15,167Section 167. 49.1335 of the statutes is created to read: 49.1335 Child care access program. (1) In this section, “rural area” means a city, town, or village with a population of less than 10,000 or a county with a population of less than 50,000.
(2) (a) The department shall award to Wonderschool, Inc., a grant of $1,000,000 from the allocation under s. 49.175 (1) (qm) in fiscal year 2025-26 and a grant of $1,000,000 from the appropriation under s. 20.437 (2) (bp) in fiscal year 2026-27 to do all of the following:
1. Launch an online software platform that is linked to the department’s website to connect child care providers with child care workers.
2. Build child care capacity in this state.
(b) Of any moneys expended to meet the requirements of par. (a) 2., at least 60 percent shall be expended to build child care capacity in rural areas.
(3) From the appropriation under s. 20.437 (2) (bp), the department shall award a grant of $1,000,000 in each fiscal year 2025-26 and 2026-27 to Supporting Families Together Association that it shall use to provide funding to child care resource and referral agencies for services that build child care capacity and increase access to quality child care in this state, including all of the following:
(a) Technical assistance to support child care providers with starting and sustaining high quality child care businesses.
(b) Recruitment of child care providers and child care slots in areas of need.
(c) Training and information about regulatory compliance and continuing education for child care providers.
(d) Any other information or support that increases availability of and access to quality child care services in individual communities on the basis of needs assessed by the child care resource and referral agency.
(4) No later than May 1, 2027, the department shall submit a report to the joint committee on finance on the outcomes of the grants under this section on child care capacity in this state.
15,167mSection 167m. 49.1335 of the statutes, as created by 2025 Wisconsin Act .... (this act), is repealed. 15,168Section 168. 49.155 (6g) (b) 5. of the statutes is created to read: 49.155 (6g) (b) 5. Any hours during which the child participates in an elementary school readiness program under s. 49.132.
15,168mSection 168m. 49.175 (1) (intro.) of the statutes is amended to read: 49.175 (1) Allocation of funds. (intro.) Except as provided in sub. (2), within the limits of the appropriations under s. 20.437 (2) (a), (cm), (dz), (k), (kx), (L), (mc), (md), (me), (mh), and (s) and (3) (kp), the department shall allocate the following amounts for the following purposes:
15,169Section 169. 49.175 (1) (a) of the statutes is amended to read: 49.175 (1) (a) Wisconsin Works benefits. For Wisconsin Works benefits, $37,000,000 in fiscal year 2021-22 and $34,000,000 in fiscal year 2022-23. In fiscal year 2023-24, for such benefits, $28,000,000. In fiscal year 2024-25, for such benefits, $29,000,000. In fiscal year 2025-26, for such benefits, $26,806,500. In fiscal year 2026-27, for such benefits, $26,987,700.
Section 170. 49.175 (1) (c) of the statutes is amended to read:
49.175 (1) (c) Case management incentive payments. For supplement payments to individuals under s. 49.255, $2,700,000 in each fiscal year, $1,000,000.
15,171Section 171. 49.175 (1) (fa) of the statutes is repealed. 15,172Section 172. 49.175 (1) (g) of the statutes is amended to read: 49.175 (1) (g) State administration of public assistance programs and overpayment collections. For state administration of public assistance programs and the collection of public assistance overpayments, $17,231,100 in fiscal year 2021-22 and $17,482,300 in fiscal year 2022-23. In fiscal year 2023-24, for such purposes, $19,015,300. In fiscal year 2024-25, for such purposes, $19,424,300. In fiscal year 2025-26, for such purposes, $20,314,000. In fiscal year 2026-27, for such purposes, $20,539,800.
15,173Section 173. 49.175 (1) (i) of the statutes is amended to read: 49.175 (1) (i) Emergency assistance. For emergency assistance under s. 49.138 and for transfer to the department of administration for low-income energy or weatherization assistance programs, $6,000,000 in each fiscal year, $10,414,400.
15,174Section 174. 49.175 (1) (Lm) of the statutes is amended to read: 49.175 (1) (Lm) Jobs for America’s Graduates. For grants to the Jobs for America’s Graduates-Wisconsin to fund programs that improve social, academic, and employment skills of youth who are eligible to receive temporary assistance for needy families under 42 USC 601 et seq., in each fiscal year 2024-25, $1,000,000. In fiscal year 2025-26, for such grants, $2,000,000. In fiscal year 2026-27, for such grants, $1,000,000.
15,175Section 175. 49.175 (1) (Lp) of the statutes is repealed. 15,176Section 176. 49.175 (1) (p) of the statutes is amended to read: 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, 509,026,700. In fiscal year 2026-27, for such direct child care services, 526,026,700.
15,177Section 177. 49.175 (1) (q) of the statutes is amended to read: 49.175 (1) (q) Child care state administration and licensing activities. For state administration of child care programs under s. 49.155 and for child care licensing activities, $42,117,800 in fiscal year 2021-22 and $41,803,100 in fiscal year 2022-23. In fiscal year 2023-24, for such programs and activities, $45,796,000. In fiscal year 2024-25, for such programs and activities, $45,570,300. In fiscal year 2025-26, for such programs and activities, $51,064,000. In fiscal year 2026-27, for such programs and activities, $48,734,700.
15,178Section 178. 49.175 (1) (qm) of the statutes is amended to read: 49.175 (1) (qm) Quality care for quality kids. For the child care quality improvement activities specified in ss. 49.155 (1g) and 49.257, $16,683,700 in fiscal year 2022-23. In fiscal year 2023-24, for such activities, $28,518,700. In fiscal year 2024-25, for such activities, $46,018,700. In fiscal year 2025-26, for such activities, $47,018,700. In fiscal year 2026-27, for such activities, $46,018,700.
15,179Section 179. 49.175 (1) (s) of the statutes is amended to read: 49.175 (1) (s) Kinship care and long-term kinship care assistance. For kinship care and long-term kinship care payments under s. 48.57 (3m) (am) and (3n) (am), for assessments to determine eligibility for those payments, and for agreements under s. 48.57 (3t) with the governing bodies of Indian tribes for the administration of the kinship care and long-term kinship care programs within the boundaries of the reservations of those tribes, $28,727,100 in fiscal year 2021-22 and $31,441,800 in fiscal year 2022-23. In fiscal year 2023-24, for such payments, $31,719,200. In fiscal year 2024-25, for such payments, $35,661,000. In fiscal year 2025-26, for such payments, $39,223,800. In fiscal year 2026-27, for such payments, $40,075,700.
15,180Section 180. 49.175 (1) (z) of the statutes is amended to read: 49.175 (1) (z) Grants to the Boys and Girls Clubs of America. For grants to the Wisconsin Chapter of the Boys and Girls Clubs of America to fund programs that improve social, academic, and employment skills of youth who are eligible to receive temporary assistance for needy families under 42 USC 601 et seq., focusing on study habits, intensive tutoring in math and English, and exposure to career options and role models, $2,807,000 in each fiscal year 2024-25. In fiscal year 2025-26, for such grants, $7,807,000. In fiscal year 2026-27, for such grants, $3,307,000. Grants provided under this paragraph may not be used by the grant recipient to replace funding for programs that are being funded, when the grant proceeds are received, with moneys other than those from the appropriations specified in sub. (1) (intro.). The total amount of the grants includes funds for the BE GREAT: Graduate program in the amount of matching funds that the program provides, up to $1,532,000 in each fiscal year, to be used only for activities for which federal Temporary Assistance for Needy Families block grant moneys may be used.
15,181Section 181. 49.175 (1) (zh) of the statutes is amended to read: 49.175 (1) (zh) Earned income tax credit supplement. For the transfer of moneys from the appropriation account under s. 20.437 (2) (md) to the appropriation account under s. 20.835 (2) (kf) for the earned income tax credit, $63,600,000 in fiscal year 2021-22 and $66,600,000 in fiscal year 2022-23. In fiscal year 2023-24, for such purposes, $61,725,000. In fiscal year 2024-25, for such purposes, $65,002,000. In fiscal year 2025-26, for such purposes, $63,300,000. In fiscal year 2026-27, for such purposes, $61,800,000.
15,182Section 182. 49.45 (3) (e) 11. of the statutes is amended to read: 49.45 (3) (e) 11. The department shall use a portion of the moneys collected under s. 50.38 (2) (a) to pay for services provided by eligible hospitals, as defined in s. 50.38 (1), other than critical access hospitals, under the Medical Assistance Program under this subchapter, including services reimbursed on a fee-for-service basis and services provided under a managed care system. For state fiscal year 2008-09, total payments required under this subdivision, including both the federal and state share of Medical Assistance, shall equal the amount collected under s. 50.38 (2) (a) for fiscal year 2008-09 divided by 57.75 percent. For each state fiscal year after state fiscal year 2008-09, total payments required under this subdivision, including both the federal and state share of Medical Assistance, shall equal the amount collected under s. 50.38 (2) (a) for the fiscal year divided by 61.68 percent. For each state fiscal year after state fiscal year 2024-25, total payments required under this subdivision, including both the federal and state share of Medical Assistance, shall equal the amount collected under s. 50.38 (2) (a) and (b) for the fiscal year divided by 56.1 percent.
15,183Section 183. 49.45 (3) (e) 12. of the statutes is repealed. 15,184Section 184. 49.45 (3m) of the statutes is repealed. 15,185Section 185. 49.45 (3p) (a) of the statutes is amended to read: 49.45 (3p) (a) Subject to par. (c) and notwithstanding sub. (3) (e), from the appropriations under s. 20.435 (4) (b) and (o), in each fiscal year, the department shall pay an amount equal to the sum of $4,500,000, as the state share of payments, and the matching federal share of payments, to hospitals that are not eligible for payments under sub. (3m) but that meet the criteria under sub. (3m) (a) 1. and 2. would not be eligible for payments under s. 49.45 (3m), 2023 stats., as determined by the department, and that, in the most recent year for which information is available, charged at least 6 percent of overall charges for services to the Medical Assistance program for services provided to Medical Assistance recipients. The department may make a payment to a hospital under this subsection under a calculation method determined by the department that provides a fee-for-service supplemental payment that increases as the percentage of the total amount of the hospital’s overall charges for services that are charges to the Medical Assistance program increases.
15,186Section 186. 49.45 (5r) of the statutes is amended to read: 49.45 (5r) Supplemental funding for uncompensated care. Notwithstanding sub. (3) (e), from the appropriation account under s. 20.435 (4) (w), the department shall distribute $3,000,000 in each fiscal year $13,000,000 to the University of Wisconsin Hospital and Clinics for care that is not otherwise compensated, except that the department may not make payments that exceed limitations based on customary charges under 42 USC 1396b (i) (3).
15,187Section 187. 49.45 (59) (a) of the statutes is amended to read: 49.45 (59) (a) The department shall, from the appropriation accounts account under s. 20.435 (4) (xc) and (xe), pay each health maintenance organization with which it contracts to provide medical assistance a monthly amount that the health maintenance organization shall use to make payments to hospitals under par. (b).
15,188Section 188. 49.46 (2) (b) 4. of the statutes is amended to read: 49.46 (2) (b) 4. Chiropractors’ services, subject to par. (bj).
15,189Section 189. 49.46 (2) (bj) of the statutes is created to read: 49.46 (2) (bj) 1. The department shall provide reimbursement for services that are reimbursable under this section and that are provided by a chiropractor who is licensed under ch. 446 and is acting within the scope of his or her license. If the department determines that it is unable to implement this paragraph without a state plan amendment or waiver of federal law, the department shall submit to the federal department of health and human services any state plan amendment or waiver of federal law necessary to implement this paragraph.
2. If the federal government approves the amendment or waiver request under subd. 1., the department shall implement this paragraph. If the federal government approves the amendment or waiver request under subd. 1. in part, the department shall implement this paragraph to the greatest extent approved by the federal government. If the federal government disapproves the amendment or waiver request under subd. 1., the department is not required to implement this paragraph.
15,190Section 190. 50.38 (1) (d) of the statutes is created to read: 50.38 (1) (d) A long-term care hospital that meets the requirements of 42 CFR 412.23 (e) and is reimbursed by the federal Medicare program under the Medicare prospective payment system for long-term care hospitals, for which the department has issued a certificate of approval under s. 50.35 that only applies to the long-term care hospital and that is not a satellite operating under the certificate of approval of an acute care hospital.
15,191Section 191. 50.38 (2) (a) of the statutes is amended to read: 50.38 (2) (a) For the privilege of doing business in this state, there is imposed on each eligible hospital that is not a critical access hospital an assessment each state fiscal year that is equal to a an outpatient uniform percentage, determined under sub. (3), of the hospital’s outpatient gross patient revenues, as reported under s. 153.46 (5) and determined by the department, plus an inpatient uniform percentage, determined under sub. (3), of the hospital’s inpatient gross revenues, as reported under s. 153.46 (5) and determined by the department. The assessments shall be deposited in the hospital assessment fund.
15,192Section 192. 50.38 (2) (b) of the statutes is amended to read: 50.38 (2) (b) For the privilege of doing business in this state, there is imposed on each critical access hospital an assessment each state fiscal year that is equal to a the inpatient uniform percentage, determined established by the department under sub. (3), of the critical access hospital’s gross inpatient revenues, as reported under s. 153.46 (5) and determined by the department. The assessments shall be deposited in the critical access hospital assessment fund.
15,193Section 193. 50.38 (3) of the statutes is amended to read: 50.38 (3) The Beginning July 1, 2025, the department shall establish the percentage inpatient and outpatient uniform percentages that is are applicable under sub. (2) (a) and (b) so that the total amount of assessments collected under sub. (2) (a) and (b) is equal to $1,507,096,900 in a state fiscal year is equal to $414,507,300 or is equal to the greatest amount that may be collected in a state fiscal year without resulting in the reduction of the amount paid to this state under 42 USC 1396b (w), whichever amount is lower.
15,194Section 194. 50.38 (3m) of the statutes is created to read: 50.38 (3m) The secretary shall notify the joint committee on finance of any material change in federal law that results in refunds or recoupments under sub. (6). Notwithstanding s. 50.38 (2), following such notice, the department shall be authorized to suspend part of or all assessments under s. 50.38 (2) pursuant to s. 227.24.
15,195Section 195. 50.38 (5) of the statutes is amended to read: 50.38 (5) At the discretion of the department, a hospital that is unable timely to make a payment by a date specified under sub. (4) may be allowed to make a delayed payment. A determination by the department that a hospital may not make a delayed payment under this subsection is final and is not subject to review under ch. 227. At the discretion of the department, a hospital that is unable to timely make a payment by a date specified under sub. (4) and that is not granted a payment extension under this subsection may be referred to the department of revenue for debt collection.
15,196Section 196. 50.38 (6) (a) 1. of the statutes is amended to read: 50.38 (6) (a) 1. If the federal government does not provide federal financial participation under the federal Medicaid program for amounts collected under sub. (2) (a) or (b) that are used to make payments required under s. 49.45 (3) (e) 11. or (5r), that are transferred under sub. (8) and used to make payments from the Medical Assistance trust fund, or that are transferred under sub. (9) and expended under s. 20.435 (4) (jw), the department shall, from the fund from which the payment or expenditure was made, refund eligible hospitals, other than critical access hospitals, the amount for which the federal government does not provide federal financial participation.
15,197Section 197. 50.38 (6) (b) of the statutes is amended to read: 50.38 (6) (b) On June 30 of each state fiscal year, the department shall, from the appropriation account under s. 20.435 (4) (xc), refund to eligible hospitals, other than critical access hospitals, any amounts not expended or encumbered from that appropriation in the fiscal year or transferred under sub. (8).
15,198Section 198. 50.38 (6) (c) of the statutes is amended to read: 50.38 (6) (c) The department shall allocate any refund under this subsection to eligible hospitals, other than critical access hospitals, in proportion to the percentage of the total assessments collected under sub. (2) (a) that each hospital paid.
15,199Section 199. 50.38 (6m) of the statutes is repealed. 15,200Section 200. 50.38 (7) (intro.) of the statutes is amended to read: 50.38 (7) (intro.) By January 1 June 1 of each year the department shall report to the joint committee on finance all of the following information for the state fiscal year ending the previous June 30:
15,201Section 201. 50.38 (7m) of the statutes is created to read: 50.38 (7m) (a) 1. The department shall submit to the legislative reference bureau for publication in the Wisconsin Administrative Register a notice specifying the information in subd. 2. if any of the following apply:
a. The statewide total of assessment payments in sub. (2) that the department expects to be paid in the current state fiscal year does not equal or exceed $1,356,000,000.
b. The statewide total of Medical Assistance payments required in s. 49.45 (3) (e) 11. that the department expects to be paid in the current state fiscal year does not equal the statewide total of assessment payments in sub. (2) that the department expects to be paid in the current state fiscal year divided by 56.1 percent.
c. The statewide total of assessment payments in sub. (2) that the department expects to be paid in the next state fiscal year does not equal or exceed $1,356,000,000.
d. The statewide total of Medical Assistance payments required in s. 49.45 (3) (e) 11. that the department expects to be paid in the next state fiscal year does not equal the statewide total of assessment payments in sub. (2) that the department expects to be paid in the next state fiscal year divided by 56.1 percent.
2. The department shall include in any notice submitted under subd. 1. all of the following information:
a. The statewide total of assessment payments in sub. (2) that the department expects to be paid in the current state fiscal year.
b. The statewide total of Medical Assistance payments required in s. 49.45 (3) (e) 11. that the department expects to be paid in the current state fiscal year.
c. The statewide total of assessment payments in sub. (2) that the department expects to be paid in the next state fiscal year.
d. The statewide total of Medical Assistance payments required in s. 49.45 (3) (e) 11. that the department expects to be paid in the next state fiscal year.
(b) 1. The department shall submit to the legislative reference bureau for publication in the Wisconsin Administrative Register a notice specifying the information in subd. 2. if, after the department has submitted a notice to the legislative reference bureau for publication in the Wisconsin Administrative Register under par. (a), any of the following apply:
