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AB68-SSA1,1052 5Section 1052. 49.45 (25r) of the statutes is created to read:
AB68-SSA1,567,66 49.45 (25r) Community health worker services. (a) In this subsection:
AB68-SSA1,567,87 1. “Community health services” means services provided by a community
8health worker.
AB68-SSA1,567,169 2. “Community health worker” means a frontline public health worker who is
10a trusted member of or has a close understanding of the community served, enabling
11the worker to serve as a liaison, link, or intermediary between health and social
12services and the community to facilitate access to services and improve the quality
13and cultural competence of service delivery, and who builds individual and
14community capacity by increasing health knowledge and self-sufficiency through a
15range of activities such as outreach, community education, informal counseling,
16social support, and advocacy.
AB68-SSA1,567,2417 (b) The department shall request any necessary waiver from, or submit any
18necessary amendments to the state Medical Assistance plan to, the secretary of the
19federal department of health and human services to provide community health
20services to eligible Medical Assistance recipients. If the waiver or state plan
21amendment is granted, the department shall reimburse certified providers for those
22community health services approved by the federal department of health and human
23services for Medical Assistance coverage and as provided to Medical Assistance
24recipients under s. 49.46 (2) (b) 9m.
AB68-SSA1,1053 25Section 1053. 49.45 (30e) (a) 2. of the statutes is repealed.
AB68-SSA1,1054
1Section 1054. 49.45 (30e) (b) 3. of the statutes is amended to read:
AB68-SSA1,568,42 49.45 (30e) (b) 3. Requirements for certification of community-based
3psychosocial service programs. The department may certify county-based providers
4and providers that are not county-based providers.
AB68-SSA1,1055 5Section 1055. 49.45 (30e) (c) of the statutes is renumbered 49.45 (30e) (c) 1.
6and amended to read:
AB68-SSA1,568,137 49.45 (30e) (c) 1. A The department shall reimburse a county that elects to
8make the provide services under s. 49.46 (2) (b) 6. Lm. available shall reimburse a
9provider of the services
for the amount of the allowable charges for those services
10under the medical assistance Medical Assistance program that is not provided by the
11federal government. The department shall reimburse the provider only for and the
12amount of the allowable charges for those services under the medical assistance
13Medical Assistance program that is provided by the federal government.
AB68-SSA1,1056 14Section 1056. 49.45 (30e) (c) 2. of the statutes is created to read:
AB68-SSA1,568,1715 49.45 (30e) (c) 2. The department shall reimburse to a provider that is not a
16county-based provider for services under s. 49.46 (2) (b) 6. Lm. for both the federal
17and nonfederal share of a fee schedule that is determined by the department.
AB68-SSA1,1057 18Section 1057. 49.45 (30e) (d) of the statutes is amended to read:
AB68-SSA1,569,219 49.45 (30e) (d) Provision of services on regional basis. Notwithstanding par.
20(c) 1. and subject to par. (e), in counties that elect to deliver provide the services under
21s. 49.46 (2) (b) 6. Lm. through the Medical Assistance program on a regional basis
22according to criteria established by the department, the department shall reimburse
23a provider of the services for the amount of the allowable charges for those services
24under the Medical Assistance program that is provided by the federal government

1and for the amount of the allowable charges that is not provided by the federal
2government.
AB68-SSA1,1058 3Section 1058. 49.45 (30t) of the statutes is created to read:
AB68-SSA1,569,44 49.45 (30t) Doula services. (a) In this subsection:
AB68-SSA1,569,65 1. “Certified doula” means an individual who has received certification from a
6doula certifying organization recognized by the department.
AB68-SSA1,569,97 2. “Doula services” means childbirth education and support services, including
8emotional and physical support provided during pregnancy, labor, birth, and the
9postpartum period.
AB68-SSA1,569,1510 (b) The department shall request from the secretary of the federal department
11of health and human services any required waiver or any required amendment to the
12state plan for Medical Assistance to allow reimbursement for doula services provided
13by a certified doula. If the waiver or state plan amendment is granted, the
14department shall reimburse a certified doula under s. 49.46 (2) (b) 12p. for the
15allowable charges for doula services provided to Medical Assistance recipients.
