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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9(this act), is repealed.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.
AB50-ASA2-AA8,44410Section 444. 49.46 (2) (a) 3. of the statutes is amended to read:
AB50-ASA2-AA8,303,111149.46 (2) (a) 3. Rural health clinic services, as provided in s. 49.45 (3h).
AB50-ASA2-AA8,921912Section 9219. Fiscal changes; Health Services.
AB50-ASA2-AA8,303,2013(1) Rural health clinics reimbursements. In the schedule under s. 20.005
14(3) for the appropriation to the department of health services under s. 20.435 (4) (b),
15the dollar amount for fiscal year 2026-27 is increased by $8,172,700 to reflect the
16impact of converting reimbursement methodologies for rural health clinics. In the
17schedule under s. 20.005 (3) for the appropriation to the department of health
18services under s. 20.435 (4) (o), the dollar amount for fiscal year 2026-27 is
19increased by $15,745,100 to reflect the impact of converting reimbursement
20methodologies for rural health clinics..
AB50-ASA2-AA8,303,2121160. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,303,2222Section 9219. Fiscal changes; Health Services.
AB50-ASA2-AA8,304,523(1) Respite care grant. In the schedule under s. 20.005 (3) for the
24appropriation to the department of health services under s. 20.435 (1) (br), the

1dollar amount for fiscal year 2025-26 is increased by $200,000 to increase funding
2available for the respite care grant. In the schedule under s. 20.005 (3) for the
3appropriation to the department of health services under s. 20.435 (1) (br), the
4dollar amount for fiscal year 2026-27 is increased by $200,000 to increase funding
5available for the respite care grant..
AB50-ASA2-AA8,304,66161. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,304,77Section 445. 49.79 (9) (f) of the statutes is repealed..
AB50-ASA2-AA8,304,88162. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,304,99Section 446. 20.435 (4) (bq) of the statutes is repealed.
AB50-ASA2-AA8,44710Section 447. 49.79 (9) (d) of the statutes is repealed.
AB50-ASA2-AA8,44811Section 448. 49.791 of the statutes is repealed.
AB50-ASA2-AA8,44912Section 449. 2017 Wisconsin Act 370, section 44 (5) is repealed..
AB50-ASA2-AA8,304,1313163. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,304,1414Section 450. 49.79 (9) (a) 1g. of the statutes is amended to read:
AB50-ASA2-AA8,304,231549.79 (9) (a) 1g. Except as provided in subds. 2. and 3., beginning October 1,
162019, the department shall require, to the extent allowed by the federal
17government, all able-bodied adults without dependents in this state to participate
18in the employment and training program under this subsection, except for able-
19bodied adults without dependents who are employed, as determined by the
20department. The department may require other able individuals who are 18 to 60
21years of age, or a subset of those individuals to the extent allowed by the federal
22government, who are not participants in a Wisconsin Works employment position to
23participate in the employment and training program under this subsection..
AB50-ASA2-AA8,305,1
1164. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,305,22Section 451. 20.435 (5) (dg) of the statutes is created to read:
AB50-ASA2-AA8,305,5320.435 (5) (dg) Grants for crisis stabilization facilities. The amounts in the
4schedule for grants to facilities that provide crisis stabilization services under s.
551.03 (7).
AB50-ASA2-AA8,4526Section 452. 51.03 (7) of the statutes is created to read:
AB50-ASA2-AA8,305,9751.03 (7) The department shall award grants to fund services at facilities that
8provide crisis stabilization services, as defined in s. 51.043 (1) (b), based on criteria
9established by the department.
AB50-ASA2-AA8,921910Section 9219. Fiscal changes; Health Services.
AB50-ASA2-AA8,305,1511(1) Crisis stabilization facilities grants. In the schedule under s. 20.005
12(3) for the appropriation to the department of health services under s. 20.435 (5)
13(dg), the dollar amount for fiscal year 2025-26 is increased by $3,760,000 and the
14dollar amount for fiscal year 2026-27 is increased by $3,839,000 to make grants to
15crisis stabilization facilities under s. 51.03 (7)..
AB50-ASA2-AA8,305,1616165. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,305,1717Section 453. 49.45 (19) (a) of the statutes is amended to read:
AB50-ASA2-AA8,306,21849.45 (19) (a) As a condition of eligibility for medical assistance, a person
19shall, notwithstanding other provisions of the statutes except as provided in par.
20(cm), be deemed to have assigned to the state, by applying for or receiving medical
21assistance, any rights to medical support or other payment of medical expenses
22from any other person, including rights to unpaid amounts accrued at the time of

1application for medical assistance as well as any rights to support accruing during
2the time for which medical assistance is paid.
AB50-ASA2-AA8,4543Section 454. 49.45 (19) (c) of the statutes is repealed.
AB50-ASA2-AA8,4554Section 455. 49.45 (19) (cm) of the statutes is created to read:
AB50-ASA2-AA8,306,6549.45 (19) (cm) Notwithstanding par. (a), birth expenses may not be recovered
6by the state under this subsection..
AB50-ASA2-AA8,306,77166. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,306,88Section 9219. Fiscal changes; Health Services.
AB50-ASA2-AA8,306,139(1) Reach Out and Read. In the schedule under s. 20.005 (3) for the
10appropriation to the department of health services under s. 20.435 (1) (dx), the
11dollar amount for fiscal year 2025-26 is increased by $500,000 and the dollar
12amount for fiscal year 2026-27 is increased by $500,000 to make grants to support
13the nonprofit Reach Out and Read Wisconsin..
AB50-ASA2-AA8,306,1414167. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,306,1515Section 456. 46.48 (35) of the statutes is created to read:
AB50-ASA2-AA8,306,181646.48 (35) Psychiatric residential treatment facilities. The department
17may distribute not more than $1,790,000 in each fiscal year to support psychiatric
18residential treatment facilities under s. 51.044.
AB50-ASA2-AA8,45719Section 457. 49.46 (2) (b) 14c. of the statutes is created to read:
AB50-ASA2-AA8,306,212049.46 (2) (b) 14c. Subject to par. (bv), services by a psychiatric residential
21treatment facility.
AB50-ASA2-AA8,45822Section 458. 49.46 (2) (bv) of the statutes is created to read:
AB50-ASA2-AA8,307,72349.46 (2) (bv) The department shall submit to the federal department of

1health and human services any request for a state plan amendment, waiver, or
2other federal approval necessary to provide reimbursement for services by a
3psychiatric residential treatment facility. If the federal department of health and
4human services approves the request or if no federal approval is necessary, the
5department shall provide reimbursement under par. (b) 14c. If the federal
6department of health and human services disapproves the request, the department
7may not provide reimbursement for services under par. (b) 14c.
AB50-ASA2-AA8,4598Section 459. 51.044 of the statutes is created to read:
AB50-ASA2-AA8,307,14951.044 Psychiatric residential treatment facilities. (1) Definition. In
10this section, psychiatric residential treatment facility is a nonhospital facility
11that provides inpatient comprehensive mental health treatment services to
12individuals under the age of 21 who, due to mental illness, substance use, or severe
13emotional disturbance, need treatment that can most effectively be provided in a
14residential treatment facility.
AB50-ASA2-AA8,307,1815(2) Certification required; exemption. (a) No person may operate a
16psychiatric residential treatment facility without a certification from the
17department. The department may limit the number of certifications it grants to
18operate a psychiatric residential treatment facility.
AB50-ASA2-AA8,307,2019(b) A psychiatric residential treatment facility that has a certification from
20the department under this section is not subject to facility regulation under ch. 48.
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