LRBb0765/1
TJD:ahe
2017 - 2018 LEGISLATURE
SENATE AMENDMENT 4,
TO ASSEMBLY BILL 64
September 15, 2017 - Offered by Senators Erpenbach, Shilling, Ringhand,
Johnson, Miller, Carpenter, L. Taylor, Risser, Vinehout, Bewley, Wirch,
Hansen and Larson.
AB64-SA4,1,21 At the locations indicated, amend the bill, as shown by assembly substitute
2amendment 1, as follows:
AB64-SA4,1,6 31. 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-SA4,1,7 72. Page 521, line 19: after that line insert:
AB64-SA4,1,8 8 Section 926w. 49.45 (23) (a) of the statutes is amended to read:
AB64-SA4,2,39 49.45 (23) (a) The department shall request a waiver from the secretary of the
10federal department of health and human services to permit the department to
11conduct a demonstration project to provide health care coverage to adults who are
12under the age of 65, who have family incomes not to exceed 100 133 percent of the
13poverty line before application of the 5 percent income disregard under 42 CFR

1435.603 (d)
, except as provided in s. 49.471 (4g), and who are not otherwise eligible
2for medical assistance under this subchapter, the Badger Care health care program
3under s. 49.665, or Medicare under 42 USC 1395 et seq.”.
AB64-SA4,2,4 43. Page 531, line 15: after that line insert:
AB64-SA4,2,5 5 Section 933p. 49.471 (1) (cr) of the statutes is created to read:
AB64-SA4,2,76 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a
7federal medical assistance percentage described under 42 USC 1396d (y) or (z).
AB64-SA4,933r 8Section 933r. 49.471 (4) (a) 4. b. of the statutes is amended to read:
AB64-SA4,2,119 49.471 (4) (a) 4. b. The Except as provided in sub. (4g), the individual's family
10income does not exceed 100 133 percent of the poverty line before application of the
115 percent income disregard under 42 CFR 435.603 (d)
.
AB64-SA4,933t 12Section 933t. 49.471 (4g) of the statutes is created to read:
AB64-SA4,2,2113 49.471 (4g) Medicaid expansion; federal medical assistance percentage. (a)
14For services provided to individuals described under sub. (4) (a) 4. and s. 49.45 (23),
15the department shall comply with all federal requirements to qualify for the highest
16available enhanced federal medical assistance percentage. The department shall
17submit any amendment to the state medical assistance plan, request for a waiver of
18federal Medicaid law, or other approval request required by the federal government
19to provide services to the individuals described under sub. (4) (a) 4. and s. 49.45 (23)
20and qualify for the highest available enhanced federal medical assistance
21percentage.
AB64-SA4,3,922 (b) If the department does not qualify for an enhanced federal medical
23assistance percentage, or if the enhanced federal medical assistance percentage
24obtained by the department is lower than printed in federal law as of July 1, 2013,

1for individuals eligible under sub. (4) (a) 4. or s. 49.45 (23), the department shall
2submit to the joint committee on finance a fiscal analysis comparing the cost to
3maintain coverage for adults who are not pregnant and not elderly with family
4incomes up to 133 percent of the poverty line to the cost of limiting eligibility to those
5adults with family incomes up to 100 percent of the poverty line. The department
6may reduce income eligibility for adults who are not pregnant and not elderly from
7family incomes of up to 133 percent of the poverty line to family incomes of up to 100
8percent of the poverty line only if this reduction in income eligibility levels is
9approved by the joint committee on finance.”.
AB64-SA4,3,10 104. Page 1080, line 17: after that line insert:
AB64-SA4,3,13 11(7g) Medicaid expansion. The treatment of sections 49.45 (23) (a) and 49.471
12(1) (cr), (4) (a) 4. b., and (4g) of the statutes takes effect on January 1, 2018, or on the
13day after publication, whichever is later.”.
AB64-SA4,3,1414 (End)
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