AB64-ASA1-AA8,2,2 102. Page 173, line 16: increase the dollar amount for fiscal year 2017-18 by
11$239,800 and increase the dollar amount for fiscal year 2018-19 by $239,800 for the

1purpose of increasing the funding for emergency medical services training and
2certification aids.
AB64-ASA1-AA8,2,6 33. Page 179, line 2: decrease the dollar amount for fiscal year 2017-18 by
4$98,900,000 and decrease the dollar amount for fiscal year 2018-19 by $187,400,000
5for the purpose of providing Medical Assistance to certain adults with family incomes
6up to 133 percent of the federal poverty line.
AB64-ASA1-AA8,2,10 74. Page 179, line 2: increase the dollar amount for fiscal year 2017-18 by
8$72,836,000 and increase the dollar amount for fiscal year 2018-19 by $156,124,700
9for the purpose of increasing reimbursement rates for certain providers of Medical
10Assistance services as described under Section 9120 (7g) of this act.
AB64-ASA1-AA8,2,14 115. Page 179, line 2: increase the dollar amount for fiscal year 2017-18 by
12$7,459,500 and increase the dollar amount for fiscal year 2018-19 by $15,961,700 for
13the purpose of increasing reimbursement rates for certain providers of Medical
14Assistance nursing homes as described under Section 9120 (5v) of this act.
AB64-ASA1-AA8,2,18 156. Page 179, line 2: increase the dollar amount for fiscal year 2017-18 by
16$13,262,515 and increase the dollar amount for fiscal year 2018-19 by $28,318,166
17for the purpose of increasing reimbursement rates for certain providers of Medical
18Assistance personal care services as described under Section 9120 (5t) of this act.
AB64-ASA1-AA8,2,19 197. Page 424, line 21: after that line insert:
AB64-ASA1-AA8,2,20 20 Section 709n. 40.51 (8) of the statutes is amended to read:
AB64-ASA1-AA8,3,221 40.51 (8) Every health care coverage plan offered by the state under sub. (6)
22shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.728, 632.746
23(1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853,

1632.855, 632.867, 632.87 (3) to (6), 632.885, 632.89, 632.895 (5m) and (8) to (17), and
2632.896.
AB64-ASA1-AA8,709p 3Section 709p. 40.51 (8m) of the statutes is amended to read:
AB64-ASA1-AA8,3,74 40.51 (8m) Every health care coverage plan offered by the group insurance
5board under sub. (7) shall comply with ss. 631.95, 632.728, 632.746 (1) to (8) and (10),
6632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.867,
7632.885, 632.89, and 632.895 (11) to (17).”.
AB64-ASA1-AA8,3,8 88. Page 424, line 21: after that line insert:
AB64-ASA1-AA8,3,9 9 Section 709p. 40.51 (8m) of the statutes is amended to read:
AB64-ASA1-AA8,3,1310 40.51 (8m) Every health care coverage plan offered by the group insurance
11board under sub. (7) shall comply with ss. 631.95, 632.746 (1) to (8) and (10), 632.747,
12632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.867, 632.885,
13632.89, and 632.895 (11) (8) and (10) to (17).”.
AB64-ASA1-AA8,3,14 149. Page 424, line 21: after that line insert:
AB64-ASA1-AA8,3,15 15 Section 709n. 40.51 (8) of the statutes is amended to read:
AB64-ASA1-AA8,3,2016 40.51 (8) Every health care coverage plan offered by the state under sub. (6)
17shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.746 (1) to (8)
18and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855,
19632.867, 632.87 (3) to (6), 632.883, 632.885, 632.89, 632.895 (5m) and (8) to (17), and
20632.896.
AB64-ASA1-AA8,709p 21Section 709p. 40.51 (8m) of the statutes is amended to read:
AB64-ASA1-AA8,4,222 40.51 (8m) Every health care coverage plan offered by the group insurance
23board under sub. (7) shall comply with ss. 631.95, 632.746 (1) to (8) and (10), 632.747,

1632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.867, 632.883,
2632.885, 632.89, and 632.895 (11) to (17).”.
