Amendment SA4-SSA2-SB70

SB70-SSA2-SA4,164,13 4. Recruitment of other clinicians into the program as participating clinicians when possible.

SB70-SSA2-SA4,164,14 (g) Report to the department any information requested by the department.

SB70-SSA2-SA4,164,23 (h) Conduct annual surveys of participating clinicians who use the program to assess the quality of care provided, self-perceived levels of confidence in providing mental health services, and satisfaction with the consultations and other services provided through the program. Immediately after participating clinicians begin using the program and again 6 to 12 months later, the contracting organization under sub. (2) may conduct assessments of participating clinicians to assess the barriers to and benefits of participation in the program to make future improvements and to determine the participating clinicians' treatment abilities, confidence, and awareness of relevant resources before and after beginning to use the program.

SB70-SSA2-SA4,165,2 (5) Services provided under sub. (4) (b) to (h) are eligible for funding from the department. The contracting organization under sub. (2) also may provide any of the following services under the program that are eligible for funding from the department:

SB70-SSA2-SA4,165,5 (a) Second opinion diagnostic and medication management evaluations and community resource referrals conducted by either a psychiatrist or allied health professionals.

SB70-SSA2-SA4,165,8 (b) In-person or web-based educational seminars and refresher courses on a medically appropriate topic within mental or behavioral health care provided to any participating clinician who uses the program.

SB70-SSA2-SA4,165,9 (c) Data evaluation and assessment of the program.”.

SB70-SSA2-SA4,165,10 191. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,165,11 “ Section 194. 46.48 (22) of the statutes is created to read:

SB70-SSA2-SA4,165,15 46.48 (22) Health care provider innovation grants. The department may distribute not more than $14,550,000 in each fiscal year as grants to health care providers and long-term care providers to implement best practices and innovative solutions to increase worker recruitment and retention.”.

SB70-SSA2-SA4,165,16 192. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,165,17 “ Section 195. 20.435 (4) (jw) of the statutes is amended to read:

SB70-SSA2-SA4,166,2 20.435 (4) (jw) BadgerCare Plus and hospital assessment. All moneys received from payment of enrollment fees under the program under s. 49.45 (23), all moneys transferred under s. 50.38 (9), all moneys transferred under s. 256.23 (6), all moneys transferred from the appropriation account under par. (jz), and 10 percent of all moneys received from penalty assessments under s. 49.471 (9) (c), for administration of the program under s. 49.45 (23), to provide a portion of the state share of administrative costs for the BadgerCare Plus Medical Assistance program under s. 49.471, and for administration of the hospital assessment under s. 50.38, and for administration of the ambulance service provider fee under s. 256.23.

SB70-SSA2-SA4,196 Section 196. 20.435 (4) (xm) of the statutes is created to read:

SB70-SSA2-SA4,166,8 20.435 (4) (xm) Ambulance service provider trust fund; ambulance payments. From the ambulance service provider trust fund, all moneys received from the assessment under s. 256.23, except amounts transferred to the appropriation under s. 20.435 (4) (jw) as specified in s. 256.23 (6), to make payments to eligible ambulance service providers as specified under s. 49.45 (3) (em).

SB70-SSA2-SA4,197 Section 197. 49.45 (3) (em) of the statutes is amended to read:

SB70-SSA2-SA4,166,17 49.45 (3) (em) The department shall expend moneys collected under s. 256.23 (2), less amounts transferred under s. 256.23 (6), to supplement reimbursement for eligible ambulance service providers, as defined in s. 256.23 (1) (a), for services provided under the Medical Assistance program under this subchapter, including services reimbursed on a fee-for-service basis and provided under managed care, by eligible ambulance service providers. Health plans shall be indemnified and held harmless for any errors made by the department or its agents in calculation of any supplemental reimbursement made under this paragraph.

SB70-SSA2-SA4,198 Section 198. 256.23 (6) of the statutes is created to read:

SB70-SSA2-SA4,166,23 256.23 (6) In each fiscal year, the secretary of administration shall transfer from the ambulance service provider trust fund under s. 25.776 to the appropriation under s. 20.435 (4) (jw) an amount equal to the annual costs of administering the ambulance assessment as specified under this section and making supplemental reimbursements to ambulance service providers under s. 49.45 (3) (em).”.

SB70-SSA2-SA4,166,24 193. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,167,1 “ Section 199. 49.46 (2) (b) 24. of the statutes is created to read:

SB70-SSA2-SA4,167,3 49.46 (2) (b) 24. Subject to par. (by), nonmedical services that contribute to the determinants of health.

SB70-SSA2-SA4,200 Section 200. 49.46 (2) (by) of the statutes is created to read:

SB70-SSA2-SA4,167,11 49.46 (2) (by) The department shall determine those services under par. (b) 24. that contribute to the determinants of health. The department shall seek any necessary state plan amendment or request any waiver of federal Medicaid law to implement this paragraph. The department is not required to provide the services under this paragraph as a benefit under the Medical Assistance program if the federal department of health and human services does not provide federal financial participation for the services under this paragraph.”.

SB70-SSA2-SA4,167,12 194. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,167,13 “ Section 201. 49.45 (39) (b) 1. of the statutes is amended to read:

SB70-SSA2-SA4,168,22 49.45 (39) (b) 1. `Payment for school medical services.' If a school district or a cooperative educational service agency elects to provide school medical services and meets all requirements under par. (c), the department shall reimburse the school district or the cooperative educational service agency for 60 100 percent of the federal share of allowable charges for the school medical services that it provides and, as specified in subd. 2., for allowable administrative costs. If the Wisconsin Center for the Blind and Visually Impaired or the Wisconsin Educational Services Program for the Deaf and Hard of Hearing elects to provide school medical services and meets all requirements under par. (c), the department shall reimburse the department of public instruction for 60 100 percent of the federal share of allowable charges for the school medical services that the Wisconsin Center for the Blind and Visually Impaired or the Wisconsin Educational Services Program for the Deaf and Hard of Hearing provides and, as specified in subd. 2., for allowable administrative costs. A school district, cooperative educational service agency, the Wisconsin Center for the Blind and Visually Impaired, or the Wisconsin Educational Services Program for the Deaf and Hard of Hearing may submit, and the department shall allow, claims for common carrier transportation costs as a school medical service unless the department receives notice from the federal health care financing administration that, under a change in federal policy, the claims are not allowed. If the department receives the notice, a school district, cooperative educational service agency, the Wisconsin Center for the Blind and Visually Impaired, or the Wisconsin Educational Services Program for the Deaf and Hard of Hearing may submit, and the department shall allow, unreimbursed claims for common carrier transportation costs incurred before the date of the change in federal policy. The department shall promulgate rules establishing a methodology for making reimbursements under this paragraph. All other expenses for the school medical services provided by a school district or a cooperative educational service agency shall be paid for by the school district or the cooperative educational service agency with funds received from state or local taxes. The school district, the Wisconsin Center for the Blind and Visually Impaired, the Wisconsin Educational Services Program for the Deaf and Hard of Hearing, or the cooperative educational service agency shall comply with all requirements of the federal department of health and human services for receiving federal financial participation.

SB70-SSA2-SA4,202 Section 202. 49.45 (39) (b) 2. of the statutes is amended to read:

SB70-SSA2-SA4,169,8 49.45 (39) (b) 2. `Payment for school medical services administrative costs.' The department shall reimburse a school district or a cooperative educational service agency specified under subd. 1. and shall reimburse the department of public instruction on behalf of the Wisconsin Center for the Blind and Visually Impaired or the Wisconsin Educational Services Program for the Deaf and Hard of Hearing for 90 100 percent of the federal share of allowable administrative costs, using time studies, beginning in fiscal year 1999-2000. A school district or a cooperative educational service agency may submit, and the department of health services shall allow, claims for administrative costs incurred during the period that is up to 24 months before the date of the claim, if allowable under federal law.”.

SB70-SSA2-SA4,169,9 195. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,169,10 “ Section 203. 49.45 (30t) of the statutes is created to read:

SB70-SSA2-SA4,169,11 49.45 (30t) Doula services. (a) In this subsection:

SB70-SSA2-SA4,169,13 1. “Certified doula” means an individual who has received certification from a doula certifying organization recognized by the department.

SB70-SSA2-SA4,169,16 2. “Doula services” means childbirth education and support services, including emotional and physical support provided during pregnancy, labor, birth, and the postpartum period.

