TJD:cjs:jf
2009 - 2010 LEGISLATURE
January 25, 2010 - Introduced by Law Revision Committee. Referred to Committee
on Public Health, Senior Issues, Long-Term Care, and Job Creation.
SB491,1,6 1An Act to amend 46.2805 (6r), 46.2805 (7), 46.281 (1n) (e), 46.283 (4) (e) and
246.283 (4) (f); and to create 46.2805 (10m) of the statutes; relating to:
3requiring an aging and disability resource center to perform a financial
4screening for, provide information to, and assist individuals choosing to
5participate in the self-directed services option (suggested as remedial
6legislation by the Department of Health Services).
Analysis by the Legislative Reference Bureau
Under current law, the Department of Health Services (DHS) contracts with an
aging and disability resource center (resource center) to provide information and
referral services in areas where the Family Care program is operating. The resource
center currently must provide information about its services to all older persons and
persons with a physical disability who reside in a nursing home, community-based
residential facility, adult family home, or residential care apartment complex
(collectively "facility"). The resource center also screens individuals to determine
whether they are eligible for the Family Care program. The resource center must
perform a functional screening and a financial and cost-sharing screening for older
persons and persons with a physical disability who are residents or prospective
residents of a facility and who request a screening. The resource center must then
assist an individual who chooses to enroll in a care management organization, which
administers benefits under the Family Care program.

Currently, DHS also administers the self-directed services option, known as
IRIS. This self-directed services option operates under a waiver of federal Medicaid
laws and allows elderly and physically and developmentally disabled individuals to
direct how their benefit is spent and select their own providers.
This bill requires the resource center to provide information about the
self-directed services option and expands the people to whom information must be
given to include adults with developmental disabilities. The bill specifies that the
resource center needs to provide the information only to facility residents who are
residents at the time when the Family Care benefit becomes available in the county
where the facility is located. The bill also requires the resource center to assist those
residents who choose to enroll in the self-directed services option.
For further information, see the Notes provided by the Law Revision
Committee of the Joint Legislative Council.
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:
Law Revision Committee prefatory note: This bill is a remedial legislation
proposal, requested by the Department of Health Services and introduced by the Law
Revision Committee under s. 13.83 (1) (c) 4. and 5., stats. After careful consideration of
the various provisions of the bill, the Law Revision Committee has determined that this
bill makes minor substantive changes in the statutes, and that these changes are
desirable as a matter of public policy.
SB491, s. 1 1Section 1 . 46.2805 (6r) of the statutes is amended to read:
SB491,2,52 46.2805 (6r) "Financial and cost-sharing screening" means a screening to
3determine financial eligibility under s. 46.286 (1) (b) or the self-directed services
4option
and cost-sharing under s. 46.286 (2) using a uniform tool prescribed by the
5department.
SB491, s. 2 6Section 2 . 46.2805 (7) of the statutes is amended to read:
SB491,2,97 46.2805 (7) "Functional screening" means a screening to determine functional
8eligibility under s. 46.286 (1) (a) or the self-directed services option using a uniform
9tool prescribed by the department.
SB491, s. 3 10Section 3 . 46.2805 (10m) of the statutes is created to read:
SB491,3,4
146.2805 (10m) "Self-directed services option" means the program that is
2operated under a waiver from the secretary of the federal department of health and
3human services under 42 USC 1396n (c) in which an enrolled individual selects his
4or her own services and service providers.
SB491, s. 4 5Section 4 . 46.281 (1n) (e) of the statutes, as affected by 2009 Wisconsin Act 28,
6is amended to read:
SB491,3,177 46.281 (1n) (e) Contract with a person to provide the advocacy services
8described under s. 16.009 (2) (p) 1. to 5. to actual or potential recipients of the family
9care benefit who are under age 60 or to their families or guardians. The department
10may not contract under this paragraph with a county or with a person who has a
11contract with the department to provide services under s. 46.283 (3) and (4) as a
12resource center or to administer the family care benefit as a care management
13organization. The contract under this paragraph shall include as a goal that the
14provider of advocacy services provide one advocate for every 2,500 individuals under
15age 60 who receive the family care benefit or who participates in the self-directed
16services option, which is operated under a waiver from the secretary of the federal
17department of health and human services under 42 USC 1396n (c)
.
Note: Section 3 defines the term " self-directed services option." Section 4 deletes
language defining that term that is redundant, due to the creation of the definition in
Section 3 of the bill.
SB491, s. 5 18Section 5. 46.283 (4) (e) of the statutes, as affected by 2009 Wisconsin Act 28,
19is amended to read:
SB491,4,620 46.283 (4) (e) Provide information about the services of the resource center,
21including the services specified in sub. (3) (d), about assessments under s. 46.284 (4)
22(b) and care plans under s. 46.284 (4) (c), and about the family care benefit and the
23self-directed services option
to all older persons and persons adults with a physical

1or developmental disability who are residents of nursing homes, community-based
2residential facilities, adult family homes, as defined in s. 50.01 (1) (a) or (b), and
3residential care apartment complexes in the area of the resource center when the
4benefit under s. 46.286 first becomes available in the county where the nursing home,
5community-based residential facility, adult family home, or residential care
6apartment complex is located
.
Note: This Section provides that information on family care and the
self--directed services option must be provided to current residents of facilities at the
point when a resource center begins providing pre-admission consultation to persons
who are seeking admission to a residential facility.
SB491, s. 6 7Section 6 . 46.283 (4) (f) of the statutes is amended to read:
SB491,4,118 46.283 (4) (f) Perform a functional screening and a financial and cost-sharing
9screening for any resident, as specified in par. (e), who requests a screening and
10assist any resident who is eligible and chooses to enroll in a care management
11organization or the self-directed services option to do so.
Note: The amendments in Sections 1, 2 , and 6 provide that the financial and
cost-sharing screening and the functional screening and the functional screening under
family care screen for eligibility for the self-directed services option, in addition to
eligibility for the Family Care benefit.
SB491,4,1212 (End)
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