Amendment SA4-SSA2-SB70

SB70-SSA2-SA4,123,17 (a) The metric shall include participation by providers in a health information exchange at a minimum level of patient record access.

SB70-SSA2-SA4,123,19 (b) The payment under the payment system shall increase as the participation level in the health information exchange increases.

SB70-SSA2-SA4,123,20 (c) The payment system shall begin in the 2024 rate year.

SB70-SSA2-SA4,123,22 (d) For purposes of the payment system, the department shall seek any available federal moneys.”.

SB70-SSA2-SA4,123,23 169. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,124,2 “ Section 126. 20.005 (3) (schedule) of the statutes: at the appropriate place, insert the following amounts for the purposes indicated: - See PDF for table - See PDF for table

SB70-SSA2-SA4,127 Section 127. 20.435 (1) (ex) of the statutes is created to read:

SB70-SSA2-SA4,124,6 20.435 (1) (ex) Maternal and infant mortality prevention and response. The amounts in the schedule for the prevention of and response to maternal and infant mortality under s. 253.143.

SB70-SSA2-SA4,128 Section 128. 253.143 of the statutes is created to read:

SB70-SSA2-SA4,124,10 253.143 Maternal and infant mortality prevention and response. From the appropriation under s. 20.435 (1) (ex), the department shall do all of the following:

SB70-SSA2-SA4,124,12 (1) Annually award grants to community organizations whose goal is the prevention of maternal and infant mortality.

SB70-SSA2-SA4,124,16 (2) Annually award grants to support the expansion of fetal and infant mortality review and maternal mortality review teams statewide and expand technical assistance and support for existing fetal and infant mortality review and child death review teams.

SB70-SSA2-SA4,124,18 (3) Provide funding and technical assistance to community-based organizations aimed at preventing infant morality.

SB70-SSA2-SA4,125,2 (4) Provide funding for grief and bereavement programming for those impacted by infant loss.

SB70-SSA2-SA4,9119 Section 9119. Nonstatutory provisions; Health Services.

SB70-SSA2-SA4,125,8 (1) Maternal and infant mortality prevention and response. The authorized FTE positions for the department of health services are increased by 2.0 FTE positions, to be funded from the appropriation under s. 20.435 (1) (ex), for the purpose of administering the maternal and infant mortality prevention and response program.”.

SB70-SSA2-SA4,125,9 170. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,125,10 “ Section 9119. Nonstatutory provisions; Health Services.

SB70-SSA2-SA4,125,24 (1) Low-value care analysis grant. From the appropriation under s. 20.435 (1) (b), in the 2023-24 and 2024-25 fiscal years, the department of health services shall award a grant in an amount not to exceed $900,000 in each fiscal year to an organization for the purpose of conducting a data analysis of claims under the medical assistance program administered by the department of health services and claims under health care coverage plans offered by the state under s. 40.51 (6) to identify low-value care. The recipient of the grant under this subsection shall report the organization's findings, including any recommendations for providing effective and efficient care, to the department of health services and the department of employee trust funds. The department of health services and the department of employee trust funds shall distribute the findings reported under this subsection to health care providers that provide services covered by the medical assistance program or a health care coverage plan and to health maintenance organizations and insurance companies that provide health insurance to state employees.”.

SB70-SSA2-SA4,126,1 171. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,126,2 “ Section 129. 46.48 (36) of the statutes is created to read:

SB70-SSA2-SA4,126,9 46.48 (36) Amyotrophic lateral sclerosis. From the appropriation under s. 20.435 (1) (b), the department shall award $250,000 in each fiscal year as a grant to an organization that supports and provides services to individuals with amyotrophic lateral sclerosis for the purposes of assisting individuals diagnosed with amyotrophic lateral sclerosis and their families with the costs of respite care and costs associated with amyotrophic lateral sclerosis that are not covered by insurance.”.

SB70-SSA2-SA4,126,10 172. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,126,11 “ Section 130. 49.79 (9) (f) of the statutes is repealed.”.

SB70-SSA2-SA4,126,12 173. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,126,14 “ Section 131. 20.005 (3) (schedule) of the statutes: at the appropriate place, insert the following amounts for the purposes indicated: - See PDF for table

SB70-SSA2-SA4,132 Section 132. 20.435 (5) (ch) of the statutes is created to read:

SB70-SSA2-SA4,126,17 20.435 (5) (ch) Suicide and crisis lifeline grants. The amounts in the schedule for grants under s. 46.533.

SB70-SSA2-SA4,133 Section 133. 46.533 of the statutes is created to read:

SB70-SSA2-SA4,127,3 46.533 Suicide and crisis lifeline; grants. (1) In this section, “national crisis hotline” means the telephone or text access number “988,” or its successor, that is maintained under the federally administered program under 42 USC 290bb-36c.

SB70-SSA2-SA4,127,7 (2) From the appropriation under s. 20.435 (5) (ch), the department shall award grants to organizations that provide crisis intervention services and crisis care coordination to individuals who contact the national crisis hotline from anywhere within this state.”.

SB70-SSA2-SA4,127,8 174. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,127,9 “ Section 134. 46.482 (1) (a) of the statutes is renumbered 46.482 (1) (bm).

SB70-SSA2-SA4,135 Section 135. 46.482 (1) (am) of the statutes is created to read:

SB70-SSA2-SA4,127,13 46.482 (1) (am) “Certified peer specialist” means an individual described under s. 49.45 (30j) (a) 1m. who has met the certification requirements established by the department.

SB70-SSA2-SA4,136 Section 136. 46.482 (1) (b) of the statutes is renumbered 46.482 (1) (c) and amended to read:

SB70-SSA2-SA4,127,18 46.482 (1) (c) “Peer recovery coach” means an individual described under s. 49.45 (30j) (a) 2. 3. who has completed the training requirements specified under s. 49.45 (30j) (b) 4.

SB70-SSA2-SA4,137 Section 137. 46.482 (2) (a) of the statutes is amended to read:

SB70-SSA2-SA4,127,22 46.482 (2) (a) Use peer recovery coaches and certified peer specialists to encourage individuals to seek treatment for a substance use disorder following an overdose.

SB70-SSA2-SA4,138 Section 138. 46.482 (2) (f) of the statutes is amended to read:

SB70-SSA2-SA4,128,3 46.482 (2) (f) Collect and evaluate data on the outcomes of patients receiving peer recovery coach or certified peer specialist services and coordination and continuation of care services under this section.

SB70-SSA2-SA4,139 Section 139. 49.45 (30j) (title) of the statutes is amended to read:

SB70-SSA2-SA4,128,6 49.45 (30j) (title) Reimbursement for peer recovery coach and certified peer specialist services.

SB70-SSA2-SA4,140 Section 140. 49.45 (30j) (a) 1. and 2. of the statutes are renumbered 49.45 (30j) (a) 2m. and 3.

SB70-SSA2-SA4,141 Section 141. 49.45 (30j) (a) 1m. of the statutes is created to read:

SB70-SSA2-SA4,128,13 49.45 (30j) (a) 1m. “Certified peer specialist” means an individual who has experience in the mental health and substance use services system, who is trained to provide support to others, and who has received peer specialist or parent peer specialist certification under the rules established by the department.

SB70-SSA2-SA4,142 Section 142. 49.45 (30j) (bm) of the statutes is created to read:

SB70-SSA2-SA4,128,17 49.45 (30j) (bm) The department shall reimburse under the Medical Assistance program under this subchapter any service provided by a certified peer specialist if the service satisfies all of the following conditions:

SB70-SSA2-SA4,128,19 1. The recipient of the service provided by a certified peer specialist is in treatment for or recovery from a mental illness or a substance use disorder.

SB70-SSA2-SA4,128,21 2. The certified peer specialist provides the service under the supervision of a competent mental health professional.

SB70-SSA2-SA4,128,24 3. The certified peer specialist provides the service in coordination with the Medical Assistance recipient's individual treatment plan and in accordance with the recipient's individual treatment goals.

SB70-SSA2-SA4,129,3 4. The certified peer specialist providing the service has completed training requirements, as established by the department by rule, after consulting with members of the recovery community.

SB70-SSA2-SA4,143 Section 143. 49.45 (30j) (c) of the statutes is amended to read:

SB70-SSA2-SA4,129,7 49.45 (30j) (c) The department shall certify under Medical Assistance peer recovery coaches and certified peer specialists to provide services in accordance with this subsection.

SB70-SSA2-SA4,144 Section 144. 49.46 (2) (b) 14p. of the statutes is amended to read:

SB70-SSA2-SA4,129,10 49.46 (2) (b) 14p. Subject to s. 49.45 (30j), services provided by a peer recovery coach or a certified peer specialist.

SB70-SSA2-SA4,9119 Section 9119. Nonstatutory provisions; Health Services.

SB70-SSA2-SA4,129,21 (1) Rules regarding training of certified peer specialists. The department of health services may promulgate the rules required under s. 49.45 (30j) (bm) 4. as emergency rules under s. 227.24. Notwithstanding s. 227.24 (1) (a) and (3), the department of health services is not required to provide evidence that promulgating a rule under this subsection as an emergency rule is necessary for the preservation of the public peace, health, safety, or welfare and is not required to provide a finding of emergency for a rule promulgated under this subsection. Notwithstanding s. 227.24 (1) (c) and (2), emergency rules promulgated under this subsection remain in effect until January 1, 2025, or the date the permanent rules take effect, whichever is sooner.”.

SB70-SSA2-SA4,129,22 175. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,129,23 “ Section 145. 20.435 (4) (bm) of the statutes is amended to read:

SB70-SSA2-SA4,130,18 20.435 (4) (bm) Medical Assistance, food stamps, and Badger Care administration; contract costs, insurer reports, and resource centers. Biennially, the amounts in the schedule to provide a portion of the state share of administrative contract costs for the Medical Assistance program under subch. IV of ch. 49 and the Badger Care health care program under s. 49.665 and to provide the state share of administrative costs for the food stamp program under s. 49.79, other than payments under s. 49.78 (8), to develop and implement a registry of recipient immunizations, to reimburse 3rd parties for their costs under s. 49.475, for costs associated with outreach activities, for state administration of state supplemental grants to supplemental security income recipients under s. 49.77, for grants under s. 46.73, and for services of resource centers under s. 46.283. No state positions may be funded in the department of health services from this appropriation, except positions for the performance of duties under a contract in effect before January 1, 1987, related to the administration of the Medical Assistance program between the subunit of the department primarily responsible for administering the Medical Assistance program and another subunit of the department. Total administrative funding authorized for the program under s. 49.665 may not exceed 10 percent of the amounts budgeted under pars. (p) and (x).

SB70-SSA2-SA4,146 Section 146. 20.435 (4) (pa) of the statutes is amended to read:

SB70-SSA2-SA4,130,25 20.435 (4) (pa) Federal aid; Medical Assistance and food stamp contracts administration. All federal moneys received for the federal share of the cost of contracting for payment and services administration and reporting, other than moneys received under pars. (nn) and (np), to reimburse 3rd parties for their costs under s. 49.475, for administrative contract costs for the food stamp program under s. 49.79, for grants under s. 46.73, and for services of resource centers under s. 46.283.

SB70-SSA2-SA4,147 Section 147. 46.73 of the statutes is created to read:

SB70-SSA2-SA4,131,4 46.73 Community dental health coordinators. From the appropriations under s. 20.435 (4) (bm) and (pa), the department shall award grants to support community dental health coordinators.”.

SB70-SSA2-SA4,131,5 176. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,131,6 “ Section 148. 20.940 of the statutes is repealed.

SB70-SSA2-SA4,149 Section 149. 49.45 (2t) of the statutes is repealed.

SB70-SSA2-SA4,150 Section 150. 256.23 (5) of the statutes is amended to read:

SB70-SSA2-SA4,131,14 256.23 (5) In accordance with s. 20.940, the The department shall submit to the federal department of health and human services a request for any state plan amendment, waiver or other approval that is required to implement this section and s. 49.45 (3) (em). If federal approval is required, the department may not implement the collection of the fee under sub. (2) until it receives approval from the federal government to obtain federal matching funds.

SB70-SSA2-SA4,151 Section 151. 601.83 (1) (a) of the statutes is amended to read:

SB70-SSA2-SA4,132,4 601.83 (1) (a) The commissioner shall administer a state-based reinsurance program known as the healthcare stability plan in accordance with the specific terms and conditions approved by the federal department of health and human services dated July 29, 2018. Before December 31, 2023, the commissioner may not request from the federal department of health and human services a modification, suspension, withdrawal, or termination of the waiver under 42 USC 18052 under which the healthcare stability plan under this subchapter operates unless legislation has been enacted specifically directing the modification, suspension, withdrawal, or termination. Before December 31, 2023, the commissioner may request renewal, without substantive change, of the waiver under 42 USC 18052 under which the health care stability plan operates in accordance with s. 20.940 (4) unless legislation has been enacted that is contrary to such a renewal request. The commissioner shall comply with applicable timing in and requirements of s. 20.940.

SB70-SSA2-SA4,9119 Section 9119. Nonstatutory provisions; Health Services.

SB70-SSA2-SA4,132,9 (1v) Childless adults demonstration project reform waiver. The department of health services may submit a request to the federal department of health and human services to modify or withdraw the waiver granted under s. 49.45 (23) (g), 2021 stats.”.

SB70-SSA2-SA4,132,10 177. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,132,11 “ Section 152. 46.854 of the statutes is created to read:

SB70-SSA2-SA4,132,14 46.854 Healthy aging grant program. From the appropriation under s. 20.435 (1) (b), the department shall award in each fiscal year a grant of $600,000 to an entity that conducts programs in healthy aging.”.

SB70-SSA2-SA4,132,15 178. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,132,16 “ Section 438e. 254.11 (5m) of the statutes is repealed.

SB70-SSA2-SA4,438m Section 438m. 254.11 (9) of the statutes is amended to read:

SB70-SSA2-SA4,132,19 254.11 (9) “Lead poisoning or lead exposure" means a level of lead in the blood of 5 3.5 or more micrograms per 100 milliliters of blood.

SB70-SSA2-SA4,438s Section 438s. 254.166 (1) of the statutes is amended to read:

SB70-SSA2-SA4,133,19 254.166 (1) The department may shall, after being notified that an occupant of a dwelling or premises who is under 6 years of age has blood lead poisoning or lead exposure, present official credentials to the owner or occupant of the dwelling or premises, or to a representative of the owner, and request admission to conduct a lead investigation of the dwelling or premises. If the department is notified that an occupant of a dwelling or premises who is a child under 6 years of age has an elevated blood lead level blood lead poisoning or lead exposure, the department shall conduct a lead investigation of the dwelling or premises or ensure that a lead investigation of the dwelling or premises is conducted. The lead investigation shall be conducted during business hours, unless the owner or occupant of the dwelling or premises consents to an investigation during nonbusiness hours or unless the department determines that the dwelling or premises presents an imminent lead hazard. The department shall use reasonable efforts to provide prior notice of the lead investigation to the owner of the dwelling or premises. The department may remove samples or objects necessary for laboratory analysis to determine the presence of a lead hazard in the dwelling or premises. The department shall prepare and file written reports of all lead investigations conducted under this section and shall make the contents of these reports available for inspection by the public, except for medical information, which may be disclosed only to the extent that patient health care records may be disclosed under ss. 146.82 to 146.835. If the owner or occupant refuses admission, the department may seek a warrant to investigate the dwelling or premises. The warrant shall advise the owner or occupant of the scope of the lead investigation.”.

SB70-SSA2-SA4,133,20 179. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,133,21 “ Section 153. 20.435 (1) (b) of the statutes is amended to read:

SB70-SSA2-SA4,134,5 20.435 (1) (b) General aids and local assistance. The amounts in the schedule for aids and local assistance relating to public health services , for grants for the suicide prevention program under s. 255.20 (4), and for grants for community programs under s. 46.48. Notwithstanding ss. 20.001 (3) (a) and 20.002 (1), the department may transfer funds between fiscal years under this paragraph. Except as otherwise provided in this paragraph, all funds allocated but not encumbered by December 31 of each year lapse to the general fund on the next January 1 unless carried forward to the next calendar year by the joint committee on finance.

SB70-SSA2-SA4,154 Section 154. 255.20 (4) of the statutes is created to read:

SB70-SSA2-SA4,134,11 255.20 (4) (a) Implement a suicide prevention program that creates public awareness for issues relating to suicide prevention, builds community networks, and conducts training programs on suicide prevention for law enforcement personnel, health care providers, school employees, and other persons who have contact with persons at risk of suicide.

SB70-SSA2-SA4,134,13 (b) As part of the suicide prevention program under this subsection, the department shall do all of the following: