SB70-SSA2-SA4,113,42
20.435
(1) (fL)
Nurse aide training and recruitment grants. The amounts in
3the schedule for grants to train and recruit individuals to work as nurse aides in
4nursing homes under s. 146.41.
SB70-SSA2-SA4,113,6
6146.41 Nurse aide training and recruitment grants. (1) In this section:
SB70-SSA2-SA4,113,77
(a) “Nurse aide” has the meaning given in s. 146.40 (1) (d).
SB70-SSA2-SA4,113,88
(b) “Nursing home" has the meaning given in s. 50.01 (3).
SB70-SSA2-SA4,113,11
9(2) Beginning in fiscal year 2024-25, the department shall award grants to
10train and recruit individuals to work as nurse aides in nursing homes. The grants
11awarded under this subsection shall include grants for all of the following:
SB70-SSA2-SA4,113,1312
(a) The cost for an individual to complete an instructional program for nurse
13aides in a program approved under s. 146.40 (3) and (3g).
SB70-SSA2-SA4,113,1514
(b) The cost for an individual to complete a competency evaluation for nurse
15aides in a program approved under s. 146.40 (3m).
SB70-SSA2-SA4,113,1716
(c) A retention bonus for an individual who has worked for at least 6 months
17as a nurse aide in a nursing home.
SB70-SSA2-SA4,113,21
18(3) The department may partner with nonprofit organizations, private entities,
19the board on aging and long term care, and the technical college system board to
20award the grants under sub. (2) and recruit individuals to work as nurse aides in
21nursing homes.”.
SB70-SSA2-SA4,114,22
20.250
(2) (title)
Research and community support.
SB70-SSA2-SA4,114,74
20.250
(2) (a)
Violence prevention grants. Biennially, the amounts in the
5schedule to make violence prevention grants supporting local, evidence-informed
6activities that enhance the safety and well-being of children, youth, and families
7throughout this state.”.
SB70-SSA2-SA4,114,1712
20.435
(1) (ew)
Congenital disorders; general purpose revenue. The amounts
13in the schedule to provide diagnostic services, special dietary treatment, and
14follow-up counseling for congenital disorders and periodic evaluation of infant
15screening programs as specified under s. 253.13, to provide referrals under s.
16253.115, to administer the programs under ss. 253.115 and 253.13, and for the costs
17of consulting with appropriate experts as specified in s. 253.13 (5).”.
SB70-SSA2-SA4,115,1
1“
Section 1. 252.12 (2) (a) 8. (intro.) of the statutes is amended to read:
SB70-SSA2-SA4,115,132
252.12
(2) (a) 8. `Mike Johnson life care and early intervention services grants.'
3(intro.) The department shall award not more than
$4,000,000 $5,000,000 in each
4fiscal year in grants to applying AIDS service organizations for the provision of needs
5assessments; assistance in procuring financial, medical, legal, social and pastoral
6services; counseling and therapy; homecare services and supplies; advocacy; and
7case management services. These services shall include early intervention services.
8The department shall also award not more than $74,000 in each year from the
9appropriation account under s. 20.435 (5) (md) for the services under this
10subdivision. The state share of payment for case management services that are
11provided under s. 49.45 (25) (be) to recipients of medical assistance shall be paid from
12the appropriation account under s. 20.435 (1) (am). All of the following apply to
13grants awarded under this subdivision:”.
SB70-SSA2-SA4,115,20
16(1) Office of Caregiver Quality position increase. The authorized FTE
17positions for the department of health services are increased by 2.8 FED positions,
18beginning in fiscal year 2023-24, to be funded from the appropriation under s. 20.435
19(6) (n) for the purpose of increasing staffing in the division of the department
20responsible for caregiver quality.”.
SB70-SSA2-SA4,116,42
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-SSA2-SA4,116,10
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-SSA2-SA4,117,213
20.435
(4) (jw)
BadgerCare Plus and hospital assessment. All
moneys received
14from payment of enrollment fees under the program under s. 49.45 (23), all moneys
15transferred under s. 50.38 (9), all moneys transferred from the appropriation account
16under par. (jz), and 10 percent of all moneys received from penalty assessments
17under s. 49.471 (9) (c),
for administration of the program under s. 49.45 (23), to
18provide a portion of the state share of administrative costs for the BadgerCare Plus
1Medical Assistance program under s. 49.471
, and for administration of the hospital
2assessment under s. 50.38.
SB70-SSA2-SA4,117,87
49.471
(1) (cr) “Enhanced federal medical assistance percentage" means a
8federal medical assistance percentage described under
42 USC 1396d (y) or (z).
SB70-SSA2-SA4,309n
9Section 309n. 49.471 (4) (a) 4. b. of the statutes is amended to read:
SB70-SSA2-SA4,117,1210
49.471
(4) (a) 4. b. The individual's family income does not exceed
100 133 11percent of the poverty line
before application of the 5 percent income disregard under
1242 CFR 435.603 (d).
SB70-SSA2-SA4,117,1414
49.471
(4) (a) 8. An individual who meets all of the following criteria:
SB70-SSA2-SA4,117,1515
a. The individual is an adult under the age of 65.
SB70-SSA2-SA4,117,1716
b. The adult has a family income that does not exceed 133 percent of the poverty
17line, except as provided in sub. (4g).
SB70-SSA2-SA4,117,1918
c. The adult is not otherwise eligible for the Medical Assistance program under
19this subchapter or the Medicare program under
42 USC 1395 et seq.
SB70-SSA2-SA4,118,321
49.471
(4g) Medicaid expansion; federal medical assistance percentage. For
22services provided to individuals described under sub. (4) (a) 8., the department shall
23comply with all federal requirements to qualify for the highest available enhanced
24federal medical assistance percentage. The department shall submit any
25amendment to the state medical assistance plan, request for a waiver of federal
1Medicaid law, or other approval request required by the federal government to
2provide services to the individuals described under sub. (4) (a) 8. and qualify for the
3highest available enhanced federal medical assistance percentage.
SB70-SSA2-SA4,118,105
49.686
(3) (d) Has applied for coverage under and has been denied eligibility
6for medical assistance within 12 months prior to application for reimbursement
7under sub. (2). This paragraph does not apply to an individual
who is eligible for
8benefits under the demonstration project for childless adults under s. 49.45 (23) or
9to an individual who is eligible for benefits under BadgerCare Plus under s. 49.471
10(4) (a) 8. or (11).
SB70-SSA2-SA4,118,2013
(2h)
Childless adults demonstration project. The department of health
14services shall submit any necessary request to the federal department of health and
15human services for a state plan amendment or waiver of federal Medicaid law or to
16modify or withdraw from any waiver of federal Medicaid law relating to the childless
17adults demonstration project under s. 49.45 (23), 2021 stats., to reflect the
18incorporation of recipients of Medical Assistance under the demonstration project
19into the BadgerCare Plus program under s. 49.471 and the termination of the
20demonstration project.
SB70-SSA2-SA4,118,2522
(2r)
Medicaid expansion. The treatment of ss. 20.435 (4) (jw), 49.45 (2p), 49.45
23(23) and (23b), 49.471 (1) (cr), (4) (a) 4. b. and 8., and (4g), and 49.686 (3) (d), and
2017
24Wisconsin Act 370, section
44 (2) and (3), and
Sections 9119 (2h) of this act take effect
25on July 1, 2023.”.
SB70-SSA2-SA4,119,143
49.45
(3) (e) 11. The department shall use a portion of the moneys collected
4under s. 50.38 (2) (a) to pay for services provided by eligible hospitals, as defined in
5s. 50.38 (1), other than critical access hospitals, under the Medical Assistance
6Program under this subchapter, including services reimbursed on a fee-for-service
7basis and services provided under a managed care system. For state fiscal year
82008-09, total payments required under this subdivision, including both the federal
9and state share of Medical Assistance, shall equal the amount collected under s.
1050.38 (2) (a) for fiscal year 2008-09 divided by 57.75 percent. For each state fiscal
11year after state fiscal year 2008-09, total payments required under this subdivision,
12including both the federal and state share of Medical Assistance, shall equal the
13amount collected under s. 50.38 (2) (a) for the fiscal year divided by
61.68 44.21 14percent.”.
SB70-SSA2-SA4,119,2417
49.45
(3) (e) 12. The department shall use a portion of the moneys collected
18under s. 50.38 (2) (b) to pay for services provided by critical access hospitals under
19the Medical Assistance Program under this subchapter, including services
20reimbursed on a fee-for-service basis and services provided under a managed care
21system. For each state fiscal year, total payments required under this subdivision,
22including both the federal and state share of Medical Assistance, shall equal the
23amount collected under s. 50.38 (2) (b) for the fiscal year divided by
61.68 44.21 24percent.”.
SB70-SSA2-SA4,120,63
49.45
(6xm) Pediatric inpatient supplement. (a) From the appropriations
4under s. 20.435 (4) (b), (o), and (w), the department shall, using a method determined
5by the department, distribute a total sum of $2,000,000 in each state fiscal year to
6hospitals that meet all of the following criteria:
SB70-SSA2-SA4,120,77
1. The hospital is an acute care hospital located in this state.
SB70-SSA2-SA4,120,128
2. During the hospital's fiscal year, the inpatient days in the hospital's acute
9care pediatric units and intensive care pediatric units totaled more than 12,000 days,
10not including neonatal intensive care units. For purposes of this subdivision, the
11hospital's fiscal year is the hospital's fiscal year that ended in the 2nd calendar year
12preceding the beginning of the state fiscal year.
SB70-SSA2-SA4,120,1713
(b) Notwithstanding par. (a), from the appropriations under s. 20.435 (4) (b),
14(o), and (w), the department may, using a method determined by the department,
15distribute an additional total sum of $10,000,000 in each state fiscal year to hospitals
16that are freestanding pediatric teaching hospitals located in Wisconsin that have a
17percentage calculated under s. 49.45 (3m) (b) 1. a. greater than 45 percent.”.
SB70-SSA2-SA4,120,2020
49.45
(30p) Detoxification and stabilization services. (a) In this subsection:
SB70-SSA2-SA4,121,921
1. “Adult residential integrated behavioral health stabilization service” means
22a residential behavioral health treatment service, delivered under the oversight of
23a medical director, that provides withdrawal management and intoxication
24monitoring, as well as integrated behavioral health stabilization services, and
1includes nursing care on site for medical monitoring available on a 24-hour basis.
2“Adult residential integrated behavioral health stabilization service” may include
3the provision of services including screening, assessment, intake, evaluation and
4diagnosis, medical care, observation and monitoring, physical examination,
5determination of medical stability, medication management, nursing services, case
6management, drug testing, counseling, individual therapy, group therapy, family
7therapy, psychoeducation, peer support services, recovery coaching, recovery
8support services, and crisis intervention services, to ameliorate acute behavioral
9health symptoms and stabilize functioning.
SB70-SSA2-SA4,121,1210
2. “Community-based withdrawal management” means a medically managed
11withdrawal management service delivered on an outpatient basis by a physician or
12other service personnel acting under the supervision of a physician.
SB70-SSA2-SA4,121,1513
3. “Detoxification and stabilization services” means adult residential
14integrated behavioral health stabilization service, residential withdrawal
15management service, or residential intoxication monitoring service.
SB70-SSA2-SA4,121,2416
4. “Residential intoxication monitoring service” means a residential service
17that provides 24-hour observation to monitor the safe resolution of alcohol or
18sedative intoxication and to monitor for the development of alcohol withdrawal for
19intoxicated patients who are not in need of emergency medical or behavioral
20healthcare. “Residential intoxication monitoring service” may include the provision
21of services including screening, assessment, intake, evaluation and diagnosis,
22observation and monitoring, case management, drug testing, counseling, individual
23therapy, group therapy, family therapy, psychoeducation, peer support services,
24recovery coaching, and recovery support services.
SB70-SSA2-SA4,122,13
15. “Residential withdrawal management service” means a residential
2substance use treatment service that provides withdrawal management and
3intoxication monitoring, and includes medically managed 24-hour on-site nursing
4care, under the supervision of a physician. “Residential withdrawal management
5service” may include the provision of services, including screening, assessment,
6intake, evaluation and diagnosis, medical care, observation and monitoring,
7physical examination, medication management, nursing services, case
8management, drug testing, counseling, individual therapy, group therapy, family
9therapy, psychoeducation, peer support services, recovery coaching, and recovery
10support services, to ameliorate symptoms of acute intoxication and withdrawal and
11to stabilize functioning. “Residential withdrawal management service” may also
12include community-based withdrawal management and intoxication monitoring
13services.
SB70-SSA2-SA4,122,1814
(b) Subject to par. (c), the department shall provide reimbursement for
15detoxification and stabilization services under the Medical Assistance program
16under s. 49.46 (2) (b) 14r. The department shall certify providers under the Medical
17Assistance program to provide detoxification and stabilization services in
18accordance with this subsection.
SB70-SSA2-SA4,123,219
(c) The department shall submit to the federal department of health and
20human services any request for a state plan amendment, waiver, or other federal
21approval necessary to provide reimbursement for detoxification and stabilization
22services as described in this subsection. If the federal department approves the
23request or if no federal approval is necessary, the department shall provide the
24reimbursement under par. 49.46 (2) (b) 14r. If the federal department disapproves
1the request, the department may not provide the reimbursement described in this
2subsection.
SB70-SSA2-SA4,124
3Section
124. 49.46 (2) (b) 14r. of the statutes is created to read:
SB70-SSA2-SA4,123,54
49.46
(2) (b) 14r. Detoxification and stabilization services as specified under s.
549.45 (30p).”.
SB70-SSA2-SA4,123,158
49.45
(7m) Pay-for-performance; health information exchange. The
9department shall develop and implement for non-hospital providers in the Medical
10Assistance program, including physicians, clinics, health departments, home health
11agencies, and post-acute care facilities, a payment system based on performance to
12incentivize participation in health information data sharing to facilitate better
13patient care, reduced costs, and easier access to patient information. The
14department shall establish performance metrics for the payment system under this
15subsection that satisfy all of the following:
SB70-SSA2-SA4,123,1716
(a) The metric shall include participation by providers in a health information
17exchange at a minimum level of patient record access.
SB70-SSA2-SA4,123,1918
(b) The payment under the payment system shall increase as the participation
19level in the health information exchange increases.
SB70-SSA2-SA4,123,2020
(c) The payment system shall begin in the 2024 rate year.
SB70-SSA2-SA4,123,2221
(d) For purposes of the payment system, the department shall seek any
22available federal moneys.”.
