Assembly Bill 874
Emergency medical transportation services under Medical Assistance program and making an appropriation. (FE)
Became law
The governor signed it on Apr 8, 2022. It's .
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Introduced, passed
Jan 18, 2022
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Committee, passed
Approved
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Assembly vote, passed
Passed Feb 23, 2022
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Senate vote, passed
Passed 32 to 0
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Governor, passed
Signed
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Law, here now
2021 Wisconsin Act 228
Latest entry in the official record, Apr 8, 2022: “Published 4-9-2022”
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Terms on this page
Wisconsin Act
The number a bill gets when it becomes law, like 2025 Wisconsin Act 12.
Official term: Act. More in the glossary
Legislative Reference Bureau
The Legislature's nonpartisan office that drafts bills and writes the summary at the top of each one.
Official term: LRB analysis. More in the glossary
Author
A lawmaker who formally puts a bill forward. The text itself is drafted by the Legislative Reference Bureau.
Official term: Author, coauthor. More in the glossary
Signed on in support
Lawmakers who back a bill without being one of its authors, often from the other chamber.
Official term: Cosponsor. More in the glossary
Cost estimate
A state agency's estimate of what a bill would cost or save.
Official term: Fiscal estimate. More in the glossary
Roll call
A vote where each lawmaker's yes or no is recorded by name.
Official term: Roll call vote. More in the glossary
What it does
Summary by the , the Legislature's nonpartisan drafting office. It's their wording, not ours.
This bill implements an ambulance service provider assessment on private ambulance service providers for supplemental reimbursements under the Medical Assistance program and a supplemental reimbursement under the Medical Assistance program to public ambulance service providers though certified public expenditures. Currently, the Department of Health Services administers the Medical Assistance program, which is a joint federal and state program that provides health services to individuals who have limited financial resources. Generally, under the Medical Assistance program, the state provides its share of the funding for benefits and the federal government then contributes its designated share of funding, also known as federal financial participation.
The bill imposes on each ambulance service provider a fee for the privilege of doing business in Wisconsin. The fee, as established by DHS is a percentage of the ambulance service provider's net patient revenues from ground emergency ambulance transports such that the total fee for a fiscal year is no less than one quarter of 1 percent lower than the maximum limit for a provider fee under federal regulation. DHS must obtain approval from the federal government, if necessary, to obtain matching funds, and if federal approval is required, is prohibited from collecting the fee until DHS receives that approval. The bill requires DHS to expend 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.
Read the full summary Show less
The bill also requires DHS to submit a state plan amendment to the federal government to allow supplemental reimbursements under the Medical Assistance program to public ambulance service providers for ground emergency medical transportation through certified public expenditures. In certain circumstances under the certified public expenditure process under current federal law, a public provider may certify its costs for providing services to Medical Assistance recipients that are in excess of the usual Medical Assistance reimbursement for those services and then receive a supplement to cover otherwise unreimbursed costs.
Who's behind it
15 lawmakers are its . 12 are Republicans and 3 are Democrats.
8 more lawmakers .
See all 23 names Hide the names
Authors (15)
- Scott Allen · Republican, Assembly
- Rob Brooks · Republican, Assembly
- Alex Dallman · Republican, Assembly
- Cindi Duchow · Republican, Assembly
- Jesse James · Republican, Senate
- Samantha Kerkman · Republican, Assembly
- Scott Krug · Republican, Assembly
- Tony Kurtz · Republican, Assembly
- Amy Loudenbeck · Republican, Assembly
- Jeff Mursau · Republican, Assembly
- Todd Novak · Republican, Assembly
- Katrina Shankland · Democrat, Assembly
- Lisa Subeck · Democrat, Assembly
- Rob Summerfield · Republican, Assembly
- Don Vruwink · Democrat, Assembly
Signed on in support (8)
- Janet Bewley · Democrat, Senate
- Janel Brandtjen · Republican, Assembly
- Sue Conley · Democrat, Assembly
- Rob Cowles · Republican, Senate
- Mary Felzkowski · Republican, Senate
- Jerry Petrowski · Republican, Senate
- Skowronski, Wittke and Spreitzer
- Snodgrass and Andraca
What it would cost
State agencies filed a . Each opens as a PDF from the Legislature.
Versions and amendments
Every text the Legislature printed for this bill, including proposed changes. Each opens on the Legislature's site.
How lawmakers voted
There were 7 votes on this bill.
Assembly Committee on Local Government vote on an amendment
Passed, 9 to 0 · Feb 18, 2022
No member-by-member record exists for this vote. Committee votes and some older sessions record totals only.
Official motion: “Report Assembly Amendment 1 adoption recommended by Committee on Local Government, Ayes 9, Noes 0”. Official record · This vote on its own page
Assembly Committee on Local Government vote to recommend it
Passed, 9 to 0 · Feb 18, 2022
No member-by-member record exists for this vote. Committee votes and some older sessions record totals only.
Official motion: “Report passage as amended recommended by Committee on Local Government, Ayes 9, Noes 0”. Official record · This vote on its own page
Joint Committee on Finance vote on an amendment
Passed, 12 to 4 · Feb 22, 2022
No member-by-member record exists for this vote. Committee votes and some older sessions record totals only.
Official motion: “Report Assembly Substitute Amendment 1 adoption recommended by Joint Committee on Finance, Ayes 12, Noes 4”. Official record · This vote on its own page
Joint Committee on Finance vote to recommend it
Passed, 16 to 0 · Feb 22, 2022
No member-by-member record exists for this vote. Committee votes and some older sessions record totals only.
Official motion: “Report passage as amended recommended by Joint Committee on Finance, Ayes 16, Noes 0”. Official record · This vote on its own page
Assembly vote to pass it
Passed, 94 to 1 · Feb 23, 2022 · 4 didn't vote
See how each of the 99 representatives voted Hide the names
D: Democrat, R: Republican
Yes (94)
- Adam Neylon (R, 15)
- Alex Dallman (R, 39)
- Amy Loudenbeck (R, 31)
- Barbara Dittrich (R, 99)
- Beth Meyers (D, 74)
- Bob Wittke (R, 63)
- Calvin Callahan (R, 35)
- Christine Sinicki (D, 20)
- Chuck Wichgers (R, 84)
- Cindi Duchow (R, 97)
- Clint Moses (R, 92)
- Dan Knodl (R, 24)
- Daniel Riemer (D, 7)
- Dave Armstrong (R, 67)
- Dave Considine (D, 81)
- Dave Murphy (R, 56)
- David Steffen (R, 4)
- Deb Andraca (D, 23)
- Dianne Hesselbein (D, 27)
- Don Vruwink (D, 43)
- Donna Rozar (R, 69)
- Dora Drake (D, 4)
- Elijah Behnke (R, 6)
- Evan Goyke (D, 18)
- Francesca Hong (D, 76)
- Gae Magnafici (R, 28)
- Gary Hebl (D, 46)
- Gary Tauchen (R, 6)
- Gordon Hintz (D, 54)
- Greta Neubauer (D, 66)
- James Edming (R, 87)
- Janel Brandtjen (R, 22)
- Jeff Mursau (R, 36)
- Jeremy Thiesfeldt (R, 52)
- Jesse James (R, 23)
- Jessie Rodriguez (R, 21)
- Jill Billings (D, 95)
- Jim Steineke (R, 5)
- Jimmy Anderson (D, 47)
- Jodi Emerson (D, 91)
- Joe Sanfelippo (R, 15)
- Joel Kitchens (R, 1)
- John Macco (R, 88)
- John Spiros (R, 86)
- Jon Plumer (R, 42)
- Jonathan Brostoff (D, 19)
- Kalan Haywood (D, 16)
- Ken Skowronski (R, 82)
- Kevin Petersen (R, 57)
- Kristina Shelton (D, 90)
- LaKeshia Myers (D, 12)
- Lee Snodgrass (D, 52)
- Lisa Subeck (D, 79)
- Loren Oldenburg (R, 96)
- Marisabel Cabrera (D, 9)
- Mark Born (R, 37)
- Mark Spreitzer (D, 15)
- Michael Schraa (R, 53)
- Mike Kuglitsch (R, 84)
- Nancy VanderMeer (R, 70)
- Nick Milroy (D, 73)
- Pat Snyder (R, 85)
- Paul Tittl (R, 25)
- Rachael Cabral-Guevara (R, 19)
- Rick Gundrum (R, 58)
- Rob Brooks (R, 59)
- Rob Summerfield (R, 68)
- Rob Swearingen (R, 34)
- Robin Vos (R, 33)
- Ron Tusler (R, 3)
- Samantha Kerkman (R, 61)
- Samba Baldeh (D, 48)
- Sara Rodriguez (D, 13)
- Scott Allen (R, 82)
- Scott Krug (R, 72)
- Shae Sortwell (R, 2)
- Shannon Zimmerman (R, 30)
- Shelia Stubbs (D, 78)
- Sondy Pope (D, 80)
- Steve Doyle (D, 94)
- Sue Conley (D, 44)
- Supreme Moore Omokunde (D, 17)
- Sylvia Ortiz-Velez (D, 8)
- Terry Katsma (R, 26)
- Timothy Ramthun (R, 59)
- Tip McGuire (D, 64)
- Tod Ohnstad (D, 65)
- Todd Novak (R, 51)
- Tony Kurtz (R, 41)
- Travis Tranel (R, 49)
- Treig Pronschinske (R, 29)
- Tyler August (R, 31)
- Tyler Vorpagel (R, 27)
- Warren Petryk (R, 93)
No (1)
- Cody Horlacher (R, 33)
Didn't vote (4)
- David Bowen (D, 10)
- Katrina Shankland (D, 71)
- Robyn Vining (D, 13)
- Will Penterman (R, 38)
Official motion: “PASSAGE”. Official record · This vote on its own page
Senate vote
Passed, 3 to 2 · Mar 4, 2022
No member-by-member record exists for this vote. Committee votes and some older sessions record totals only.
Official motion: “Public hearing requirement waived by committee on Senate Organization, pursuant to Senate Rule 18 (1m), Ayes 3, Noes 2”. Official record · This vote on its own page
Senate vote to pass it
Passed, 32 to 0 · Mar 8, 2022 · 1 didn't vote
See how each of the 33 senators voted Hide the names
D: Democrat, R: Republican
Yes (32)
- Alberta Darling (R, 8)
- André Jacque (R, 1)
- Bob Wirch (D, 22)
- Brad Pfaff (D, 32)
- Chris Kapenga (R, 33)
- Chris Larson (D, 7)
- Dale Kooyenga (R, 5)
- Dan Feyen (R, 20)
- Devin LeMahieu (R, 9)
- Duey Stroebel (R, 20)
- Eric Wimberger (R, 2)
- Howard Marklein (R, 17)
- Janet Bewley (D, 25)
- Janis Ringhand (D, 15)
- Jeff Smith (D, 31)
- Jerry Petrowski (R, 29)
- John Jagler (R, 13)
- Jon Erpenbach (D, 27)
- Julian Bradley (R, 28)
- Kathleen Bernier (R, 23)
- Kelda Roys (D, 26)
- LaTonya Johnson (D, 6)
- Lena Taylor (D, 4)
- Mary Felzkowski (R, 12)
- Melissa Agard (D, 16)
- Patrick Testin (R, 24)
- Rob Cowles (R, 2)
- Rob Stafsholt (R, 10)
- Roger Roth (R, 19)
- Steve Nass (R, 11)
- Tim Carpenter (D, 3)
- Van Wanggaard (R, 21)
Didn't vote (1)
- Joan Ballweg (R, 14)
Official motion: “CONCURRENCE”. Official record · This vote on its own page
What happened
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Apr 8, 2022
The new law was published.
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Apr 8, 2022
The governor signed it. It became 2021 Wisconsin Act 228.
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Apr 4, 2022
Sent to the governor.
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Mar 8, 2022
The Senate passed it too, 32 to 0.
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Mar 4, 2022
“Public hearing requirement waived by committee on Senate Organization, pursuant to Senate Rule 18 (1m), Ayes 3, Noes 2” (the official wording)
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Feb 24, 2022
Sent to the Senate Committee on Senate Organization.
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Feb 23, 2022
The Senate received it.
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Feb 23, 2022
The Assembly passed it, 94 to 1.
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Feb 23, 2022
The Assembly adopted it.
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Feb 22, 2022
Sent to the Assembly Committee on Rules.
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Feb 22, 2022
The committee voted to recommend passing it, 16 to 0.
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Feb 18, 2022
Sent to the Joint Committee on Finance.
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Feb 18, 2022
The committee voted to recommend passing it, 9 to 0.
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Feb 9, 2022 to Feb 11, 2022
2 more representatives signed on in support.
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Feb 9, 2022
A state agency sent in its estimate of the cost.
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Feb 3, 2022
2 more representatives signed on in support.
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Feb 2, 2022
The committee held a public hearing.
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Feb 2, 2022
3 more representatives signed on in support.
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Jan 18, 2022
Sent to the Assembly Committee on Local Government.
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Jan 18, 2022
Introduced in the Assembly.
See the official record, word for word Hide the official record
- Jan 18, 2022 · Assembly
Introduced by Representatives Loudenbeck, Dallman, Brooks, Duchow, James, Kerkman, Krug, Kurtz, Mursau, Novak, Shankland, Subeck, Summerfield, Vruwink and Allen; cosponsored by Senators Felzkowski, Bewley, Cowles and Petrowski
- Jan 18, 2022 · Assembly
Read first time and referred to Committee on Local Government
- Feb 2, 2022 · Assembly
Representatives Skowronski, Wittke and Spreitzer added as coauthors
- Feb 2, 2022 · Assembly
Public hearing held
- Feb 3, 2022 · Assembly
- Feb 4, 2022 · Assembly
Assembly Amendment 1 offered by Representative Loudenbeck
- Feb 8, 2022 · Assembly
Executive action taken
- Feb 9, 2022 · Assembly
Fiscal estimate received
- Feb 9, 2022 · Assembly
Representative Brandtjen added as a coauthor
- Feb 11, 2022 · Assembly
Representative Conley added as a coauthor
- Feb 15, 2022 · Assembly
Assembly Amendment 2 offered by Representative Loudenbeck
- Feb 18, 2022 · Assembly
Report Assembly Amendment 1 adoption recommended by Committee on Local Government, Ayes 9, Noes 0
- Feb 18, 2022 · Assembly
Report passage as amended recommended by Committee on Local Government, Ayes 9, Noes 0
- Feb 18, 2022 · Assembly
Referred to joint committee on Finance
- Feb 18, 2022 · Assembly
Assembly Amendment 3 offered by Representative Loudenbeck
- Feb 21, 2022 · Assembly
Assembly Substitute Amendment 1 offered by Representative Loudenbeck
- Feb 22, 2022 · Assembly
Executive action taken
- Feb 22, 2022 · Assembly
Report Assembly Substitute Amendment 1 adoption recommended by Joint Committee on Finance, Ayes 12, Noes 4
- Feb 22, 2022 · Assembly
Report passage as amended recommended by Joint Committee on Finance, Ayes 16, Noes 0
- Feb 22, 2022 · Assembly
Referred to committee on Rules
- Feb 22, 2022 · Assembly
Made a special order of business at 8:58 AM on 2-23-2022 pursuant to Assembly Resolution 29
- Feb 23, 2022 · Assembly
Read a second time
- Feb 23, 2022 · Assembly
Assembly Substitute Amendment 1 adopted
- Feb 23, 2022 · Assembly
Ordered to a third reading
- Feb 23, 2022 · Assembly
Rules suspended
- Feb 23, 2022 · Assembly
Read a third time and passed, Ayes 94, Noes 1
- Feb 23, 2022 · Assembly
Ordered immediately messaged
- Feb 23, 2022 · Senate
Received from Assembly
- Feb 24, 2022 · Senate
Read first time and referred to committee on Senate Organization
- Feb 24, 2022 · Senate
Available for scheduling
- Mar 4, 2022 · Senate
Public hearing requirement waived by committee on Senate Organization, pursuant to Senate Rule 18 (1m), Ayes 3, Noes 2
- Mar 4, 2022 · Senate
Placed on calendar 3-8-2022 pursuant to Senate Rule 18(1)
- Mar 8, 2022 · Senate
Read a second time
- Mar 8, 2022 · Senate
Ordered to a third reading
- Mar 8, 2022 · Senate
Rules suspended
- Mar 8, 2022 · Senate
Read a third time and concurred in, Ayes 32, Noes 0
- Mar 8, 2022 · Senate
Ordered immediately messaged
- Mar 9, 2022 · Assembly
Received from Senate concurred in
- Mar 15, 2022 · Assembly
Report correctly enrolled on 3-15-2022
- Apr 4, 2022 · Assembly
Presented to the Governor on 4-4-2022 by directive of the Speaker
- Apr 8, 2022 · Assembly
Report approved by the Governor on 4-8-2022. 2021 Wisconsin Act 228
- Apr 8, 2022 · Assembly
Published 4-9-2022
Terms on this page
Wisconsin Act
The number a bill gets when it becomes law, like 2025 Wisconsin Act 12.
Official term: Act. More in the glossary
Legislative Reference Bureau
The Legislature's nonpartisan office that drafts bills and writes the summary at the top of each one.
Official term: LRB analysis. More in the glossary
Author
A lawmaker who formally puts a bill forward. The text itself is drafted by the Legislative Reference Bureau.
Official term: Author, coauthor. More in the glossary
Signed on in support
Lawmakers who back a bill without being one of its authors, often from the other chamber.
Official term: Cosponsor. More in the glossary
Cost estimate
A state agency's estimate of what a bill would cost or save.
Official term: Fiscal estimate. More in the glossary
Roll call
A vote where each lawmaker's yes or no is recorded by name.
Official term: Roll call vote. More in the glossary
From the Wisconsin Legislature's official record, checked Sep 15, 2026. See the source
Wisconsin Act
The number a bill gets when it becomes law, like 2025 Wisconsin Act 12.
Official term: Act
Legislative Reference Bureau
The Legislature's nonpartisan office that drafts bills and writes the summary at the top of each one.
Official term: LRB analysis
Signed on in support
Lawmakers who back a bill without being one of its authors, often from the other chamber.
Official term: Cosponsor
Cost estimate
A state agency's estimate of what a bill would cost or save.
Official term: Fiscal estimate
Roll call
A vote where each lawmaker's yes or no is recorded by name.
Official term: Roll call vote