AB150,879,2
146.277 (1m) (a) "Medical assistance" means aid provided under ss. 49.43 to
249.47
subch. IV of ch. 49, except s. 49.468.
AB150, s. 2245 3Section 2245. 46.277 (1m) (b) of the statutes is amended to read:
AB150,879,64 46.277 (1m) (b) "Program" means the community integration program for
5facilities certified as medical assistance providers, for which a waiver has been
6received under sub. (2).
AB150, s. 2246 7Section 2246. 46.277 (2) (intro.) of the statutes is amended to read:
AB150,879,208 46.277 (2) Departmental powers and duties. (intro.) The department may
9request a waiver from the secretary of the federal department of health and human
10services, under 42 USC 1396n (c), authorizing the department to serve medical
11assistance recipients, who meet the level of care requirements for medical assistance
12reimbursement in a skilled nursing facility or an intermediate care facility, in their
13communities by providing home or community-based services as part of medical
14assistance, except as provided in sub. (5g) (c). The number of persons for whom the
15waiver is requested may not exceed the number of nursing home beds that are
16delicensed as part of a plan submitted by the facility and approved by the
17department. If the department requests a waiver, it shall include all assurances
18required under 42 USC 1396n (c) (2) in its request. If the department receives this
19waiver, it may request one or more 3-year extensions of the waiver under 42 USC
201396n
(c) and shall perform the following duties:
****Note: This is reconciled s. 46.277 (2) (intro.). This section has been affected by a draft with
the following LRB #: 0444/1.
AB150, s. 2247 21Section 2247. 46.277 (2) (e) of the statutes is created to read:
AB150,880,422 46.277 (2) (e) Review and approve or disapprove waiver requests under sub.
23(3) (c), review and approve or disapprove requests for exceptions under sub. (5) (d)

13. and provide technical assistance to a county that reaches or exceeds the annual
2allocation limit specified in sub. (3) (c) in order to explore alternative methods of
3providing long-term community support services for persons who are in group living
4arrangements in that county.
AB150, s. 2248 5Section 2248. 46.277 (3) (a) of the statutes is amended to read:
AB150,880,146 46.277 (3) (a) Sections 46.27 (3) (b) and 46.275 (3) (a) and (c) to (e) apply to
7county participation in this program, except that services provided in the program
8shall substitute for care provided a person in a skilled nursing facility or
9intermediate care facility who meets the level of care requirements for medical
10assistance reimbursement to that facility rather than for care provided at a state
11center for the developmentally disabled. The number of persons who receive services
12provided by the program under this paragraph may not exceed the number of
13nursing home beds, other than beds specified in sub. (5g) (b), that are delicensed as
14part of a plan submitted by the facility and approved by the department.
AB150, s. 2249 15Section 2249. 46.277 (3) (b) 2. of the statutes is amended to read:
AB150,880,2116 46.277 (3) (b) 2. Each county department participating in the program shall
17provide home or community-based care to persons eligible under this section, except
18that the number of persons who receive home or community-based care under this
19section may not exceed the number of nursing home beds, other than beds specified
20in sub. (5g) (b),
that are delicensed as part of a plan submitted by the facility and
21approved by the department.
AB150, s. 2250 22Section 2250. 46.277 (3) (c) of the statutes is created to read:
AB150,881,723 46.277 (3) (c) Beginning on January 1, 1996, from the annual allocation to the
24county for the provision of long-term community support services under sub. (5),
25annually establish a maximum total amount, not to exceed 25% of the annual

1allocation, that may be encumbered in a calendar year for services for eligible
2individuals in community-based residential facilities. If the total amount that is
3encumbered for services for individuals in community-based residential facilities
4who are receiving services under sub. (5) on January 1, 1996, exceeds 25% of the
5county's annual allocation, a county may request a waiver of the requirement under
6this paragraph from the department. The department need not promulgate as rules
7under ch. 227 the standards for granting a waiver request under this paragraph.
AB150, s. 2251 8Section 2251. 46.277 (4) (a) of the statutes is amended to read:
AB150,881,169 46.277 (4) (a) Any medical assistance recipient who meets the level of care
10requirements for medical assistance reimbursement in a skilled nursing facility or
11intermediate care facility is eligible to participate in the program, except that the
12number of participants may not exceed the number of nursing home beds , other than
13beds specified in sub. (5g) (b),
that are delicensed as part of a plan submitted by the
14facility and approved by the department. Such a recipient may apply, or any person
15may apply on behalf of such a recipient, for participation in the program. Section
1646.275 (4) (b) applies to participation in the program.
AB150, s. 2252 17Section 2252 . 46.277 (4) (a) of the statutes, as affected by 1995 Wisconsin Act
18.... (this act), is amended to read:
AB150,882,219 46.277 (4) (a) Any medical assistance recipient who meets the level of care
20requirements for medical assistance reimbursement in a skilled nursing facility or
21intermediate care facility is eligible to participate in the program, except that the
22number of participants may not exceed the number of nursing home beds, other than
23beds specified in sub. (5g) (b), that are delicensed as part of a plan submitted by the
24facility and approved by the department and except as provided in sub. (5g) (c). Such
25a recipient may apply, or any person may apply on behalf of such a recipient, for

1participation in the program. Section 46.275 (4) (b) applies to participation in the
2program.
****Note: This is reconciled s. 46.277 (4) (a). This section has been affected by a draft with the
following LRB #: 0444/1.
AB150, s. 2253 3Section 2253. 46.277 (4) (b) of the statutes is amended to read:
AB150,882,114 46.277 (4) (b) To the extent authorized under 42 USC 1396n, if a person
5discontinues participation in the program, a medical assistance recipient may
6participate in the program in place of the participant who discontinues if that
7recipient meets the level of care requirements for medical assistance reimbursement
8in a skilled nursing facility or intermediate care facility, except that the number of
9participants may not exceed the number of nursing home beds, other than beds
10specified in sub. (5g) (b),
that are delicensed as part of a plan submitted by the facility
11and approved by the department.
AB150, s. 2254 12Section 2254. 46.277 (5) (d) 3. of the statutes is created to read:
AB150,882,1913 46.277 (5) (d) 3. If subd. 2. a. or b. applies, no county may use funds received
14under this section to pay for services provided to a person who resides or intends to
15reside in a community-based residential facility and who is initially applying for the
16services, if the projected cost of services for the person, plus the cost of services for
17existing participants, would cause the county to exceed the limitation under sub. (3)
18(c). The department may grant an exception to the requirement under this
19subdivision, under the conditions specified by rule, to avoid hardship to the person.
AB150, s. 2255 20Section 2255. 46.277 (5) (e) of the statutes is created to read:
AB150,883,321 46.277 (5) (e) A county may use funds received under this subsection to provide
22supportive, personal or nursing services, as defined in rules promulgated under s.
2349.45 (2) (a) 23., to a person who resides in an assisted living facility, as defined in

1s. 50.01 (1d). Funding of the services may not exceed 85% of the statewide rate for
2reimbursement under s. 49.45 (6m), as determined by the department under s. 49.45
3(6m) (L).
AB150, s. 2256 4Section 2256. 46.277 (5d) of the statutes is created to read:
AB150,883,145 46.277 (5d) Waiver amendment. (a) The department shall request from the
6secretary of the federal department of health and human services an amendment to
7the waiver specified in sub. (2) to allow the department to receive federal financial
8participation to continue to provide, notwithstanding sub. (5g) (c), home or
9community-based services that substitute for the benefit under s. 49.46 (2) (a) 4. a.
10or (b) 6. a. to an individual who is eligible for medical assistance only under s. 49.47;
11who was receiving the services, provided as a medical assistance benefit, on January
121, 1996; and who has continued to receive those services or the services, provided as
13a medical assistance benefit, that are described in s. 46.27 (11m), 46.275 (5g) or
1446.278 (6m) or specified in s. 49.46 (2) (a) 4. c. or (b) 6. a. since that date.
