Amendment AA8-ASA2-AB50

AB50-ASA2-AA8,128,15 (1) Position authorizations; aircraft pilots and mechanic. The authorized FTE positions for the department of administration are increased by 3.0 PR positions, to be funded from the appropriation under s. 20.505 (1) (kb), for the employment of 2 aircraft pilots and one mechanic.

AB50-ASA2-AA8,9201 Section 9201. Fiscal changes; Administration.

AB50-ASA2-AA8,129,2 (1) Replacement of state-owned aircraft. In the schedule under s. 20.005 (3) for the appropriation to the department of administration under s. 20.505 (1) (kb), the dollar amount for fiscal year 2025-26 is increased by $7,823,400 to purchase and replace a state-owned aircraft, to maintain the aircraft and hangar, and to employ 2 pilots and one mechanic, as authorized under Section 9101 (1) of this act. In the schedule under s. 20.005 (3) for the appropriation to the department of administration under s. 20.505 (1) (kb), the dollar amount for fiscal year 2026-27 is increased by $397,700 to maintain the new aircraft and the hangar and to employ 2 pilots and one mechanic, as authorized under Section 9101 (1) of this act.”.

AB50-ASA2-AA8,129,3 40. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,129,4 “Section 9201. Fiscal changes; Administration.

AB50-ASA2-AA8,129,12 (1) Tribal youth wellness center. In the schedule under s. 20.005 (3) for the appropriation to the department of administration under s. 20.505 (1) (kp), the dollar amount for fiscal year 2025-26 is increased by $1,500,000 to build a youth substance abuse and mental health treatment center led by the Great Lakes inter- tribal council. In the schedule under s. 20.005 (3) for the appropriation to the department of administration under s. 20.505 (1) (kp), the dollar amount for fiscal year 2026-27 is increased by $1,500,000 to build a youth substance abuse and mental health treatment center led by the Great Lakes inter-tribal council.”.

AB50-ASA2-AA8,129,13 41. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,129,14 “Section 255. 20.437 (1) (bc) of the statutes is amended to read:

AB50-ASA2-AA8,129,22 20.437 (1) (bc) Grants for children’s community Youth support programs. The amounts in the schedule for grants for children’s community youth support programs under s. 48.481. Notwithstanding ss. 20.001 (3) (a) and 20.002 (1), the department may transfer funds between fiscal years under this paragraph. All moneys under this appropriation account that are distributed under s. 48.481 but are 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.

AB50-ASA2-AA8,256 Section 256. 48.481 (title) of the statutes is amended to read:

AB50-ASA2-AA8,130,2 48.481 (title) Grants for children’s community Youth support programs.

AB50-ASA2-AA8,257 Section 257. 48.481 (2) of the statutes is renumbered 48.481 (2) (b) and amended to read:

AB50-ASA2-AA8,130,9 48.481 (2) (b) The From the appropriation under s. 20.437 (1) (bc), the department shall distribute at least $231,700 in each fiscal year funds for the purpose of assisting any of the following individuals who attain, if the individual is under the age of 23, to make the transition from out-of-home care to a successful adulthood:

AB50-ASA2-AA8,130,14 1. An individual who attained the age of 18 while residing in a foster home, group home, or residential care center for children and youth, in the home of a relative other than a parent, or in a supervised independent living arrangement to make the transition from out-of-home care to a successful adulthood out-of-home care.

AB50-ASA2-AA8,130,18 (c) Public or private agencies or organizations are eligible for funding under this subsection. No county department or Indian tribe may use funds provided under this subsection to replace funds previously used by the county department or Indian tribe for this purpose.

AB50-ASA2-AA8,258 Section 258. 48.481 (2) (a) of the statutes is created to read:

AB50-ASA2-AA8,131,2 48.481 (2) (a) In this subsection, “out-of-home care” means the placement and care of a child by the department, a county department, or a tribal child welfare agency in a foster home, group home, or residential care center for children and youth, in the home of a relative other than a parent, in the home of like-kin, in the home of a person who is not a relative or like-kin, or in a supervised independent living arrangement.

AB50-ASA2-AA8,259 Section 259. 48.481 (2) (b) 2. of the statutes is created to read:

AB50-ASA2-AA8,131,5 48.481 (2) (b) 2. An individual who resided in out-of-home care for at least 6 months after his or her 16th birthday.

AB50-ASA2-AA8,260 Section 260. 48.481 (2) (b) 3. of the statutes is created to read:

AB50-ASA2-AA8,131,8 48.481 (2) (b) 3. An individual who was placed under a guardianship under s. 48.977 on or after his or her 16th birthday.

AB50-ASA2-AA8,261 Section 261. 48.481 (2) (b) 4. of the statutes is created to read:

AB50-ASA2-AA8,131,11 48.481 (2) (b) 4. An individual who was adopted on or after his or her 16th birthday following time spent in out-of-home care.

AB50-ASA2-AA8,9206 Section 9206. Fiscal changes; Children and Families.

AB50-ASA2-AA8,131,20 (1) Independent living supports. In the schedule under s. 20.005 (3) for the appropriation to the department of children and families under s. 20.437 (1) (bc), the dollar amount for fiscal year 2025-26 is increased by $5,251,400 for maintaining and enhancing services for individuals aged 18 to 23 who were formerly in out-of- home care. In the schedule under s. 20.005 (3) for the appropriation to the department of children and families under s. 20.437 (1) (bc), the dollar amount for fiscal year 2026-27 is increased by $5,251,400 for maintaining and enhancing services for individuals aged 18 to 23 who were formerly in out-of-home care.”.

AB50-ASA2-AA8,131,21 42. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,131,23 “Section 9202. Fiscal changes; Agriculture, Trade and Consumer Protection.

AB50-ASA2-AA8,132,5 (1) Farmer mental health assistance programming. In the schedule under s. 20.005 (3) for the appropriation to the department of agriculture, trade and consumer protection under s. 20.115 (3) (c), the dollar amount for fiscal year 2025- 26 is increased by $200,000 and the dollar amount for fiscal year 2026-27 is increased by $200,000 for farmer mental health assistance programming.”.

AB50-ASA2-AA8,132,6 43. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,132,7 “Section 262. 49.175 (1) (p) of the statutes is amended to read:

AB50-ASA2-AA8,132,14 49.175 (1) (p) Direct child care services. For direct child care services under s. 49.155 or 49.257, $376,700,400 in fiscal year 2021-22 and $383,900,400 in fiscal year 2022-23. In fiscal year 2023-24, for such direct child care services, $368,834,800. In fiscal year 2024-25, for such direct child care services, $428,779,700. In fiscal year 2025-26, for such direct child care services, $438,582,000. In fiscal year 2026-27, for such direct child care services, $459,111,600.

AB50-ASA2-AA8,9206 Section 9206. Fiscal changes; Children and Families.

AB50-ASA2-AA8,132,22 (1) Direct child care services. In the schedule under s. 20.005 (3) for the appropriation to the department of children and families under s. 20.437 (1) (md), the dollar amount for fiscal year 2025-26 is increased by $9,802,300 to support the Wisconsin Shares child care subsidy program. In the schedule under s. 20.005 (3) for the appropriation to the department of children and families under s. 20.437 (1) (md), the dollar amount for fiscal year 2026-27 is increased by $30,331,900 to support the Wisconsin Shares child care subsidy program.”.

AB50-ASA2-AA8,132,23 44. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,133,1 “Section 263. 15.07 (3) (bm) 7. of the statutes is created to read:

AB50-ASA2-AA8,133,3 15.07 (3) (bm) 7. The prescription drug affordability review board shall meet at least 4 times each year.

AB50-ASA2-AA8,264 Section 264. 15.735 of the statutes is created to read:

AB50-ASA2-AA8,133,7 15.735 Same; attached board. (1) There is created a prescription drug affordability review board attached to the office of the commissioner of insurance under s. 15.03. The board shall consist of the following members:

AB50-ASA2-AA8,133,8 (a) The commissioner of insurance or his or her designee.

AB50-ASA2-AA8,133,12 (b) Two members appointed for 4-year terms who represent the pharmaceutical drug industry, including pharmaceutical drug manufacturers and wholesalers. At least one of the members appointed under this paragraph shall be a licensed pharmacist.

AB50-ASA2-AA8,133,14 (c) Two members appointed for 4-year terms who represent the health insurance industry, including insurers and pharmacy benefit managers.

AB50-ASA2-AA8,133,18 (d) Two members appointed for 4-year terms who represent the health care industry, including hospitals, physicians, pharmacies, and pharmacists. At least one of the members appointed under this paragraph shall be a licensed practitioner.

AB50-ASA2-AA8,133,20 (e) Two members appointed for 4-year terms who represent the interests of the public.

AB50-ASA2-AA8,133,23 (2) A member appointed under sub. (1), except for a member appointed under sub. (1) (b), may not be an employee of, a board member of, or a consultant to a drug manufacturer or trade association for drug manufacturers.

AB50-ASA2-AA8,134,5 (3) Any conflict of interest, including any financial or personal association, that has the potential to bias or has the appearance of biasing an individual’s decision in matters related to the board or the conduct of the board’s activities shall be considered and disclosed when appointing that individual to the board under sub. (1).

AB50-ASA2-AA8,265 Section 265. 20.145 (1) (g) 5. of the statutes is created to read:

AB50-ASA2-AA8,134,10 20.145 (1) (g) 5. All moneys received from the regulation of pharmacy benefit managers, pharmacy benefit management brokers, pharmacy benefit management consultants, pharmacy services administration organizations, and pharmaceutical representatives.

AB50-ASA2-AA8,266 Section 266. 601.575 of the statutes is created to read:

AB50-ASA2-AA8,134,17 601.575 Prescription drug importation program. (1) Importation program requirements. The commissioner, in consultation with persons interested in the sale and pricing of prescription drugs and appropriate officials and agencies of the federal government, shall design and implement a prescription drug importation program for the benefit of residents of this state, that generates savings for residents, and that satisfies all of the following:

AB50-ASA2-AA8,134,20 (a) The commissioner shall designate a state agency to become a licensed wholesale distributor or to contract with a licensed wholesale distributor and shall seek federal certification and approval to import prescription drugs.

AB50-ASA2-AA8,134,22 (b) The program shall comply with relevant requirements of 21 USC 384, including safety and cost savings requirements.

AB50-ASA2-AA8,135,2 (c) The program shall import prescription drugs from Canadian suppliers regulated under any appropriate Canadian or provincial laws.

AB50-ASA2-AA8,135,4 (d) The program shall have a process to sample the purity, chemical composition, and potency of imported prescription drugs.

AB50-ASA2-AA8,135,8 (e) The program shall import only those prescription drugs for which importation creates substantial savings for residents of this state and only those prescription drugs that are not brand-name drugs and that have fewer than 4 competitor prescription drugs in the United States.

AB50-ASA2-AA8,135,10 (f) The commissioner shall ensure that prescription drugs imported under the program are not distributed, dispensed, or sold outside of this state.

AB50-ASA2-AA8,135,11 (g) The program shall ensure all of the following:

AB50-ASA2-AA8,135,13 1. Participation by any pharmacy or health care provider in the program is voluntary.

AB50-ASA2-AA8,135,15 2. Any pharmacy or health care provider participating in the program has the appropriate license or other credential in this state.

AB50-ASA2-AA8,135,18 3. Any pharmacy or health care provider participating in the program charges a consumer or health plan the actual acquisition cost of the imported prescription drug that is dispensed.

AB50-ASA2-AA8,135,22 (h) The program shall ensure that a payment by a health plan or health insurance policy for a prescription drug imported under the program reimburses no more than the actual acquisition cost of the imported prescription drug that is dispensed.

AB50-ASA2-AA8,136,2 (i) The program shall ensure that any health plan or health insurance policy participating in the program does all of the following:

AB50-ASA2-AA8,136,4 1. Maintains a formulary and claims payment system with current information on prescription drugs imported under the program.

AB50-ASA2-AA8,136,7 2. Bases cost-sharing amounts for participants or insureds under the plan or policy on no more than the actual acquisition cost of the prescription drug imported under the program that is dispensed to the participant or insured.

AB50-ASA2-AA8,136,10 3. Demonstrates to the commissioner or a state agency designated by the commissioner how premiums under the plan or policy are affected by savings on prescription drugs imported under the program.

AB50-ASA2-AA8,136,13 (j) Any wholesale distributor importing prescription drugs under the program shall limit its profit margin to the amount established by the commissioner or a state agency designated by the commissioner.

AB50-ASA2-AA8,136,15 (k) The program may not import any generic prescription drug that would violate federal patent laws on branded products in the United States.

AB50-ASA2-AA8,136,20 (L) The program shall comply with tracking and tracing requirements of 21 USC 360eee and 360eee-1, to the extent practical and feasible, before the prescription drug to be imported comes into the possession of this state’s wholesale distributor and fully after the prescription drug to be imported is in the possession of this state’s wholesale distributor.

AB50-ASA2-AA8,136,22 (m) The program shall establish a fee or other mechanism to finance the program that does not jeopardize significant savings to residents of this state.

AB50-ASA2-AA8,136,23 (n) The program shall have an audit function that ensures all of the following:

AB50-ASA2-AA8,137,2 1. The commissioner has a sound methodology to determine the most cost- effective prescription drugs to include in the program.

AB50-ASA2-AA8,137,4 2. The commissioner has a process in place to select Canadian suppliers that are high quality, high performing, and in full compliance with Canadian laws.

AB50-ASA2-AA8,137,6 3. Prescription drugs imported under the program are pure, unadulterated, potent, and safe.

AB50-ASA2-AA8,137,7 4. The program is complying with the requirements of this subsection.

AB50-ASA2-AA8,137,9 5. The program is adequately financed to support administrative functions of the program while generating significant cost savings to residents of this state.

AB50-ASA2-AA8,137,11 6. The program does not put residents of this state at a higher risk than if the program did not exist.

AB50-ASA2-AA8,137,13 7. The program provides and is projected to continue to provide substantial cost savings to residents of this state.

AB50-ASA2-AA8,137,16 (2) Anticompetitive behavior. The commissioner, in consultation with the attorney general, shall identify the potential for and monitor anticompetitive behavior in industries affected by a prescription drug importation program.

AB50-ASA2-AA8,138,3 (3) Approval of program design; certification. No later than the first day of the 7th month beginning after the effective date of this subsection .... [LRB inserts date], the commissioner shall submit to the joint committee on finance a report that includes the design of the prescription drug importation program in accordance with this section. The commissioner may not submit the proposed program to the federal department of health and human services unless the joint committee on finance approves the proposed program. Within 14 days of the date of approval by the joint committee on finance of the proposed program, the commissioner shall submit to the federal department of health and human services a request for certification of the approved program.

AB50-ASA2-AA8,138,11 (4) Implementation of certified program. After the federal department of health and human services certifies the prescription drug importation program submitted under sub. (3), the commissioner shall begin implementation of the program, and the program shall be fully operational by 180 days after the date of certification by the federal department of health and human services. The commissioner shall do all of the following to implement the program to the extent the action is in accordance with other state laws and the certification by the federal department of health and human services:

AB50-ASA2-AA8,138,14 (a) Become a licensed wholesale distributor, designate another state agency to become a licensed wholesale distributor, or contract with a licensed wholesale distributor.

AB50-ASA2-AA8,138,16 (b) Contract with one or more Canadian suppliers that meet the criteria in sub. (1) (c) and (n).

AB50-ASA2-AA8,138,19 (c) Create an outreach and marketing plan to communicate with and provide information to health plans and health insurance policies, employers, pharmacies, health care providers, and residents of this state on participating in the program.

AB50-ASA2-AA8,138,22 (d) Develop and implement a registration process for health plans and health insurance policies, pharmacies, and health care providers interested in participating in the program.

AB50-ASA2-AA8,139,2 (e) Create a publicly accessible source for listing prices of prescription drugs imported under the program.

AB50-ASA2-AA8,139,5 (f) Create, publicize, and implement a method of communication to promptly answer questions from and address the needs of persons affected by the implementation of the program before the program is fully operational.

AB50-ASA2-AA8,139,7 (g) Establish the audit functions under sub. (1) (n) with a timeline to complete each audit function every 2 years.

AB50-ASA2-AA8,139,9 (h) Conduct any other activities determined by the commissioner to be important to successful implementation of the program.

AB50-ASA2-AA8,139,11 (5) Report. By January 1 and July 1 of each year, the commissioner shall submit to the joint committee on finance a report including all of the following:

AB50-ASA2-AA8,139,13 (a) A list of prescription drugs included in the prescription drug importation program under this section.