AB64-ASA1-AA8,4,3 310. Page 518, line 19: after that line insert:
AB64-ASA1-AA8,4,4 4 Section 925t. 49.45 (9d) of the statutes is created to read:
AB64-ASA1-AA8,4,55 49.45 (9d) Family planning services; private providers. (a) In this subsection:
AB64-ASA1-AA8,4,66 1. “Family planning” has the meaning given s. 253.07 (1) (a).
AB64-ASA1-AA8,4,107 2. “Federal funding prohibition” means an enacted federal law, a regulation,
8or an executive order or action that prohibits federal moneys from being paid by the
9state to a provider under the Medicaid program because of the scope of services
10offered by the provider or the scope of services for which the provider offers referrals.
AB64-ASA1-AA8,4,1311 3. “Nonpublic family planning provider” means an entity other than a public
12entity or governmental unit that is a provider of services for family planning under
13the Medical Assistance program under this subchapter on December 31, 2016.
AB64-ASA1-AA8,4,1514 (b) If a nonpublic family planning provider becomes subject to a federal funding
15prohibition, the department shall do all of the following:
AB64-ASA1-AA8,4,1816 1. Ensure that enrollees in the Medical Assistance program under this
17subchapter are allowed access to the nonpublic family planning provider to the same
18extent as before the federal funding prohibition.
AB64-ASA1-AA8,4,2119 2. Reimburse the nonpublic family planning provider for services provided to
20Medical Assistance enrollees under this subchapter for services for family planning
21that are covered under the Medical Assistance program.
AB64-ASA1-AA8,4,2422 3. Maintain requirements for the nonpublic family planning provider to receive
23state payments under this subchapter that are the same requirements as before the
24federal funding prohibition.
AB64-ASA1-AA8,5,3
1(c) The department may not limit the scope of services for which a nonpublic
2family planning provider may offer a referral in order to receive reimbursement
3under par. (b) 2.”.
AB64-ASA1-AA8,5,4 411. Page 521, line 19: after that line insert:
AB64-ASA1-AA8,5,5 5 Section 926w. 49.45 (23) (a) of the statutes is amended to read:
AB64-ASA1-AA8,5,136 49.45 (23) (a) The department shall request a waiver from the secretary of the
7federal department of health and human services to permit the department to
8conduct a demonstration project to provide health care coverage to adults who are
9under the age of 65, who have family incomes not to exceed 100 133 percent of the
10poverty line before application of the 5 percent income disregard under 42 CFR
11435.603 (d)
, except as provided in s. 49.471 (4g), and who are not otherwise eligible
12for medical assistance under this subchapter, the Badger Care health care program
13under s. 49.665, or Medicare under 42 USC 1395 et seq.”.
AB64-ASA1-AA8,5,14 1412. Page 531, line 15: after that line insert:
AB64-ASA1-AA8,5,15 15 Section 933p. 49.471 (1) (cr) of the statutes is created to read:
AB64-ASA1-AA8,5,1716 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a
17federal medical assistance percentage described under 42 USC 1396d (y) or (z).
AB64-ASA1-AA8,933r 18Section 933r. 49.471 (4) (a) 4. b. of the statutes is amended to read:
AB64-ASA1-AA8,5,2119 49.471 (4) (a) 4. b. The Except as provided in sub. (4g), the individual's family
20income does not exceed 100 133 percent of the poverty line before application of the
215 percent income disregard under 42 CFR 435.603 (d)
.
AB64-ASA1-AA8,933t 22Section 933t. 49.471 (4g) of the statutes is created to read:
AB64-ASA1-AA8,6,723 49.471 (4g) Medicaid expansion; federal medical assistance percentage. (a)
24For services provided to individuals described under sub. (4) (a) 4. and s. 49.45 (23),

1the department shall comply with all federal requirements to qualify for the highest
2available enhanced federal medical assistance percentage. The department shall
3submit any amendment to the state medical assistance plan, request for a waiver of
4federal Medicaid law, or other approval request required by the federal government
5to provide services to the individuals described under sub. (4) (a) 4. and s. 49.45 (23)
6and qualify for the highest available enhanced federal medical assistance
7percentage.
