SB548,7,2119 49.45 (30m) (a) 2. Services in an intermediate care facility for the mentally
20retarded
persons with mental retardation, as defined in s. 46.278 (1m) (am), other
21than a state center for the developmentally disabled.
SB548, s. 17 22Section 17. 49.45 (42) (b) of the statutes is amended to read:
SB548,7,2423 49.45 (42) (b) The individual is not eligible to receive home health aide services
24under medicare, as defined in sub. (3) (L) 1. b.
SB548, s. 18 25Section 18. 49.498 (1) (h) of the statutes is amended to read:
SB548,8,2
149.498 (1) (h) "Nurse's assistant Nurse aide" has the meaning given for "nurse
2aide"
under 42 USC 1396r (b) (5) (F).
SB548, s. 19 3Section 19. 49.498 (2) (e) 1. of the statutes is repealed.
SB548, s. 20 4Section 20. 49.498 (2) (e) 2. of the statutes is amended to read:
SB548,8,75 49.498 (2) (e) 2. A nursing facility may not use the individual as a nurse's
6assistant
nurse aide unless the nursing facility has inquired of the department
7concerning information about the individual in the registry under s. 146.40 (4g).
SB548, s. 21 8Section 21. 49.498 (2) (e) 3. of the statutes is amended to read:
SB548,8,139 49.498 (2) (e) 3. A nursing facility shall provide the regular performance review
10and regular in-service education that assures that individuals used as nurse's
11assistants
nurse aides are competent to perform services as nurse's assistants nurse
12aides
, including training for individuals to provide nursing and nursing-related
13services to nursing facility residents with cognitive impairments.
SB548, s. 22 14Section 22. 50.01 (2) of the statutes is amended to read:
SB548,8,2215 50.01 (2) "Nurse's assistant Nurse aide" means a person who performs routine
16patient care duties delegated by a registered nurse or licensed practical nurse who
17supervises the person, for the direct health care of a patient or resident. "Nurse's
18assistant
Nurse aide" does not mean a feeding assistant, as defined in s. 146.40 (1)
19(aw); a
person who is licensed, permitted, certified, or registered under ch. 441, 448,
20449, 450, 451, 455, 459, or 460; or a person whose duties primarily involve skills that
21are different than those taught in instructional programs for nurse's assistants
22nurse aides.
SB548, s. 23 23Section 23. 50.04 (2) (c) 2. b. of the statutes is amended to read:
SB548,8,2524 50.04 (2) (c) 2. b. A shortage of nurses or nurse's assistants nurse aides
25available for employment by the nursing home exists.
SB548, s. 24
1Section 24. 50.04 (2) (d) (intro.) of the statutes is amended to read:
SB548,9,62 50.04 (2) (d) (intro.) Each nursing home, other than nursing homes that
3primarily serve the developmentally disabled, shall provide at least the following
4hours of service by registered nurses, licensed practical nurses, or nurse's assistants
5nurse aides and may not use hours of service by a feeding assistant, as defined in s.
6146.40 (1) (aw), in fulfilling these requirements
:
SB548, s. 25 7Section 25. 50.04 (2r) of the statutes is amended to read:
SB548,9,168 50.04 (2r) Admissions requiring approval. Except in an emergency, a nursing
9home that is not certified as a provider of medical assistance or that is an
10intermediate care facility for the mentally retarded persons with mental retardation,
11as defined in s. 46.278 (1m) (am), or an institution for mental diseases, as defined
12under 42 CFR 435.1009, may not admit as a resident an individual who has a
13developmental disability, as defined in s. 51.01 (5), or who is both under age 65 and
14has mental illness, as defined in s. 51.01 (13), unless the county department under
15s. 46.23, 51.42 or 51.437 of the individual's county of residence has recommended the
16admission.
SB548, s. 26 17Section 26. 50.065 (8) of the statutes is amended to read:
SB548,9,2218 50.065 (8) The department may charge a fee for obtaining the information
19required under sub. (2) (am) or (3) (a) or for providing information to an entity to
20enable the entity to comply with sub. (2) (b) or (3) (b). No fee may be charged to a
21nurse's assistant nurse aide, as defined in s. 146.40 (1) (d), for obtaining or
22maintaining the information if to do so would be inconsistent with federal law.
SB548, s. 27 23Section 27. 50.095 (3) (b) of the statutes is amended to read:
SB548,9,2524 50.095 (3) (b) The staff replacement rates for full-time and part-time nursing
25staff, nurse's assistants nurse aides, and administrators for the previous year for the

1nursing home and for all similar nursing homes in the same geographical area, as
2determined by the department.
SB548, s. 28 3Section 28. 50.097 of the statutes is amended to read:
SB548,10,7 450.097 Registry. Any person may receive, upon specific written request to the
5department, requested information that is contained in the registry of nurse's
6assistants and home health aides
individuals under s. 146.40 (4g) (a) or that is
7contained in the registry of hospice aides under s. 146.40 (4g) (a) 1
.
SB548, s. 29 8Section 29. 50.14 (1) (a) of the statutes is amended to read:
SB548,10,119 50.14 (1) (a) Notwithstanding s. 50.01 (1m), "facility" means a nursing home
10or an intermediate care facility for the mentally retarded persons with mental
11retardation
that is not located outside the state.
SB548, s. 30 12Section 30. 50.14 (1) (b) of the statutes is amended to read:
SB548,10,1513 50.14 (1) (b) "Intermediate care facility for the mentally retarded persons with
14mental retardation
" has the meaning given for "intermediate care facility for the
15mentally retarded"
under 42 USC 1396d (c) and (d).
SB548, s. 31 16Section 31. 50.14 (2) (bm) of the statutes, as created by 2007 Wisconsin Act
1720
, is amended to read:
SB548,10,2318 50.14 (2) (bm) For intermediate care facilities for the mentally retarded
19persons with mental retardation, an amount calculated by multiplying the projected
20annual gross revenues of all intermediate care facilities for the mentally retarded
21persons with mental retardation in this state by 0.055, dividing the product by the
22number of licensed beds of intermediate care facilities for persons with mental
23retardation
in this state and dividing the quotient by 12.
SB548, s. 32 24Section 32. 51.06 (8) (a) 1. of the statutes is amended to read:
SB548,11,3
151.06 (8) (a) 1. "Intermediate care facility for the mentally retarded persons
2with mental retardation
" has the meaning given in for "intermediate care facility for
3the mentally retarded" under
42 USC 1396d (d).
SB548, s. 33 4Section 33. 51.06 (8) (b) (intro.) of the statutes is amended to read:
SB548,11,115 51.06 (8) (b) (intro.) Annually by October 1, the department shall submit to the
6joint committee on finance and to the appropriate standing committees of the
7legislature under s. 13.172 (3) a report that includes information collected from the
8previous fiscal year on the relocation or diversion of individuals who are Medical
9Assistance eligibles or recipients from nursing homes, intermediate care facilities for
10the mentally retarded persons with mental retardation, and centers for the
11developmentally disabled. The report shall include all of the following information:
SB548, s. 34 12Section 34. 51.06 (8) (b) 4. of the statutes is amended to read:
SB548,11,1813 51.06 (8) (b) 4. An accounting of the costs and savings under the Medical
14Assistance program of relocations and diversions and the resulting reduction in
15capacity for services of nursing homes, intermediate care facilities for the mentally
16retarded
persons with mental retardation, and centers for the developmentally
17disabled. The accounting shall include the per individual savings as well as the
18collective savings of relocations and diversions.
SB548, s. 35 19Section 35. 51.06 (8) (b) 7. of the statutes is amended to read:
SB548,11,2520 51.06 (8) (b) 7. Staff turnover rates for nursing homes, intermediate care
21facilities for the mentally retarded persons with mental retardation, and centers for
22the developmentally disabled in communities in which an individual relocated or
23diverted from a nursing home, intermediate care facility for the mentally retarded
24persons with mental retardation, or center for the developmentally disabled
25currently resides.
SB548, s. 36
1Section 36. 51.62 (4) of the statutes is amended to read:
SB548,12,62 51.62 (4) Departmental duties. The department shall provide the protection
3and advocacy agency with copies of annual surveys and plans of correction for
4intermediate care facilities for the mentally retarded persons with mental
5retardation
on or before the first day of the 2nd month commencing after completion
6of the survey or plan.
SB548, s. 37 7Section 37. 146.40 (title) of the statutes is amended to read:
SB548,12,9 8146.40 (title) Instructional programs for nurse's nurse aides; reporting
9client abuse.
SB548, s. 38 10Section 38. 146.40 (1) (aw) of the statutes is created to read:
SB548,12,1311 146.40 (1) (aw) "Feeding assistant" means an individual who has completed a
12state-approved training and testing program, as specified by the department by
13rule, to perform one nursing-related duty, as defined by the department by rule.
SB548, s. 39 14Section 39. 146.40 (1) (bm) of the statutes is repealed.
SB548, s. 40 15Section 40. 146.40 (1) (bo) of the statutes is amended to read:
SB548,12,1716 146.40 (1) (bo) "Hospice" means a hospice that is licensed under subch. IV of
17ch. 50 and that is certified as a provider of services under 42 USC 1395 to 1395ccc.
SB548, s. 41 18Section 41. 146.40 (1) (bp) of the statutes is repealed.
SB548, s. 42 19Section 42. 146.40 (1) (bt) of the statutes is amended to read:
SB548,12,2220 146.40 (1) (bt) "Intermediate care facility for the mentally retarded persons
21with mental retardation
" has the meaning given for "intermediate care facility for
22the mentally retarded"
under 42 USC 1396d (c) and (d).
SB548, s. 43 23Section 43. 146.40 (1) (d) of the statutes is amended to read:
SB548,13,824 146.40 (1) (d) "Nurse's assistant Nurse aide" means an individual who
25performs routine patient care duties delegated by a registered nurse or licensed

1practical nurse who supervises the individual, for the direct health care of a patient
2or resident. "Nurse's assistant Nurse aide" does not mean a feeding assistant, an
3individual who is licensed, permitted, certified, or registered under ch. 441, 448, 449,
4450, 451, 455, 459, or 460, or an individual whose duties primarily involve skills that
5are different than those taught in instructional and competency evaluation
6programs for nurse's assistants certified nurse aides approved under sub. (3) or
7evaluated by competency evaluation programs for nurse's assistants nurse aides
8approved under sub. (3m).
SB548, s. 44 9Section 44. 146.40 (2) (intro.) of the statutes is amended to read:
SB548,13,1610 146.40 (2) (intro.) A hospital, nursing home or, intermediate care facility for the
11mentally retarded
persons with mental retardation, home health agency, or hospice
12may not employ or contract for the services of an individual as a nurse's assistant,
13a home health agency may not employ or contract for the services of an individual
14as a home health aide and a hospice may not employ or contract for the services of
15an individual as a hospice
nurse aide, regardless of the title under which the
16individual is employed or contracted for, unless one of the following is true:
SB548, s. 45 17Section 45. 146.40 (2) (a) of the statutes is amended to read:
SB548,13,2518 146.40 (2) (a) For hospitals, nursing homes, home health agencies or hospices,
19whether or not certified providers of medical assistance, except as provided in par.
20(g), and intermediate care facilities for the mentally retarded that are certified
21providers of medical assistance, the
The individual has successfully completed
22instruction in an instructional and competency evaluation program for nurse's
23assistants, home health aides or hospice
nurse aides that is certified by the
24department
approved under sub. (3) and has successfully completed a competency
25evaluation program that is approved under sub. (3m)
.
SB548, s. 46
1Section 46. 146.40 (2) (am) of the statutes is repealed.
SB548, s. 47 2Section 47. 146.40 (2) (b) of the statutes is repealed.
SB548, s. 48 3Section 48. 146.40 (2) (bm) of the statutes is repealed.
SB548, s. 49 4Section 49. 146.40 (2) (c) of the statutes is renumbered 146.40 (2) (c) (intro.)
5and amended to read:
SB548,14,146 146.40 (2) (c) (intro.) For hospitals, nursing homes, home health agencies or
7hospices, whether or not certified providers of medical assistance, and intermediate
8care facilities for the mentally retarded persons with mental retardation that are
9certified providers of medical assistance, the individual is enrolled in an
10instructional program for nurse aides that is approved under sub. (3) and is

11employed or under contract as a nurse's assistant, home health aide or hospice aide
12fewer than 120 calendar days by the hospital, nursing home, home health agency,
13hospice or intermediate care facility for the mentally retarded. All of the following
14applies to an individual specified under this paragraph:
SB548, s. 50 15Section 50. 146.40 (2) (c) 1. of the statutes is created to read:
SB548,14,1816 146.40 (2) (c) 1. He or she may perform only services for which he or she has
17received training and has been found proficient by an instructor under the
18instructional program.
SB548, s. 51 19Section 51. 146.40 (2) (c) 2. of the statutes is created to read:
SB548,14,2320 146.40 (2) (c) 2. The hospital, nursing home, home health agency, hospice, or
21intermediate care facility for persons with mental retardation may not include the
22individual in meeting or complying with a requirement for nursing care staff and
23functions, including a minimum nursing staff requirement.
SB548, s. 52 24Section 52. 146.40 (2) (d) of the statutes is amended to read:
SB548,15,11
1146.40 (2) (d) For hospitals, nursing homes, home health agencies, or hospices,
2whether or not certified providers of medical assistance, and intermediate care
3facilities for the mentally retarded persons with mental retardation that are certified
4providers of medical assistance, the individual has successfully completed
5instruction in an instructional and competency evaluation program or has
6successfully completed
and a competency evaluation program for nurse's assistants,
7for home health aides or for hospice
nurse aides that is certified in another state that
8meets criteria for acceptance in this state as specified by the department by rule, or
9the individual is certified as a nurse's assistant, home health aide or hospice aide in
10another state that meets criteria for acceptance in this state as specified by the
11department by rule, except that after December 31, 1991, par. (a) applies
.
SB548, s. 53 12Section 53. 146.40 (2) (e) of the statutes is amended to read:
SB548,15,2113 146.40 (2) (e) For hospitals, home health agencies , or hospices, whether or not
14certified providers of medical assistance, nursing homes that are not certified
15providers of medical assistance and intermediate care facilities for the mentally
16retarded
persons with mental retardation that are certified providers of medical
17assistance, the individual is a student nurse who has successfully completed a basic
18nursing course from a school that is on the accredited list of schools specified under
19s. 441.01 (4) or who successfully completes a competency evaluation program for
20nurse's assistants, home health aides or hospice nurse aides that is approved by the
21department under sub. (3m).
SB548, s. 54 22Section 54. 146.40 (2) (em) of the statutes is amended to read:
SB548,16,223 146.40 (2) (em) For nursing homes that are certified providers of medical
24assistance, the individual is a student nurse who successfully completes a

1competency evaluation program for nurse's assistants nurse aides that is approved
2by the department under sub. (3m).
SB548, s. 55 3Section 55. 146.40 (2) (f) of the statutes is repealed.
SB548, s. 56 4Section 56. 146.40 (2) (g) of the statutes is amended to read:
SB548,16,145 146.40 (2) (g) For hospitals, nursing homes, home health agencies, or hospices,
6whether or not certified providers of medical assistance, and intermediate care
7facilities for persons with mental retardation
that are certified providers of medical
8assistance, the individual, if he or she has performed no nursing-related service for
9monetary compensation for 24 consecutive months after having satisfied the
10requirement under par. (a), again successfully completes instruction in an
11instructional and
a competency evaluation program for nurse's assistants nurse
12aides
that is certified approved by the department under sub. (3) or a competency
13evaluation program for nurse's assistants that is approved by the department
under
14sub. (3m).
