Wisconsin Code § 20.435

Health services, department of
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There is appropriated to the department of health services for the following
programs:
(1) PUBLIC HEALTH SERVICES PLANNING, REGULATION, AND
DELIVERY. (a) General program operations. The amounts in the
schedule for general program operations, including public health
services regulation, administration, and field services, and for the
operation of the council on physical disabilities under s. 46.29.
(am) Services, reimbursement, and payment related to human
immunodeficiency virus. The amounts in the schedule for the
purchase of services under s. 252.12 (2) (a) for individuals with
respect to human immunodeficiency virus and related infections,
including hepatitis C virus infection, to subsidize premium payments under ss. 252.16 and 252.17, for grants for the prevention
of human immunodeficiency virus infection and related infections, including hepatitis C virus infection, under s. 252.12 (2) (c)
2. and 3., to reimburse or supplement the reimbursement of the
cost of AZT, pentamidine, and certain other drugs under s.
49.686, and for case management services under s. 49.45 (25)
(be).
(b) General aids and local assistance. The amounts in the
schedule for aids and local assistance relating to public health services and for grants for community programs under s. 46.48.
Notwithstanding ss. 20.001 (3) (a) and 20.002 (1) , the department may transfer funds between fiscal years under this paragraph. Except as otherwise provided in this paragraph, all funds
allocated but not encumbered by December 31 of each year lapse
to the general fund on the next January 1 unless carried forward
to the next calendar year by the joint committee on finance.
(bd) Hospital services grants. Biennially, the amounts in the
schedule for grants to support hospital services.
(be) Regional tertiary care center. The amounts in the schedule for regional tertiary care center support under s. 46.548.
(bf) Trauma care hospital supplement grants. The amounts in
the schedule for grants under s. 46.68 to support hospitals that
satisfy the criteria established by the American College of Surgeons for classification as a Level I adult trauma center.
(bg) Alzheimer’s disease; training and information grants.
The amounts in the schedule to provide a grant to an organization
to carry out the activities related to Alzheimer’s disease under s.
46.856.
(bm) Purchased services for clients. The amounts in the
schedule for the purchase of goods and services authorized under
s. 46.293.
(bn) Workplace wellness program grants. A sum sufficient to
make the payments under s. 250.21 (2) for workplace wellness
programs.
(br) Respite care. The amounts in the schedule for the respite
care program under s. 46.986.
(c) Public health emergency quarantine costs. A sum sufficient to reimburse local health departments under s. 252.06 (10)
(c) 1.
(cb) Well-woman program. The amounts in the schedule for
the well-woman program under s. 255.06.
(cc) Cancer control and prevention. The amounts in the
schedule for cancer control and prevention grants under s.
255.05. All funds allocated by the department under s. 255.05
(2) but not encumbered by December 31 of each year lapse to the
general fund on the next January 1 unless transferred to the next
calendar year by the joint committee on finance.
(ce) Primary health for homeless individuals. As a continuing appropriation, the amounts in the schedule for primary health
services for homeless individuals under s. 46.972.
(cf) Communicable disease control and prevention. As a continuing appropriation, the amounts in the schedule for communicable disease control and prevention under s. 252.185.
(cg) Guardianship grant program. The amounts in the schedule for guardianship grants under s. 46.977.
(cj) Emergency dispatcher cardiopulmonary resuscitation
training. Biennially, the amounts in the schedule for training
public safety answering point dispatchers to provide telephonic
assistance on administering cardiopulmonary resuscitation under
s. 256.35 (2m).
(cm) Immunization. A sum sufficient not to exceed in each
fiscal year the difference between $9,000,000 and the sum of the
moneys received in each fiscal year from the federal government
for the provision of vaccine to immunize children, including
moneys under 42 USC 247b and 42 USC 1396s, for the provision
of vaccine to immunize children under s. 252.04 (1).
(cr) Minority health grants. The amounts in the schedule for
the minority health program under s. 250.20 (3) and (4).
(cx) Independent living centers. The amounts in the schedule
for the purpose of making grants to independent living centers for
the severely disabled and to providers of independent living services under s. 46.96.
(da) Interpreter services and telecommunication aid for the
hearing impaired. The amounts in the schedule to provide interpreter services for hearing-impaired persons under s. 46.295 (1)
and assistance under the telecommunication assistance program
for the hearing impaired under s. 46.297.
(de) Dental services. The amounts in the schedule for the
provision of dental services under s. 250.10.
(dg) Clinic aids. Biennially, the amounts in the schedule for
aids under s. 146.68.
(dh) Programs for senior citizens; elder abuse services; benefit specialist program. The amounts in the schedule for the programs for senior citizens, including but not limited to the purpose
of distributing funds under s. 46.80 (2m) (b) to supplement any
federal foster grandparent project funds received under 42 USC
5011 (a) and the purposes of ss. 46.80 (5) and 46.85; for direct
services for elder adults at risk under s. 46.90 (5m); and for the
benefit specialist program for older persons under s. 46.81. Notwithstanding ss. 20.001 (3) (a) and 20.002 (1), the department of
health services may transfer funds between fiscal years under this
paragraph. All funds allocated under ss. 46.80 (2m) (b) and (5),
46.81 (2) and 46.85 but not encumbered by December 31 of each
year lapse to the general fund on the next January 1, unless transferred to the next calendar year by the joint committee on finance,
but the department may carry forward funds allocated under s.
46.90 (5m) that are not encumbered by June 30 of each year for
allocation under s. 46.90 (5m) in the following state fiscal year.
For the purposes of this paragraph, funds are encumbered by December 31 if allocated for services received or for goods ordered
by December 31.
(di) Grants for the Surgical Collaborative of Wisconsin. The
amounts in the schedule for grants to the Surgical Collaborative
of Wisconsin under s. 146.69.
(dk) Low-income dental clinics. The amounts in the schedule
for grants to low-income dental clinics under s. 146.66.
(dm) Rural health dental clinics. The amounts in the schedule for the rural health dental clinics under s. 146.65.
(dn) Food distribution grants. The amounts in the schedule
for grants for food distribution programs under ss. 46.75 and
46.77.
(ds) Statewide poison control program. The amounts in the
schedule to supplement the operation of a statewide poison control program under s. 255.35 (3) and for the statewide collection
and reporting of poison control data.