AB150,883,1715 (b) If the waiver amendment under par. (a) is granted and remains in effect,
16the department shall provide the services described in par. (a) to individuals covered
17by the waiver amendment, notwithstanding sub. (5g) (c).
****Note: This is reconciled s. 46.277 (5d). This section has been affected by a draft with the
following LRB #: 0444/1.
AB150, s. 2257 18Section 2257. 46.277 (5g) (title) of the statutes is amended to read:
AB150,883,1919 46.277 (5g) (title) Limitation Limitations on service.
AB150, s. 2258 20Section 2258. 46.277 (5g) of the statutes is renumbered 46.277 (5g) (a).
AB150, s. 2259 21Section 2259. 46.277 (5g) (b) of the statutes is created to read:
AB150,884,222 46.277 (5g) (b) This section does not apply to the delicensure of a bed of an
23institution for mental diseases of an individual who is aged 21 to 64, who has a

1primary diagnosis of mental illness and who otherwise meets the requirements of s.
246.266 (1) (a), (b) or (c).
AB150, s. 2260 3Section 2260. 46.277 (5g) (c) of the statutes is created to read:
AB150,884,64 46.277 (5g) (c) The department may not provide under this section home or
5community-based services that substitute for the benefit under s. 49.46 (2) (a) 4. a.
6or (b) 6. a. for persons who are eligible for medical assistance only under s. 49.47.
****Note: This is reconciled s. 46.277 (5g) (c). This section has been affected by a draft with the
following LRB #: 0444/1.
AB150, s. 2261 7Section 2261. 46.277 (5r) of the statutes is created to read:
AB150,884,108 46.277 (5r) Rule making. The department shall promulgate rules that specify
9conditions of hardship under which the department may grant an exception to the
10requirement of sub. (5) (d) 3.
AB150, s. 2262 11Section 2262. 46.278 (1) of the statutes is amended to read:
AB150,884,2212 46.278 (1) Legislative intent. The intent of the program under this section,
13except as provided in sub. (6m),
is to provide home or community-based care to serve
14in a noninstitutional community setting a person who meets eligibility requirements
15under 42 USC 1396n (c) and who is diagnosed as developmentally disabled under the
16definition specified in s. 51.01 (5) and relocated from an institution other than a state
17center for the developmentally disabled or who meets the intermediate care facility
18for the mentally retarded level of care requirements for medical assistance
19reimbursement in an intermediate care facility for the mentally retarded and is
20ineligible for services under s. 46.275 or 46.277. The intent of the program is also that
21counties use all existing services for providing care under this section, including
22those services currently provided by counties.
AB150, s. 2263 23Section 2263. 46.278 (1m) (b) of the statutes is amended to read:
AB150,885,2
146.278 (1m) (b) "Medical assistance" means aid provided under ss. 49.43 to
249.47
subch. IV of ch. 49, except s. 49.468.
AB150, s. 2264 3Section 2264. 46.278 (2) (a) of the statutes is amended to read:
AB150,885,114 46.278 (2) (a) The department may request a waiver from the secretary of the
5federal department of health and human services, under 42 USC 1396n (c),
6authorizing the department to serve medical assistance recipients, who meet the
7level of care requirements for medical assistance reimbursement in an intermediate
8care facility for the mentally retarded, in their communities by providing home or
9community-based services as part of medical assistance, except as provided in sub.
10(6m)
. If the department requests a waiver, it shall include all assurances required
11under 42 USC 1396n (c) (2) in its request.
