Amendment AA8-ASA2-AB50

AB50-ASA2-AA8,261,4 (f) The name, business address, and business identification numbers listed in par. (d) for each person or entity that, with respect to the relevant health care entity, has an ownership or investment interest, has a controlling interest, is a management services organization, or is a significant equity investor.

AB50-ASA2-AA8,261,6 (g) A current organizational chart showing the business structure of the health care entity, including all of the following:

AB50-ASA2-AA8,261,7 1. Any entity listed in par. (f).

AB50-ASA2-AA8,261,9 2. Affiliates, including entities that control or are under common control as the health care entity.

AB50-ASA2-AA8,261,10 3. Subsidiaries.

AB50-ASA2-AA8,261,12 (h) For a health care entity that is a provider organization or a health care facility, all of the following information:

AB50-ASA2-AA8,261,15 1. a. The affiliated health care providers identified by name, license type, specialty, national provider identifier, and other applicable identification number listed in par. (d).

AB50-ASA2-AA8,261,16 b. The address of the principal practice location.

AB50-ASA2-AA8,261,17 c. Whether the health care provider is employed or contracted by the entity.

AB50-ASA2-AA8,261,19 2. The name and address of affiliated health care facilities by license number, license type, and capacity in each major service area.

AB50-ASA2-AA8,261,21 (i) The names, national provider identifier, if applicable, and compensation of all of the following:

AB50-ASA2-AA8,261,23 a. The members of the governing board, board of directors, or similar governance body for the health care entity.

AB50-ASA2-AA8,262,2 b. Any entity that is owned or controlled by, affiliated with, or under common control as the health care entity.

AB50-ASA2-AA8,262,3 c. Any entity listed in par. (f).

AB50-ASA2-AA8,262,7 (j) Comprehensive financial reports of the health care entity and any ownership or control entities, including audited financial statements, cost reports, annual costs, annual receipts, realized capital gains and losses, accumulated surplus, and accumulated reserves.

AB50-ASA2-AA8,262,9 (2) Exceptions. All of the following health care entities are exempt from the reporting requirements under sub. (1):

AB50-ASA2-AA8,262,14 (a) A health care entity that is an independent provider organization, without any ownership or control entities, consisting of 2 or fewer physicians, provided that if that health care entity experiences a material change transaction under s. 150.992, the health care entity is subject to reporting under sub. (1) upon the consummation of the transaction.

AB50-ASA2-AA8,262,20 (b) A health care provider or provider organization that is owned or controlled by another health care entity, if the health care provider or provider organization is shown in the organizational chart submitted under sub. (1) (g) and the owning or controlling health care entity reports all the information required under sub. (1) on behalf of the controlled or owned entity. Health care facilities are not subject to this exception.

AB50-ASA2-AA8,263,2 (3) Rules. (a) The department shall promulgate any rules necessary to implement this section, specify the format and content of reports, and impose penalties for noncompliance. The department may require additional reporting of data or information that it determines is necessary to better protect the public’s interest in monitoring the financial conditions, organizational structure, business practices, and market share of each registered health care entity.

AB50-ASA2-AA8,263,4 (b) The department may assess administrative fees on health care entities in an amount to help defray the costs in overseeing and implementing this section.

AB50-ASA2-AA8,263,8 (4) Ownership information. (a) Information provided under this section shall be public information and may not be considered confidential, proprietary, or a trade secret, except that any individual health care provider’s taxpayer identification that is also their social security number shall be confidential.

AB50-ASA2-AA8,263,11 (b) Not later than December 31, 2028, and annually thereafter, the department shall post on its publicly available website a report with respect to the previous one-year period, including all of the following information:

AB50-ASA2-AA8,263,13 1. The number of health care entities reporting for the year, disaggregated by the business structure of each specified entity.

AB50-ASA2-AA8,263,15 2. The names, addresses, and business structure of any entities with an ownership or controlling interest in each health care entity.

AB50-ASA2-AA8,263,16 3. Any change in ownership or control for each health care entity.

