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Wisconsin Legislature: AB199: Bill Text
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AB199: Bill Text
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2025 - 2026 LEGISLATURE
LRB-2473/1
JPC/SWB/KP:cjs
2025 ASSEMBLY BILL 199
April 15, 2025 - Introduced by Representatives
Kurtz
,
Zimmerman
,
Summerfield
,
Dittrich
,
Donovan
,
Duchow
,
Franklin
,
Green
,
Gustafson
,
Kaufert
,
Kitchens
,
Kreibich
,
Maxey
,
Melotik
,
Moses
,
Mursau
,
O'Connor
,
Ortiz-Velez
,
Piwowarczyk
,
Steffen
,
Subeck
,
VanderMeer
and
Nedweski
, cosponsored by Senators
Marklein
,
James
,
Pfaff
,
Spreitzer
and
Testin
. Referred to Committee on State Affairs.
AB199,1,5
1
An Act
to amend
79.05 (2) (c);
to create
256.04 (3) of the statutes;
relating to:
2
reimbursement of emergency services under the Medical Assistance program
3
when a patient is not transported, reporting on changes to the scope of
4
practice of emergency medical responders and emergency medical services
5
practitioners, and eligibility for the expenditure restraint incentive program.
Analysis by the Legislative Reference Bureau
Medical Assistance reimbursement for nontransport ambulance services
Under current law, the Department of Health Services uses a standardized coding system, which is known as the Healthcare Common Procedure Coding System (HCPCS) and produced by the federal Centers for Medicare and Medicaid Services, to describe certain products, supplies, and services for those submitting claims for reimbursement under the Medical Assistance program. The Medical Assistance program is a joint state and federal program that provides health services to individuals who have limited financial resources. This bill directs DHS to change, for dates of service beginning with January 1, 2027, the current maximum reimbursement allowed under the Medical Assistance program for services provided under HCPCS code A0998, often referenced as “ambulance response and treatment, no transport,” from the current maximum allowable fee to a rate that matches the maximum allowable rate for reimbursement of services provided under HCPCS code A0429, often referenced with a description of “ambulance service, basic life support, emergency transport (bls-emergency).”
Report on scope of practice changes
The bill requires the Emergency Medical Services Board, in consultation with DHS and the Technical College System Board, to annually submit a report to the legislature on state and national changes to the scope of practice of emergency medical responders, emergency medical services practitioners, or any equivalent practitioners in other jurisdictions and how those scope of practice changes may affect training for emergency medical responders and emergency medical services practitioners in this state.
Expenditure restraint incentive program
The bill also excludes expenditures of amounts levied for fees apportioned to each municipality operating a joint fire department or joint emergency medical services district that are exempt from local levy limits from being considered in determining eligibility for an expenditure restraint incentive program payment. Under current law, a municipality is eligible to receive an expenditure restraint incentive program payment if its property tax levy is greater than 5 mills and if the annual increase in its municipal budget, subject to certain exceptions, is less than the sum of factors based on inflation and the increased value of property in the municipality as a result of new construction.
For further information see the state and local 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:
AB199,1
1
Section
1
.
79.05 (2) (c) of the statutes is amended to read:
AB199,3,21
2
79.05
(2)
(c) Its municipal budget; exclusive of principal and interest on long-
3
term debt and exclusive of revenue sharing payments under s. 66.0305, payments of
4
premiums under s. 66.0137 (5) (c) 1. and 1m.,
expenditures of amounts levied under
5
s. 66.0602 (3) (h),
revenues generated from a tax imposed under s. 77.701, payments
6
received under s. 79.038, expenditures of payments due to the termination of a tax
7
incremental district under s. 79.096 (3), recycling fee payments under s. 289.645,
8
expenditures of grant payments under s. 16.297 (1m), unreimbursed expenses
1
related to an emergency declared under s. 323.10, expenditures from moneys
2
received pursuant to P.L.
111-
5, grants received from the state or federal
3
government for the purpose of providing law enforcement, fire protection, or
4
emergency medical services, and expenditures made pursuant to a purchasing
5
agreement with a school district whereby the municipality makes purchases on
6
behalf of the school district; for the year of the statement under s. 79.015 increased
7
over its municipal budget as adjusted under sub. (6); exclusive of principal and
8
interest on long-term debt and exclusive of revenue sharing payments under s.
9
66.0305, payments of premiums under s. 66.0137 (5) (c) 1. and 1m.,
expenditures of
10
amounts levied under s. 66.0602 (3) (h),
revenues generated from a tax imposed
11
under s. 77.701, payments received under s. 79.038, expenditures of payments due
12
to the termination of a tax incremental district under s. 79.096 (3), recycling fee
13
payments under s. 289.645, expenditures of grant payments under s. 16.297 (1m),
14
unreimbursed expenses related to an emergency declared under s. 323.10,
15
expenditures from moneys received pursuant to P.L.
111-
5, grants received from the
16
state or federal government for the purpose of providing law enforcement, fire
17
protection, or emergency medical services, and expenditures made pursuant to a
18
purchasing agreement with a school district whereby the municipality makes
19
purchases on behalf of the school district; for the year before that year by less than
20
the sum of the inflation factor and the valuation factor, rounded to the nearest 0.10
21
percent.
AB199,2
22
Section
2
.
256.04 (3) of the statutes is created to read:
AB199,4,7
23
256.04
(3)
Annually, no later than September 15, in consultation with the
1
department of health services and the technical college system board, submit a
2
report to the chief clerk of each house of the legislature for distribution to the
3
legislature under s. 13.172 (2) on state and national changes to the scope of practice
4
of emergency medical responders, emergency medical services practitioners, or any
5
equivalent practitioners in other jurisdictions and how those scope of practice
6
changes may affect training for emergency medical responders and emergency
7
medical services practitioners in this state.
AB199,3
8
Section
3
. Nonstatutory provisions.
AB199,4,17
9
(
1
)
Medical Assistance reimbursement rates for nontransport
10
ambulance services.
For dates of service beginning with January 1, 2027, the
11
department of health services shall increase reimbursement rates for services
12
provided and reimbursable under the healthcare common procedure coding system
13
code A0998 with a description of “ambulance response and treatment, no transport”
14
from the current maximum allowable fee to a rate that matches the maximum
15
allowable rate for reimbursement of services provided under healthcare common
16
procedure coding system code A0429 with a description of “ambulance service, basic
17
life support, emergency transport (bls-emergency).”
AB199,4,18
18
(end)
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