Amendment AA3-SB70

SB70-AA3,77,22 198. Page 374, line 11: after that line insert:

SB70-AA3,77,23 “ Section 67. 20.435 (5) (by) of the statutes is repealed.”.

SB70-AA3,77,24 199. Page 374, line 11: after that line insert:

SB70-AA3,78,1 “ Section 68. 20.435 (5) (cc) of the statutes is created to read:

SB70-AA3,78,3 20.435 (5) (cc) Youth crisis stabilization facilities; grants. The amounts in the schedule for grants under s. 51.042 (3m).”.

SB70-AA3,78,4 200. Page 374, line 11: after that line insert:

SB70-AA3,78,5 “ Section 69. 46.48 (3m) of the statutes is created to read:

SB70-AA3,78,10 46.48 (3m) Deaf, hard of hearing, and deaf-blind behavioral health treatment center. The department may distribute not more than $1,936,000 in each fiscal year, beginning in fiscal year 2024-25, to a statewide provider of behavioral health treatment services for individuals who are deaf, hard of hearing, or deaf-blind.”.

SB70-AA3,78,11 201. Page 374, line 11: after that line insert:

SB70-AA3,78,12 “ Section 70. 46.48 (31) of the statutes is amended to read:

SB70-AA3,78,16 46.48 (31) Peer run respite centers. The From the appropriation under s. 20.435 (5) (bc), the department may distribute not more than $1,200,000 in each fiscal year, beginning in fiscal year 2014-15, grants to regional peer run respite centers for individuals with mental health and substance abuse concerns.” .

SB70-AA3,78,17 202. Page 374, line 11: after that line insert:

SB70-AA3,78,18 “ Section 71. 13.48 (26m) of the statutes is created to read:

SB70-AA3,78,24 13.48 (26m) Lead service line replacement. The legislature finds and determines that the prevalence of lead service lines in connections to public water systems poses a public health hazard and that processes for reducing lead entering drinking water from such pipes requires additional treatment of wastewater. It is therefore in the public interest, and it is the public policy of this state, to assist private users of public water systems in replacing lead service lines.

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

SB70-AA3,73 Section 73. 20.320 (2) (a) of the statutes is created to read:

SB70-AA3,79,6 20.320 (2) (a) Lead service line replacement. As a continuing appropriation, the amounts in the schedule for lead service line replacement loans under s. 281.61 (8) (b).

SB70-AA3,74 Section 74. 281.61 (8) (b) of the statutes is created to read:

SB70-AA3,79,10 281.61 (8) (b) The department of administration shall allocate the amount appropriated under s. 20.320 (2) (a) to projects involving forgivable loans to private users of public water systems to replace lead service lines.”.

SB70-AA3,79,11 203. Page 374, line 11: after that line insert:

SB70-AA3,79,12 “ Section 75. 601.41 (13) of the statutes is created to read:

SB70-AA3,79,18 601.41 (13) Value-based diabetes medication pilot project. The commissioner shall develop a pilot project to direct a pharmacy benefit manager, as defined in s. 632.865 (1) (c), and a pharmaceutical manufacturer to create a value-based, sole-source arrangement to reduce the costs of prescription medication used to treat diabetes. The commissioner may promulgate rules to implement this subsection.”.

SB70-AA3,79,19 204. Page 374, line 11: after that line insert:

SB70-AA3,79,20 “ Section 76. 15.197 (20) of the statutes is created to read:

SB70-AA3,80,3 15.197 (20) Spinal cord injury council. (a) There is created in the department of health services a spinal cord injury council that, except as provided in par. (b), consists of the following members appointed by the department for 2-year terms:

SB70-AA3,80,5 1. One member representing the University of Wisconsin School of Medicine and Public Health.

SB70-AA3,80,6 2. One member representing the Medical College of Wisconsin.

SB70-AA3,80,7 3. One member who has a spinal cord injury.

SB70-AA3,80,8 4. One member who is a family member of a person with a spinal cord injury.

SB70-AA3,80,9 5. One member who is a veteran who has a spinal cord injury.

SB70-AA3,80,11 6. One member who is a physician specializing in the treatment of spinal cord injuries.

SB70-AA3,80,12 7. One member who is a researcher in the field of neurosurgery.

SB70-AA3,80,14 8. One member who is a researcher employed by the veterans health administration of the U.S. department of veterans affairs.

SB70-AA3,80,17 (b) If the department of health services is unable to appoint a member specified in par. (a) 1. to 8., the department of health services may appoint a member representing the general public in lieu of the member so specified.

SB70-AA3,77 Section 77. 255.45 of the statutes is created to read:

SB70-AA3,80,20 255.45 Spinal cord injury research grants and symposia. (1) Definitions. In this section:

SB70-AA3,80,21 (a) “Council” means the spinal cord injury council.

SB70-AA3,80,22 (b) “Grant program” means the program established under sub. (2).

SB70-AA3,81,5 (2) Grant program. The department shall establish a program to award grants, from the appropriation under s. 20.435 (1) (b), to persons in this state for research into spinal cord injuries. The purpose of the grants is to support research into new and innovative treatments and rehabilitative efforts for the functional improvement of people with spinal cord injuries, and research topics may include pharmaceutical, medical device, brain stimulus, and rehabilitative approaches and techniques. Grant recipients shall agree to present their research findings at symposia held by the department under sub. (3).

SB70-AA3,81,8 (3) Symposia. The department may hold symposia every 2 years for recipients of grants under the grant program to present findings of research supported by the grants.

SB70-AA3,81,12 (4) Grant reports. By January 15 of each year, the department shall submit an annual report to the appropriate standing committees of the legislature under s. 13.172 (3) that identifies the recipients of grants under the grant program and the purposes for which the grants were used.

SB70-AA3,81,13 (5) Council. (a) The council shall do all of the following:

SB70-AA3,81,15 1. Develop criteria for the department to evaluate and award grants under the grant program.

SB70-AA3,81,17 2. Review and make recommendations to the department on applications submitted under the grant program.

SB70-AA3,81,18 3. Perform other duties specified by the department.

SB70-AA3,81,22 (b) Each member of the council shall disclose in a written statement any financial interest in any organization that the council recommends to receive a grant under the grant program. The council shall include the written statements with its recommendations to the department on grant applications.

SB70-AA3,9119 Section 9119. Nonstatutory provisions; Health Services

SB70-AA3,82,3 (1) Spinal cord injury council; initial appointments. Notwithstanding the length of terms specified for the members of the spinal cord injury council under s. 15.197 (20) (a) (intro.), initial appointments to the council shall be made as follows:

SB70-AA3,82,6 (a) The members appointed under s. 15.197 (20) (a) 1., 3., 5., and 7., or in lieu of those members under s. 15.197 (20) (b), shall be appointed for terms expiring on July 1, 2025.

SB70-AA3,82,9 (b) The members appointed under s. 15.197 (20) (a) 2., 4., 6., and 8., or in lieu of those members under s. 15.197 (20) (b), shall be appointed for terms expiring on July 1, 2026.”.

SB70-AA3,82,10 205. Page 374, line 11: after that line insert:

SB70-AA3,82,11 “ Section 78. 15.07 (3) (bm) 7. of the statutes is created to read:

SB70-AA3,82,13 15.07 (3) (bm) 7. The prescription drug affordability review board shall meet at least 4 times each year.

SB70-AA3,79 Section 79. 15.735 of the statutes is created to read:

SB70-AA3,82,17 15.735 Same; attached board. (1) There is created a prescription drug affordability review board attached to the office of the commissioner of insurance under s. 15.03. The board shall consist of the following members:

SB70-AA3,82,18 (a) The commissioner of insurance or his or her designee.

SB70-AA3,82,22 (b) Two members appointed for 4-year terms who represent the pharmaceutical drug industry, including pharmaceutical drug manufacturers and wholesalers. At least one of the members appointed under this paragraph shall be a licensed pharmacist.

SB70-AA3,82,24 (c) Two members appointed for 4-year terms who represent the health insurance industry, including insurers and pharmacy benefit managers.

SB70-AA3,83,3 (d) Two members appointed for 4-year terms who represent the health care industry, including hospitals, physicians, pharmacies, and pharmacists. At least one of the members appointed under this paragraph shall be a licensed practitioner.

SB70-AA3,83,5 (e) Two members appointed for 4-year terms who represent the interests of the public.

SB70-AA3,83,8 (2) A member appointed under sub. (1), except for a member appointed under sub. (1) (b), may not be an employee of, a board member of, or a consultant to a drug manufacturer or trade association for drug manufacturers.

SB70-AA3,83,13 (3) Any conflict of interest, including any financial or personal association, that has the potential to bias or has the appearance of biasing an individual's decision in matters related to the board or the conduct of the board's activities shall be considered and disclosed when appointing that individual to the board under sub. (1).

SB70-AA3,80 Section 80. Subchapter VI (title) of chapter 601 [precedes 601.78] of the statutes is created to read:

SB70-AA3,83,16 CHAPTER 601

SB70-AA3,83,18 SUBCHAPTER VI Prescription drug

SB70-AA3,83,19 affordability review board

SB70-AA3,81 Section 81. 601.78 of the statutes is created to read:

SB70-AA3,83,21 601.78 Definitions. In this subchapter:

SB70-AA3,83,23 (1) “Biologic” means a drug that is produced or distributed in accordance with a biologics license application approved under 21 CFR 601.20.

SB70-AA3,83,25 (2) “Biosimilar” means a drug that is produced or distributed in accordance with a biologics license application approved under 42 USC 262 (k) (3).

SB70-AA3,84,2 (3) “Board” means the prescription drug affordability review board established under s. 15.735 (1).

SB70-AA3,84,5 (4) “Brand name drug” means a drug that is produced or distributed in accordance with an original new drug application approved under 21 USC 355 (c), other than an authorized generic drug, as defined in 42 CFR 447.502.

SB70-AA3,84,8 (5) “Financial benefit” includes an honorarium, fee, stock, the value of the stock holdings of a member of the board or any immediate family member, and any direct financial benefit deriving from the finding of a review conducted under s. 601.79.

SB70-AA3,84,9 (6) “Generic drug” means any of the following:

SB70-AA3,84,11 (a) A retail drug that is marketed or distributed in accordance with an abbreviated new drug application approved under 21 USC 355 (j).

SB70-AA3,84,12 (b) An authorized generic drug, as defined in 42 CFR 447.502.

SB70-AA3,84,14 (c) A drug that entered the market prior to 1962 and was not originally marketed under a new drug application.

SB70-AA3,84,17 (7) “Immediate family member” means a spouse, grandparent, parent, sibling, child, stepchild, or grandchild or the spouse of a grandparent, parent, sibling, child, stepchild, or grandchild.

SB70-AA3,84,18 (8) “Manufacturer” means an entity that does all of the following:

SB70-AA3,84,21 (a) Engages in the manufacture of a prescription drug product or enters into a lease with another manufacturer to market and distribute a prescription drug product under the entity's own name.

SB70-AA3,84,23 (b) Sets or changes the wholesale acquisition cost of the prescription drug product described in par. (a).

SB70-AA3,84,24 (9) “Pharmacy benefit manager” has the meaning given in s. 632.865 (1) (c).

SB70-AA3,85,2 (10) “Prescription drug product” means a brand name drug, a generic drug, a biologic, or a biosimilar.

SB70-AA3,82 Section 82. 601.785 of the statutes is created to read:

SB70-AA3,85,8 601.785 Prescription drug affordability review board. (1) Mission. The purpose of the board is to protect state residents, the state, local governments, health plans, health care providers, pharmacies licensed in this state, and other stakeholders of the health care system in this state from the high costs of prescription drug products.

SB70-AA3,85,9 (2) Powers and duties. (a) The board shall do all of the following:

SB70-AA3,85,12 1. Meet in open session at least 4 times per year to review prescription drug product pricing information, except that the chair may cancel or postpone a meeting if there is no business to transact.

SB70-AA3,85,14 2. To the extent practicable, access and assess pricing information for prescription drug products by doing all of the following:

SB70-AA3,85,17 a. Accessing and assessing information from other states by entering into memoranda of understanding with other states to which manufacturers report pricing information.