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SB70-AA3,103 24Section 103. 49.471 (4) (a) 4. b. of the statutes is amended to read:
SB70-AA3,102,3
149.471 (4) (a) 4. b. The individual's family income does not exceed 100 133
2percent of the poverty line before application of the 5 percent income disregard under
342 CFR 435.603 (d)
.
SB70-AA3,104 4Section 104. 49.471 (4) (a) 8. of the statutes is created to read:
SB70-AA3,102,55 49.471 (4) (a) 8. An individual who meets all of the following criteria:
SB70-AA3,102,66 a. The individual is an adult under the age of 65.
SB70-AA3,102,87 b. The adult has a family income that does not exceed 133 percent of the poverty
8line, except as provided in sub. (4g).
SB70-AA3,102,109 c. The adult is not otherwise eligible for the Medical Assistance program under
10this subchapter or the Medicare program under 42 USC 1395 et seq.
SB70-AA3,105 11Section 105. 49.471 (4g) of the statutes is created to read:
SB70-AA3,102,1912 49.471 (4g) Medicaid expansion; federal medical assistance percentage. For
13services provided to individuals described under sub. (4) (a) 8., the department shall
14comply with all federal requirements to qualify for the highest available enhanced
15federal medical assistance percentage. The department shall submit any
16amendment to the state medical assistance plan, request for a waiver of federal
17Medicaid law, or other approval request required by the federal government to
18provide services to the individuals described under sub. (4) (a) 8. and qualify for the
19highest available enhanced federal medical assistance percentage.
SB70-AA3,106 20Section 106. 49.686 (3) (d) of the statutes is amended to read:
SB70-AA3,103,221 49.686 (3) (d) Has applied for coverage under and has been denied eligibility
22for medical assistance within 12 months prior to application for reimbursement
23under sub. (2). This paragraph does not apply to an individual who is eligible for
24benefits under the demonstration project for childless adults under s. 49.45 (23) or

1to an individual
who is eligible for benefits under BadgerCare Plus under s. 49.471
2(4) (a) 8. or (11).
SB70-AA3,107 3Section 107. 2017 Wisconsin Act 370, section 44 (2) and (3) are repealed.
SB70-AA3,9119 4Section 9119. Nonstatutory provisions; Health Services.
SB70-AA3,103,125 (2h) Childless adults demonstration project. The department of health
6services shall submit any necessary request to the federal department of health and
7human services for a state plan amendment or waiver of federal Medicaid law or to
8modify or withdraw from any waiver of federal Medicaid law relating to the childless
9adults demonstration project under s. 49.45 (23), 2021 stats., to reflect the
10incorporation of recipients of Medical Assistance under the demonstration project
11into the BadgerCare Plus program under s. 49.471 and the termination of the
12demonstration project.
SB70-AA3,9419 13Section 9419. Effective dates; Health Services.
SB70-AA3,103,1714 (2r) Medicaid expansion. The treatment of ss. 20.435 (4) (jw), 49.45 (2p), 49.45
15(23) and (23b), 49.471 (1) (cr), (4) (a) 4. b. and 8., and (4g), and 49.686 (3) (d), and 2017
16Wisconsin Act 370
, section 44 (2) and (3), and Section 9119 (2h) of this act take effect
17on July 1, 2023.”.
SB70-AA3,103,18 18217. Page 374, line 11: after that line insert:
SB70-AA3,103,20 19 Section 108. 20.005 (3) (schedule) of the statutes: at the appropriate place,
20insert the following amounts for the purposes indicated: - See PDF for table PDF - See PDF for table PDF
SB70-AA3,109 1Section 109. 20.435 (1) (bc) of the statutes is created to read:
SB70-AA3,104,42 20.435 (1) (bc) Emergency medical services grants. As a continuing
3appropriation, the amounts in the schedule for grants to providers of emergency
4medical services under s. 256.42.
SB70-AA3,110 5Section 110. 256.42 of the statutes is created to read:
SB70-AA3,104,10 6256.42 Emergency medical services grants. From the appropriation under
7s. 20.435 (1) (bc), the department may award grants to providers of emergency
8medical services for reasonable operating expenses related to emergency medical
9services, including expenses related to supplies, equipment, training, staffing, and
10vehicles.”.
SB70-AA3,104,11 11218. Page 374, line 11: after that line insert:
SB70-AA3,104,12 12 Section 9119. Nonstatutory provisions; Health Services.
SB70-AA3,104,17 13(1) Office of Caregiver Quality position increase. The authorized FTE
14positions for the department of health services are increased by 2.8 FED positions,
15beginning in fiscal year 2023-24, to be funded from the appropriation under s. 20.435
16(6) (n) for the purpose of increasing staffing in the division of the department
17responsible for caregiver quality.”.
SB70-AA3,104,18 18219. Page 374, line 11: after that line insert:
SB70-AA3,104,19 19 Section 1. 252.12 (2) (a) 8. (intro.) of the statutes is amended to read:
SB70-AA3,105,920 252.12 (2) (a) 8. `Mike Johnson life care and early intervention services grants.'
21(intro.) The department shall award not more than $4,000,000 $5,000,000 in each
22fiscal year in grants to applying AIDS service organizations for the provision of needs

1assessments; assistance in procuring financial, medical, legal, social and pastoral
2services; counseling and therapy; homecare services and supplies; advocacy; and
3case management services. These services shall include early intervention services.
4The department shall also award not more than $74,000 in each year from the
5appropriation account under s. 20.435 (5) (md) for the services under this
6subdivision. The state share of payment for case management services that are
7provided under s. 49.45 (25) (be) to recipients of medical assistance shall be paid from
8the appropriation account under s. 20.435 (1) (am). All of the following apply to
9grants awarded under this subdivision:”.
SB70-AA3,105,10 10220. Page 374, line 11: after that line insert:
SB70-AA3,105,12 11 Section 111. 20.005 (3) (schedule) of the statutes: at the appropriate place,
12insert the following amounts for the purposes indicated: - See PDF for table PDF - See PDF for table PDF
SB70-AA3,112 13Section 112. 20.435 (1) (ew) of the statutes is created to read:
SB70-AA3,106,214 20.435 (1) (ew) Congenital disorders; general purpose revenue. The amounts
15in the schedule to provide diagnostic services, special dietary treatment, and
16follow-up counseling for congenital disorders and periodic evaluation of infant
17screening programs as specified under s. 253.13, to provide referrals under s.

1253.115, to administer the programs under ss. 253.115 and 253.13, and for the costs
2of consulting with appropriate experts as specified in s. 253.13 (5).”.
SB70-AA3,106,3 3221. Page 374, line 11: after that line insert:
SB70-AA3,106,4 4 Section 113. 20.250 (2) (title) of the statutes is amended to read:
SB70-AA3,106,55 20.250 (2) (title) Research and community support.
SB70-AA3,114 6Section 114. 20.250 (2) (a) of the statutes is created to read:
SB70-AA3,106,107 20.250 (2) (a) Violence prevention grants. Biennially, the amounts in the
8schedule to make violence prevention grants supporting local, evidence-informed
9activities that enhance the safety and well-being of children, youth, and families
10throughout this state.”.
SB70-AA3,106,11 11222. Page 374, line 11: after that line insert:
SB70-AA3,106,13 12 Section 115. 20.005 (3) (schedule) of the statutes: at the appropriate place,
13insert the following amounts for the purposes indicated: - See PDF for table PDF - See PDF for table PDF
SB70-AA3,116 14Section 116. 20.435 (1) (fL) of the statutes is created to read:
SB70-AA3,106,1715 20.435 (1) (fL) Nurse aide training and recruitment grants. The amounts in
16the schedule for grants to train and recruit individuals to work as nurse aides in
17nursing homes under s. 146.41.
SB70-AA3,117 18Section 117. 146.41 of the statutes is created to read:
SB70-AA3,107,1
1146.41 Nurse aide training and recruitment grants. (1) In this section:
SB70-AA3,107,22 (a) “Nurse aide” has the meaning given in s. 146.40 (1) (d).
SB70-AA3,107,33 (b) “Nursing home" has the meaning given in s. 50.01 (3).
SB70-AA3,107,6 4(2) Beginning in fiscal year 2024-25, the department shall award grants to
5train and recruit individuals to work as nurse aides in nursing homes. The grants
6awarded under this subsection shall include grants for all of the following:
SB70-AA3,107,87 (a) The cost for an individual to complete an instructional program for nurse
8aides in a program approved under s. 146.40 (3) and (3g).
SB70-AA3,107,109 (b) The cost for an individual to complete a competency evaluation for nurse
10aides in a program approved under s. 146.40 (3m).
SB70-AA3,107,1211 (c) A retention bonus for an individual who has worked for at least 6 months
12as a nurse aide in a nursing home.
SB70-AA3,107,16 13(3) The department may partner with nonprofit organizations, private entities,
14the board on aging and long term care, and the technical college system board to
15award the grants under sub. (2) and recruit individuals to work as nurse aides in
16nursing homes.”.
SB70-AA3,107,17 17223. Page 374, line 11: after that line insert:
SB70-AA3,107,19 18 Section 118. 20.005 (3) (schedule) of the statutes: at the appropriate place,
19insert the following amounts for the purposes indicated: - See PDF for table PDF
SB70-AA3,119 20Section 119. 20.145 (1) (a) of the statutes is created to read:
SB70-AA3,108,2
120.145 (1) (a) State operations. The amounts in the schedule for general
2program operations.
SB70-AA3,120 3Section 120. 20.145 (1) (g) (intro.) of the statutes is amended to read:
SB70-AA3,108,134 20.145 (1) (g) General program operations. (intro.) The amounts in the
5schedule for general program operations, including organizational support services
6and, oversight of care management organizations, development of a public option
7health insurance plan, and operation of a state-based exchange under s. 601.59,
and
8for transferring to the appropriation account under s. 20.435 (4) (kv) the amount
9allocated by the commissioner of insurance. Notwithstanding s. 20.001 (3) (a), at the
10end of each fiscal year, the unencumbered balance in this appropriation account that
11exceeds 10 percent of that fiscal year's expenditure under this appropriation shall
12lapse to the general fund. All of the following shall be credited to this appropriation
13account:
SB70-AA3,121 14Section 121. 20.145 (1) (g) 4. of the statutes is created to read:
SB70-AA3,108,1515 20.145 (1) (g) 4. All moneys received under s. 601.59.
SB70-AA3,122 16Section 122. 40.51 (8) of the statutes is amended to read:
SB70-AA3,108,2117 40.51 (8) Every health care coverage plan offered by the state under sub. (6)
18shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.728, 632.729,
19632.746 (1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85,
20632.853, 632.855, 632.861, 632.862, 632.867, 632.87 (3) to (6) (8), 632.871, 632.885,
21632.89, 632.895 (5m) and (8) to (17), and 632.896.
SB70-AA3,123 22Section 123. 40.51 (8m) of the statutes is amended to read:
SB70-AA3,109,223 40.51 (8m) Every health care coverage plan offered by the group insurance
24board under sub. (7) shall comply with ss. 631.95, 632.728, 632.729, 632.746 (1) to
25(8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855,

1632.861, 632.862, 632.867, 632.87 (7) and (8), 632.871, 632.885, 632.89, and 632.895
2(11) (8) and (10) to (17).
SB70-AA3,124 3Section 124. 66.0137 (4) of the statutes is amended to read:
SB70-AA3,109,104 66.0137 (4) Self-insured health plans. If a city, including a 1st class city, or
5a village provides health care benefits under its home rule power, or if a town
6provides health care benefits, to its officers and employees on a self-insured basis,
7the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
8632.728, 632.729, 632.746 (1) and (10) (a) 2. and (b) 2., 632.747 (3), 632.798, 632.85,
9632.853, 632.855, 632.861, 632.862, 632.867, 632.87 (4) to (6) (8), 632.871, 632.885,
10632.89, 632.895 (9) (8) to (17), 632.896, and 767.513 (4).
SB70-AA3,125 11Section 125. 120.13 (2) (g) of the statutes is amended to read:
SB70-AA3,109,1612 120.13 (2) (g) Every self-insured plan under par. (b) shall comply with ss.
1349.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.728, 632.729, 632.746 (1) and (10) (a)
142. and (b) 2., 632.747 (3), 632.798, 632.85, 632.853, 632.855, 632.861, 632.862,
15632.867, 632.87 (4) to (6) (8), 632.871, 632.885, 632.89, 632.895 (9) (8) to (17),
16632.896, and 767.513 (4).
SB70-AA3,126 17Section 126. 185.983 (1) (intro.) of the statutes is amended to read:
SB70-AA3,109,2518 185.983 (1) (intro.) Every voluntary nonprofit health care plan operated by a
19cooperative association organized under s. 185.981 shall be exempt from chs. 600 to
20646, with the exception of ss. 601.04, 601.13, 601.31, 601.41, 601.42, 601.43, 601.44,
21601.45, 611.26, 611.67, 619.04, 623.11, 623.12, 628.34 (10), 631.17, 631.89, 631.93,
22631.95, 632.72 (2), 632.728, 632.729, 632.745 to 632.749, 632.775, 632.79, 632.795,
23632.798, 632.85, 632.853, 632.855, 632.861, 632.862, 632.867, 632.87 (2) to (6) (8),
24632.871
, 632.885, 632.89, 632.895 (5) and (8) to (17), 632.896, and 632.897 (10) and
25chs. 609, 620, 630, 635, 645, and 646, but the sponsoring association shall:
SB70-AA3,127
1Section 127. 601.31 (1) (mv) of the statutes is created to read:
SB70-AA3,110,42 601.31 (1) (mv) For initial issuance or renewal of a license as a pharmacy
3benefit management broker or consultant under s. 628.495, amounts to be set by the
4commissioner by rule.
SB70-AA3,128 5Section 128. 601.31 (1) (nv) of the statutes is created to read:
SB70-AA3,110,76 601.31 (1) (nv) For issuing or renewing a license as a pharmaceutical
7representative under s. 632.863, an amount to be set by the commissioner by rule.
SB70-AA3,129 8Section 129. 601.31 (1) (nw) of the statutes is created to read:
SB70-AA3,110,119 601.31 (1) (nw) For issuing or renewing a license as a pharmacy services
10administrative organization under s. 632.864, an amount to be set by the
11commissioner by rule.
SB70-AA3,130 12Section 130. 601.575 of the statutes is created to read:
SB70-AA3,110,18 13601.575 Prescription drug importation program. (1) Importation
14program requirements.
The commissioner, in consultation with persons interested
15in the sale and pricing of prescription drugs and appropriate officials and agencies
16of the federal government, shall design and implement a prescription drug
17importation program for the benefit of residents of this state, that generates savings
18for residents, and that satisfies all of the following:
SB70-AA3,110,2119 (a) The commissioner shall designate a state agency to become a licensed
20wholesale distributor or to contract with a licensed wholesale distributor and shall
21seek federal certification and approval to import prescription drugs.
SB70-AA3,110,2322(b) The program shall comply with relevant requirements of 21 USC 384,
23including safety and cost savings requirements.
SB70-AA3,110,2524 (c) The program shall import prescription drugs from Canadian suppliers
25regulated under any appropriate Canadian or provincial laws.
SB70-AA3,111,2
1(d) The program shall have a process to sample the purity, chemical
2composition, and potency of imported prescription drugs.
SB70-AA3,111,63 (e) The program shall import only those prescription drugs for which
4importation creates substantial savings for residents of this state and only those
5prescription drugs that are not brand-name drugs and that have fewer than 4
6competitor prescription drugs in the United States.
SB70-AA3,111,87 (f) The commissioner shall ensure that prescription drugs imported under the
8program are not distributed, dispensed, or sold outside of this state.
SB70-AA3,111,99 (g) The program shall ensure all of the following:
SB70-AA3,111,1110 1. Participation by any pharmacy or health care provider in the program is
11voluntary.
SB70-AA3,111,1312 2. Any pharmacy or health care provider participating in the program has the
13appropriate license or other credential in this state.
SB70-AA3,111,1614 3. Any pharmacy or health care provider participating in the program charges
15a consumer or health plan the actual acquisition cost of the imported prescription
16drug that is dispensed.
SB70-AA3,111,2017 (h) The program shall ensure that a payment by a health plan or health
18insurance policy for a prescription drug imported under the program reimburses no
19more than the actual acquisition cost of the imported prescription drug that is
20dispensed.
SB70-AA3,111,2221 (i) The program shall ensure that any health plan or health insurance policy
22participating in the program does all of the following:
SB70-AA3,111,2423 1. Maintains a formulary and claims payment system with current information
24on prescription drugs imported under the program.
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