Amendment AA3-SB70

SB70-AA3,65,18 b. Impose any exclusion, limitation, or other restriction on coverage of medications that are required to be covered under par. (b) that are different from those imposed on any other prescription medications covered under the policy or plan.

SB70-AA3,65,25 c. Impose any exclusion, limitation, cost-sharing requirement, benefit maximum, waiting period, or other restriction on coverage that is required under par. (b) of diagnosis of and treatment for infertility and standard fertility preservation services that is different from an exclusion, limitation, cost-sharing requirement, benefit maximum, waiting period or other restriction imposed on benefits for services that are covered by the policy or plan and that are not related to infertility.

SB70-AA3,66,4 2. A disability insurance policy or self-insured health plan shall provide coverage required under par. (b) to any covered individual under the policy or plan, including any covered spouse or nonspouse dependent, to the same extent as other pregnancy-related benefits covered under the policy or plan.

SB70-AA3,66,10 (d) The commissioner, after consulting with the department of health services on appropriate treatment for infertility, shall promulgate any rules necessary to implement this subsection. Before the promulgation of rules, disability insurance policies and self-insured health plans are considered to comply with the coverage requirements of par. (b) if the coverage conforms to the standards of the American Society for Reproductive Medicine.

SB70-AA3,66,12 (e) This subsection does not apply to a disability insurance policy that is a health benefit plan described under s. 632.745 (11) (b).

SB70-AA3,9323 Section 9323. Initial applicability; Insurance.

SB70-AA3,66,14 (1u) Coverage of infertility services.

SB70-AA3,66,18 (a) For policies and plans containing provisions inconsistent with these sections, the treatment of ss. 609.74 and 632.895 (15m) first applies to policy or plan years beginning on January 1 of the year following the year in which this paragraph takes effect, except as provided in pars. (b ) and (c).

SB70-AA3,66,23 (b) For policies and plans that have a term greater than one year and contain provisions inconsistent with these sections, the treatment of ss. 609.74 and 632.895 (15m) first applies to policy or plan years beginning on January 1 of the year following the year in which the policy or plan is extended, modified, or renewed, whichever is later.

SB70-AA3,67,3 (c) For policies and plans that are affected by a collective bargaining agreement containing provisions inconsistent with these sections, the treatment of ss. 609.74 and 632.895 (15m) first applies to policy or plan years beginning on the effective date of this paragraph or on the day on which the collective bargaining agreement is entered into, extended, modified, or renewed, whichever is later.

SB70-AA3,9423 Section 9423. Effective dates; Insurance.

SB70-AA3,67,7 (1v) Coverage of infertility services. The treatment of ss. 609.74 and 632.895 (15m) and Section 9323 (1u) of this act take effect on the first day of the 4th month beginning after publication.”.

SB70-AA3,67,8 183. Page 374, line 11: after that line insert:

SB70-AA3,67,9 “ Section 41 . 609.713 of the statutes is created to read:

SB70-AA3,67,12 609.713 Qualified treatment trainee coverage. Limited service health organizations, preferred provider plans, and defined network plans are subject to s. 632.87 (7).

SB70-AA3,42 Section 42 . 632.87 (7) of the statutes is created to read:

SB70-AA3,67,14 632.87 (7) (a) In this subsection:

SB70-AA3,67,15 1. “Health care provider” has the meaning given in s. 146.81 (1) (a) to (hp).

SB70-AA3,67,16 2. “Qualified treatment trainee” has the meaning given in s. DHS 35.03 (17m).

SB70-AA3,67,21 (b) No policy, plan, or contract may exclude coverage for mental health or behavioral health treatment or services provided by a qualified treatment trainee within the scope of the qualified treatment trainee's education and training if the policy, plan, or contract covers the mental health or behavioral health treatment or services when provided by another health care provider.

SB70-AA3,9323 Section 9323. Initial applicability; Insurance.

SB70-AA3,67,23 (1u) Qualified treatment trainee coverage.

SB70-AA3,68,4 (a) For policies and plans containing provisions inconsistent with this section, the treatment of s. 632.87 (7) first applies to policy or plan years beginning on January 1 of the year following the year in which this paragraph takes effect, except as provided in par. (b).

