Amendment AA8-ASA2-AB50

AB50-ASA2-AA8,234,6 110. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,234,7 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,234,14 (1) Windows Plus lead exposure program. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (ef), the dollar amount for fiscal year 2025-26 is increased by $100,169,400 and the dollar amount for fiscal year 2026-27 is increased by $219,100 for the Windows Plus lead exposure program costs and increasing the authorized FTE positions for the department of health services by 2.0 GPR positions, beginning in fiscal year 2025- 26.”.

AB50-ASA2-AA8,234,15 111. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,234,16 “Section 388. 20.435 (2) (gk) of the statutes is amended to read:

AB50-ASA2-AA8,236,7 20.435 (2) (gk) Institutional operations and charges. The amounts in the schedule for care, other than under s. 51.06 (1r), provided by the centers for the developmentally disabled, to reimburse the cost of providing the services and to remit any credit balances to county departments that occur on and after July 1, 1978, in accordance with s. 51.437 (4rm) (c); for care, other than under s. 46.043, provided by the mental health institutes, to reimburse the cost of providing the services and to remit any credit balances to county departments that occur on and after January 1, 1979, in accordance with s. 51.42 (3) (as) 2.; for care of juveniles placed at the Mendota juvenile treatment center for whom counties are financially responsible under s. 938.357 (3) (d), to reimburse the cost of providing that care; for maintenance of state-owned housing at centers for the developmentally disabled and mental health institutes; for repair or replacement of property damaged at the mental health institutes or at centers for the developmentally disabled; for reimbursing the total cost of using, producing, and providing services, products, and care; and to transfer to the appropriation account under sub. (5) (kp) for funding centers. All moneys received as payments from medical assistance on and after August 1, 1978; as payments from all other sources including other payments under s. 46.10 and payments under s. 51.437 (4rm) (c) received on and after July 1, 1978; as medical assistance payments, other payments under s. 46.10, and payments under s. 51.42 (3) (as) 2. received on and after January 1, 1979; as payments from counties for the care of juveniles placed at the Mendota juvenile treatment center; as payments for the rental of state-owned housing and other institutional facilities at centers for the developmentally disabled and mental health institutes; for the sale of electricity, steam, or chilled water; as payments in restitution of property damaged at the mental health institutes or at centers for the developmentally disabled; for the sale of surplus property, including vehicles, at the mental health institutes or at centers for the developmentally disabled; and for other services, products, and care shall be credited to this appropriation, except that any payment under s. 46.10 received for the care or treatment of patients admitted under s. 51.10, 51.15, or 51.20 for which the state is liable under s. 51.05 (3), of forensic patients committed under ch. 971 or 975, admitted under ch. 975, or transferred under s. 51.35 (3), or of patients transferred from a state prison under s. 51.37 (5), to the Mendota Mental Health Institute or the Winnebago Mental Health Institute shall be treated as general purpose revenue — earned, as defined under s. 20.001 (4); and except that moneys received under s. 51.06 (6) may be expended only as provided in s. 13.101 (17). All moneys transferred under 2025 Wisconsin Act .... (this act), section 9219 (1), shall be credited to this appropriation account.

AB50-ASA2-AA8,9219 Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,236,12 (1) Winnebago Mental Health Institute. There is transferred from the general fund to the appropriation account under s. 20.435 (2) (gk) $18,599,500 in fiscal year 2025-26 and $15,251,000 in fiscal year 2026-27 to support the operations of Winnebago Mental Health Institute.”.

AB50-ASA2-AA8,236,13 112. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,236,14 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,236,22 (1) Support for Mendota Juvenile Treatment Center costs. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (2) (bm), the dollar amount for fiscal year 2025-26 is increased by $11,583,400 to support supplies and services costs for the Mendota Juvenile Treatment Center. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (2) (bm), the dollar amount for fiscal year 2026-27 is increased by $11,583,400 to support supplies and services costs for the Mendota Juvenile Treatment Center.”.

