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AB50-ASA2,272,9748.67 (2m) (a) In the rules promulgated under sub. (1m), the department
8shall establish a category of child care centers licensed under s. 48.65 (1) that
9provide care and supervision for 4 to 12 children.
AB50-ASA2,272,1310(b) The department shall regulate a child care center described in par. (a) in
11the same way that it regulates a child care center that is licensed to provide care
12and supervision for 4 to 8 children, including the maximum number of children per
13provider, except for all of the following:
AB50-ASA2,272,16141. The department shall prohibit a child care center described in par. (a) from
15authorizing more than 2 providers to provide care and supervision for children at
16one time.
AB50-ASA2,272,19172. The department may regulate a child care center described in par. (a)
18differently than a child care center that provides care and supervision for 4 to 8
19children to the extent necessary to safely accommodate a larger group of children.
AB50-ASA2,16620Section 166. 49.132 of the statutes is created to read:
AB50-ASA2,272,222149.132 Community-based option for elementary school readiness. (1)
22Definitions. In this section:
AB50-ASA2,272,2423(a) Child care provider means a provider licensed under s. 48.65 or certified
24under s. 48.651.
AB50-ASA2,273,3
1(b) Elementary school readiness program means an instructional program
2that provides 4-year-old children with the social and cognitive skills to successfully
3transition to 5-year-old kindergarten in an elementary school setting.
AB50-ASA2,273,44(c) School year has the meaning given in s. 115.001 (13).
AB50-ASA2,273,95(2) Program. The department shall establish a community-based option for
6an elementary school readiness program under which a participating child care
7provider offers an elementary school readiness program to eligible children during
8the school year and receives funding from the department for each eligible child
9participating in the program.
AB50-ASA2,273,1210(3) Eligibility. (a) Child care providers. A child care provider is eligible to
11participate in the program under this section if the child care provider satisfies all
12of the following:
AB50-ASA2,273,14131. Is in compliance with all legal, financial, and regulatory requirements
14imposed by law or by department rule.
AB50-ASA2,273,17152. Demonstrates to the department that it will annually provide at least 612
16hours of direct child instruction in elementary school readiness to children
17participating in the program.
AB50-ASA2,273,20183. Demonstrates to the department that, for purposes of the program under
19this section, it uses a curriculum that meets the department of public instructions
20model early learning standards.
AB50-ASA2,274,2214. By no later than February 1 of the preceding school year, notifies the
22department of its intent to participate in the elementary school readiness program

1under this section according to application requirements established by the
2department.
AB50-ASA2,274,535. Does not have a contract with a school district to provide a 4-year-old
4kindergarten for the school year in which the child care provider intends to
5participate in the program.
AB50-ASA2,274,76(b) Children. A child is eligible to participate in the program under this
7section if all of the following apply:
AB50-ASA2,274,981. The child is 4 years old on or before September 1 in the school year that the
9child proposes to participate in the program.
AB50-ASA2,274,12102. The childs parent or guardian submits an application to participate in the
11program under this section, on a form prepared by the department, to a
12participating child care provider.
AB50-ASA2,274,15133. A participating child care provider has accepted the childs application to
14attend the elementary school readiness program offered by the child care provider
15under this section.
AB50-ASA2,274,2016(4) Participating child care providers; annual notice. Annually, by
17February 15, the department shall post on its website a list of all child care
18providers that have submitted a notice of intent to participate in the program under
19this section in the following school year. The department shall include all of the
20following for each participating child care provider:
AB50-ASA2,274,2121(a) The name of the child care provider.
AB50-ASA2,274,2222(b) The address at which the program under this section will be provided.
AB50-ASA2,275,223(c) The name of and contact information for the provider or an employee of the

1provider who can answer questions about a child participating in the program
2under this section at the child care provider.
AB50-ASA2,275,43(d) The number of spaces available with the child care provider for children
4participating in the program under this section.
AB50-ASA2,275,115(5) Funding. (a) 1. Except as provided in subd. 2., from the appropriation
6under s. 20.437 (2) (cr), for each child participating in an elementary school
7readiness program offered by a child care provider under this section, the
8department shall pay to the child care provider participating in the program under
9this section 0.6 times the sum of the revenue ceiling, as defined in s. 121.905 (1), for
10the current school year and the per pupil amount under s. 115.437 (2) (a) for the
11current school year.
AB50-ASA2,275,14122. If the appropriation under s. 20.437 (2) (cr) is insufficient to pay the full
13amount of costs under subd. 1., the department shall prorate payments among the
14participating child care providers under this section.
AB50-ASA2,275,1815(b) The department shall pay 25 percent of the total amount under par. (a) in
16September, 25 percent in November, 25 percent in February, and 25 percent in May.
17Each installment may consist of a single check for all children participating in the
18elementary school readiness program offered by the child care provider.
AB50-ASA2,275,2319(c) A child care provider may use payments received under this subsection to
20cover any costs associated with providing the program under this section. If a child
21is participating in the program under this section, the child care provider may
22charge additional amounts to provide care and supervision for that child outside of
23the elementary school readiness program hours.
AB50-ASA2,276,224(6) Teacher qualifications. A teacher who teaches in an elementary school

1readiness program offered by a child care provider under this section shall have an
2associate degree or bachelors degree.
AB50-ASA2,1673Section 167. 49.1335 of the statutes is created to read:
AB50-ASA2,276,5449.1335 Child care access program. (1) In this section, family child care
5center has the meaning given in s. 49.136 (1) (j).
AB50-ASA2,276,86(2) The department shall award grants to Wonderschool, Inc., to increase
7access to high-quality child care in this state. The grants under this program may
8be used for any of the following activities:
AB50-ASA2,276,99(a) Assistance with child care licensing and certification.
AB50-ASA2,276,1010(b) Coaching services and other support services.
AB50-ASA2,276,1111(c) Tax education assistance for family child care centers.
AB50-ASA2,16812Section 168. 49.155 (6g) (b) 5. of the statutes is created to read:
AB50-ASA2,276,141349.155 (6g) (b) 5. Any hours during which the child participates in an
14elementary school readiness program under s. 49.132.
AB50-ASA2,16915Section 169. 49.175 (1) (a) of the statutes is amended to read:
AB50-ASA2,276,201649.175 (1) (a) Wisconsin Works benefits. For Wisconsin Works benefits,
17$37,000,000 in fiscal year 2021-22 and $34,000,000 in fiscal year 2022-23. In fiscal
18year 2023-24, for such benefits, $28,000,000. In fiscal year 2024-25, for such
19benefits, $29,000,000. In fiscal year 2025-26, for such benefits, $26,806,500. In
20fiscal year 2026-27, for such benefits, $26,987,700.
AB50-ASA2,17021Section 170. 49.175 (1) (c) of the statutes is amended to read:
AB50-ASA2,276,232249.175 (1) (c) Case management incentive payments. For supplement
23payments to individuals under s. 49.255, $2,700,000 in each fiscal year, $1,000,000.
AB50-ASA2,17124Section 171. 49.175 (1) (fa) of the statutes is repealed.
AB50-ASA2,172
1Section 172. 49.175 (1) (g) of the statutes is amended to read:
AB50-ASA2,277,8249.175 (1) (g) State administration of public assistance programs and
3overpayment collections. For state administration of public assistance programs
4and the collection of public assistance overpayments, $17,231,100 in fiscal year
52021-22 and $17,482,300 in fiscal year 2022-23. In fiscal year 2023-24, for such
6purposes, $19,015,300. In fiscal year 2024-25, for such purposes, $19,424,300. In
7fiscal year 2025-26, for such purposes, $20,314,000. In fiscal year 2026-27, for such
8purposes, $20,539,800.
AB50-ASA2,1739Section 173. 49.175 (1) (i) of the statutes is amended to read:
AB50-ASA2,277,121049.175 (1) (i) Emergency assistance. For emergency assistance under s.
1149.138 and for transfer to the department of administration for low-income energy
12or weatherization assistance programs, $6,000,000 in each fiscal year, $10,414,400.
AB50-ASA2,17413Section 174. 49.175 (1) (Lm) of the statutes is amended to read:
AB50-ASA2,277,191449.175 (1) (Lm) Jobs for Americas Graduates. For grants to the Jobs for
15Americas Graduates-Wisconsin to fund programs that improve social, academic,
16and employment skills of youth who are eligible to receive temporary assistance for
17needy families under 42 USC 601 et seq., in each fiscal year 2024-25, $1,000,000. In
18fiscal year 2025-26, for such grants, $2,000,000. In fiscal year 2026-27, for such
19grants, $1,000,000.
AB50-ASA2,17520Section 175. 49.175 (1) (Lp) of the statutes is repealed.
AB50-ASA2,17621Section 176. 49.175 (1) (p) of the statutes is amended to read:
AB50-ASA2,278,42249.175 (1) (p) Direct child care services. For direct child care services under s.
2349.155 or 49.257, $376,700,400 in fiscal year 2021-22 and $383,900,400 in fiscal
24year 2022-23. In fiscal year 2023-24, for such direct child care services,

1$368,834,800. In fiscal year 2024-25, for such direct child care services,
2$428,779,700. In fiscal year 2025-26, for such direct child care services,
3$506,776,700. In fiscal year 2026-27, for such direct child care services,
4$523,776,700.
AB50-ASA2,1775Section 177. 49.175 (1) (q) of the statutes is amended to read:
AB50-ASA2,278,12649.175 (1) (q) Child care state administration and licensing activities. For
7state administration of child care programs under s. 49.155 and for child care
8licensing activities, $42,117,800 in fiscal year 2021-22 and $41,803,100 in fiscal
9year 2022-23. In fiscal year 2023-24, for such programs and activities, $45,796,000.
10In fiscal year 2024-25, for such programs and activities, $45,570,300. In fiscal year
112025-26, for such programs and activities, $51,064,000. In fiscal year 2026-27, for
12such programs and activities, $48,734,700.
AB50-ASA2,17813Section 178. 49.175 (1) (qm) of the statutes is amended to read:
AB50-ASA2,278,181449.175 (1) (qm) Quality care for quality kids. For the child care quality
15improvement activities specified in ss. 49.155 (1g) and 49.257, $16,683,700 in fiscal
16year 2022-23. In fiscal year 2023-24, for such activities, $28,518,700. In fiscal year
172024-25, for such activities, $46,018,700. In fiscal year 2025-26, for such activities,
18$47,018,700. In 2026-27, for such activities, $46,018,700.
AB50-ASA2,17919Section 179. 49.175 (1) (s) of the statutes is amended to read:
AB50-ASA2,279,42049.175 (1) (s) Kinship care and long-term kinship care assistance. For kinship
21care and long-term kinship care payments under s. 48.57 (3m) (am) and (3n) (am),
22for assessments to determine eligibility for those payments, and for agreements
23under s. 48.57 (3t) with the governing bodies of Indian tribes for the administration
24of the kinship care and long-term kinship care programs within the boundaries of

1the reservations of those tribes, $28,727,100 in fiscal year 2021-22 and $31,441,800
2in fiscal year 2022-23. In fiscal year 2023-24, for such payments, $31,719,200. In
3fiscal year 2024-25, for such payments, $35,661,000. In fiscal year 2025-26, for such
4payments, $39,223,800. In fiscal year 2026-27, for such payments, $40,075,700.
AB50-ASA2,1805Section 180. 49.175 (1) (z) of the statutes is amended to read:
AB50-ASA2,279,19649.175 (1) (z) Grants to the Boys and Girls Clubs of America. For grants to the
7Wisconsin Chapter of the Boys and Girls Clubs of America to fund programs that
8improve social, academic, and employment skills of youth who are eligible to receive
9temporary assistance for needy families under 42 USC 601 et seq., focusing on
10study habits, intensive tutoring in math and English, and exposure to career
11options and role models, $2,807,000 in each fiscal year 2024-25. In fiscal year 2025-
1226, for such grants, $7,807,000. In fiscal year 2026-27, for such grants, $3,307,000.
13Grants provided under this paragraph may not be used by the grant recipient to
14replace funding for programs that are being funded, when the grant proceeds are
15received, with moneys other than those from the appropriations specified in sub. (1)
16(intro.). The total amount of the grants includes funds for the BE GREAT:
17Graduate program in the amount of matching funds that the program provides, up
18to $1,532,000 in each fiscal year, to be used only for activities for which federal
19Temporary Assistance for Needy Families block grant moneys may be used.
AB50-ASA2,18120Section 181. 49.175 (1) (zh) of the statutes is amended to read:
AB50-ASA2,280,32149.175 (1) (zh) Earned income tax credit supplement. For the transfer of
22moneys from the appropriation account under s. 20.437 (2) (md) to the
23appropriation account under s. 20.835 (2) (kf) for the earned income tax credit,
24$63,600,000 in fiscal year 2021-22 and $66,600,000 in fiscal year 2022-23. In fiscal