AB68-SSA1,1059 16Section 1059. 49.46 (1) (a) 1m. of the statutes is amended to read:
AB68-SSA1,569,2017 49.46 (1) (a) 1m. Any pregnant woman whose income does not exceed the
18standard of need under s. 49.19 (11) and whose pregnancy is medically verified.
19Eligibility continues to the last day of the month in which the 60th 365th day after
20the last day of the pregnancy falls.
AB68-SSA1,1060 21Section 1060. 49.46 (1) (j) of the statutes is amended to read:
AB68-SSA1,569,2522 49.46 (1) (j) An individual determined to be eligible for benefits under par. (a)
239. remains eligible for benefits under par. (a) 9. for the balance of the pregnancy and
24to the last day of the month in which the 60th 365th day after the last day of the
25pregnancy falls without regard to any change in the individual's family income.
AB68-SSA1,1061
1Section 1061. 49.46 (2) (b) 8m. of the statutes is created to read:
AB68-SSA1,570,32 49.46 (2) (b) 8m. Room and board for residential substance use disorder
3treatment.
AB68-SSA1,1062 4Section 1062. 49.46 (2) (b) 9m. of the statutes is created to read:
AB68-SSA1,570,55 49.46 (2) (b) 9m. Community health services, as specified under s. 49.45 (25r).
AB68-SSA1,1063 6Section 1063 . 49.46 (2) (b) 11m. of the statutes is created to read:
AB68-SSA1,570,87 49.46 (2) (b) 11m. Subject to par. (bx), acupuncture provided by an
8acupuncturist who holds a certificate under ch. 451.
AB68-SSA1,1064 9Section 1064. 49.46 (2) (b) 12p. of the statutes is created to read:
AB68-SSA1,570,1110 49.46 (2) (b) 12p. Doula services provided by a certified doula, as specified
11under s. 49.45 (30t).
AB68-SSA1,1065 12Section 1065. 49.46 (2) (b) 24. of the statutes is created to read:
AB68-SSA1,570,1413 49.46 (2) (b) 24. Subject to par. (bv), nonmedical services that contribute to the
14determinants of health.
AB68-SSA1,1066 15Section 1066. 49.46 (2) (bv) of the statutes is created to read:
AB68-SSA1,570,2216 49.46 (2) (bv) The department shall determine those services under par. (b) 24.
17that contribute to the determinants of health. The department shall seek any
18necessary state plan amendment or request any waiver of federal Medicaid law to
19implement this paragraph. The department is not required to provide the services
20under this paragraph as a benefit under the Medical Assistance program if the
21federal department of health and human services does not provide federal financial
22participation for the services under this paragraph.
AB68-SSA1,1067 23Section 1067 . 49.46 (2) (bx) of the statutes is created to read:
AB68-SSA1,571,524 49.46 (2) (bx) The department shall submit to the federal department of health
25and human services any request for a state plan amendment, waiver, or other federal

1approval necessary to provide reimbursement for the benefit under par. (b) 11m. If
2the federal department approves the request or if no federal approval is necessary,
3the department shall provide the benefit and reimbursement under par. (b) 11m. If
4the federal department disapproves the request, the department may not provide the
5benefit or reimbursement for the benefit described under par. (b) 11m.
AB68-SSA1,1068 6Section 1068. 49.47 (4) (ag) 2. of the statutes is amended to read:
AB68-SSA1,571,97 49.47 (4) (ag) 2. Pregnant and the woman's pregnancy is medically verified
8Eligibility continues to the last day of the month in which the 60th 365th day after
9the last day of the pregnancy falls.
AB68-SSA1,1069 10Section 1069 . 49.471 (1) (b) 2. of the statutes is amended to read:
AB68-SSA1,571,1111 49.471 (1) (b) 2. A stepfather, stepmother stepparent, stepbrother, or stepsister.