AB50-ASA2-AA8,263,17 4. Any change in the tax identification number of a health care entity.

AB50-ASA2-AA8,263,21 5. As applicable, the name, address, tax identification number, and business structure of other affiliates under common control, subsidiaries, and management services entities for the health care entity, including the business type and the tax identification number of each.

AB50-ASA2-AA8,263,23 6. An analysis of trends in horizontal and vertical consolidation, disaggregated by business structure and provider type.

AB50-ASA2-AA8,264,7 (c) The department may share information reported under this section with the attorney general, other state agencies, and other state officials to reduce or avoid duplication in reporting requirements or to facilitate oversight or enforcement under state law. Any tax identification numbers that are individual social security numbers may be shared with the attorney general, other state agencies, or other state officials that agree to maintain the confidentiality of such information. The department may, in consultation with the relevant state agencies, merge similar reporting requirements where appropriate.

AB50-ASA2-AA8,264,12 (5) Enforcement. (a) Audit and inspection authority. The department is authorized to audit and inspect the records of any health care entity that has failed to submit complete information pursuant to this section or if the department has reason to question the accuracy or completeness of the information submitted pursuant this section.

AB50-ASA2-AA8,264,15 (b) Random audits. The department shall conduct annual audits of a random sample of health care entities to verify compliance with, accuracy, and completeness of the reported information pursuant to this section.

AB50-ASA2-AA8,264,18 (c) Penalty for failure to report. If a health care entity fails to provide a complete report under sub. (1), or submits a report containing false information, the entity shall be subject to all of the following civil penalties, as appropriate:

AB50-ASA2-AA8,264,22 1. Health care entities consisting of independent health care providers or provider organizations without any 3rd-party ownership or control entities, with 10 or fewer physicians or less than $10 million in annual revenue, a forfeiture of up to $50,000 for each report not provided or containing false information.

AB50-ASA2-AA8,264,24 2. For all other health care entities, a forfeiture of up to $500,000 for each report not provided or containing false information.

AB50-ASA2-AA8,9419 Section 9419. Effective dates; Health Services.

AB50-ASA2-AA8,265,3 (1) Healthcare ownership and transparency. The creation of subch. IX of ch. 150, ss. 150.99, 150.992, 150.994, and 150.996 takes effect on January 1, 2027.”.

AB50-ASA2-AA8,265,4 123. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,265,5 “Section 405. 49.79 (7w) (a) 1. of the statutes is amended to read:

AB50-ASA2-AA8,265,11 49.79 (7w) (a) 1. “Eligible retailer” includes any supermarket, grocery store, wholesaler, small-scale store, corner store, convenience store, neighborhood store, bodega, farmers’ market, direct-marketing farmer, nonprofit cooperative food- purchasing venture, or community-supported agriculture program means a retailer authorized to participate in the food stamp program federal supplemental nutrition assistance program.

AB50-ASA2-AA8,406 Section 406. 49.79 (7w) (b) of the statutes is amended to read:

AB50-ASA2-AA8,266,8 49.79 (7w) (b) The department shall, through a competitive selection process, contract with one or more nonprofit 3rd-party organizations to administer a healthy food incentive program statewide. The healthy food incentive program shall provide to any food stamp program recipient assistance group that uses benefits at an eligible retailer participating in the healthy food incentive program under this subsection a monetary amount up to the amount of food stamp program benefits used at the eligible retailer for the purpose of purchasing fruits and vegetables from the eligible retailer. In administering the program, a nonprofit 3rd- party organization shall prioritize including in the healthy food incentive program eligible retailers that source fruits and vegetables primarily from growers in this state and shall establish a timeline for expiration of matching monetary amounts provided for the purchase of fruits and vegetables under the healthy food incentive program such that a matching monetary amount expires no later than one year after it is provided. The department may establish a maximum amount of benefits that may be matched per day for a food stamp program recipient assistance group. Any nonprofit 3rd-party organization administering the healthy food incentive program shall ensure that matching amounts provided under the program that are unused and expire remain with the nonprofit 3rd-party organization and, upon expiration, are available for use to provide matching amounts to other food stamp recipients assistance groups under the program.

AB50-ASA2-AA8,407 Section 407. 49.79 (7w) (c) of the statutes is amended to read:

AB50-ASA2-AA8,266,18 49.79 (7w) (c) The department may allocate no more than 25 percent of the funding available for the healthy food incentive program under this subsection to program development, promotion of and outreach for the program, training, data collection, evaluation, administration, and reporting and shall allocate the remainder of the funding available to the eligible retailers participating in the healthy food incentive program under this subsection. The department shall seek, or require any 3rd-party organization chosen under par. (b) to seek, any available federal matching moneys from the Gus Schumacher Nutrition Incentive Program to fund the healthy food incentive program under this subsection.

AB50-ASA2-AA8,408 Section 408. 49.79 (7w) (cd) of the statutes is created to read:

AB50-ASA2-AA8,266,22 49.79 (7w) (cd) A 3rd-party organization chosen under par. (b) may retain for administrative purposes an amount not to exceed 33 percent of the total contracted amount or the applicable cap found in federal law or guidance, whichever is lower.

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

AB50-ASA2-AA8,267,5 (1) Healthy food incentive plan. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (4) (bt), the dollar amount for fiscal year 2025-26 is increased by $488,600. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (4) (bt), the dollar amount for fiscal year 2026-27 is increased by $488,600.”.

AB50-ASA2-AA8,267,6 124. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,267,7 “Section 409. 252.12 (2) (a) 8. (intro.) of the statutes is amended to read:

AB50-ASA2-AA8,267,19 252.12 (2) (a) 8. ‘Mike Johnson life care and early intervention services grants.’ (intro.) The department shall award not more than $4,000,000 $4,500,000 in each fiscal year in grants to applying AIDS service organizations for the provision of needs assessments; assistance in procuring financial, medical, legal, social and pastoral services; counseling and therapy; homecare services and supplies; advocacy; and case management services. These services shall include early intervention services. The department shall also award not more than $74,000 in each year from the appropriation account under s. 20.435 (5) (md) for the services under this subdivision. The state share of payment for case management services that are provided under s. 49.45 (25) (be) to recipients of medical assistance shall be paid from the appropriation account under s. 20.435 (1) (am). All of the following apply to grants awarded under this subdivision:

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

AB50-ASA2-AA8,268,3 (1) Mike Johnson life care and early intervention services grant. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (am), the dollar amount for fiscal year 2025-26 is increased by $500,000 and the dollar amount for fiscal year 2026-27 is increased by $500,000 to support an increase to the annual maximum funding for the HIV/AIDS-related services under the Mike Johnson life care and early intervention services grant.”.

AB50-ASA2-AA8,268,4 125. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,268,5 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,268,11 (1) Supplement to federal Ryan White HIV/AIDS program. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (am), the dollar amount for fiscal year 2025-26 is increased by $1,750,000 and the dollar amount for fiscal year 2026-27 is increased by $1,750,000 to supplement federal Ryan White funding for HIV/AIDS prevention and treatment services.”.

AB50-ASA2-AA8,268,12 126. At the appropriate places, insert all of the following:

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

AB50-ASA2-AA8,268,17 (1) Hospital services funding. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (bd), the dollar amount for fiscal year 2025-26 is increased by $15,000,000 to fund hospital service grants to support hospital services in western Wisconsin.”.

AB50-ASA2-AA8,268,18 127. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,268,19 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,269,3 (1) Income maintenance; funding for consortia and tribal agencies. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (4) (bn), the dollar amount for fiscal year 2025-26 is increased by $384,000 and the dollar amount for fiscal year 2026-27 is increased by $706,600 to increase base contracts for income maintenance consortia and tribal income maintenance agencies by 2 percent in fiscal year 2025-26 and by an additional 2 percent in 2026-27.”.

AB50-ASA2-AA8,269,4 128. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,269,5 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,269,10 (1) Independent living centers. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (cx), the dollar amount for fiscal year 2025-26 is increased by $101,800 and the dollar amount for fiscal year 2026-27 is increased by $100,800 to increase funding for grants to independent living centers.”.

AB50-ASA2-AA8,269,11 129. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,269,12 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,269,21 (1) Departmentwide. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (a), the dollar amount for fiscal year 2025-26 is increased by $1,097,000 to maintain the department's internal IT network and provide a 5 percent increase in funding to support maintenance costs at residential facilities. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (a), the dollar amount for fiscal year 2026-27 is increased by $1,097,000 to maintain the department's internal IT network and provide a 5 percent increase in funding to support maintenance costs at residential facilities.”.

AB50-ASA2-AA8,269,22 130. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,269,23 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,270,6 (1) Interpreter services for staff. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (a), the dollar amount for fiscal year 2025-26 is increased by $89,500 and the dollar amount for fiscal year 2026-27 is increased by $89,500 to fund interpreter services for staff in the department’s bureau of aging and disability resources who require American Sign Language interpretation services.”.

AB50-ASA2-AA8,270,7 131. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,270,8 “Section 410. 20.940 of the statutes is repealed.

AB50-ASA2-AA8,411 Section 411. 49.45 (2t) of the statutes is repealed.

AB50-ASA2-AA8,412 Section 412. 49.45 (23) (g) of the statutes is repealed.

AB50-ASA2-AA8,413 Section 413. 49.45 (23b) of the statutes is repealed.

AB50-ASA2-AA8,414 Section 414. 49.45 (41) (d) of the statutes is amended to read:

AB50-ASA2-AA8,271,2 49.45 (41) (d) The department shall, in accordance with all procedures set forth under s. 20.940, 2023 stats., request a waiver under 42 USC 1315 or submit a Medical Assistance state plan amendment to the federal department of health and human services to obtain any necessary federal approval required to provide reimbursement to crisis urgent care and observation facilities certified under s. 51.036 for crisis intervention services under this subsection. If the department determines submission of a state plan amendment is appropriate, the department shall, notwithstanding whether the expected fiscal effect of the amendment is $7,500,000 or more, submit the amendment to the joint committee on finance for review in accordance with the procedures under sub. (2t), 2023 stats. If federal approval is granted or no federal approval is required, the department shall provide reimbursement under s. 49.46 (2) (b) 15. If federal approval is necessary but is not granted, the department may not provide reimbursement for crisis intervention services provided by crisis urgent care and observation facilities.

AB50-ASA2-AA8,415 Section 415. 256.23 (5) of the statutes is amended to read:

AB50-ASA2-AA8,271,9 256.23 (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.

AB50-ASA2-AA8,416 Section 416. 601.83 (1) (a) of the statutes is amended to read:

AB50-ASA2-AA8,271,23 601.83 (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.

AB50-ASA2-AA8,417 Section 417. 2017 Wisconsin Act 370, section 44 (2) and (3) are repealed.

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

AB50-ASA2-AA8,272,6 (1) 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 any waiver request submitted under s. 49.45 (23) (g), 2023 stats.”.

AB50-ASA2-AA8,272,7 132. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,272,9 “Section 418. 46.536 (1) of the statutes is renumbered 46.536 (1) (intro.) and amended to read:

AB50-ASA2-AA8,272,11 46.536 (1) (intro.) From the appropriation under s. 20.435 (5) (cf), the department shall award all of the following grants in the:

AB50-ASA2-AA8,272,20 (a) A total amount of $250,000 in each fiscal biennium to counties or regions comprised of multiple counties to establish or enhance crisis programs to serve individuals having crises in rural areas or counties, municipalities, or regions comprised of multiple counties or municipalities to establish and enhance law enforcement and behavioral health services emergency response collaboration programs. Grant recipients under this section paragraph shall match at least 25 percent of the grant amount awarded for the purpose that the grant is received. The department may not award any single grant in an amount greater than $100,000.

AB50-ASA2-AA8,419 Section 419. 46.536 (1) (b) of the statutes is created to read: