AB50-ASA2-AA8,147,1311(e) The average monetary concession, discount, or rebate the manufacturer 12provides or is expected to provide to health plan payors and pharmacy benefit 13managers in this state for therapeutic alternatives to the prescription drug product. AB50-ASA2-AA8,147,1614(f) The costs to health plans based on patient access consistent with labeled 15indications by the federal food and drug administration and recognized standard 16medical practice. AB50-ASA2-AA8,147,1817(g) The impact on patient access resulting from the cost of the prescription 18drug product relative to insurance benefit design. AB50-ASA2-AA8,147,2019(h) The current or expected dollar value of drug-specific patient access 20programs that are supported by the manufacturer. AB50-ASA2-AA8,147,2321(i) The relative financial impacts to health, medical, or social services costs 22that can be quantified and compared to baseline effects of existing therapeutic 23alternatives to the prescription drug product. AB50-ASA2-AA8,148,2
1(j) The average patient copay or other cost sharing for the prescription drug 2product in this state. AB50-ASA2-AA8,148,33(k) Any information a manufacturer chooses to provide. AB50-ASA2-AA8,148,44(L) Any other factors as determined by the board by rule. AB50-ASA2-AA8,148,85(4) Upper payment limit. (a) If the board determines under sub. (3) that use 6of a prescription drug product has led or will lead to an affordability challenge, the 7board shall establish an upper payment limit for the prescription drug product after 8considering all of the following: AB50-ASA2-AA8,148,991. The cost of administering the drug. AB50-ASA2-AA8,148,10102. The cost of delivering the drug to consumers. AB50-ASA2-AA8,148,11113. Other relevant administrative costs related to the drug. AB50-ASA2-AA8,148,1712(b) For a prescription drug product identified in sub. (1) (b) or (d) 2., the board 13shall solicit information from the manufacturer regarding the price increase. To 14the extent that the price increase is not a result of the need for increased 15manufacturing capacity or other effort to improve patient access during a public 16health emergency, the board shall establish an upper payment limit under par. (a) 17that is equal to the cost to consumers prior to the price increase. AB50-ASA2-AA8,148,2118(c) 1. The upper payment limit established under this subsection shall apply 19to all purchases and payor reimbursements of the prescription drug product 20dispensed or administered to individuals in this state in person, by mail, or by other 21means. AB50-ASA2-AA8,149,9222. Notwithstanding subd. 1., while state-sponsored and state-regulated 23health plans and health programs shall limit drug reimbursements and drug
1payment to no more than the upper payment limit established under this 2subsection, a plan subject to the Employee Retirement Income Security Act of 1974 3or Part D of Medicare under 42 USC 1395w-101 et seq. may choose to reimburse 4more than the upper payment limit. A provider who dispenses and administers a 5prescription drug product in this state to an individual in this state may not bill a 6payor more than the upper payment limit to the patient regardless of whether a 7plan subject to the Employee Retirement Income Security Act of 1974 or Part D of 8Medicare under 42 USC 1395w-101 et seq. chooses to reimburse the provider above 9the upper payment limit. AB50-ASA2-AA8,149,1110(5) Public inspection. Information submitted to the board under this 11section shall be open to public inspection only as provided under ss. 19.31 to 19.39. AB50-ASA2-AA8,149,1512(6) No prohibition on marketing. Nothing in this section may be construed 13to prevent a manufacturer from marketing a prescription drug product approved by 14the federal food and drug administration while the prescription drug product is 15under review by the board. AB50-ASA2-AA8,149,2016(7) Appeals. A person aggrieved by a decision of the board may request an 17appeal of the decision no later than 30 days after the board makes the 18determination. The board shall hear the appeal and make a final decision no later 19than 60 days after the appeal is requested. A person aggrieved by a final decision of 20the board may petition for judicial review in a court of competent jurisdiction. AB50-ASA2-AA8,150,522(1) Staggered terms for prescription drug affordability review board. 23Notwithstanding the length of terms specified for the members of the prescription
1drug affordability review board under s. 15.735 (1) (b) to (e), 2 of the initial 2members shall be appointed for terms expiring on May 1, 2027; 2 of the initial 3members shall be appointed for terms expiring on May 1, 2028; 2 of the initial 4members shall be appointed for terms expiring on May 1, 2029; and 2 of the initial 5members shall be appointed for terms expiring on May 1, 2030. AB50-ASA2-AA8,150,126(2) Prescription drug importation program. The commissioner of 7insurance shall submit the first report required under s. 601.575 (5) by the next 8January 1 or July 1, whichever is earliest, that is at least 180 days after the date the 9prescription drug importation program is fully operational under s. 601.575 (4). 10The commissioner of insurance shall include in the first 3 reports submitted under 11s. 601.575 (5) information on the implementation of the audit functions under s. 12601.575 (1) (n). AB50-ASA2-AA8,150,1513(3) Prescription drug purchasing entity. During the 2025-27 fiscal 14biennium, the office of the commissioner of insurance shall conduct a study on the 15viability of creating or implementing a state prescription drug purchasing entity. AB50-ASA2-AA8,151,417(1) Office of prescription drug affordability. In the schedule under s. 1820.005 (3) for the appropriation to the office of the commissioner of insurance under 19s. 20.145 (1) (g), the dollar amount for fiscal year 2025-26 is increased by $1,957,300 20to provide $500,000 in onetime implementation costs for establishing an office of 21prescription drug affordability in the office of the commissioner of insurance and 22$1,457,300 to authorize 16.0 PR positions within the office of prescription drug 23affordability, including 5.0 insurance examiners, 4.0 policy initiatives advisors, 2.0 24attorneys, 1.0 insurance program manager, 2.0 insurance administrators, and 2.0
1operations program associates. In the schedule under s. 20.005 (3) for the 2appropriation to the office of the commissioner of insurance under s. 20.145 (1) (g), 3the dollar amount for fiscal year 2026-27 is increased by $1,871,100 to fund the 4positions authorized under this subsection. AB50-ASA2-AA8,151,96(1) Prescription drug affordability review board. The treatment of ss. 715.07 (3) (bm) 7., 15.735, 601.78, 601.785, and 601.79 and subch. VI (title) of ch. 601 8and Section 9123 (1) of this act take effect on the first day of the 7th month 9beginning after publication.”. AB50-ASA2-AA8,151,1912(1) Fund source transfer for claims officer positions; decrease. In the 13schedule under s. 20.005 (3) for the appropriation to the department of veterans 14affairs under s. 20.485 (1) (a), the dollar amount for fiscal year 2025-26 is decreased 15by $254,800 to decrease the authorized FTE positions for the department by 2.0 PR 16veterans claims officer positions. In the schedule under s. 20.005 (3) for the 17appropriation to the department of veterans affairs under s. 20.485 (1) (a), the 18dollar amount for fiscal year 2026-27 is decreased by $254,800 due to the position 19reduction under this subsection. AB50-ASA2-AA8,152,320(2) Fund source transfer for claims officer positions; increase. In the 21schedule under s. 20.005 (3) for the appropriation to the department of veterans 22affairs under s. 20.485 (2) (u), the dollar amount for fiscal year 2025-26 is increased 23by $254,800 to to increase the authorized FTE positions for the department by 2.0 24SEG veterans claims officer positions.. In the schedule under s. 20.005 (3) for the
1appropriation to the department of veterans affairs under s. 20.485 (2) (u), the 2dollar amount for fiscal year 2026-27 is increased by $254,800 to provide funding 3for the positions authorized under this subsection.”. AB50-ASA2-AA8,152,65“Section 9202. Fiscal changes; Agriculture, Trade and Consumer 6Protection. AB50-ASA2-AA8,152,117(1) Tribal food security program. In the schedule under s. 20.005 (3) for 8the appropriation to the department of agriculture, trade and consumer protection 9under s. 20.115 (4) (k), the dollar amount for fiscal year 2025-26 is increased by 10$2,000,000 and the dollar amount for fiscal year 2026-27 is increased by $2,000,000 11for the tribal elder community food box program under s. 93.485.”. AB50-ASA2-AA8,152,171449.175 (1) (a) Wisconsin Works benefits. For Wisconsin Works benefits, 15$37,000,000 $26,806,500 in fiscal year 2021-22 2025-26 and $34,000,000 16$26,987,700 in fiscal year 2022-23. In fiscal year 2023-24, for such benefits, 17$28,000,000. In fiscal year 2024-25, for such benefits, $29,000,000 2026-27. AB50-ASA2-AA8,152,221949.175 (1) (b) Wisconsin Works agency contracts; job access loans. For 20contracts with Wisconsin Works agencies under s. 49.143 and for job access loans 21under s. 49.147 (6), $54,009,700 $58,892,400 in fiscal year 2021-22 2025-26 and 22$57,071,200 $59,071,200 in each fiscal year thereafter 2026-27. AB50-ASA2-AA8,153,4
149.175 (1) (f) Homeless case management services grants. For grants to 2shelter facilities under s. 16.3085, $500,000 $1,000,000 in each fiscal year. All 3moneys allocated under this paragraph shall be credited to the appropriation 4account under s. 20.505 (7) (kg). AB50-ASA2-AA8,153,11649.175 (1) (g) State administration of public assistance programs and 7overpayment collections. For state administration of public assistance programs 8and the collection of public assistance overpayments, $17,231,100 $25,258,600 in 9fiscal year 2021-22 2025-26 and $17,482,300 $25,707,800 in fiscal year 2022-23. In 10fiscal year 2023-24, for such purposes, $19,015,300. In fiscal year 2024-25, for such 11purposes, $19,424,300 2026-27. AB50-ASA2-AA8,153,161349.175 (1) (i) Emergency assistance. For emergency assistance under s. 1449.138 and for transfer to the department of administration for low-income energy 15or weatherization assistance programs, $6,000,000 $10,414,400 in each fiscal year 162025-26 and $10,141,300 in fiscal year 2026-27. AB50-ASA2-AA8,153,211849.175 (1) (j) Grants for providing civil legal services. For the grants under s. 1949.1635 (5) to Wisconsin Trust Account Foundation, Inc., for distribution to 20programs that provide civil legal services to low-income families, $500,000 21$4,500,000 in each fiscal year. AB50-ASA2-AA8,154,22349.175 (1) (k) Transform Milwaukee and Transitional Jobs programs. For
1contract costs under the Transform Milwaukee Jobs program and the Transitional 2Jobs program under s. 49.163, $9,500,000 $12,475,000 in each fiscal year. AB50-ASA2-AA8,154,7449.175 (1) (Lm) Jobs for America’s Graduates. For grants to the Jobs for 5America’s Graduates-Wisconsin to fund programs that improve social, academic, 6and employment skills of youth who are eligible to receive temporary assistance for 7needy families under 42 USC 601 et seq., in each fiscal year, $1,000,000 $2,000,000. AB50-ASA2-AA8,154,121049.175 (1) (ms) Child support debt reduction. For the child support debt 11reduction program for noncustodial parents under s. 49.226, $3,472,000 in fiscal 12year 2025-26 and $6,944,000 in fiscal year 2026-27. AB50-ASA2-AA8,154,191449.175 (1) (q) Child care state administration and licensing activities. For 15state administration of child care programs under s. 49.155 and for child care 16licensing activities, $42,117,800 $52,983,800 in fiscal year 2021-22 2025-26 and 17$41,803,100 $53,723,400 in fiscal year 2022-23. In fiscal year 2023-24, for such 18programs and activities, $45,796,000. In fiscal year 2024-25, for such programs and 19activities, $45,570,300 2026-27. AB50-ASA2-AA8,154,242149.175 (1) (qm) Quality care for quality kids. For the child care quality 22improvement activities specified in ss. 49.133, 49.155 (1g) and 49.257, $16,683,700 23$49,446,300 in each fiscal year 2022-23. In fiscal year 2023-24, for such activities, 24$28,518,700. In fiscal year 2024-25, for such activities, $46,018,700. AB50-ASA2-AA8,155,6249.175 (1) (r) Children of recipients of supplemental security income. For 3payments made under s. 49.775 for the support of the dependent children of 4recipients of supplemental security income, $18,564,700 $19,262,100 in each fiscal 5year 2021-22 and $18,145,000 in fiscal year 2022-23. In fiscal year 2023-24, for 6such payments, $9,699,900. In fiscal year 2024-25, for such payments, $10,990,400. AB50-ASA2-AA8,155,16849.175 (1) (s) Kinship care and long-term kinship care assistance. For kinship 9care and long-term kinship care payments under s. 48.57 (3m) (am) and (3n) (am), 10for assessments to determine eligibility for those payments, and for agreements 11under s. 48.57 (3t) with the governing bodies of Indian tribes for the administration 12of the kinship care and long-term kinship care programs within the boundaries of 13the reservations of those tribes, $28,727,100 $45,686,700 in fiscal year 2021-22 142025-26 and $31,441,800 $53,125,600 in fiscal year 2022-23. In fiscal year 2023-24, 15for such payments, $31,719,200. In fiscal year 2024-25, for such payments, 16$35,661,000 2026-27. AB50-ASA2-AA8,156,61849.175 (1) (z) Grants to the Boys and Girls Clubs of America. For grants to the 19Wisconsin Chapter of the Boys and Girls Clubs of America to fund programs that 20improve social, academic, and employment skills of youth who are eligible to receive 21temporary assistance for needy families under 42 USC 601 et seq., focusing on 22study habits, intensive tutoring in math and English, and exposure to career 23options and role models, $2,807,000 $9,507,000 in each fiscal year. Grants provided 24under this paragraph may not be used by the grant recipient to replace funding for
1programs that are being funded, when the grant proceeds are received, with 2moneys other than those from the appropriations specified in sub. (1) (intro.). The 3total amount of the grants includes funds for the BE GREAT: Graduate program in 4the amount of matching funds that the program provides, up to $1,532,000 in each 5fiscal year, to be used only for activities for which federal Temporary Assistance for 6Needy Families block grant moneys may be used. AB50-ASA2-AA8,156,13849.175 (1) (zh) Earned income tax credit supplement. For the transfer of 9moneys from the appropriation account under s. 20.437 (2) (md) to the 10appropriation account under s. 20.835 (2) (kf) for the earned income tax credit, 11$63,600,000 $100,907,800 in fiscal year 2021-22 2025-26 and $66,600,000 12$101,558,500 in fiscal year 2022-23. In fiscal year 2023-24, for such purposes, 13$61,725,000. In fiscal year 2024-25, for such purposes, $65,002,000 2026-27. AB50-ASA2-AA8,156,2115(1) Public assistance and local assistance allocations. In the schedule 16under s. 20.005 (3) for the appropriation to the department of children and families 17under s. 20.437 (1) (md), the dollar amount for fiscal year 2025-26 is increased by 18$100,525,700 to increase allocations under s. 49.175 (1). In the schedule under s. 1920.005 (3) for the appropriation to the department of children and families under s. 2020.437 (1) (md), the dollar amount for fiscal year 2026-27 is increased by 21$133,892,600 to increase allocations under s. 49.175 (1).”. AB50-ASA2-AA8,157,924(1) State out-of-home care and adoptions. In the schedule under s. 20.005
1(3) for the appropriation to the department of children and families under s. 20.437 2(1) (dd), the dollar amount for fiscal year 2025-26 is decreased by $3,508,600 to 3reflect reestimates of adoption assistance, subsidized guardianship, and state foster 4care payments, and changes in federal claiming rates in the 2025-27 biennium. In 5the schedule under s. 20.005 (3) for the appropriation to the department of children 6and families under s. 20.437 (1) (dd), the dollar amount for fiscal year 2026-27 is 7decreased by $3,112,900 to reflect reestimates of adoption assistance, subsidized 8guardianship, and state foster care payments, and changes in federal claiming rates 9in the 2025-27 biennium. AB50-ASA2-AA8,157,1910(2) State out-of-home care and adoptions. In the schedule under s. 20.005 11(3) for the appropriation to the department of children and families under s. 20.437 12(1) (pd), the dollar amount for fiscal year 2025-26 is decreased by $2,759,800 to 13reflect reestimates of adoption assistance, subsidized guardianship, and state foster 14care payments, and changes in the federal claiming rates in the 2025-27 biennium. 15In the schedule under s. 20.005 (3) for the appropriation to the department of 16children and families under s. 20.437 (1) (pd), the dollar amount for fiscal year 172026-27 is decreased by $2,963,800 to reflect reestimates of adoption assistance, 18subsidized guardianship, and state foster care payments, and changes in the federal 19claiming rates in the 2025-27 biennium.”. AB50-ASA2-AA8,158,522(1) Office of legal counsel; GPR funding. In the schedule under s. 20.005 23(3) for the appropriation to the department of children and families under s. 20.437 24(1) (a), the dollar amount for fiscal year 2025-26 is increased by $191,900 to increase