(dx) Early literacy program grants; Reach Out and Read Wisconsin. Biennially, the amounts in the schedule for grants to
Reach Out and Read, Inc., for the early literacy program under s.
46.248.
(e) Public health dispensaries and drugs. Biennially, the
amounts in the schedule for establishing and maintaining public
health dispensaries for victims of diseases, for the provision of
drugs for the treatment of mycobacterium tuberculosis, as provided in s. 252.10 (6) and (7), as allocated by the department, and
for tuberculosis prevention activities under s. 252.07 (12).
(ed) Radon aids. The amounts in the schedule for the provision of state aid for local radon services under s. 254.34 (1) (h) 5.
(ef) Lead-poisoning or lead-exposure services. The amounts
in the schedule for the purposes of providing grants under s.
254.151.
(eg) Pregnancy counseling. The amounts in the schedule for
grants for pregnancy counseling under s. 253.08.
(em) Supplemental food program for women, infants and children benefits. As a continuing appropriation, the amounts in the
schedule to provide a state supplement under s. 253.06 to the federal special supplemental food program for women, infants, and
children authorized under 42 USC 1786.
(eu) Reducing fetal and infant mortality and morbidity. Biennially, the amounts in the schedule to provide services under s.
253.16.
(ev) Pregnancy outreach and infant health. The amounts in
the schedule for outreach to low-income pregnant women and for
maternal and infant health projects under s. 253.085.
(f) Women’s health block grant. The amounts in the schedule
to provide women’s health services under s. 253.07. Notwithstanding ss. 20.001 (3) (a) and 20.002 (1), the department may
transfer funds between fiscal years under this paragraph. All
funds distributed by the department under s. 253.07 (2) (b) and
(4) but not encumbered by December 31 of each year lapse to the
general fund on the next January 1 unless transferred to the next
calendar year by the joint committee on finance.
(fe) Referral system for community-based services. The
amounts in the schedule for grants to a nonprofit organization for
a referral system for community-based services under s. 46.94.
(fh) Community health services. The amounts in the schedule
for grants under s. 250.15.
(fi) Allied health professional education and training grants.
Biennially, the amounts in the schedule for grants to hospitals,
health systems, and educational entities that form health care education and training consortia for training allied health professionals under s. 146.616.
(fk) Grants to establish advanced practice clinician training
programs. Biennially, the amounts in the schedule for grants to
hospitals under s. 146.615.
(fm) Tobacco use control. As a continuing appropriation, the
amounts in the schedule for grants and programs under s. 255.15
(3).
(fn) Health care information organization. The amounts in
the schedule to contract with the data organization under s.
153.05 (2r).
(gm) Licensing, review and certifying activities; fees; supplies and services. The amounts in the schedule for the purposes
specified in ss. 253.12, 254.176, 254.178, 254.179, 254.20 (5)
and (8), 254.31 to 254.39, 254.41, and 256.15 (8), ch. 69, for the
purchase and distribution of medical supplies, and to analyze and
provide data under s. 250.04. All moneys received under ss.
250.04 (3m) , 254.176, 254.178, 254.181, 254.20 (5) and (8),
254.31 to 254.39, 254.41, and 256.15 (5) (f) and (8) (d) and ch.
69, other than s. 69.22 (1m), and as reimbursement for medical
supplies shall be credited to this appropriation account.
(gp) Cancer information. All moneys received from fees collected for access to cancer registry information under s. 255.04
for collecting, compiling, and disseminating cancer information
under s. 255.04.
(gr) Supplemental food program for women, infants, and children administration. All moneys received from the supplemental
food enforcement surcharges on fines, forfeitures, and recoupments that are levied by a court under s. 253.06 (4) (c) and on forfeitures and recoupments that are levied by the department under
s. 253.06 (5) (c) to finance fraud reduction in the supplemental
food program for women, infants, and children under s. 253.06.
(hg) General program operations; health care information.
The amounts in the schedule to fund the activities of the department of health services under ch. 153, to contract with the data
organization under s. 153.05 (2r), and to make payments to a corporation under s. 153.81 to support health information exchange.
The contract fees paid under s. 153.05 (6m) shall be credited to
this appropriation account.
(hi) Compilations and special reports; health care information. All moneys received from user fees imposed under s.
153.65 (1) for the purpose of financing the costs of the department of health services of producing special data compilations or
special reports under s. 153.65 and to contract with the data organization under s. 153.05 (2r).
(hs) Interpreter services for hearing impaired. The amounts
in the schedule for interpreter services for hearing-impaired persons under s. 46.295 (1). All moneys received from fees charged
for the interpreter services shall be credited to this appropriation.
(i) Gifts and grants. All moneys received from gifts, grants,
bequests, and trust funds relating to public health services, to be
expended for the purposes for which received.
(ja) Congenital disorders; diagnosis, special dietary treatment and counseling. The amounts in the schedule to provide diagnostic services, special dietary treatment, and follow-up counseling for congenital disorders and periodic evaluation of infant
screening programs as specified under s. 253.13 and to provide
referrals under s. 253.115. All moneys received by the department under s. 253.13 (2), less the amounts appropriated under
par. (jb), shall be credited to this appropriation account.
(jb) Congenital disorders; operations. From all moneys received under s. 253.13 (2), the amounts in the schedule to be used
to administer the programs under ss. 253.115 and 253.13 and for
the costs of consulting with appropriate experts as specified in s.
253.13 (5).
(jd) Fees for administrative services. All moneys received
from fees charged for providing state mailings, special computer
services, training programs, printed materials, and publications
relating to public health services, for the purpose of providing
those state mailings, special computer services, training programs, printed materials, and publications.
(kc) Independent living center grants. The amounts in the
schedule for the purpose of making grants to independent living
centers for the severely disabled under s. 46.96. All moneys
transferred from s. 20.445 (5) (n) shall be credited to this appropriation account.
(ke) American Indian health projects. The amounts in the
schedule for grants for American Indian health projects under s.
250.20 (5). All moneys transferred from the appropriation account under s. 20.505 (8) (hm) 18b. shall be credited to this appropriation account. Notwithstanding s. 20.001 (3) (a), the unencumbered balance on June 30 of each year shall revert to the appropriation account under s. 20.505 (8) (hm).
