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SB70-AA3,196,108 46.482 (1) (am) “Certified peer specialist” means an individual described under
9s. 49.45 (30j) (a) 1m. who has met the certification requirements established by the
10department.
SB70-AA3,233 11Section 233. 46.482 (1) (b) of the statutes is renumbered 46.482 (1) (c) and
12amended to read:
SB70-AA3,196,1513 46.482 (1) (c) “Peer recovery coach” means an individual described under s.
1449.45 (30j) (a) 2. 3. who has completed the training requirements specified under
15s. 49.45 (30j) (b) 4.
SB70-AA3,234 16Section 234. 46.482 (2) (a) of the statutes is amended to read:
SB70-AA3,196,1917 46.482 (2) (a) Use peer recovery coaches and certified peer specialists to
18encourage individuals to seek treatment for a substance use disorder following an
19overdose.
SB70-AA3,235 20Section 235. 46.482 (2) (f) of the statutes is amended to read:
SB70-AA3,196,2321 46.482 (2) (f) Collect and evaluate data on the outcomes of patients receiving
22peer recovery coach or certified peer specialist services and coordination and
23continuation of care services under this section.
SB70-AA3,236 24Section 236. 49.45 (30j) (title) of the statutes is amended to read:
SB70-AA3,197,2
149.45 (30j) (title) Reimbursement for peer recovery coach and certified peer
2specialist
services.
SB70-AA3,237 3Section 237. 49.45 (30j) (a) 1. and 2. of the statutes are renumbered 49.45 (30j)
4(a) 2m. and 3.
SB70-AA3,238 5Section 238. 49.45 (30j) (a) 1m. of the statutes is created to read:
SB70-AA3,197,96 49.45 (30j) (a) 1m. “Certified peer specialist” means an individual who has
7experience in the mental health and substance use services system, who is trained
8to provide support to others, and who has received peer specialist or parent peer
9specialist certification under the rules established by the department.
SB70-AA3,239 10Section 239. 49.45 (30j) (bm) of the statutes is created to read:
SB70-AA3,197,1311 49.45 (30j) (bm) The department shall reimburse under the Medical Assistance
12program under this subchapter any service provided by a certified peer specialist if
13the service satisfies all of the following conditions:
SB70-AA3,197,1514 1. The recipient of the service provided by a certified peer specialist is in
15treatment for or recovery from a mental illness or a substance use disorder.
SB70-AA3,197,1716 2. The certified peer specialist provides the service under the supervision of a
17competent mental health professional.
SB70-AA3,197,2018 3. The certified peer specialist provides the service in coordination with the
19Medical Assistance recipient's individual treatment plan and in accordance with the
20recipient's individual treatment goals.
SB70-AA3,197,2321 4. The certified peer specialist providing the service has completed training
22requirements, as established by the department by rule, after consulting with
23members of the recovery community.
SB70-AA3,240 24Section 240. 49.45 (30j) (c) of the statutes is amended to read:
SB70-AA3,198,3
149.45 (30j) (c) The department shall certify under Medical Assistance peer
2recovery coaches and certified peer specialists to provide services in accordance with
3this subsection.
SB70-AA3,241 4Section 241. 49.46 (2) (b) 14p. of the statutes is amended to read:
SB70-AA3,198,65 49.46 (2) (b) 14p. Subject to s. 49.45 (30j), services provided by a peer recovery
6coach or a certified peer specialist.
SB70-AA3,9119 7Section 9119. Nonstatutory provisions; Health Services.
SB70-AA3,198,178 (1) Rules regarding training of certified peer specialists. The department
9of health services may promulgate the rules required under s. 49.45 (30j) (bm) 4. as
10emergency rules under s. 227.24. Notwithstanding s. 227.24 (1) (a) and (3), the
11department of health services is not required to provide evidence that promulgating
12a rule under this subsection as an emergency rule is necessary for the preservation
13of the public peace, health, safety, or welfare and is not required to provide a finding
14of emergency for a rule promulgated under this subsection. Notwithstanding s.
15227.24 (1) (c) and (2), emergency rules promulgated under this subsection remain in
16effect until January 1, 2025, or the date the permanent rules take effect, whichever
17is sooner.”.
SB70-AA3,198,18 18232. Page 374, line 11: after that line insert:
SB70-AA3,198,19 19 Section 242. 46.854 of the statutes is created to read:
SB70-AA3,198,22 2046.854 Healthy aging grant program. From the appropriation under s.
2120.435 (1) (b), the department shall award in each fiscal year a grant of $600,000 to
22an entity that conducts programs in healthy aging.”.
SB70-AA3,198,23 23233. Page 374, line 11: after that line insert:
SB70-AA3,198,24 24 Section 243. 20.145 (1) (g) 5. of the statutes is created to read:
SB70-AA3,199,4
120.145 (1) (g) 5. All moneys received from the regulation of pharmacy benefit
2managers, pharmacy benefit management brokers, pharmacy benefit management
3consultants, pharmacy services administration organizations, and pharmaceutical
4representatives.”.
SB70-AA3,199,5 5234. Page 374, line 11: after that line insert:
SB70-AA3,199,6 6 Section 244. 256.158 of the statutes is created to read:
SB70-AA3,199,7 7256.158 Epinephrine for ambulances. (1) In this section:
SB70-AA3,199,98 (a) “Ambulance service provider” means an ambulance service provider that is
9a public agency, volunteer fire department, or nonprofit corporation.
SB70-AA3,199,1110 (b) “Draw-up epinephrine” means epinephrine that is administered
11intramuscularly using a needle and syringe and drawn up from a vial or ampule.
SB70-AA3,199,1312 (c) “Draw-up epinephrine kit” means a single-use vial or ampule of draw-up
13epinephrine and a syringe for administration to a patient.
SB70-AA3,199,1514 (d) “Epinephrine auto-injector" means a device for the automatic injection of
15epinephrine into the human body.
SB70-AA3,200,2 16(2) From the appropriation under s. 20.435 (1) (b), the department shall
17reimburse ambulance service providers for a set of 2 epinephrine auto-injectors or
18a set of 2 draw-up epinephrine kits for each ambulance operating in the state. On
19an ongoing basis, the department shall, upon request from an ambulance service
20provider, reimburse the ambulance service provider for a replacement set of 2
21epinephrine auto-injectors or a set of 2 draw-up epinephrine kits. The department
22shall allow the ambulance service provider to choose between epinephrine
23auto-injectors and draw-up epinephrine kits. The department may not reimburse
24an ambulance service provider for epinephrine unless each ambulance for which the

1ambulance service provider is reimbursed is staffed with an emergency medical
2services practitioner who is qualified to administer the provided epinephrine.”.
SB70-AA3,200,3 3235. Page 374, line 11: after that line insert:
SB70-AA3,200,4 4 Section 245. 253.19 of the statutes is created to read:
SB70-AA3,200,12 5253.19 Grants to free-standing pediatric teaching hospitals. From the
6appropriation under s. 20.435 (1) (b), the department shall award grants to
7free-standing pediatric teaching hospitals to fund programming related to
8parenting, educational needs of and supports for chronically ill children, and case
9management for children with asthma. A free-standing pediatric teaching hospital
10is eligible for a grant under this section only if the percentage of Medical Assistance
11recipient inpatient days at the free-standing pediatric teaching hospital calculated
12under s. 49.45 (3m) (b) 1. a. is greater than 45 percent.”.
SB70-AA3,200,13 13236. Page 374, line 11: after that line insert:
SB70-AA3,200,14 14 Section 9119. Nonstatutory provisions; Health Services.
SB70-AA3,200,2215 (1w) Electrocardiogram screening pilot program. The department of health
16services shall develop a pilot program to provide electrocardiogram screenings for
17participants in middle school and high school athletics programs in Milwaukee and
18Waukesha Counties. From the appropriation under s. 20.435 (1) (b), in fiscal year
192024-25, the department shall award $4,172,000 in grants to local health
20departments, as defined under s. 250.01 (4), to implement the pilot program under
21this subsection. Participation in the pilot program by participants in middle school
22and high school athletics programs shall be optional.”.
SB70-AA3,200,23 23237. Page 374, line 11: after that line insert:
SB70-AA3,200,24 24 Section 246. 51.44 (5) (bm) of the statutes is created to read:
SB70-AA3,201,3
151.44 (5) (bm) Ensure that any child with a level of lead in his or her blood that
2is 3.5 or more micrograms per 100 milliliters of blood, as confirmed by one venous
3blood test, is eligible for services under the program under this section.
SB70-AA3,9119 4Section 9119. Nonstatutory provisions; Health Services.
SB70-AA3,201,75 (1u) Early intervention services. The department of health services may
6develop a methodology to allocate moneys under s. 20.435 (7) (bt) across county
7programs.”.
SB70-AA3,201,8 8238. Page 374, line 11: after that line insert:
SB70-AA3,201,9 9 Section 247. 46.995 (4) of the statutes is created to read:
SB70-AA3,201,1310 46.995 (4) The department shall ensure that any child who is eligible and who
11applies for the disabled children's long-term support program that is operating
12under a waiver of federal law receives services under the disabled children's
13long-term support program that is operating under a waiver of federal law.”.
SB70-AA3,201,14 14239. Page 374, line 11: after that line insert:
SB70-AA3,201,15 15 Section 248. 49.45 (30t) of the statutes is created to read:
SB70-AA3,201,1616 49.45 (30t) Doula services. (a) In this subsection:
SB70-AA3,201,1817 1. “Certified doula” means an individual who has received certification from a
18doula certifying organization recognized by the department.
