Amendment AA30-SB21

LRBb0906/1

GMM/PJK/EHS/TJD:amn/klm/jld

2015 - 2016 LEGISLATURE

ASSEMBLY AMENDMENT 30, TO SENATE BILL 21

July 8, 2015 - Offered by Representatives Johnson, Subeck and Zamarripa.

SB21-AA30,1,2 At the locations indicated, amend the bill, as shown by senate substitute amendment 1, as follows:

SB21-AA30,1,6 1. Page 195, line 7: decrease the dollar amount for fiscal year 2015-16 by $113,100,000 and decrease the dollar amount for fiscal year 2016-17 by $247,400,000 for the purpose of providing Medical Assistance to certain adults with incomes up to 133 percent of the federal poverty line.

SB21-AA30,1,9 2. Page 210, line 4: increase the dollar amount for fiscal year 2015-16 by $5,000,000 and increase the dollar amount for fiscal year 2016-17 by $5,000,000 for the purpose of paying child care subsidies under s. 49.155.

SB21-AA30,1,10 3. Page 526, line 5: after that line insert:

SB21-AA30,1,11 " Section 1738d. 49.155 (6) (f) of the statutes is created to read:

SB21-AA30,2,3 49.155 (6) (f) If a child care provider loses a staff member, the department shall give the child care provider a grace period to fill the vacancy during which time the department may not reduce the provider's quality rating, as described in par. (e). The grace period may not be less than 45 days after the child care provider receives notice of the staff vacancy.".

SB21-AA30,2,4 4. Page 532, line 1: delete lines 1 to 3 and substitute:

SB21-AA30,2,7 "49.175 (1) (p) Direct child care services. For direct child care services under s. 49.155, $271,400,200 $267,064,700 in fiscal year 2013-14 2015-16 and $274,734,000 $285,719,700 in fiscal year 2014-15 2016-17.".

SB21-AA30,2,8 5. Page 557, line 18: after that line insert:

SB21-AA30,2,9 " Section 1795x. 49.45 (23) (a) of the statutes is amended to read:

SB21-AA30,2,17 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.".

SB21-AA30,2,18 6. Page 565, line 17: after that line insert:

SB21-AA30,2,19 " Section 1809t. 49.471 (1) (cr) of the statutes is created to read:

SB21-AA30,2,21 49.471 (1) (cr) "Enhanced federal medical assistance percentage" means a federal medical assistance percentage described under 42 USC 1396d (y) or (z).

SB21-AA30,1809v Section 1809v. 49.471 (4) (a) 4. b. of the statutes is amended to read:

SB21-AA30,3,3 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).

SB21-AA30,1809x Section 1809x. 49.471 (4g) of the statutes is created to read:

SB21-AA30,3,12 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.

SB21-AA30,3,23 (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.".

SB21-AA30,4,3 7. Page 1484, line 11: after "more." insert "That employee retention plan shall require initial assessment staff of that subunit to be paid not less than similarly situated initial assessment case workers employed by Dane County.".

SB21-AA30,4,4 8. Page 1563, line 20: after that line insert:

SB21-AA30,4,7 "(5f) Medicaid expansion. The treatment of sections 49.45 (23) (a) and 49.471 (1) (cr), (4) (a) 4. b., and (4g) takes effect on January 1, 2016, or on the day after publication, whichever is later.".

SB21-AA30,4,8 (End)