Wisconsin 2025-2026 Regular Session

Wisconsin Senate Bill SB183 Compare Versions

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

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1	1	2025 - 2026 LEGISLATURE
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4	4	2025 SENATE BILL 183
5	5	April 14, 2025 - Introduced by Senators MARKLEIN, JAMES, PFAFF, SPREITZER and
6	6	TESTIN, cosponsored by Representatives KURTZ, ZIMMERMAN, SUMMERFIELD,
7	7	DITTRICH, DONOVAN, DUCHOW, FRANKLIN, GREEN, GUSTAFSON, KAUFERT,
8	8	KITCHENS, KREIBICH, MAXEY, MELOTIK, MOSES, MURSAU, O'CONNOR, ORTIZ-
9	9	VELEZ, PIWOWARCZYK, STEFFEN, SUBECK, VANDERMEER and NEDWESKI.
10	10	Referred to Committee on Health.
11	11	AN ACT to amend 79.05 (2) (c); to create 256.04 (3) of the statutes; relating to:
12	12	reimbursement of emergency services under the Medical Assistance program
13	13	when a patient is not transported, reporting on changes to the scope of
14	14	practice of emergency medical responders and emergency medical services
15	15	practitioners, and eligibility for the expenditure restraint incentive program.
16	16	Analysis by the Legislative Reference Bureau
17	17	Medical Assistance reimbursement for nontransport ambulance services
18	18	Under current law, the Department of Health Services uses a standardized
19	19	coding system, which is known as the Healthcare Common Procedure Coding
20	20	System (HCPCS) and produced by the federal Centers for Medicare and Medicaid
21	21	Services, to describe certain products, supplies, and services for those submitting
22	22	claims for reimbursement under the Medical Assistance program. The Medical
23	23	Assistance program is a joint state and federal program that provides health
24	24	services to individuals who have limited financial resources. This bill directs DHS
25	25	to change, for dates of service beginning with January 1, 2027, the current
26	26	maximum reimbursement allowed under the Medical Assistance program for
27	27	services provided under HCPCS code A0998, often referenced as Xambulance
28	28	response and treatment, no transport,Y from the current maximum allowable fee to
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33	33	5 2025 - 2026 Legislature
34	34	SENATE BILL 183
35	35	- 2 - LRB-2520/1
36	36	JPC/SWB/KP:cjs
37	37	SECTION 1
38	38	a rate that matches the maximum allowable rate for reimbursement of services
39	39	provided under HCPCS code A0429, often referenced with a description of
40	40	Xambulance service, basic life support, emergency transport (bls-emergency).Y
41	41	Report on scope of practice changes
42	42	The bill requires the Emergency Medical Services Board, in consultation with
43	43	DHS and the Technical College System Board, to annually submit a report to the
44	44	legislature on state and national changes to the scope of practice of emergency
45	45	medical responders, emergency medical services practitioners, or any equivalent
46	46	practitioners in other jurisdictions and how those scope of practice changes may
47	47	affect training for emergency medical responders and emergency medical services
48	48	practitioners in this state.
49	49	Expenditure restraint incentive program
50	50	The bill also excludes expenditures of amounts levied for fees apportioned to
51	51	each municipality operating a joint fire department or joint emergency medical
52	52	services district that are exempt from local levy limits from being considered in
53	53	determining eligibility for an expenditure restraint incentive program payment.
54	54	Under current law, a municipality is eligible to receive an expenditure restraint
55	55	incentive program payment if its property tax levy is greater than 5 mills and if the
56	56	annual increase in its municipal budget, subject to certain exceptions, is less than
57	57	the sum of factors based on inflation and the increased value of property in the
58	58	municipality as a result of new construction.
59	59	For further information see the state and local fiscal estimate, which will be
60	60	printed as an appendix to this bill.
61	61	The people of the state of Wisconsin, represented in senate and assembly, do
62	62	enact as follows:
63	63	SECTION 1. 79.05 (2) (c) of the statutes is amended to read:
64	64	79.05 (2) (c) Its municipal budget; exclusive of principal and interest on long-
65	65	term debt and exclusive of revenue sharing payments under s. 66.0305, payments of
66	66	premiums under s. 66.0137 (5) (c) 1. and 1m., expenditures of amounts levied under
67	67	s. 66.0602 (3) (h), revenues generated from a tax imposed under s. 77.701, payments
68	68	received under s. 79.038, expenditures of payments due to the termination of a tax
69	69	incremental district under s. 79.096 (3), recycling fee payments under s. 289.645,
70	70	expenditures of grant payments under s. 16.297 (1m), unreimbursed expenses
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82	82	SECTION 1
83	83	related to an emergency declared under s. 323.10, expenditures from moneys
84	84	received pursuant to P.L. 111-5, grants received from the state or federal
85	85	government for the purpose of providing law enforcement, fire protection, or
86	86	emergency medical services, and expenditures made pursuant to a purchasing
87	87	agreement with a school district whereby the municipality makes purchases on
88	88	behalf of the school district; for the year of the statement under s. 79.015 increased
89	89	over its municipal budget as adjusted under sub. (6); exclusive of principal and
90	90	interest on long-term debt and exclusive of revenue sharing payments under s.
91	91	66.0305, payments of premiums under s. 66.0137 (5) (c) 1. and 1m., expenditures of
92	92	amounts levied under s. 66.0602 (3) (h), revenues generated from a tax imposed
93	93	under s. 77.701, payments received under s. 79.038, expenditures of payments due
94	94	to the termination of a tax incremental district under s. 79.096 (3), recycling fee
95	95	payments under s. 289.645, expenditures of grant payments under s. 16.297 (1m),
96	96	unreimbursed expenses related to an emergency declared under s. 323.10,
97	97	expenditures from moneys received pursuant to P.L. 111-5, grants received from the
98	98	state or federal government for the purpose of providing law enforcement, fire
99	99	protection, or emergency medical services, and expenditures made pursuant to a
100	100	purchasing agreement with a school district whereby the municipality makes
101	101	purchases on behalf of the school district; for the year before that year by less than
102	102	the sum of the inflation factor and the valuation factor, rounded to the nearest 0.10
103	103	percent.
104	104	SECTION 2. 256.04 (3) of the statutes is created to read:
105	105	256.04 (3) Annually, no later than September 15, in consultation with the
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128	128	23 2025 - 2026 Legislature
129	129	SENATE BILL 183
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132	132	SECTION 2
133	133	department of health services and the technical college system board, submit a
134	134	report to the chief clerk of each house of the legislature for distribution to the
135	135	legislature under s. 13.172 (2) on state and national changes to the scope of practice
136	136	of emergency medical responders, emergency medical services practitioners, or any
137	137	equivalent practitioners in other jurisdictions and how those scope of practice
138	138	changes may affect training for emergency medical responders and emergency
139	139	medical services practitioners in this state.
140	140	SECTION 3. Nonstatutory provisions.
141	141	(1) MEDICAL ASSISTANCE REIMBURSEMENT RATES FOR NONTRANSPORT
142	142	AMBULANCE SERVICES. For dates of service beginning with January 1, 2027, the
143	143	department of health services shall increase reimbursement rates for services
144	144	provided and reimbursable under the healthcare common procedure coding system
145	145	code A0998 with a description of Xambulance response and treatment, no
146	146	transportY from the current maximum allowable fee to a rate that matches the
147	147	maximum allowable rate for reimbursement of services provided under healthcare
148	148	common procedure coding system code A0429 with a description of Xambulance
149	149	service, basic life support, emergency transport (bls-emergency).Y
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