SB70-AA3,201,2119 2. “Doula services” means childbirth education and support services, including
20emotional and physical support provided during pregnancy, labor, birth, and the
21postpartum period.
SB70-AA3,202,322 (b) The department shall request from the secretary of the federal department
23of health and human services any required waiver or any required amendment to the
24state plan for Medical Assistance to allow reimbursement for doula services provided

1by a certified doula. If the waiver or state plan amendment is granted, the
2department shall reimburse a certified doula under s. 49.46 (2) (b) 12p. for the
3allowable charges for doula services provided to Medical Assistance recipients.
SB70-AA3,249 4Section 249. 49.46 (2) (b) 12p. of the statutes is created to read:
SB70-AA3,202,65 49.46 (2) (b) 12p. Doula services provided by a certified doula, as specified
6under s. 49.45 (30t).”.
SB70-AA3,202,7 7240. Page 374, line 11: after that line insert:
SB70-AA3,202,8 8 Section 250. 49.45 (39) (b) 1. of the statutes is amended to read:
SB70-AA3,203,179 49.45 (39) (b) 1. `Payment for school medical services.' If a school district or a
10cooperative educational service agency elects to provide school medical services and
11meets all requirements under par. (c), the department shall reimburse the school
12district or the cooperative educational service agency for 60 100 percent of the federal
13share of allowable charges for the school medical services that it provides and, as
14specified in subd. 2., for allowable administrative costs. If the Wisconsin Center for
15the Blind and Visually Impaired or the Wisconsin Educational Services Program for
16the Deaf and Hard of Hearing elects to provide school medical services and meets all
17requirements under par. (c), the department shall reimburse the department of
18public instruction for 60 100 percent of the federal share of allowable charges for the
19school medical services that the Wisconsin Center for the Blind and Visually
20Impaired or the Wisconsin Educational Services Program for the Deaf and Hard of
21Hearing provides and, as specified in subd. 2., for allowable administrative costs. A
22school district, cooperative educational service agency, the Wisconsin Center for the
23Blind and Visually Impaired, or the Wisconsin Educational Services Program for the
24Deaf and Hard of Hearing may submit, and the department shall allow, claims for

1common carrier transportation costs as a school medical service unless the
2department receives notice from the federal health care financing administration
3that, under a change in federal policy, the claims are not allowed. If the department
4receives the notice, a school district, cooperative educational service agency, the
5Wisconsin Center for the Blind and Visually Impaired, or the Wisconsin Educational
6Services Program for the Deaf and Hard of Hearing may submit, and the department
7shall allow, unreimbursed claims for common carrier transportation costs incurred
8before the date of the change in federal policy. The department shall promulgate
9rules establishing a methodology for making reimbursements under this paragraph.
10All other expenses for the school medical services provided by a school district or a
11cooperative educational service agency shall be paid for by the school district or the
12cooperative educational service agency with funds received from state or local taxes.
13The school district, the Wisconsin Center for the Blind and Visually Impaired, the
14Wisconsin Educational Services Program for the Deaf and Hard of Hearing, or the
15cooperative educational service agency shall comply with all requirements of the
16federal department of health and human services for receiving federal financial
17participation.
SB70-AA3,251 18Section 251. 49.45 (39) (b) 2. of the statutes is amended to read:
SB70-AA3,204,319 49.45 (39) (b) 2. `Payment for school medical services administrative costs.' The
20department shall reimburse a school district or a cooperative educational service
21agency specified under subd. 1. and shall reimburse the department of public
22instruction on behalf of the Wisconsin Center for the Blind and Visually Impaired or
23the Wisconsin Educational Services Program for the Deaf and Hard of Hearing for
2490 100 percent of the federal share of allowable administrative costs, using time
25studies, beginning in fiscal year 1999-2000. A school district or a cooperative

1educational service agency may submit, and the department of health services shall
2allow, claims for administrative costs incurred during the period that is up to 24
3months before the date of the claim, if allowable under federal law.”.
SB70-AA3,204,4 4241. Page 374, line 11: after that line insert:
SB70-AA3,204,5 5 Section 252. 49.46 (2) (b) 24. of the statutes is created to read:
SB70-AA3,204,76 49.46 (2) (b) 24. Subject to par. (by), nonmedical services that contribute to the
7determinants of health.
SB70-AA3,253 8Section 253. 49.46 (2) (by) of the statutes is created to read:
SB70-AA3,204,159 49.46 (2) (by) The department shall determine those services under par. (b) 24.
10that contribute to the determinants of health. The department shall seek any
11necessary state plan amendment or request any waiver of federal Medicaid law to
12implement this paragraph. The department is not required to provide the services
13under this paragraph as a benefit under the Medical Assistance program if the
14federal department of health and human services does not provide federal financial
15participation for the services under this paragraph.”.
SB70-AA3,204,16 16242. Page 374, line 11: after that line insert:
SB70-AA3,204,17 17 Section 254. 20.435 (4) (jw) of the statutes is amended to read:
SB70-AA3,205,218 20.435 (4) (jw) BadgerCare Plus and hospital assessment. All moneys received
19from payment of enrollment fees under the program under s. 49.45 (23), all
moneys
20transferred under s. 50.38 (9), all moneys transferred under s. 256.23 (6), all moneys
21transferred from the appropriation account under par. (jz), and 10 percent of all
22moneys received from penalty assessments under s. 49.471 (9) (c), for administration
23of the program under s. 49.45 (23),
to provide a portion of the state share of
24administrative costs for the BadgerCare Plus Medical Assistance program under s.

149.471, and for administration of the hospital assessment under s. 50.38, and for
2administration of the ambulance service provider fee under s. 256.23
.
SB70-AA3,255 3Section 255. 20.435 (4) (xm) of the statutes is created to read:
SB70-AA3,205,84 20.435 (4) (xm) Ambulance service provider trust fund; ambulance payments.
5From the ambulance service provider trust fund, all moneys received from the
6assessment under s. 256.23, except amounts transferred to the appropriation under
7s. 20.435 (4) (jw) as specified in s. 256.23 (6), to make payments to eligible ambulance
8service providers as specified under s. 49.45 (3) (em).
SB70-AA3,256 9Section 256. 49.45 (3) (em) of the statutes is amended to read:
SB70-AA3,205,1710 49.45 (3) (em) The department shall expend moneys collected under s. 256.23
11(2), less amounts transferred under s. 256.23 (6), to supplement reimbursement for
12eligible ambulance service providers, as defined in s. 256.23 (1) (a), for services
13provided under the Medical Assistance program under this subchapter, including
14services reimbursed on a fee-for-service basis and provided under managed care, by
15eligible ambulance service providers. Health plans shall be indemnified and held
16harmless for any errors made by the department or its agents in calculation of any
17supplemental reimbursement made under this paragraph.
SB70-AA3,257 18Section 257. 256.23 (6) of the statutes is created to read:
SB70-AA3,205,2319 256.23 (6) In each fiscal year, the secretary of administration shall transfer
20from the ambulance service provider trust fund under s. 25.776 to the appropriation
21under s. 20.435 (4) (jw) an amount equal to the annual costs of administering the
22ambulance assessment as specified under this section and making supplemental
23reimbursements to ambulance service providers under s. 49.45 (3) (em).”.
SB70-AA3,205,24 24243. Page 374, line 11: after that line insert:
SB70-AA3,206,1
1 Section 258. 20.940 of the statutes is repealed.
SB70-AA3,259 2Section 259. 49.45 (2t) of the statutes is repealed.
SB70-AA3,260 3Section 260. 256.23 (5) of the statutes is amended to read:
SB70-AA3,206,94 256.23 (5) In accordance with s. 20.940, the The department shall submit to
5the federal department of health and human services a request for any state plan
6amendment, waiver or other approval that is required to implement this section and
7s. 49.45 (3) (em). If federal approval is required, the department may not implement
8the collection of the fee under sub. (2) until it receives approval from the federal
9government to obtain federal matching funds.
SB70-AA3,261 10Section 261. 601.83 (1) (a) of the statutes is amended to read:
SB70-AA3,206,2311 601.83 (1) (a) The commissioner shall administer a state-based reinsurance
12program known as the healthcare stability plan in accordance with the specific terms
13and conditions approved by the federal department of health and human services
14dated July 29, 2018. Before December 31, 2023, the commissioner may not request
15from the federal department of health and human services a modification,
16suspension, withdrawal, or termination of the waiver under 42 USC 18052 under
17which the healthcare stability plan under this subchapter operates unless
18legislation has been enacted specifically directing the modification, suspension,
19withdrawal, or termination. Before December 31, 2023, the commissioner may
20request renewal, without substantive change, of the waiver under 42 USC 18052
21under which the health care stability plan operates in accordance with s. 20.940 (4)
22unless legislation has been enacted that is contrary to such a renewal request. The
23commissioner shall comply with applicable timing in and requirements of s. 20.940.
SB70-AA3,9119 24Section 9119. Nonstatutory provisions; Health Services.
SB70-AA3,207,4
1(1v) Childless adults demonstration project reform waiver. The department
2of health services may submit a request to the federal department of health and
3human services to modify or withdraw the waiver granted under s. 49.45 (23) (g),
42021 stats.”.
SB70-AA3,207,5 5244. Page 374, line 11: after that line insert:
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