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SB70-SSA2,306,2011 48.623 (5) (b) 2. If a recipient requests a hearing within 10 days after the date
12of notice that his or her payments under sub. (1) are being decreased or discontinued,
13those payments may not be decreased or discontinued until a decision is rendered
14after the hearing but payments made pending the hearing decision may be recovered
15by the department if the contested action or failure to act is upheld. The department
16shall promptly notify the county department, Indian tribe, or the subunit of the
17department whose action is the subject of the hearing that the recipient has
18requested a hearing. Payments under sub. (1) shall be decreased or discontinued if
19the recipient is contesting a state law or a change in state law and not the
20determination of the payment made on the recipient's behalf.
SB70-SSA2,272 21Section 272 . 48.623 (6) (am) (intro.) of the statutes is amended to read:
SB70-SSA2,307,222 48.623 (6) (am) (intro.) On the death, incapacity, resignation, or removal of a
23guardian receiving payments under sub. (1), the county department , Indian tribe, or
24the department providing those payments shall provide monthly subsidized

1guardianship payments in the amount specified in sub. (3) (b) for a period of up to
212 months to an interim caretaker if all of the following conditions are met:
SB70-SSA2,273 3Section 273 . 48.623 (6) (am) 1. of the statutes is amended to read:
SB70-SSA2,307,84 48.623 (6) (am) 1. The county department, Indian tribe, or department inspects
5the home of the interim caretaker, interviews the interim caretaker, and determines
6that placement of the child with the interim caretaker is in the best interests of the
7child. In the case of an Indian child, the best interests of the Indian child shall be
8determined in accordance with s. 48.01 (2).
SB70-SSA2,274 9Section 274 . 48.623 (6) (am) 2. of the statutes is amended to read:
SB70-SSA2,307,2010 48.623 (6) (am) 2. The county department, Indian tribe, or department
11conducts a background investigation under s. 48.685 of the interim caretaker and
12any nonclient resident, as defined in s. 48.685 (1) (bm), of the home of the interim
13caretaker and determines that those individuals meet the requirements specified in
14s. 48.685. For investigations conducted by an Indian tribe, the background
15investigation may be conducted under s. 48.685 or by meeting the background check
16requirements for foster parent licensing under 42 USC 671 (a) (20).
The county
17department, Indian tribe, or department shall provide the department of health
18services with information about each person who is denied monthly subsidized
19guardianship payments or permission to reside in the home of an interim caretaker
20for a reason specified in s. 48.685 (4m) (a) 1. to 5. or (b) 1. to 5.
SB70-SSA2,275 21Section 275 . 48.623 (6) (am) 3. of the statutes is amended to read:
SB70-SSA2,307,2422 48.623 (6) (am) 3. The interim caretaker cooperates with the county
23department, Indian tribe, or department in finding a permanent placement for the
24child.
SB70-SSA2,276
1Section 276. 48.623 (6) (bm) (intro.), 1., 2., 3., 4. and 5. of the statutes are
2amended to read:
SB70-SSA2,308,113 48.623 (6) (bm) (intro.) On the death or incapacity of a guardian receiving
4payments under sub. (1), the county department, an Indian tribe, or the department
5providing those payments shall provide monthly subsidized guardianship payments
6in the amount specified in sub. (3) (b) to a person named as a prospective successor
7guardian of the child in a subsidized guardianship agreement or amended subsidized
8guardianship agreement that was entered into before the death or incapacity of the
9guardian if all of the following conditions are met and the court appoints the person
10as successor guardian to assume the duty and authority of guardianship as provided
11in s. 48.977 (5m):
SB70-SSA2,308,1412 1. The county department, Indian tribe, or department determines that the
13child, if 14 years of age or over, has been consulted with regarding the successor
14guardianship arrangement.
SB70-SSA2,308,1615 2. The county department, Indian tribe, or department determines that the
16person has a strong commitment to caring permanently for the child.
SB70-SSA2,308,2017 3. The county department, Indian tribe, or department inspects the home of the
18person, interviews the person, and determines that placement of the child with the
19person is in the best interests of the child. In the case of an Indian child, the best
20interests of the Indian child shall be determined in accordance with s. 48.01 (2).