AB64-ASA1-AA8,6,198 (b) If the department does not qualify for an enhanced federal medical
9assistance percentage, or if the enhanced federal medical assistance percentage
10obtained by the department is lower than printed in federal law as of July 1, 2013,
11for individuals eligible under sub. (4) (a) 4. or s. 49.45 (23), the department shall
12submit to the joint committee on finance a fiscal analysis comparing the cost to
13maintain coverage for adults who are not pregnant and not elderly with family
14incomes up to 133 percent of the poverty line to the cost of limiting eligibility to those
15adults with family incomes up to 100 percent of the poverty line. The department
16may reduce income eligibility for adults who are not pregnant and not elderly from
17family incomes of up to 133 percent of the poverty line to family incomes of up to 100
18percent of the poverty line only if this reduction in income eligibility levels is
19approved by the joint committee on finance.”.
AB64-ASA1-AA8,6,20 2013. Page 531, line 15: after that line insert:
AB64-ASA1-AA8,6,21 21 Section 933t. 49.471 (4m) of the statutes is created to read:
AB64-ASA1-AA8,7,1122 49.471 (4m) Purchase options for BadgerCare Plus and the assistance for
23childless adults demonstration project.
(a) 1. The department shall, if required,
24request a waiver from or submit amendments to the state Medical Assistance plan

1to the secretary of the federal department of health and human services to establish
2a program that allows individuals with income above the maximum income
3eligibility limit applicable under this section or the assistance for childless adults
4demonstration project under s. 49.45 (23), and who otherwise meet the eligibility
5requirements under this section or under s. 49.45 (23), the option of purchasing
6coverage through this section or through the demonstration project under s. 49.45
7(23) instead of purchasing an individual health plan through private insurance. The
8department shall also include a request for any federal waiver or state Medical
9Assistance plan amendments necessary to allow an option for small businesses to
10purchase coverage for their employees under this section as part of the small
11business health options program through an exchange under 42 USC 18031.
AB64-ASA1-AA8,7,1512 2. The department shall seek any federal waiver and state Medical Assistance
13plan amendments necessary to allow individuals who qualify under subd. 1. to use
14advanced tax credits and cost-sharing credits, if eligible, to purchase one of the
15options described under subd. 1.
AB64-ASA1-AA8,7,2416 (b) 1. The department shall coordinate the administration of the purchase
17options under this subsection with the programs under this section and s. 49.45 (23)
18to maximize efficiency and improve the continuity of care, consistent with the
19requirements of this section and s. 49.45 (23). The department shall seek to
20implement mechanisms to ensure the long-term financial sustainability of the
21programs under this section and s. 49.45 (23). These mechanisms must address
22issues related to minimizing adverse selection, the state financial risk and
23contribution, and negative impacts to premiums in the individual and group
24insurance markets.
AB64-ASA1-AA8,8,2
12. The purchase option program shall include, at a minimum, all of the
2following attributes:
AB64-ASA1-AA8,8,43 a. Establishment of an annual per enrollee premium rate similar to the average
4rate paid by the state to managed care plan contractors.
AB64-ASA1-AA8,8,65 b. Establishment of a benefit set equal to the benefits covered under this section
6and s. 49.45 (23).
AB64-ASA1-AA8,8,87 c. Annual enrollment that is limited to the same annual open enrollment
8periods established for the programs under this section and s. 49.45 (23).
AB64-ASA1-AA8,8,109 d. The ability for the department to adjust the purchase option's actuarial value
10to a value no lower than 87 percent.
AB64-ASA1-AA8,8,1211 e. Reimbursement mechanisms for addressing potential increased costs to the
12programs under this section and s. 49.45 (23).
AB64-ASA1-AA8,8,1713 (c) By March 1, 2018, the department of health services shall submit a report
14to the appropriate standing committee in each house of the legislature under s.
1513.172 (3) that provides information on the status of the request for a federal waiver
16and the results from actuarial and economic analyses that are necessary for a waiver
17proposal.
AB64-ASA1-AA8,8,2318 (d) If any necessary waiver or amendments to the state plan described under
19par. (a) 1. are approved, the department shall implement the program. If the
20department is authorized to implement the program, and if any waiver or state plan
21amendment described under par. (a) 2. is necessary and is approved, or if the
22department determines neither a waiver nor state plan amendment is necessary, the
23department shall allow the purchase options described under par. (a) 2.”.
AB64-ASA1-AA8,8,24 2414. Page 563, line 2: after that line insert:
AB64-ASA1-AA8,9,2
1 Section 983a. 66.0137 (4) of the statutes, as affected by 2017 Wisconsin Act
230
, is amended to read:
AB64-ASA1-AA8,9,93 66.0137 (4) Self-insured health plans. If a city, including a 1st class city, or
4a village provides health care benefits under its home rule power, or if a town
5provides health care benefits, to its officers and employees on a self-insured basis,
6the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
7632.728, 632.746 (1), 632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.798, 632.85,
8632.853, 632.855, 632.867, 632.87 (4) to (6), 632.885, 632.89, 632.895 (9) to (17),
9632.896, and 767.513 (4).”.
AB64-ASA1-AA8,9,10 1015. Page 563, line 2: after that line insert:
AB64-ASA1-AA8,9,12 11 Section 983a. 66.0137 (4) of the statutes, as affected by 2017 Wisconsin Act
1230
, is amended to read:
AB64-ASA1-AA8,9,1813 66.0137 (4) Self-insured health plans. If a city, including a 1st class city, or
14a village provides health care benefits under its home rule power, or if a town
15provides health care benefits, to its officers and employees on a self-insured basis,
16the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
17632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.798, 632.85, 632.853, 632.855, 632.867,
18632.87 (4) to (6), 632.885, 632.89, 632.895 (9) (8) to (17), 632.896, and 767.513 (4).”.
AB64-ASA1-AA8,9,19 1916. Page 563, line 2: after that line insert:
AB64-ASA1-AA8,9,21 20 Section 983a. 66.0137 (4) of the statutes, as affected by 2017 Wisconsin Act
2130
, is amended to read:
AB64-ASA1-AA8,9,24 2266.0137 (4) Self-insured health plans. If a city, including a 1st class city, or
23a village provides health care benefits under its home rule power, or if a town
24provides health care benefits, to its officers and employees on a self-insured basis,

1the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
2632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.798, 632.85, 632.853, 632.855, 632.867,
3632.87 (4) to (6), 632.883, 632.885, 632.89, 632.895 (9) to (17), 632.896, and 767.513
4(4).”.
AB64-ASA1-AA8,10,5 517. Page 831, line 3: after that line insert:
AB64-ASA1-AA8,10,7 6 Section 1624k. 120.13 (2) (g) of the statutes, as affected by 2017 Wisconsin
7Act 30
, is amended to read:
AB64-ASA1-AA8,10,118 120.13 (2) (g) Every self-insured plan under par. (b) shall comply with ss.
949.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.728, 632.746 (1), 632.746 (10) (a) 2. and
10(b) 2., 632.747 (3), 632.798, 632.85, 632.853, 632.855, 632.867, 632.87 (4) to (6),
11632.885, 632.89, 632.895 (9) to (17), 632.896, and 767.513 (4).”.
AB64-ASA1-AA8,10,12 1218. Page 831, line 3: after that line insert:
AB64-ASA1-AA8,10,14 13 Section 1624k. 120.13 (2) (g) of the statutes, as affected by 2017 Wisconsin
14Act 30
, is amended to read:
AB64-ASA1-AA8,10,1815 120.13 (2) (g) Every self-insured plan under par. (b) shall comply with ss.
1649.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.746 (10) (a) 2. and (b) 2., 632.747 (3),
17632.798, 632.85, 632.853, 632.855, 632.867, 632.87 (4) to (6), 632.885, 632.89,
18632.895 (9) (8) to (17), 632.896, and 767.513 (4).”.
AB64-ASA1-AA8,10,19 1919. Page 831, line 3: after that line insert:
AB64-ASA1-AA8,10,21 20 Section 1624k. 120.13 (2) (g) of the statutes, as affected by 2017 Wisconsin
21Act 30
, is amended to read:
AB64-ASA1-AA8,11,222 120.13 (2) (g) Every self-insured plan under par. (b) shall comply with ss.
2349.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.746 (10) (a) 2. and (b) 2., 632.747 (3),

1632.798, 632.85, 632.853, 632.855, 632.867, 632.87 (4) to (6), 632.883, 632.885,
2632.89, 632.895 (9) to (17), 632.896, and 767.513 (4).”.
AB64-ASA1-AA8,11,3 320. Page 857, line 18: after that line insert:
AB64-ASA1-AA8,11,5 4 Section 1691am. 185.983 (1) (intro.) of the statutes, as affected by 2017
5Wisconsin Act 30
, is amended to read:
AB64-ASA1-AA8,11,136 185.983 (1) (intro.) Every voluntary nonprofit health care plan operated by a
7cooperative association organized under s. 185.981 shall be exempt from chs. 600 to
8646, with the exception of ss. 601.04, 601.13, 601.31, 601.41, 601.42, 601.43, 601.44,
9601.45, 611.26, 611.67, 619.04, 623.11, 623.12, 628.34 (10), 631.17, 631.89, 631.93,
10631.95, 632.72 (2), 632.728, 632.745 to 632.749, 632.775, 632.79, 632.795, 632.798,
11632.85, 632.853, 632.855, 632.867, 632.87 (2) to (6), 632.885, 632.89, 632.895 (5) and
12(8) to (17), 632.896, and 632.897 (10) and chs. 609, 620, 630, 635, 645, and 646, but
13the sponsoring association shall:”.
AB64-ASA1-AA8,11,14 1421. Page 857, line 18: after that line insert:
AB64-ASA1-AA8,11,15 15 Section 1691am. 185.983 (1) (intro.) of the statutes is amended to read:
AB64-ASA1-AA8,11,2316 185.983 (1) (intro.) Every voluntary nonprofit health care plan operated by a
17cooperative association organized under s. 185.981 shall be exempt from chs. 600 to
18646, with the exception of ss. 601.04, 601.13, 601.31, 601.41, 601.42, 601.43, 601.44,
19601.45, 611.26, 611.67, 619.04, 623.11, 623.12, 628.34 (10), 631.17, 631.89, 631.93,
20631.95, 632.72 (2), 632.745 to 632.749, 632.775, 632.79, 632.795, 632.798, 632.85,
21632.853, 632.855, 632.867, 632.87 (2) to (6), 632.883, 632.885, 632.89, 632.895 (5) and
22(8) to (17), 632.896, and 632.897 (10) and chs. 609, 620, 630, 635, 645, and 646, but
23the sponsoring association shall:”.
AB64-ASA1-AA8,11,24 2422. Page 876, line 22: after that line insert:
AB64-ASA1-AA8,12,1
1 Section 1791df. 253.07 (title) of the statutes is amended to read:
AB64-ASA1-AA8,12,2 2253.07 (title) Women's health block grant; state family planning funds.
AB64-ASA1-AA8,1791dh 3Section 1791dh. 253.07 (6) of the statutes is created to read:
AB64-ASA1-AA8,12,44 253.07 (6) State-funded family planning program. (a) In this subsection:
AB64-ASA1-AA8,12,95 1. “Federal funding prohibition” means an enacted federal law, a regulation,
6or an executive order or action that prohibits federal moneys from being paid by the
7state to or directly to a provider under Title X of the federal Public Health Service
8Act, 42 USC 300 to 300a-6, because of the scope of services offered by the provider
9or the scope of services for which the provider offers referrals.
AB64-ASA1-AA8,12,1310 2. “Nonpublic family planning provider” means an entity other than a public
11entity or governmental unit that is a provider of services for family planning and that
12is eligible to apply for grant funding under Title X of the federal Public Health Service
13Act, 42 USC 300 to 300a-6, on December 31, 2016.
AB64-ASA1-AA8,12,1914 (b) Notwithstanding sub. (5), if a nonpublic family planning provider becomes
15subject to a federal funding prohibition, the department shall establish a
16state-funded family planning program to ensure continuity of family planning
17services in the state and distribute state funds to any nonpublic family planning
18providers that are subject to a federal funding prohibition to be used to provide family
19planning services.”.
AB64-ASA1-AA8,12,20 2023. Page 925, line 14: after that line insert:
AB64-ASA1-AA8,12,21 21 Section 2218s. 625.02 (1) of the statutes is renumbered 625.02 (1m).
AB64-ASA1-AA8,2218t 22Section 2218t. 625.02 (1j) of the statutes is created to read:
AB64-ASA1-AA8,12,2323 625.02 (1j) “Health insurance" has the meaning given in s. 632.745 (12).
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