SB548, s. 57 15Section 57. 146.40 (2m) of the statutes is created to read:
SB548,16,2216 146.40 (2m) A nursing home or intermediate care facility for persons with
17mental retardation, whether or not the nursing home or intermediate care facility
18is a certified provider of medical assistance, may not employ or contract for the
19services of an individual as a feeding assistant, regardless of the title under which
20the individual is employed or contracted for, unless the individual has successfully
21completed a state-approved training and testing program, as specified by the
22department by rule.
SB548, s. 58 23Section 58. 146.40 (3) of the statutes is amended to read:
SB548,17,1124 146.40 (3) Except as provided in sub. (4d), the department shall certify approve
25instructional and competency evaluation programs for nurse's assistants, for home

1health aides and for hospice
nurse aides that apply for certification, and satisfy
2standards for certification, approval that are promulgated by rule by the
3department. The department shall review the curriculum of each certified approved
4instructional and competency evaluation program at least once every 36 24 months
5following the date of certification approval to determine whether the program
6satisfies continues to satisfy the standards for certification approval. Under this
7subsection, the department may, after providing notice, suspend or revoke the
8certification approval of an instructional and competency evaluation program or
9impose a plan of correction on the program if the program does not fails to satisfy the
10standards for certification approval or operates under conditions that are other than
11those contained in the application approved by the department.
SB548, s. 59 12Section 59. 146.40 (3m) of the statutes is amended to read:
SB548,17,2113 146.40 (3m) The department shall review competency evaluation programs for
14nurse's assistants, for home health aides and for hospice nurse aides and, except as
15provided in sub. (4d), may approve those competency evaluation programs that
16satisfy standards for approval that are specified in rules of promulgated by the
17department. Under this subsection, the department may, after providing notice,
18suspend or revoke approval of a competency evaluation program or impose a plan of
19correction on the program if the competency evaluation program fails to satisfy the
20standards for approval or operates under conditions that are other than those
21contained in the application approved by the department.
SB548, s. 60 22Section 60. 146.40 (4) of the statutes is amended to read:
SB548,18,223 146.40 (4) An instructional and A competency evaluation program certified
24under sub. (3) or a competency evaluation program
approved under sub. (3m) shall
25notify the department, on a form provided by the department, within 30 days to

1include an individual on the registry under sub. (4g) (a) 1.
after an the individual has
2successfully completed the program competency examination.
SB548, s. 61 3Section 61. 146.40 (4d) (a) of the statutes is amended to read:
SB548,18,84 146.40 (4d) (a) Except as provided in par. (am), the department shall require
5each applicant to provide the department with his or her social security number, if
6the applicant is an individual, or the applicant's federal employer identification
7number, if the applicant is not an individual, as a condition of issuing a certification
8an approval under sub. (3) or an approval under sub. (3m).
SB548, s. 62 9Section 62. 146.40 (4d) (am) of the statutes, as affected by 2007 Wisconsin Act
1020
, is repealed and recreated to read:
SB548,18,1611 146.40 (4d) (am) If an individual specified under par. (a) does not have a social
12security number, the individual, as a condition of obtaining approval, shall submit
13a statement made or subscribed under oath or affirmation to the department that the
14applicant does not have a social security number. The form of the statement shall
15be prescribed by the department of children and families. An approval issued in
16reliance upon a false statement submitted under this paragraph is invalid.
SB548, s. 63 17Section 63. 146.40 (4d) (c) of the statutes is amended to read:
SB548,18,2018 146.40 (4d) (c) Except as provided in par. (am), the department shall deny an
19application for the issuance of a certification or an approval specified in par. (a) if
20the applicant does not provide the information specified in par. (a).
SB548, s. 64 21Section 64. 146.40 (4d) (d) of the statutes is amended to read:
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