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AB50-ASA2-AA8,291,139(a) In the schedule under s. 20.005 (3) for the appropriation to the department
10of health services under s. 20.435 (2) (bm), the dollar amount for fiscal year 2025-26
11is adjusted to $197,689,900. In the schedule under s. 20.005 (3) for the
12appropriation to the department of health services under s. 20.435 (2) (bm), the
13dollar amount for fiscal year 2026-27 is adjusted to $203,747,600.
AB50-ASA2-AA8,291,1814(b) In the schedule under s. 20.005 (3) for the appropriation to the department
15of health services under s. 20.435 (2) (gk), the dollar amount for fiscal year 2025-26
16is adjusted to $297,331,100. In the schedule under s. 20.005 (3) for the
17appropriation to the department of health services under s. 20.435 (2) (gk), the
18dollar amount for fiscal year 2026-27 is adjusted to $307,567,400..
AB50-ASA2-AA8,291,1919145. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,291,2020Section 433. 71.03 (9) of the statutes is created to read:
AB50-ASA2-AA8,291,232171.03 (9) Medical Assistance coverage. (a) The department shall include
22the following questions and explanatory information on each individual income tax
23return under this section and a method for the taxpayer to respond to each question:
AB50-ASA2-AA8,292,6
11. Are you, your spouse, your dependent children, or any eligible adult child
2dependent not covered under a health insurance policy, health plan, or other health
3care coverage? Eligible adult child dependent means a child who is under the age
4of 26 who is a full-time student or a child who is under the age of 27 who is called to
5active duty in the national guard or armed forces reserve while enrolled as a full-
6time student.
AB50-ASA2-AA8,292,972. If you responded yes to question 1, do you want to have evaluated your
8eligibility for Medical Assistance under subch. IV of ch. 49 of the Wisconsin
9Statutes or your eligibility for subsidized health insurance coverage?
AB50-ASA2-AA8,292,1810(b) For each person who responded yes to the question under par. (a) 2., the
11department shall provide that persons contact information and other relevant
12information from that persons individual income tax return to the department of
13health services to perform an evaluation of that persons eligibility under the
14Medical Assistance program under subch. IV of ch. 49 or an evaluation of that
15persons eligibility for subsidized health insurance coverage through an exchange,
16as defined under 45 CFR 155.20. The information provided to the department of
17health services may not be used to determine that the individual is ineligible to
18enroll in the Medical Assistance program under subch. IV of ch. 49.
AB50-ASA2-AA8,43419Section 434. 71.78 (4) (w) of the statutes is created to read:
AB50-ASA2-AA8,292,222071.78 (4) (w) The secretary of health services and employees of the
21department of health services for the purpose of performing an evaluation under s.
2271.03 (9) (b).
AB50-ASA2-AA8,931923Section 9319. Initial applicability; Health Services.
AB50-ASA2-AA8,293,3
1(1) Determination of Medical Assistance eligibility by indicating
2interest on an individual income tax return. The treatment of ss. 71.03 (9) and
371.78 (4) (w) first applies to taxable years beginning after December 31, 2025..
AB50-ASA2-AA8,293,44146. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,293,55Section 435. 253.13 (6) of the statutes is created to read:
AB50-ASA2-AA8,293,116253.13 (6) Federal recommendations; evaluation procedure. (a) Initial
7evaluation. 1. Subject to subd. 2., for any disorder that is added to the federal
8recommended uniform screening panel approved by the federal department of
9health and human services after January 1, 2025, and that is not included in the
10list of disorders under s. DHS 115.04, Wis. Adm. Code, the department shall do all
11of the following within 18 months after the addition of the disorder:
AB50-ASA2-AA8,293,1312a. Conduct an initial evaluation to determine whether the disorder should be
13included in the testing required under this section.
AB50-ASA2-AA8,293,1614b. If the department determines that the disorder should be included in the
15testing required under this section, commence rule making to add the disorder to
16the list under s. DHS 115.04, Wis. Adm. Code.
AB50-ASA2-AA8,293,21172. This paragraph does not apply to any disorder included in the federal
18recommended uniform screening panel that will be added to the list of disorders
19under s. DHS 115.04, Wis. Adm. Code, pending promulgation of a rule for which the
20department has commenced rule-making procedures as of the effective date of this
21subdivision .... [LRB inserts date].
AB50-ASA2-AA8,294,422(b) Annual review. 1. Subject to subd. 2., the department shall do all of the
23following on an annual basis for any disorder the department determines in an

1initial evaluation under par. (a) or a reevaluation under par. (c) should not be
2included in the testing required under this section and for any disorder that was the
3subject of rule making under par. (a) 2. or 2025 Wisconsin Act .... (this act), section
49119 (2), that did not result in the promulgation of a rule:
AB50-ASA2-AA8,294,95a. Review the medical literature published on the disorder since the initial
6evaluation or the commencement of rule making under par. (a) 2. or 2025 Wisconsin
7Act .... (this act), section 9119 (2), to determine whether new information has been
8identified that would merit a reevaluation of whether testing for the disorder
9should be included in the testing required under this section.
AB50-ASA2-AA8,294,1110b. Determine whether the department has the capacity and resources needed
11to include testing for the disorder in the testing required under this section.
AB50-ASA2-AA8,294,13122. This paragraph does not apply to any disorder that is removed from the
13federal recommended uniform screening panel.
AB50-ASA2-AA8,294,1914(c) Reevaluation. If the department finds in an annual review under par. (b)
15that new information has been identified that would merit a reevaluation of
16whether testing for a disorder should be included in the testing required under this
17section or that the department has the capacity and resources needed to include
18testing for the disorder in the testing required under this section, the department
19shall do all of the following within 18 months of completing the annual review:
AB50-ASA2-AA8,294,21201. Conduct a reevaluation to determine whether testing for the disorder
21should be included in the testing required under this section.
AB50-ASA2-AA8,295,2222. If the department determines in the reevaluation that testing for a disorder

1should be included in the testing required under this section, commence rule
2making to add the disorder to the list under s. DHS 115.04, Wis. Adm. Code.
AB50-ASA2-AA8,295,153(d) Emergency rule making. The department may use the procedure under s.
4227.24 to promulgate a rule under this subsection or 2025 Wisconsin Act .... (this
5act), section 9119 (1) (b). Notwithstanding s. 227.24 (1) (a) and (3), the department
6is not required to provide evidence that promulgating a rule under this paragraph
7as an emergency rule is necessary for the preservation of the public peace, health,
8safety, or welfare and is not required to provide a finding of emergency for a rule
9promulgated under this paragraph. Notwithstanding s. 227.24 (1) (c) and (2), if the
10department submits in proposed form a permanent rule to the legislative council
11staff under s. 227.15 (1) within 15 months of the date the statement of scope of the
12emergency rule promulgated under this paragraph is published in the register
13under s. 227.135 (3), the emergency rule remains in effect until the date on which
14the permanent rule takes effect or the date on which the statement of scope expires
15under s. 227.135 (5), whichever occurs first.
AB50-ASA2-AA8,295,1916(e) Implementation. The department shall ensure that testing for any
17disorder added by rule to the list under s. DHS 115.04, Wis. Adm. Code, in
18accordance with this subsection begins within 6 months after the date of
19publication, as defined in s. 227.22 (1), of the rule.
AB50-ASA2-AA8,911920Section 9119. Nonstatutory provisions; Health Services.
AB50-ASA2-AA8,296,421(1) Newborn screening program; conditions approved as of January 1,
222025. For any disorder included in the federal recommended uniform screening
23panel approved by the federal department of health and human services as of

1January 1, 2025, that is not included in the list of disorders under s. DHS 115.04,
2Wis. Adm. Code, on the effective date of this subsection, the department of health
3services shall do all of the following within 18 months of the effective date of this
4subsection:
AB50-ASA2-AA8,296,65(a) Evaluate whether the disorder should be included in the testing required
6under s. 253.13 (1).