AB150, s. 2265 12Section 2265. 46.278 (5) (a) of the statutes is amended to read:
AB150,885,2013 46.278 (5) (a) Any medical assistance recipient who meets the level of care
14requirements for medical assistance reimbursement in an intermediate care facility
15for the mentally retarded and is ineligible for service under s. 46.275 or 46.277 is
16eligible to participate in the program, except that the number of participants may not
17exceed the number approved under the waiver received under sub. (3) and except
18that sub. (6m) applies
. Such a recipient may apply, or any person may apply on behalf
19of such a recipient, for participation in the program. Section 46.275 (4) (b) applies
20to participation in the program.
AB150, s. 2266 21Section 2266. 46.278 (6) (e) of the statutes is created to read:
AB150,886,222 46.278 (6) (e) The department may provide enhanced reimbursement for
23services under the program for an individual who was relocated to the community
24by a county department from an intermediate care facility for the mentally retarded

1that closes under s. 50.03 (14). The enhanced reimbursement rate under this
2paragraph shall be determined under a formula that is developed by the department.
AB150, s. 2267 3Section 2267. 46.278 (6d) of the statutes is created to read:
AB150,886,134 46.278 (6d) Waiver amendment. (a) The department shall request from the
5secretary of the federal department of health and human services an amendment to
6the waiver specified in sub. (2) to allow the department to receive federal financial
7participation to continue to provide, notwithstanding sub. (6m), home or
8community-based services that substitute for the benefit under s. 49.46 (2) (a) 4. a.
9or (b) 6. a. to an individual who is eligible for medical assistance only under s. 49.47;
10who was receiving the services, provided as a medical assistance benefit, on January
111, 1996; and who has continued to receive those services or the services, provided as
12a medical assistance benefit, that are described in s. 46.27 (11m), 46.275 (5g) or
1346.277 (5g) (c) or specified in s. 49.46 (2) (a) 4. c. or (b) 6. a. since that date.
AB150,886,1614 (b) If the waiver amendment under par. (a) is granted and remains in effect,
15the department shall provide the services described in par. (a) to individuals covered
16by the waiver amendment, notwithstanding sub. (6m).
AB150, s. 2268 17Section 2268. 46.278 (6m) of the statutes is created to read:
AB150,886,2118 46.278 (6m) Limitation. The department may not provide under this section
19home or community-based services that substitute for the benefit under s. 49.46 (2)
20(a) 4. a. or (b) 6. a. for persons who are eligible for medical assistance only under s.
2149.47.
AB150, s. 2269 22Section 2269. 46.29 (1) (intro.) of the statutes is amended to read:
AB150,887,223 46.29 (1) (intro.)  From the appropriation under s. 20.435 (6) (d), the
24department shall allocate up to $12,000 $10,000 in each fiscal year for operation of

1the council on physical disabilities. The council on physical disabilities shall do all
2of the following:
AB150, s. 2270 3Section 2270. 46.293 (title) of the statutes is created to read:
AB150,887,4 446.293 (title) Specialized programs for the blind and visually impaired.
AB150, s. 2271 5Section 2271. 46.295 (title) of the statutes is created to read:
AB150,887,6 646.295 (title) Interpreters for the hearing-impaired.
AB150, s. 2272 7Section 2272. 46.30 (3) (a) 1. of the statutes is amended to read:
AB150,887,98 46.30 (3) (a) 1. Administer funds received from the department under sub. (4)
9and funds from other sources provided to support a community action program.
AB150, s. 2273 10Section 2273. 46.30 (4) (a) of the statutes is amended to read:
AB150,887,1411 46.30 (4) (a) The department shall allocate distribute the federal community
12services block grant funds received under 42 USC 9903 and deposited in the
13appropriations under s. 20.435 (4) (mc) and (md) (6) (mc) and (7) (md) and the state
14supplement under s. 20.435 (4) (cr) (7) (cr) as provided in this subsection.