AB68-SSA1,1070 12Section 1070 . 49.471 (1) (cr) of the statutes is created to read:
AB68-SSA1,571,1413 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a
14federal medical assistance percentage described under 42 USC 1396d (y) or (z).
AB68-SSA1,1071 15Section 1071 . 49.471 (4) (a) 4. b. of the statutes is amended to read:
AB68-SSA1,571,1816 49.471 (4) (a) 4. b. The individual's family income does not exceed 100 133
17percent of the poverty line before application of the 5 percent income disregard under
1842 CFR 435.603 (d)
.
AB68-SSA1,1072 19Section 1072 . 49.471 (4) (a) 8. of the statutes is created to read:
AB68-SSA1,571,2020 49.471 (4) (a) 8. An individual who meets all of the following criteria:
AB68-SSA1,571,2121 a. The individual is an adult under the age of 65.
AB68-SSA1,571,2322 b. The adult has a family income that does not exceed 133 percent of the poverty
23line, except as provided in sub. (4g).
AB68-SSA1,571,2524 c. The adult is not otherwise eligible for the Medical Assistance program under
25this subchapter or the Medicare program under 42 USC 1395 et seq.
AB68-SSA1,1073
1Section 1073. 49.471 (4g) of the statutes is created to read:
AB68-SSA1,572,92 49.471 (4g) Medicaid expansion; federal medical assistance percentage. For
3services provided to individuals described under sub. (4) (a) 8., the department shall
4comply with all federal requirements to qualify for the highest available enhanced
5federal medical assistance percentage. The department shall submit any
6amendment to the state medical assistance plan, request for a waiver of federal
7Medicaid law, or other approval request required by the federal government to
8provide services to the individuals described under sub. (4) (a) 8. and qualify for the
9highest available enhanced federal medical assistance percentage.
AB68-SSA1,1074 10Section 1074. 49.471 (6) (b) of the statutes is amended to read:
AB68-SSA1,572,1511 49.471 (6) (b) A pregnant woman who is determined to be eligible for benefits
12under sub. (4) remains eligible for benefits under sub. (4) for the balance of the
13pregnancy and to the last day of the month in which the 60th 365th day after the last
14day of the pregnancy falls without regard to any change in the woman's family
15income.
AB68-SSA1,1075 16Section 1075. 49.471 (6) (L) of the statutes is created to read:
AB68-SSA1,573,217 49.471 (6) (L) The department shall request from the federal department of
18health and human services approval of a state plan amendment, a waiver of federal
19Medicaid law, or approval of a demonstration project to maintain eligibility for
20postpartum women to the last day of the month in which the 365th day after the last
21day of the pregnancy falls under ss. 49.46 (1) (a) 1m. and 9. and (j), 49.47 (4) (ag) 2.,
22and 49.471 (4) (a) 1g. and 1m., (6) (b), and (7) (b) 1. The department shall cover and
23provide reimbursement for services under ss. 49.46 (1) (a) 1m. and 9. and (j), 49.47
24(4) (ag) 2., and 49.471 (4) (a) 1g. and 1m., (6) (b), and (7) (b) 1. regardless of whether
25a state plan amendment, waiver of federal Medicaid law, or approval of a

1demonstration project related to coverage or reimbursement of these services is
2granted by the federal department of human services.
AB68-SSA1,1076 3Section 1076. 49.471 (7) (b) 1. of the statutes is amended to read:
AB68-SSA1,573,144 49.471 (7) (b) 1. A pregnant woman whose family income exceeds 300 percent
5of the poverty line may become eligible for coverage under this section if the
6difference between the pregnant woman's family income and the applicable income
7limit under sub. (4) (a) is obligated or expended for any member of the pregnant
8woman's family for medical care or any other type of remedial care recognized under
9state law or for personal health insurance premiums or for both. Eligibility obtained
10under this subdivision continues without regard to any change in family income for
11the balance of the pregnancy and to the last day of the month in which the 60th 365th
12day after the last day of the woman's pregnancy falls. Eligibility obtained by a
13pregnant woman under this subdivision extends to all pregnant women in the
14pregnant woman's family.
AB68-SSA1,1077 15Section 1077 . 49.485 of the statutes is renumbered 20.9315 (19) and amended
16to read:
AB68-SSA1,573,2217 20.9315 (19) Whoever knowingly presents or causes to be presented to any
18officer, employee, or agent of this state a false claim for medical assistance shall
19forfeit not less than $5,000 nor more than $10,000, plus 3 times the amount of the
20damages that were sustained by the state or would have been sustained by the state,
21whichever is greater, as a result of the false claim.
The attorney general may bring
22an action on behalf of the state to recover any forfeiture incurred under this section.
AB68-SSA1,1078 23Section 1078 . 49.686 (3) (d) of the statutes is amended to read:
AB68-SSA1,574,424 49.686 (3) (d) Has applied for coverage under and has been denied eligibility
25for medical assistance within 12 months prior to application for reimbursement

1under sub. (2). This paragraph does not apply to an individual who is eligible for
2benefits under the demonstration project for childless adults under s. 49.45 (23) or
3to an individual
who is eligible for benefits under BadgerCare Plus under s. 49.471
4(4) (a) 8. or (11).
AB68-SSA1,1079 5Section 1079 . 49.79 (1) (b) of the statutes is amended to read:
AB68-SSA1,574,96 49.79 (1) (b) “Controlled substance" has the meaning given in 21 USC 802 (6),
7except “controlled substance” does not include tetrahydrocannabinols in any form,
8including tetrahydrocannabinols contained in marijuana, obtained from marijuana,
9or chemically synthesized
.
AB68-SSA1,1080 10Section 1080. 49.79 (7r) (d) of the statutes is created to read:
AB68-SSA1,574,1311 49.79 (7r) (d) The department may expend from the appropriation under s.
1220.435 (4) (bt) no more than $425,000 per fiscal year for the pilot program under this
13subsection.
AB68-SSA1,1081 14Section 1081. 49.79 (9) (a) 1g. of the statutes is amended to read:
AB68-SSA1,574,2315 49.79 (9) (a) 1g. Except as provided in subds. 2. and 3., beginning October 1,
162019,
the department shall require, to the extent allowed by the federal government,
17all
able-bodied adults without dependents in this state to participate in the
18employment and training program under this subsection, except for able-bodied
19adults without dependents who are employed, as determined by the department.
20The department may require other able individuals who are 18 to 60 years of age, or
21a subset of those individuals to the extent allowed by the federal government, who
22are not participants in a Wisconsin Works employment position to participate in the
23employment and training program under this subsection.
AB68-SSA1,1082 24Section 1082. 49.79 (9) (d) of the statutes is repealed.
AB68-SSA1,1083 25Section 1083. 49.79 (9) (f) of the statutes is repealed.
AB68-SSA1,1084
1Section 1084. 49.791 of the statutes is repealed.
AB68-SSA1,1085 2Section 1085 . 49.90 (4) of the statutes is amended to read:
AB68-SSA1,576,43 49.90 (4) The circuit court shall in a summary way hear the allegations and
4proofs of the parties and by order require maintenance from these relatives, if they
5have sufficient ability, considering their own future maintenance and making
6reasonable allowance for the protection of the property and investments from which
7they derive their living and their care and protection in old age, in the following
8order: First the husband or wife spouse; then the father and the mother parents; and
9then the grandparents in the instances in which sub. (1) (a) 2. applies. The order
10shall specify a sum which that will be sufficient for the support of the dependent
11person under sub. (1) (a) 1. or the maintenance of a child of a dependent person under
12sub. (1) (a) 2., to be paid weekly or monthly, during a period fixed by the order or until
13the further order of the court. If the court is satisfied that any such relative is unable
14wholly to maintain the dependent person or the child, but is able to contribute to the
15person's support or the child's maintenance, the court may direct 2 or more of the
16relatives to maintain the person or the child and prescribe the proportion each shall
17contribute. If the court is satisfied that these relatives are unable together wholly
18to maintain the dependent person or the child, but are able to contribute to the
19person's support or the child's maintenance, the court shall direct a sum to be paid
20weekly or monthly by each relative in proportion to ability. Contributions directed
21by court order, if for less than full support, shall be paid to the department of health
22services or the department of children and families, whichever is appropriate, and
23distributed as required by state and federal law. An order under this subsection that
24relates to maintenance required under sub. (1) (a) 2. shall specifically assign
25responsibility for and direct the manner of payment of the child's health care

1expenses, subject to the limitations under subs. (1) (a) 2. and (11). Upon application
2of any party affected by the order and upon like notice and procedure, the court may
3modify such an order. Obedience to such an order may be enforced by proceedings
4for contempt.
