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SB70-AA3,96,9 9211. Page 374, line 11: after that line insert:
SB70-AA3,96,10 10 Section 92. 49.45 (7m) of the statutes is created to read:
SB70-AA3,96,1811 49.45 (7m) Pay-for-performance; health information exchange. The
12department shall develop and implement for non-hospital providers in the Medical
13Assistance program, including physicians, clinics, health departments, home health
14agencies, and post-acute care facilities, a payment system based on performance to
15incentivize participation in health information data sharing to facilitate better
16patient care, reduced costs, and easier access to patient information. The
17department shall establish performance metrics for the payment system under this
18subsection that satisfy all of the following:
SB70-AA3,96,2019 (a) The metric shall include participation by providers in a health information
20exchange at a minimum level of patient record access.
SB70-AA3,96,2221 (b) The payment under the payment system shall increase as the participation
22level in the health information exchange increases.
SB70-AA3,96,2323 (c) The payment system shall begin in the 2024 rate year.
SB70-AA3,97,2
1(d) For purposes of the payment system, the department shall seek any
2available federal moneys.”.
SB70-AA3,97,3 3212. Page 374, line 11: after that line insert:
SB70-AA3,97,4 4 Section 93. 49.45 (30p) of the statutes is created to read:
SB70-AA3,97,55 49.45 (30p) Detoxification and stabilization services. (a) In this subsection:
SB70-AA3,97,186 1. “Adult residential integrated behavioral health stabilization service” means
7a residential behavioral health treatment service, delivered under the oversight of
8a medical director, that provides withdrawal management and intoxication
9monitoring, as well as integrated behavioral health stabilization services, and
10includes nursing care on site for medical monitoring available on a 24-hour basis.
11“Adult residential integrated behavioral health stabilization service” may include
12the provision of services including screening, assessment, intake, evaluation and
13diagnosis, medical care, observation and monitoring, physical examination,
14determination of medical stability, medication management, nursing services, case
15management, drug testing, counseling, individual therapy, group therapy, family
16therapy, psychoeducation, peer support services, recovery coaching, recovery
17support services, and crisis intervention services, to ameliorate acute behavioral
18health symptoms and stabilize functioning.
SB70-AA3,97,2119 2. “Community-based withdrawal management” means a medically managed
20withdrawal management service delivered on an outpatient basis by a physician or
21other service personnel acting under the supervision of a physician.
SB70-AA3,97,2422 3. “Detoxification and stabilization services” means adult residential
23integrated behavioral health stabilization service, residential withdrawal
24management service, or residential intoxication monitoring service.
SB70-AA3,98,9
14. “Residential intoxication monitoring service” means a residential service
2that provides 24-hour observation to monitor the safe resolution of alcohol or
3sedative intoxication and to monitor for the development of alcohol withdrawal for
4intoxicated patients who are not in need of emergency medical or behavioral
5healthcare. “Residential intoxication monitoring service” may include the provision
6of services including screening, assessment, intake, evaluation and diagnosis,
7observation and monitoring, case management, drug testing, counseling, individual
8therapy, group therapy, family therapy, psychoeducation, peer support services,
9recovery coaching, and recovery support services.
SB70-AA3,98,2210 5. “Residential withdrawal management service” means a residential
11substance use treatment service that provides withdrawal management and
12intoxication monitoring, and includes medically managed 24-hour on-site nursing
13care, under the supervision of a physician. “Residential withdrawal management
14service” may include the provision of services, including screening, assessment,
15intake, evaluation and diagnosis, medical care, observation and monitoring,
16physical examination, medication management, nursing services, case
17management, drug testing, counseling, individual therapy, group therapy, family
18therapy, psychoeducation, peer support services, recovery coaching, and recovery
19support services, to ameliorate symptoms of acute intoxication and withdrawal and
20to stabilize functioning. “Residential withdrawal management service” may also
21include community-based withdrawal management and intoxication monitoring
22services.
SB70-AA3,99,223 (b) Subject to par. (c), the department shall provide reimbursement for
24detoxification and stabilization services under the Medical Assistance program
25under s. 49.46 (2) (b) 14r. The department shall certify providers under the Medical

1Assistance program to provide detoxification and stabilization services in
2accordance with this subsection.
SB70-AA3,99,103 (c) The department shall submit to the federal department of health and
4human services any request for a state plan amendment, waiver, or other federal
5approval necessary to provide reimbursement for detoxification and stabilization
6services as described in this subsection. If the federal department approves the
7request or if no federal approval is necessary, the department shall provide the
8reimbursement under par. 49.46 (2) (b) 14r. If the federal department disapproves
9the request, the department may not provide the reimbursement described in this
10subsection.
SB70-AA3,94 11Section 94. 49.46 (2) (b) 14r. of the statutes is created to read:
SB70-AA3,99,1312 49.46 (2) (b) 14r. Detoxification and stabilization services as specified under s.
1349.45 (30p).”.
SB70-AA3,99,14 14213. Page 374, line 11: after that line insert:
SB70-AA3,99,15 15 Section 95. 49.45 (6xm) of the statutes is created to read:
SB70-AA3,99,1916 49.45 (6xm) Pediatric inpatient supplement. (a) From the appropriations
17under s. 20.435 (4) (b), (o), and (w), the department shall, using a method determined
18by the department, distribute a total sum of $2,000,000 in each state fiscal year to
19hospitals that meet all of the following criteria:
SB70-AA3,99,2020 1. The hospital is an acute care hospital located in this state.
SB70-AA3,99,2321 2. During the hospital's fiscal year, the inpatient days in the hospital's acute
22care pediatric units and intensive care pediatric units totaled more than 12,000 days,
23not including neonatal intensive care units. For purposes of this subdivision, the

1hospital's fiscal year is the hospital's fiscal year that ended in the 2nd calendar year
2preceding the beginning of the state fiscal year.
SB70-AA3,100,73 (b) Notwithstanding par. (a), from the appropriations under s. 20.435 (4) (b),
4(o), and (w), the department may, using a method determined by the department,
5distribute an additional total sum of $10,000,000 in each state fiscal year to hospitals
6that are freestanding pediatric teaching hospitals located in Wisconsin that have a
7percentage calculated under s. 49.45 (3m) (b) 1. a. greater than 45 percent.”.
SB70-AA3,100,8 8214. Page 374, line 11: after that line insert:
SB70-AA3,100,9 9 Section 96. 49.45 (3) (e) 12. of the statutes is amended to read:
SB70-AA3,100,1710 49.45 (3) (e) 12. The department shall use a portion of the moneys collected
11under s. 50.38 (2) (b) to pay for services provided by critical access hospitals under
12the Medical Assistance Program under this subchapter, including services
13reimbursed on a fee-for-service basis and services provided under a managed care
14system. For each state fiscal year, total payments required under this subdivision,
15including both the federal and state share of Medical Assistance, shall equal the
16amount collected under s. 50.38 (2) (b) for the fiscal year divided by 61.68 44.21
17percent.”.
SB70-AA3,100,18 18215. Page 374, line 11: after that line insert:
SB70-AA3,100,19 19 Section 97. 49.45 (3) (e) 11. of the statutes is amended to read:
SB70-AA3,101,720 49.45 (3) (e) 11. The department shall use a portion of the moneys collected
21under s. 50.38 (2) (a) to pay for services provided by eligible hospitals, as defined in
22s. 50.38 (1), other than critical access hospitals, under the Medical Assistance
23Program under this subchapter, including services reimbursed on a fee-for-service
24basis and services provided under a managed care system. For state fiscal year

12008-09, total payments required under this subdivision, including both the federal
2and state share of Medical Assistance, shall equal the amount collected under s.
350.38 (2) (a) for fiscal year 2008-09 divided by 57.75 percent. For each state fiscal
4year after state fiscal year 2008-09, total payments required under this subdivision,
5including both the federal and state share of Medical Assistance, shall equal the
6amount collected under s. 50.38 (2) (a) for the fiscal year divided by 61.68 44.21
7percent.”.
SB70-AA3,101,8 8216. Page 374, line 11: after that line insert:
SB70-AA3,101,9 9 Section 98. 20.435 (4) (jw) of the statutes is amended to read:
SB70-AA3,101,1710 20.435 (4) (jw) BadgerCare Plus and hospital assessment. All moneys received
11from payment of enrollment fees under the program under s. 49.45 (23), all
moneys
12transferred under s. 50.38 (9), all moneys transferred from the appropriation account
13under par. (jz), and 10 percent of all moneys received from penalty assessments
14under s. 49.471 (9) (c), for administration of the program under s. 49.45 (23), to
15provide a portion of the state share of administrative costs for the BadgerCare Plus
16Medical Assistance program under s. 49.471, and for administration of the hospital
17assessment under s. 50.38.
SB70-AA3,99 18Section 99. 49.45 (2p) of the statutes is repealed.
SB70-AA3,100 19Section 100. 49.45 (23) of the statutes is repealed.
SB70-AA3,101 20Section 101. 49.45 (23b) of the statutes is repealed.
SB70-AA3,102 21Section 102. 49.471 (1) (cr) of the statutes is created to read:
SB70-AA3,101,2322 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a
23federal medical assistance percentage described under 42 USC 1396d (y) or (z).
SB70-AA3,103 24Section 103. 49.471 (4) (a) 4. b. of the statutes is amended to read:
SB70-AA3,102,3
149.471 (4) (a) 4. b. The individual's family income does not exceed 100 133
2percent of the poverty line before application of the 5 percent income disregard under
342 CFR 435.603 (d)
.
SB70-AA3,104 4Section 104. 49.471 (4) (a) 8. of the statutes is created to read:
SB70-AA3,102,55 49.471 (4) (a) 8. An individual who meets all of the following criteria:
SB70-AA3,102,66 a. The individual is an adult under the age of 65.
SB70-AA3,102,87 b. The adult has a family income that does not exceed 133 percent of the poverty
8line, except as provided in sub. (4g).
SB70-AA3,102,109 c. The adult is not otherwise eligible for the Medical Assistance program under
10this subchapter or the Medicare program under 42 USC 1395 et seq.
SB70-AA3,105 11Section 105. 49.471 (4g) of the statutes is created to read:
SB70-AA3,102,1912 49.471 (4g) Medicaid expansion; federal medical assistance percentage. For
13services provided to individuals described under sub. (4) (a) 8., the department shall
14comply with all federal requirements to qualify for the highest available enhanced
15federal medical assistance percentage. The department shall submit any
16amendment to the state medical assistance plan, request for a waiver of federal
17Medicaid law, or other approval request required by the federal government to
18provide services to the individuals described under sub. (4) (a) 8. and qualify for the
19highest available enhanced federal medical assistance percentage.
SB70-AA3,106 20Section 106. 49.686 (3) (d) of the statutes is amended to read:
SB70-AA3,103,221 49.686 (3) (d) Has applied for coverage under and has been denied eligibility
22for medical assistance within 12 months prior to application for reimbursement
23under sub. (2). This paragraph does not apply to an individual who is eligible for
24benefits under the demonstration project for childless adults under s. 49.45 (23) or

1to an individual
who is eligible for benefits under BadgerCare Plus under s. 49.471
2(4) (a) 8. or (11).
SB70-AA3,107 3Section 107. 2017 Wisconsin Act 370, section 44 (2) and (3) are repealed.
SB70-AA3,9119 4Section 9119. Nonstatutory provisions; Health Services.
SB70-AA3,103,125 (2h) Childless adults demonstration project. The department of health
6services shall submit any necessary request to the federal department of health and
7human services for a state plan amendment or waiver of federal Medicaid law or to
8modify or withdraw from any waiver of federal Medicaid law relating to the childless
9adults demonstration project under s. 49.45 (23), 2021 stats., to reflect the
10incorporation of recipients of Medical Assistance under the demonstration project
11into the BadgerCare Plus program under s. 49.471 and the termination of the
12demonstration project.
SB70-AA3,9419 13Section 9419. Effective dates; Health Services.
SB70-AA3,103,1714 (2r) Medicaid expansion. The treatment of ss. 20.435 (4) (jw), 49.45 (2p), 49.45
15(23) and (23b), 49.471 (1) (cr), (4) (a) 4. b. and 8., and (4g), and 49.686 (3) (d), and 2017
16Wisconsin Act 370
, section 44 (2) and (3), and Section 9119 (2h) of this act take effect
17on July 1, 2023.”.
SB70-AA3,103,18 18217. Page 374, line 11: after that line insert:
SB70-AA3,103,20 19 Section 108. 20.005 (3) (schedule) of the statutes: at the appropriate place,
20insert the following amounts for the purposes indicated: - See PDF for table PDF - See PDF for table PDF
SB70-AA3,109 1Section 109. 20.435 (1) (bc) of the statutes is created to read:
SB70-AA3,104,42 20.435 (1) (bc) Emergency medical services grants. As a continuing
3appropriation, the amounts in the schedule for grants to providers of emergency
4medical services under s. 256.42.
SB70-AA3,110 5Section 110. 256.42 of the statutes is created to read:
SB70-AA3,104,10 6256.42 Emergency medical services grants. From the appropriation under
7s. 20.435 (1) (bc), the department may award grants to providers of emergency
8medical services for reasonable operating expenses related to emergency medical
9services, including expenses related to supplies, equipment, training, staffing, and
10vehicles.”.
SB70-AA3,104,11 11218. Page 374, line 11: after that line insert:
SB70-AA3,104,12 12 Section 9119. Nonstatutory provisions; Health Services.
SB70-AA3,104,17 13(1) Office of Caregiver Quality position increase. The authorized FTE
14positions for the department of health services are increased by 2.8 FED positions,
15beginning in fiscal year 2023-24, to be funded from the appropriation under s. 20.435
16(6) (n) for the purpose of increasing staffing in the division of the department
17responsible for caregiver quality.”.
SB70-AA3,104,18 18219. Page 374, line 11: after that line insert:
SB70-AA3,104,19 19 Section 1. 252.12 (2) (a) 8. (intro.) of the statutes is amended to read:
SB70-AA3,105,920 252.12 (2) (a) 8. `Mike Johnson life care and early intervention services grants.'
21(intro.) The department shall award not more than $4,000,000 $5,000,000 in each
22fiscal year in grants to applying AIDS service organizations for the provision of needs

1assessments; assistance in procuring financial, medical, legal, social and pastoral
2services; counseling and therapy; homecare services and supplies; advocacy; and
3case management services. These services shall include early intervention services.
4The department shall also award not more than $74,000 in each year from the
5appropriation account under s. 20.435 (5) (md) for the services under this
6subdivision. The state share of payment for case management services that are
7provided under s. 49.45 (25) (be) to recipients of medical assistance shall be paid from
8the appropriation account under s. 20.435 (1) (am). All of the following apply to
9grants awarded under this subdivision:”.
SB70-AA3,105,10 10220. Page 374, line 11: after that line insert:
SB70-AA3,105,12 11 Section 111. 20.005 (3) (schedule) of the statutes: at the appropriate place,
12insert the following amounts for the purposes indicated: - See PDF for table PDF - See PDF for table PDF
SB70-AA3,112 13Section 112. 20.435 (1) (ew) of the statutes is created to read:
SB70-AA3,106,214 20.435 (1) (ew) Congenital disorders; general purpose revenue. The amounts
15in the schedule to provide diagnostic services, special dietary treatment, and
16follow-up counseling for congenital disorders and periodic evaluation of infant
17screening programs as specified under s. 253.13, to provide referrals under s.

1253.115, to administer the programs under ss. 253.115 and 253.13, and for the costs
2of consulting with appropriate experts as specified in s. 253.13 (5).”.
SB70-AA3,106,3 3221. Page 374, line 11: after that line insert:
SB70-AA3,106,4 4 Section 113. 20.250 (2) (title) of the statutes is amended to read:
SB70-AA3,106,55 20.250 (2) (title) Research and community support.
SB70-AA3,114 6Section 114. 20.250 (2) (a) of the statutes is created to read:
SB70-AA3,106,107 20.250 (2) (a) Violence prevention grants. Biennially, the amounts in the
8schedule to make violence prevention grants supporting local, evidence-informed
9activities that enhance the safety and well-being of children, youth, and families
10throughout this state.”.
SB70-AA3,106,11 11222. Page 374, line 11: after that line insert:
SB70-AA3,106,13 12 Section 115. 20.005 (3) (schedule) of the statutes: at the appropriate place,
13insert the following amounts for the purposes indicated: - See PDF for table PDF - See PDF for table PDF
SB70-AA3,116 14Section 116. 20.435 (1) (fL) of the statutes is created to read:
SB70-AA3,106,1715 20.435 (1) (fL) Nurse aide training and recruitment grants. The amounts in
16the schedule for grants to train and recruit individuals to work as nurse aides in
17nursing homes under s. 146.41.
SB70-AA3,117 18Section 117. 146.41 of the statutes is created to read:
SB70-AA3,107,1
1146.41 Nurse aide training and recruitment grants. (1) In this section:
SB70-AA3,107,22 (a) “Nurse aide” has the meaning given in s. 146.40 (1) (d).
SB70-AA3,107,33 (b) “Nursing home" has the meaning given in s. 50.01 (3).
SB70-AA3,107,6 4(2) Beginning in fiscal year 2024-25, the department shall award grants to
5train and recruit individuals to work as nurse aides in nursing homes. The grants
6awarded under this subsection shall include grants for all of the following:
SB70-AA3,107,87 (a) The cost for an individual to complete an instructional program for nurse
8aides in a program approved under s. 146.40 (3) and (3g).
SB70-AA3,107,109 (b) The cost for an individual to complete a competency evaluation for nurse
10aides in a program approved under s. 146.40 (3m).
SB70-AA3,107,1211 (c) A retention bonus for an individual who has worked for at least 6 months
12as a nurse aide in a nursing home.
SB70-AA3,107,16 13(3) The department may partner with nonprofit organizations, private entities,
14the board on aging and long term care, and the technical college system board to
15award the grants under sub. (2) and recruit individuals to work as nurse aides in
16nursing homes.”.
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