Wisconsin 2019-2020 Regular Session Status: Enacted Bipartisan · 14 R · 1 D cosponsors

AB 650 — Relating to: reimbursement for peer recovery coach services under the Medical Assistance program and coordination and continuation of care following an overdose. (FE)

Last action — Published 3-4-2020

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Assembly
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced December 05, 2019. Enacted.

Prognosis

Likely to advance 98% · high confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 24 sponsors

    24 primary, 0 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (14 R · 1 D) — cross-party backing.

  • Cleared a recorded vote

    Passed 3 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

What changed in the latest version

162 added · 49 removed

Plain-language change summary

The recent amendment to Assembly Bill 650 updates the language to clarify the Department of Health Services' responsibilities regarding reimbursement for peer recovery coach services under the Medical Assistance program. It adds provisions for granting rule-making authority and extends the time allowed for emergency rule procedures. Additionally, the definition of a "competent mental health professional" has been more thoroughly outlined to specify qualifications and exclusions. These changes are significant because they help ensure clear guidelines and support for individuals seeking recovery services after a substance use overdose.

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- 2020 LEGISLATURE LRBa0821/1 TJD:cjs ASSEMBLY AMENDMENT 1, TO ASSEMBLY BILL 650 January 13, 2020 - Offered by RepresentatiYGREN.
- 2020 LEGISLATURE LRB-2886/1 TJD:wlj&amn ASSEMBLY BILL 650 December 5, 2019 - Introduced by Representatives N YGREN , NOVAK , ORN , NYDER , PETERSEN , KITCHENS , UINN , FELZKOWSKI , DMING , KULP, MAGNAFICI , LUMER , H ORLACHER , ROHRKASTE , KNODL , TUSLER, D ITTRICH, RANEL , JAGLER, SPIROS, M URSAU , RAMTHUN , BILLINGS and B OWEN , cosponsored by Senators T ESTIN, O LSEN and W ANGGAARD .
At the locations indicated, amend the bill as follows:
Referred to Committee on Substance Abuse and Prevention.
A N A CT to create 46.482, 49.45 (30j) and 49.46 (2) (b) 14p.
of the statutes;
relating to:
reimbursement for peer recovery coach services under the Medical Assistance program and coordination and continuation of care following an overdose.
Analysis by the Legislative Reference Bureau This bill requires the Department of Health Services to provide as a benefit and reimburse peer recovery coach services under the Medical Assistance program and to establish and maintain a program to coordinate and continue care following a substance use overdose.
A “peer recovery coach,” as defined in the bill, is an individual who practices in the recovery field and who provides support and assistance to individuals who are in treatment or recovery from mental illness or a substance use disorder.
The bill requires DHS to reimburse under the Medical Assistance program a peer recovery coach service that meets all of the following criteria:
the recipient of the peer recovery coach service is in treatment for or recovery from mental illness or a substance use disorder;
the peer recovery coach provides the service under the supervision of a peer supervisor and in coordination and accordance with the recipient's individual treatment plan and treatment goals;
and the peer recovery coach completes the training specified in the bill.
The bill requires DHS to request any federal approval necessary to implement the reimbursement.
The bill also requires DHS to establish and maintain a program to facilitate overdose treatment providers to do all of the following:
use peer recovery coaches to - 2020 Legislature - 2 - LRB-2886/1 TJD:wlj&amn ASSEMBLY BILL 650 encourage individuals to seek treatment for a substance use disorder following an overdose, provide access to medications to reverse an overdose, coordinate and continue care and treatment of individuals after an overdose, provide education to patients and families on preventing and reversing an overdose, provide follow-up services for patients after an overdose to ensure continued recovery and connection to support services, and collect and evaluate outcomes data on patients receiving peer recovery coach services and coordination and continuation of care services.
The bill allows DHS to establish policies and procedures to provide guidance on the provision of medications that reverse an overdose or treat a substance use disorder or on continuation of, or referral to, evidence-based treatment services for patients with a substance use disorder who have experienced an overdose.
DHS is required under the bill to seek any funding available from the federal government, including grant funding under the federal SUPPORT for Patients and Communities Act, to establish and maintain the program or establish the policies and procedures.
For further information see the state 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.
46.482 of the statutes is created to read:
46.482 Coordination of care in substance use overdose.
(1) D EFINITIONS.
In this section:
(a) “Overdose treatment provider” means an entity, including an emergency department of a hospital, that offers treatment or other services to individuals in response to or following a substance use overdose.
(b) “Peer recovery coach” means an individual described under s.
49.45 (30j) (a) and who has completed the training requirements specified under s.
49.45 (30j) (b) 4.
(2) The department shall establish and maintain a program to facilitate overdose treatment providers to do all of the following:
(a) Use peer recovery coaches to encourage individuals to seek treatment for a substance use disorder following an overdose.
LRB-2886/1 - 2020 Legislature - 3 - TJD:wlj&amn S ECTION 1 ASSEMBLY BILL 650 (b) Provide access to medications to reverse overdose, as appropriate.
(c) Coordinate and continue care and treatment of individuals after an overdose, including through referrals to treatment services, to peer support, to community organizations that support recovery, to education, training, and employment services, to housing services, and to child welfare agencies.
An overdose treatment provider may coordinate and continue care and treatment under this paragraph by establishing an integrated model of care for patients who have experienced an overdose that may include assessment, follow-up services, and transportation to and from treatment.
(d) Provide education to patients and families on preventing and reversing an overdose.
(e) Provide follow-up services for patients after overdose to ensure continued recovery and connection to support services.
(f) Collect and evaluate data on the outcomes of patients receiving peer recovery coach services and coordination and continuation of care services under this section.
(3) The department may establish policies and procedures to provide guidance on any of the following:
(a) The provision of medications that reverse an overdose and any other medications or biological products used to treat a substance use disorder.
(b) Continuation of, or referral to, evidence-based treatment services for patients with a substance use disorder who have experienced an overdose, for the purpose of supporting long-term treatment and preventing relapse or future overdoses.
- 2020 Legislature - 4 - LRB-2886/1 TJD:wlj&amn ASSEMBLY BILL 650 SECTION 1 (4) The department shall seek any funding available from the federal government, including grant funding under 42 USC 290dd-4, to establish and maintain the program under sub.
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(2) or establish the policies and procedures under sub.
(3).
The department may satisfy the requirement under sub.
(2) by encouraging or facilitating or providing funding to programs operated by nongovernmental overdose treatment providers.
SECTION 2.
49.45 (30j) of the statutes is created to read:
49.45 (30j) REIMBURSEMENT FOR PEER RECOVERY COACH SERVICES.
(a) In this subsection, “peer recovery coach” means an individual who practices in the recovery field and who provides support and assistance to individuals who are in treatment or recovery from mental illness or a substance use disorder.
(b) The department shall reimburse under the Medical Assistance program under this subchapter any service provided by a peer recovery coach if the service satisfies all of the following conditions:
Page 1, line 3:
The recipient of the service provided by a peer recovery coach is in treatment for or recovery from mental illness or a substance use disorder.
delete “program and" and substitute “program,".
Page 1, line 4:
The peer recovery coach provides the service under the supervision of a peer supervisor who has been trained in all of the following subjects:
after “overdose" insert “, granting rule-making authority, and extending the time limit for emergency rule procedures".
a.
Understanding the peer role in recovery and supporting clear and meaningful peer roles.
b.
Recovery orientation.
c.
Model principles of recovery.
d.
Training of peer recovery coaches.
e.
Professional health system navigation.
f.
Applicable laws and policies.
LRB-2886/1 - 2020 Legislature - 5 - TJD:wlj&amn SECTION 2 ASSEMBLY BILL 650 g.
Community resources.
h.
Quality, strength-based, and person-centered supervision.
i.
Identification and evaluation of peer competencies.
j.
Confidentiality, ethics, and professional boundaries.
k.
Antidiscrimination in employment, staff development, and employment practices.
L.
Peer-delivered services advocacy.
Page 4, line 8:
The peer recovery coach provides the service in coordination with the Medical Assistance recipient's individual treatment plan and in accordance with the recipient's individual treatment goals.
after “this" insert “subsection:".
Page 4, line 9:
The peer recovery coach providing the service has completed all of the following training requirements:
delete that line and substitute:
a.
“1.
Forty-six hours of training in advocacy, mentoring and education, recovery and wellness support, and ethical responsibility that includes training of at least 10 hours in advocacy, at least 10 hours in mentoring and education, at least 10 hours in recovery and wellness support, and at least 16 hours in ethical responsibility.
“Competent mental health professional” means a physician who has completed a residence in psychiatry;
b.
a psychologist or a private practice school psychologist licensed under ch.
Twenty-five hours of supervised volunteer or paid work experience involving advocacy, mentoring and education, recovery and wellness support, ethical responsibility, or a combination of those areas.
455;
c.
a marriage and family therapist licensed under s.
Five hundred hours of volunteer or paid work experience involving advocacy, mentoring and education, recovery and wellness support, ethical responsibility, or a combination of those areas.
457.10 or 457.11;
(c) The department shall certify under Medical Assistance peer recovery coaches to provide services in accordance with this subsection.
a professional counselor licensed under s.
- 2020 Legislature - 6 - LRB-2886/1 TJD:wlj&amn ASSEMBLY BILL 650 SECTION 2 (d) The department shall request from the federal department of health and human services any waiver of federal Medicaid law, state plan amendment, or other federal approval necessary to implement this subsection and s.
457.12 or 457.13;
49.46 (2) (b) 14p.
an advanced practice social worker granted a certificate under s.
SECTION 3.
457.08 (2);
49.46 (2) (b) 14p.
an independent social worker granted a certificate under s.
of the statutes is created to read:
457.08 (3);
49.46 (2) (b) 14p.
a clinical social worker licensed under s.
Subject to s.
457.08 (4);
49.45 (30j), services provided by a peer recovery coach.
a clinical substance abuse counselor or LRBa0821/1 - 2020 Legislature - 2 - TJD:cjs independent clinical supervisor certified under s.
440.88, or any of these individuals practicing under a currently valid training or temporary license or certificate granted under applicable provisions of ch.
457.
“Competent mental health professional" does not include an individual whose license or certificate is suspended, revoked, or voluntarily surrendered, or whose license or certificate is limited or restricted, when practicing in areas prohibited by the limitation or restriction.
2.
“Peer recovery coach” means an individual who practices in the recovery".
5.
Page 4, line 17:
delete the material beginning with “peer" and ending with “supervisor" on line 18 and substitute “competent mental health professional”.
6.
Page 5, line 12:
after “requirements" insert “, as established by the department by rule, after consulting with members of the recovery community".
7.
Page 5, line 13:
delete “Forty-six" and substitute “Forty".
8.
Page 5, line 16:
delete “16" and substitute “10".
9.
Page 5, line 17:
delete “Twenty-five" and substitute “Twenty-four".
10.
Page 5, line 20:
delete lines 20 to 22.
11.
Page 6, line 6:
after that line insert:
“SECTION 4m.
Nonstatutory provisions.
(1) RULES REGARDING TRAINING OF PEER RECOVERY COACHESThe department of health services may promulgate the rules required under s.
49.45 (30j) (b) 4.
as emergency rules under s.
227.24.
Notwithstanding s.
227.24 (1) (a) and (3), the department of health services is not required to provide evidence that promulgating a rule under this subsection as an emergency rule is necessary for the preservation of the public peace, health, safety, or welfare and is not required to provide a finding of emergency for a rule promulgated under this subsection.
Notwithstanding s.
LRBa0821/1 - 2020 Legislature - 3 - TJD:cjs 227.24 (1) (c) and (2), emergency rules promulgated under this subsection remain in effect until the date the permanent rules take effect.”.
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Action History

  1. Published 3-4-2020

  2. Report approved by the Governor on 3-3-2020. 2019 Wisconsin Act 122

  3. Presented to the Governor on 2-28-2020 by directive of the Speaker

  4. Report correctly enrolled on 2-25-2020

  5. LRB correction (Assembly Amendment 1)

  6. Received from Senate concurred in

  7. Ordered immediately messaged

  8. Read a third time and concurred in

  9. Rules suspended

  10. Ordered to a third reading

  11. Read a second time

  12. Placed on calendar 2-19-2020 pursuant to Senate Rule 18(1)

  13. Public hearing requirement waived by committee on Senate Organization, pursuant to Senate Rule 18 (1m), Ayes 5, Noes 0

  14. Available for scheduling

  15. Read first time and referred to committee on Senate Organization

  16. Received from Assembly

  17. Ordered immediately messaged

  18. Read a third time and passed

  19. Rules suspended

  20. Ordered to a third reading

  21. Assembly Amendment 1 adopted

  22. Read a second time

  23. Representative Petryk added as a coauthor

  24. Placed on calendar 1-21-2020 by Committee on Rules

  25. Referred to committee on Rules

  26. Report passage as amended recommended by Committee on Substance Abuse and Prevention, Ayes 9, Noes 0

  27. Report Assembly Amendment 1 adoption recommended by Committee on Substance Abuse and Prevention, Ayes 9, Noes 0

  28. Fiscal estimate received

  29. Executive action taken

  30. Assembly Amendment 1 offered by Representative Nygren

  31. Public hearing held

  32. Representative Stuck added as a coauthor

  33. Read first time and referred to Committee on Substance Abuse and Prevention

  34. Introduced by Representatives Nygren, Novak, Born, Snyder, Petersen, Kitchens, Quinn, Felzkowski, Edming, Kulp, Magnafici, Plumer, Horlacher, Rohrkaste, Knodl, Tusler, Dittrich, Tranel, Jagler, Spiros, Mursau, Ramthun, Billings and Bowen; cosponsored by Senators Testin, Olsen and Wanggaard

Sponsors

Sponsorship breakdown

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24 sponsors · 0 co-sponsors · 108 not signed on

Sponsors (24)

Co-sponsors (0)

None.

Not signed on (108)

108 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

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Frequently asked questions

Who sponsors AB 650?
AB 650 is sponsored by Nygren, Novak, Todd (Republican), Born, Mark (Republican), Snyder, Patrick (Republican), Petersen, Kevin (Republican), Kitchens, Joel (Republican), Quinn, Romaine (Republican), Felzkowski, Mary (Republican), Edming, Kulp, Magnafici, Plumer, Horlacher, Rohrkaste, Knodl, Daniel (Republican), Tusler, Ron (Republican), Tranel, Travis (Republican), Jagler, John (Republican), Spiros, John (Republican), Mursau, Jeffrey (Republican), Ramthun, Billings, Jill (Democrat), Bowen, and Dittrich, Barbara (Republican).
What is the current status of AB 650?
This bill has been enacted into law. Introduced December 05, 2019. Enacted.
Where can I track AB 650?
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