Amendment AA3-SB70

SB70-AA3,70,17 50.36 (3s) The department shall require a hospital that provides emergency services to have sufficient qualified personnel at all times to manage the number and severity of emergency department cases anticipated by the location. At all times, a hospital that provides emergency services shall have on-site at least one physician who, through education, training, and experience, specializes in emergency medicine.”.

SB70-AA3,70,18 187. Page 374, line 11: after that line insert:

SB70-AA3,70,19 “ Section 51. 71.03 (9) of the statutes is created to read:

SB70-AA3,70,22 71.03 (9) Medical Assistance coverage. (a) The department shall include the following questions and explanatory information on each individual income tax return under this section and a method for the taxpayer to respond to each question:

SB70-AA3,71,4 1. “Are you, your spouse, your dependent children, or any eligible adult child dependent not covered under a health insurance policy, health plan, or other health care coverage? `Eligible adult child dependent' means a child who is under the age of 26 who is a full-time student or a child who is under the age of 27 who is called to active duty in the national guard or armed forces reserve while enrolled as a full-time student.”

SB70-AA3,71,7 2. “If you responded `yes' to question 1, do you want to have evaluated your eligibility for Medical Assistance under subch. IV of ch. 49 or your eligibility for subsidized health insurance coverage?”

SB70-AA3,71,16 (b) For each person who responded “yes” to the question under par. (a) 2., the department shall provide that person's contact information and other relevant information from that person's individual income tax return to the department of health services to perform an evaluation of that person's eligibility under the Medical Assistance program or an evaluation of that person's eligibility for subsidized health insurance coverage through an exchange, as defined under 45 CFR 155.20. The information provided to the department of health services may not be used to determine that the individual is ineligible to enroll in the Medical Assistance program.

SB70-AA3,52 Section 52. 71.78 (4) (v) of the statutes is created to read:

SB70-AA3,71,19 71.78 (4) (v) The secretary of health services and employees of that department for the purpose of performing an evaluation under s. 71.03 (9).

SB70-AA3,9319 Section 9319. Initial applicability; Health Services.

SB70-AA3,71,23 (1k) Determination of Medical Assistance eligibility by indicating interest on an individual income tax return. The treatment of ss. 71.03 (9) and 71.78 (4) (v) first applies to taxable years beginning after December 31, 2023.”.

SB70-AA3,71,24 188. Page 374, line 11: after that line insert:

SB70-AA3,72,1 “ Section 53. 49.46 (2) (b) 8m. of the statutes is created to read:

SB70-AA3,72,3 49.46 (2) (b) 8m. Room and board for residential substance use disorder treatment.”.

SB70-AA3,72,4 189. Page 374, line 11: after that line insert:

SB70-AA3,72,5 “ Section 54. 46.87 (5m) of the statutes is amended to read:

SB70-AA3,72,12 46.87 (5m) A person is financially eligible for the program under this section if the joint income of the person with Alzheimer's disease and that person's spouse, if any, is $48,000 $60,000 per year or less, unless the department sets a higher limitation on income eligibility by rule. In determining joint income for purposes of this subsection, the administering agency shall subtract any expenses attributable to the Alzheimer's-related needs of the person with Alzheimer's disease or of the person's caregiver.”.

SB70-AA3,72,13 190. Page 374, line 11: after that line insert:

SB70-AA3,72,15 “ Section 55. 20.005 (3) (schedule) of the statutes: at the appropriate place, insert the following amounts for the purposes indicated: - See PDF for table

SB70-AA3,56 Section 56. 20.435 (1) (ca) of the statutes is created to read:

SB70-AA3,73,2 20.435 (1) (ca) State stockpile of personal protective equipment. Biennially, the amounts in the schedule for the establishment and maintenance of a state stockpile of personal protective equipment under s. 252.02 (8), including associated storage and warehousing.

SB70-AA3,2 Section 2. 252.02 (8) of the statutes is created to read:

SB70-AA3,73,5 252.02 (8) The department may establish and maintain a state stockpile of personal protective equipment.”.

SB70-AA3,73,6 191. Page 374, line 11: after that line insert:

SB70-AA3,73,7 “ Section 57. 49.45 (25r) of the statutes is created to read:

SB70-AA3,73,8 49.45 (25r) Community health worker services. (a) In this subsection:

SB70-AA3,73,10 1. “Community health services” means services provided by a community health worker.

SB70-AA3,73,18 2. “Community health worker” means a frontline public health worker who is a trusted member of or has a close understanding of the community served, enabling the worker to serve as a liaison, link, or intermediary between health and social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery, and who builds individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, informal counseling, social support, and advocacy.

SB70-AA3,74,2 (b) The department shall request any necessary waiver from, or submit any necessary amendments to the state Medical Assistance plan to, the secretary of the federal department of health and human services to provide community health services to eligible Medical Assistance recipients. If the waiver or state plan amendment is granted, the department shall reimburse certified providers for those community health services approved by the federal department of health and human services for Medical Assistance coverage and as provided to Medical Assistance recipients under s. 49.46 (2) (b) 9m.

SB70-AA3,58 Section 58. 49.46 (2) (b) 9m. of the statutes is created to read:

SB70-AA3,74,4 49.46 (2) (b) 9m. Community health services, as specified under s. 49.45 (25r).”.

SB70-AA3,74,5 192. Page 374, line 11: after that line insert:

SB70-AA3,74,6 “ Section 9219. Fiscal changes; Health Services.

SB70-AA3,74,15 (1) Mendota juvenile treatment center staffing. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (2) (gk), the dollar amount for fiscal year 2023-24 is increased by $9,075,800 to increase the authorized FTE positions by 114.5 PR positions to expand the capacity of the Mendota Juvenile Treatment Center. In the schedule under s. 20.005 (3) for the appropriation to the health services under s. 20.435 (2) (gk), the dollar amount for fiscal year 2024-25 is increased by $15,616,000 to increase the authorized FTE positions by 174.0 PR positions to expand the capacity of the Mendota Juvenile Treatment Center.”.

SB70-AA3,74,16 193. Page 374, line 11: after that line insert:

SB70-AA3,74,17 “ Section 59. 49.45 (30) (a) of the statutes is repealed.

SB70-AA3,60 Section 60. 49.45 (30) (b) of the statutes is renumbered 49.45 (30) and amended to read:

SB70-AA3,75,2 49.45 (30) Service provided by community support programs. The department shall reimburse a provider of county that provides services under s. 49.46 (2) (b) 6. L. only for the amount of the allowable charges for those services under the Medical Assistance program that is provided by the federal government and for the amount of the allowable charges for those services under the Medical Assistance program that is not provided by the federal government.

SB70-AA3,61 Section 61. 49.45 (52) (a) 1. of the statutes is amended to read:

SB70-AA3,75,16 49.45 (52) (a) 1. If the department provides the notice under par. (c) selecting the payment procedure in this paragraph, the department may, from the appropriation account under s. 20.435 (7) (b), make Medical Assistance payment adjustments to county departments under s. 46.215, 46.22, 46.23, 51.42, or 51.437 or to local health departments, as defined in s. 250.01 (4), as appropriate, for covered services under s. 49.46 (2) (a) 2. and 4. d. and f. and (b) 6. b., c., f., fm., g., j., k., L., Lm., and m., 9., 12., 12m., 13., 15., and 16., except for services specified under s. 49.46 (2) (b) 6. b. and c. provided to children participating in the early intervention program under s. 51.44. Payment adjustments under this paragraph shall include the state share of the payments. The total of any payment adjustments under this paragraph and Medical Assistance payments made from appropriation accounts under s. 20.435 (4) (b), (gm), (o), and (w), may not exceed applicable limitations on payments under 42 USC 1396a (a) (30) (A).

SB70-AA3,62 Section 62. 49.45 (52) (b) 1. of the statutes is amended to read:

SB70-AA3,75,23 49.45 (52) (b) 1. Annually, a county department under s. 46.215, 46.22, 46.23, 51.42, or 51.437 shall submit a certified cost report that meets the requirements of the federal department of health and human services for covered services under s. 49.46 (2) (a) 2. and 4. d. and f. and (b) 6. b., c., f., fm., g., j., k., L., Lm., and m., 9., 12., 12m., 13., 15., and 16., except for services specified under s. 49.46 (2) (b) 6. b. and c. provided to children participating in the early intervention program under s. 51.44.”.

SB70-AA3,75,24 194. Page 374, line 11: after that line insert:

SB70-AA3,76,1 “ Section 63. 146.63 (5) of the statutes is amended to read:

SB70-AA3,76,4 146.63 (5) Term of grants. The department may not distribute a grant under sub. (2) (a) for a term that is more than 5 years to a rural hospital or group of rural hospitals for a term that is more than 3 years.”.

SB70-AA3,76,5 195. Page 374, line 11: after that line insert:

SB70-AA3,76,6 “ Section 64. 20.435 (7) (b) of the statutes is amended to read:

SB70-AA3,77,4 20.435 (7) (b) Community aids and Medical Assistance payments. The amounts in the schedule for human services and community mental health services under s. 46.40, to fund services provided by resource centers under s. 46.283 (5), to fund activities in support of resource center operations, for services under the family care benefit under s. 46.284 (5), for grants to federally recognized American Indian tribes and bands located in this state under s. 46.41, for Medical Assistance payment adjustments under s. 49.45 (52) (a) for services described in s. 49.45 (52) (a) 1., for Medical Assistance payments under s. 49.45 (6tw), and for Medical Assistance payments under s. 49.45 (53) for services described in s. 49.45 (53) that are provided before January 1, 2012. Social services disbursements under s. 46.03 (20) (b) may be made from this appropriation. Refunds received relating to payments made under s. 46.03 (20) (b) for the provision of services for which moneys are appropriated under this paragraph shall be returned to this appropriation. Notwithstanding ss. 20.001 (3) (a) and 20.002 (1), the department of health services may transfer funds between fiscal years under this paragraph. The department shall deposit into this appropriation funds it recovers under ss. 46.495 (2) (b) and 51.423 (15), from prior year audit adjustments including those resulting from audits of services under s. 46.26, 1993 stats., or s. 46.27, 2017 stats. Except for amounts authorized to be carried forward under s. 46.45, all funds recovered under ss. 46.495 (2) (b) and 51.423 (15) and all funds allocated under s. 46.40 and not spent or encumbered by December 31 of each year shall lapse to the general fund on the succeeding January 1 unless carried forward to the next calendar year by the joint committee on finance.

SB70-AA3,65 Section 65. 46.41 of the statutes is created to read:

SB70-AA3,77,12 46.41 Grants for tribal long-term care system development. From the appropriation under s. 20.435 (7) (b), the department shall annually allocate not more than $5,500,000 in each fiscal year to federally recognized American Indian tribes and bands located in this state for capital improvements to tribal facilities serving tribal members with long-term care needs and for improvements and repairs to homes of tribal members with long-term care needs to enable tribal members to receive long-term care services at home.”.

SB70-AA3,77,13 196. Page 374, line 11: after that line insert:

SB70-AA3,77,14 “ Section 9119. Nonstatutory provisions; Health Services.

SB70-AA3,77,19 (1g) GPR-earned. In the appropriation under s. 20.435 (2) (a), the department of health services may retain up to $5,900,000 in fiscal year 2023-24 and up to $6,000,000 in fiscal year 2024-25 of Medical Assistance reimbursements received by the Northern Wisconsin Center, the Southern Wisconsin Center, and the Central Wisconsin Center for depreciation and interest costs.”.

SB70-AA3,77,20 197. Page 374, line 11: after that line insert:

SB70-AA3,77,21 “ Section 66. 51.445 of the statutes is repealed.”.

SB70-AA3,77,22 198. Page 374, line 11: after that line insert:

SB70-AA3,77,23 “ Section 67. 20.435 (5) (by) of the statutes is repealed.”.

SB70-AA3,77,24 199. Page 374, line 11: after that line insert:

SB70-AA3,78,1 “ Section 68. 20.435 (5) (cc) of the statutes is created to read:

SB70-AA3,78,3 20.435 (5) (cc) Youth crisis stabilization facilities; grants. The amounts in the schedule for grants under s. 51.042 (3m).”.

SB70-AA3,78,4 200. Page 374, line 11: after that line insert:

SB70-AA3,78,5 “ Section 69. 46.48 (3m) of the statutes is created to read:

SB70-AA3,78,10 46.48 (3m) Deaf, hard of hearing, and deaf-blind behavioral health treatment center. The department may distribute not more than $1,936,000 in each fiscal year, beginning in fiscal year 2024-25, to a statewide provider of behavioral health treatment services for individuals who are deaf, hard of hearing, or deaf-blind.”.

SB70-AA3,78,11 201. Page 374, line 11: after that line insert:

SB70-AA3,78,12 “ Section 70. 46.48 (31) of the statutes is amended to read:

SB70-AA3,78,16 46.48 (31) Peer run respite centers. The From the appropriation under s. 20.435 (5) (bc), the department may distribute not more than $1,200,000 in each fiscal year, beginning in fiscal year 2014-15, grants to regional peer run respite centers for individuals with mental health and substance abuse concerns.” .

SB70-AA3,78,17 202. Page 374, line 11: after that line insert:

SB70-AA3,78,18 “ Section 71. 13.48 (26m) of the statutes is created to read:

SB70-AA3,78,24 13.48 (26m) Lead service line replacement. The legislature finds and determines that the prevalence of lead service lines in connections to public water systems poses a public health hazard and that processes for reducing lead entering drinking water from such pipes requires additional treatment of wastewater. It is therefore in the public interest, and it is the public policy of this state, to assist private users of public water systems in replacing lead service lines.

SB70-AA3,72 Section 72. 20.005 (3) (schedule) of the statutes: at the appropriate place, insert the following amounts for the purposes indicated: - See PDF for table

SB70-AA3,73 Section 73. 20.320 (2) (a) of the statutes is created to read:

SB70-AA3,79,6 20.320 (2) (a) Lead service line replacement. As a continuing appropriation, the amounts in the schedule for lead service line replacement loans under s. 281.61 (8) (b).

SB70-AA3,74 Section 74. 281.61 (8) (b) of the statutes is created to read:

SB70-AA3,79,10 281.61 (8) (b) The department of administration shall allocate the amount appropriated under s. 20.320 (2) (a) to projects involving forgivable loans to private users of public water systems to replace lead service lines.”.

SB70-AA3,79,11 203. Page 374, line 11: after that line insert:

SB70-AA3,79,12 “ Section 75. 601.41 (13) of the statutes is created to read:

SB70-AA3,79,18 601.41 (13) Value-based diabetes medication pilot project. The commissioner shall develop a pilot project to direct a pharmacy benefit manager, as defined in s. 632.865 (1) (c), and a pharmaceutical manufacturer to create a value-based, sole-source arrangement to reduce the costs of prescription medication used to treat diabetes. The commissioner may promulgate rules to implement this subsection.”.

SB70-AA3,79,19 204. Page 374, line 11: after that line insert:

SB70-AA3,79,20 “ Section 76. 15.197 (20) of the statutes is created to read:

SB70-AA3,80,3 15.197 (20) Spinal cord injury council. (a) There is created in the department of health services a spinal cord injury council that, except as provided in par. (b), consists of the following members appointed by the department for 2-year terms:

SB70-AA3,80,5 1. One member representing the University of Wisconsin School of Medicine and Public Health.

SB70-AA3,80,6 2. One member representing the Medical College of Wisconsin.

SB70-AA3,80,7 3. One member who has a spinal cord injury.

SB70-AA3,80,8 4. One member who is a family member of a person with a spinal cord injury.

SB70-AA3,80,9 5. One member who is a veteran who has a spinal cord injury.

SB70-AA3,80,11 6. One member who is a physician specializing in the treatment of spinal cord injuries.

SB70-AA3,80,12 7. One member who is a researcher in the field of neurosurgery.

SB70-AA3,80,14 8. One member who is a researcher employed by the veterans health administration of the U.S. department of veterans affairs.

SB70-AA3,80,17 (b) If the department of health services is unable to appoint a member specified in par. (a) 1. to 8., the department of health services may appoint a member representing the general public in lieu of the member so specified.