2025 - 2026 LEGISLATURE
LRB-3581/1
JPC:cdc
June 27, 2025 - Introduced by Senators L. Johnson, Carpenter, Drake, Hesselbein, Keyeski, Larson, Pfaff, Ratcliff, Roys, Smith, Spreitzer and Wirch, cosponsored by Representatives Vining, Roe, DeSanto, Moore Omokunde, Palmeri, Cruz, Anderson, Arney, Bare, Brown, Clancy, DeSmidt, Fitzgerald, Goodwin, Haywood, Hong, Joers, Johnson, Kaufert, Madison, Mayadev, Miresse, Neubauer, Phelps, Prado, Rivera-Wagner, Sinicki, Stroud, Stubbs, Subeck, Tenorio and Udell. Referred to Committee on Education.
SB349,1,2
1An Act to amend 49.45 (39) (b) 1. and 49.45 (39) (b) 2. of the statutes; relating
2to: payment for school medical services. Analysis by the Legislative Reference Bureau
Under current law, if a school district or a cooperative educational service agency elects to provide school medical services and meets certain requirements, DHS is required to reimburse the school district or cooperative educational service agency for 60 percent of the federal share of allowable charges for the school medical services that they provide. If the Wisconsin Center for the Blind and Visually Impaired or the Wisconsin Educational Services Program for the Deaf and Hard of Hearing elects to provide school medical services and meets certain other requirements, DHS is also required to reimburse DPI for 60 percent of the federal share of allowable charges for the school medical services that the Wisconsin Center for the Blind and Visually Impaired or the Wisconsin Educational Services Program for the Deaf and Hard of Hearing provide. Further, under current law, DHS is required to reimburse school districts, cooperative educational service agencies, and DPI, on behalf of the Wisconsin Center for the Blind and Visually Impaired or the Wisconsin Educational Services Program for the Deaf and Hard of Hearing, for 90 percent of the federal share of allowable school medical services administrative costs.
This bill increases the amount that DHS is required to reimburse a school district, cooperative educational service agency, and DPI, on behalf of the Wisconsin Center for the Blind and Visually Impaired or the Wisconsin Educational Services Program for the Deaf and Hard of Hearing, for provided school medical services to 100 percent of the federal share of allowable charges for the school medical services. The bill also increases the amount that DHS is required to reimburse a school district, cooperative educational service agency, and DPI, on behalf of the Wisconsin Center for the Blind and Visually Impaired or the Wisconsin Educational Services Program for the Deaf and Hard of Hearing, to 100 percent of the federal share of allowable school medical services administrative costs.
For further information see the state fiscal estimate, which will be printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
SB349,1
1Section 1. 49.45 (39) (b) 1. of the statutes is amended to read: SB349,3,18249.45 (39) (b) 1. ‘Payment for school medical services.’ If a school district or a 3cooperative educational service agency elects to provide school medical services and 4meets all requirements under par. (c), the department shall reimburse the school 5district or the cooperative educational service agency for 60 100 percent of the 6federal share of allowable charges for the school medical services that it provides 7and, as specified in subd. 2., for allowable administrative costs. If the Wisconsin 8Center for the Blind and Visually Impaired or the Wisconsin Educational Services 9Program for the Deaf and Hard of Hearing elects to provide school medical services 10and meets all requirements under par. (c), the department shall reimburse the 11department of public instruction for 60 100 percent of the federal share of allowable 12charges for the school medical services that the Wisconsin Center for the Blind and 13Visually Impaired or the Wisconsin Educational Services Program for the Deaf and 14Hard of Hearing provides and, as specified in subd. 2., for allowable administrative 15costs. A school district, cooperative educational service agency, the Wisconsin 16Center for the Blind and Visually Impaired, or the Wisconsin Educational Services
1Program for the Deaf and Hard of Hearing may submit, and the department shall 2allow, claims for common carrier transportation costs as a school medical service 3unless the department receives notice from the federal health care financing 4administration that, under a change in federal policy, the claims are not allowed. If 5the department receives the notice, a school district, cooperative educational service 6agency, the Wisconsin Center for the Blind and Visually Impaired, or the Wisconsin 7Educational Services Program for the Deaf and Hard of Hearing may submit, and 8the department shall allow, unreimbursed claims for common carrier 9transportation costs incurred before the date of the change in federal policy. The 10department shall promulgate rules establishing a methodology for making 11reimbursements under this paragraph. All other expenses for the school medical 12services provided by a school district or a cooperative educational service agency 13shall be paid for by the school district or the cooperative educational service agency 14with funds received from state or local taxes. The school district, the Wisconsin 15Center for the Blind and Visually Impaired, the Wisconsin Educational Services 16Program for the Deaf and Hard of Hearing, or the cooperative educational service 17agency shall comply with all requirements of the federal department of health and 18human services for receiving federal financial participation. SB349,219Section 2. 49.45 (39) (b) 2. of the statutes is amended to read: SB349,4,62049.45 (39) (b) 2. ‘Payment for school medical services administrative costs.’ 21The department shall reimburse a school district or a cooperative educational 22service agency specified under subd. 1. and shall reimburse the department of 23public instruction on behalf of the Wisconsin Center for the Blind and Visually
1Impaired or the Wisconsin Educational Services Program for the Deaf and Hard of 2Hearing for 90 100 percent of the federal share of allowable administrative costs, 3using time studies, beginning in fiscal year 1999-2000. A school district or a 4cooperative educational service agency may submit, and the department of health 5services shall allow, claims for administrative costs incurred during the period that 6is up to 24 months before the date of the claim, if allowable under federal law.
