Amendment AA8-ASA2-AB50

AB50-ASA2-AA8,268,11 (1) Supplement to federal Ryan White HIV/AIDS program. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (am), the dollar amount for fiscal year 2025-26 is increased by $1,750,000 and the dollar amount for fiscal year 2026-27 is increased by $1,750,000 to supplement federal Ryan White funding for HIV/AIDS prevention and treatment services.”.

AB50-ASA2-AA8,268,12 126. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,9219 Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,268,17 (1) Hospital services funding. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (bd), the dollar amount for fiscal year 2025-26 is increased by $15,000,000 to fund hospital service grants to support hospital services in western Wisconsin.”.

AB50-ASA2-AA8,268,18 127. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,268,19 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,269,3 (1) Income maintenance; funding for consortia and tribal agencies. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (4) (bn), the dollar amount for fiscal year 2025-26 is increased by $384,000 and the dollar amount for fiscal year 2026-27 is increased by $706,600 to increase base contracts for income maintenance consortia and tribal income maintenance agencies by 2 percent in fiscal year 2025-26 and by an additional 2 percent in 2026-27.”.

AB50-ASA2-AA8,269,4 128. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,269,5 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,269,10 (1) Independent living centers. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (cx), the dollar amount for fiscal year 2025-26 is increased by $101,800 and the dollar amount for fiscal year 2026-27 is increased by $100,800 to increase funding for grants to independent living centers.”.

AB50-ASA2-AA8,269,11 129. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,269,12 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,269,21 (1) Departmentwide. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (a), the dollar amount for fiscal year 2025-26 is increased by $1,097,000 to maintain the department's internal IT network and provide a 5 percent increase in funding to support maintenance costs at residential facilities. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (a), the dollar amount for fiscal year 2026-27 is increased by $1,097,000 to maintain the department's internal IT network and provide a 5 percent increase in funding to support maintenance costs at residential facilities.”.

AB50-ASA2-AA8,269,22 130. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,269,23 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,270,6 (1) Interpreter services for staff. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (a), the dollar amount for fiscal year 2025-26 is increased by $89,500 and the dollar amount for fiscal year 2026-27 is increased by $89,500 to fund interpreter services for staff in the department’s bureau of aging and disability resources who require American Sign Language interpretation services.”.

AB50-ASA2-AA8,270,7 131. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,270,8 “Section 410. 20.940 of the statutes is repealed.

AB50-ASA2-AA8,411 Section 411. 49.45 (2t) of the statutes is repealed.

AB50-ASA2-AA8,412 Section 412. 49.45 (23) (g) of the statutes is repealed.

AB50-ASA2-AA8,413 Section 413. 49.45 (23b) of the statutes is repealed.

AB50-ASA2-AA8,414 Section 414. 49.45 (41) (d) of the statutes is amended to read:

AB50-ASA2-AA8,271,2 49.45 (41) (d) The department shall, in accordance with all procedures set forth under s. 20.940, 2023 stats., request a waiver under 42 USC 1315 or submit a Medical Assistance state plan amendment to the federal department of health and human services to obtain any necessary federal approval required to provide reimbursement to crisis urgent care and observation facilities certified under s. 51.036 for crisis intervention services under this subsection. If the department determines submission of a state plan amendment is appropriate, the department shall, notwithstanding whether the expected fiscal effect of the amendment is $7,500,000 or more, submit the amendment to the joint committee on finance for review in accordance with the procedures under sub. (2t), 2023 stats. If federal approval is granted or no federal approval is required, the department shall provide reimbursement under s. 49.46 (2) (b) 15. If federal approval is necessary but is not granted, the department may not provide reimbursement for crisis intervention services provided by crisis urgent care and observation facilities.

AB50-ASA2-AA8,415 Section 415. 256.23 (5) of the statutes is amended to read:

AB50-ASA2-AA8,271,9 256.23 (5) In accordance with s. 20.940, the The department shall submit to the federal department of health and human services a request for any state plan amendment, waiver or other approval that is required to implement this section and s. 49.45 (3) (em). If federal approval is required, the department may not implement the collection of the fee under sub. (2) until it receives approval from the federal government to obtain federal matching funds.

AB50-ASA2-AA8,416 Section 416. 601.83 (1) (a) of the statutes is amended to read:

AB50-ASA2-AA8,271,23 601.83 (1) (a) The commissioner shall administer a state-based reinsurance program known as the healthcare stability plan in accordance with the specific terms and conditions approved by the federal department of health and human services dated July 29, 2018. Before December 31, 2023, the commissioner may not request from the federal department of health and human services a modification, suspension, withdrawal, or termination of the waiver under 42 USC 18052 under which the healthcare stability plan under this subchapter operates unless legislation has been enacted specifically directing the modification, suspension, withdrawal, or termination. Before December 31, 2023, the commissioner may request renewal, without substantive change, of the waiver under 42 USC 18052 under which the health care stability plan operates in accordance with s. 20.940 (4) unless legislation has been enacted that is contrary to such a renewal request. The commissioner shall comply with applicable timing in and requirements of s. 20.940.

AB50-ASA2-AA8,417 Section 417. 2017 Wisconsin Act 370, section 44 (2) and (3) are repealed.

AB50-ASA2-AA8,9119 Section 9119. Nonstatutory provisions; Health Services.

AB50-ASA2-AA8,272,6 (1) Childless adults demonstration project reform waiver. The department of health services may submit a request to the federal department of health and human services to modify or withdraw any waiver request submitted under s. 49.45 (23) (g), 2023 stats.”.

AB50-ASA2-AA8,272,7 132. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,272,9 “Section 418. 46.536 (1) of the statutes is renumbered 46.536 (1) (intro.) and amended to read:

AB50-ASA2-AA8,272,11 46.536 (1) (intro.) From the appropriation under s. 20.435 (5) (cf), the department shall award all of the following grants in the:

AB50-ASA2-AA8,272,20 (a) A total amount of $250,000 in each fiscal biennium to counties or regions comprised of multiple counties to establish or enhance crisis programs to serve individuals having crises in rural areas or counties, municipalities, or regions comprised of multiple counties or municipalities to establish and enhance law enforcement and behavioral health services emergency response collaboration programs. Grant recipients under this section paragraph shall match at least 25 percent of the grant amount awarded for the purpose that the grant is received. The department may not award any single grant in an amount greater than $100,000.

AB50-ASA2-AA8,419 Section 419. 46.536 (1) (b) of the statutes is created to read:

AB50-ASA2-AA8,273,3 46.536 (1) (b) A total amount of $2,000,000 in each fiscal biennium to counties, regions comprised of multiple counties, or municipalities to establish and enhance law enforcement and behavioral health services emergency response collaboration programs. Grant recipients under this paragraph shall match at least 25 percent of the grant amount awarded for the purpose that the grant is received.

AB50-ASA2-AA8,9219 Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,273,12 (1) Law enforcement and behavioral health collaboration grants. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (5) (cf), the dollar amount for fiscal year 2025-26 is increased by $1,000,000 to to provide law enforcement and behavioral health collaboration grants under s. 46.536 (1) (b). In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (5) (cf), the dollar amount for fiscal year 2026-27 is increased by $1,000,000 to to provide law enforcement and behavioral health collaboration grants under s. 46.536 (1) (b).”.

AB50-ASA2-AA8,273,13 133. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,273,14 “Section 420. 20.435 (1) (ef) of the statutes is amended to read:

AB50-ASA2-AA8,273,17 20.435 (1) (ef) Lead-poisoning or lead-exposure services. The As a continuing appropriation, the amounts in the schedule for the purposes of providing grants under s. 254.151.

AB50-ASA2-AA8,9219 Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,273,24 (1) Lead poisoning prevention and response. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (ef), the dollar amount for fiscal year 2025-26 is increased by $2,089,000 and the dollar amount for fiscal year 2026-27 is increased by $4,178,000 to increase funding for lead poisoning and exposure prevention and services grants to local and tribal health departments.”.

AB50-ASA2-AA8,274,1 134. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,274,2 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,274,3 (1) Limited-term employees.

AB50-ASA2-AA8,274,9 (a) In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (5) (a), the dollar amount for fiscal year 2025-26 is increased by $2,815,800 to increase LTE salary and fringe benefits. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (5) (a), the dollar amount for fiscal year 2026-27 is increased by $2,886,800 to increase LTE salary and fringe benefits.

AB50-ASA2-AA8,274,15 (b) In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (5) (kx), the dollar amount for fiscal year 2025-26 is increased by $1,080,900 to increase LTE salary and fringe benefits. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (5) (kx), the dollar amount for fiscal year 2026-27 is increased by $1,110,200 to increase LTE salary and fringe benefits.”.

AB50-ASA2-AA8,274,16 135. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,274,17 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,274,23 (1) Marquette dental school services. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (de), the dollar amount for fiscal year 2025-26 is increased by $430,000 and the dollar amount for fiscal year 2026-27 is increased by $430,000 to increase funding DHS provides to the Marquette University School of Dentistry to provide dental services to underserved populations.”.

AB50-ASA2-AA8,275,1 136. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,275,2 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,275,8 (1) Maternal and child health; grants for referral services. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (b), the dollar amount for fiscal year 2025-26 is increased by $1,480,000 and the dollar amount for fiscal year 2026-27 is increased by $1,480,000 to fund grants to local and tribal health departments to support referrals to, and maintenance of, maternal and child health resources.”.

AB50-ASA2-AA8,275,9 137. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,275,10 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,275,16 (1) Maternal and child health; Well Badger Resource Center website redesign. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (b), the dollar amount for fiscal year 2025-26 is increased by $90,000 and the dollar amount for fiscal year 2026-27 is increased by $90,000 to fund a redesign of the Well Badger Resource Center website to improve accessibility and accuracy of the information on the website.”.

AB50-ASA2-AA8,275,17 138. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,275,18 “Section 421. 46.48 (34) of the statutes is created to read:

AB50-ASA2-AA8,275,21 46.48 (34) Maternal and child health. The department may distribute not more than $800,000 in each fiscal year as grants to local and community-based organizations whose mission is to improve maternal and child health in this state.

AB50-ASA2-AA8,9219 Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,276,4 (1) Maternal and child health; grants to maintain certain programs. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (b), the dollar amount for fiscal year 2025-26 is increased by $800,000 and the dollar amount for fiscal year 2026-27 is increased by $800,000 to fund grants under s. 46.48 (34).”.

AB50-ASA2-AA8,276,5 139. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,276,6 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,276,12 (1) Medicaid and FoodShare contracts. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (4) (b), the dollar amount for fiscal year 2025-26 is increased by $28,576,200 and the dollar amount for fiscal year 2026-27 is increased by $28,096,600 to increase funding for contractual services and information technology systems costs for the administration of the Medical Assistance program and the FoodShare program.”.

AB50-ASA2-AA8,276,13 140. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,276,14 “Section 422. 20.455 (1) (hn) of the statutes is created to read:

AB50-ASA2-AA8,276,16 20.455 (1) (hn) Payments to relators. All moneys received by the department that are owed to a relator, to provide payments owed to a relator.

AB50-ASA2-AA8,423 Section 423. 20.9315 of the statutes is created to read:

AB50-ASA2-AA8,276,19 20.9315 False claims; actions by or on behalf of state. (1) In this section:

AB50-ASA2-AA8,276,22 (a) 1. “Claim” means any request or demand, whether under a contract or otherwise, for money or property, whether the state has title to the money or property, that is any of the following:

AB50-ASA2-AA8,277,2 a. Presented to an officer, employee, agent, or other representative of the state.

AB50-ASA2-AA8,277,7 b. Made to a contractor, grantee, or other person if the money or property is to be spent or used on the state’s behalf or to advance a state program or interest and if the state provides any portion of the money or property that is requested or demanded or will reimburse directly or indirectly the contractor, grantee, or other person for any portion of the money or property that is requested or demanded.

AB50-ASA2-AA8,277,9 2. “Claim” includes a request or demand for services from a state agency or as part of a state program.

AB50-ASA2-AA8,277,13 3. “Claim” does not include requests or demands for money or property that the state has paid to an individual as compensation for state employment or as an income subsidy with no restriction on that individual’s use of the money or property.

AB50-ASA2-AA8,277,17 (b) “Knowingly” means, with respect to information, having actual knowledge of the information, acting in deliberate ignorance of the truth or falsity of the information, or acting in reckless disregard of the truth or falsity of the information. “Knowingly” does not mean specifically intending to defraud.

AB50-ASA2-AA8,277,19 (c) “Material” means having a natural tendency to influence, or be capable of influencing, the payment or receipt of money or property or the receipt of services.

AB50-ASA2-AA8,277,20 (d) “Medical assistance” has the meaning given under s. 49.43 (8).

AB50-ASA2-AA8,277,21 (e) “Obligation” has the meaning given in 31 USC 3729 (b) (3).

AB50-ASA2-AA8,277,22 (f) “Original source” has the meaning given in 31 USC 3730 (e) (4) (B).

AB50-ASA2-AA8,278,2 (g) “Proceeds” includes damages, civil penalties, surcharges, payments for costs of compliance, and any other economic benefit realized by this state as a result of an action or settlement of a claim.

AB50-ASA2-AA8,278,7 (2) Except as provided in sub. (3), any person who does any of the following is liable to this state for 3 times the amount of the damages that were sustained by the state or would have been sustained by the state,whichever is greater, because of the actions of the person and shall forfeit, for each violation, an amount within the range specified under 31 USC 3729 (a):

AB50-ASA2-AA8,278,9 (a) Knowingly presents or causes to be presented a false or fraudulent claim to a state agency, including a false or fraudulent claim for medical assistance.

AB50-ASA2-AA8,278,12 (b) Knowingly makes, uses, or causes to be made or used a false record or statement material to a false or fraudulent claim to a state agency, including a false or fraudulent claim for medical assistance.

AB50-ASA2-AA8,278,17 (c) Knowingly makes, uses, or causes to be made or used a false record or statement material to an obligation to pay or transmit money or property to the Medical Assistance program, or knowingly conceals or knowingly and improperly avoids or decreases an obligation to pay or transmit money or property to the Medical Assistance program.

AB50-ASA2-AA8,278,21 (d) Knowingly makes, uses, or causes to be made or used a false record or statement material to an obligation to pay or transmit money or property to a state agency or knowingly conceals or knowingly and improperly avoids or decreases an obligation to pay or transmit money or property to a state agency.

AB50-ASA2-AA8,278,22 (e) Conspires to commit a violation under par. (a), (b), (c), or (d).

AB50-ASA2-AA8,279,3 (3) The court may assess against a person who violates sub. (2) not less than 2 nor more than 3 times the amount of the damages sustained by the state because of the acts of the person, and shall not assess any forfeiture, if the court finds all of the following:

AB50-ASA2-AA8,279,6 (a) The person who commits the acts furnished the attorney general with all information known to the person about the acts within 30 days after the date on which the person obtained the information.