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LRBb0574/1
TD/SB/KP/MM:all
2019 - 2020 LEGISLATURE
SENATE AMENDMENT 2,
TO ASSEMBLY BILL 56
June 26, 2019 - Offered by Senators Erpenbach, Shilling, Bewley, Miller,
Ringhand, Schachtner, Hansen, Wirch, Johnson, Smith, Risser, Carpenter,
L. Taylor and Larson.
AB56-SA2,1,21 At the locations indicated, amend the bill, as shown by assembly substitute
2amendment 1, as follows:
AB56-SA2,1,5 31. Page 30, line 10: increase the dollar amount for fiscal year 2019-20 by
4$100,000 and increase the dollar amount for fiscal year 2020-21 by $100,000 for the
5purpose of providing mental health assistance to farmers and farm families.
AB56-SA2,1,9 62. Page 36, line 5: increase the dollar amount for fiscal year 2019-20 by
7$127,900 and increase the dollar amount for fiscal year 2020-21 by $127,900 for the
8purpose of funding 1.07 FTE positions to administer the Wisconsin healthcare
9stability plan.
AB56-SA2,2,2 103. Page 36, line 5: increase the dollar amount for fiscal year 2019-20 by
11$541,300 and increase the dollar amount for fiscal year 2020-21 by $541,300 for the
12purpose of funding 5.10 FTE positions to provide health insurance education and

1outreach activities, including assisting individuals with enrolling in the health
2insurance exchange.
AB56-SA2,2,5 34. Page 134, line 4: increase the dollar amount for fiscal year 2019-20 by
4$172,500 and increase the dollar amount for fiscal year 2020-21 by $222,900 for the
5purpose of lead exposure and poisoning prevention activities.
AB56-SA2,2,6 65. Page 134, line 12: after that line insert: - See PDF for table PDF
AB56-SA2,2,12 76. Page 135, line 20: increase the dollar amount for fiscal year 2019-20 by
8$489,500 and increase the dollar amount for fiscal year 2020-21 by $489,500 for the
9purpose of increasing the authorized FTE positions for the department of health
10services by 4.6 GPR positions, beginning in fiscal year 2019-20, in the division of
11public health, to expand dental services to recipients under the Medical Assistance
12program, BadgerCare Plus, and other low-income patients.
AB56-SA2,2,15 137. Page 136, line 10: increase the dollar amount for fiscal year 2019-20 by
14$1,687,100 and increase the dollar amount for fiscal year 2020-21 by $4,821,500 for
15the purpose of lead abatement grants, training, and outreach.
AB56-SA2,2,18 168. Page 136, line 19: increase the dollar amount for fiscal year 2019-20 by
17$193,600 and increase the dollar amount for fiscal year 2020-21 by $193,600 for the
18purpose of increasing funding for the women's health block grant program.
AB56-SA2,2,21 199. Page 137, line 4: increase the dollar amount for fiscal year 2019-20 by
20$3,300,000 and increase the dollar amount for fiscal year 2020-21 by $3,300,000 for
21the purpose of awarding tobacco use control grants.
AB56-SA2,3,3
110. Page 138, line 18: increase the dollar amount for fiscal year 2019-20 by
2$3,871,700 and increase the dollar amount for fiscal year 2020-21 by $11,014,200 for
3the purpose of lead abatement grants, training, and outreach.
AB56-SA2,3,6 411. Page 139, line 22: increase the dollar amount for fiscal year 2019-20 by
5$1,076,900 for the purpose of creating a separate admissions unit and increasing
6evening and nighttime supervisory staff at Winnebago Mental Health Institute.
AB56-SA2,3,10 712. Page 140, line 19: increase the dollar amount for fiscal year 2019-20 by
8$1,422,800 and increase the dollar amount for fiscal year 2020-21 by $1,422,800 for
9the purpose of increasing pay-for-performance incentives to BadgerCare Plus
10health maintenance organizations to conduct blood-lead testing for children.
AB56-SA2,3,14 1113. Page 140, line 19: decrease the dollar amount for fiscal year 2019-20 by
12$159,473,300 and decrease the dollar amount for fiscal year 2020-21 by
13$165,011,600 for the purpose of expanding eligibility under the Medical Assistance
14program under s. 49.471 (4) (a) 4. and 8.
AB56-SA2,3,18 1514. Page 140, line 19: increase the dollar amount for fiscal year 2019-20 by
16$5,760,000 and increase the dollar amount for fiscal year 2020-21 by $12,437,600 for
17the purpose of dental access incentive payments under s. 49.45 (24L) beginning
18January 1, 2020.
AB56-SA2,3,23 1915. Page 140, line 19: increase the dollar amount for fiscal year 2019-20 only
20by $192,000 to provide onetime grants for community-based doulas under Section
219119 (8m) and increase the dollar amount for fiscal year 2020-21 by $426,700 for the
22purpose of providing reimbursement for certified doula services provided through
23the Medical Assistance program in select counties, beginning in fiscal year 2020-21.
AB56-SA2,4,3
116. Page 140, line 19: decrease the dollar amount for fiscal year 2019-20 by
2$1,750,000 and decrease the dollar amount for fiscal year 2020-21 by $1,750,000 for
3the purpose of making payments to rural critical care hospitals.
AB56-SA2,4,7 417. Page 140, line 19: decrease the dollar amount for fiscal year 2019-20 by
5$7,700,000 and decrease the dollar amount for fiscal year 2020-21 by $7,700,000 for
6the purpose of making hospital access payments and critical access hospital
7payments.
AB56-SA2,4,11 818. Page 140, line 19: increase the dollar amount for fiscal year 2020-21 by
9$22,500,000 for the purpose of providing as a benefit in the Medical Assistance
10program nonmedical services that contribute to the determinants of health under s.
1149.46 (2) (b) 21.
AB56-SA2,4,14 1219. Page 140, line 19: increase the dollar amount for fiscal year 2020-21 by
13$9,255,000 for the purpose of extending Medical Assistance eligibility for
14post-partum women.
AB56-SA2,4,18 1520. Page 140, line 19: increase the dollar amount for fiscal year 2019-20 by
16$2,454,300 and increase the dollar amount for fiscal year 2020-21 by $2,454,300 for
17the purpose of eliminating copayments for prescription drugs for Medical Assistance
18enrollees.
AB56-SA2,4,23 1921. Page 140, line 19: increase the dollar amount for fiscal year 2019-20 by
20$8,732,100 and increase the dollar amount for fiscal year 2020-21 by $18,217,800 for
21the purpose of funding an increase of Medical Assistance reimbursement rates for
22mental health, behavioral health, and psychiatric services provided by physicians
23and medical clinics, effective January 1, 2020.
AB56-SA2,5,4
122. Page 140, line 19: increase the dollar amount for fiscal year 2020-21 by
2$2,000,000 for the purpose of funding incentive grants to behavioral health providers
3that adopt electronic health records systems or participate in the state's health
4information exchange.
AB56-SA2,5,7 523. Page 140, line 19: increase the dollar amount for fiscal year 2019-20 by
6$6,613,900 and decrease the dollar amount for fiscal year 2020-21 by $872,700 for
7the purpose of providing the cost to continue Medical Assistance benefits.
AB56-SA2,5,10 824. Page 140, line 19: increase the dollar amount for fiscal year 2019-20 by
9$1,088,200 and increase the dollar amount for fiscal year 2020-21 by $1,692,900 for
10the purpose of telehealth reimbursement under the Medical Assistance program.
AB56-SA2,5,14 1125. Page 140, line 19: increase the dollar amount for fiscal year 2019-20 by
12$406,000 and increase the dollar amount for fiscal year 2020-21 by $609,000 for the
13purpose of providing dental services to Medical Assistance recipients who have
14disabilities.
AB56-SA2,5,19 1526. Page 140, line 19: decrease the dollar amount for fiscal year 2019-20 by
16$6,000,000 and decrease the dollar amount for fiscal year 2020-21 by $9,000,000 for
17the purpose of funding the direct care and services portion of the capitation rates
18provided to care management organizations that administer Family Care in
19recognition of the direct caregiver workforce challenges facing the state.
AB56-SA2,5,23 2027. Page 140, line 19: increase the dollar amount for fiscal year 2019-20 by
21$10,000,000 and increase the dollar amount for fiscal year 2020-21 by $10,000,000
22for the purpose of funding a pediatric supplemental hospital payment under s. 49.45
23(6xm).
AB56-SA2,6,3
128. Page 140, line 19: increase the dollar amount for fiscal year 2020-21 by
2$89,900 for the purpose of providing supportive services delivered under the Medical
3Assistance medical home health benefit for persons with substance abuse disorders.
AB56-SA2,6,11 429. Page 140, line 20: increase the dollar amount for fiscal year 2019-20 by
5$687,800 and increase the dollar amount for fiscal year 2020-21 by $874,600 for the
6purpose of implementing a statewide contract for children's long-term care intake,
7application, and screening function for the Katie Beckett program, children's
8long-term supports waiver program, and children's communication options program
9and specifically to fund 5 children's services navigators, 2 children's disability
10resource specialists to assist families with complex or multisystem concerns, and 2
11children's disability ombudsmen to provide advocacy services.
AB56-SA2,6,18 1230. Page 141, line 7: increase the dollar amount for fiscal year 2019-20 by
13$4,380,900 and increase the dollar amount for fiscal year 2020-21 by $1,550,500 for
14the purpose of supporting contracted services and general program operations for
15the division of Medicaid services in the department of health services, including
16projects to modify claims and eligibility information systems to implement state and
17federal law and policy changes and rate increases incorporated into current
18contracts.
AB56-SA2,6,22 1931. Page 141, line 12: increase the dollar amount for fiscal year 2019-20 by
20$1,039,800 and increase the dollar amount for fiscal year 2020-21 by $767,500 for
21the purpose of providing funding necessary to support payments under the
22Wisconsin funeral and cemetery aids program.
AB56-SA2,6,23 2332. Page 141, line 15: delete lines 15 and 16 and substitute: - See PDF for table PDF
AB56-SA2,7,1 133. Page 141, line 18: delete lines 18 to 20 and substitute: - See PDF for table PDF
AB56-SA2,7,2 234. Page 142, line 18: delete lines 18 and 19 and substitute: - See PDF for table PDF
AB56-SA2,7,6 335. Page 144, line 8: increase the dollar amount for fiscal year 2019-20 by
4$2,077,300 and increase the dollar amount for fiscal year 2020-21 by $2,077,300 for
5the purpose of increasing pay-for-performance incentives to BadgerCare Plus
6health maintenance organizations to conduct blood-lead testing for children.
AB56-SA2,7,7 736. Page 144, line 14: delete lines 14 and 15 and substitute: - See PDF for table PDF
AB56-SA2,7,11 837. Page 144, line 16: increase the dollar amount for fiscal year 2019-20 by
9$7,700,000 and increase the dollar amount for fiscal year 2020-21 by $7,700,000 for
10the purpose of making hospital access payments and critical access hospital
11payments.
AB56-SA2,7,14 1238. Page 144, line 16: decrease the dollar amount for fiscal year 2019-20 by
13$2,316,200 and increase the dollar amount for fiscal year 2020-21 by $5,359,700 for
14the purpose of providing the cost to continue Medical Assistance benefits.
AB56-SA2,8,3
139. Page 144, line 24: decrease the dollar amount for fiscal year 2019-20 by
2$7,400,000 and decrease the dollar amount for fiscal year 2020-21 by $7,400,000 for
3the purpose of making hospital access payments.
AB56-SA2,8,6 440. Page 145, line 3: decrease the dollar amount for fiscal year 2019-20 by
5$300,000 and decrease the dollar amount for fiscal year 2020-21 by $300,000 for the
6purpose of making critical access hospital payments.
AB56-SA2,8,7 741. Page 145, line 16: delete lines 16 to 17 and substitute: - See PDF for table PDF
AB56-SA2,8,8 842. Page 146, line 4: after that line insert: - See PDF for table PDF
AB56-SA2,8,12 943. Page 148, line 10: increase the dollar amount for fiscal year 2019-20 by
10$264,900 and increase the dollar amount for fiscal year 2020-21 by $365,800 for the
11purpose of funding an additional 3.78 FTE PR positions within the bureau of assisted
12living.
AB56-SA2,8,16 1344. Page 148, line 21: increase the dollar amount for fiscal year 2019-20 by
14$155,500 and increase the dollar amount for fiscal year 2020-21 by $214,800 for the
15purpose of funding an additional 2.22 FTE FED positions in the bureau of assisted
16living.
AB56-SA2,9,2 1745. Page 149, line 3: increase the dollar amount for fiscal year 2019-20 by
18$1,680,000 and increase the dollar amount for fiscal year 2020-21 by $1,680,000 for

1the purpose of grants to aging and disability resource centers and tribes to fund 27
2additional dementia care specialists and 3 new tribal dementia care specialists.
AB56-SA2,9,6 346. Page 149, line 3: increase the dollar amount for fiscal year 2019-20 only
4by $61,600 and increase the dollar amount for fiscal year 2020-21 only by $78,200
5for the purpose of funding a 2-year academic detailing primary care clinic dementia
6training pilot program under Section 9119 (3g).
AB56-SA2,9,9 747. Page 149, line 7: increase the dollar amount for fiscal year 2019-20 by
8$1,550,000 and increase the dollar amount for fiscal year 2020-21 by $7,600,000 for
9the purpose of increasing funding for the Birth to 3 Program.
AB56-SA2,9,12 1048. Page 157, line 4: increase the dollar amount for fiscal year 2019-20 by
11$512,500 and increase the dollar amount for fiscal year 2020-21 by $675,000 for the
12purpose of funding services to prevent child abuse or neglect.
AB56-SA2,9,15 1349. Page 231, line 6: decrease the dollar amount for fiscal year 2019-20 by
14$444,700 and decrease the dollar amount for fiscal year 2020-21 by $416,500 for the
15purpose of transferring the moneys for children's long-term care program.
AB56-SA2,9,18 1650. Page 231, line 6: decrease the dollar amount for fiscal year 2020-21 by
17$89,900 for the purpose of providing supportive services delivered under the Medical
18Assistance medical home health benefit for persons with substance abuse disorders.
AB56-SA2,9,21 1951. Page 231, line 6: decrease the dollar amount for fiscal year 2019-20 by
20$1,088,200 and decrease the dollar amount for fiscal year 2020-21 by $1,692,900 for
21the purpose of telehealth reimbursement under the Medical Assistance program.
AB56-SA2,9,23 2252. Page 231, line 6: decrease the dollar amount for fiscal year 2019-20 by
23$100,000 and decrease the dollar amount for fiscal year 2020-21 by $100,000 for the

1purpose of providing mental health assistance to farmers and farm families under
2the appropriation to the department of agriculture, trade and consumer protection.
AB56-SA2,10,3 353. Page 249, line 15: after that line insert:
AB56-SA2,10,4 4 Section 188m. 20.435 (1) (bk) of the statutes is created to read:
AB56-SA2,10,65 20.435 (1) (bk) Healthy aging grant program. The amounts in the schedule for
6grants to an entity that conducts programs in healthy aging.”.
AB56-SA2,10,7 754. Page 249, line 16: delete lines 16 to 18 and substitute:
AB56-SA2,10,8 8 Section 189b. 20.435 (1) (cr) of the statutes is created to read:
AB56-SA2,10,109 20.435 (1) (cr) Minority health grants. The amounts in the schedule for the
10minority health program under s. 250.20 (3) and (4).”.
AB56-SA2,10,11 1155. Page 249, line 24: delete that line and substitute:
AB56-SA2,10,12 12 Section 190b. 20.435 (1) (fj) of the statutes is repealed.”.
AB56-SA2,10,13 1356. Page 249, line 25: delete that line and substitute:
AB56-SA2,10,14 14 Section 191b. 20.435 (1) (kb) of the statutes is repealed.”.
AB56-SA2,10,15 1557. Page 252, line 3: delete that line and substitute:
AB56-SA2,10,17 16“49.685, for distributing grants under s. 146.64, and for reduction of any
17operating”.
AB56-SA2,10,18 1858. Page 253, line 1: delete lines 1 to 4 and substitute:
AB56-SA2,10,19 19 Section 195b. 20.435 (4) (bf) of the statutes is amended to read:
AB56-SA2,10,2220 20.435 (4) (bf) Graduate medical training support grants. As a continuing
21appropriation, the amounts in the schedule to award grants to rural hospitals under
22s. 146.63 and to
support graduate medical training programs under s. 146.64.”.
AB56-SA2,10,23 2359. Page 255, line 2: after that line insert:
AB56-SA2,10,24 24 Section 201c. 20.435 (4) (jw) of the statutes is amended to read:
AB56-SA2,11,8
120.435 (4) (jw) BadgerCare Plus and hospital assessment. All moneys received
2from payment of enrollment fees under the program under s. 49.45 (23), all
moneys
3transferred under s. 50.38 (9), all moneys transferred from the appropriation account
4under par. (jz), and 10 percent of all moneys received from penalty assessments
5under s. 49.471 (9) (c), for administration of the program under s. 49.45 (23), to
6provide a portion of the state share of administrative costs for the BadgerCare Plus
7Medical Assistance program under s. 49.471, and for administration of the hospital
8assessment under s. 50.38.”.
AB56-SA2,11,9 960. Page 255, line 10: delete lines 10 to 14 and substitute:
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