SB70-SSA2-SA4,169,22 (b) The department shall request from the secretary of the federal department of health and human services any required waiver or any required amendment to the state plan for Medical Assistance to allow reimbursement for doula services provided by a certified doula. If the waiver or state plan amendment is granted, the department shall reimburse a certified doula under s. 49.46 (2) (b) 12p. for the allowable charges for doula services provided to Medical Assistance recipients.

SB70-SSA2-SA4,204 Section 204. 49.46 (2) (b) 12p. of the statutes is created to read:

SB70-SSA2-SA4,170,2 49.46 (2) (b) 12p. Doula services provided by a certified doula, as specified under s. 49.45 (30t).”.

SB70-SSA2-SA4,170,3 196. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,170,4 “ Section 205. 46.995 (4) of the statutes is created to read:

SB70-SSA2-SA4,170,8 46.995 (4) The department shall ensure that any child who is eligible and who applies for the disabled children's long-term support program that is operating under a waiver of federal law receives services under the disabled children's long-term support program that is operating under a waiver of federal law.”.

SB70-SSA2-SA4,170,9 197. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,170,10 “ Section 206. 51.44 (5) (bm) of the statutes is created to read:

SB70-SSA2-SA4,170,13 51.44 (5) (bm) Ensure that any child with a level of lead in his or her blood that is 3.5 or more micrograms per 100 milliliters of blood, as confirmed by one venous blood test, is eligible for services under the program under this section.

SB70-SSA2-SA4,9119 Section 9119. Nonstatutory provisions; Health Services.

SB70-SSA2-SA4,170,17 (1u) Early intervention services. The department of health services may develop a methodology to allocate moneys under s. 20.435 (7) (bt) across county programs.”.

SB70-SSA2-SA4,170,18 198. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,170,19 “ Section 9119. Nonstatutory provisions; Health Services.

SB70-SSA2-SA4,171,3 (1w) Electrocardiogram screening pilot program. The department of health services shall develop a pilot program to provide electrocardiogram screenings for participants in middle school and high school athletics programs in Milwaukee and Waukesha Counties. From the appropriation under s. 20.435 (1) (b), in fiscal year 2024-25, the department shall award $4,172,000 in grants to local health departments, as defined under s. 250.01 (4), to implement the pilot program under this subsection. Participation in the pilot program by participants in middle school and high school athletics programs shall be optional.”.

SB70-SSA2-SA4,171,4 199. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,171,5 “ Section 207. 253.19 of the statutes is created to read:

SB70-SSA2-SA4,171,13 253.19 Grants to free-standing pediatric teaching hospitals. From the appropriation under s. 20.435 (1) (b), the department shall award grants to free-standing pediatric teaching hospitals to fund programming related to parenting, educational needs of and supports for chronically ill children, and case management for children with asthma. A free-standing pediatric teaching hospital is eligible for a grant under this section only if the percentage of Medical Assistance recipient inpatient days at the free-standing pediatric teaching hospital calculated under s. 49.45 (3m) (b) 1. a. is greater than 45 percent.”.

SB70-SSA2-SA4,171,14 200. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,171,15 “ Section 208. 15.197 (20) of the statutes is created to read:

SB70-SSA2-SA4,171,18 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-SSA2-SA4,171,20 1. One member representing the University of Wisconsin School of Medicine and Public Health.

SB70-SSA2-SA4,171,21 2. One member representing the Medical College of Wisconsin.

SB70-SSA2-SA4,171,22 3. One member who has a spinal cord injury.

SB70-SSA2-SA4,171,23 4. One member who is a family member of a person with a spinal cord injury.

SB70-SSA2-SA4,171,24 5. One member who is a veteran who has a spinal cord injury.

SB70-SSA2-SA4,172,2 6. One member who is a physician specializing in the treatment of spinal cord injuries.

SB70-SSA2-SA4,172,3 7. One member who is a researcher in the field of neurosurgery.

SB70-SSA2-SA4,172,5 8. One member who is a researcher employed by the veterans health administration of the U.S. department of veterans affairs.

SB70-SSA2-SA4,172,8 (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.

SB70-SSA2-SA4,209 Section 209. 255.45 of the statutes is created to read:

SB70-SSA2-SA4,172,11 255.45 Spinal cord injury research grants and symposia. (1) Definitions. In this section:

SB70-SSA2-SA4,172,12 (a) “Council” means the spinal cord injury council.

