AB68-SSA1,1593,138
(a) In the 2021-23 biennium, the department of health services shall develop
9and implement a pilot program to provide person-centered direct support
10professional training to achieve consistent standards of health care practice. The
11department shall provide identified standards of practice that allow health care
12providers the flexibility to apply the standards of practice to their existing training
13while also meeting the needs of patients in both community and facility settings.
AB68-SSA1,1593,1514
(b) Any training developed and implemented under par. (a) shall be consistent
15with state and federal requirements.
AB68-SSA1,1593,1816
(c) The department of health services shall collaborate with the department of
17workforce development, the Wisconsin technical college system, and health care
18providers in developing and implementing the pilot program under this section.
AB68-SSA1,1593,2019
(d) The department of health services shall develop a career plan that describes
20the steps that lead to potential certification as a nurse aide.
AB68-SSA1,1593,2421
(8)
Tailored caregiver assessment and referral pilot program. During fiscal
22year 2021-22, the department of health services shall conduct a one-year tailored
23caregiver assessment and referral pilot program as described in the September 2020
24report of the governor's task force on caregiving.
AB68-SSA1,1594,2
1(9)
Statewide minimum rate band for home and community-based long-term
2care supports.
AB68-SSA1,1594,53
(a) The department of health services shall develop a statewide minimum rate
4band for home and community-based long-term care supports to establish equitable
5and sustainable minimum rates.
AB68-SSA1,1594,76
(b) The department of health services shall include in its 2023-25 budget
7request a proposal to implement the rate band developed under par. (a).
AB68-SSA1,1595,78
(10)
Option to purchase publicly administered coverage. During the 2021-23
9fiscal biennium, the department of health services, the office of the commissioner of
10insurance, or the department of health services in consultation with the office of the
11commissioner of insurance shall conduct an analysis and actuarial study of the
12creation of an option for individuals to purchase health coverage that is publicly
13provided or administered. The analysis under this subsection shall incorporate
14input from a variety of persons and entities, including consumers, that have an
15interest in health insurance and health coverage, including Medical Assistance
16program coverage, and an analysis of any other health care affordability initiatives.
17If the department of health services or the office of the commissioner of insurance
18determines that the option to purchase public coverage or any other health care
19affordability initiatives are feasible, the department or office may submit to the
20federal government any requests for a waiver of federal law or other federal approval
21necessary to implement the public coverage option or any other health care
22affordability initiatives. If the department of health services or office of the
23commissioner of insurance obtains the necessary federal approval or determines
24that no federal approval is necessary and if the department or office continues to
25determine that the option to purchase public coverage or any other health care
1affordability initiative is feasible, the department or office shall implement the
2option to purchase public coverage or other health care affordability initiative by
3January 1, 2025, or earlier if possible, except that if the commissioner of insurance
4determines the provisions of title I of the federal Patient Protection and Affordable
5Care Act, P.L.
111-148, are no longer enforceable, the department or office shall
6implement the public option or other affordability initiatives by January 1, 2022, or
7as soon as possible.
AB68-SSA1,1595,158
(11)
Medical Assistance reimbursement for direct care. From the increase
9in reimbursement paid by the department of health services under the Medical
10Assistance program to nursing facilities and to intermediate care facilities for
11persons with an intellectual disability, increase by $15,000,000 as the state share of
12payments, plus the matching federal share of payments, in fiscal year 2021-22 and
13by $15,000,000 as the state share of payments, plus the matching federal share of
14payments, in fiscal year 2022-23 payments to support the staff in those facilities who
15perform direct care to residents.
AB68-SSA1,1595,2216
(12)
Home care provider registry. The department of health services shall
17conduct a one-year pilot program to create a home care provider registry that
18supports home and community-based long-term care support programs, clients that
19pay for home care privately, independent care workers, and vendors of the care
20service industry. The department of health services shall use a software platform for
21the registry and shall select a vendor for the software platform using its competitive
22request-for-proposals procedures.
AB68-SSA1,1596,223
(13)
Initial training for guardians. The grantee selected under s. 46.977 to
24administer and conduct training shall, no later than one year after the effective date
25of this subsection and in coordination with the department of health services,
1develop the content for the initial training to be provided to guardians under s. 54.26
2and implement the program.
AB68-SSA1,1596,83
(14)
Surgical quality improvement grant. From the appropriation under s.
420.435 (1) (b), the department of health services may award a onetime grant of
5$335,000 in fiscal year 2021-22 to support surgical quality improvement activities.
6Notwithstanding ss. 20.001 (3) (a) and 20.002 (1), the department of health services
7may transfer moneys appropriated for the purpose described under this subsection
8from fiscal year 2021-22 to fiscal year 2022-23.
AB68-SSA1,1596,169
(15)
Health information exchange. From the appropriation under s. 20.435
10(1) (b), the department of health services shall provide a grant of $655,000 in fiscal
11year 2021-22 and a grant of $655,000 in fiscal year 2022-23 to support health
12information exchange activities. The department of health services may not
13encumber moneys from the appropriation under s. 20.435 (1) (b) for a grant under
14this subsection after June 30, 2023. Notwithstanding ss. 20.001 (3) (a) and 20.002
15(1), the department may transfer moneys appropriated for the purpose described
16under this subsection between fiscal years.
AB68-SSA1,1596,1917
(16)
Spinal cord injury council; initial appointments. Notwithstanding the
18length of terms specified for the members of the spinal cord injury council under s.
1915.197 (20) (a) (intro.), initial appointments to the council shall be made as follows:
AB68-SSA1,1596,2220
(a) The members appointed under s. 15.197 (20) (a) 1., 3., 5., and 7., or in lieu
21of those members under s. 15.197 (20) (b), shall be appointed for terms expiring on
22July 1, 2024.
AB68-SSA1,1596,2523
(b) The members appointed under s. 15.197 (20) (a) 2., 4., 6., and 8., or in lieu
24of those members under s. 15.197 (20) (b), shall be appointed for terms expiring on
25July 1, 2025.
AB68-SSA1,1597,7
1(17)
Black women's health. The department of health services shall award a
2grant of $500,000 in fiscal year 2021-22 and a grant of $500,000 in fiscal year
32022-23 to an entity to connect and convene efforts between state agencies, public
4and private sector organizations, and community organizations to support a
5statewide public health strategy to advance Black women's health. The department
6of health services may award the grants from the appropriation under s. 20.435 (1)
7(b).
AB68-SSA1,1597,158
(18)
Crisis urgent care and observation center emergency rules. The
9department of health services may promulgate rules allowed under s. 51.036 related
10to crisis urgent care and observation centers as emergency rules under s. 227.24.
11Notwithstanding s. 227.24 (1) (a) and (3), the department of health services is not
12required to provide evidence that promulgating a rule under this subsection as an
13emergency rule is necessary for the preservation of the public peace, health, safety,
14or welfare and is not required to provide a finding of emergency for a rule
15promulgated under this subsection.
AB68-SSA1,1597,2116
(19)
Addiction treatment platform. From the appropriation under s. 20.435
17(5) (a), the department of health services shall contract in fiscal year 2022-23 for the
18development of a substance use disorder treatment platform that allows for the
19comparison of substance use disorder treatment programs in the state. The
20department of health services may expend no more than $300,000 in fiscal year
212022-23 under this subsection.
AB68-SSA1,1597,2222
(20)
Grant for psychiatric beds.
AB68-SSA1,1598,423
(a) The legislature finds and determines that expanding psychiatric bed
24capacity as described in par. (b
) would greatly benefit state residents by expanding
25access to timely inpatient mental health treatment and services and allowing public
1financial resources to be better distributed to more effectively improve delivery of
2mental health services. It is therefore in the public interest, and it is the public policy
3of this state, to assist the hospital described under par. (b) in expanding psychiatric
4bed capacity.
AB68-SSA1,1598,85
(b) In fiscal year 2021-22, from the appropriation under s. 20.435 (5) (a), the
6department of health services shall award a grant in the amount of $15,000,000 for
7the purpose of expanding capacity for psychiatric beds to a hospital that applies to
8the building commission and meets all of the following criteria:
AB68-SSA1,1598,11
91. The hospital is located in Eau Claire County, south of the Chippewa River,
10and northeast of the intersection of STH 37 and USH 12 and is part of a health system
11that has a hospital in Chippewa County.
AB68-SSA1,1598,19
122. The hospital agrees to expand psychiatric bed capacity by 22 beds between
13the Eau Claire County hospital and the Chippewa County hospital. The hospitals
14shall give preference in admissions to fill beds added under this subdivision to
15individuals who meet the criteria for emergency detention under s. 51.15 and who
16are from Ashland, Barron, Bayfield, Buffalo, Burnett, Chippewa, Clark, Douglas,
17Dunn, Eau Claire, Iron, Jackson, La Crosse, Lincoln, Marathon, Monroe, Oneida,
18Pepin, Pierce, Polk, Price, Rusk, Sawyer, St. Croix, Taylor, Trempealeau, Vilas,
19Washburn, or Wood Counties.
AB68-SSA1,1598,22
203. The hospital identifies measures that it believes will serve the needs of area
21residents with mental health needs, especially, as a critical component of the
22measures, in reducing the burden on the Winnebago Mental Health Institute.
AB68-SSA1,1599,2
234. The hospital agrees to annually report to the legislature, in the manner
24described under s. 13.172 (2), the services provided with the resources funded by the
1grant awarded under this subsection, including the number of individuals diverted
2from the Winnebago Mental Health Institute.
AB68-SSA1,1599,83
(c) The recipient of the grant under this subsection is liable to repay the grant
4funds to the state if it fails to continue to maintain the expanded services and number
5of expanded psychiatric beds available. The amount the hospital is liable for
6repayment is reduced proportionately each year for 10 years of continuing expanded
7services as described under this paragraph. A determination of continued services
8shall be based on findings that the hospital does all of the following:
AB68-SSA1,1599,13
91. Maintains an agreed upon number of beds for acceptance of admissions for
10emergency detention under s. 51.15. A hospital is considered to be in compliance
11with this subdivision if at least half of the expanded psychiatric beds under par. (b)
122. are available for individuals who are initially admitted under an emergency
13detention under s. 51.15.