but the notice or the receipt of the notice is not a condition of liability.

AB68-SSA1,1030 Section 1030. 49.37 (1) of the statutes is amended to read:

AB68-SSA1,559,25 49.37 (1) Beginning in fiscal year 2017-18, the department of children and families shall establish a 5-year 6-year offender reentry demonstration project focused on noncustodial fathers in a 1st class city.

AB68-SSA1,1031 Section 1031. 49.37 (2) of the statutes is amended to read:

AB68-SSA1,560,4 49.37 (2) Upon completion of the demonstration project under sub. (1) and by June 30, 2023 2024, the department of children and families shall conduct an evaluation of the demonstration project.

AB68-SSA1,1032 Section 1032 . 49.43 (12) of the statutes is amended to read:

AB68-SSA1,560,8 49.43 (12) “Spouse" means the legal husband or wife of person to whom the beneficiary is legally married, whether or not the person is eligible for medical assistance.

AB68-SSA1,1033 Section 1033. 49.45 (2p) of the statutes is repealed.

AB68-SSA1,1034 Section 1034. 49.45 (2t) of the statutes is repealed.

AB68-SSA1,1035 Section 1035. 49.45 (3) (e) 11. of the statutes is amended to read:

AB68-SSA1,561,2 49.45 (3) (e) 11. The department shall use a portion of the moneys collected under s. 50.38 (2) (a) to pay for services provided by eligible hospitals, as defined in s. 50.38 (1), other than critical access hospitals, under the Medical Assistance Program under this subchapter, including services reimbursed on a fee-for-service basis and services provided under a managed care system. For state fiscal year 2008-09, total payments required under this subdivision, including both the federal and state share of Medical Assistance, shall equal the amount collected under s. 50.38 (2) (a) for fiscal year 2008-09 divided by 57.75 percent. For each state fiscal year after state fiscal year 2008-09, total payments required under this subdivision, including both the federal and state share of Medical Assistance, shall equal the amount collected under s. 50.38 (2) (a) for the fiscal year divided by 61.68 percent, except that if the department has expanded eligibility under section 2001 (a) (1) (C) of the Patient Protection and Affordable Care Act, P.L. 111-148, for the Medical Assistance program under this subchapter, the amount collected for the fiscal year shall be divided by 53.69 percent.

AB68-SSA1,1036 Section 1036 . 49.45 (3) (e) 12. of the statutes is amended to read:

AB68-SSA1,561,14 49.45 (3) (e) 12. The department shall use a portion of the moneys collected under s. 50.38 (2) (b) to pay for services provided by critical access hospitals under the Medical Assistance Program under this subchapter, including services reimbursed on a fee-for-service basis and services provided under a managed care system. For each state fiscal year, total payments required under this subdivision, including both the federal and state share of Medical Assistance, shall equal the amount collected under s. 50.38 (2) (b) for the fiscal year divided by 61.68 percent, except that if the department has expanded eligibility under section 2001 (a) (1) (C) of the Patient Protection and Affordable Care Act, P.L. 111-148, for the Medical Assistance program under this subchapter, the amount collected for the fiscal year shall be divided by 53.69 percent.

AB68-SSA1,1037 Section 1037. 49.45 (3m) (a) (intro.) of the statutes is amended to read:

AB68-SSA1,561,22 49.45 (3m) (a) (intro.) Subject to par. (c) (d) and notwithstanding sub. (3) (e), from the appropriations under s. 20.435 (4) (b) and (o), in each fiscal year, the department shall pay to hospitals that serve a disproportionate share of low-income patients an amount equal to the sum of $27,500,000, as the state share of payments, and the matching federal share of payments. The department may make a payment to a hospital under this subsection under the calculation method described in par. (b) if the hospital meets all of the following criteria:

AB68-SSA1,1038 Section 1038. 49.45 (3m) (cm) of the statutes is created to read:

AB68-SSA1,562,5 49.45 (3m) (cm) Notwithstanding the total amount of state share paid to hospitals under par. (a) and the limit paid to a single hospital under par. (b) 3. a., if the department has expanded eligibility under section 2001 (a) (1) (C) of the Patient Protection and Affordable Care Act, P.L. 111-148, for the Medical Assistance program under this subchapter, the department shall pay as the state share to hospitals $47,500,000 under par. (a) and pay no single hospital more than $7,950,000 under par. (b) 3. a.

AB68-SSA1,1039 Section 1039. 49.45 (5g) of the statutes is created to read:

AB68-SSA1,562,16 49.45 (5g) Payments to tribes. (a) Tribal care coordination agreements. A tribal health care provider's care coordination agreement with a nontribal health care provider shall meet federal requirements, including that a service provided by the nontribal health care provider be at the request of the tribal health care provider on behalf of a tribal member who remains in the tribal health care provider's care according to the care coordination agreement; that both the tribal health care provider and nontribal health care provider are providers, as defined in s. 49.43 (10); that an established relationship exists between the tribal health care provider and the tribal member; and that the care be provided pursuant to a written care coordination agreement.