SB70-SSA2-SA4,172,13 (b) “Grant program” means the program established under sub. (2).

SB70-SSA2-SA4,172,21 (2) Grant program. The department shall establish a program to award grants, from the appropriation under s. 20.435 (1) (b), to persons in this state for research into spinal cord injuries. The purpose of the grants is to support research into new and innovative treatments and rehabilitative efforts for the functional improvement of people with spinal cord injuries, and research topics may include pharmaceutical, medical device, brain stimulus, and rehabilitative approaches and techniques. Grant recipients shall agree to present their research findings at symposia held by the department under sub. (3).

SB70-SSA2-SA4,172,24 (3) Symposia. The department may hold symposia every 2 years for recipients of grants under the grant program to present findings of research supported by the grants.

SB70-SSA2-SA4,173,4 (4) Grant reports. By January 15 of each year, the department shall submit an annual report to the appropriate standing committees of the legislature under s. 13.172 (3) that identifies the recipients of grants under the grant program and the purposes for which the grants were used.

SB70-SSA2-SA4,173,5 (5) Council. (a) The council shall do all of the following:

SB70-SSA2-SA4,173,7 1. Develop criteria for the department to evaluate and award grants under the grant program.

SB70-SSA2-SA4,173,9 2. Review and make recommendations to the department on applications submitted under the grant program.

SB70-SSA2-SA4,173,10 3. Perform other duties specified by the department.

SB70-SSA2-SA4,173,14 (b) Each member of the council shall disclose in a written statement any financial interest in any organization that the council recommends to receive a grant under the grant program. The council shall include the written statements with its recommendations to the department on grant applications.

SB70-SSA2-SA4,9119 Section 9119. Nonstatutory provisions; Health Services

SB70-SSA2-SA4,173,18 (1) Spinal cord injury council; initial appointments. Notwithstanding the length of terms specified for the members of the spinal cord injury council under s. 15.197 (20) (a) (intro.), initial appointments to the council shall be made as follows:

SB70-SSA2-SA4,173,21 (a) The members appointed under s. 15.197 (20) (a) 1., 3., 5., and 7., or in lieu of those members under s. 15.197 (20) (b), shall be appointed for terms expiring on July 1, 2025.

SB70-SSA2-SA4,173,24 (b) The members appointed under s. 15.197 (20) (a) 2., 4., 6., and 8., or in lieu of those members under s. 15.197 (20) (b), shall be appointed for terms expiring on July 1, 2026.”.

SB70-SSA2-SA4,174,1 201. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,174,2 “ Section 210. 256.158 of the statutes is created to read:

SB70-SSA2-SA4,174,3 256.158 Epinephrine for ambulances. (1) In this section:

SB70-SSA2-SA4,174,5 (a) “Ambulance service provider” means an ambulance service provider that is a public agency, volunteer fire department, or nonprofit corporation.

SB70-SSA2-SA4,174,7 (b) “Draw-up epinephrine” means epinephrine that is administered intramuscularly using a needle and syringe and drawn up from a vial or ampule.

SB70-SSA2-SA4,174,9 (c) “Draw-up epinephrine kit” means a single-use vial or ampule of draw-up epinephrine and a syringe for administration to a patient.

SB70-SSA2-SA4,174,11 (d) “Epinephrine auto-injector" means a device for the automatic injection of epinephrine into the human body.

SB70-SSA2-SA4,174,22 (2) From the appropriation under s. 20.435 (1) (b), the department shall reimburse ambulance service providers for a set of 2 epinephrine auto-injectors or a set of 2 draw-up epinephrine kits for each ambulance operating in the state. On an ongoing basis, the department shall, upon request from an ambulance service provider, reimburse the ambulance service provider for a replacement set of 2 epinephrine auto-injectors or a set of 2 draw-up epinephrine kits. The department shall allow the ambulance service provider to choose between epinephrine auto-injectors and draw-up epinephrine kits. The department may not reimburse an ambulance service provider for epinephrine unless each ambulance for which the ambulance service provider is reimbursed is staffed with an emergency medical services practitioner who is qualified to administer the provided epinephrine.”.

SB70-SSA2-SA4,174,23 202. Page 374, line 11: after that line insert:

SB70-SSA2-SA4,174,24 “ Section 211. 20.145 (1) (g) 5. of the statutes is created to read: