Amendment AA8-ASA2-AB50

AB50-ASA2-AA8,298,1 148. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,298,2 “Section 439. 46.48 (21) of the statutes is created to read:

AB50-ASA2-AA8,298,7 46.48 (21) Trauma resilience grant. The department may distribute not more than $250,000 in fiscal year 2025-26 and not more than $250,000 in fiscal year 2026-27 as a grant to an organization in the city of Milwaukee to support the needs of individuals impacted by trauma and to develop the capacity of organizations to treat and prevent trauma.

AB50-ASA2-AA8,440 Section 440. 46.48 (21) of the statutes, as created by 2025 Wisconsin Act .... (this act), is repealed.

AB50-ASA2-AA8,9419 Section 9419. Effective dates; Health Services.

AB50-ASA2-AA8,298,12 (1) Trauma resilience grant. The repeal of s. 46.48 (21) takes effect on July 1, 2027.”.

AB50-ASA2-AA8,298,13 149. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,298,14 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,298,20 (1) Obstetrics rate increase. 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 $2,132,400 and the dollar amount for fiscal year 2026-27 is increased by $2,438,800 to increase reimbursement rates under the Medical Assistance program under subch. IV of ch. 49 for obstetric care, including antepartum, birthing, and postpartum services.”.

AB50-ASA2-AA8,298,21 150. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,298,22 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,299,5 (1) Office for the Deaf and Hard of Hearing service fund. 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 $100,000 and the dollar amount for fiscal year 2026-27 is increased by $100,000 to increase funding for the service fund within the department of health services’ Office for the Deaf and Hard of Hearing.”.

AB50-ASA2-AA8,299,6 151. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,299,7 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,299,8 (1) Office of Grants Management.

AB50-ASA2-AA8,299,12 (a) 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 $600,000 for 10.0 GPR positions to support the office of budget management.

AB50-ASA2-AA8,299,16 (b) In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (n), the dollar amount for fiscal year 2026-27 is decreased by $654,100 to eliminate 10.0 FED positions in the office of budget management.”.

AB50-ASA2-AA8,299,17 152. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,299,18 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,300,2 (1) OPRI positions, PR. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (hg), the dollar amount for fiscal year 2025-26 is increased by $106,200 and the dollar amount for fiscal year 2026-27 is increased by $139,800 to increase the authorized FTE positions for the department by 1.2 PR civil engineer-advanced or architect- advanced positions within the office of plan review and inspection.

AB50-ASA2-AA8,300,8 (2) OPRI positions, PR-F. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (n), the dollar amount for fiscal year 2025-26 is increased by $70,900 and the dollar amount for fiscal year 2026-27 is increased by $93,300 to increase the authorized FTE positions for the department by 0.8 PR-F civil engineer-advanced or architect- advanced position within the office of plan review and inspection.”.

AB50-ASA2-AA8,300,9 153. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,300,10 “Section 441. 46.48 (24) of the statutes is created to read:

AB50-ASA2-AA8,300,14 46.48 (24) Pediatric health psychology residency and fellowship training programs. The department may distribute not more than $600,000 in each fiscal year as grants to support pediatric health psychology residency and fellowship training programs.

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

AB50-ASA2-AA8,300,21 (1) Pediatric health psychology residency and fellowship training. 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 $600,000 and the dollar amount for fiscal year 2026-27 is increased by $600,000 to support grants for pediatric health psychology residency and fellowship training programs.”.

AB50-ASA2-AA8,300,22 154. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,300,23 “Section 442. 49.45 (24L) of the statutes is created to read:

AB50-ASA2-AA8,301,6 49.45 (24L) Statewide dental contract. The department shall submit any necessary request to the federal department of health and human services for a state plan amendment or waiver of federal Medicaid law to implement a statewide contract for dental benefits through a single vendor under the Medical Assistance program. If the federal government disapproves the amendment or waiver request, the department is not required to implement this subsection.”.

AB50-ASA2-AA8,301,7 155. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,301,8 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,301,14 (1) Peer recovery center grants. 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 $310,000 and the dollar amount for fiscal year 2026-27 is increased by $310,000 for making grants to regional peer recover centers for individuals experiencing mental health or substance abuse issues.”.

AB50-ASA2-AA8,301,15 156. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,301,16 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,302,3 (1) State supplemental security income and caretaker supplement reestimate. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (4) (ed), the dollar amount for fiscal year 2025-26 is decreased by $5,228,300 to reflect estimates of the cost of funding supplemental security income state supplements payments in the 2025-27 biennium. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (4) (ed), the dollar amount for fiscal year 2026-27 is decreased by $5,228,300 to reflect estimates of the cost of funding supplemental security income state supplements payments in the 2025-27 biennium.”.

AB50-ASA2-AA8,302,4 157. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,302,5 “Section 1. 50.36 (3s) of the statutes is created to read:

AB50-ASA2-AA8,302,11 50.36 (3s) The department shall require a hospital that provides emergency services to have sufficient qualified personnel at all times to manage the number and severity of emergency department cases anticipated by the location. At all times, a hospital that provides emergency services shall have on-site at least one physician who, through education, training, and experience, specializes in emergency medicine.”.

AB50-ASA2-AA8,302,12 158. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,302,13 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,302,18 (1) Senior farmers market nutrition program. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (dh), the dollar amount for fiscal year 2025-26 is increased by $250,000 and the dollar amount for fiscal year 2026-27 is increased by $250,000 for the senior farmers market nutrition program.”.

AB50-ASA2-AA8,302,19 159. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,302,20 “Section 443. 49.45 (3h) of the statutes is created to read:

AB50-ASA2-AA8,303,3 49.45 (3h) Payments to rural health clinics. (a) For services provided by a rural health clinic on or after the effective date of this paragraph .... [LRB inserts date], and before July 1, 2026, to a recipient of the Medical Assistance program under this subchapter, the department shall reimburse the rural health clinic under a payment methodology in effect on July 1, 2025, and in accordance with 42 USC 1396a (bb) (6).

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

AB50-ASA2-AA8,444 Section 444. 49.46 (2) (a) 3. of the statutes is amended to read:

AB50-ASA2-AA8,303,11 49.46 (2) (a) 3. Rural health clinic services, as provided in s. 49.45 (3h).

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

AB50-ASA2-AA8,303,20 (1) Rural health clinics reimbursements. 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 2026-27 is increased by $8,172,700 to reflect the impact of converting reimbursement methodologies for rural health clinics. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (4) (o), the dollar amount for fiscal year 2026-27 is increased by $15,745,100 to reflect the impact of converting reimbursement methodologies for rural health clinics.”.

AB50-ASA2-AA8,303,21 160. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,303,22 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,304,5 (1) Respite care grant. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (br), the dollar amount for fiscal year 2025-26 is increased by $200,000 to increase funding available for the respite care grant. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (br), the dollar amount for fiscal year 2026-27 is increased by $200,000 to increase funding available for the respite care grant.”.

AB50-ASA2-AA8,304,6 161. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,304,7 “Section 445. 49.79 (9) (f) of the statutes is repealed.”.

AB50-ASA2-AA8,304,8 162. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,304,9 “Section 446. 20.435 (4) (bq) of the statutes is repealed.

AB50-ASA2-AA8,447 Section 447. 49.79 (9) (d) of the statutes is repealed.

AB50-ASA2-AA8,448 Section 448. 49.791 of the statutes is repealed.

AB50-ASA2-AA8,449 Section 449. 2017 Wisconsin Act 370, section 44 (5) is repealed.”.

AB50-ASA2-AA8,304,13 163. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,304,14 “Section 450. 49.79 (9) (a) 1g. of the statutes is amended to read:

AB50-ASA2-AA8,304,23 49.79 (9) (a) 1g. Except as provided in subds. 2. and 3., beginning October 1, 2019, the department shall require, to the extent allowed by the federal government, all able-bodied adults without dependents in this state to participate in the employment and training program under this subsection, except for able- bodied adults without dependents who are employed, as determined by the department. The department may require other able individuals who are 18 to 60 years of age, or a subset of those individuals to the extent allowed by the federal government, who are not participants in a Wisconsin Works employment position to participate in the employment and training program under this subsection.”.

AB50-ASA2-AA8,305,1 164. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,305,2 “Section 451. 20.435 (5) (dg) of the statutes is created to read:

AB50-ASA2-AA8,305,5 20.435 (5) (dg) Grants for crisis stabilization facilities. The amounts in the schedule for grants to facilities that provide crisis stabilization services under s. 51.03 (7).

AB50-ASA2-AA8,452 Section 452. 51.03 (7) of the statutes is created to read:

AB50-ASA2-AA8,305,9 51.03 (7) The department shall award grants to fund services at facilities that provide crisis stabilization services, as defined in s. 51.043 (1) (b), based on criteria established by the department.

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

AB50-ASA2-AA8,305,15 (1) Crisis stabilization facilities grants. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (5) (dg), the dollar amount for fiscal year 2025-26 is increased by $3,760,000 and the dollar amount for fiscal year 2026-27 is increased by $3,839,000 to make grants to crisis stabilization facilities under s. 51.03 (7).”.

AB50-ASA2-AA8,305,16 165. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,305,17 “Section 453. 49.45 (19) (a) of the statutes is amended to read:

AB50-ASA2-AA8,306,2 49.45 (19) (a) As a condition of eligibility for medical assistance, a person shall, notwithstanding other provisions of the statutes except as provided in par. (cm), be deemed to have assigned to the state, by applying for or receiving medical assistance, any rights to medical support or other payment of medical expenses from any other person, including rights to unpaid amounts accrued at the time of application for medical assistance as well as any rights to support accruing during the time for which medical assistance is paid.

AB50-ASA2-AA8,454 Section 454. 49.45 (19) (c) of the statutes is repealed.

AB50-ASA2-AA8,455 Section 455. 49.45 (19) (cm) of the statutes is created to read:

AB50-ASA2-AA8,306,6 49.45 (19) (cm) Notwithstanding par. (a), birth expenses may not be recovered by the state under this subsection.”.

AB50-ASA2-AA8,306,7 166. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,306,8 “Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA8,306,13 (1) Reach Out and Read. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (dx), the dollar amount for fiscal year 2025-26 is increased by $500,000 and the dollar amount for fiscal year 2026-27 is increased by $500,000 to make grants to support the nonprofit Reach Out and Read Wisconsin.”.

AB50-ASA2-AA8,306,14 167. At the appropriate places, insert all of the following:

AB50-ASA2-AA8,306,15 “Section 456. 46.48 (35) of the statutes is created to read:

AB50-ASA2-AA8,306,18 46.48 (35) Psychiatric residential treatment facilities. The department may distribute not more than $1,790,000 in each fiscal year to support psychiatric residential treatment facilities under s. 51.044.

AB50-ASA2-AA8,457 Section 457. 49.46 (2) (b) 14c. of the statutes is created to read:

AB50-ASA2-AA8,306,21 49.46 (2) (b) 14c. Subject to par. (bv), services by a psychiatric residential treatment facility.

AB50-ASA2-AA8,458 Section 458. 49.46 (2) (bv) of the statutes is created to read:

AB50-ASA2-AA8,307,7 49.46 (2) (bv) The department shall submit to the federal department of health and human services any request for a state plan amendment, waiver, or other federal approval necessary to provide reimbursement for services by a psychiatric residential treatment facility. If the federal department of health and human services approves the request or if no federal approval is necessary, the department shall provide reimbursement under par. (b) 14c. If the federal department of health and human services disapproves the request, the department may not provide reimbursement for services under par. (b) 14c.

AB50-ASA2-AA8,459 Section 459. 51.044 of the statutes is created to read:

AB50-ASA2-AA8,307,14 51.044 Psychiatric residential treatment facilities. (1) Definition. In this section, “psychiatric residential treatment facility” is a nonhospital facility that provides inpatient comprehensive mental health treatment services to individuals under the age of 21 who, due to mental illness, substance use, or severe emotional disturbance, need treatment that can most effectively be provided in a residential treatment facility.

AB50-ASA2-AA8,307,18 (2) Certification required; exemption. (a) No person may operate a psychiatric residential treatment facility without a certification from the department. The department may limit the number of certifications it grants to operate a psychiatric residential treatment facility.

AB50-ASA2-AA8,307,20 (b) A psychiatric residential treatment facility that has a certification from the department under this section is not subject to facility regulation under ch. 48.