Wisconsin 2023-2024 Regular Session

Wisconsin Assembly Bill AB161 Compare Versions

Only one version of the bill is available at this time.

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3	3	2023 - 2024 LEGISLATURE
4	4	2023 ASSEMBLY BILL 161
5	5	April 10, 2023 - Introduced by Representatives KURTZ, DALLMAN, ARMSTRONG,
6	6	BINSFELD, BROOKS, DITTRICH, DONOVAN, EDMING, GREEN, MOSES, MURSAU,
7	7	NOVAK, PLUMER, ROZAR, SCHMIDT, SWEARINGEN and TITTL, cosponsored by
8	8	Senators FELZKOWSKI, COWLES, JAMES, MARKLEIN and QUINN. Referred to
9	9	Committee on Local Government.
10	10	*AUTHORS SUBJECT TO CHANGE*
11	11	AN ACT to amend 20.435 (4) (jw) and 256.23 (5); and to create 20.435 (4) (wa)
12	12	and 256.23 (6) of the statutes; relating to: ambulance assessment program
13	13	supplemental reimbursements, payment of administrative costs, and making
14	14	an appropriation.
15	15	Analysis by the Legislative Reference Bureau
16	16	This bill creates an appropriation to make payments from the ambulance
17	17	service provider trust fund to eligible ambulance service providers as specified under
18	18	2021 Wisconsin Act 228. Act 228 implemented an ambulance service provider
19	19	assessment on private ambulance service providers for supplemental
20	20	reimbursements under the Medical Assistance program and a supplemental
21	21	reimbursement under the Medical Assistance program to public ambulance service
22	22	providers through certified public expenditures. Currently, the Department of
23	23	Health Services administers the Medical Assistance program, which is a joint federal
24	24	and state program that provides health services to individuals who have limited
25	25	financial resources. Generally, under the Medical Assistance program, the state
26	26	provides its share of the funding for benefits and the federal government then
27	27	contributes its designated share of funding, also known as federal financial
28	28	participation. Act 228 imposes on each private ambulance service provider a fee for
29	29	the privilege of doing business in Wisconsin and established an ambulance service
30	30	provider trust fund for the fees collected.
31	31	The bill also requires DHS to transfer moneys annually from the ambulance
32	32	service provider trust fund to cover the administrative costs associated with
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38	38	ASSEMBLY BILL 161
39	39	administering the ambulance assessment and making supplemental
40	40	reimbursements to ambulance providers.
41	41	For further information see the state and local fiscal estimate, which will be
42	42	printed as an appendix to this bill.
43	43	The people of the state of Wisconsin, represented in senate and assembly, do
44	44	enact as follows:
45	45	SECTION 1. 20.435 (4) (jw) of the statutes is amended to read:
46	46	20.435 (4) (jw) BadgerCare Plus and hospital assessment. All moneys received
47	47	from payment of enrollment fees under the program under s. 49.45 (23), all moneys
48	48	transferred under s. 50.38 (9), all moneys transferred under s. 256.23 (6), all moneys
49	49	transferred from the appropriation account under par. (jz), and 10 percent of all
50	50	moneys received from penalty assessments under s. 49.471 (9) (c), for administration
51	51	of the program under s. 49.45 (23), to provide a portion of the state share of
52	52	administrative costs for the BadgerCare Plus Medical Assistance program under s.
53	53	49.471, and for administration of the hospital assessment under s. 50.38, and for
54	54	administration of the ambulance service provider fee under s. 256.23.
55	55	SECTION 2. 20.435 (4) (wa) of the statutes is created to read:
56	56	20.435 (4) (wa) Ambulance service provider trust fund; ambulance payments.
57	57	From the ambulance service provider trust fund, all moneys received from the
58	58	assessment collected under s. 256.23, except amounts transferred to the
59	59	appropriation under s. 20.435 (4) (jw) as specified in s. 256.23 (6), to make payments
60	60	to eligible ambulance service providers as specified under s. 49.45 (3) (em).
61	61	SECTION 3. 256.23 (5) of the statutes is amended to read:
62	62	256.23 (5) In accordance with s. 20.940, the department shall submit to the
63	63	federal department of health and human services a request for any state plan
64	64	amendment, waiver or other approval that is required to implement this section and
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87	87	SECTION 3
88	88	ASSEMBLY BILL 161
89	89	s. 49.45 (3) (em). If federal approval is required, the department may not implement
90	90	the collection of the fee under sub. (2) until it receives approval from the federal
91	91	government to obtain federal matching funds. The department shall make the
92	92	payments to eligible ambulance service providers within 60 days after receipt of
93	93	federal approval.
94	94	SECTION 4. 256.23 (6) of the statutes is created to read:
95	95	256.23 (6) In each fiscal year, the secretary of administration shall transfer
96	96	from the ambulance service provider trust fund under s. 25.776 to the appropriation
97	97	under s. 20.435 (4) (jw) an amount equal to the annual costs of administering the
98	98	ambulance assessment as specified under this section and making supplemental
99	99	reimbursements to ambulance service providers under s. 49.45 (3) (em).
100	100	SECTION 5.0Effective date.
101	101	(1) This act takes effect on the day after publication, or on the 2nd day after
102	102	publication of the 2023 biennial budget act, whichever is later.
103	103	(END)
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