SB70-SSA2,308,2321 4. Prior to being appointed as successor guardian to assume the duty and
22authority of guardianship, the person enters into a subsidized guardianship
23agreement under sub. (2) with the county department, Indian tribe, or department.
SB70-SSA2,309,724 5. Prior to the person entering into the subsidized guardianship agreement, the
25county department, Indian tribe, or department conducts a background

1investigation under s. 48.685 of the person and any nonclient resident, as defined in
2s. 48.685 (1) (bm), of the home of the person and determines that those individuals
3meet the requirements specified in s. 48.685. The county department , Indian tribe,
4or department shall provide the department of health services with information
5about each person who is denied monthly subsidized guardianship payments or
6permission to reside in the home of a person receiving those payments for a reason
7specified in s. 48.685 (4m) (a) 1. to 5. or (b) 1. to 5.
SB70-SSA2,277 8Section 277 . 48.623 (7) (b) of the statutes is amended to read:
SB70-SSA2,309,149 48.623 (7) (b) Rules establishing requirements for submitting a request under
10sub. (3) (c) 1. and criteria for determining the amount of the increase in monthly
11subsidized guardianship payments that a county department, an Indian tribe, or the
12department shall offer if there has been a substantial change in circumstances and
13if there has been no substantiated report of abuse or neglect of the child by the person
14receiving those payments.
SB70-SSA2,278 15Section 278 . 48.623 (8) of the statutes is created to read:
SB70-SSA2,309,2316 48.623 (8) Tribal agreements. (a) The department may enter into an
17agreement with the governing body of an Indian tribe to allow that governing body
18to administer subsidized guardianships ordered by a tribal court under a tribal law
19substantially similar to s. 48.977 (2) and to be reimbursed by the department for
20eligible tribal subsidized guardianship payments. An agreement under this
21paragraph shall require the governing body of an Indian tribe to comply with all
22requirements for administering subsidized guardianship that apply to counties and
23the department, including eligibility.
SB70-SSA2,310,224 (b) A county department may provide the monthly payments under sub. (1) or
25(6) for guardianships of children ordered by the tribal court if the county department

1has entered into an agreement with the governing body of an Indian tribe to provide
2those payments.
SB70-SSA2,279 3Section 279 . 48.685 (5) (a) of the statutes is amended to read:
SB70-SSA2,310,184 48.685 (5) (a) Subject to par. (bm), the department may license to operate an
5entity, a county department or a child welfare agency may license to operate a foster
6home under s. 48.62, the department in a county having a population of 750,000 or
7more, an Indian tribe, or a county department may provide subsidized guardianship
8payments under s. 48.623 (6) to a person who otherwise may not be so licensed or
9provided those payments for a reason specified in sub. (4m) (a) 1. to 5., and an entity
10may employ, contract with, or permit to reside at the entity or permit to reside with
11a caregiver specified in sub. (1) (ag) 1. am. of the entity a person who otherwise may
12not be so employed, provided payments, or permitted to reside at the entity or with
13that caregiver for a reason specified in sub. (4m) (b) 1. to 5., if the person
14demonstrates to the department, county department, or child welfare agency or, in
15the case of an entity that is located within the boundaries of a reservation, to the
16person or body designated by the Indian tribe under sub. (5d) (a) 3., by clear and
17convincing evidence and in accordance with procedures established by the
18department by rule or by the tribe that he or she has been rehabilitated.
SB70-SSA2,280 19Section 280 . 48.977 (3r) (a) of the statutes is amended to read:
SB70-SSA2,311,1120 48.977 (3r) (a) Guardian. Subsidized guardianship payments under s. 48.623
21(1) may not be made to a guardian of a child unless a subsidized guardianship
22agreement under s. 48.623 (2) is entered into before the guardianship order is
23granted and the court either terminates any order specified in sub. (2) (a) or
24dismisses any proceeding in which the child has been adjudicated in need of
25protection or services as specified in sub. (2) (a). If a child's permanency plan calls

1for placement of the child in the home of a guardian and the provision of monthly
2subsidized guardianship payments to the guardian, the petitioner under sub. (4) (a)
3shall include in the petition under sub. (4) (b) a statement of the determinations
4made under s. 48.623 (1) and a request for the court to include in the court's findings
5under sub. (4) (d) a finding confirming those determinations. If the court confirms
6those determinations, appoints a guardian for the child under sub. (2), and either
7terminates any order specified in sub. (2) (a) or dismisses any proceeding in which
8the child is adjudicated to be in need of protection or services as specified in sub. (2)
9(a), the county department or, as provided in s. 48.623 (3) (a), an Indian tribe or the
10department shall provide monthly subsidized guardianship payments to the
11guardian under s. 48.623 (1).