1year 2023-24, for such purposes, $61,725,000. In fiscal year 2024-25, for such
2purposes, $65,002,000. In fiscal year 2025-26, for such purposes, $63,300,000. In
3fiscal year 2026-27, for such purposes, $61,800,000.
AB50-ASA2,1824Section 182. 49.45 (3) (e) 11. of the statutes is amended to read:
AB50-ASA2,280,16549.45 (3) (e) 11. The department shall use a portion of the moneys collected
6under s. 50.38 (2) (a) to pay for services provided by eligible hospitals, as defined in
7s. 50.38 (1), other than critical access hospitals, under the Medical Assistance
8Program under this subchapter, including services reimbursed on a fee-for-service
9basis and services provided under a managed care system. For state fiscal year
102008-09, total payments required under this subdivision, including both the federal
11and state share of Medical Assistance, shall equal the amount collected under s.
1250.38 (2) (a) for fiscal year 2008-09 divided by 57.75 percent. For each state fiscal
13year after state fiscal year 2008-09, total payments required under this subdivision,
14including both the federal and state share of Medical Assistance, shall equal the
15amount collected under s. 50.38 (2) (a) for the fiscal year divided by 61.68 percent,
16except after state fiscal year 2024-25 the divisor shall be 56.1 percent.
AB50-ASA2,18317Section 183. 49.45 (3) (e) 12. of the statutes is repealed.
AB50-ASA2,18418Section 184. 49.45 (3m) of the statutes is repealed.
AB50-ASA2,18519Section 185. 49.45 (3p) (a) of the statutes is amended to read:
AB50-ASA2,281,92049.45 (3p) (a) Subject to par. (c) and notwithstanding sub. (3) (e), from the
21appropriations under s. 20.435 (4) (b) and (o), in each fiscal year, the department
22shall pay an amount equal to the sum of $4,500,000, as the state share of payments,
23and the matching federal share of payments, to hospitals that are not eligible for
24payments under sub. (3m) but that meet the criteria under sub. (3m) (a) 1. and 2.