AB150, s. 2274 15Section 2274. 46.30 (4) (cm) of the statutes is renumbered 46.30 (4) (cm) 1. and
16amended to read:
AB150,887,2317 46.30 (4) (cm) 1. The department shall allocate distribute all of the funds under
18s. 20.435 (4) (cr) (7) (cr) to community action agencies and organizations, including
19any of the 11 federally recognized tribal governing bodies in this state and
20limited-purpose agencies, in proportion to the share of funds actually allocated to
21these entities under 42 USC 1315 and from other federal and private foundation
22sources that provide funds for job creation and development for individuals with low
23incomes.
AB150, s. 2275 24Section 2275. 46.30 (4) (cm) 2. of the statutes is created to read:
AB150,888,2
146.30 (4) (cm) 2. The department may contract with the department of
2industry, labor and human relations to distribute the funds under this paragraph.
AB150, s. 2276 3Section 2276. 46.30 (4) (d) of the statutes is amended to read:
AB150,888,74 46.30 (4) (d) Before January 1 of each year the department or, if par. (cm) 2.
5applies, the department of industry, labor and human relations
shall contract with
6each agency and organization being funded, specifying the amount of money the
7organization will receive and the activities to be carried out by the organization.
AB150, s. 2277 8Section 2277. 46.31 of the statutes is repealed.
AB150, s. 2278 9Section 2278. 46.32 of the statutes is repealed.
AB150, s. 2279 10Section 2279. 46.40 (1) (title) of the statutes is amended to read:
AB150,888,1111 46.40 (1) (title) Distribution limits General community aids allocation.
AB150, s. 2280 12Section 2280. 46.40 (1) of the statutes is renumbered 46.40 (1) (a) and
13amended to read:
AB150,888,2214 46.40 (1) (a) Within the limits of available federal funds and of the
15appropriations under s. 20.435 (7) (b) and (o), the department shall distribute funds
16not more than $319,596,600 in fiscal year 1995-96 and not more than $319,337,700
17in fiscal year 1996-97
for community social, mental health, developmental
18disabilities and alcohol and other drug abuse services and for services under ss.
1946.51, 46.87, 46.98 (2m), (3) and (4g), 46.985 and 51.421
to county departments
20under ss. 46.215, 46.22, 46.23, 51.42 and 51.437, to county aging units and to private
21nonprofit organizations as authorized under s. 46.98 (2) (a), as provided in subs. (2)
22to (12)
.
AB150, s. 2281 23Section 2281. 46.40 (2) of the statutes is repealed.
****Note: This is reconciled s. 46.40 (2). This Section has been affected by drafts with the
following LRB numbers: -2106/2 and -2153/1.
AB150, s. 2282
1Section 2282. 46.40 (2m) of the statutes is created to read:
AB150,889,62 46.40 (2m) Categorical community aids allocations. (a) Prevention and
3treatment of substance abuse.
For prevention and treatment of substance abuse
4under 42 USC 300x-21 to 300x-35, the department shall distribute not more than
5$11,037,600 in fiscal year 1995-96 and not more than $11,235,600 in fiscal year
61996-97.
AB150,889,107 (b) Community mental health services. For community mental health services
8under 42 USC 300x to 300x-9, the department shall distribute not more than
9$3,540,400 in fiscal year 1995-96 and not more than $3,540,400 in fiscal year
101996-97.
AB150,889,1311 (c) Child care services. For child care services under 42 USC 603 (n) and 42 USC
129858
, the department shall distribute not more than $15,828,000 in fiscal year
131995-96 and not more than $15,928,700 in fiscal year 1996-97.
AB150, s. 2283 14Section 2283. 46.40 (3) (a) of the statutes is repealed.
AB150, s. 2284 15Section 2284. 46.40 (3) (b) 1. of the statutes is repealed.
****Note: This is reconciled s. 46.40 (3) (b) 1. This Section has been affected by drafts with
the following LRB numbers: -0744/4 and -2106/2.
AB150, s. 2285 16Section 2285. 46.40 (3) (b) 2. of the statutes is repealed.
****Note: This is reconciled s. 46.40 (3) (b) 2. This Section has been affected by drafts with
the following LRB numbers: -2106/2 and -2402/1.
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