(kf) American Indian diabetes prevention and control. The

amounts in the schedule for activities under s. 250.20 (6) to prevent and control diabetes among American Indians. All moneys
transferred from the appropriation account under s. 20.505 (8)
(hm) 24. shall be credited to this appropriation account. Notwithstanding s. 20.001 (3) (a), the unencumbered balance on June 30
of each year shall revert to the appropriation account under s.
20.505 (8) (hm).
(kn) Elderly nutrition; home-delivered and congregate meals.
The amounts in the schedule for home-delivered and congregate
meals under the state supplement to the federal congregate nutrition projects under s. 46.80 (5) (a). All moneys transferred from
the appropriation account under s. 20.505 (8) (hm) 18dm. shall
be credited to this appropriation. Notwithstanding s. 20.001 (3)
(a), the unencumbered balance on June 30 of each year shall revert to the appropriation account s. 20.505 (8) (hm).
(kx) Interagency and intra-agency programs. All moneys received from other state agencies and all moneys received by the
department from the department for the administration of programs or projects relating to public health services, for the purposes for which received.
(ky) Interagency and intra-agency aids. Except as provided
in par. (ke), all moneys received from other state agencies and all
moneys received by the department from the department for aids
to individuals and organizations relating to public health services,
for the purposes for which received.
(kz) Interagency and intra-agency local assistance. All moneys received from other state agencies and all moneys received by
the department from the department for local assistance relating
to public health services, for the purposes for which received.
(m) Federal project operations. All moneys received from
the federal government or any of its agencies for the state administration of specific limited term projects relating to public health
services, for the purposes for which received.
(ma) Federal project aids. All moneys received from the federal government or any of its agencies for aids to individuals and
organizations for specific limited term projects relating to public
health services, for the purposes for which received.
(mc) Federal block grant operations. All block grant moneys
received from the federal government or any of its agencies for
the state administration of federal block grants relating to public
health services, for the purposes for which received.
(md) Federal block grant aids. All block grant moneys received from the federal government or any of its agencies for aids
to individuals and organizations relating to public health services,
for the purposes for which received.
(n) Federal program operations. All moneys received from
the federal government or any of its agencies for the state administration of continuing programs relating to public health services, for the purposes for which received, and for services of resource centers under s. 46.283.
(na) Federal program aids. All moneys received from the federal government or any of its agencies for aids to individuals and
organizations for continuing programs relating to public health
services, for the purposes for which received.
(q) Groundwater and air quality standards. From the environmental fund, the amounts in the schedule to develop groundwater standards and implement ch. 160 and to assist in the development of emission standards for hazardous air contaminants under s. 46.34.
(r) Emergency medical services; aids; local government fund.
From the local government fund, the amounts in the schedule for
emergency medical technician and emergency medical responder
training and examination aid under s. 256.12 (5) and for ambulance service vehicles or vehicle equipment, emergency medical
services supplies or equipment, nondurable or disposable medical supplies or equipment, medications, or emergency medical
training for personnel under s. 256.12 (4).
(2) MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES
SERVICES; FACILITIES. (a) General program operations. The
amounts in the schedule to operate institutions, to provide administrative services and to evaluate, treat and care for persons under
ch. 980, including persons placed on supervised release under s.
980.06 (2), 1997 stats., or s. 980.08.
(aa) Institutional repair and maintenance. The amounts in
the schedule for repair and maintenance expenses of the institutions. Expenditures for materials, supplies, equipment and contracts for services involving the repair and maintenance of structures and equipment, excluding vehicles, shall be made from this
appropriation.
(bj) Competency examinations and treatment, and conditional release, supervised release, and community supervision
services. Biennially, the amounts in the schedule for outpatient
competency examinations and treatment services; and for payment by the department of costs for treatment and services for
persons released under s. 980.06 (2) (c), 1997 stats., s. 980.08 (5),
2003 stats., or s. 971.17 (3) (d) or (4) (e) or 980.08 (4) (g) or for
persons who are inmates of the department of corrections who
are released on community supervision, for which the department has contracted with county departments under s. 51.42 (3)
(aw) 1. d., with other public agencies, or with private agencies to
provide the treatment and services.
(bm) Secure mental health units or facilities. The amounts in
the schedule for the general program operations of the Wisconsin
Resource Center under s. 46.056 and other secure mental health
units or facilities under s. 980.065 at which persons committed
under s. 980.06 are placed.
(cm) Grant program; mental health beds. The amounts in the
schedule to award a grant under s. 51.045.
(ee) Principal repayment and interest. A sum sufficient to reimburse s. 20.866 (1) (u) for the payment of principal and interest
costs incurred in financing the acquisition, development, enlargement, or extension of mental health facilities and to make payments under an agreement or ancillary arrangement entered into
under s. 18.06 (8) (a).
(ef) Lease rental payments. A sum sufficient to pay the
rentals required to be made on mental health facilities under
leases entered into under s. 46.035.
(f) Energy costs; energy-related assessments. The amounts
in the schedule to be used at mental health institutes and centers
for the developmentally disabled to pay for utilities and for fuel,
heat and air conditioning, to pay assessments levied by the department of administration under s. 16.847 (3) for costs incurred
and savings generated at departmental facilities, and to pay costs
incurred by or on behalf of the department under ss. 16.858 and
16.895. No moneys may be expended from this appropriation for
the purposes specified in par. (fm).
(fm) Electric energy derived from renewable resources. The
amounts in the schedule for the premium cost incurred for the
generation or purchase of electric energy derived from renewable
resources under s. 16.75 (12).
(g) Alternative services of institutes and centers. All moneys
received as payments for services under ss. 46.043 and 51.06 (1r)
for provision of alternative services by mental health institutes
under s. 46.043 and by centers for the developmentally disabled
under s. 51.06 (1r).
(gk) Institutional operations and charges. The amounts in
the schedule for care, other than under s. 51.06 (1r), provided by
the centers for the developmentally disabled, to reimburse the
cost of providing the services and to remit any credit balances to
county departments that occur on and after July 1, 1978, in accor-

dance with s. 51.437 (4rm) (c) ; for care, other than under s.