SB70-SSA2,281 12Section 281 . 48.977 (3r) (b) of the statutes is amended to read:
SB70-SSA2,312,213 48.977 (3r) (b) Successor guardian. Subsidized guardianship payments under
14s. 48.623 (6) (bm) may not be made to a successor guardian of a child unless the court
15makes a finding confirming that the successor guardian is named as a prospective
16successor guardian of the child in a subsidized guardianship agreement or amended
17subsidized guardianship agreement under s. 48.623 (2) that was entered into before
18the death or incapacity of the guardian and that the conditions specified in s. 48.623
19(6) (bm) have been met, appoints the successor guardian to assume the duty and
20authority of guardianship as provided in sub. (5m), and either terminates any order
21specified in sub. (2) (a) or dismisses any proceeding in which the child has been
22adjudicated in need of protection or services as specified in sub. (2) (a). If the court
23makes that finding and appointment and either terminates such an order or
24dismisses such a proceeding, the county department or, as provided in s. 48.623 (3)

1(a), an Indian tribe or the department shall provide monthly subsidized
2guardianship payments to the successor guardian under s. 48.623 (6) (bm).
SB70-SSA2,282 3Section 282. 49.155 (1g) (ac) of the statutes is amended to read:
SB70-SSA2,312,74 49.155 (1g) (ac) A child care scholarship and bonus program, in the amount of
5at least $3,975,000 per in fiscal year 2023-24, a child care scholarship program, in
6the amount of at least $3,275,000 in fiscal year 2024-25, and a child care bonus
7program, in the amount of at least $5,700,000 in fiscal year 2024-25
.
SB70-SSA2,283 8Section 283. 49.155 (1g) (bc) of the statutes is amended to read:
SB70-SSA2,312,109 49.155 (1g) (bc) Grants under s. 49.134 (2) for child care resource and referral
10services, in the amount of at least $1,298,600 $2,598,600 per fiscal year.
SB70-SSA2,284 11Section 284. 49.155 (1g) (h) of the statutes is created to read:
SB70-SSA2,312,1412 49.155 (1g) (h) A grant to support development and expansion of the Wisconsin
13Early Education Shared Services Network, in the amount of at least $2,500,000 in
14fiscal year 2024-25.
SB70-SSA2,285 15Section 285. 49.155 (1g) (i) of the statutes is created to read:
SB70-SSA2,312,1716 49.155 (1g) (i) Increases to the maximum payment rates paid to child care
17providers on the basis of a provider's quality rating under sub. (6) (e) 3. d. and e.
SB70-SSA2,286 18Section 286. 49.155 (1m) (c) 1. (intro.) of the statutes is amended to read:
SB70-SSA2,313,519 49.155 (1m) (c) 1. (intro.) Except as provided in subds. 1d., 1g., 1h., 1m., 2., and
203., the gross income of the individual's family is at or below 185 percent of the poverty
21line for a family the size of the individual's family or, for an individual who is already
22receiving a child care subsidy under this section, the gross income of the individual's
23family is at or below
200 percent of the poverty line for a family the size of the
24individual's family. In calculating the gross income of the family, the department or
25county department or agency determining eligibility shall include court-ordered

1child or family support payments received by the individual, if those support
2payments exceed $1,250 per month, and income described under s. 49.145 (3) (b) 1.
