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AB56-ASA1,339,819 48.686 (5m) Notwithstanding s. 111.335, the department a licensing entity
20may refuse to license a person issue an approval to operate a child care center, the
21department in a county having a population of 750,000 or more, a county
22department, or an agency contracted with under s. 48.651 (2) may refuse to certify
23a child care provider under s. 48.651, a school board may refuse to contract with a
24person under s. 120.13 (14)
program to a person, and a child care program may refuse
25to employ or contract with a caregiver or noncaregiver employee or permit a

1nonclient resident household member to reside at the child care program if the
2person has been convicted of or adjudicated delinquent on or after his or her 10th
3birthday
for an offense that is not a serious crime, but that is, in the estimation of
4the department, substantially related to the care of a client. The department shall
5notify the provider and the individual of the results of a substantially related
6determination pursuant to the process set forth in sub. (4p) for criminal background
7check determinations. The individual shall have the same appeal rights as set forth
8in sub. (4s), and the same appeal procedures apply.
AB56-ASA1,602 9Section 602 . 48.686 (7) of the statutes is amended to read:
AB56-ASA1,339,1410 48.686 (7) The department shall conduct throughout the state periodic training
11sessions that cover procedures and uses of criminal background investigations;
12reporting and investigating misappropriation of property or abuse or neglect of a
13client; and any other material that will better enable entities to comply with the
14requirements of this section.
AB56-ASA1,603 15Section 603 . 48.715 (4g) (a) of the statutes is amended to read:
AB56-ASA1,340,316 48.715 (4g) (a) If a person who has been issued a license under s. 48.66 (1) (a)
17or a probationary license under s. 48.69 to operate a child care center is convicted of
18a serious crime, as defined in s. 48.686 (1) (c), if a caregiver specified in s. 48.686 (1)
19(ag) 1. or a nonclient resident, as defined in s. 48.686 (1) (bm), of the
subject to a
20background check under s. 48.686 (2) who operates, works at, or resides at a
child
21care center is convicted or adjudicated delinquent for committing a serious crime on
22or after his or her 10th birthday
, or if the results of a criminal background check
23conducted under s. 48.686 indicate that the person, caregiver, or nonclient resident
24household member, or noncaregiver employee is not eligible to be licensed, certified,
25or employed, or permitted to reside at a child care program, the department shall

1revoke the license of the child care center immediately upon providing written notice
2of revocation and the grounds for revocation and an explanation of the process for
3appealing the revocation.
AB56-ASA1,604 4Section 604 . 48.715 (4g) (b) of the statutes is amended to read:
AB56-ASA1,340,165 48.715 (4g) (b) If a person who has been issued a license under s. 48.66 (1) (a)
6or a probationary license under s. 48.69 to operate a child care center is the subject
7of a pending criminal charge alleging that the person has committed a serious crime,
8as defined in s. 48.686 (1) (c), or if a caregiver specified in s. 48.686 (1) (ag) 1. or a

9nonclient resident, as defined in s. 48.686 (1) (bm), of the subject to a background
10check under s. 48.686 (2) who operates, works at, or resides at a
child care center is
11the subject of a pending criminal charge or delinquency petition alleging that the
12person has committed a serious crime on or after his or her 10th birthday, the
13department shall immediately suspend the license of the child care center until the
14department obtains information regarding the final disposition of the charge or
15delinquency petition indicating that the person is not ineligible to be licensed to
16operate, work at, or reside at a child care center.
AB56-ASA1,605 17Section 605 . 48.981 (7) (a) 4p. of the statutes is amended to read:
AB56-ASA1,340,2218 48.981 (7) (a) 4p. A public or private agency in this state or any other state that
19is investigating a person for purposes of licensing the person to operate a foster home
20or placing a child for adoption in the home of the person or for the purposes of
21conducting a background investigation of an adult congregate care worker, as
22defined in s. 48.685 (1) (ap)
.
AB56-ASA1,606 23Section 606 . 49.133 of the statutes is repealed.