46.043, provided by the mental health institutes, to reimburse the
cost of providing the services and to remit any credit balances to
county departments that occur on and after January 1, 1979, in
accordance with s. 51.42 (3) (as) 2.; for care of juveniles placed at
the Mendota juvenile treatment center for whom counties are financially responsible under s. 938.357 (3) (d) , to reimburse the
cost of providing that care; for maintenance of state-owned housing at centers for the developmentally disabled and mental health
institutes; for repair or replacement of property damaged at the
mental health institutes or at centers for the developmentally disabled; for reimbursing the total cost of using, producing, and providing services, products, and care; and to transfer to the appropriation account under sub. (5) (kp) for funding centers. All
moneys received as payments from medical assistance on and after August 1, 1978; as payments from all other sources including
other payments under s. 46.10 and payments under s. 51.437
(4rm) (c) received on and after July 1, 1978; as medical assistance payments, other payments under s. 46.10, and payments under s. 51.42 (3) (as) 2. received on and after January 1, 1979; as
payments from counties for the care of juveniles placed at the
Mendota juvenile treatment center; as payments for the rental of
state-owned housing and other institutional facilities at centers
for the developmentally disabled and mental health institutes; for
the sale of electricity, steam, or chilled water; as payments in
restitution of property damaged at the mental health institutes or
at centers for the developmentally disabled; for the sale of surplus
property, including vehicles, at the mental health institutes or at
centers for the developmentally disabled; and for other services,
products, and care shall be credited to this appropriation, except
that any payment under s. 46.10 received for the care or treatment
of patients admitted under s. 51.10, 51.15, or 51.20 for which the
state is liable under s. 51.05 (3), of forensic patients committed
under ch. 971 or 975, admitted under ch. 975, or transferred under s. 51.35 (3), or of patients transferred from a state prison under s. 51.37 (5), to the Mendota Mental Health Institute or the
Winnebago Mental Health Institute shall be treated as general
purpose revenue — earned, as defined under s. 20.001 (4); and
except that moneys received under s. 51.06 (6) may be expended
only as provided in s. 13.101 (17). All moneys transferred under
2025 Wisconsin Act 15, section 9219 (1), shall be credited to this
appropriation account.
(gL) Extended intensive treatment surcharge. All moneys received as payments of the surcharge for extended intensive treatment under s. 51.06 (5), for one-time payment of relocation costs
for individuals under s. 46.275 (5) (e).
(gs) Sex offender honesty testing. All moneys received from
persons who are required to pay for polygraph examinations, as
prescribed by rule in accordance with s. 51.375 (3), for expenditures related to the lie detector test program for persons under s.
51.375.
(gz) Costs of housing persons on supervised release. All
moneys received under s. 980.08 (4) (dm) 4. for payment of costs
associated with housing persons on supervised release.
(i) Gifts and grants. All moneys received from gifts, grants,
bequests, and trust funds relating to operating institutions and
evaluating, treating, and caring for persons under ch. 980, to be
expended for the purposes for which received.
(km) Indian mental health placement. All moneys transferred
from the appropriation account under s. 20.505 (8) (hm) 25. to reimburse an Indian tribe or band in this state or a county department for placements by a tribal court of a member of the Indian
tribe or band that are unexpected or that result in cumulative costs
of placements to the tribe or county department exceeding
$50,000 annually. Notwithstanding s. 20.001 (3) (a) , the unencumbered balance on June 30 of each year shall revert to the appropriation account under s. 20.505 (8) (hm).
(kx) Interagency and intra-agency programs. All moneys received from other state agencies and all moneys received by the
department from the department for the administration of programs or projects for which received.
(ky) Interagency and intra-agency aids. All moneys received
from other state agencies and all moneys received by the department from the department for aids to individuals and
organizations.
(kz) Interagency and intra-agency local assistance. All moneys received from other state agencies and all moneys received by
the department from the department for local assistance.
(m) Federal project operations. All moneys received from
the federal government or any of its agencies for the state administration of specific limited term projects relating to operating institutions and to evaluating, treating, and caring for persons under
ch. 980, for the purposes for which received.
(4) MEDICAID SERVICES. (a) General program operations.
The amounts in the schedule for general program operations, including health care financing regulation, administration, field services, and medical assistance eligibility determinations under s.
49.45 (2) (a) 3.
(b) Medical Assistance program benefits. Biennially, the
amounts in the schedule to provide a portion of the state share of
Medical Assistance program benefits administered under subch.
IV of ch. 49, for a portion of the Badger Care health care program
under s. 49.665, to provide a portion of the Medical Assistance
program benefits administered under subch. IV of ch. 49 that are
not also provided under par. (o), to provide payments to federally
recognized American Indian tribes or bands in this state under
and for the administration of s. 49.45 (5g), to provide a portion of
the facility payments under 1999 Wisconsin Act 9, section 9123
(9m), to fund services provided by resource centers under s.
46.283, for services under the family care benefit under s. 46.284
(5), for the community options program under s. 46.27, 2017
stats., for assisting victims of diseases, as provided in ss. 49.68,
49.683, and 49.685, and for reduction of any operating deficits as
specified in 2005 Wisconsin Act 15, section 3. Notwithstanding
s. 20.002 (1), the department may transfer from this appropriation account to the appropriation account under sub. (5) (kc)
funds in the amount of and for the purposes specified in s.
46.485. Notwithstanding ss. 20.001 (3) (b) and 20.002 (1), the
department may credit or deposit into this appropriation account
and may transfer between fiscal years funds that it transfers from
the appropriation account under sub. (5) (kc) for the purposes
specified in s. 46.485 (3r).
(bd) Long-term care programs. The amounts in the schedule
for pilot projects under s. 46.271 (1), to fund services provided by
resource centers other entities under s. 46.283 (5), for services
under the family care program under s. 46.284 (5), and for services provided under the children’s community options program
under s. 46.272. Notwithstanding ss. 20.001 (3) (a) and 20.002
(1), the department may under this paragraph transfer moneys between fiscal years.
(bf) Graduate medical training support grants. As a continuing appropriation, the amounts in the schedule to award grants to
rural hospitals under s. 146.63, to support graduate medical training programs under s. 146.64, and to support graduate medical
training consortia under s. 146.645.
(bh) Food stamp platform; development. As a continuing appropriation, the amounts in the schedule to develop the food
stamp platform under s. 49.79 (6w).
(bi) Food stamp platform; administration. The amounts in
the schedule to administer the food stamp platform under s. 49.79
(6w).
(bm) Medical Assistance, food stamps, and Badger Care ad-

ministration; contract costs, insurer reports, and resource centers. Biennially, the amounts in the schedule to provide a portion
of the state share of administrative contract costs for the Medical
Assistance program under subch. IV of ch. 49 and the Badger
Care health care program under s. 49.665 and to provide the state
share of administrative costs for the food stamp program under s.
49.79, other than payments under s. 49.78 (8), to develop and implement a registry of recipient immunizations, to reimburse 3rd
parties for their costs under s. 49.475, for costs associated with
outreach activities, for state administration of state supplemental
grants to supplemental security income recipients under s. 49.77,
and for services of resource centers under s. 46.283. No state positions may be funded in the department of health services from
this appropriation, except positions for the performance of duties
under a contract in effect before January 1, 1987, related to the
administration of the Medical Assistance program between the
subunit of the department primarily responsible for administering the Medical Assistance program and another subunit of the
department. Total administrative funding authorized for the program under s. 49.665 may not exceed 10 percent of the amounts
budgeted under pars. (p) and (x).
(bn) Income maintenance. Biennially, the amounts in the
schedule for the performance of income maintenance administrative activities on behalf of a county or multicounty consortium
under s. 49.78 (1m) (c) and for payments under s. 49.78 (8) relating to the administration of the Medical Assistance program under subch. IV of ch. 49, the Badger Care health care program under s. 49.665, and the food stamp program, except for the employment and training program described in s. 49.79 (9).
(bp) Food stamp employment and training program administration. As a continuing appropriation, the amounts in the schedule for the administration of the food stamp employment and
training program under s. 49.79 (9).
(bq) Substance abuse treatment costs. Biennially, the
amounts in the schedule to pay substance abuse treatment costs
under s. 49.79 (9) (d).
(br) Cemetery, funeral, and burial expenses program. Biennially, the amounts in the schedule for the cemetery, funeral, and
burial program under s. 49.785.
(bt) Healthy food incentive program. As a continuing appropriation, the amounts in the schedule to develop and administer
the healthy food incentive program under s. 49.79 (7w). The unencumbered balance in this appropriation account as of June 30,
2023, may be used for the healthy food incentive program under
s. 49.79 (7w) , including as the matching state portion of any
amounts received through the Gus Schumacher Nutrition Incentive Program.
(bv) Prescription drug assistance for elderly; aids. Biennially, the amounts in the schedule for payment to pharmacies and
pharmacists under s. 49.688 (7) for prescription drug assistance
for elderly persons.
(e) Disease aids. Biennially, the amounts in the schedule for
assisting victims of diseases, as provided in ss. 49.68, 49.683 and
49.685.
(ed) State supplement to federal supplemental security income program. A sum sufficient for payments of supplemental
grants to supplemental security income recipients under s. 49.77
and, except as provided in 1997 Wisconsin Act 237, section 9122
(4e) (a), for payments for the support of children of supplemental
security income recipients under s. 49.775.
(g) Family care benefit; cost sharing. All moneys received
from client cost-sharing requirements under s. 46.286 (2) to be
expended for the provision of services under the family care benefit under s. 46.284 (5).
(gm) Medical assistance; provider refunds and collections.
All moneys received from provider refunds, third party liability
payments, drug rebates, audit recoveries, and other collections related to expenditures made from pars. (b), (jz), and (w), except
for those moneys deposited in the appropriation accounts under
par. (im) or (in) regardless of the fiscal year in which the expenditure from par. (b), (jz), or (w) is made, to provide a portion of the
state share of Medical Assistance program benefits administered
under subch. IV of ch. 49; to provide a portion of the Badger Care
health care program under s. 49.665; to provide a portion of the
Medical Assistance program benefits administered under subch.
IV of ch. 49 that are not also provided under par. (o); to fund services provided by resource centers under s. 46.283; to fund services under the family care benefit under s. 46.284 (5); and to assist victims of diseases, as provided in ss. 49.68, 49.683, and
49.685.
(gr) Income maintenance; county payments. All moneys received from counties under s. 49.78 (1m) (d) for administering income maintenance programs under s. 49.78 (1m) (c).
(h) County contributions. All moneys received from counties
as contributions to the family care program, as defined in s.
46.2805 to 46.2895, the program of all-inclusive care for the elderly, as defined in s. 46.2805 (1) (a), and the Family Care Partnership Program described under s. 46.2805 (1) (b) and from
counties under ss. 46.99 (3) and (3m) and 46.995; to fund services under the family care program under s. 46.284 (5) and services under the program of all-inclusive care for the elderly and
the Family Care Partnership Program and for an entity to administer and to pay for services provided under the birth to 3 waiver
program under s. 46.99 and the disabled children’s long-term
support program.
(hp) Disabled children’s long-term support waivers. All
moneys received under ss. 46.03 (18) and 46.10 for services for
children reimbursed under a waiver under s. 46.275 or 46.278 or
provided under the disabled children’s long-term support program, as defined in s. 46.011 (1g), for distribution to counties according to a formula developed by the department as a portion of
the state share of payments for services for children under the
waiver under s. 46.278 or for services provided under the disabled
children’s long-term support program.
(i) Gifts, grants, and payments; health care financing. All
moneys received from gifts, grants, bequests and trust funds to
provide Medical Assistance, food stamp, and disability and elder
services consistent with the purpose of the gift, grant, bequest or
trust fund, and all moneys received from payments from nongovernmental individuals and entities for departmental administrative services, for the purposes for which those payments are
received.
(iL) Medical assistance provider assessments; health services
regulation. All moneys received from assessments charged under
s. 49.45 (2) (b) 9. and all moneys received under s. 150.13, for
performance by the department of audits and investigations under
s. 49.45 (3) (g) and for the purposes specified in ch. 150.
(im) Medical assistance; correct payment recovery; collections; community services; other recoveries. All moneys received from the recovery of correct medical assistance payments
under ss. 49.496 and 49.849, all moneys received as collections
and other recoveries from providers, drug manufacturers, and
other 3rd parties under medical assistance performance-based
contracts, all moneys received from the recovery of costs of care
under s. 46.27 (7g), 2017 stats., and s. 49.849 for enrollees who
are ineligible for Medical Assistance, all moneys not appropriated under par. (in), and all moneys credited to this appropriation
account under s. 49.89 (7) (f), for payments to counties and tribal
governing bodies under s. 49.496 (4) (a) , for payment of claims
under s. 49.849 (5), for payments to the federal government for its
share of medical assistance benefits recovered, for the state share

of medical assistance benefits provided under subch. IV of ch.
49, for payments to care management organizations for provision
of the family care benefit under s. 46.284 (5), for payments for
long-term community support services under s. 49.849 (6) (b) ,
2017 stats., for administration of the waiver program under s.
46.99, and for costs related to collections and other recoveries.
(in) Community options program; family care; recovery of
costs administration. From the moneys received from the recovery of costs of care under s. 46.27 (7g), 2017 stats., and s. 49.849
for enrollees who are ineligible for medical assistance, the
amounts in the schedule for administration of the recovery of
costs of the care.
(j) Prescription drug assistance for elderly; manufacturer rebates. All moneys received from rebate payments by manufacturers under s. 49.688 (6), to be used for payment to pharmacies and
pharmacists under s. 49.688 (7) for prescription drug assistance
for elderly persons.
(jb) Prescription drug assistance for elderly; enrollment fees.
All moneys received from payment of enrollment fees under s.
49.688 (3), to be used for administration of the program under s.
49.688.
(jc) Fees for administrative services. All moneys received
from fees charged for providing state mailings, special computer
services, training programs, printed materials, and publications,
for the purpose of providing those state mailings, special computer services, training programs, printed materials, and
publications.
(jd) Electronic benefit transfer card replacement costs. All
moneys transferred from benefit accounts under s. 49.79 (7c) (a)
to support FoodShare contract costs, including the cost of replacing lost or stolen electronic benefit transfer cards.
(je) Disease aids; drug manufacturer rebates. All moneys received from rebate payments by manufacturers under s. 49.687
(3), to be used to assist victims of disease, as provided in ss.
49.68, 49.683, and 49.685.
(jt) Care management organization; insolvency assistance.
All moneys received as assessments under s. 648.75 (3) for the
purpose of funding arrangements for, or to pay expenses related
to, services for enrollees of an insolvent or financially hazardous
care management organization.
(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,
for administration of the hospital assessment under s. 50.38, and
for administration of the ambulance service provider fee under s.
256.23.
(jz) Medical Assistance and Badger Care cost sharing, and
employer penalty assessments. All moneys received in cost sharing from medical assistance recipients, including payments under
s. 49.665 (5), all moneys received from penalty assessments under s. 49.665 (7) (b) 2. , and 90 percent of all moneys received
from penalty assessments under s. 49.471 (9) (c), to be used for
the Badger Care health care program under s. 49.665, for the
Medical Assistance program under subch. IV of ch. 49 , and to
transfer any amount credited to this appropriation account in excess of $27,785,500 in a fiscal year to the appropriation account
under par. (jw).
(kb) Relief block grants to tribal governing bodies. The
amounts in the schedule for relief block grants under s. 49.029 to
tribal governing bodies. All moneys transferred from the appropriation account under s. 20.505 (8) (hm) 18. shall be credited to
this appropriation account. Notwithstanding s. 20.001 (3) (a), the
unencumbered balance on June 30 of each year shall revert to the
appropriation account under s. 20.505 (8) (hm).
(kt) Medical assistance outreach and reimbursements for
tribes. Biennially, the amounts in the schedule to fund medical
assistance outreach activities that are conducted by tribal governing bodies and to reimburse tribal, federally qualified health centers for costs of providing health care services under the medical
assistance program under subch. IV of ch. 49. All moneys transferred from the appropriation account under s. 20.505 (8) (hm) 7.
shall be credited to this appropriation account. Notwithstanding
s. 20.001 (3) (b), the unencumbered balance on June 30 of each
odd-numbered year shall revert to the appropriation account under s. 20.505 (8) (hm).
(kv) Care management organization; oversight. All moneys
transferred from the appropriation account under s. 20.145 (1)
(g), for expenses related to financial certification, monitoring,
and assessment of care management organizations that are subject to ch. 648.
(kx) Interagency and intra-agency programs. All moneys received from other state agencies and all moneys received by the
department from the department for the administration of programs or projects, for the purposes for which received.
(ky) Interagency and intra-agency aids. All moneys received
from other state agencies and all moneys received by the department from the department for aids to individuals and organizations, for the purpose of providing those aids.
(kz) Interagency and intra-agency local assistance. All moneys received from other state agencies and all moneys received by
the department from the department for local assistance, for the
purpose of providing that assistance.
(L) Fraud and error reduction. All moneys received as the
state’s share of the recovery of overpayments and incorrect payments under ss. 49.497 (1) and (1m), 49.793 (2) (a), and 49.847,
all moneys received from counties and tribal governing bodies as
a result of any error reduction activities under ss. 49.197 and
49.845, and all moneys credited to this appropriation account under ss. 49.497 (2) (b), 49.793 (2) (b), and 49.847 (3) (b), for any
contracts under s. 49.197 (5), for any activities to reduce error
and fraud under s. 49.845, to pay federal sanctions under the food
stamp program, and for food stamp reinvestment activities under
reinvestment agreements with the federal department of agriculture that are designed to improve the food stamp program.
(m) Federal project operations. All moneys received from
the federal government or any of its agencies for the state administration of specific limited term projects, to be expended for the
purposes specified.
(ma) Federal project aids. All moneys received from the federal government or any of its agencies for specific limited term
projects of aids to individuals or organizations, to be expended
for the purposes specified.
(md) Federal block grant aids. All block grant moneys received from the federal government or any of its agencies for aids
to individuals or organizations, other than for specific limited
term projects and continuing programs, to be expended for the
purposes specified.
(n) Federal program operations. All moneys received from
the federal government or any of its agencies for the state administration of continuing programs, other than moneys received under par. (pa), to be expended for the purposes specified.
(na) Federal program aids. All moneys received from the federal government or any of its agencies for continuing programs of

aids to individuals or organizations, to be expended for the purposes specified.
(nn) Federal aid; income maintenance. All moneys received
from the federal government for the costs of contracting for the
administration of the Medical Assistance program under subch.
IV of ch. 49 and the Badger Care health care program under s.
49.665 and the food stamp program, other than moneys received
under par. (pa), for costs to administer income maintenance programs, as defined in s. 49.78 (1) (b).
(np) Federal aid; food stamp employment and training program. All moneys received from the federal government for the
costs of contracting for the administration of the food stamp employment and training program under s. 49.79 (9) , other than
moneys received under par. (pa), for costs to administer the food
stamp employment and training program under s. 49.79 (9).
(o) Federal aid; medical assistance. All federal moneys received for meeting costs of Medical Assistance administered under ss. 46.284 (5) and 49.665 and subch. IV of ch. 49 and received under s. 255.35 (3) (c), to be used for those purposes, for
transfer to the Medical Assistance trust fund, for those purposes,
and for transfer to the appropriation account under sub. (5) (kx)
for the purposes specified under sub. (5) (kx).
(p) Federal aid; Badger Care health care program. All federal moneys received for the Badger Care health care program under s. 49.665, to be used for that purpose.
(pa) Federal aid; Medical Assistance and food stamp contracts administration. All federal moneys received for the federal
share of the cost of contracting for payment and services administration and reporting, other than moneys received under pars. (nn)
and (np), to reimburse 3rd parties for their costs under s. 49.475,
for administrative contract costs for the food stamp program under s. 49.79, and for services of resource centers under s. 46.283.
(pg) Federal aid; prescription drug assistance for elderly. All
federal moneys received for the prescription drug assistance program under s. 49.688, to be used for that purpose.
(pv) Food stamps; electronic benefits transfer. All moneys
received from the federal government for electronic food stamp
benefits transfers, to be expended for the purposes specified. Estimated disbursements under this paragraph shall not be included
in the schedule under s. 20.005.
(w) Medical Assistance trust fund. From the Medical Assistance trust fund, biennially, the amounts in the schedule for meeting costs of medical assistance administered under ss. 46.275 (5),
46.278 (6), 46.283 (5), 46.284 (5), 49.45, and 49.472 (6), for refunds under s. 50.38 (6) (a), and for administrative costs associated with augmenting the amount of federal moneys received under 42 CFR 433.51.
(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).
(wm) Medical assistance trust fund; nursing homes. From
the medical assistance trust fund, a sum sufficient to equal the
amount of federal medical assistance moneys received as matching funds to operating deficits incurred by nursing homes owned
or operated by counties, cities, villages, or towns that was not anticipated and budgeted as revenue in the biennial budget act for
the fiscal year in which it is received, for the purpose of disbursing to nursing homes under s. 49.45 (6u) (b).
(wp) Medical Assistance trust fund; county reimbursement.
From the Medical Assistance trust fund, a sum sufficient to provide reimbursement to a county for moneys transferred in support
of payment under s. 49.45 (6m) by the county to the Medical Assistance trust fund and used as the nonfederal share of Medical
Assistance payments. Payment to a county under this paragraph
may not exceed the amount transferred by the county to the Medical Assistance trust fund.
(x) Medical Assistance trust fund; Badger Care health care
program. From the Medical Assistance trust fund, all moneys received for the Badger Care health care program under s. 49.665.
(xc) Hospital assessment fund; hospital payments. From the
hospital assessment fund, all moneys received from the assessment under s. 50.38 (2) (a) and (b), except moneys appropriated
under s. 20.285 (1) (qe) and (qj) and except amounts transferred
to the Medical Assistance trust fund under s. 50.38 (8), to reimburse eligible hospitals for services provided under the Medical
Assistance Program under subch. IV of ch. 49, make payments to
health maintenance organizations under s. 49.45 (59) , provide
supplemental funds to rural hospitals under s. 49.45 (5m) (am),
make supplemental payments to Level I adult trauma centers under s. 49.45 (6y) (ap), make supplemental payments to hospitals
based on performance under s. 49.45 (6y) (ar), and make refunds
under s. 50.38 (6).
(5) CARE AND TREATMENT SERVICES. (a) General program
operations. The amounts in the schedule for general program operations relating to mental health and alcoholism or other drug
abuse services, including field services and administrative
services.
(bc) Grants for community programs. The amounts in the
schedule for grants for and contracts to establish community programs under s. 46.48, for pretrial intoxicated driver intervention
grants under s. 51.49, and for opioid treatment programs under s.
51.422. Notwithstanding ss. 20.001 (3) (a) and 20.002 (1), the
department may transfer funds between fiscal years under this
paragraph. Except for amounts authorized to be carried forward
under s. 46.48 and as otherwise provided in this paragraph, all
funds allocated but not encumbered by December 31 of each year
lapse to the general fund on the next January 1 unless carried forward to the next calendar year by the joint committee on finance.
Notwithstanding ss. 20.001 (3) (a) and 20.002 (1) , the department shall transfer from this appropriation account to the appropriation account for the department of children and families under s. 20.437 (2) (dz) funds allocated by the department under s.
46.48 (30) but unexpended on June 30 of each year.
(bd) Nonnarcotic drug treatment grants. Biennially, the
amounts in the schedule to provide grants under s. 46.47 (1).
(be) Mental health treatment services. The amounts in the
schedule for mental health treatment services at a county-operated institution for mental disease as selected by the department
of health services. Notwithstanding ss. 20.001 (3) (a) and 20.002
(1), the department may transfer funds between fiscal years under
this paragraph. All funds allocated but not encumbered by December 31 of each year lapse to the general fund on the next January 1 unless carried forward to the next calendar year by the
joint committee on finance.
(bf) Brighter futures initiative. The amounts in the schedule
to be transferred to the appropriation account under s. 20.437 (1)
(kb) for the brighter futures initiative under s. 48.545.
(bg) Treatment program grants. The amounts in the schedule
for grants under s. 146.618.
(bk) Integrated mental health facility grant program. Biennially, the amounts in the schedule for an integrated mental health
facility grant under 2025 Wisconsin Act 75, section 4 (1).
