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2023 - 2024 LEGISLATURE
2023 ASSEMBLY BILL 161
April 10, 2023 - Introduced by Representatives KURTZ, DALLMAN, ARMSTRONG,
BINSFELD, BROOKS, DITTRICH, DONOVAN, EDMING, GREEN, MOSES, MURSAU,
NOVAK, PLUMER, ROZAR, SCHMIDT, SWEARINGEN and TITTL, cosponsored by
Senators FELZKOWSKI, COWLES, JAMES, MARKLEIN and QUINN. Referred to
Committee on Local Government.
***AUTHORS SUBJECT TO CHANGE***
AN ACT to amend 20.435 (4) (jw) and 256.23 (5); and to create 20.435 (4) (wa)
and 256.23 (6) of the statutes; relating to: ambulance assessment program
supplemental reimbursements, payment of administrative costs, and making
an appropriation.
Analysis by the Legislative Reference Bureau
This bill creates an appropriation to make payments from the ambulance
service provider trust fund to eligible ambulance service providers as specified under
2021 Wisconsin Act 228. Act 228 implemented an ambulance service provider
assessment on private ambulance service providers for supplemental
reimbursements under the Medical Assistance program and a supplemental
reimbursement under the Medical Assistance program to public ambulance service
providers through certified public expenditures. Currently, the Department of
Health Services administers the Medical Assistance program, which is a joint federal
and state program that provides health services to individuals who have limited
financial resources. Generally, under the Medical Assistance program, the state
provides its share of the funding for benefits and the federal government then
contributes its designated share of funding, also known as federal financial
participation. Act 228 imposes on each private ambulance service provider a fee for
the privilege of doing business in Wisconsin and established an ambulance service
provider trust fund for the fees collected.
The bill also requires DHS to transfer moneys annually from the ambulance
service provider trust fund to cover the administrative costs associated with
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ASSEMBLY BILL 161
administering the ambulance assessment and making supplemental
reimbursements to ambulance providers.
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:
SECTION 1. 20.435 (4) (jw) of the statutes is amended to read:
20.435 (4) (jw) BadgerCare Plus and hospital assessment. All moneys received
from payment of enrollment fees under the program under s. 49.45 (23), all moneys
transferred under s. 50.38 (9), all moneys transferred under s. 256.23 (6), all moneys
transferred from the appropriation account under par. (jz), and 10 percent of all
moneys received from penalty assessments under s. 49.471 (9) (c), for administration
of the program under s. 49.45 (23), to provide a portion of the state share of
administrative costs for the BadgerCare Plus Medical Assistance program under s.
49.471, and for administration of the hospital assessment under s. 50.38, and for
administration of the ambulance service provider fee under s. 256.23.
SECTION 2. 20.435 (4) (wa) of the statutes is created to read:
20.435 (4) (wa) Ambulance service provider trust fund; ambulance payments.
From the ambulance service provider trust fund, all moneys received from the
assessment collected under s. 256.23, except amounts transferred to the
appropriation under s. 20.435 (4) (jw) as specified in s. 256.23 (6), to make payments
to eligible ambulance service providers as specified under s. 49.45 (3) (em).
SECTION 3. 256.23 (5) of the statutes is amended to read:
256.23 (5) In accordance with s. 20.940, the department shall submit to the
federal department of health and human services a request for any state plan
amendment, waiver or other approval that is required to implement this section and
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SECTION 3
ASSEMBLY BILL 161
s. 49.45 (3) (em). If federal approval is required, the department may not implement
the collection of the fee under sub. (2) until it receives approval from the federal
government to obtain federal matching funds. The department shall make the
payments to eligible ambulance service providers within 60 days after receipt of
federal approval.
SECTION 4. 256.23 (6) of the statutes is created to read:
256.23 (6) In each fiscal year, the secretary of administration shall transfer
from the ambulance service provider trust fund under s. 25.776 to the appropriation
under s. 20.435 (4) (jw) an amount equal to the annual costs of administering the
ambulance assessment as specified under this section and making supplemental
reimbursements to ambulance service providers under s. 49.45 (3) (em).
SECTION 5.0Effective date.
(1) This act takes effect on the day after publication, or on the 2nd day after
publication of the 2023 biennial budget act, whichever is later.
(END)
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