AB56-ASA1,607 24Section 607 . 49.1385 of the statutes is amended to read:
AB56-ASA1,341,3
149.1385 Grants for services for homeless and runaway youth. The
2department may award not more than $100,000 $400,000 in each fiscal year in
3grants to support programs that provide services for homeless and runaway youth.
AB56-ASA1,633 4Section 633 . 49.155 (6) (b) of the statutes is amended to read:
AB56-ASA1,341,85 49.155 (6) (b) The department shall set maximum payment rates for Level I
6certified family child care providers certified under s. 48.651 (1) (a) for services
7provided to eligible individuals under this section. The maximum rates set under
8this paragraph may not exceed 75 90 percent of the rates established under par. (a).
AB56-ASA1,634 9Section 634 . 49.155 (6) (c) of the statutes is amended to read:
AB56-ASA1,341,1310 49.155 (6) (c) The department shall set maximum payment rates for Level II
11certified family child care providers for services provided to eligible individuals
12under this section. The maximum rates set under this paragraph may not exceed 50
1390 percent of the rates established under par. (a).
AB56-ASA1,635 14Section 635 . 49.155 (7) (a) 1. of the statutes is amended to read:
AB56-ASA1,342,215 49.155 (7) (a) 1. If a child care provider is convicted of a serious crime, as defined
16in s. 48.686 (1) (c), or if a caregiver specified in s. 48.686 (1) (ag) 1. a. or a nonclient
17resident, as defined in s. 48.686 (1) (bm), of the
person subject to a background check
18under s. 48.686 (2) who operates, works at, or resides at a
child care provider is
19convicted or adjudicated delinquent for committing a serious crime on or after his or
20her 10th birthday
, as defined in s. 48.686 (1) (c), or if the department provides written
21notice under s. 48.686 (4p) that the child care provider, caregiver, or nonclient
22resident
person is ineligible for certification, employment, or residence to operate,
23work at, or reside
at the child care provider, the department or the county
24department under s. 46.215, 46.22, or 46.23 shall refuse to allow payment to the child

1care provider for any child care provided under this section beginning on the date of
2the conviction or delinquency adjudication.
AB56-ASA1,636 3Section 636 . 49.155 (7) (a) 2. of the statutes is amended to read:
AB56-ASA1,342,164 49.155 (7) (a) 2. If a child care provider is the subject of a pending criminal
5charge alleging that the person has committed a serious crime, as defined in s. 48.686
6(1) (c), or if a caregiver specified in s. 48.686 (1) (ag) 1. or a nonclient resident, as
7defined in s. 48.686 (1) (bm), of the
person subject to a background check under s.
848.686 (2) who operates, works at, or resides at a
child care provider is the subject
9of a pending criminal charge or delinquency petition alleging that the person has
10committed a serious crime on or after his or her 10th birthday, as defined in s. 48.686
11(1) (c)
, the department or the county department under s. 46.215, 46.22, or 46.23 shall
12immediately suspend refuse to allow payment to the child care provider for any child
13care provided under this section until the department obtains information regarding
14the final disposition of the charge or delinquency petition indicating that the person
15is not ineligible to receive such a payment operate, work at, or reside at the child care
16provider
.
AB56-ASA1,637 17Section 637 . 49.155 (7) (b) of the statutes is repealed and recreated to read:
AB56-ASA1,342,2518 49.155 (7) (b) 1. If a person subject to a background check under s. 48.686 (2)
19who operates, works at, or resides at a child care provider has been convicted or
20adjudicated delinquent for committing an offense that is not a serious crime, as
21defined in s. 48.686 (1) (c), but the department determines under s. 48.686 (5m) that
22the offense substantially relates to the care of children or the department determines
23that the offense substantially relates to the operation of a business, the department
24or the county department under s. 46.215, 46.22, or 46.23 may refuse to allow
25payment to the child care provider for child care provided under this section.
AB56-ASA1,343,8
12. If a person subject to a background check under s. 48.686 (2) who operates,
2works at, or resides at a child care provider is the subject of a pending criminal charge
3or delinquency petition for committing an offense that is not a serious crime, as
4defined in s. 48.686 (1) (c), but the department determines under s. 48.686 (5m) that
5the offense substantially relates to the care of children or the department determines
6that the offense substantially relates to the operation of a business, the department
7or the county department under s. 46.215, 46.22, or 46.23 may refuse to allow
8payment to the child care provider for child care provided under this section.
AB56-ASA1,640m 9Section 640m. 49.163 (2) (am) 2. of the statutes is amended to read:
AB56-ASA1,343,1210 49.163 (2) (am) 2. If over 24 25 years of age, be a biological or adoptive parent
11of a child under 18 years of age whose parental rights to the child have not been
12terminated or be a relative and primary caregiver of a child under 18 years of age.
AB56-ASA1,643 13Section 643 . 49.175 (1) (intro.) of the statutes is amended to read:
AB56-ASA1,343,1714 49.175 (1) Allocation of funds. (intro.) Except as provided in subs. sub. (2)
15and (3), within the limits of the appropriations under s. 20.437 (2) (a), (cm), (dz), (k),
16(kx), (L), (mc), (md), (me), and (s) and (3) (kp), the department shall allocate the
17following amounts for the following purposes:
AB56-ASA1,644 18Section 644 . 49.175 (1) (a), (b), (c), (g), (i), (k), (n), (o), (p), (q), (qm), (r), (s), (t),
19(u), (v), (y) and (z) of the statutes are amended to read:
AB56-ASA1,343,2220 49.175 (1) (a) Wisconsin Works benefits. For Wisconsin Works benefits,
21$42,500,000 $31,110,000 in fiscal year 2017-18 2019-20 and $44,625,000
22$31,732,200 in fiscal year 2018-19 2020-21.
AB56-ASA1,344,223 (b) Wisconsin Works agency contracts; job access loans. For contracts with
24Wisconsin Works agencies under s. 49.143 and for job access loans under s. 49.147

1(6), $52,000,000 $50,000,000 in fiscal year 2017-18 2019-20 and $54,600,000
2$50,000,000 in fiscal year 2018-19 2020-21.
AB56-ASA1,344,53 (c) Case management incentive payments. For supplement payments to
4individuals under s. 49.255, $2,700,000 in fiscal year 2017-18 2019-20 and
5$2,700,000 in fiscal year 2018-19 2020-21.
AB56-ASA1,344,96 (g) State administration of public assistance programs and overpayment
7collections.
For state administration of public assistance programs and the collection
8of public assistance overpayments, $15,987,000 $16,671,200 in fiscal year 2017-18
92019-20 and $15,902,900 $17,268,300 in fiscal year 2018-19 2020-21.
AB56-ASA1,344,1210 (i) Emergency assistance. For emergency assistance under s. 49.138 and for
11transfer to the department of administration for low-income energy or
12weatherization assistance programs, $7,000,000 $6,000,000 in each fiscal year.
AB56-ASA1,344,1613 (k) Transform Milwaukee and Transitional Jobs programs. For contract costs
14under the Transform Milwaukee Jobs program and the Transitional Jobs program
15under s. 49.163, $7,000,000 $8,500,000 in fiscal year 2017-18 2019-20 and
16$8,000,000 $9,500,000 in fiscal year 2018-19 2020-21.
AB56-ASA1,344,2017 (n) Fostering futures: connections count. For funding community connectors to
18interact with vulnerable families with young children and to connect families with
19formal and informal community support, $360,300 in fiscal year 2017-18 and
20$560,300 in fiscal year 2018-19
$560,300 in each fiscal year.
AB56-ASA1,344,2221 (o) Evidence-based substance abuse prevention grants. For grants awarded
22under s. 48.545 (2) (c), $500,000 in each fiscal year 2018-19.
