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.".

SB306-AA6,19,911 253.15 (2) Informational materials. The board shall purchase or prepare or
12arrange with a nonprofit organization to prepare printed and audiovisual materials
13relating to shaken baby syndrome and impacted babies. The materials shall include
14information regarding the identification and prevention of shaken baby syndrome
15and impacted babies, the grave effects of shaking or throwing on an infant or young
16child, appropriate ways to manage crying, fussing, or other causes that can lead a
17person to shake or throw an infant or young child, and a discussion of ways to reduce
18the risks that can lead a person to shake or throw an infant or young child. The
19materials shall be prepared in English, Spanish, and other languages spoken by a
20significant number of state residents, as determined by the board. The board shall
21make those written and audiovisual materials available to all hospitals, maternity
22homes, and nurse-midwives licensed under s. 441.15 that are required to provide or
23make available materials to parents under sub. (3) (a) 1., to the department and to
24all county departments and nonprofit organizations that are required to provide the

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1materials to child care providers under sub. (4) (d), and to all school boards and
2nonprofit organizations that are permitted to provide the materials to pupils in one
3of grades 5 to 8 and in one of grades 10 to 12 under sub. (5). The board shall also make
4those written materials available to all county departments and Indian tribes that
5are providing evidence-based home visitation services under s. 48.983 (4) (b) 1. and
6to all providers of prenatal, postpartum, and young child care coordination services
7under s. 49.45 (44). The board may make available the materials required under this
8subsection to be made available by making those materials available at no charge on
9the board's Internet site.

SB306-AA6,19,1611 253.15 (6) Information to home visitation or care coordination services
12recipients. A county department or Indian tribe that is providing evidence-based
13home visitation services under s. 48.983 (4) (b) 1. and a provider of prenatal,
14postpartum, and young child care coordination services under s. 49.45 (44) shall
15provide to a recipient of those services, without cost, a copy of the written materials
16purchased or prepared under sub. (2) and an oral explanation of those materials.

SB306-AA6,19,2318 253.15 (7) (e) A county department or Indian tribe that is providing
19evidence-based home visitation services under s. 48.983 (4) (b) 1. and a provider of
20prenatal, postpartum, and young child care coordination services under s. 49.45 (44)
21is immune from liability for any damages resulting from any good faith act or
22omission in providing or failing to provide the written materials and oral explanation
23specified in sub. (6).

SB306-AA6,20,2

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1253.17 Fetal and infant mortality and birth outcome report. (1) In this
2section:

SB306-AA6,20,33 (a) "Infant" means a child from birth to 12 months of age.

SB306-AA6,20,54 (b) "Low birth weight" means a birth weight that is more than 1,500 grams and
5less than 2,500 grams.

SB306-AA6,20,66 (c) "Very low birth weight" means a birth weight of 1,500 grams or less.

SB306-AA6,20,77 (d) "Very premature birth" means a birth at less than 32 weeks gestation.

SB306-AA6,20,19 8(2) (a) The department shall annually prepare a report relating to fetal and
9infant mortality and birth outcomes in this state. The report shall include data
10related to births and birth outcomes in this state in the previous calendar year, and
11an analysis of that data. The department shall collaborate with local health
12departments, tribes, and other interested parties to determine the data and data
13analysis to be included in the report and the procedures by which the data will be
14collected and reported to the department. The department shall ensure that the
15report, to the greatest extent possible, includes data and analysis that are necessary
16and useful for the development and evaluation of programs to address disparities in
17birth outcomes among racial and ethnic groups in this state. The department shall
18periodically consult with interested parties to review and update the data and
19analysis required in the report as needed to ensure that this goal continues to be met.

SB306-AA6,20,2120 (b) The report under par. (a) shall include, at a minimum, the following
21information:

SB306-AA6,20,2222 1. The number and rate of infant deaths in each county.

SB306-AA6,20,2323 2. The causes of infant deaths in each county.

SB306-AA6,20,2424 3. The number and rate of very premature births in each county.

SB306-AA6,21,2

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14. The number of low birth weight infants born in each county and of the rate
2of those births in each county.

SB306-AA6,21,43 5. The number of very low birth weight infants born in each county and the rate
4of those births in each county.

SB306-AA6,21,65 6. The race or ethnicity of the infant provided on the birth certificate for births
6identified in subd. 1., 3., 4., or 5.

SB306-AA6,21,97 (c) The department, in collaboration with the groups identified in par. (a), shall
8consider including in the report data related to the type of prenatal care, if any,
9received by the mother of each infant whose birth data is included in the report.

SB306-AA6,21,1110 (d) Beginning June 30, 2013, and on every June 30 after that, the department
11shall do all of the following:

SB306-AA6,21,1312 1. Submit the report to the appropriate standing committees of the legislature
13under s. 13.172 (3).

SB306-AA6,21,1414 2. Post the report on its Internet Web site.

SB306-AA6,21,1815 3. Post, on its Internet Web site, the raw data collected in the previous calendar
16year for purposes of the annual report. The data shall be presented in a manner that
17does not disclose or enable the identification of any individual infant, mother, or birth
18attendant.