3and 3., except that, in calculating farm and self-employment income, the
4department or county department or agency determining eligibility shall include the
5sum of the following:
SB70-SSA2,287 6Section 287. 49.155 (1m) (c) 1d. a. of the statutes is amended to read:
SB70-SSA2,313,127 49.155 (1m) (c) 1d. a. Notwithstanding sub. (5) (b), if the individual is already
8receiving a child care subsidy under this section and the gross income of the
9individual's family exceeds 200 percent of the poverty line for a family the size of the
10individual's family, the individual's copayment amount under sub. (5) increases by
11$1 for every $3 $5 by which the individual's family's gross income exceeds 200 percent
12of the poverty line for a family the size of the individual's family.
SB70-SSA2,288 13Section 288. 49.175 (1) (a) of the statutes is amended to read:
SB70-SSA2,313,1714 49.175 (1) (a) Wisconsin Works benefits. For Wisconsin Works benefits,
15$37,000,000 in fiscal year 2021-22 and $34,000,000 in fiscal year 2022-23. In the
16following fiscal year, for such benefits, $28,000,000. In the fiscal year after that, for
17such benefits, $29,000,000.
SB70-SSA2,289 18Section 289. 49.175 (1) (b) of the statutes is amended to read:
SB70-SSA2,313,2219 49.175 (1) (b) Wisconsin Works agency contracts; job access loans. For contracts
20with Wisconsin Works agencies under s. 49.143 and for job access loans under s.
2149.147 (6), $54,009,700 in fiscal year 2021-22 and $57,071,200 in fiscal year 2022-23
22each of the following fiscal years.
SB70-SSA2,290 23Section 290. 49.175 (1) (g) of the statutes is amended to read:
SB70-SSA2,314,324 49.175 (1) (g) State administration of public assistance programs and
25overpayment collections.
For state administration of public assistance programs and

1the collection of public assistance overpayments, $17,231,100 in fiscal year 2021-22
2and $17,482,300 in fiscal year 2022-23. In the following fiscal year, for such
3purposes, $19,015,300. In the fiscal year after that, for such purposes, $19,424,300.
SB70-SSA2,291 4Section 291 . 49.175 (1) (Lm) of the statutes is amended to read:
SB70-SSA2,314,85 49.175 (1) (Lm) Jobs for America's Graduates. For grants to the Jobs for
6America's Graduates-Wisconsin to fund programs that improve social, academic,
7and employment skills of youth who are eligible to receive temporary assistance for
8needy families under 42 USC 601 et seq., $500,000 in each fiscal year, $1,000,000.
SB70-SSA2,292 9Section 292 . 49.175 (1) (Lp) of the statutes is created to read:
SB70-SSA2,314,1110 49.175 (1) (Lp) Skills enhancement program. For skills enhancement grants,
11$500,000 in each fiscal year.
SB70-SSA2,293 12Section 293. 49.175 (1) (p) of the statutes is amended to read:
SB70-SSA2,314,1713 49.175 (1) (p) Direct child care services. For direct child care services under s.
1449.155 or 49.257, $376,700,400 in fiscal year 2021-22 and $383,900,400 in fiscal year
152022-23. In the following fiscal year, for such direct child care services,
16$368,834,800. In the fiscal year after that, for such direct child care services,
17$428,779,700.
SB70-SSA2,294 18Section 294. 49.175 (1) (q) of the statutes is amended to read:
SB70-SSA2,314,2319 49.175 (1) (q) Child care state administration and licensing activities. For state
20administration of child care programs under s. 49.155 and for child care licensing
21activities, $42,117,800 in fiscal year 2021-22 and $41,803,100 in fiscal year 2022-23.
22In the following fiscal year, for such programs and activities, $45,796,000. In the
23fiscal year after that, for such programs and activities, $45,570,300.
SB70-SSA2,295 24Section 295 . 49.175 (1) (qm) of the statutes is amended to read:
SB70-SSA2,315,4
149.175 (1) (qm) Quality care for quality kids. For the child care quality
2improvement activities specified in ss. 49.155 (1g) and 49.257, $16,683,700 in each
3fiscal year 2022-23. In the following fiscal year, for such activities, $28,518,700. In
4the fiscal year after that, for such activities, $46,018,700
.
SB70-SSA2,296 5Section 296. 49.175 (1) (r) of the statutes is amended to read:
SB70-SSA2,315,106 49.175 (1) (r) Children of recipients of supplemental security income. For
7payments made under s. 49.775 for the support of the dependent children of
8recipients of supplemental security income, $18,564,700 in fiscal year 2021-22 and
9$18,145,000 in fiscal year 2022-23. In the following fiscal year, for such payments,
10$9,699,900. In the fiscal year after that, for such payments, $10,990,400.
SB70-SSA2,297 11Section 297. 49.175 (1) (s) of the statutes is amended to read:
SB70-SSA2,315,1912 49.175 (1) (s) Kinship care and long-term kinship care assistance. For kinship
13care and long-term kinship care payments under s. 48.57 (3m) (am) and (3n) (am),
14for assessments to determine eligibility for those payments, and for agreements
15under s. 48.57 (3t) with the governing bodies of Indian tribes for the administration
16of the kinship care and long-term kinship care programs within the boundaries of
17the reservations of those tribes, $28,727,100 in fiscal year 2021-22 and $31,441,800
18in fiscal year 2022-23. In the following fiscal year, for such payments, $31,719,200.
19In the fiscal year after that, for such payments, $35,661,000.
SB70-SSA2,298 20Section 298. 49.175 (1) (y) of the statutes is repealed.
SB70-SSA2,299 21Section 299 . 49.175 (1) (z) of the statutes is renumbered 49.175 (1) (z) 1. and
22amended to read:
SB70-SSA2,316,1023 49.175 (1) (z) 1. For grants to the Wisconsin Chapter of the Boys and Girls
24Clubs of America to fund programs that improve social, academic, and employment
25skills of youth who are eligible to receive temporary assistance for needy families

1under 42 USC 601 et seq., focusing on study habits, intensive tutoring in math and
2English, and exposure to career options and role models, $2,807,000 in each fiscal
3year, except as provided in subd. 2. Grants provided under this paragraph may not
4be used by the grant recipient to replace funding for programs that are being funded,
5when the grant proceeds are received, with moneys other than those from the
6appropriations specified in sub. (1) (intro.). The total amount of the grants includes
7funds for the BE GREAT: Graduate program in the amount of matching funds that
8the program provides, up to $1,532,000 in each fiscal year, except as provided in subd.
92.,
to be used only for activities for which federal Temporary Assistance for Needy
10Families block grant moneys may be used.
SB70-SSA2,300 11Section 300. 49.175 (1) (z) 2. of the statutes is created to read:
SB70-SSA2,316,1612 49.175 (1) (z) 2. Notwithstanding subd. 1., there is a onetime allocation
13increase for fiscal year 2023-24 for the purposes described in subd. 1. For grants to
14the Wisconsin Chapter of the Boys and Girls Clubs of America, the amount allocated
15is $7,807,000. For the BE GREAT: Graduate program, up to $6,532,000 may be
16expended for that fiscal year.
SB70-SSA2,301 17Section 301. 49.175 (1) (zh) of the statutes is amended to read:
SB70-SSA2,316,2318 49.175 (1) (zh) Earned income tax credit supplement. For the transfer of
19moneys from the appropriation account under s. 20.437 (2) (md) to the appropriation
20account under s. 20.835 (2) (kf) for the earned income tax credit, $63,600,000 in fiscal
21year 2021-22 and $66,600,000 in fiscal year 2022-23. In the following fiscal year,
22for such purposes, $61,725,000. In the fiscal year after that, for such purposes,
23$65,002,000.
SB70-SSA2,302 24Section 302. 49.45 (3m) (a) (intro.) of the statutes is amended to read:
SB70-SSA2,317,7
149.45 (3m) (a) (intro.) Subject to par. (d) and notwithstanding sub. (3) (e), from
2the appropriations under s. 20.435 (4) (b) and (o), in each fiscal year, the department
3shall pay to hospitals that serve a disproportionate share of low-income patients an
4amount equal to the sum of, as the state share of payments, $47,500,000 $71,600,000
5and the matching federal share of payments. The department may make a payment
6to a hospital under this subsection under the calculation method described in par. (b)
7if the hospital meets all of the following criteria:
SB70-SSA2,303 8Section 303. 49.45 (3p) (a) of the statutes is amended to read:
SB70-SSA2,317,219 49.45 (3p) (a) Subject to par. (c) and notwithstanding sub. (3) (e), from the
10appropriations under s. 20.435 (4) (b) and (o), in each fiscal year, the department
11shall pay $4,500,000, as the state share of payments, and the matching federal share
12of payments,
to hospitals that are not eligible for payments under sub. (3m) but that
13meet the criteria under sub. (3m) (a) 1. and 2. and that, in the most recent year for
14which information is available, charged at least 6 percent of overall charges for
15services to the Medical Assistance program for services provided to Medical
16Assistance recipients an amount equal to the sum of $2,250,000, as the state share
17of payments, and the matching federal share of payments
. The department may
18make a payment to a hospital under this subsection under a calculation method
19determined by the department that provides a fee-for-service supplemental
20payment that increases as the percentage of the total amount of the hospital's overall
21charges for services that are charges to the Medical Assistance program increases.
SB70-SSA2,304 22Section 304. 49.45 (6m) (br) 1. of the statutes is amended to read:
SB70-SSA2,318,423 49.45 (6m) (br) 1. Notwithstanding s. 20.435 (7) (b) or 20.437 (1) (cj) or (q) or
24(2) (dz), the department shall reduce allocations of funds to counties in the amount
25of the disallowance from the appropriation account under s. 20.435 (7) (b), or the

1department shall direct the department of children and families to reduce allocations
2of funds to counties or Wisconsin Works agencies in the amount of the disallowance
3from the appropriation account under s. 20.437 (1) (cj) or (2) (dz), in accordance with
4s. 16.544 to the extent applicable.
SB70-SSA2,305 5Section 305. 49.45 (7) (a) of the statutes is amended to read:
SB70-SSA2,318,156 49.45 (7) (a) A Before July 1, 2024, a recipient who is a patient in a public
7medical institution or an accommodated person and has a monthly income exceeding
8the payment rates established under 42 USC 1382 (e) may retain $45 unearned
9income or the amount of any pension paid under 38 USC 5503 (d), whichever is
10greater, per month for personal needs. Beginning on July 1, 2024, the maximum
11amount of unearned income a recipient may retain per month under this paragraph
12is $55.
Except as provided in s. 49.455 (4) (a), the recipient shall apply income in
13excess of $45 or the amount of any pension paid under 38 USC 5503 (d) or $55,
14whichever is greater, less any amount deducted under rules promulgated by the
15department, toward the cost of care in the facility.
SB70-SSA2,306 16Section 306. 49.45 (29r) of the statutes is repealed.
SB70-SSA2,307 17Section 307. 49.45 (29u) of the statutes is repealed.
SB70-SSA2,308 18Section 308 . 49.46 (2) (f) of the statutes is renumbered 49.46 (2) (f) (intro.) and
19amended to read:
SB70-SSA2,318,2120 49.46 (2) (f) (intro.) Benefits under this subsection may not include payment
21for gastric any of the following:
SB70-SSA2,318,23 221. Gastric bypass surgery or gastric stapling surgery unless it is performed
23because of a medical emergency.
SB70-SSA2,309 24Section 309 . 49.46 (2) (f) 2. of the statutes is created to read:
SB70-SSA2,318,2525 49.46 (2) (f) 2. To the extent permitted by federal law, either of the following:
SB70-SSA2,319,2
1a. Puberty-blocking drugs used for the purposes of gender dysphoria or gender
2transition.
SB70-SSA2,319,33 b. Gender reassignment surgery.
SB70-SSA2,310 4Section 310 . 49.471 (6) (j) 4. of the statutes is amended to read:
SB70-SSA2,319,65 49.471 (6) (j) 4. Section 49.46 (2) (f) 1., relating to prohibiting payment for
6gastric bypass or stapling surgery.
SB70-SSA2,311 7Section 311 . 49.471 (6) (j) 5. of the statutes is created to read:
SB70-SSA2,319,98 49.471 (6) (j) 5. Section 49.46 (2) (f) 2., relating to prohibiting payment for either
9of the following:
SB70-SSA2,319,1110 a. Puberty-blocking drugs used for the purposes of gender dysphoria or gender
11transition.
SB70-SSA2,319,1212 b. Gender reassignment surgery.
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