This is the preview version of the Wisconsin State Legislature site.
Please see http://docs.legis.wisconsin.gov for the production version.
AB50-ASA2-AA8,211,4151. Adult residential integrated behavioral health stabilization service
16means a residential behavioral health treatment service, delivered under the
17oversight of a medical director, that provides withdrawal management and
18intoxication monitoring, as well as integrated behavioral health stabilization
19services, and includes nursing care on site for medical monitoring available on a 24-
20hour basis. Adult residential integrated behavioral health stabilization service
21may include the provision of services including screening, assessment, intake,
22evaluation and diagnosis, medical care, observation and monitoring, physical
23examination, determination of medical stability, medication management, nursing

1services, case management, drug testing, counseling, individual therapy, group
2therapy, family therapy, psychoeducation, peer support services, recovery coaching,
3recovery support services, and crisis intervention services, to ameliorate acute
4behavioral health symptoms and stabilize functioning.
AB50-ASA2-AA8,211,752. Community-based withdrawal management means a medically managed
6withdrawal management service delivered on an outpatient basis by a physician or
7other service personnel acting under the supervision of a physician.
AB50-ASA2-AA8,211,1083. Detoxification and stabilization services means adult residential
9integrated behavioral health stabilization service, residential withdrawal
10management service, or residential intoxication monitoring service.
AB50-ASA2-AA8,211,19114. Residential intoxication monitoring service means a residential service
12that provides 24-hour observation to monitor the safe resolution of alcohol or
13sedative intoxication and to monitor for the development of alcohol withdrawal for
14intoxicated patients who are not in need of emergency medical or behavioral health
15care. Residential intoxication monitoring service may include the provision of
16services including screening, assessment, intake, evaluation and diagnosis,
17observation and monitoring, case management, drug testing, counseling, individual
18therapy, group therapy, family therapy, psychoeducation, peer support services,
19recovery coaching, and recovery support services.
AB50-ASA2-AA8,212,9205. Residential withdrawal management service means a residential
21substance use treatment service that provides withdrawal management and
22intoxication monitoring, and includes medically managed 24-hour on-site nursing
23care, under the supervision of a physician. Residential withdrawal management

1service may include the provision of services, including screening, assessment,
2intake, evaluation and diagnosis, medical care, observation and monitoring,
3physical examination, medication management, nursing services, case
4management, drug testing, counseling, individual therapy, group therapy, family
5therapy, psychoeducation, peer support services, recovery coaching, and recovery
6support services, to ameliorate symptoms of acute intoxication and withdrawal and
7to stabilize functioning. Residential withdrawal management service may also
8include community-based withdrawal management and intoxication monitoring
9services.
AB50-ASA2-AA8,212,1410(b) Subject to par. (c), the department shall provide reimbursement for
11detoxification and stabilization services under the Medical Assistance program
12under s. 49.46 (2) (b) 14r. The department shall certify providers under the Medical
13Assistance program to provide detoxification and stabilization services in
14accordance with this subsection.
AB50-ASA2-AA8,212,2215(c) The department shall submit to the federal department of health and
16human services any request for a state plan amendment, waiver, or other federal
17approval necessary to provide reimbursement for detoxification and stabilization
18services as described in this subsection. If the federal department approves the
19request or if no federal approval is necessary, the department shall provide the
20reimbursement under s. 49.46 (2) (b) 14r. If the federal department disapproves the
21request, the department may not provide the reimbursement described in this
22subsection.
AB50-ASA2-AA8,36723Section 367. 49.46 (2) (b) 14r. of the statutes is created to read:
AB50-ASA2-AA8,213,2
149.46 (2) (b) 14r. Detoxification and stabilization services as specified under s.
249.45 (30p).
AB50-ASA2-AA8,213,3388. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,213,44Section 9119. Nonstatutory provisions; Health Services.
AB50-ASA2-AA8,213,55(1) Complex patient pilot program.
AB50-ASA2-AA8,213,66(a) In this subsection:
AB50-ASA2-AA8,213,771. Department means the department of health services.
AB50-ASA2-AA8,213,982. Partnership group means one or more hospitals in partnership with one
9or more post-acute facilities.
AB50-ASA2-AA8,213,1310(b) The department shall use a competitive grant selection process to select
11partnership groups to be designated as participating sites for a complex patient
12pilot program under this subsection and, from the appropriation under s. 20.435 (7)
13(d), award grants to the groups selected.
AB50-ASA2-AA8,213,1814(c) The department shall solicit feedback regarding the complex patient pilot
15program from representatives of healthcare system organizations, long-term care
16provider organizations, long-term care operator organizations, patient advocate
17groups, insurers, and any other organization determined to be relevant by the
18secretary of health services.
AB50-ASA2-AA8,213,2119(d) The department shall require that each partnership group that applies to
20the department to be designated as a site for the complex patient pilot program
21shall address all of the following issues in its application:
AB50-ASA2-AA8,214,2221. The number of complex patient care beds that will be set aside in a post-
23acute facility or through implementation of an innovative model of patient care in a

1post-acute facility to which participating hospitals agree, such as dedicated staffing
2for dementia or a behavioral health unit.
AB50-ASA2-AA8,214,432. Defined goals and measurable outcomes of the partnership group during
4the pilot program and after the pilot program.
AB50-ASA2-AA8,214,853. The types of complex patients for whom care will be provided, which may
6include patients needing total care for multiple conditions or comorbidities such as
7cardiac and respiratory diseases, obesity, mental health, substance use, or
8dementia.
AB50-ASA2-AA8,214,1194. An operating budget for the proposed site that details how fiscal
10responsibility will be shared among members of the partnership group and includes
11all of the following:
AB50-ASA2-AA8,214,1312a. Estimated patient revenues from other sources, including the Medical
13Assistance program under subch. IV of ch. 49, and estimated total costs.
AB50-ASA2-AA8,214,1414b. A margin to account for reserved beds.
AB50-ASA2-AA8,214,16155. The partnership groups expertise to successfully implement the proposal,
16which may include a discussion of the following issues:
AB50-ASA2-AA8,214,1817a. Documented experience of the partners working together to serve complex
18patients.
AB50-ASA2-AA8,214,2119b. The implementation timeline and the plan for post-acute facilities to accept
20admissions and transfer patients within 72 hours of a request submitted by a
21hospital.
AB50-ASA2-AA8,215,222c. The plan for an interdisciplinary team that will staff the unit in the post-
23acute facility, including the availability of staff with appropriate expertise that

1includes physicians, nurses, advance practice health professionals, pharmacists,
2physical therapists, occupational therapists, and social workers.
AB50-ASA2-AA8,215,33d. Ability to electronically exchange health information.
AB50-ASA2-AA8,215,54e. Resources to conduct patient intake and discharge planning from the post-
5acute facility, including case managers and social workers.
AB50-ASA2-AA8,215,86f. Ability to conduct monthly case management reviews with the
7interdisciplinary team for every complex care patient that cover care plan progress
8and any readmissions to an acute care hospital.
AB50-ASA2-AA8,215,99g. Ability to conduct monthly quality assurance reviews.
AB50-ASA2-AA8,215,1010h. Ability of the treatment model to be replicated by other healthcare systems.
AB50-ASA2-AA8,215,1211i. Plans to document decreases in lengths of stay for complex patients in
12hospitals and avoided hospital days.
AB50-ASA2-AA8,215,1713j. Documentation of stable finances among partnership group members to
14support the proposal, including matching funds that could be dedicated to the pilot
15program under this subsection. No applicant may be required to provide matching
16funds or a contribution, but the department may take into consideration the
17availability of matching funds or a contribution in evaluating an application.
AB50-ASA2-AA8,215,1918k. Description of anticipated impediments to successful implementation and
19how the partnership group intends to overcome the anticipated impediments.
AB50-ASA2-AA8,215,2120(e) In implementing this subsection, the department shall do all of the
21following:
AB50-ASA2-AA8,216,2221. Develop a methodology to evaluate the complex patient pilot program and
23contract with an independent organization to complete the evaluation. The

1department may pay the fee of the organization selected from the appropriation
2under s. 20.435 (7) (d).
AB50-ASA2-AA8,216,432. Give additional weight to partnership groups that would ensure geographic
4diversity.
AB50-ASA2-AA8,216,75(f) Upon completion of the evaluation required under par. (e) 1., the
6independent organization contracted by the department to complete the evaluation
7shall provide the evaluation to the department.
AB50-ASA2-AA8,92198Section 9219. Fiscal changes; Health Services.
AB50-ASA2-AA8,216,149(1) Complex patient pilot program. In the schedule under s. 20.005 (3) for
10the appropriation to the department of health services under s. 20.435 (7) (d), the
11dollar amount for fiscal year 2025-26 is increased by $15,000,000 to fund, on a one-
12time basis, a complex patient pilot program to help facilitate the transfer of complex
13patients from acute care settings, such as hospitals, to post-acute care facilities, in
14the 2025-27 biennium..
AB50-ASA2-AA8,216,151589. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,216,1616Section 368. 20.435 (5) (bw) of the statutes is amended to read:
AB50-ASA2-AA8,216,211720.435 (5) (bw) Child psychiatry and addiction medicine consultation
18programs Mental health consultation program. Biennially, the amounts in the
19schedule for operating the child psychiatry consultation program under s. 51.442
20and the addiction medicine consultation program under s. 51.448 mental health
21consultation program under s. 51.443.
AB50-ASA2-AA8,36922Section 369. 20.435 (5) (bx) of the statutes is created to read:
AB50-ASA2-AA8,217,22320.435 (5) (bx) Addiction medicine consultation program. Biennially, the

1amounts in the schedule for operating the addiction medicine consultation program
2under s. 51.448.
AB50-ASA2-AA8,3703Section 370. 20.435 (5) (ct) of the statutes is repealed.
AB50-ASA2-AA8,3714Section 371. 51.441 of the statutes is repealed.
AB50-ASA2-AA8,3725Section 372. 51.442 of the statutes is repealed.
AB50-ASA2-AA8,3736Section 373. 51.443 of the statutes is created to read:
AB50-ASA2-AA8,217,7751.443 Mental health consultation program. (1) In this section:
AB50-ASA2-AA8,217,108(a) Participating clinicians includes physicians, nurse practitioners,
9physician assistants, and medically appropriate members of the care teams of
10physicians, nurse practitioners, and physician assistants.
AB50-ASA2-AA8,217,1211(b) Program means the mental health consultation program under this
12section.
AB50-ASA2-AA8,217,2113(2) During fiscal year 2025-26, the department shall contract with the
14organization that provided consultation services through the child psychiatry
15consultation program under s. 51.442, 2023 stats., as of January 1, 2025, to
16administer the mental health consultation program described under this section.
17Beginning in fiscal year 2026-27, the department shall contract with the
18organization that provided consultation services through the child psychiatry
19consultation program under s. 51.442, 2023 stats., as of January 1, 2025, or another
20organization to administer the mental health consultation program under this
21section.
AB50-ASA2-AA8,218,422(3) The contracting organization under sub. (2) shall administer a mental
23health consultation program that incorporates a comprehensive set of mental

1health consultation services, which may include perinatal, child, adult, geriatric,
2pain, veteran, and general mental health consultation services, and may contract
3with any other entity to perform any operations and satisfy any requirements under
4this section for the program.
AB50-ASA2-AA8,218,65(4) As a condition of providing services through the program, the contracting
6organization under sub. (2) shall do all of the following:
AB50-ASA2-AA8,218,147(a) Ensure that all mental health care providers who are providing services
8through the program have the applicable credential from this state; if a psychiatric
9professional, that the provider is eligible for certification or is certified by the
10American Board of Psychiatry and Neurology for adult psychiatry, child and
11adolescent psychiatry, or both; and if a psychologist, that the provider is registered
12in a professional organization, including the American Psychological Association,
13National Register of Health Service Psychologists, Association for Psychological
14Science, or the National Alliance of Professional Psychology Providers.
AB50-ASA2-AA8,218,1615(b) Maintain the infrastructure necessary to provide the programs services
16statewide.
AB50-ASA2-AA8,218,1817(c) Operate the program on weekdays during normal business hours of 8 a.m.
18to 5 p.m.
AB50-ASA2-AA8,218,2019(d) Provide consultation services under the program as promptly as is
20practicable.
AB50-ASA2-AA8,219,221(e) Have the capability to provide consultation services by, at a minimum,
22telephone and email. Consultation through the program may be provided by

1teleconference, video conference, voice over Internet protocol, email, pager, in-
2person conference, or any other telecommunication or electronic means.
AB50-ASA2-AA8,219,33(f) Provide all of the following services through the program:
AB50-ASA2-AA8,219,541. Support for participating clinicians to assist in the management of mental
5health concerns.
AB50-ASA2-AA8,219,862. Triage-level assessments to determine the most appropriate response to
7each request, including appropriate referrals to any community providers and
8health systems.
AB50-ASA2-AA8,219,993. When medically appropriate, diagnostics and therapeutic feedback.
AB50-ASA2-AA8,219,11104. Recruitment of other clinicians into the program as participating clinicians
11when possible.
AB50-ASA2-AA8,219,1212(g) Report to the department any information requested by the department.
AB50-ASA2-AA8,219,2213(h) Conduct annual surveys of participating clinicians who use the program to
14assess the quality of care provided, self-perceived levels of confidence in providing
15mental health services, and satisfaction with the consultations and other services
16provided through the program. Immediately after participating clinicians begin
17using the program and again 6 to 12 months later, the contracting organization
18under sub. (2) may conduct assessments of participating clinicians to assess the
19barriers to and benefits of participation in the program to make future
20improvements and to determine the participating clinicians treatment abilities,
21confidence, and awareness of relevant resources before and after beginning to use
22the program.
AB50-ASA2-AA8,220,323(5) Services provided under sub. (4) (b) to (h) are eligible for funding from the

1department. The contracting organization under sub. (2) also may provide any of
2the following services under the program that are eligible for funding from the
3department:
AB50-ASA2-AA8,220,64(a) Second opinion diagnostic and medication management evaluations and
5community resource referrals conducted by either a psychiatrist or allied health
6professionals.
AB50-ASA2-AA8,220,97(b) In-person or web-based educational seminars and refresher courses on a
8medically appropriate topic within mental or behavioral health care provided to any
9participating clinician who uses the program.
AB50-ASA2-AA8,220,1010(c) Data evaluation and assessment of the program.
AB50-ASA2-AA8,921911Section 9219. Fiscal changes; Health Services.
AB50-ASA2-AA8,220,1712(1) Comprehensive mental health consultation program. In the
13schedule under s. 20.005 (3) for the appropriation to the department of health
14services under s. 20.435 (5) (bw), the dollar amount for fiscal year 2025-26 is
15increased by $2,000,000 and the dollar amount for fiscal year 2026-27 is increased
16by $2,000,000 to support a comprehensive mental health consultation program
17under s. 51.443..
AB50-ASA2-AA8,220,181890. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,220,1919Section 9219. Fiscal changes; Health Services.
AB50-ASA2-AA8,221,520(1) Contracted community services. In the schedule under s. 20.005 (3) for
21the appropriation to the department of health services under s. 20.435 (2) (bj), the
22dollar amount for fiscal year 2025-26 is increased by $3,742,500 to fund contracts
23for community-based mental health services for the treatment and monitoring for

1forensic and sexually violent persons programs. In the schedule under s. 20.005 (3)
2for the appropriation to the department of health services under s. 20.435 (2) (bj),
3the dollar amount for fiscal year 2026-27 is increased by $6,305,000 to fund
4contracts for community-based mental health services for the treatment and
5monitoring for forensic and sexually violent persons programs..
AB50-ASA2-AA8,221,6691. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,221,77Section 9219. Fiscal changes; Health Services.
AB50-ASA2-AA8,221,88(1) Coverage of continuous glucose monitoring devices.
AB50-ASA2-AA8,221,139(a) In the schedule under s. 20.005 (3) for the appropriation to the department
10of health services under s. 20.435 (4) (b), the dollar amount for fiscal year 2026-27 is
11increased by $4,647,100 to support the cost of providing coverage for continuous
12glucose monitoring devices and insulin pumps for diabetic care as a pharmacy
13benefit.
AB50-ASA2-AA8,221,1814(b) In the schedule under s. 20.005 (3) for the appropriation to the department
15of health services under s. 20.435 (4) (j), the dollar amount for fiscal year 2026-27 is
16increased by $9,600,000 to support the cost of providing coverage for continuous
17glucose monitoring devices and insulin pumps for diabetic care as a pharmacy
18benefit..
AB50-ASA2-AA8,221,191992. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,221,2020Section 374. 49.45 (30t) of the statutes is created to read:
AB50-ASA2-AA8,221,212149.45 (30t) Doula services. (a) In this subsection:
AB50-ASA2-AA8,221,23221. Certified doula means an individual who has received certification from
23a doula certifying organization recognized by the department.
AB50-ASA2-AA8,222,3
12. Doula services means childbirth education and support services,
2including emotional and physical support provided during pregnancy, labor, birth,
3and the postpartum period.
AB50-ASA2-AA8,222,104(b) The department shall request from the secretary of the federal
5department of health and human services any required waiver or any required
6amendment to the state plan for Medical Assistance to allow reimbursement for
7doula services provided by a certified doula. If the waiver or state plan amendment
8is granted, the department shall reimburse a certified doula under s. 49.46 (2) (b)
912p. for the allowable charges for doula services provided to Medical Assistance
10recipients.
Loading...
Loading...