1authorized FTE positions by 1.42 positions for the Office of Legal Counsel. In the 2schedule under s. 20.005 (3) for the appropriation to the department of children and 3families under s. 20.437 (1) (a), the dollar amount for fiscal year 2026-27 is 4increased by $255,900 to increase authorized FTE positions by 1.42 positions for 5the Office of Legal Counsel. AB50-ASA2-AA8,158,136(2) Office of legal counsel; federal funding. In the schedule under s. 720.005 (3) for the appropriation to the department of children and families under s. 820.437 (1) (md), the dollar amount for fiscal year 2025-26 is increased by $78,400 to 9increase authorized FTE positions by 0.58 positions for the Office of Legal Counsel. 10In the schedule under s. 20.005 (3) for the appropriation to the department of 11children and families under s. 20.437 (1) (md), the dollar amount for fiscal year 122026-27 is increased by $104,500 to increase authorized FTE positions by 0.58 13positions for the Office of Legal Counsel.”. AB50-ASA2-AA8,158,2316(1) Direct child care services; Wisconsin Shares services reestimate. 17In the schedule under s. 20.005 (3) for the appropriation to the department of 18children and families under s. 20.437 (1) (md), the dollar amount for fiscal year 192025-26 is decreased by $25,291,400 to reflect estimates of the cost of subsidies 20under current law. In the schedule under s. 20.005 (3) for the appropriation to the 21department of children and families under s. 20.437 (1) (md), the dollar amount for 22fiscal year 2026-27 is decreased by $25,290,600 to reflect estimates of the cost of 23subsidies under current law.”. AB50-ASA2-AA8,159,102(1) Child care fee revenue adjustment; federal revenue. In the 3schedule under s. 20.005 (3) for the appropriation to the department of children and 4families under s. 20.437 (1) (md), the dollar amount for fiscal year 2025-26 is 5increased by $70,300 to reflect a reestimate of child care fee revenue and replacing 6child care fee revenue with federal revenue. In the schedule under s. 20.005 (3) for 7the appropriation to the department of children and families under s. 20.437 (1) 8(md), the dollar amount for fiscal year 2026-27 is increased by $114,400 to reflect a 9reestimate of child care fee revenue and replacing child care fee revenue with 10federal revenue. AB50-ASA2-AA8,159,1911(2) Child care fee revenue adjustment; program revenue. In the 12schedule under s. 20.005 (3) for the appropriation to the department of children and 13families under s. 20.437 (1) (jb), the dollar amount for fiscal year 2025-26 is 14decreased by $70,300 to reflect a reestimate of child care fee revenue and replacing 15child care fee revenue with federal revenue. In the schedule under s. 20.005 (3) for 16the appropriation to the department of children and families under s. 20.437 (1) 17(jb), the dollar amount for fiscal year 2026-27 is decreased by $114,400 to reflect a 18reestimate of child care fee revenue and replacing child care fee revenue with 19federal revenue.”. AB50-ASA2-AA8,160,522(1) Victim services. In the schedule under s. 20.005 (3) for the appropriation 23to the department of corrections under s. 20.410 (1) (a), the dollar amount for fiscal 24year 2025-26 is increased by $481,700 to increase the authorized FTE positions for
1the department of corrections by 5.0 GPR positions for the office of victim services 2and programs. In the schedule under s. 20.005 (3) for the appropriation to the 3department of corrections under s. 20.410 (1) (a), the dollar amount for fiscal year 42026-27 is increased by $404,300 to provide funding for the positions authorized 5under this subsection.”. AB50-ASA2-AA8,160,178(1) Americans with Disabilities Act compliance team. In the schedule 9under s. 20.005 (3) for the appropriation to the department of corrections under s. 1020.410 (1) (a), the dollar amount for fiscal year 2025-26 is increased by $605,000 to 11increase the authorized FTE positions in the department by 1.0 GPR attorney 12position and 5.0 GPR program and policy-advanced positions for the purpose of the 13Americans with Disabilities Act compliance team and buying 5 vehicles for 14transportation for the team. In the schedule under s. 20.005 (3) for the 15appropriation to the department of corrections under s. 20.410 (1) (a), the dollar 16amount for fiscal year 2026-27 is increased by $582,800 to provide funding for the 17positions authorized under this subsection.”.
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