LRB-4548/1
TJD:nwn:jf
2009 - 2010 LEGISLATURE
March 26, 2010 - Introduced by Representatives Richards, Rhoades, Vos, Pasch,
Benedict, Grigsby, Kaufert, Vruwink, Kerkman, Parisi, Berceau, Bernard
Schaber, Sinicki, Nygren, Nelson, Young, Pope-Roberts, Turner, Zepnick
and Fields, cosponsored by Senators Carpenter, Darling, Lehman, Kreitlow,
Olsen, Taylor, Coggs, Plale, Erpenbach, Hansen, Robson, Vinehout, Schultz
and Wirch. Referred to Committee on Health and Healthcare Reform.
AB899,1,3
1An Act to amend 252.12 (2) (a) 8. (intro.); and
to create 49.45 (6y) (c) of the
2statutes;
relating to: payments to hospitals for HIV-related services provided
3to Medical Assistance recipients.
Analysis by the Legislative Reference Bureau
Under current law, the Department of Health Services (DHS) may award
grants to nonprofit associations or public agencies to provide services to individuals
who have the human immunodeficiency virus (HIV) or who are at risk of contracting
HIV. Currently, DHS administers the Medical Assistance program (MA), which
provides health services to individuals with limited resources.
Under this bill, if a nonprofit association or public agency that receives certain
grants to provide services to individuals with HIV enters into an agreement with a
hospital to coordinate HIV-related specialty care and hospital services, DHS must
pay the grant or a portion of the grant to the hospital for HIV-related services
provided to MA beneficiaries. Additionally, DHS must make a supplemental
payment from its MA funds to those hospitals that receive the state share of
payments from the grant and that have an agreement with a nonprofit association
or public agency to coordinate HIV-related specialty care and hospital services. Any
grant moneys paid to hospitals comprise the state share of payments for the purposes
of those supplemental payments.
For further information see the state and local fiscal estimate, which will be
printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB899, s. 1
1Section
1. 49.45 (6y) (c) of the statutes is created to read:
AB899,2,32
49.45
(6y) (c) 1. In this paragraph, "HIV" has the meaning given in s. 252.01
3(1m).
AB899,2,114
2. Notwithstanding sub. (3) (e), from the appropriation under s. 20.435 (4) (o)
5the department shall provide supplemental payments for services to hospitals that
6receive the state share of payments from the appropriation under s. 20.435 (1) (am)
7and that enter into an agreement to coordinate HIV-related specialty care and
8hospital services with an HIV care organization that is designated by the department
9to receive a grant under s. 252.12 (2) (a) 8., except that the department may not
10provide supplemental payments to any hospital that exceeds limitations based on
11customary charges under
42 USC 1396b (i) (3).
AB899,3,1014
252.12
(2) (a) 8. (intro.) `Mike Johnson life care and early intervention services
15grants.' The department shall award not more than $3,569,900 in each fiscal year
16in grants to applying organizations for the provision of needs assessments;
17assistance in procuring financial, medical, legal, social and pastoral services;
18counseling and therapy; homecare services and supplies; advocacy; and case
19management services. These services shall include early intervention services. The
20department shall also award not more than $74,000 in each year from the
21appropriation account under s. 20.435 (5) (md) for the services under this
1subdivision. The state share of payment for case management services that are
2provided under s. 49.45 (25) (be) to recipients of medical assistance shall be paid from
3the appropriation account under s. 20.435 (1) (am).
If an organization that is
4awarded a grant under this subdivision enters into an agreement with a hospital to
5coordinate HIV-related specialty care and hospital services, the department shall
6pay the grant, or a portion of the grant, to the hospital for such services that are
7provided to recipients of medical assistance. Grant moneys paid to hospitals under
8this subdivision shall comprise the state share of payments for purposes of
9supplemental payments under s. 49.45 (6y) (c) 2. All of the following apply to grants
10awarded under this subdivision:
AB899,3,1212
(1)
This act takes effect on July 1, 2010.
