SB306-AA6,7,520 48.983 (6) (b) 1. `Flexible fund for evidence-based home visitation programs.'
21The applicant demonstrates in the application that the applicant has established, or
22has plans to establish, if selected, a fund from which payments totaling not less than
23$250 per calendar year may be made for appropriate expenses of each family that is
24participating in the evidence-based home visitation program under sub. (4) (b) 1. or
25that is receiving home visitation services under s. 49.45 (44). The payments shall be

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1authorized by an individual designated by the applicant. If an applicant makes a
2payment to or on behalf of a family under this subdivision, one-half of the payment
3shall be from grant moneys received under this section and one-half of the payment
4shall be from moneys provided by the applicant from sources other than grant
5moneys received under this section.

SB306-AA6,7,127 48.983 (6) (c) Case management benefit. The applicant states in the grant
8application that it has elected, or, if selected, that it will elect, under s. 49.45 (25) (b),
9to make the case management benefit under s. 49.45 (25) available to the category
10of beneficiaries under s. 49.45 (25) (am) 9. who are children and who are members
11of families receiving evidence-based home visitation program services under sub. (4)
12(b) 1.

SB306-AA6,7,2314 48.983 (6g) (a) Except as permitted or required under s. 48.981 (2), no person
15may use or disclose any information concerning any individual who is selected for an
16assessment under sub. (4) (b), including an individual who declines to undergo the
17assessment, or concerning any individual who is offered services under a an
18evidence-based home visitation program funded under this section, including an
19individual who declines to receive those services, unless the use or disclosure is
20connected with the administration of the evidence-based home visitation program
21or the administration of the Medical Assistance program under ss. 49.43 to 49.497
22or unless the individual has given his or her written informed consent to the use or
23disclosure.

SB306-AA6,8,424 (b) A county, private agency, or Indian tribe that is selected to participate in the
25program under this section shall provide or shall designate an individual or entity

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1to provide an explanation of the confidentiality requirements under par. (a) to each
2individual who is offered an assessment under sub. (4) (b) or who is offered services
3under the evidence-based home visitation program of the county, private agency, or
4Indian tribe.

SB306-AA6,8,146 48.983 (6m) Notification of parent prior to making abuse or neglect report.
7If a person who is providing services under a an evidence-based home visitation
8program under sub. (4) (b) 1. determines that he or she is required or permitted to
9make a report under s. 48.981 (2) about a child in a family to which the person is
10providing those services, the person shall, prior to making the report under s. 48.981
11(2), make a reasonable effort to notify the child's parent that a report under s. 48.981
12(2) will be made and to encourage the parent to contact a county department to
13request assistance. The notification requirements under this subsection do not affect
14the reporting requirements under s. 48.981 (2).

SB306-AA6,8,2016 48.983 (6r) Home Evidence-based home visitation program informational
17materials. Any informational materials about a an evidence-based home visitation
18program under sub. (4) (b) 1. that are distributed to a person who is offered or who
19is receiving home visitation program services under that program shall state the
20sources of funding for the program.

SB306-AA6,9,223 48.983 (7) (title) Home Evidence-based home visitation program evaluation.
24(a) (intro.) The department shall conduct or shall select an evaluator to conduct an
25evaluation of the evidence-based home visitation program. The evaluation shall

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1measure all of the following criteria in families that have participated in the home
2visitation that program and that are selected for evaluation:

SB306-AA6,9,84 48.983 (7) (ag) The department shall evaluate the availability of
5evidence-based home visitation programs in the state and determine whether there
6are gaps in home visitation services in the state. The department shall cooperate
7with counties, private agencies, and Indian tribes providing evidence-based home
8visitation programs to address any gaps in services identified.

SB306-AA6,9,1410 48.983 (7) (ar) Each county, private agency, and Indian tribe providing a an
11evidence-based home visitation program shall collect and report data to the
12department, as required by the department. The department shall require each
13county, private agency, and Indian tribe providing a an evidence-based home
14visitation program to collect data using forms prescribed by the department.

SB306-AA6,9,1816 48.983 (7) (b) In the evaluation, the department shall determine the number
17of families who remained in the evidence-based home visitation program for the time
18recommended in the family's case plan.

SB306-AA6,9,2520 48.983 (7) (c) Each county, private agency, and Indian tribe providing a an
21evidence-based home visitation program shall develop a plan for evaluating the
22effectiveness of its program for approval by the department. The plan shall
23demonstrate how the county, private agency, or Indian tribe will use the evaluation
24of its program to improve the quality and outcomes of the program and to ensure
25continued compliance with the home visitation program criteria under sub. (6) (a).

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1The plan shall demonstrate how the outcomes will be tracked and measured. Under
2the plan, the extent to which all of the following outcomes are achieved shall be
3tracked and measured:

SB306-AA6,10,64 1. Parents receiving evidence-based home visitation services acquiring
5knowledge of early learning and child development and interacting with their
6children in ways that enhance the children's development and early learning.

SB306-AA6,10,77 2. Children receiving evidence-based home visitation services being healthy.

SB306-AA6,10,98 3. Children receiving evidence-based home visitation services living in a safe
9environment.

SB306-AA6,10,1110 4. Families receiving evidence-based home visitation services accessing formal
11and informal support networks.

SB306-AA6,10,1312 5. Children receiving evidence-based home visitation services achieving
13milestones in development and early learning.

SB306-AA6,10,1514 6. Children receiving evidence-based home visitation services who have
15developmental delays receiving appropriate intervention services.

SB306-AA6,10,2417 48.983 (8) Technical assistance and training. The department shall provide
18technical assistance and training to counties, private agencies, and Indian tribes
19that are selected to participate in the program under this section. The training may
20not be limited to a particular evidence-based home visitation model. The training
21shall include training in best practices regarding basic skills, uniform
22administration of screening and assessment tools, the issues and challenges that
23families face, and supervision and personnel skills for program managers. The
24training may also include training on data collection and reporting.

SB306-AA6,11,4

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148.983 (9) Memorandum of understanding. The department shall enter into
2a memorandum of understanding with the department of health services that
3provides for collaboration between those departments in carrying out
4evidence-based home visiting programs under sub. (4) (b) 1.

SB306-AA6,11,186 49.45 (24w) Services for pregnant women. (a) The department shall request
7a wavier of federal Medicaid law from the secretary of the federal department of
8health and human services to permit the department to provide services and support
9under medical assistance for pregnant women who face an increased risk of having
10a low-birth weight baby, a preterm birth, or other negative birth outcome because
11of medical or nonmedical factors, such as psychosocial, behavioral, environmental,
12educational, or nutritional factors. The department shall implement the programs
13and services authorized by this waiver in Milwaukee, Racine, Kenosha, Rock, and
14Dane counties, and in a rural multicounty region identified by the department in
15collaboration with the Great Lakes Intertribal Council. The multicounty region
16shall include counties experiencing the largest disparities in birth outcomes between
17Caucasian and Native American populations and shall be of sufficient size to enable
18meaningful implementation and evaluation of the programs and services.

SB306-AA6,11,2019 (b) The department shall consider including all of the following as covered
20services or programs in the waiver request under par. (a):

SB306-AA6,11,2321 1. Evidence-based social marketing of programs designed to reduce fetal and
22infant mortality, improve birth outcomes, and address needs of infants and their
23families.

SB306-AA6,11,2524 2. Evidence-based social-support programs, including fatherhood initiatives
25designed to reduce fetal and infant mortality and improve birth outcomes.

SB306-AA6,12,4

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13. Transportation services for persons who accompany a pregnant woman to
2prenatal appointments and transportation for the pregnant woman and her children
3to other destinations including social services' offices and locations where child care
4is provided for her children.

SB306-AA6,12,85 4. Data collection, including the pregnancy risk assessment and monitoring
6system, fetal and infant mortality review, vital statistics information, information
7from medical assistance data and chart reviews, and an assessment of nonmedical
8factors that may contribute to poor birth outcomes.

SB306-AA6,12,109 5. Full reimbursement for evidence-based group prenatal care, such as the
10Centering Pregnancy program.

SB306-AA6,12,1111 6. Mental health services.

SB306-AA6,12,1212 7. Smoking cessation services.

SB306-AA6,12,1513 8. Initiatives to increase the utilization of public health and other health care
14providers with similar racial and socioeconomic backgrounds as the pregnant women
15and families served by the health care provider.

SB306-AA6,12,2016 9. Coordinators to create social care plans for medical assistance recipients, to
17provide information and assistance regarding all programs that may impact
18low-income pregnant women, including programs regarding rental assistance, the
19earned income tax credit, available child care services for a pregnant woman's other
20children, and to provide breastfeeding support.

SB306-AA6,12,2321 10. Demonstration projects developed by the department, to evaluate the
22effectiveness of evidence-based programs designed to serve under-served
23populations.

SB306-AA6,13,3

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111. One or more initiatives, developed by the department, to increase the
2utilization of nurse-midwives licensed under s. 441.15 (3) and doulas in the delivery
3of care to underserved populations and to evaluate the outcomes of that care.

SB306-AA6,13,44 12. The establishment of freestanding birth centers.

SB306-AA6,13,85 13. Extension of the prenatal care coordination services that are available as
6a medical assistance benefit from the beginning of pregnancy to the first day of the
713th month after delivery and specifying that prenatal care coordination services are
8available to recipients' babies during that time period.

SB306-AA6,13,109 14. Expansion and full reimbursement of evidence-based, home-based
10prenatal care coordination services.

SB306-AA6,13,1511 15. Full reimbursement for home visits made by registered nurses who are
12public health nurses or who meet the qualifications of a public health nurse as
13specified in s. 250.06 (1), by social workers as defined in s. 252.15 (1) (er),
14nurse-midwives licensed under s. 441.15 (3), and by persons who receive the training
15established under s. 38.04 (32).

SB306-AA6,13,1716 16. Reimbursement of care provided through telemedicine visits on the same
17basis that reimbursement is provided for in-person visits.

SB306-AA6,13,1918 17. Reimbursement of the costs of providing banked human donor milk to
19newborns when medically indicated.

SB306-AA6,13,2220 (c) The department shall evaluate the programs and services implemented
21under the waiver and develop a plan to implement the programs and services
22statewide.

SB306-AA6,13,2523 (d) The department shall consider prohibiting reimbursement for elective
24induction of labor or cesarean sections if either procedure is performed before 39
25weeks gestation, unless medically indicated.

SB306-AA6,14,3 249.815 Statewide data management and information system. (1) The
3department of health services shall do all of the following:

SB306-AA6,14,94 (a) Expand the department's electronic application and information system
5that enables an individual to determine his or her eligibility for, and to apply for or
6renew, benefits under the Medical Assistance program or other public assistance
7benefits. The system shall include information regarding all programs designed to
8assist low-income individuals, including housing assistance, rental assistance, and
9temporary child care assistance.

SB306-AA6,14,1110 (b) Develop and implement a statewide, electronic data management and
11information system for public assistance programs that does all of the following:

SB306-AA6,14,1312 1. Determines a person's eligibility for multiple public assistance programs by
13means of a single registration or application.

SB306-AA6,14,1614 2. Allows administrators of public assistance programs to access data related
15to an individual that was previously collected in connection with a different public
16assistance program.

SB306-AA6,14,1817 3. Provides a single, automated care plan identifying a comprehensive array
18of service activities needed to address the assessed risks for an individual.

SB306-AA6,14,2119 4. Provides a scheduling or referral system that matches an individual's service
20needs with available health care, public assistance, or economic assistance
21providers.

SB306-AA6,14,25 22(2) The department of health services shall develop a detailed plan to
23implement an expanded system under sub. (1) (a) no later than 12 months after the
24effective date of this subsection .... [LRB inserts date]. The plan shall contain cost
25estimates and a proposed timeline for implementation.

SB306-AA6,15,4

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1(3) The department of health services shall collaborate with appropriate state
2agencies to expand the system under sub. (1) (a) and to develop and implement the
3system under sub. (1) (b). State agencies shall cooperate with the department on
4these projects.

SB306-AA6,15,86 50.36 (2m) The department shall promulgate rules that require hospitals to
7ensure that best practices for postpartum patients and newborns are supported in
8the hospital. The rules shall do all of the following:

SB306-AA6,15,109 (a) Require that a hospital develop for all postpartum patients an appropriate
10discharge plan that shall do all of the following:

SB306-AA6,15,1511 1. Ensure that, to the extent practicable, an appointment with a health care
12provider has been scheduled for the newborn within an appropriate time after
13discharge, considering the nutritional and health needs of the newborn, in
14accordance with the recommendations established by the American Academy of
15Pediatrics.

SB306-AA6,15,1716 2. Ensure that the mother is consulted and provided with assistance regarding
17health care resources available to her newborn.

SB306-AA6,15,1918 3. Ensure that the mother is consulted and provided with assistance regarding
19the safe transportation of her newborn.

SB306-AA6,15,2320 (b) Require education of postpartum patients, orally in person, before
21discharge on newborn care, including safe sleeping arrangements, how to access
22breastfeeding information and support, including reliable information on Internet
23Web site, and car seat safety, prior to discharge.

SB306-AA6,16,424 (c) Require that health care providers, including physicians, orally in person,
25recommend and actively support breastfeeding for all newborns for whom

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1breastfeeding is not medically contraindicated, provide parents with complete,
2up-to-date information to ensure that their feeding decision is fully informed, and
3provide a referral to a lactation specialist or a public health nurse for a home visit
4at the parent's request.

SB306-AA6,16,126 50.36 (3i) A hospital may grant a nurse-midwife licensed under s. 441.15 (3)
7who is covered under the injured patients and families compensation fund under s.
8655.27 any hospital staff privilege that a hospital must, under sub. (3) (a), afford to
9persons licensed to practice medicine and surgery under subch. II of ch. 448 or to
10practice podiatry under subch. IV of ch. 448, including hospital staff privileges to
11admit, treat, and discharge any patient for whom a nurse-midwife is qualified to
12provide care.

SB306-AA6,16,2214 69.02 (2) (c) The department shall promulgate rules establishing designations
15of race and ethnicity to be used in reporting the race and ethnicity of a registrant
16under s. 69.14 (1) (i). The designations shall be sufficiently detailed to enable
17compilation and analysis of data related to births and birth outcomes among all
18significant racial and ethnic populations in the state and to assist in the design and
19evaluation of programs and policies designed to improve birth outcomes. The rules
20shall also establish procedures designed to ensure that the racial and ethnic
21designations included on each certificate of birth accurately reflect the race and
22ethnicity of the registrant as directly reported by the registrant's mother.

SB306-AA6,16,2524 69.14 (1) (i) Registrant's race. A certificate of birth shall include the race and
25ethnicity of the registrant, as reported by the mother of the registrant.

SB306-AA6,17,73 71.07 (9e) (aj) (intro.) For taxable years beginning after December 31, 2010,
4and subject to par. (h), an individual may credit against the tax imposed under s.
571.02 an amount equal to one of the following percentages of the federal basic earned
6income credit for which the person is eligible for the taxable year under section 32
7(b) (1) (A) to (C) of the Internal Revenue Code:

SB306-AA6,17,149 71.07 (9e) (h) Notwithstanding the limitations in par. (aj), a person may claim
10the credit under par. (aj) even if, with regard to the child about whom the claim is
11made, the child does not have the same principal place of abode as the person
12claiming the credit and even if another person claims the credit under section 32 (b)
13(1) (A) to (C) of the Internal Revenue Code and under par. (aj) for that child, if all of
14the following apply:

SB306-AA6,17,1615 1. The claimant is subject to and in compliance with a child support order under
16s. 767.511 with respect to that child.

SB306-AA6,17,1817 2. The claimant meets the definition of parent under s. 48.02 (13) with respect
18to that child.

SB306-AA6,17,23 20253.035 Neonatal intensive care unit report. (1) In this section, "neonatal
21intensive care unit" means a hospital unit on which special equipment and skilled
22medical personnel for the care of high-risk infants requiring immediate or
23continuous attention are concentrated.

SB306-AA6,17,25 24(2) (a) Beginning July 1, 2012, the department shall collect all of the following
25information from hospitals that have a neonatal intensive care unit:

SB306-AA6,18,1

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11. The daily census of the neonatal intensive care unit.

SB306-AA6,18,22 2. The criteria for admission to the neonatal intensive care unit.

SB306-AA6,18,63 (b) Beginning June 30, 2013, the department shall annually prepare a report
4that includes all of the information in par. (a) from the previous calendar year. The
5department shall make the report available to the public and post the report on the
6department's Internet Web site.".