SB 826 — Relating to: emergency medical transportation services under Medical Assistance program and making an appropriation. (FE)

- 2022 LEGISLATURE LRBs0410/1LRB-5476/1 TJD:allTJD:cdc SENATE SUBSTITUTE AMENDMENT 1, TO SENATE BILL 826 FebruaryJanuary 21,6, 2022 - OfferedIntroduced by SenatorSenators F ELZKOWSKIELZKOWSKI, BEWLEY , COWLES and PETROWSKI, cosponsored by Representatives OUDENBECK , DALLMAN, ALLEN, BROOKS , D UCHOW, J AMES, K ERKMAN , K RUG, K URTZ, M URSAU , N OVAK, SHANKLAND , UBECK , UMMERFIELD and VRUWINK .

AReferred N A CT to createCommittee 25.17on (1)Health. (aj), 25.776, 49.45 (3) (em), 49.45 (15r) and 256.23 of the statutes;

A N A CT to create 20.435 (4) (xm), 25.17 (1) (aj), 25.776, 49.45 (3) (em), 49.45 (15r) and 256.23 of the statutes;

emergency medical transportation services under Medical Assistance program.program and making an appropriation.

The bill imposes on each private ambulance service provider a fee for the privilege of doing business in Wisconsin.

The bill prohibits those ambulance service providers from LRBs0410/1 - 2022 Legislature - 2 - TJD:all increasing rates they charge for their services because of the imposition of the fee.

The bill requires DHS to expend - 2022 Legislature - 2 - LRB-5476/1 TJD:cdc SENATE BILL 826 the moneys collected from the fee assessment to supplement reimbursements to ambulance service providers for services provided on a fee-for-service basis and through managed care to Medical Assistance program recipients.

For further information see the state and local fiscal estimate, which will be printed as an appendix to this bill.

SSECTION ECTION 1.

20.435 (4) (xm) of the statutes is created to read:

20.435 (4) (xm) Ambulance service provider trust fund;

ambulance service provider payments.

From the ambulance service provider trust fund, all moneys received from the assessment under s.

256.23 (2), to supplement reimbursement of eligible ambulance service providers under s.

49.45 (3) (em) for services provided under the Medical Assistance Program under subch.

IV of ch.

49 and to make payments to health maintenance organizations for their payments to eligible ambulance service providers.

SECTION 2.

SSECTION ECTION3. 2.

SLRB-5476/1 ECTION- 3.2022 Legislature - 3 - TJD:cdc SECTION 4 SENATE BILL 826 SECTION 4.

Health plans shall be indemnified and held harmless for any errors made by the LRBs0410/1 - 2022 Legislature - 3 - TJD:all SECTION 35. department or its agents in calculation of any supplemental reimbursement made under this paragraph.

SECTION 4.

256.01 (3), for ground emergency medical transportation through certified public expenditures.Forexpenditures. purposes of this subsection, any ambulance service provider that is owned by any municipality or group of municipalities, regardless of whether or not the ambulance service provider is organized as a nonprofit corporation, is considered a public ambulance service provider.

SECTION 5.6.

LRBs0410/1 - 2022 Legislature - 4 - TJD:allLRB-5476/1 TJD:cdc SENATE BILL 826 S ECTION 56 (a) “Eligible ambulance service provider” means any privately owned ambulance service provider.

“Eligible ambulance service provider” does not include any ambulance service provider that is owned by any municipality or group of municipalities regardless of whether or not the ambulance service provider is organized as a nonprofit corporation.

An eligible ambulance service provider cannot increase rates it charges for its services because of the imposition of the fee under this subsection.

(2) in a state fiscal LRBs0410/1 - 2022 Legislature - 5 - TJD:all S ECTION 5 year is an amount not less than one quarter of 1 percent lower than the maximum limit for a provider fee under 42 CFR 433.68 (f) but does not exceed the maximum limit.

LRB-5476/1 - 2022 Legislature - 5 - TJD:cdc SECTION 6 SENATE BILL 826 (4) The department may allow an eligible ambulance service provider that is unable to make a payment of the fee by the date specified under sub.

SECTION 6.0Nonstatutory provisions.

(1) BUDGET REQUEST;

ADMINISTRATIVE COSTS.The department of health services shall include in its 2023-25 biennial budget request an appropriation to expend the moneys in the ambulance service provider trust fund for the purposes under s.

49.45 (3) (em), including any request to expend the ambulance service provider trust fund moneys for the department's costs in administering s.

256.23.

Before the passage of the 2023-25 biennial budget act, the department of health services may submit to the joint committee on finance a request to supplement one of the department's appropriation for the purposes of paying administrative costs of s.

256.23.