AB50-ASA2-AA8,296,97(b) If, in its evaluation, the department of health services determines that the
8disorder should be included in the testing required under s. 253.13 (1), commence
9rule making to add the disorder to the list under s. DHS 115.04, Wis. Adm. Code.
AB50-ASA2-AA8,296,1510(2) Newborn screening program; pending rule promulgation.
11Subsection (1) does not apply to any disorder included in the federal recommended
12uniform screening panel that will be added to the list of disorders under s. DHS
13115.04, Wis. Adm. Code, pending promulgation of a rule for which the department
14of health services has commenced the rule-making procedure as of the effective
15date of this subsection.
AB50-ASA2-AA8,296,1916(3) Newborn screening program; testing start date. The department of
17health services shall ensure that testing for any disorder added by rule to the list
18under s. DHS 115.04, Wis. Adm. Code, in accordance with sub. (1) begins within 6
19months after the date of publication, as defined in s. 227.22 (1), of the rule..
AB50-ASA2-AA8,296,2020147. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,296,2121Section 436. 150.31 (1) (intro.) of the statutes is amended to read:
AB50-ASA2-AA8,297,522150.31 (1) (intro.) In order to enable the state to budget accurately for medical
23assistance and to allocate fiscal resources most appropriately, the maximum

1number of licensed nursing home beds statewide is 51,795 25,415 and the
2maximum number of beds statewide in facilities primarily serving the
3developmentally disabled is 3,704. The department may adjust these limits on
4licensed beds as provided in subs. (2) to (6). The department shall also biennially
5recommend changes to this limit based on the following criteria:
AB50-ASA2-AA8,4376Section 437. 150.31 (8) of the statutes is amended to read:
AB50-ASA2-AA8,297,97150.31 (8) The Subject to sub. (9), the department may allocate or distribute
8nursing home beds in a manner, developed by rule, that is consistent with the
9criteria specified in sub. (1) (a) to (f) and s. 150.39.
AB50-ASA2-AA8,43810Section 438. 150.31 (9) of the statutes is created to read:
AB50-ASA2-AA8,297,1211150.31 (9) The department shall allocate 125 nursing home beds to persons
12that apply for the beds and agree to do all of the following:
AB50-ASA2-AA8,297,1313(a) Prioritize admissions of patients with complex needs.
AB50-ASA2-AA8,297,1514(b) Prioritize admissions of patients who have been unable to find appropriate
15placement at another facility.
AB50-ASA2-AA8,921916Section 9219. Fiscal changes; Health Services.
AB50-ASA2-AA8,297,2417(1) Nursing home bed access; position authorization. In the schedule
18under s. 20.005 (3) for the appropriation to the department of health services under
19s. 20.435 (4) (b), the dollar amount for fiscal year 2025-26 is increased by $60,000
20and the dollar amount for fiscal year 2026-27 is increased by $1,584,200 to increase
21the authorized FTE positions for the department by .50 GPR and .50 FED
22positions, beginning in fiscal year 2025-26, and to increase the authorized FTE
23positions for the department by 1.0 GPR position, beginning in 2026-27, to
24implement a modified nursing home bed licensing process..
AB50-ASA2-AA8,298,1
1148. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,298,22Section 439. 46.48 (21) of the statutes is created to read:
AB50-ASA2-AA8,298,7346.48 (21) Trauma resilience grant. The department may distribute not
4more than $250,000 in fiscal year 2025-26 and not more than $250,000 in fiscal
5year 2026-27 as a grant to an organization in the city of Milwaukee to support the
6needs of individuals impacted by trauma and to develop the capacity of
7organizations to treat and prevent trauma.
AB50-ASA2-AA8,4408Section 440. 46.48 (21) of the statutes, as created by 2025 Wisconsin Act ....
9(this act), is repealed.
AB50-ASA2-AA8,941910Section 9419. Effective dates; Health Services.
AB50-ASA2-AA8,298,1211(1) Trauma resilience grant. The repeal of s. 46.48 (21) takes effect on July
121, 2027..
AB50-ASA2-AA8,298,1313149. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,298,1414Section 9219. Fiscal changes; Health Services.
AB50-ASA2-AA8,298,2015(1) Obstetrics rate increase. In the schedule under s. 20.005 (3) for the
16appropriation to the department of health services under s. 20.435 (4) (b), the dollar
17amount for fiscal year 2025-26 is increased by $2,132,400 and the dollar amount for
18fiscal year 2026-27 is increased by $2,438,800 to increase reimbursement rates
19under the Medical Assistance program under subch. IV of ch. 49 for obstetric care,
20including antepartum, birthing, and postpartum services..
AB50-ASA2-AA8,298,2121150. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,298,2222Section 9219. Fiscal changes; Health Services.
AB50-ASA2-AA8,299,523(1) Office for the Deaf and Hard of Hearing service fund. In the

1schedule under s. 20.005 (3) for the appropriation to the department of health
2services under s. 20.435 (1) (b), the dollar amount for fiscal year 2025-26 is
3increased by $100,000 and the dollar amount for fiscal year 2026-27 is increased by
4$100,000 to increase funding for the service fund within the department of health
5services Office for the Deaf and Hard of Hearing..
AB50-ASA2-AA8,299,66151. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,299,77Section 9219. Fiscal changes; Health Services.
AB50-ASA2-AA8,299,88(1) Office of Grants Management.
AB50-ASA2-AA8,299,129(a) In the schedule under s. 20.005 (3) for the appropriation to the department
10of health services under s. 20.435 (1) (a), the dollar amount for fiscal year 2026-27 is
11increased by $600,000 for 10.0 GPR positions to support the office of budget
12management.
AB50-ASA2-AA8,299,1613(b) In the schedule under s. 20.005 (3) for the appropriation to the department
14of health services under s. 20.435 (1) (n), the dollar amount for fiscal year 2026-27
15is decreased by $654,100 to eliminate 10.0 FED positions in the office of budget
16management..
AB50-ASA2-AA8,299,1717152. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,299,1818Section 9219. Fiscal changes; Health Services.
AB50-ASA2-AA8,300,219(1) OPRI positions, PR. In the schedule under s. 20.005 (3) for the
20appropriation to the department of health services under s. 20.435 (1) (hg), the
21dollar amount for fiscal year 2025-26 is increased by $106,200 and the dollar
22amount for fiscal year 2026-27 is increased by $139,800 to increase the authorized

1FTE positions for the department by 1.2 PR civil engineer-advanced or architect-
2advanced positions within the office of plan review and inspection.
AB50-ASA2-AA8,300,83(2) OPRI positions, PR-F. In the schedule under s. 20.005 (3) for the
4appropriation to the department of health services under s. 20.435 (1) (n), the
5dollar amount for fiscal year 2025-26 is increased by $70,900 and the dollar amount
6for fiscal year 2026-27 is increased by $93,300 to increase the authorized FTE
7positions for the department by 0.8 PR-F civil engineer-advanced or architect-
8advanced position within the office of plan review and inspection..
AB50-ASA2-AA8,300,99153. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,300,1010Section 441. 46.48 (24) of the statutes is created to read:
AB50-ASA2-AA8,300,141146.48 (24) Pediatric health psychology residency and fellowship
12training programs. The department may distribute not more than $600,000 in
13each fiscal year as grants to support pediatric health psychology residency and
14fellowship training programs.
AB50-ASA2-AA8,921915Section 9219. Fiscal changes; Health Services.
AB50-ASA2-AA8,300,2116(1) Pediatric health psychology residency and fellowship training. In
17the schedule under s. 20.005 (3) for the appropriation to the department of health
18services under s. 20.435 (1) (b), the dollar amount for fiscal year 2025-26 is
19increased by $600,000 and the dollar amount for fiscal year 2026-27 is increased by
20$600,000 to support grants for pediatric health psychology residency and fellowship
21training programs..
AB50-ASA2-AA8,300,2222154. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,300,2323Section 442. 49.45 (24L) of the statutes is created to read:
AB50-ASA2-AA8,301,6
149.45 (24L) Statewide dental contract. The department shall submit any
2necessary request to the federal department of health and human services for a
3state plan amendment or waiver of federal Medicaid law to implement a statewide
4contract for dental benefits through a single vendor under the Medical Assistance
5program. If the federal government disapproves the amendment or waiver request,
6the department is not required to implement this subsection..
AB50-ASA2-AA8,301,77155. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,301,88Section 9219. Fiscal changes; Health Services.
AB50-ASA2-AA8,301,149(1) Peer recovery center grants. In the schedule under s. 20.005 (3) for
10the appropriation to the department of health services under s. 20.435 (1) (b), the
11dollar amount for fiscal year 2025-26 is increased by $310,000 and the dollar
12amount for fiscal year 2026-27 is increased by $310,000 for making grants to
13regional peer recover centers for individuals experiencing mental health or
14substance abuse issues..
AB50-ASA2-AA8,301,1515156. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,301,1616Section 9219. Fiscal changes; Health Services.
AB50-ASA2-AA8,302,317(1) State supplemental security income and caretaker supplement
18reestimate. In the schedule under s. 20.005 (3) for the appropriation to the
19department of health services under s. 20.435 (4) (ed), the dollar amount for fiscal
20year 2025-26 is decreased by $5,228,300 to reflect estimates of the cost of funding
21supplemental security income state supplements payments in the 2025-27
22biennium. In the schedule under s. 20.005 (3) for the appropriation to the
23department of health services under s. 20.435 (4) (ed), the dollar amount for fiscal

1year 2026-27 is decreased by $5,228,300 to reflect estimates of the cost of funding
2supplemental security income state supplements payments in the 2025-27
3biennium..
AB50-ASA2-AA8,302,44157. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,302,55Section 1. 50.36 (3s) of the statutes is created to read:
AB50-ASA2-AA8,302,11650.36 (3s) The department shall require a hospital that provides emergency
7services to have sufficient qualified personnel at all times to manage the number
8and severity of emergency department cases anticipated by the location. At all
9times, a hospital that provides emergency services shall have on-site at least one
10physician who, through education, training, and experience, specializes in
11emergency medicine..
AB50-ASA2-AA8,302,1212158. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,302,1313Section 9219. Fiscal changes; Health Services.
AB50-ASA2-AA8,302,1814(1) Senior farmers market nutrition program. In the schedule under s.
1520.005 (3) for the appropriation to the department of health services under s.
1620.435 (1) (dh), the dollar amount for fiscal year 2025-26 is increased by $250,000
17and the dollar amount for fiscal year 2026-27 is increased by $250,000 for the senior
18farmers market nutrition program..
AB50-ASA2-AA8,302,1919159. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,302,2020Section 443. 49.45 (3h) of the statutes is created to read:
AB50-ASA2-AA8,303,32149.45 (3h) Payments to rural health clinics. (a) For services provided by
22a rural health clinic on or after the effective date of this paragraph .... [LRB inserts
23date], and before July 1, 2026, to a recipient of the Medical Assistance program

1under this subchapter, the department shall reimburse the rural health clinic
2under a payment methodology in effect on July 1, 2025, and in accordance with 42
3USC 1396a (bb) (6).
AB50-ASA2-AA8,303,94(b) For services provided by a rural health clinic on or after July 1, 2026, to a
5recipient of the Medical Assistance program under this subchapter, the department
6shall reimburse the rural health clinic using a payment methodology based on the
7Medicaid prospective payment system under 42 USC 1396a (bb) (1) to (3). The
8department shall consult with rural health clinics in developing the payment
9methodology under this paragraph.
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