SB70-AA3,68,9 (b) For policies and plans that are affected by a collective bargaining agreement containing provisions inconsistent with this section, the treatment of s. 632.87 (7) first applies to policy or plan years beginning on the effective date of this paragraph or on the day on which the collective bargaining agreement is entered into, extended, modified, or renewed, whichever is later.

SB70-AA3,9423 Section 9423. Effective dates; Insurance.

SB70-AA3,68,13 (1v) Qualified treatment trainee coverage. The treatment of s. 632.87 (7) and Section 9323 (1u) of this act take effect on the first day of the 4th month beginning after publication.”.

SB70-AA3,68,14 184. Page 374, line 11: after that line insert:

SB70-AA3,68,15 “ Section 43. 256.08 (4) (L) of the statutes is created to read:

SB70-AA3,68,17 256.08 (4) (L) Identify certified training programs for emergency medical responders.

SB70-AA3,44 Section 44. 256.08 (5) of the statutes is created to read:

SB70-AA3,68,22 256.08 (5) Educational standards. The department, in consultation with the board, may promulgate rules to establish educational standards for training programs for emergency medical responders and minimum examination standards for training programs for emergency medical responders.

SB70-AA3,45 Section 45. 256.15 (4) (g) of the statutes is created to read:

SB70-AA3,69,4 256.15 (4) (g) No emergency medical responder may replace an emergency medical technician as a member of an ambulance crew unless the emergency medical responder has passed the National Registry of Emergency Medical Technicians examination for emergency medical responders.

SB70-AA3,46 Section 46. 256.15 (8) (b) (intro.) of the statutes is amended to read:

SB70-AA3,69,8 256.15 (8) (b) (intro.) To be eligible for initial certification as an emergency medical responder, except as provided in pars. (bg) and (br) and ss. 256.17 and 256.18, an individual shall meet all of the following requirements:

SB70-AA3,47 Section 47. 256.15 (8) (bg) of the statutes is created to read:

SB70-AA3,69,20 256.15 (8) (bg) The department shall grant an initial certification as an emergency medical responder to any individual who meets the requirements under par. (b) 1. and 2. and successfully completes a certified training program for emergency medical responders identified by the department under s. 256.08 (4) (L). Any relevant education, training, instruction, or other experience that an applicant for initial certification as an emergency medical responder obtained in connection with any military service, as defined in s. 111.32 (12g), satisfies the completion of a certified training program for emergency medical responders if the applicant demonstrates to the satisfaction of the department that the education, training, instruction, or other experience obtained by the applicant is substantially equivalent to the certified training program for emergency medical responders.

SB70-AA3,48 Section 48. 256.15 (8) (br) of the statutes is created to read:

SB70-AA3,69,25 256.15 (8) (br) The department shall grant an initial certification as an emergency medical responder to any individual who meets the requirements under par. (b) 1. and 2. and passes the National Registry of Emergency Medical Technicians examination for emergency medical responder certification.

SB70-AA3,9419 Section 9419. Effective dates; Health Services.

SB70-AA3,70,4 (1) Certification of emergency medical responders. The treatment of ss. 256.08 (4) (L) and 256.15 (4) (g) and (8) (b) (intro.), (bg), and (br) takes effect on July 1, 2024.”.

SB70-AA3,70,5 185. Page 374, line 11: after that line insert:

SB70-AA3,70,6 “ Section 49. 46.48 (33) of the statutes is created to read:

SB70-AA3,70,9 46.48 (33) Opioid antagonist funding. From the appropriation under s. 20.435 (5) (bc), the department shall annually award up to $2,000,000 to entities for the purchase of opioid antagonists, as defined under s. 450.01 (13v).”.

SB70-AA3,70,10 186. Page 374, line 11: after that line insert:

SB70-AA3,70,11 “ Section 50. 50.36 (3s) of the statutes is created to read:

SB70-AA3,70,17 50.36 (3s) The department shall require a hospital that provides emergency services to have sufficient qualified personnel at all times to manage the number and severity of emergency department cases anticipated by the location. At all times, a hospital that provides emergency services shall have on-site at least one physician who, through education, training, and experience, specializes in emergency medicine.”.

SB70-AA3,70,18 187. Page 374, line 11: after that line insert:

SB70-AA3,70,19 “ Section 51. 71.03 (9) of the statutes is created to read:

SB70-AA3,70,22 71.03 (9) Medical Assistance coverage. (a) The department shall include the following questions and explanatory information on each individual income tax return under this section and a method for the taxpayer to respond to each question:

SB70-AA3,71,4 1. “Are you, your spouse, your dependent children, or any eligible adult child dependent not covered under a health insurance policy, health plan, or other health care coverage? `Eligible adult child dependent' means a child who is under the age of 26 who is a full-time student or a child who is under the age of 27 who is called to active duty in the national guard or armed forces reserve while enrolled as a full-time student.”

SB70-AA3,71,7 2. “If you responded `yes' to question 1, do you want to have evaluated your eligibility for Medical Assistance under subch. IV of ch. 49 or your eligibility for subsidized health insurance coverage?”

SB70-AA3,71,16 (b) For each person who responded “yes” to the question under par. (a) 2., the department shall provide that person's contact information and other relevant information from that person's individual income tax return to the department of health services to perform an evaluation of that person's eligibility under the Medical Assistance program or an evaluation of that person's eligibility for subsidized health insurance coverage through an exchange, as defined under 45 CFR 155.20. The information provided to the department of health services may not be used to determine that the individual is ineligible to enroll in the Medical Assistance program.

SB70-AA3,52 Section 52. 71.78 (4) (v) of the statutes is created to read:

SB70-AA3,71,19 71.78 (4) (v) The secretary of health services and employees of that department for the purpose of performing an evaluation under s. 71.03 (9).

SB70-AA3,9319 Section 9319. Initial applicability; Health Services.

SB70-AA3,71,23 (1k) Determination of Medical Assistance eligibility by indicating interest on an individual income tax return. The treatment of ss. 71.03 (9) and 71.78 (4) (v) first applies to taxable years beginning after December 31, 2023.”.

SB70-AA3,71,24 188. Page 374, line 11: after that line insert:

SB70-AA3,72,1 “ Section 53. 49.46 (2) (b) 8m. of the statutes is created to read:

SB70-AA3,72,3 49.46 (2) (b) 8m. Room and board for residential substance use disorder treatment.”.

SB70-AA3,72,4 189. Page 374, line 11: after that line insert:

SB70-AA3,72,5 “ Section 54. 46.87 (5m) of the statutes is amended to read:

SB70-AA3,72,12 46.87 (5m) A person is financially eligible for the program under this section if the joint income of the person with Alzheimer's disease and that person's spouse, if any, is $48,000 $60,000 per year or less, unless the department sets a higher limitation on income eligibility by rule. In determining joint income for purposes of this subsection, the administering agency shall subtract any expenses attributable to the Alzheimer's-related needs of the person with Alzheimer's disease or of the person's caregiver.”.

SB70-AA3,72,13 190. Page 374, line 11: after that line insert:

SB70-AA3,72,15 “ Section 55. 20.005 (3) (schedule) of the statutes: at the appropriate place, insert the following amounts for the purposes indicated: - See PDF for table

SB70-AA3,56 Section 56. 20.435 (1) (ca) of the statutes is created to read:

SB70-AA3,73,2 20.435 (1) (ca) State stockpile of personal protective equipment. Biennially, the amounts in the schedule for the establishment and maintenance of a state stockpile of personal protective equipment under s. 252.02 (8), including associated storage and warehousing.

SB70-AA3,2 Section 2. 252.02 (8) of the statutes is created to read:

SB70-AA3,73,5 252.02 (8) The department may establish and maintain a state stockpile of personal protective equipment.”.

SB70-AA3,73,6 191. Page 374, line 11: after that line insert:

SB70-AA3,73,7 “ Section 57. 49.45 (25r) of the statutes is created to read:

SB70-AA3,73,8 49.45 (25r) Community health worker services. (a) In this subsection:

SB70-AA3,73,10 1. “Community health services” means services provided by a community health worker.

SB70-AA3,73,18 2. “Community health worker” means a frontline public health worker who is a trusted member of or has a close understanding of the community served, enabling the worker to serve as a liaison, link, or intermediary between health and social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery, and who builds individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, informal counseling, social support, and advocacy.

SB70-AA3,74,2 (b) The department shall request any necessary waiver from, or submit any necessary amendments to the state Medical Assistance plan to, the secretary of the federal department of health and human services to provide community health services to eligible Medical Assistance recipients. If the waiver or state plan amendment is granted, the department shall reimburse certified providers for those community health services approved by the federal department of health and human services for Medical Assistance coverage and as provided to Medical Assistance recipients under s. 49.46 (2) (b) 9m.

SB70-AA3,58 Section 58. 49.46 (2) (b) 9m. of the statutes is created to read:

SB70-AA3,74,4 49.46 (2) (b) 9m. Community health services, as specified under s. 49.45 (25r).”.

SB70-AA3,74,5 192. Page 374, line 11: after that line insert:

SB70-AA3,74,6 “ Section 9219. Fiscal changes; Health Services.

SB70-AA3,74,15 (1) Mendota juvenile treatment center staffing. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (2) (gk), the dollar amount for fiscal year 2023-24 is increased by $9,075,800 to increase the authorized FTE positions by 114.5 PR positions to expand the capacity of the Mendota Juvenile Treatment Center. In the schedule under s. 20.005 (3) for the appropriation to the health services under s. 20.435 (2) (gk), the dollar amount for fiscal year 2024-25 is increased by $15,616,000 to increase the authorized FTE positions by 174.0 PR positions to expand the capacity of the Mendota Juvenile Treatment Center.”.

SB70-AA3,74,16 193. Page 374, line 11: after that line insert:

SB70-AA3,74,17 “ Section 59. 49.45 (30) (a) of the statutes is repealed.

SB70-AA3,60 Section 60. 49.45 (30) (b) of the statutes is renumbered 49.45 (30) and amended to read:

SB70-AA3,75,2 49.45 (30) Service provided by community support programs. The department shall reimburse a provider of county that provides services under s. 49.46 (2) (b) 6. L. only for the amount of the allowable charges for those services under the Medical Assistance program that is provided by the federal government and for the amount of the allowable charges for those services under the Medical Assistance program that is not provided by the federal government.

SB70-AA3,61 Section 61. 49.45 (52) (a) 1. of the statutes is amended to read:

SB70-AA3,75,16 49.45 (52) (a) 1. If the department provides the notice under par. (c) selecting the payment procedure in this paragraph, the department may, from the appropriation account under s. 20.435 (7) (b), make Medical Assistance payment adjustments to county departments under s. 46.215, 46.22, 46.23, 51.42, or 51.437 or to local health departments, as defined in s. 250.01 (4), as appropriate, for covered services under s. 49.46 (2) (a) 2. and 4. d. and f. and (b) 6. b., c., f., fm., g., j., k., L., Lm., and m., 9., 12., 12m., 13., 15., and 16., except for services specified under s. 49.46 (2) (b) 6. b. and c. provided to children participating in the early intervention program under s. 51.44. Payment adjustments under this paragraph shall include the state share of the payments. The total of any payment adjustments under this paragraph and Medical Assistance payments made from appropriation accounts under s. 20.435 (4) (b), (gm), (o), and (w), may not exceed applicable limitations on payments under 42 USC 1396a (a) (30) (A).

SB70-AA3,62 Section 62. 49.45 (52) (b) 1. of the statutes is amended to read:

SB70-AA3,75,23 49.45 (52) (b) 1. Annually, a county department under s. 46.215, 46.22, 46.23, 51.42, or 51.437 shall submit a certified cost report that meets the requirements of the federal department of health and human services for covered services under s. 49.46 (2) (a) 2. and 4. d. and f. and (b) 6. b., c., f., fm., g., j., k., L., Lm., and m., 9., 12., 12m., 13., 15., and 16., except for services specified under s. 49.46 (2) (b) 6. b. and c. provided to children participating in the early intervention program under s. 51.44.”.

SB70-AA3,75,24 194. Page 374, line 11: after that line insert: