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AB68-ASA2-AA2,180g 3Section 180g. 40.51 (8m) of the statutes is amended to read:
AB68-ASA2-AA2,20,74 40.51 (8m) Every health care coverage plan offered by the group insurance
5board under sub. (7) shall comply with ss. 631.95, 632.729, 632.746 (1) to (8) and (10),
6632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.862,
7632.867, 632.871, 632.885, 632.89, and 632.895 (11) to (17).
AB68-ASA2-AA2,180h 8Section 180h. 40.51 (8m) of the statutes, as affected by 2021 Wisconsin Act
9.... (this act), section 180g, is amended to read:
AB68-ASA2-AA2,20,1310 40.51 (8m) Every health care coverage plan offered by the group insurance
11board under sub. (7) shall comply with ss. 631.95, 632.728, 632.729, 632.746 (1) to
12(8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855,
13632.862, 632.867, 632.871, 632.885, 632.89, and 632.895 (11) (8) and (10) to (17).”.
AB68-ASA2-AA2,20,14 1482. Page 281, line 16: delete “$2,808,900" and substitute “ $3,058,900".
AB68-ASA2-AA2,20,15 1583. Page 281, line 17: after that line insert:
AB68-ASA2-AA2,20,16 16 Section 190d. 46.48 (3m) of the statutes is created to read:
AB68-ASA2-AA2,20,2117 46.48 (3m) Deaf, hard of hearing, and deaf-blind behavioral health
18treatment center
. The department may distribute not more than $1,936,000 in
19each fiscal year, beginning in fiscal year 2022-23, to a statewide provider of
20behavioral health treatment services for individuals who are deaf, hard of hearing,
21or deaf-blind.
AB68-ASA2-AA2,190f 22Section 190f. 46.48 (6) of the statutes is created to read:
AB68-ASA2-AA2,21,223 46.48 (6) Trauma response teams. The department shall annually award a
24grant equal to $450,000 for the Milwaukee trauma response team. Notwithstanding

1sub. (1), grants awarded under this subsection shall be from the appropriation under
2s. 20.435 (5) (bc).
AB68-ASA2-AA2,190f 3Section 190f. 46.48 (7) of the statutes is created to read:
AB68-ASA2-AA2,21,84 46.48 (7) Medication-assisted treatment grants. The department shall
5award up to $500,000 in fiscal year 2021-22 and up to $1,000,000 annually
6thereafter to develop or support entities that offer medication-assisted treatment.
7Notwithstanding sub. (1), grants awarded under this subsection shall be from the
8appropriation under s. 20.435 (5) (bc).
AB68-ASA2-AA2,190h 9Section 190h. 46.48 (9) of the statutes is created to read:
AB68-ASA2-AA2,21,1410 46.48 (9) Substance use harm reduction grant. The department may annually
11award up to $250,000 to organizations with comprehensive harm reduction
12strategies for the development or support of substance use harm reduction programs,
13as determined by the department. Notwithstanding sub. (1), grants awarded under
14this subsection shall be from the appropriation under s. 20.435 (5) (bc).”.
AB68-ASA2-AA2,21,15 1584. Page 281, line 23: after that line insert:
AB68-ASA2-AA2,21,17 16 Section 191c. 46.536 of the statutes is renumbered 46.536 (intro.) and
17amended to read:
AB68-ASA2-AA2,21,20 1846.536 Crisis program enhancement grants. (intro.) From the
19appropriation under s. 20.435 (5) (cf), the department shall award all of the following
20grants:
AB68-ASA2-AA2,22,2 21(1) A in the total amount of $250,000 in each fiscal biennium to counties or
22regions comprised of multiple counties to establish or enhance crisis programs to
23serve individuals having crises in rural areas. The department shall award a grant

1under this section subsection in an amount equal to one-half the amount of money
2the county or region provides to establish or enhance crisis programs.
AB68-ASA2-AA2,191e 3Section 191e. 46.536 (2) of the statutes is created to read:
AB68-ASA2-AA2,22,74 46.536 (2) At least $1,250,000 in each fiscal year to establish and enhance law
5enforcement and behavioral health services emergency response collaboration
6programs. Grant recipients under this subsection shall match at least 25 percent of
7the grant amount awarded for the purpose that the grant is received.
AB68-ASA2-AA2,191g 8Section 191g. 46.536 (3) of the statutes is created to read:
AB68-ASA2-AA2,22,109 46.536 (3) At least $850,000 in each fiscal year to a county with a population
10of more than 750,000 to enhance mobile crisis teams.
AB68-ASA2-AA2,191j 11Section 191j. 46.537 of the statutes is created to read:
AB68-ASA2-AA2,22,1812 46.537 County crisis call center support grants. From the appropriation
13under s. 20.435 (5) (cj), the department shall award grants to support mental health
14professionals to provide supervision and consultation to individuals who support
15crisis call center services. Each county or multicounty program that receives
16supervision and consultation services from a grant recipient described under this
17section shall contribute at least 10 percent of the costs of the services that the grant
18recipient incurs for the purpose that the grant is received.
AB68-ASA2-AA2,191k 19Section 191k. 46.87 (5m) of the statutes is amended to read:
AB68-ASA2-AA2,23,220 46.87 (5m) A person is financially eligible for the program under this section
21if the joint income of the person with Alzheimer's disease and that person's spouse,
22if any, is $48,000 $55,000 per year or less, unless the department sets a higher
23limitation on income eligibility by rule. In determining joint income for purposes of
24this subsection, the administering agency shall subtract any expenses attributable

1to the Alzheimer's-related needs of the person with Alzheimer's disease or of the
2person's caregiver.
AB68-ASA2-AA2,191m 3Section 191m. 46.977 (1) (intro.) and (a) of the statutes are consolidated,
4renumbered 46.977 (1) and amended to read:
AB68-ASA2-AA2,23,65 46.977 (1) Definitions Definition. In this section : (a) “Guardian", “guardian”
6has the meaning given in s. 54.01 (10).
AB68-ASA2-AA2,191p 7Section 191p. 46.977 (1) (b) of the statutes is renumbered 46.977 (2) (ag) and
8amended to read:
AB68-ASA2-AA2,23,119 46.977 (2) (ag) “Organization" In this subsection, “organization” means a
10private, nonprofit agency or a county department under s. 46.215, 46.22, 46.23, 51.42
11or 51.437.
AB68-ASA2-AA2,191r 12Section 191r. 46.977 (2) (a) of the statutes is renumbered 46.977 (2) (am) and
13amended to read:
AB68-ASA2-AA2,23,1814 46.977 (2) (am) From the appropriation under s. 20.435 (1) (cg), the department
15may under this section subsection, based on the criteria under par. (c), award grants
16to applying organizations for the purpose of training and assisting guardians for
17individuals found incompetent under ch. 54. No grant may be paid unless the
18awardee provides matching funds equal to 10 percent of the amount of the award.
AB68-ASA2-AA2,191s 19Section 191s. 46.977 (2) (b) (intro.) of the statutes is amended to read:
AB68-ASA2-AA2,23,2120 46.977 (2) (b) (intro.) Organizations awarded grants under par. (a) (am) shall
21do all of the following:
AB68-ASA2-AA2,191u 22Section 191u. 46.977 (2) (c) of the statutes is amended to read:
AB68-ASA2-AA2,23,2523 46.977 (2) (c) In reviewing applications for grants under par. (am), the
24department shall consider the extent to which the proposed program will effectively
25train and assist guardians for individuals found incompetent under ch. 54.
AB68-ASA2-AA2,191w
1Section 191w. 46.977 (3) of the statutes is created to read:
AB68-ASA2-AA2,24,32 46.977 (3) Grant for initial training. (a) The department shall award a grant
3to develop, administer, and conduct the guardian training required under s. 54.26.
AB68-ASA2-AA2,24,74 (b) The department shall require the grantee to have expertise in state
5guardianship law, experience with technical assistance and support to guardians
6and wards, and knowledge of common challenges and questions encountered by
7guardians and wards.
AB68-ASA2-AA2,24,128 (c) The grantee selected to develop training that meets the requirements under
9s. 54.26 (1) shall develop plain-language, web-based training modules using
10adult-learning design principles that can be accessed for free by training topic and
11in formats that maximize accessibility, with printed versions available for free upon
12request.
AB68-ASA2-AA2,191y 13Section 191y. 46.995 (4) of the statutes is created to read:
AB68-ASA2-AA2,24,1714 46.995 (4) The department shall ensure that any child who is eligible and who
15applies for the disabled children's long-term support program that is operating
16under a waiver of federal law receives services under the disabled children's
17long-term support program that is operating under a waiver of federal law.”.
AB68-ASA2-AA2,24,18 1885. Page 290, line 22: after that line insert:
AB68-ASA2-AA2,24,19 19 Section 226g. 49.45 (2p) of the statutes is repealed.
AB68-ASA2-AA2,226m 20Section 226m. 49.45 (3) (e) 11. of the statutes is amended to read:
AB68-ASA2-AA2,25,1121 49.45 (3) (e) 11. The department shall use a portion of the moneys collected
22under s. 50.38 (2) (a) to pay for services provided by eligible hospitals, as defined in
23s. 50.38 (1), other than critical access hospitals, under the Medical Assistance
24Program under this subchapter, including services reimbursed on a fee-for-service

1basis and services provided under a managed care system. For state fiscal year
22008-09, total payments required under this subdivision, including both the federal
3and state share of Medical Assistance, shall equal the amount collected under s.
450.38 (2) (a) for fiscal year 2008-09 divided by 57.75 percent. For each state fiscal
5year after state fiscal year 2008-09, total payments required under this subdivision,
6including both the federal and state share of Medical Assistance, shall equal the
7amount collected under s. 50.38 (2) (a) for the fiscal year divided by 61.68 percent,
8except that if the department has expanded eligibility under section 2001 (a) (1) (C)
9of the Patient Protection and Affordable Care Act, P.L. 111-148, for the Medical
10Assistance program under this subchapter, the amount collected for the fiscal year
11shall be divided by 53.69 percent
.
AB68-ASA2-AA2,226r 12Section 226r. 49.45 (3) (e) 12. of the statutes is amended to read:
AB68-ASA2-AA2,25,2313 49.45 (3) (e) 12. The department shall use a portion of the moneys collected
14under s. 50.38 (2) (b) to pay for services provided by critical access hospitals under
15the Medical Assistance Program under this subchapter, including services
16reimbursed on a fee-for-service basis and services provided under a managed care
17system. For each state fiscal year, total payments required under this subdivision,
18including both the federal and state share of Medical Assistance, shall equal the
19amount collected under s. 50.38 (2) (b) for the fiscal year divided by 61.68 percent,
20except that if the department has expanded eligibility under section 2001 (a) (1) (C)
21of the Patient Protection and Affordable Care Act, P.L. 111-148, for the Medical
22Assistance program under this subchapter, the amount collected for the fiscal year
23shall be divided by 53.69 percent
.”.
AB68-ASA2-AA2,25,24 2486. Page 291, line 7: delete lines 7 to 10 and substitute:
AB68-ASA2-AA2,26,4
1“49.45 (3m) (b) 3. a. No single hospital receives more than $4,600,000
2$7,950,000, except that in the 2021-23 fiscal biennium the department may increase
3proportionately the maximum a single hospital may receive if the state is eligible for
4an enhanced federal medical assistance percentage under federal law
.” .
AB68-ASA2-AA2,26,6 587. Page 291, line 11: delete the material beginning with that line and ending
6with page 292, line 12, and substitute:
AB68-ASA2-AA2,26,7 7 Section 229. 49.45 (5g) of the statutes is created to read:
AB68-ASA2-AA2,26,178 49.45 (5g) Payments to tribes. (a) Tribal care coordination agreements. A
9tribal health care provider's care coordination agreement with a nontribal health
10care provider shall meet federal requirements, including that a service provided by
11the nontribal health care provider be at the request of the tribal health care provider
12on behalf of a tribal member who remains in the tribal health care provider's care
13according to the care coordination agreement; that both the tribal health care
14provider and nontribal health care provider are providers, as defined in s. 49.43 (10);
15that an established relationship exists between the tribal health care provider and
16the tribal member; and that the care be provided pursuant to a written care
17coordination agreement.
AB68-ASA2-AA2,27,318 (b) Amount and distribution of payments. 1. From the appropriation account
19under s. 20.435 (4) (b), the department shall make payments to eligible governing
20bodies of federally recognized American Indian tribes or bands or tribal health care
21providers in an amount and manner determined by the department. The
22department shall determine payment amounts on the basis of the difference between
23the state share of medical assistance payments paid for services rendered to tribal
24members for whom a care coordination agreement with nontribal health care

1providers is in place and the state share of medical assistance payments that would
2have been paid for those services absent a care coordination agreement with
3nontribal partners.
AB68-ASA2-AA2,27,64 2. The department shall withhold from the payments under subd. 1. the state
5share of administrative costs associated with carrying out this subsection, not to
6exceed 10 percent of the amounts calculated in subd. 1.
AB68-ASA2-AA2,27,97 3. Federally recognized American Indian tribes or bands may use funds paid
8under this subsection for health-related purposes. The department shall consult
9biennially with tribes to determine the timing and distribution of payments.”.
AB68-ASA2-AA2,27,10 1088. Page 292, line 12: after that line insert:
AB68-ASA2-AA2,27,11 11 Section 229c. 49.45 (6xm) of the statutes is created to read:
AB68-ASA2-AA2,27,1512 49.45 (6xm) Pediatric inpatient supplement. (a) From the appropriations
13under s. 20.435 (4) (b), (o), and (w), the department shall, using a method determined
14by the department, distribute a total sum of $2,000,000 each state fiscal year to
15hospitals that meet all of the following criteria:
AB68-ASA2-AA2,27,1616 1. The hospital is an acute care hospital located in this state.
AB68-ASA2-AA2,27,2117 2. During the hospital's fiscal year, the inpatient days in the hospital's acute
18care pediatric units and intensive care pediatric units totaled more than 12,000 days,
19not including neonatal intensive care units. For purposes of this subsection, the
20hospital's fiscal year is the hospital's fiscal year that ended in the 2nd calendar year
21preceding the beginning of the state fiscal year.
AB68-ASA2-AA2,28,522 (b) Notwithstanding par. (a), from the appropriations under s. 20.435 (4) (b),
23(o), and (w), if the department has expanded eligibility under section 2001 (a) (1) (C)
24of the Patient Protection and Affordable Care Act, P.L. 111-148, for the Medical

1Assistance program under this subchapter, then the department may, using a
2method determined by the department, distribute an additional total sum of
3$7,500,000 in each state fiscal year to hospitals that are free-standing pediatric
4teaching hospitals located in Wisconsin that have a percentage calculated under s.
549.45 (3m) (b) 1. a. greater than 45 percent.
AB68-ASA2-AA2,229d 6Section 229d. 49.45 (23) of the statutes is repealed.
AB68-ASA2-AA2,229f 7Section 229f. 49.45 (23b) (title) of the statutes is amended to read:
AB68-ASA2-AA2,28,98 49.45 (23b) (title) Childless adults demonstration project reform waiver
9implementation required.
AB68-ASA2-AA2,229g 10Section 229g. 49.45 (23b) (b) of the statutes is amended to read:
AB68-ASA2-AA2,28,1411 49.45 (23b) (b) Beginning as soon as practicable after October 31, 2018, and
12ending no sooner than December 31, 2023, the department shall do all of the
13following with regard to the childless adults demonstration project under sub. (23)
14s. 49.471 (4) (a) 8.:
AB68-ASA2-AA2,28,2015 1. Require in each month persons, except exempt individuals, who are eligible
16to receive Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. and who are at least
1719 years of age but have not attained the age of 50 to participate in, document, and
18report 80 hours per calendar month of community engagement activities. The
19department, after finding good cause, may grant a temporary exemption from the
20requirement under this subdivision upon request of a Medical Assistance recipient.
AB68-ASA2-AA2,28,2321 2. Require persons with incomes of at least 50 percent of the poverty line to pay
22premiums in accordance with par. (c) as a condition of eligibility for Medical
23Assistance under sub. (23) s. 49.471 (4) (a) 8.
AB68-ASA2-AA2,28,2524 3. Require as a condition of eligibility for Medical Assistance under sub. (23)
25s. 49.471 (4) (a) 8. completion of a health risk assessment.
AB68-ASA2-AA2,29,3
14. Charge recipients of Medical Assistance under sub. (23) s. 49.471 (4) (a) 8.
2an $8 copayment for nonemergency use of the emergency department in accordance
3with 42 USC 1396o-1 (e) (1) and 42 CFR 447.54.
AB68-ASA2-AA2,29,84 5. Disenroll from Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. for 6
5months any individual who does not pay a required premium under subd. 2. and any
6individual who is required under subd. 1. to participate in a community engagement
7activity but who does not participate for 48 aggregate months in the community
8engagement activity.
AB68-ASA2-AA2,229h 9Section 229h. 49.45 (23b) (c) of the statutes is amended to read:
AB68-ASA2-AA2,29,1510 49.45 (23b) (c) 1. Persons who are eligible for the demonstration project under
11sub. (23) s. 49.471 (4) (a) 8. and who have monthly household income that exceeds
1250 percent of the poverty line shall pay a monthly premium amount of $8 per
13household. A person who is eligible to receive an item or service furnished by an
14Indian health care provider is exempt from the premium requirement under this
15subdivision.
AB68-ASA2-AA2,29,2116 2. The department may disenroll under par. (b) 5. a person for nonpayment of
17a required monthly premium only at annual eligibility redetermination after
18providing notice and reasonable opportunity for the person to pay. If a person who
19is disenrolled for nonpayment of premiums pays all owed premiums or becomes
20exempt from payment of premiums, he or she may reenroll in Medical Assistance
21under sub. (23) s. 49.471 (4) (a) 8.
AB68-ASA2-AA2,29,2522 3. The department shall reduce the amount of the required household premium
23by up to half for a recipient of Medical Assistance under sub. (23) s. 49.471 (4) (a) 8.
24who does not engage in certain behaviors that increase health risks or who attests
25to actively managing certain unhealthy behaviors.
AB68-ASA2-AA2,229j
1Section 229j. 49.45 (23b) (e) of the statutes is amended to read:
AB68-ASA2-AA2,30,62 49.45 (23b) (e) Before December 31, 2023, the demonstration project
3requirements under this subsection may not be withdrawn and the department may
4not request from the federal government withdrawal, suspension, or termination of
5the demonstration project requirements under this subsection unless legislation has
6been enacted specifically allowing for the withdrawal, suspension, or termination.
AB68-ASA2-AA2,229m 7Section 229m. 49.45 (24L) of the statutes is created to read:
AB68-ASA2-AA2,30,118 49.45 (24L) Critical access reimbursement payments to dental providers. (a)
9Based on the criteria in pars. (b) and (c), the department shall increase
10reimbursements to dental providers that meet quality of care standards, as
11established by the department.
AB68-ASA2-AA2,30,1312 (b) In order to be eligible for enhanced reimbursement under this subsection,
13the provider must meet one of the following qualifications:
AB68-ASA2-AA2,30,1614 1. For a nonprofit or public provider, 50 percent or more of the individuals
15served by the provider are individuals who are without dental insurance or are
16enrolled in the Medical Assistance program.
AB68-ASA2-AA2,30,1817 2. For a for-profit provider, 5 percent or more of the individuals served by the
18provider are enrolled in the Medical Assistance program.
AB68-ASA2-AA2,31,419 (c) For dental services rendered on or after January 1, 2022, by a qualified
20nonprofit or public dental provider, the department shall increase reimbursement by
2150 percent above the reimbursement rate that would otherwise be paid to that
22provider. For dental services rendered on or after January 1, 2022, by a qualified
23for-profit dental provider, the department shall increase reimbursement by 30
24percent above the reimbursement rate that would otherwise be paid to that provider.
25For dental providers rendering services to individuals in managed care under the

1Medical Assistance program, for services rendered on or after January 1, 2022, the
2department shall increase reimbursement to pay an additional amount on the basis
3of the rate that would have been paid to the dental provider had the individual not
4been enrolled in managed care.
AB68-ASA2-AA2,31,75 (d) If a provider has more than one service location, the thresholds described
6under par. (b) apply to each location, and the department will determine the payment
7for each separate service location.
AB68-ASA2-AA2,31,98 (e) Any provider that receives reimbursement through the pilot project under
9sub. (24k) is not eligible for reimbursement under this subsection.
AB68-ASA2-AA2,229p 10Section 229p. 49.45 (25r) of the statutes is created to read:
AB68-ASA2-AA2,31,1111 49.45 (25r) Community health worker services. (a) In this subsection:
AB68-ASA2-AA2,31,1312 1. “Community health services” means services provided by a community
13health worker.
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