Amendment SA12-SSA1-SB21

LRBb0686/1

TJD:ahe

2015 - 2016 LEGISLATURE

SENATE AMENDMENT 12, TO SENATE SUBSTITUTE AMENDMENT 1, TO SENATE BILL 21

July 7, 2015 - Offered by Senators Erpenbach, L. Taylor, Carpenter, Lassa, Wirch, Hansen, Ringhand, Bewley, Vinehout, Miller, Risser, Shilling, C. Larson and Harris Dodd.

SB21-SSA1-SA12,1,1 At the locations indicated, amend the substitute amendment as follows:

SB21-SSA1-SA12,1,2 1. At the appropriate places, insert all of the following:

SB21-SSA1-SA12,1,3 " Section 1. 49.45 (23) (a) of the statutes is amended to read:

SB21-SSA1-SA12,1,11 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-SSA1-SA12,2 Section 2. 49.471 (1) (cr) of the statutes is created to read:

SB21-SSA1-SA12,2,2 49.471 (1) (cr) "Enhanced federal medical assistance percentage" means a federal medical assistance percentage described under 42 USC 1396d (y) or (z).

SB21-SSA1-SA12,3 Section 3. 49.471 (4) (a) 4. b. of the statutes is amended to read:

SB21-SSA1-SA12,2,6 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-SSA1-SA12,4 Section 4. 49.471 (4g) of the statutes is created to read:

SB21-SSA1-SA12,2,15 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-SSA1-SA12,3,2 (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-SSA1-SA12,3,6 2. 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-SSA1-SA12,3,7 3. Page 557, line 19: delete that line.

SB21-SSA1-SA12,3,10 4. Page 557, line 23: delete the material beginning with "to do" and ending with "Require" on page 558, line 8, and substitute ", with respect to the childless adults demonstration project under this subsection, to require".

SB21-SSA1-SA12,3,11 5. Page 558, line 14: delete "a. to e.".

SB21-SSA1-SA12,3,12 6. Page 1496, line 21: delete "a. to e.".

SB21-SSA1-SA12,3,13 7. Page 1496, line 25: delete "a. to e.".

SB21-SSA1-SA12,3,14 8. Page 1563, line 20: after that line insert:

SB21-SSA1-SA12,3,17 "(5j) 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-SSA1-SA12,3,18 (End)