AB56-ASA1,344,2523 (p) Direct child care services. For direct child care services under s. 49.155,
24$289,215,200
or 49.257, $357,097,500 in fiscal year 2017-18 2019-20 and
25$318,369,200 $365,700,400 in fiscal year 2018-19 2020-21.
AB56-ASA1,345,4
1(q) Child care state administration and licensing activities. For state
2administration of child care programs under s. 49.155 and for child care licensing
3activities, $36,189,400 $40,152,100 in fiscal year 2017-18 2019-20 and $36,030,000
4$41,555,200 in fiscal year 2018-19 2020-21.
AB56-ASA1,345,75 (qm) Quality care for quality kids. For the child care quality improvement
6activities specified in s. ss. 49.155 (1g) and 49.257, $15,652,700 $16,532,900 in each
7fiscal year 2019-20 and $16,683,700 in fiscal year 2020-21.
AB56-ASA1,345,108 (r) Children of recipients of supplemental security income. For payments made
9under s. 49.775 for the support of the dependent children of recipients of
10supplemental security income, $26,938,000 $25,013,300 in each fiscal year.
AB56-ASA1,345,1711 (s) Kinship care and long-term kinship care assistance. For kinship care and
12long-term kinship care payments under s. 48.57 (3m) (am) and (3n) (am), for
13assessments to determine eligibility for those payments, and for agreements under
14s. 48.57 (3t) with the governing bodies of Indian tribes for the administration of the
15kinship care and long-term kinship care programs within the boundaries of the
16reservations of those tribes, $22,012,100 $26,640,000 in fiscal year 2017-18 2019-20
17and $22,741,200 $28,159,200 in fiscal year 2018-19 2020-21.
AB56-ASA1,346,218 (t) Safety and out-of-home placement services. For services provided to ensure
19the safety of children who the department or a county determines may remain at
20home if appropriate services are provided, and for services provided to families with
21children placed in out-of-home care, $6,282,500 $8,314,300 in fiscal year 2017-18
222019-20 and $7,314,300 $9,314,300 in fiscal year 2018-19 2020-21. To receive
23funding under this paragraph, a county shall match a percentage of the amount
24received that is equal to the percentage the county is required to match for a

1distribution under s. 48.563 (2) as specified by the schedule established by the
2department under s. 48.569 (1) (d).
AB56-ASA1,346,53 (u) Prevention services. For services to prevent child abuse or neglect,
4$5,289,600 in each fiscal year $5,789,600 in fiscal year 2019-20 and $6,789,600 in
5fiscal year 2020-21
.
AB56-ASA1,346,86 (v) General education development. For general education development testing
7and preparation for individuals who are eligible for temporary assistance for needy
8families under 42 USC 601 et seq., $115,000 $175,000 in each fiscal year.
AB56-ASA1,346,119 (y) Offender reentry demonstration project. For the offender reentry
10demonstration project under s. 49.37 (1), $187,500 in fiscal year 2017-18 and
11$250,000 in fiscal year 2018-19
$250,000 in each fiscal year.
AB56-ASA1,347,412 (z) Grants to the Boys and Girls Clubs of America. For grants to the Wisconsin
13Chapter of the Boys and Girls Clubs of America to fund programs that improve social,
14academic, and employment skills of youth who are eligible to receive temporary
15assistance for needy families under 42 USC 601 et seq., focusing on study habits,
16intensive tutoring in math and English, and exposure to career options and role
17models, $1,275,000 $2,675,000 in each fiscal year. Grants provided under this
18paragraph may not be used by the grant recipient to replace funding for programs
19that are being funded, when the grant proceeds are received, with moneys other than
20those from the appropriations specified in sub. (1) (intro.). The total amount of the
21grants includes funds for the Green Bay Boys and Girls Clubs for the BE GREAT:
22Graduate program in the amount of matching funds that the program provides, up
23to $75,000 $1,400,000 in each fiscal year, to be used only for activities for which
24federal Temporary Assistance for Needy Families block grant moneys may be used.
25The total amount of the grants also includes funds to be equally distributed among

1the Milwaukee, Oshkosh, and Appleton Boys and Girls Clubs for the BE GREAT:
2Graduate program in the amount of matching funds that the program provides, up
3to $100,000 in each fiscal year, to be used only for activities for which federal
4Temporary Assistance for Needy Families block grant moneys may be used.
AB56-ASA1,644c 5Section 644c. 49.175 (1) (fa) of the statutes is created to read:
AB56-ASA1,347,106 49.175 (1) (fa) Homeless case management services grants; additional funding.
7For grants to shelter facilities under s. 16.3085, $500,000 in fiscal year 2019-20 and
8$500,000 in fiscal year 2020-21. All moneys allocated under this paragraph shall be
9credited to the appropriation account under s. 20.865 (4) (g) for the purpose of
10supplementing the appropriation under s. 20.505 (7) (kg).
AB56-ASA1,648 11Section 648 . 49.257 of the statutes is created to read:
AB56-ASA1,347,13 1249.257 Milwaukee child care grant program. (1) In this section, “child
13care provider” has the meaning given in s. 49.155 (1) (ag).
AB56-ASA1,347,22 14(2) From the allocation under s. 49.175 (1) (p), the department may award
15grants to child care providers to support access to high-quality child care for families
16that reside in a geographic area with high-poverty levels, as identified by the
17department, in the city of Milwaukee. A grant under this section may be used for
18start-up costs, ongoing operational costs, including subsidy payments for eligible
19families, and quality improvement activities. A child care provider that is awarded
20a grant under this subsection shall contribute matching funds equal to 25 percent
21of the amount awarded. The matching contribution may be in the form of money or
22in-kind goods or services.
AB56-ASA1,347,25 23(3) From the allocation under s. 49.175 (1) (qm), the department may award
24grants to any of the following to improve overall child care quality in the geographic
25area identified under sub. (2):
AB56-ASA1,348,1
1(a) Child care providers and employees of child care providers.
AB56-ASA1,348,32 (b) Educational institutions for the purpose of educating employees of child
3care providers.
AB56-ASA1,650m 4Section 650m. 49.36 (7) of the statutes is amended to read:
AB56-ASA1,348,105 49.36 (7) The department shall pay a county, tribal governing body, or
6Wisconsin works agency not more than $400 $800 for each person who participates
7in the program under this section in the region in which the county, tribal governing
8body, or Wisconsin works agency administers the program under this section. The
9county, tribal governing body, or Wisconsin works agency shall pay any additional
10costs of the program.
AB56-ASA1,651 11Section 651 . 49.45 (2) (a) 23. of the statutes is amended to read:
AB56-ASA1,348,1512 49.45 (2) (a) 23. Promulgate rules that define “supportive services", “personal
13services" and “nursing services" provided in a certified residential care apartment
14complex, as defined under s. 50.01 (6d), for purposes of reimbursement under ss.
1546.27 (11) (c) 7. and
s. 46.277 (5) (e).
AB56-ASA1,654 16Section 654 . 49.45 (3) (a) of the statutes is amended to read:
AB56-ASA1,348,2117 49.45 (3) (a) Reimbursement shall be made to each county department under
18ss. 46.215, 46.22, and 46.23 for any administrative services performed in the Medical
19Assistance program on the basis of s. 49.78 (8). For purposes of reimbursement
20under this paragraph, assessments completed under s. 46.27 (6) (a) are
21administrative services performed in the Medical Assistance program.
AB56-ASA1,659 22Section 659 . 49.45 (3p) (a) of the statutes is amended to read:
AB56-ASA1,349,1123 49.45 (3p) (a) Subject to par. (c) and notwithstanding sub. (3) (e), from the
24appropriations under s. 20.435 (4) (b) and (o), in each fiscal year, the department
25shall pay to hospitals that would are not eligible for payments under sub. (3m) but

1that
meet the criteria under sub. (3m) (a) except that the hospitals do not provide
2obstetric services
1. and 2. and that, in the most recent year for which information
3is available, charged at least 6 percent of overall charges for services to the Medical
4Assistance program for services provided to Medical Assistance recipients
an
5amount equal to the sum of $250,000 $2,000,000, as the state share of payments, and
6the matching federal share of payments. The department may make a payment to
7a hospital under this subsection under a calculation method determined by the
8department that provides a fee-for-service supplemental payment that increases as
9the hospital's percentage of inpatient days for Medical Assistance recipients at the
10hospital
the total amount of the hospital's overall charges for services that are
11charges to the Medical Assistance program
increases.
AB56-ASA1,660 12Section 660 . 49.45 (5) (a) of the statutes is amended to read:
AB56-ASA1,349,1813 49.45 (5) (a) Any person whose application for medical assistance is denied or
14is not acted upon promptly or who believes that the payments made in the person's
15behalf have not been properly determined or that his or her eligibility has not been
16properly determined may file an appeal with the department pursuant to par. (b).
17Review is unavailable if the decision or failure to act arose more than 45 days before
18submission of the petition for a hearing, except as provided in par. (ag) or (ar).
AB56-ASA1,661 19Section 661 . 49.45 (5) (ag) of the statutes is created to read:
AB56-ASA1,349,2520 49.45 (5) (ag) A person shall request a hearing within 90 days of the date of
21receipt of a notice from a care management organization or managed care
22organization upholding its adverse benefit determination relating to any of the
23following or within 90 days of the date the care management organization or
24managed care organization failed to act on the contested matter within the time
25specified by the department:
AB56-ASA1,350,3
11. Denial or limited authorization of a requested services, including a
2determination based on the type or level of service, requirement for medical
3necessity, appropriateness, setting, or effectiveness of a covered benefit.
AB56-ASA1,350,64 2. Reduction, suspension, or termination of a previously authorized service,
5unless the service was only authorized for a limited amount or duration and that
6amount or duration has been completed.
AB56-ASA1,350,77 3. Denial, in whole or in part, of payment for a service.
AB56-ASA1,350,88 4. Failure to provide services in a timely manner.
AB56-ASA1,350,119 5. Failure of a care management organization or managed care organization
10to act within the time frames provided in 42 CFR 438.408 (b) (1) and (2) regarding
11the standard resolution of grievances and appeals.
AB56-ASA1,350,1412 6. Denial of an enrollee's request to dispute financial liability, including
13copayments, premiums, deductibles, coinsurance, other cost sharing, and other
14member financial liabilities.
AB56-ASA1,350,1715 7. Denial of an enrollee, who is a resident of a rural area with only one care
16management organization or managed care organization, to obtain services outside
17the organization's network of contracted providers.
AB56-ASA1,662 18Section 662 . 49.45 (5) (ar) of the statutes is created to read:
AB56-ASA1,350,2019 49.45 (5) (ar) If a federal regulation specifies a different time limit to request
20a hearing than par. (a) or (ag), the time limit in the federal regulation shall apply.
AB56-ASA1,663 21Section 663 . 49.45 (5) (b) 1. (intro.) of the statutes is amended to read:
AB56-ASA1,351,1022 49.45 (5) (b) 1. (intro.) Upon receipt of a timely petition under par. (a) the
23department shall give the applicant or recipient reasonable notice and opportunity
24for a fair hearing. The department may make such additional investigation as it
25considers necessary. Notice of the hearing shall be given to the applicant or recipient

1and, if a county department under s. 46.215, 46.22, or 46.23 is responsible for making
2the medical assistance determination, to the county clerk of the county. The county
3may be represented at such hearing. The department shall render its decision as
4soon as possible after the hearing and shall send a certified copy of its decision to the
5applicant or recipient, to the county clerk, and to any county officer charged with
6administration of the Medical Assistance program. The decision of the department
7shall have the same effect as an order of a county officer charged with the
8administration of the Medical Assistance program. The decision shall be final, but
9may be revoked or modified as altered conditions may require. The department shall
10deny a petition for a hearing or shall refuse to grant relief if:
AB56-ASA1,664 11Section 664 . 49.45 (5) (b) 1. d. of the statutes is created to read:
AB56-ASA1,351,1512 49.45 (5) (b) 1. d. The issue is an adverse benefit determination described in
13par. (ag) 1. to 7. made by a care management organization or managed care
14organization and the person requesting the hearing has not exhausted the internal
15appeal procedure with the organization.
AB56-ASA1,664r 16Section 664r. 49.45 (6m) (ar) 1. a. of the statutes is amended to read:
AB56-ASA1,352,1117 49.45 (6m) (ar) 1. a. The department shall establish standards for payment of
18allowable direct care costs under par. (am) 1. bm., for facilities that do not primarily
19serve the developmentally disabled, that take into account direct care costs for a
20sample of all of those facilities in this state and separate standards for payment of
21allowable direct care costs, for facilities that primarily serve the developmentally
22disabled, that take into account direct care costs for a sample of all of those facilities
23in this state. The standards shall be adjusted by the department for regional labor
24cost variations. The department shall in the single labor region that is composed of
25Milwaukee, Ozaukee, Washington, and Waukesha counties include Racine County

1and shall adjust payment so that the direct care cost targets of facilities in
2Milwaukee, Ozaukee, Washington, and Waukesha counties are not reduced as a
3result of including facilities in Racine County in this labor region.
The department
4shall treat as a single labor region the counties of Dane, Dodge, Iowa, Columbia,
5Richland, Sauk, and Rock and shall adjust payment so that the direct care cost
6targets of facilities in Dane, Iowa, Columbia, and Sauk counties are not reduced as
7a result of including facilities in Dodge, Richland, and Rock Counties in this labor
8region. For facilities in Douglas, Dunn, Pierce, and St. Croix counties, the
9department shall perform the adjustment by use of the wage index that is used by
10the federal department of health and human services for hospital reimbursement
11under 42 USC 1395 to 1395ggg.
AB56-ASA1,665 12Section 665 . 49.45 (6m) (c) 5. of the statutes is amended to read:
AB56-ASA1,352,1513 49.45 (6m) (c) 5. Admit only patients assessed or who waive or are exempt from
14the requirement of assessment under s. 46.27 (6) (a) or,
if required under s. 50.035
15(4n) or 50.04 (2h), who have been referred to a resource center.
AB56-ASA1,666 16Section 666 . 49.45 (6m) (L) of the statutes is amended to read:
AB56-ASA1,352,2217 49.45 (6m) (L) For purposes of ss. 46.27 (11) (c) 7. and s. 46.277 (5) (e), the
18department shall, by July 1 annually, determine the statewide medical assistance
19daily cost of nursing home care and submit the determination to the department of
20administration for review. The department of administration shall approve the
21determination before payment may be made under s. 46.27 (11) (c) 7. or 46.277 (5)
22(e).
AB56-ASA1,677 23Section 677 . 49.45 (29w) (b) 1. b. of the statutes is amended to read:
AB56-ASA1,353,824 49.45 (29w) (b) 1. b. “Telehealth" is means a service provided from a remote
25location using a combination of interactive video, audio, and externally acquired

1images through a networking environment between an individual or a provider at
2an originating site and a provider at a remote location with the service being of
3sufficient audio and visual fidelity and clarity as to be functionally equivalent to
4face-to-face contact; or, in circumstances determined by the department, an
5asynchronous transmission of digital clinical information through a secure
6electronic communications system from one provider to another provider
.
7“Telehealth" does not include telephone conversations or Internet-based
8communications between providers or between providers and individuals.
AB56-ASA1,678 9Section 678 . 49.45 (29y) (d) of the statutes is repealed.
AB56-ASA1,680 10Section 680 . 49.45 (41) of the statutes is amended to read:
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