1would not be eligible for payments under s. 49.45 (3m), 2023 stats., as determined
2by the department, and that, in the most recent year for which information is
3available, charged at least 6 percent of overall charges for services to the Medical
4Assistance program for services provided to Medical Assistance recipients. The
5department may make a payment to a hospital under this subsection under a
6calculation method determined by the department that provides a fee-for-service
7supplemental payment that increases as the percentage of the total amount of the
8hospitals overall charges for services that are charges to the Medical Assistance
9program increases.
AB50-ASA2,18610Section 186. 49.45 (5r) of the statutes is amended to read:
AB50-ASA2,281,161149.45 (5r) Supplemental funding for uncompensated care.
12Notwithstanding sub. (3) (e), from the appropriation account under s. 20.435 (4) (w),
13the department shall distribute $3,000,000 $10,000,000 in each fiscal year to the
14University of Wisconsin Hospital and Clinics for care that is not otherwise
15compensated, except that the department may not make payments that exceed
16limitations based on customary charges under 42 USC 1396b (i) (3).
AB50-ASA2,18717Section 187. 49.45 (59) (a) of the statutes is amended to read:
AB50-ASA2,281,211849.45 (59) (a) The department shall, from the appropriation accounts account
19under s. 20.435 (4) (xc) and (xe), pay each health maintenance organization with
20which it contracts to provide medical assistance a monthly amount that the health
21maintenance organization shall use to make payments to hospitals under par. (b).
AB50-ASA2,18822Section 188. 49.46 (2) (b) 4. of the statutes is amended to read:
AB50-ASA2,281,232349.46 (2) (b) 4. Chiropractors services, subject to par. (bj).
AB50-ASA2,18924Section 189. 49.46 (2) (bj) of the statutes is created to read:
AB50-ASA2,282,7
149.46 (2) (bj) 1. The department shall provide reimbursement for services
2that are reimbursable under this section and that are provided by a chiropractor
3who is licensed under ch. 446 and is acting within the scope of his or her license. If
4the department determines that it is unable to implement this paragraph without
5a state plan amendment or waiver of federal law, the department shall submit to
6the federal department of health and human services any state plan amendment or
7waiver of federal law necessary to implement this paragraph.
AB50-ASA2,282,1482. If the federal government approves the amendment or waiver request under
9subd. 1., the department shall implement this paragraph. If the federal
10government approves the amendment or waiver request under subd. 1. in part, the
11department shall implement this paragraph to the greatest extent approved by the
12federal government. If the federal government disapproves the amendment or
13waiver request under subd. 1., the department is not required to implement this
14paragraph.
AB50-ASA2,19015Section 190. 50.38 (1) (d) of the statutes is created to read:
AB50-ASA2,282,211650.38 (1) (d) A long-term care hospital that meets the requirements of 42 CFR
17412.23 (e) and is reimbursed by the federal Medicare program under the Medicare
18prospective payment system for long-term care hospitals, for which the department
19has issued a certificate of approval under s. 50.35 that only applies to the long-term
20care hospital and that is not a satellite operating under the certificate of approval of
21an acute care hospital.
AB50-ASA2,19122Section 191. 50.38 (2) (a) of the statutes is amended to read:
AB50-ASA2,283,62350.38 (2) (a) For the privilege of doing business in this state, there is imposed
24on each eligible hospital that is not a critical access hospital an assessment each

1state fiscal year that is equal to a an outpatient uniform percentage, determined
2under sub. (3), of the hospitals outpatient gross patient revenues, as reported
3under s. 153.46 (5) and determined by the department, plus an inpatient uniform
4percentage, determined under sub. (3), of the hospitals inpatient gross revenues, as
5reported under s. 153.46 (5) and determined by the department. The assessments
6shall be deposited in the hospital assessment fund.
AB50-ASA2,1927Section 192. 50.38 (2) (b) of the statutes is amended to read:
AB50-ASA2,283,13850.38 (2) (b) For the privilege of doing business in this state, there is imposed
9on each critical access hospital an assessment each state fiscal year that is equal to
10a the inpatient uniform percentage, determined established by the department
11under sub. (3), of the critical access hospitals gross inpatient revenues, as reported
12under s. 153.46 (5) and determined by the department. The assessments shall be
13deposited in the critical access hospital assessment fund.
AB50-ASA2,19314Section 193. 50.38 (3) of the statutes is amended to read:
AB50-ASA2,283,211550.38 (3) The department shall establish the percentage inpatient and
16outpatient uniform percentages that is are applicable under sub. (2) (a) and (b) so
17that the total amount of assessments collected under sub. (2) (a) is equal to
18$1,507,096,900 in a state fiscal year is equal to $414,507,300 or is equal to the
19greatest amount that may be collected in a state fiscal year without resulting in the
20reduction of the amount paid to this state under 42 USC 1396b (w), whichever
21amount is lower.
AB50-ASA2,19422Section 194. 50.38 (3m) of the statutes is created to read:
AB50-ASA2,284,32350.38 (3m) The secretary shall notify the joint committee on finance of any
24material change in federal law that results in refunds or recoupments under sub.

1(6). Notwithstanding s. 50.38 (2), following such notice, the department shall be
2authorized to suspend part of or all assessments under s. 50.38 (2) pursuant to s.
3227.24.
AB50-ASA2,1954Section 195. 50.38 (5) of the statutes is amended to read:
AB50-ASA2,284,12550.38 (5) At the discretion of the department, a hospital that is unable timely
6to make a payment by a date specified under sub. (4) may be allowed to make a
7delayed payment. A determination by the department that a hospital may not make
8a delayed payment under this subsection is final and is not subject to review under
9ch. 227. At the discretion of the department, a hospital that is unable timely to
10make a payment by a date specified under sub. (4) and that is not granted a
11payment extension under this subsection may be referred to the department of
12revenue for debt collection.
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