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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.
SB70-AA3,112,3
12. Bases cost-sharing amounts for participants or insureds under the plan or
2policy on no more than the actual acquisition cost of the prescription drug imported
3under the program that is dispensed to the participant or insured.
SB70-AA3,112,64 3. Demonstrates to the commissioner or a state agency designated by the
5commissioner how premiums under the plan or policy are affected by savings on
6prescription drugs imported under the program.
SB70-AA3,112,97 (j) Any wholesale distributor importing prescription drugs under the program
8shall limit its profit margin to the amount established by the commissioner or a state
9agency designated by the commissioner.
SB70-AA3,112,1110 (k) The program may not import any generic prescription drug that would
11violate federal patent laws on branded products in the United States.
SB70-AA3,112,1612(L) The program shall comply with tracking and tracing requirements of 21
13USC 360eee
and 360eee-1, to the extent practical and feasible, before the
14prescription drug to be imported comes into the possession of this state's wholesale
15distributor and fully after the prescription drug to be imported is in the possession
16of this state's wholesale distributor.
SB70-AA3,112,1817 (m) The program shall establish a fee or other mechanism to finance the
18program that does not jeopardize significant savings to residents of this state.
SB70-AA3,112,1919 (n) The program shall have an audit function that ensures all of the following:
SB70-AA3,112,2120 1. The commissioner has a sound methodology to determine the most
21cost-effective prescription drugs to include in the program.
SB70-AA3,112,2322 2. The commissioner has a process in place to select Canadian suppliers that
23are high quality, high performing, and in full compliance with Canadian laws.
SB70-AA3,112,2524 3. Prescription drugs imported under the program are pure, unadulterated,
25potent, and safe.
SB70-AA3,113,1
14. The program is complying with the requirements of this subsection.
SB70-AA3,113,32 5. The program is adequately financed to support administrative functions of
3the program while generating significant cost savings to residents of this state.
SB70-AA3,113,54 6. The program does not put residents of this state at a higher risk than if the
5program did not exist.
SB70-AA3,113,76 7. The program provides and is projected to continue to provide substantial cost
7savings to residents of this state.
SB70-AA3,113,10 8(2) Anticompetitive behavior. The commissioner, in consultation with the
9attorney general, shall identify the potential for and monitor anticompetitive
10behavior in industries affected by a prescription drug importation program.
SB70-AA3,113,20 11(3) Approval of program design; certification. No later than the first day of
12the 7th month beginning after the effective date of this subsection .... [LRB inserts
13date], the commissioner shall submit to the joint committee on finance a report that
14includes the design of the prescription drug importation program in accordance with
15this section. The commissioner may not submit the proposed program to the federal
16department of health and human services unless the joint committee on finance
17approves the proposed program. Within 14 days of the date of approval by the joint
18committee on finance of the proposed program, the commissioner shall submit to the
19federal department of health and human services a request for certification of the
20approved program.
SB70-AA3,114,3 21(4) Implementation of certified program. After the federal department of
22health and human services certifies the prescription drug importation program
23submitted under sub. (3), the commissioner shall begin implementation of the
24program, and the program shall be fully operational by 180 days after the date of
25certification by the federal department of health and human services. The

1commissioner shall do all of the following to implement the program to the extent the
2action is in accordance with other state laws and the certification by the federal
3department of health and human services:
SB70-AA3,114,64 (a) Become a licensed wholesale distributor, designate another state agency to
5become a licensed wholesale distributor, or contract with a licensed wholesale
6distributor.
SB70-AA3,114,87 (b) Contract with one or more Canadian suppliers that meet the criteria in sub.
8(1) (c) and (n).
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