AB50-ASA2-AA8,236,23 113. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,237,1 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,237,9 (1) Geropsychiatric treatment expansion. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (2) (bm), the dollar amount for fiscal year 2025-26 is increased by $524,000 to increase FTE positions to 6.0 positions for staffing the geropsychiatric unit at the Mendota Mental Health Institute. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (2) (bm), the dollar amount for fiscal year 2026-27 is increased by $678,700 to fund the 6.0 FTE positions staffing the geropsychiatric unit at the Mendota Mental Health Institute.”.

AB50-ASA2-AA8,237,10 114. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,237,11 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,237,16 (1) WIC adjunct eligibility module; GPR. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (em), the dollar amount for fiscal year 2026-27 is increased by $618,100 to incorporate a supplemental nutrition program for women, infants, and children module into the CARES and ACCESS systems.

AB50-ASA2-AA8,237,21 (2) WIC adjunct eligibility module; FED. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (na), the dollar amount for fiscal year 2026-27 is increased by $618,100 to incorporate a supplemental nutrition program for women, infants, and children module into the CARES and ACCESS systems.”.

AB50-ASA2-AA8,237,22 115. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,237,23 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,238,8 (1) Dental Clinics Serving Low-Income Patients. In the schedule under s. 20.005 (3) for the appropriation to the department of health under s. 20.435 (1) (dk), the dollar amount for fiscal year 2025-26 is increased by $1,800,000 to increase funding for grants provided to dental clinics that serve low-income patients. In the schedule under s. 20.005 (3) for the appropriation to the department of health under s. 20.435 (1) (dk), the dollar amount for fiscal year 2026-27 is increased by $1,800,000 to increase funding for grants provided to dental clinics that serve low- income patients.”

AB50-ASA2-AA8,238,9 116. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,238,10 “Section 1. 250.15 (2) (d) of the statutes is amended to read:

AB50-ASA2-AA8,238,12 250.15 (2) (d) Two million two hundred fifty thousand dollars to To free and charitable clinics, $2,500,000.”

AB50-ASA2-AA8,238,13 117. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,238,14 “Section 1. 250.15 (1) (b) 7. of the statutes is created to read:

AB50-ASA2-AA8,238,15 250.15 (1) (b) 7. The organizations are not health center look-alikes.

AB50-ASA2-AA8,2 Section 2. 250.15 (1) (c) of the statutes is created to read:

AB50-ASA2-AA8,238,19 250.15 (1) (c) “Health center look-alike” means a health care entity that is designated by the federal health resources and services administration as a federally qualified health center look-alike.

AB50-ASA2-AA8,3 Section 3. 250.15 (2) (e) of the statutes is created to read:

AB50-ASA2-AA8,238,22 250.15 (2) (e) To health center look-alikes, $200,000. A grant awarded to a health center look-alike under this paragraph may not exceed $100,000.”.

AB50-ASA2-AA8,238,23 118. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,239,1 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,239,6 (1) Guardianship grants. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (cg), the dollar amount for fiscal year 2025-26 is adjusted to $200,000. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (cg), the dollar amount for fiscal year 2026-27 is adjusted to $200,000.”.

AB50-ASA2-AA8,239,7 119. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,239,8 “Section 9119. Nonstatutory provisions; Health Services.

AB50-ASA2-AA8,239,13 (1) Health care provider innovation grants. From the appropriation under s. 20.435 (4) (bm), the department of health services shall award $7,500,000 in fiscal year 2025-26 as grants to health care providers and long-term care providers to implement best practices and innovative solutions to increase worker recruitment and retention.

AB50-ASA2-AA8,9219 Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,239,18 (1) Health care provider innovation grants. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (4) (bm), the dollar amount for fiscal year 2025-26 is increased by $7,500,000 for grants under Section 9119 (1) of this act.”.

AB50-ASA2-AA8,239,19 120. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,239,20 “Section 389. 20.435 (1) (fi) of the statutes is repealed.

AB50-ASA2-AA8,390 Section 390. 20.435 (1) (fk) of the statutes is amended to read:

AB50-ASA2-AA8,240,2 20.435 (1) (fk) Grants to establish advanced practice clinician health care provider training programs. Biennially, the amounts in the schedule for grants to hospitals, health systems, clinics, and educational entities that form health care education and training consortia under s. 146.615.

AB50-ASA2-AA8,391 Section 391. 146.615 (title) of the statutes is amended to read:

AB50-ASA2-AA8,240,5 146.615 (title) Advanced practice clinician Health care provider training grants.

AB50-ASA2-AA8,392 Section 392. 146.615 (1) (ag) and (ar) of the statutes are created to read:

AB50-ASA2-AA8,240,10 146.615 (1) (ag) “Allied health professional” means any individual who is a health care provider other than a physician, dentist, pharmacist, chiropractor, or podiatrist and who provides diagnostic, technical, therapeutic, or direct patient care and support services to a patient.

AB50-ASA2-AA8,240,13 (ar) “Behavioral health provider” means any individual who is licensed as a psychologist or is certified as a social worker or licensed as a clinical social worker, a marriage and family therapist, or a professional counselor.

AB50-ASA2-AA8,393 Section 393. 146.615 (2) of the statutes is amended to read:

AB50-ASA2-AA8,240,21 146.615 (2) Beginning in fiscal year 2018-19 2025-26, from the appropriation under s. 20.435 (1) (fk), subject to sub. (3), the department shall distribute grants to hospitals, health systems, and clinics that provide new training opportunities for advanced practice clinicians. The department shall distribute the grants under this section subsection to hospitals, health systems, and clinics that apply, in the form and manner determined by the department, to receive grants and that satisfy the criteria under sub. (3).

AB50-ASA2-AA8,394 Section 394. 146.615 (2g) and (2r) of the statutes are created to read:

AB50-ASA2-AA8,241,5 146.615 (2g) Beginning in fiscal year 2025-26, from the appropriation under s. 20.435 (1) (fk), subject to sub. (3), the department shall distribute grants to hospitals, health systems, clinics, and educational entities that form health care education and training consortia for allied health professionals. The department shall distribute the grants under this subsection to hospitals, health systems, clinics, and educational entities that apply, in the form and manner determined by the department, to receive a grant.

AB50-ASA2-AA8,241,12 (2r) Beginning in fiscal year 2025-26, from the appropriation under s. 20.435 (1) (fk), subject to sub. (3), the department shall distribute grants to hospitals, health systems, clinics, and educational entities that form health care education and training consortia for behavioral health providers. The department shall distribute the grants under this subsection to hospitals, health systems, clinics, and educational entities that apply, in the form and manner determined by the department, to receive a grant.

AB50-ASA2-AA8,395 Section 395. 146.615 (3) (a) of the statutes is repealed.

AB50-ASA2-AA8,396 Section 396. 146.615 (3) (b) of the statutes is amended to read:

AB50-ASA2-AA8,241,21 146.615 (3) (b) If the department distributes a grant to a hospital or clinic that has not previously received a grant under this section, the hospital or clinic receiving the grant may use the grant to create the education and infrastructure for training advanced practice clinicians or for activities authorized under par. (c). In distributing grants under this section, the department shall give preference to advanced practice clinician clinical training programs that include rural hospitals and rural clinics as clinical training locations.

AB50-ASA2-AA8,397 Section 397. 146.615 (3) (bm) of the statutes is created to read:

AB50-ASA2-AA8,242,2 146.615 (3) (bm) Acceptable uses of grant moneys received under this section include reasonable expenses incurred by a trainee to fully succeed in training and eventual placement, expenses related to planning and implementing a training program, and up to $5,000 in equipment expenses.

AB50-ASA2-AA8,398 Section 398. 146.615 (3) (c) and (d) of the statutes are repealed.

AB50-ASA2-AA8,399 Section 399. 146.616 of the statutes is repealed.

AB50-ASA2-AA8,9219 Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,242,11 (1) Health care provider training grants. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (fk), the dollar amount for fiscal year 2025-26 is adjusted to $3,500,000. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (cg), the dollar amount for fiscal year 2026-27 is adjusted to $3,500,000.”.

AB50-ASA2-AA8,242,12 121. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,242,13 “Section 1. 49.45 (25d) of the statutes is created to read:

AB50-ASA2-AA8,242,18 49.45 (25d) Health-related social needs. The department shall request a waiver from the federal department of health and human services to provide reimbursement for services for health-related social needs under the Medical Assistance program. If the waiver is granted, the department shall provide reimbursement for services for health-related social needs under this subsection.”.

AB50-ASA2-AA8,242,19 122. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,242,21 “Section 400. Subchapter IX of chapter 150 [precedes 150.99] of the statutes is created to read:

AB50-ASA2-AA8,242,22 CHAPTER 150

AB50-ASA2-AA8,243,2 SUBCHAPTER IX HEALTH CARE ENTITY OVERSIGHT AND TRANSPARENCY

AB50-ASA2-AA8,401 Section 401. 150.99 of the statutes is created to read:

AB50-ASA2-AA8,243,4 150.99 Definitions. In this subchapter:

AB50-ASA2-AA8,243,10 (1) “Acquisition” means the direct or indirect purchase, including lease, transfer, exchange, option, receipt of a conveyance, or creation of a joint venture, or any other manner of purchase, such as by a health care system, private equity group, hedge fund, publicly traded company, real estate investment trust, management services organization, insurance carrier, or any subsidiaries thereof, of a material amount of the assets or operations of a health care entity.

AB50-ASA2-AA8,243,11 (2) “Affiliate” means any of the following:

AB50-ASA2-AA8,243,14 (a) A person, entity, or organization that directly, indirectly, or through one or more intermediaries controls, is controlled by, or is under common control or ownership of another person, entity, or organization.

AB50-ASA2-AA8,243,18 (b) A person whose business is operated under a lease, management, or operating agreement by another entity, or a person substantially all of whose property is operated under a management or operating agreement with that other entity.

AB50-ASA2-AA8,243,20 (c) An entity that operates the business or substantially all the property of another entity under a lease, management, or operating agreement.

AB50-ASA2-AA8,243,23 (d) Any out-of-state operations and corporate affiliates of an affiliate as defined in pars. (a) to (c), including significant equity investors, health care real estate investment trusts, or management services organizations.

AB50-ASA2-AA8,244,4 (3) “Arrangement” includes any agreement, association, partnership, joint venture, management services agreement, professional services agreement, health care staffing company agreement, or other arrangement that results in a change of governance or control of a health care entity or a department, subdivision, or subsidiary of a health care entity.

AB50-ASA2-AA8,244,7 (4) “Change of control” means an arrangement in which any person, corporation, partnership, or any entity acquires direct or indirect control over the operations of a health care entity in whole or in substantial part.

AB50-ASA2-AA8,244,10 (5) “Control,” “controlling,” “controlled by,” and “under common control with” means the direct or indirect power through ownership, contractual agreement, or otherwise to do any of the following:

AB50-ASA2-AA8,244,12 (a) Vote 10 percent or more of any class of voting shares or interests of a health care entity.

AB50-ASA2-AA8,244,13 (b) Direct the actions or policies of the specified entity.

AB50-ASA2-AA8,244,20 (6) “Health care facility” means an institution that provides health care services or a health care setting, including hospitals and other inpatient facilities, health systems consisting of one or more health care entities that are jointly owned or managed, ambulatory surgical or treatment centers, skilled nursing facilities, residential treatment centers, diagnostic, laboratory, and imaging centers, freestanding emergency facilities, outpatient clinics, and rehabilitation and other therapeutic health settings.

AB50-ASA2-AA8,244,23 (7) “Health care provider” means any person, corporation, partnership, governmental unit, state institution, medical practice, or other entity that performs or provides health care services to persons in the state.

AB50-ASA2-AA8,245,2 (8) “Health care services” means services and payments for the care, prevention, diagnosis, treatment, cure, or relief of a medical, dental, or behavioral health condition, illness, injury, or disease, including any of the following:

AB50-ASA2-AA8,245,5 (a) Inpatient, outpatient, habilitative, rehabilitative, dental, palliative, therapeutic, supportive, home health, or behavioral services provided by a health care entity.

AB50-ASA2-AA8,245,7 (b) Pharmacy, retail, and specialty, including any drug, device, or medical supply.

AB50-ASA2-AA8,245,8 (c) Performance of functions to refer, arrange, or coordinate care.

AB50-ASA2-AA8,245,10 (d) Equipment used such as durable medical equipment, diagnostic, surgical devices, or infusion.