Amendment ASA3-AB740

LRBs0364/1

MDK:ahe

2015 - 2016 LEGISLATURE

ASSEMBLY SUBSTITUTE AMENDMENT 3, TO ASSEMBLY BILL 740

February 16, 2016 - Offered by Representatives Mason, C. Taylor and Barca.

AB740-ASA3,1,5 An Act to amend 20.292 (1) (d), 49.45 (23) (a) and 49.471 (4) (a) 4. b.; and to create 49.471 (1) (cr) and 49.471 (4g) of the statutes; relating to: state aid to technical colleges, Wisconsin grants for technical college students, Medicaid expansion, eligibility for BadgerCare Plus and BadgerCare Plus Core, and making appropriations.

The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:

AB740-ASA3,1 Section 1. 20.292 (1) (d) of the statutes is amended to read:

AB740-ASA3,2,7 20.292 (1) (d) State aid for technical colleges; statewide guide. The As a continuing appropriation, the amounts in the schedule for state aids for technical college districts and technical colleges, including area schools and programs established and maintained under the supervision of the board, under s. 38.28 (2) (b), (be), and (bm), and for production and distribution of the statewide guide under s. 38.04 (18). Of the amount in the schedule for each fiscal year not exceeding $50,000 may be spent by the board to match federal funds made available for technical education by any act of congress for the purposes set forth in such act and no more than $125,000 may be spent by the board to produce and distribute the statewide guide under s. 38.04 (18). If, in any fiscal year, actual program fees raised under s. 38.24 (1m) exceed board estimates, the increase shall be used to offset actual district aidable cost.

AB740-ASA3,2 Section 2. 49.45 (23) (a) of the statutes is amended to read:

AB740-ASA3,2,16 49.45 (23) (a) The department shall request a waiver from the secretary of the federal department of health and human services to permit the department to conduct a demonstration project to provide health care coverage to adults who are under the age of 65, who have family incomes not to exceed 100 133 percent of the poverty line before application of the 5 percent income disregard under 42 CFR 435.603 (d), except as provided in s. 49.471 (4g), and who are not otherwise eligible for medical assistance under this subchapter, the Badger Care health care program under s. 49.665, or Medicare under 42 USC 1395 et seq.

AB740-ASA3,3 Section 3. 49.471 (1) (cr) of the statutes is created to read:

AB740-ASA3,2,19 49.471 (1) (cr) "Enhanced federal medical assistance percentage" means a federal medical assistance percentage described under 42 USC 1396d (y) or (z).

AB740-ASA3,4 Section 4. 49.471 (4) (a) 4. b. of the statutes is amended to read:

AB740-ASA3,2,23 49.471 (4) (a) 4. b. The Except as provided in sub. (4g), the individual's family income does not exceed 100 133 percent of the poverty line before application of the 5 percent income disregard under 42 CFR 435.603 (d).

AB740-ASA3,5 Section 5. 49.471 (4g) of the statutes is created to read:

AB740-ASA3,3,8 49.471 (4g) Medicaid expansion; federal medical assistance percentage. (a) For services provided to individuals described under sub. (4) (a) 4. and s. 49.45 (23), the department shall comply with all federal requirements to qualify for the highest available enhanced federal medical assistance percentage. The department shall submit any amendment to the state medical assistance plan, request for a waiver of federal Medicaid law, or other approval required by the federal government to provide services to the individuals described under sub. (4) (a) 4. and s. 49.45 (23) and qualify for the highest available enhanced federal medical assistance percentage.

AB740-ASA3,3,19 (b) If the department does not qualify for an enhanced federal medical assistance percentage, or if the enhanced federal medical assistance percentage obtained by the department is lower than printed in federal law as of July 1, 2013, for individuals eligible under sub. (4) (a) 4. or s. 49.45 (23), the department shall submit to the joint committee on finance a fiscal analysis comparing the cost to maintain coverage for adults who are not pregnant and not elderly at up to 133 percent of the poverty line to the cost of limiting eligibility to those adults with family incomes up to 100 percent of the poverty line. The department may reduce income eligibility for adults who are not pregnant and not elderly from up to 133 percent of the poverty line to up to 100 percent of the poverty line only if this reduction in income eligibility levels is approved by the joint committee on finance.

AB740-ASA3,6 Section 6. Fiscal changes.

AB740-ASA3,3,25 (1) State aid to technical colleges. In the schedule under section 20.005 (3) of the statutes for the appropriation to the technical college system board under section 20.292 (1) (d) of the statutes, as affected by the acts of 2015, the dollar amount for fiscal year 2015-16 is increased by $203,000 for the purpose for which the appropriation is made.

AB740-ASA3,4,6 (2) Wisconsin grants to technical college students. In the schedule under section 20.005 (3) of the statutes for the appropriation to the higher educational aids board under section 20.235 (1) (ff) of the statutes, as affected by the acts of 2015, the dollar amount for fiscal year 2015-16 is increased by $5,000,000 and the dollar amount for fiscal year 2016-17 is increased by $5,000,000, for the purpose for which the appropriation is made.

AB740-ASA3,4,16 (3) Medical Assistance. In the schedule under section 20.005 (3) of the statutes for the appropriation to the department of health services under section 20.435 (4) (b) of the statutes, as affected by the acts of 2015, the dollar amount for fiscal year 2015-16 is decreased by $102,900,000 to provide Medical Assistance to certain adults with incomes up to 133 percent of the federal poverty line. In the schedule under section 20.005 (3) of the statutes for the appropriation to the department of health services under section 20.435 (4) (b) of the statutes, as affected by the acts of 2015, the dollar amount for fiscal year 2016-17 is decreased by $220,600,000 to provide Medical Assistance to certain adults with incomes up to 133 percent of the federal poverty line.

AB740-ASA3,7 Section 7. Effective dates. This act takes effect on the day after publication, except as follows:

AB740-ASA3,4,21 (1) The treatment of sections 49.45 (23) (a) and 49.471 (1) (cr), (4) (a) 4. b., and (4g) of the statutes takes effect on March 1, 2016, or on the day after publication, whichever is later.

AB740-ASA3,4,22 (End)