(bt) Psychiatric residential treatment facilities. Biennially,
the amounts in the schedule for the administration and funding of
psychiatric residential treatment facilities under s. 51.044.
(bw) Child psychiatry and addiction medicine consultation

programs. Biennially, the amounts in the schedule for operating
the child psychiatry consultation program under s. 51.442 and the
addiction medicine consultation program under s. 51.448.
(bx) Minors’ safety plan sharing portal. The amounts in the
schedule to develop and maintain the portal under s. 46.537 (5).
(cd) Crisis intervention training grants. Biennially, the
amounts in the schedule for awarding grants for mental health crisis intervention team training under s. 46.535.
(cf) Crisis program enhancement grants. Biennially, the
amounts in the schedule for awarding grants to counties or regions to establish or enhance crisis programs under s. 46.536.
(ch) Suicide and crisis lifeline grants. Biennially, the
amounts in the schedule for grants under s. 46.533.
(ck) Crisis urgent care and observation facilities. Biennially,
the amounts in the schedule for grants to support crisis urgent
care and observation facilities.
(co) Initiatives for coordinated services. The amounts in the
schedule to fund county and tribal initiatives and multi-entity initiatives under s. 46.56 to provide coordinated services.
(ct) Mental health consultation program. The amounts in the
schedule for developing a plan for a mental health consultation
program under s. 51.441. No moneys may be encumbered under
this paragraph after June 30, 2021.
(da) Reimbursements to local units of government. A sum
sufficient for the cost of care as provided in s. 51.22 (3) for persons who have a developmental disability or who require mental
health or alcoholism or other drug abuse treatment.
(fr) Mental health for homeless individuals. The amounts in
the schedule for mental health services for homeless individuals
under s. 51.047.
(gb) Alcohol and drug abuse initiatives. All moneys received
under s. 961.41 (5) (c) 1., to be expended on programs providing
prevention, intervention, and treatment for alcohol and other drug
abuse problems.
(gg) Collection remittances to local units of government. All
moneys received under ss. 46.03 (18) and 46.10, less moneys
credited to sub. (4) (hp), for the purposes of remitting departmental collections under s. 46.03 (18) (g) or 46.10 (8m) (a) 3. and 4.
(hx) Services related to drivers, receipts. The amounts in the
schedule for services related to drivers. All moneys received by
the secretary of administration from the driver improvement surcharge on court fines and forfeitures authorized under s. 346.655
and all moneys transferred from the appropriation account under
s. 20.395 (5) (di) shall be credited to this appropriation account.
The secretary of administration shall annually transfer to the appropriation account under s. 20.395 (5) (ek) 9.75 percent of all
moneys credited to this appropriation account from the driver improvement surcharge. Any unencumbered moneys in this appropriation account may be transferred to par. (hy) and ss. 20.255 (1)
(hm), 20.285 (1) (ia), 20.395 (5) (ci) and (di), and 20.455 (5) (h)
by the secretary of administration, after consultation with the
secretaries of health services and transportation, the superintendent of public instruction, the attorney general, and the president
of the University of Wisconsin System.
(hy) Services for drivers, local assistance. As a continuing
appropriation, the amounts in the schedule for grants to county
departments under s. 51.42 and to approved tribal treatment facilities, as defined in s. 51.01 (2c), for drivers referred through assessment, to be allocated according to a plan developed by the department of health services. All moneys transferred from par.
(hx) shall be credited to this appropriation.
(i) Gifts and grants. All moneys received from gifts, grants,
bequests, and trust funds relating to mental health and alcoholism
or other drug abuse services, to be expended for the purposes for
which received.
(jb) Fees for administrative services. All moneys received
from fees charged for providing state mailings, special computer
services, training programs, printed materials, and publications
relating to mental health and alcoholism or other drug abuse services, for the purpose of providing those state mailings, special
computer services, training programs, printed materials, and
publications.
(kc) Severely emotionally disturbed children. As a continuing
appropriation, all moneys transferred from the appropriation under sub. (4) (b) to this appropriation to provide, under s. 46.485,
mental health care and treatment and community-based mental
health services for severely emotionally disturbed children. Notwithstanding s. 20.002 (1), the department of health services may
transfer from this appropriation to the appropriation under sub.
(4) (b) funds as specified in s. 46.485 (3r).
(kg) Compulsive gambling awareness campaigns. The
amounts in the schedule for the purpose of awarding grants under
s. 46.03 (43). All moneys transferred from s. 20.566 (8) (q) shall
be credited to this appropriation account. Notwithstanding s.
20.001 (3) (a) , the unencumbered balance of this appropriation
account at the end of each fiscal year shall be transferred to the
lottery fund.
(kL) Indian aids. The amounts in the schedule to facilitate
delivery of social services and mental hygiene services to American Indians under s. 46.70. All moneys transferred from the appropriation account under s. 20.505 (8) (hm) 18c. shall be credited to this appropriation account. Notwithstanding s. 20.001 (3)
(a), the unencumbered balance on June 30 of each year shall revert to the appropriation account under s. 20.505 (8) (hm).
(km) Indian drug abuse prevention and education. The
amounts in the schedule for the American Indian drug abuse prevention and education program under s. 46.71. All moneys transferred from the appropriation account under s. 20.505 (8) (hm)
18d. shall be credited to this appropriation account. Notwithstanding s. 20.001 (3) (a), the unencumbered balance on June 30
of each year shall revert to the appropriation account under s.
20.505 (8) (hm).
(kp) Center. All moneys transferred from the appropriation
account under sub. (2) (gk) to make payments to an organization
that establishes a center that provides services.
(kx) Interagency and intra-agency programs. All moneys received from other state agencies and all moneys received by the
department from the department for the administration of programs or projects relating to mental health and alcoholism or
other drug abuse services, for the purposes for which received,
and all moneys transferred under s. 49.45 (30g) (b) for administrative costs incurred for reimbursing and monitoring community
recovery services.
(ky) Interagency and intra-agency aids. Except as provided
in pars. (kc), (kg), (kL), and (km), all moneys received from other
state agencies and all moneys received by the department from
the department for aids to individuals and organizations relating
to mental health and alcoholism or other drug abuse services, for
the purposes for which received.
(kz) Interagency and intra-agency local assistance. Except as
provided in par. (kc), all moneys received from other state 

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