AB68-SSA1,563,2 (b) Amount and distribution of payments. 1. From the appropriation account under s. 20.435 (4) (b), the department shall make payments to eligible governing bodies of federally recognized American Indian tribes or bands or tribal health care providers in an amount and manner determined by the department. The department shall determine payment amounts on the basis of the difference between the state share of medical assistance payments paid for services rendered to tribal members for whom a care coordination agreement with nontribal health care providers is in place and the state share of medical assistance payments that would have been paid for those services absent a care coordination agreement with nontribal partners.

AB68-SSA1,563,5 2. The department shall withhold from the payments under subd. 1. the state share of administrative costs associated with carrying out this subsection, not to exceed 10 percent of the amounts calculated in subd. 1.

AB68-SSA1,563,8 3. Federally recognized American Indian tribes or bands may use funds paid under this subsection for health-related purposes. The department shall consult biennially with tribes to determine the timing and distribution of payments.

AB68-SSA1,1040 Section 1040. 49.45 (6m) (a) 6. of the statutes is repealed.

AB68-SSA1,1041 Section 1041. 49.45 (6m) (ag) 3p. a. to c. of the statutes are amended to read:

AB68-SSA1,563,13 49.45 (6m) (ag) 3p. a. The system may incorporate acuity measurements under the most recent Resource Utilization Groupings methodology to determine factors for case-mix adjustment.

AB68-SSA1,563,17 b. Four times annually, for For each facility resident who is a Medical Assistance recipient on March 31, June 30, September 30, or December 31, as applicable, the system shall determine the average case-mix index by use of the factors specified under subd. 3p. a.

AB68-SSA1,563,19 c. The system shall may incorporate payment adjustments for dementia, behavioral needs, or other complex medical conditions.

AB68-SSA1,1042 Section 1042. 49.45 (6xm) of the statutes is created to read:

AB68-SSA1,563,24 49.45 (6xm) Pediatric inpatient supplement. (a) From the appropriations under s. 20.435 (4) (b), (o), and (w), the department shall, using a method determined by the department, distribute a total sum of $2,000,000 each state fiscal year to hospitals that meet all of the following criteria:

AB68-SSA1,563,25 1. The hospital is an acute care hospital located in this state.

AB68-SSA1,564,5 2. During the hospital's fiscal year, the inpatient days in the hospital's acute care pediatric units and intensive care pediatric units totaled more than 12,000 days, not including neonatal intensive care units. For purposes of this subsection, the hospital's fiscal year is the hospital's fiscal year that ended in the 2nd calendar year preceding the beginning of the state fiscal year.

AB68-SSA1,564,13 (b) Notwithstanding par. (a), from the appropriations under s. 20.435 (4) (b), (o), and (w), if the department has expanded eligibility under section 2001 (a) (1) (C) of the Patient Protection and Affordable Care Act, P.L. 111-148, for the Medical Assistance program under this subchapter, then the department may, using a method determined by the department, distribute an additional total sum of $7,500,000 in each state fiscal year to hospitals that are free-standing pediatric teaching hospitals located in Wisconsin that have a percentage calculated under s. 49.45 (3m) (b) 1. a. greater than 45 percent.

AB68-SSA1,1043 Section 1043. 49.45 (18) (ac) of the statutes is amended to read:

AB68-SSA1,565,2 49.45 (18) (ac) Except as provided in pars. (am) to (d), and subject to par. (ag) (c), any person eligible for medical assistance under s. 49.46, 49.468, or 49.47, or for the benefits under s. 49.46 (2) (a) and (b) under s. 49.471 shall pay up to the maximum amounts allowable under 42 CFR 447.53 to 447.58 for purchases of services provided under s. 49.46 (2). The service provider shall collect the specified or allowable copayment, coinsurance, or deductible, unless the service provider determines that the cost of collecting the copayment, coinsurance, or deductible exceeds the amount to be collected. The department shall reduce payments to each provider by the amount of the specified or allowable copayment, coinsurance, or deductible. No provider may deny care or services because the recipient is unable to share costs, but an inability to share costs specified in this subsection does not relieve the recipient of liability for these costs.

AB68-SSA1,1044 Section 1044. 49.45 (18) (ag) of the statutes is repealed.

AB68-SSA1,1045 Section 1045. 49.45 (18) (b) 8. of the statutes is created to read:

AB68-SSA1,565,5 49.45 (18) (b) 8. Prescription drugs.

AB68-SSA1,1046 Section 1046. 49.45 (18) (d) of the statutes is repealed.