2023 - 2024 LEGISLATURE
SENATE AMENDMENT 9,
TO SENATE SUBSTITUTE AMENDMENT 2,
TO SENATE BILL 70
June 28, 2023 - Offered by Senators Agard, Carpenter, Hesselbein, L. Johnson,
Larson, Pfaff, Roys, Smith, Spreitzer, Taylor and Wirch.
SB70-SSA2-SA9,1,11 At the locations indicated, amend the substitute amendment as follows:
SB70-SSA2-SA9,1,4 21. Page 154, line 4: decrease the dollar amount for fiscal year 2023-24 by
3$841,240,100 and decrease the dollar amount for fiscal year 2024-25 by
4$759,177,800 as a result of expanding eligibility for the Medical Assistance program.
SB70-SSA2-SA9,1,7 52. Page 154, line 12: increase the dollar amount for fiscal year 2023-24 by
6$340,500 and increase the dollar amount for fiscal year 2024-25 by $342,200 for
7income maintenance administration.
SB70-SSA2-SA9,1,8 83. Page 265, line 16: after that line insert:
SB70-SSA2-SA9,1,9 9 Section 106m. 20.435 (4) (jw) of the statutes is amended to read:
SB70-SSA2-SA9,2,510 20.435 (4) (jw) BadgerCare Plus and hospital assessment. All moneys received
11from payment of enrollment fees under the program under s. 49.45 (23), all
moneys
12transferred under s. 50.38 (9), all moneys transferred from the appropriation account

1under par. (jz), and 10 percent of all moneys received from penalty assessments
2under s. 49.471 (9) (c), for administration of the program under s. 49.45 (23), to
3provide a portion of the state share of administrative costs for the BadgerCare Plus
4Medical Assistance program under s. 49.471, and for administration of the hospital
5assessment under s. 50.38.”.
SB70-SSA2-SA9,2,6 64. Page 316, line 23: after that line insert:
SB70-SSA2-SA9,2,7 7 Section 301m. 49.45 (2p) of the statutes is repealed.”.
SB70-SSA2-SA9,2,8 85. Page 318, line 15: after that line insert:
SB70-SSA2-SA9,2,9 9 Section 305g. 49.45 (23) of the statutes is repealed.
SB70-SSA2-SA9,305r 10Section 305r. 49.45 (23b) of the statutes is repealed.”.
SB70-SSA2-SA9,2,11 116. Page 319, line 3: after that line insert:
SB70-SSA2-SA9,2,12 12 Section 309m. 49.471 (1) (cr) of the statutes is created to read:
SB70-SSA2-SA9,2,1413 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a
14federal medical assistance percentage described under 42 USC 1396d (y) or (z).
SB70-SSA2-SA9,309n 15Section 309n. 49.471 (4) (a) 4. b. of the statutes is amended to read:
SB70-SSA2-SA9,2,1816 49.471 (4) (a) 4. b. The individual's family income does not exceed 100 133
17percent of the poverty line before application of the 5 percent income disregard under
1842 CFR 435.603 (d)
.
SB70-SSA2-SA9,309o 19Section 309o. 49.471 (4) (a) 8. of the statutes is created to read:
SB70-SSA2-SA9,2,2020 49.471 (4) (a) 8. An individual who meets all of the following criteria:
SB70-SSA2-SA9,2,2121 a. The individual is an adult under the age of 65.
SB70-SSA2-SA9,2,2322 b. The adult has a family income that does not exceed 133 percent of the poverty
23line, except as provided in sub. (4g).
SB70-SSA2-SA9,3,2
1c. The adult is not otherwise eligible for the Medical Assistance program under
2this subchapter or the Medicare program under 42 USC 1395 et seq.
SB70-SSA2-SA9,309p 3Section 309p. 49.471 (4g) of the statutes is created to read:
SB70-SSA2-SA9,3,134 49.471 (4g) Medicaid expansion; federal medical assistance percentage. For
5services provided to individuals described under sub. (4) (a) 8., the department shall
6comply with all federal requirements to qualify for the highest available enhanced
7federal medical assistance percentage. The department shall submit any
8amendment to the state medical assistance plan, request for a waiver of federal
9Medicaid law, or other approval request required by the federal government to
10provide services to the individuals described under sub. (4) (a) 8. and qualify for the
11highest available enhanced federal medical assistance percentage. Sections 20.940
12and 49.45 (2t) do not apply to a submission to the federal government under this
13subsection.”.
SB70-SSA2-SA9,3,14 147. Page 319, line 12: after that line insert:
SB70-SSA2-SA9,3,15 15 Section 311m. 49.686 (3) (d) of the statutes is amended to read:
SB70-SSA2-SA9,3,2116 49.686 (3) (d) Has applied for coverage under and has been denied eligibility
17for medical assistance within 12 months prior to application for reimbursement
18under sub. (2). This paragraph does not apply to an individual who is eligible for
19benefits under the demonstration project for childless adults under s. 49.45 (23) or
20to an individual
who is eligible for benefits under BadgerCare Plus under s. 49.471
21(4) (a) 8. or (11).”.
SB70-SSA2-SA9,3,22 228. Page 374, line 11: after that line insert:
SB70-SSA2-SA9,3,23 23 Section 472u. 2017 Wisconsin Act 370, section 44 (2) and (3) are repealed.”.
SB70-SSA2-SA9,3,24 249. Page 415, line 16: after that line insert:
SB70-SSA2-SA9,4,9
1“(2r) Childless adults demonstration project. The department of health
2services shall submit any necessary request to the federal department of health and
3human services for a state plan amendment or waiver of federal Medicaid law or to
4modify or withdraw from any waiver of federal Medicaid law relating to the childless
5adults demonstration project under s. 49.45 (23), 2021 stats., to reflect the
6incorporation of recipients of Medical Assistance under the demonstration project
7into the BadgerCare Plus program under s. 49.471 and the termination of the
8demonstration project. Sections 20.940 and 49.45 (2t) do not apply to a request under
9this subsection.”.
SB70-SSA2-SA9,4,10 1010. Page 429, line 9: after that line insert:
SB70-SSA2-SA9,4,14 11“(2r) Medicaid expansion. The treatment of ss. 20.435 (4) (jw), 49.45 (2p), 49.45
12(23) and (23b), 49.471 (1) (cr), (4) (a) 4. b. and 8., and (4g), and 49.686 (3) (d) and 2017
13Wisconsin Act 370
, section 44 (2) and (3) and Sections 9119 (2r) of this act take effect
14on July 1, 2023.”.
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