AB68-SSA1,1086 5Section 1086. 50.379 of the statutes is created to read:
AB68-SSA1,576,6 650.379 Designated caregivers. (1) Definitions. In this section:
AB68-SSA1,576,127 (a) “Aftercare assistance” means any assistance provided by a caregiver to a
8patient under this section after the patient's discharge and related to the patient's
9condition at the time of discharge, including assisting with basic activities of daily
10living or instrumental activities of daily living, or carrying out medical or nursing
11tasks, such as managing wound care, assisting in administering medications, or
12operating medical equipment.
AB68-SSA1,576,1613 (b) “Caregiver” means any individual, including a relative, partner, friend,
14neighbor, or other person who has a significant relationship with a patient, who is
15designated as a caregiver under this section to provide aftercare assistance to that
16patient.
AB68-SSA1,576,1817 (c) “Discharge” means a patient's exit or release from a hospital to the patient's
18residence following an inpatient admission.
AB68-SSA1,576,1919 (d) “Hospital” has the meaning given in s. 50.33 (2).
AB68-SSA1,576,2020 (e) “Incapacitated” has the meaning given in s. 50.94 (1) (b).
AB68-SSA1,576,2321 (f) “Residence” means a dwelling that the patient considers to be his or her
22home. “Residence” does not include any rehabilitation facility, hospital, nursing
23home, assisted living facility, or group home licensed by the department.
AB68-SSA1,577,3 24(2) Caregiver designation. (a) A hospital shall provide a patient or, if
25applicable, a patient's legal guardian at least one opportunity to designate at least

1one caregiver no later than 24 hours following the patient's admission to a hospital
2and before the patient's discharge or transfer to another hospital or facility licensed
3by the department.
AB68-SSA1,577,74 (b) If a patient is unconscious or otherwise incapacitated upon admission to the
5hospital, the hospital shall provide the patient or, if applicable, the patient's legal
6guardian with an opportunity to designate a caregiver within 24 hours following the
7patient's recovery of his or her consciousness or capacity.
AB68-SSA1,577,108 (c) If a patient or a patient's legal guardian declines to designate a caregiver
9under this section, the hospital shall promptly document that information in the
10patient's medical record.
AB68-SSA1,577,1411 (d) If a patient or the patient's legal guardian designates a caregiver under this
12section, the hospital shall promptly record the designation of the caregiver, the
13relationship of the caregiver to the patient, and the name, telephone number, and
14address of the caregiver in the patient's medical record.
AB68-SSA1,577,1615 (e) Nothing in this section requires a patient or a patient's legal guardian to
16designate a caregiver.
AB68-SSA1,577,1917 (f) A patient may elect to change a designated caregiver at any time. The
18hospital shall, within 24 hours, record in the patient's medical record any
19designation change and any new information required under par. (d).
AB68-SSA1,577,2120 (g) Designation of a caregiver under the provisions of this section does not
21obligate any individual to perform aftercare assistance for the patient.
AB68-SSA1,578,2 22(3) Release of medical information. (a) If a patient or a patient's legal
23guardian designates an individual as a caregiver under this section, the hospital
24shall promptly request the written consent of the patient or the patient's legal
25guardian to release medical information to the patient's designated caregiver

1following the hospital's established procedures for releasing personal health
2information and in accordance with applicable federal and state law.
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