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AB68-SSA1,1004 7Section 1004 . 49.175 (1) (g) of the statutes is amended to read:
AB68-SSA1,552,118 49.175 (1) (g) State administration of public assistance programs and
9overpayment collections.
For state administration of public assistance programs and
10the collection of public assistance overpayments, $16,671,200 $17,363,300 in fiscal
11year 2019-20 2021-22 and $17,268,300 $17,625,100 in fiscal year 2020-21 2022-23.
AB68-SSA1,1005 12Section 1005 . 49.175 (1) (i) of the statutes is amended to read:
AB68-SSA1,552,1613 49.175 (1) (i) Emergency assistance. For emergency assistance under s. 49.138
14and for transfer to the department of administration for low-income energy or
15weatherization assistance programs, $6,000,000 in each fiscal year $10,829,500 in
16fiscal year 2021-22 and $9,936,400 in fiscal year 2022-23
.
AB68-SSA1,1006 17Section 1006 . 49.175 (1) (j) of the statutes is amended to read:
AB68-SSA1,552,2118 49.175 (1) (j) Grants for providing civil legal services. For the grants under s.
1949.1635 (5) to Wisconsin Trust Account Foundation, Inc., for distribution to
20programs that provide civil legal services to low-income families, $500,000
21$1,000,000 in each fiscal year.
AB68-SSA1,1007 22Section 1007 . 49.175 (1) (k) of the statutes is amended to read:
AB68-SSA1,553,223 49.175 (1) (k) Transform Milwaukee and Transitional Jobs programs. For
24contract costs under the Transform Milwaukee Jobs program and the Transitional

1Jobs program under s. 49.163, $8,500,000 $12,100,000 in fiscal year 2019-20
22021-22 and $9,500,000 $14,700,000 in fiscal year 2020-21 2022-23.
AB68-SSA1,1008 3Section 1008. 49.175 (1) (Lm) of the statutes is created to read:
AB68-SSA1,553,74 49.175 (1) (Lm) Jobs for America's Graduates. For grants to the Jobs for
5America's Graduates to fund programs that improve social, academic, and
6employment skills of youth who are eligible to receive temporary assistance for needy
7families under 42 USC 601 et seq., $500,000 in each fiscal year.
AB68-SSA1,1009 8Section 1009. 49.175 (1) (o) of the statutes is amended to read:
AB68-SSA1,553,119 49.175 (1) (o) Evidence-based substance abuse prevention grants Grants for
10youth services
. For grants awarded under s. 48.545 (2) (c) 48.481, $500,000 in each
11fiscal year.
AB68-SSA1,1010 12Section 1010 . 49.175 (1) (p) of the statutes is amended to read:
AB68-SSA1,553,1513 49.175 (1) (p) Direct child care services. For direct child care services under s.
1449.155 or 49.257, $357,097,500 in fiscal year 2019-20 and $365,700,400
15$311,236,600 in each fiscal year 2020-21.
AB68-SSA1,1011 16Section 1011 . 49.175 (1) (q) of the statutes is amended to read:
AB68-SSA1,553,2017 49.175 (1) (q) Child care state administration and licensing activities. For state
18administration of child care programs under s. 49.155 and for child care licensing
19activities, $40,152,100 $42,678,900 in fiscal year 2019-20 2021-22 and $41,555,200
20$41,922,600 in fiscal year 2020-21 2022-23.
AB68-SSA1,1012 21Section 1012 . 49.175 (1) (qm) of the statutes is amended to read:
AB68-SSA1,553,2522 49.175 (1) (qm) Quality care for quality kids. For the child care quality
23improvement activities specified in ss. 49.133, 49.155 (1g), and 49.257, $16,532,900
24$33,847,900 in fiscal year 2019-20 2021-22 and $16,683,700 $34,484,700 in fiscal
25year 2020-21 2022-23.
AB68-SSA1,1013
1Section 1013. 49.175 (1) (r) of the statutes is amended to read:
AB68-SSA1,554,52 49.175 (1) (r) Children of recipients of supplemental security income. For
3payments made under s. 49.775 for the support of the dependent children of
4recipients of supplemental security income, $25,013,300 in each fiscal year
5$18,564,700 in fiscal year 2021-22 and $18,145,000 in fiscal year 2022-23.
AB68-SSA1,1014 6Section 1014 . 49.175 (1) (s) of the statutes is amended to read:
AB68-SSA1,554,137 49.175 (1) (s) Kinship care and long-term kinship care assistance. For kinship
8care and long-term kinship care payments under s. 48.57 (3m) (am) and (3n) (am),
9for assessments to determine eligibility for those payments, and for agreements
10under s. 48.57 (3t) with the governing bodies of Indian tribes for the administration
11of the kinship care and long-term kinship care programs within the boundaries of
12the reservations of those tribes, $26,640,000 $28,727,100 in fiscal year 2019-20
132021-22 and $28,159,200 $31,441,800 in fiscal year 2020-21 2022-23.
AB68-SSA1,1015 14Section 1015 . 49.175 (1) (t) of the statutes is amended to read:
AB68-SSA1,554,2215 49.175 (1) (t) Safety and out-of-home placement services. For services provided
16to ensure the safety of children who the department or a county determines may
17remain at home if appropriate services are provided, and for services provided to
18families with children placed in out-of-home care, $8,314,300 in fiscal year 2019-20
19and
$9,314,300 in each fiscal year 2020-21. To receive funding under this paragraph,
20a county shall match a percentage of the amount received that is equal to the
21percentage the county is required to match for a distribution under s. 48.563 (2) as
22specified by the schedule established by the department under s. 48.569 (1) (d).
AB68-SSA1,1016 23Section 1016 . 49.175 (1) (u) of the statutes is amended to read:
AB68-SSA1,555,3
149.175 (1) (u) Prevention services. For services to prevent child abuse or
2neglect, $5,789,600 in fiscal year 2019-20 and $6,789,600 $7,289,600 in each fiscal
3year 2020-21.
AB68-SSA1,1017 4Section 1017. 49.175 (1) (x) of the statutes is created to read:
AB68-SSA1,555,65 49.175 (1) (x) Internet assistance program. For the Internet assistance
6program under s. 49.168, $10,000,000 in each fiscal year.
AB68-SSA1,1018 7Section 1018 . 49.175 (1) (z) of the statutes is amended to read:
AB68-SSA1,555,208 49.175 (1) (z) Grants to the Boys and Girls Clubs of America. For grants to the
9Wisconsin Chapter of the Boys and Girls Clubs of America to fund programs that
10improve social, academic, and employment skills of youth who are eligible to receive
11temporary assistance for needy families under 42 USC 601 et seq., focusing on study
12habits, intensive tutoring in math and English, and exposure to career options and
13role models, $2,675,000 $2,807,000 in each fiscal year. Grants provided under this
14paragraph may not be used by the grant recipient to replace funding for programs
15that are being funded, when the grant proceeds are received, with moneys other than
16those from the appropriations specified in sub. (1) (intro.). The total amount of the
17grants includes funds for the BE GREAT: Graduate program in the amount of
18matching funds that the program provides, up to $1,400,000 $1,532,000 in each fiscal
19year, to be used only for activities for which federal Temporary Assistance for Needy
20Families block grant moneys may be used.
AB68-SSA1,1019 21Section 1019 . 49.175 (1) (zh) of the statutes is amended to read:
AB68-SSA1,555,2522 49.175 (1) (zh) Earned income tax credit supplement. For the transfer of
23moneys from the appropriation account under s. 20.437 (2) (md) to the appropriation
24account under s. 20.835 (2) (kf) for the earned income tax credit, $116,716,400 in
25fiscal year 2021-22 and
$69,700,000 in each fiscal year 2022-23.
AB68-SSA1,1020
1Section 1020. 49.19 (1) (a) 2. a. of the statutes is amended to read:
AB68-SSA1,556,122 49.19 (1) (a) 2. a. Is living with a parent; a blood relative, including those of
3half-blood, and including first cousins, nephews or nieces and persons of preceding
4generations as denoted by prefixes of grand, great or great-great; a stepfather,
5stepmother
stepparent, stepbrother, or stepsister; a person who legally adopts the
6child or is the adoptive parent of the child's parent, a natural or legally adopted child
7of such person or a relative of an adoptive parent; or a spouse of any person named
8in this subparagraph subd. 2. a. even if the marriage is terminated by death or
9divorce; and is living in a residence maintained by one or more of these relatives as
10the child's or their own home, or living in a residence maintained by one or more of
11these relatives as the child's or their own home because the parents of the child have
12been found unfit to have care and custody of the child; or
AB68-SSA1,1021 13Section 1021 . 49.19 (4) (d) (intro.) of the statutes is amended to read:
AB68-SSA1,556,1614 49.19 (4) (d) (intro.) Aid may be granted to the mother or stepmother parent
15or stepparent
of a dependent child if he or she is without a husband spouse or if he
16or
she:
AB68-SSA1,1022 17Section 1022 . 49.19 (4) (d) 1. of the statutes is amended to read:
AB68-SSA1,556,1918 49.19 (4) (d) 1. Is the wife spouse of a husband person who is incapacitated for
19gainful work by mental or physical disability; or
AB68-SSA1,1023 20Section 1023 . 49.19 (4) (d) 2. of the statutes is amended to read:
AB68-SSA1,556,2421 49.19 (4) (d) 2. Is the wife spouse of a husband person who is incarcerated or
22who is a convicted offender permitted to live at home but precluded from earning a
23wage because the husband person is required by a court imposed sentence to perform
24unpaid public work or unpaid community service; or
AB68-SSA1,1024 25Section 1024 . 49.19 (4) (d) 3. of the statutes is amended to read:
AB68-SSA1,557,3
149.19 (4) (d) 3. Is the wife spouse of a husband person who has been committed
2to the department pursuant to ch. 975, irrespective of the probable period of such
3commitment; or
AB68-SSA1,1025 4Section 1025 . 49.19 (4) (d) 4. of the statutes is amended to read:
AB68-SSA1,557,75 49.19 (4) (d) 4. Is the wife spouse of a husband person who has continuously
6abandoned or failed to support him or her, if proceedings have been commenced
7against the husband person under ch. 769; or
AB68-SSA1,1026 8Section 1026 . 49.19 (4) (d) 5. of the statutes is amended to read:
AB68-SSA1,557,129 49.19 (4) (d) 5. Has been divorced and is without a husband spouse or legally
10separated from his or her husband spouse and is unable through use of the provisions
11of law to compel his or her former husband spouse to adequately support the child
12for whom aid is sought; or
AB68-SSA1,1027 13Section 1027. 49.343 (1g) of the statutes is amended to read:
AB68-SSA1,557,2514 49.343 (1g) Establishment of rates. For services provided beginning on
15January 1, 2011, the department shall establish the per client rate that a residential
16care center for children and youth or a group home may charge for its services, and
17the per client administrative rate that a child welfare agency may charge for the
18administrative portion of its foster care services, as provided in this section. In
19establishing rates for a placement specified in s. 938.357 (4) (c) 1. or 2., 2019 stats.,
20the department shall consult with the department of corrections. A residential care
21center for children and youth and a group home shall charge all purchasers the same
22rate for the same services and a child welfare agency shall charge all purchasers the
23same administrative rate for the same foster care services. The department shall
24determine the levels of care created under the rules promulgated under s. 48.62 (8)
25to which this section applies.
AB68-SSA1,1028
1Section 1028 . 49.345 (2) of the statutes is amended to read:
AB68-SSA1,558,222 49.345 (2) Except as provided in sub. (14) (b) and (c), any person, including a
3person placed under s. 48.32 (1) (am) or (b), 48.345 (3), 48.357 (1) or (2m), 938.183,
4938.34 (3) or (4d), or 938.357 (1), (2m), (4), or (5) (e), receiving care, maintenance,
5services, and supplies provided by any institution in this state, in which the state is
6chargeable with all or part of the person's care, maintenance, services, and supplies,
7and the person's property and estate, including the homestead, and the spouse of the
8person, and the spouse's property and estate, including the homestead, and, in the
9case of a minor child, the parents of the person, and their property and estates,
10including their homestead, and, in the case of a foreign child described in s. 48.839
11(1) who became dependent on public funds for his or her primary support before an
12order granting his or her adoption, the resident of this state appointed guardian of
13the child by a foreign court who brought the child into this state for the purpose of
14adoption, and his or her property and estate, including his or her homestead, shall
15be liable for the cost of the care, maintenance, services, and supplies in accordance
16with the fee schedule established by the department under s. 49.32 (1). If a spouse,
17widow surviving spouse, or minor, or an incapacitated person may be lawfully
18dependent upon the property for his or her support, the court shall release all or such
19part of the property and estate from the charges that may be necessary to provide for
20the person. The department shall make every reasonable effort to notify the liable
21persons as soon as possible after the beginning of the maintenance, but the notice or
22the receipt of the notice is not a condition of liability.
AB68-SSA1,1029 23Section 1029 . 49.345 (2) of the statutes, as affected by 2021 Wisconsin Act ....
24(this act), is amended to read:
AB68-SSA1,559,21
149.345 (2) Except as provided in sub. (14) (b) and (c), any person, including a
2person placed under s. 48.32 (1) (am) or (b), 48.345 (3), 48.357 (1) or (2m), 938.183,
3938.34 (3) or (4d), or 938.357 (1), (2m), (4), or (5) (e), receiving care, maintenance,
4services, and supplies provided by any institution in this state, in which the state is
5chargeable with all or part of the person's care, maintenance, services, and supplies,
6and the person's property and estate, including the homestead, and the spouse of the
7person, and the spouse's property and estate, including the homestead, and, in the
8case of a minor child, the parents of the person, and their property and estates,
9including their homestead, and, in the case of a foreign child described in s. 48.839
10(1) who became dependent on public funds for his or her primary support before an
11order granting his or her adoption, the resident of this state appointed guardian of
12the child by a foreign court who brought the child into this state for the purpose of
13adoption, and his or her property and estate, including his or her homestead, shall
14be liable for the cost of the care, maintenance, services, and supplies in accordance
15with the fee schedule established by the department under s. 49.32 (1). If a spouse,
16surviving spouse, or minor, or an incapacitated person may be lawfully dependent
17upon the property for his or her support, the court shall release all or such part of the
18property and estate from the charges that may be necessary to provide for the person.
19The department shall make every reasonable effort to notify the liable persons as
20soon as possible after the beginning of the maintenance, but the notice or the receipt
21of the notice is not a condition of liability.
AB68-SSA1,1030 22Section 1030. 49.37 (1) of the statutes is amended to read:
AB68-SSA1,559,2523 49.37 (1) Beginning in fiscal year 2017-18, the department of children and
24families shall establish a 5-year 6-year offender reentry demonstration project
25focused on noncustodial fathers in a 1st class city.
AB68-SSA1,1031
1Section 1031. 49.37 (2) of the statutes is amended to read:
AB68-SSA1,560,42 49.37 (2) Upon completion of the demonstration project under sub. (1) and by
3June 30, 2023 2024, the department of children and families shall conduct an
4evaluation of the demonstration project.
AB68-SSA1,1032 5Section 1032 . 49.43 (12) of the statutes is amended to read:
AB68-SSA1,560,86 49.43 (12) “Spouse" means the legal husband or wife of person to whom the
7beneficiary is legally married, whether or not the person is eligible for medical
8assistance.
AB68-SSA1,1033 9Section 1033. 49.45 (2p) of the statutes is repealed.
AB68-SSA1,1034 10Section 1034. 49.45 (2t) of the statutes is repealed.
AB68-SSA1,1035 11Section 1035. 49.45 (3) (e) 11. of the statutes is amended to read:
AB68-SSA1,561,212 49.45 (3) (e) 11. The department shall use a portion of the moneys collected
13under s. 50.38 (2) (a) to pay for services provided by eligible hospitals, as defined in
14s. 50.38 (1), other than critical access hospitals, under the Medical Assistance
15Program under this subchapter, including services reimbursed on a fee-for-service
16basis and services provided under a managed care system. For state fiscal year
172008-09, total payments required under this subdivision, including both the federal
18and state share of Medical Assistance, shall equal the amount collected under s.
1950.38 (2) (a) for fiscal year 2008-09 divided by 57.75 percent. For each state fiscal
20year after state fiscal year 2008-09, total payments required under this subdivision,
21including both the federal and state share of Medical Assistance, shall equal the
22amount collected under s. 50.38 (2) (a) for the fiscal year divided by 61.68 percent,
23except that 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, the amount collected for the fiscal year
2shall be divided by 53.69 percent
.
AB68-SSA1,1036 3Section 1036 . 49.45 (3) (e) 12. of the statutes is amended to read:
AB68-SSA1,561,144 49.45 (3) (e) 12. The department shall use a portion of the moneys collected
5under s. 50.38 (2) (b) to pay for services provided by critical access hospitals under
6the Medical Assistance Program under this subchapter, including services
7reimbursed on a fee-for-service basis and services provided under a managed care
8system. For each state fiscal year, total payments required under this subdivision,
9including both the federal and state share of Medical Assistance, shall equal the
10amount collected under s. 50.38 (2) (b) for the fiscal year divided by 61.68 percent,
11except that if the department has expanded eligibility under section 2001 (a) (1) (C)
12of the Patient Protection and Affordable Care Act, P.L. 111-148, for the Medical
13Assistance program under this subchapter, the amount collected for the fiscal year
14shall be divided by 53.69 percent
.
AB68-SSA1,1037 15Section 1037. 49.45 (3m) (a) (intro.) of the statutes is amended to read:
AB68-SSA1,561,2216 49.45 (3m) (a) (intro.) Subject to par. (c) (d) and notwithstanding sub. (3) (e),
17from the appropriations under s. 20.435 (4) (b) and (o), in each fiscal year, the
18department shall pay to hospitals that serve a disproportionate share of low-income
19patients an amount equal to the sum of $27,500,000, as the state share of payments,
20and the matching federal share of payments. The department may make a payment
21to a hospital under this subsection under the calculation method described in par. (b)
22if the hospital meets all of the following criteria:
AB68-SSA1,1038 23Section 1038. 49.45 (3m) (cm) of the statutes is created to read:
AB68-SSA1,562,524 49.45 (3m) (cm) Notwithstanding the total amount of state share paid to
25hospitals under par. (a) and the limit paid to a single hospital under par. (b) 3. a., if

1the department has expanded eligibility under section 2001 (a) (1) (C) of the Patient
2Protection and Affordable Care Act, P.L. 111-148, for the Medical Assistance
3program under this subchapter, the department shall pay as the state share to
4hospitals $47,500,000 under par. (a) and pay no single hospital more than $7,950,000
5under par. (b) 3. a.
AB68-SSA1,1039 6Section 1039. 49.45 (5g) of the statutes is created to read:
AB68-SSA1,562,167 49.45 (5g) Payments to tribes. (a) Tribal care coordination agreements. A
8tribal health care provider's care coordination agreement with a nontribal health
9care provider shall meet federal requirements, including that a service provided by
10the nontribal health care provider be at the request of the tribal health care provider
11on behalf of a tribal member who remains in the tribal health care provider's care
12according to the care coordination agreement; that both the tribal health care
13provider and nontribal health care provider are providers, as defined in s. 49.43 (10);
14that an established relationship exists between the tribal health care provider and
15the tribal member; and that the care be provided pursuant to a written care
16coordination agreement.
AB68-SSA1,563,217 (b) Amount and distribution of payments. 1. From the appropriation account
18under s. 20.435 (4) (b), the department shall make payments to eligible governing
19bodies of federally recognized American Indian tribes or bands or tribal health care
20providers in an amount and manner determined by the department. The
21department shall determine payment amounts on the basis of the difference between
22the state share of medical assistance payments paid for services rendered to tribal
23members for whom a care coordination agreement with nontribal health care
24providers is in place and the state share of medical assistance payments that would

1have been paid for those services absent a care coordination agreement with
2nontribal partners.
AB68-SSA1,563,53 2. The department shall withhold from the payments under subd. 1. the state
4share of administrative costs associated with carrying out this subsection, not to
5exceed 10 percent of the amounts calculated in subd. 1.
AB68-SSA1,563,86 3. Federally recognized American Indian tribes or bands may use funds paid
7under this subsection for health-related purposes. The department shall consult
8biennially with tribes to determine the timing and distribution of payments.
AB68-SSA1,1040 9Section 1040. 49.45 (6m) (a) 6. of the statutes is repealed.
AB68-SSA1,1041 10Section 1041. 49.45 (6m) (ag) 3p. a. to c. of the statutes are amended to read:
AB68-SSA1,563,1311 49.45 (6m) (ag) 3p. a. The system may incorporate acuity measurements under
12the most recent Resource Utilization Groupings methodology
to determine factors
13for case-mix adjustment.
AB68-SSA1,563,1714 b. Four times annually, for For each facility resident who is a Medical
15Assistance recipient on March 31, June 30, September 30, or December 31, as
16applicable, the system shall determine the average case-mix index by use of the
17factors specified under subd. 3p. a.
AB68-SSA1,563,1918 c. The system shall may incorporate payment adjustments for dementia,
19behavioral needs, or other complex medical conditions.
AB68-SSA1,1042 20Section 1042. 49.45 (6xm) of the statutes is created to read:
AB68-SSA1,563,2421 49.45 (6xm) Pediatric inpatient supplement. (a) From the appropriations
22under s. 20.435 (4) (b), (o), and (w), the department shall, using a method determined
23by the department, distribute a total sum of $2,000,000 each state fiscal year to
24hospitals that meet all of the following criteria:
AB68-SSA1,563,2525 1. The hospital is an acute care hospital located in this state.
AB68-SSA1,564,5
12. During the hospital's fiscal year, the inpatient days in the hospital's acute
2care pediatric units and intensive care pediatric units totaled more than 12,000 days,
3not including neonatal intensive care units. For purposes of this subsection, the
4hospital's fiscal year is the hospital's fiscal year that ended in the 2nd calendar year
5preceding the beginning of the state fiscal year.
AB68-SSA1,564,136 (b) Notwithstanding par. (a), from the appropriations under s. 20.435 (4) (b),
7(o), and (w), if the department has expanded eligibility under section 2001 (a) (1) (C)
8of the Patient Protection and Affordable Care Act, P.L. 111-148, for the Medical
9Assistance program under this subchapter, then the department may, using a
10method determined by the department, distribute an additional total sum of
11$7,500,000 in each state fiscal year to hospitals that are free-standing pediatric
12teaching hospitals located in Wisconsin that have a percentage calculated under s.
1349.45 (3m) (b) 1. a. greater than 45 percent.
AB68-SSA1,1043 14Section 1043. 49.45 (18) (ac) of the statutes is amended to read:
AB68-SSA1,565,215 49.45 (18) (ac) Except as provided in pars. (am) to (d), and subject to par. (ag)
16(c), any person eligible for medical assistance under s. 49.46, 49.468, or 49.47, or for
17the benefits under s. 49.46 (2) (a) and (b) under s. 49.471 shall pay up to the maximum
18amounts allowable under 42 CFR 447.53 to 447.58 for purchases of services provided
19under s. 49.46 (2). The service provider shall collect the specified or allowable
20copayment, coinsurance, or deductible, unless the service provider determines that
21the cost of collecting the copayment, coinsurance, or deductible exceeds the amount
22to be collected. The department shall reduce payments to each provider by the
23amount of the specified or allowable copayment, coinsurance, or deductible. No
24provider may deny care or services because the recipient is unable to share costs, but

1an inability to share costs specified in this subsection does not relieve the recipient
2of liability for these costs.
AB68-SSA1,1044 3Section 1044. 49.45 (18) (ag) of the statutes is repealed.
AB68-SSA1,1045 4Section 1045. 49.45 (18) (b) 8. of the statutes is created to read:
AB68-SSA1,565,55 49.45 (18) (b) 8. Prescription drugs.
AB68-SSA1,1046 6Section 1046. 49.45 (18) (d) of the statutes is repealed.
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