LRB-0167/1
TJD:eev:jm
2015 - 2016 LEGISLATURE
May 1, 2015 - Introduced by Senators Carpenter, Hansen, Lassa, Vinehout,
Miller, Risser, Wirch, Ringhand and Erpenbach, cosponsored by
Representatives Jorgensen, Kahl, Sargent, Hebl, C. Taylor, Mason,
Johnson, Genrich, Sinicki, Kolste, Barca, Pope, Hesselbein, Zamarripa,
Milroy, Riemer, Subeck, Berceau, Goyke, Ohnstad, Spreitzer, Young,
Wachs, Billings, Doyle, Kessler, Zepnick, Shankland and Danou. Referred
to Committee on Health and Human Services.
SB142,1,4 1An Act to amend 20.435 (4) (bv), 20.435 (4) (j) and 20.435 (4) (jb); and to create
249.688 (13) of the statutes; relating to: waiver for prescription drug assistance
3for elderly program, use of excess moneys in prescription drug assistance for
4elderly program, and making an appropriation.
Analysis by the Legislative Reference Bureau
Under current law, the Department of Health Services (DHS) administers the
Senior Care program, which provides assistance to the elderly in the purchase of
prescription drugs. The program is operated under a waiver of federal Medicaid
laws, but DHS is required to implement the program regardless of whether the
waiver is received from the federal Department of Health and Human Services.
Some of the moneys to administer the Senior Care program derive from the federal
government and other moneys come from the state's general purpose revenue (GPR)
or from program revenue (PR). Moneys from GPR are used to pay pharmacies and
pharmacists under the Senior Care program. Program revenue from rebate
payments by manufacturers is used to pay pharmacies and pharmacists and PR from
payment of enrollment fees is used for administration of Senior Care. This bill
requires DHS to obtain any waiver of federal Medicaid laws necessary to continue
administration of Senior Care and to implement any waiver received for the
administration of Senior Care. The bill also requires that any GPR moneys
remaining after paying pharmacies and pharmacists, any PR moneys remaining
after paying pharmacies and pharmacists and paying for program administration,
and any federal moneys remaining be used by DHS for the following purposes: to

reduce enrollment costs for seniors participating in Senior Care, to reduce the prices
paid by Senior Care enrollees for prescription drugs, and to enlarge the number of
prescription drugs available through the Senior Care program.
For further information see the state fiscal estimate, which will be printed as
an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
SB142,1 1Section 1. 20.435 (4) (bv) of the statutes is amended to read:
SB142,2,62 20.435 (4) (bv) Prescription drug assistance for elderly; aids. Biennially, the
3amounts in the schedule for payment to pharmacies and pharmacists under s. 49.688
4(7) for prescription drug assistance for elderly persons and, if there are moneys
5remaining after payments to pharmacies and pharmacists, for the purposes under
6s. 49.688 (13)
.
SB142,2 7Section 2. 20.435 (4) (j) of the statutes is amended to read:
SB142,2,138 20.435 (4) (j) Prescription drug assistance for elderly; manufacturer rebates.
9All moneys received from rebate payments by manufacturers under s. 49.688 (6), to
10be used for payment to pharmacies and pharmacists under s. 49.688 (7) for
11prescription drug assistance for elderly persons and, if there are moneys remaining
12after payments to pharmacies and pharmacists, for the purposes under s. 49.688
13(13)
.
SB142,3 14Section 3. 20.435 (4) (jb) of the statutes is amended to read:
SB142,2,1815 20.435 (4) (jb) Prescription drug assistance for elderly; enrollment fees. All
16moneys received from payment of enrollment fees under s. 49.688 (3), to be used for
17administration of the program under s. 49.688 and, if there are moneys remaining
18after paying for program administration, for the purposes under s. 49.688 (13)
.
SB142,4 19Section 4. 49.688 (13) of the statutes is created to read:
SB142,3,6
149.688 (13) If there are moneys available in the appropriation accounts under
2s. 20.435 (4) (bv), (j), (jb), or (pg), the department shall use those moneys to reduce
3enrollment costs for individuals participating in the program under this section, to
4reduce the prices paid by individuals in the program under this section for
5prescription drugs, and to enlarge the number of prescription drugs available under
6the program under this section.
SB142,5 7Section 5. Nonstatutory provisions.
SB142,3,138 (1) Prescription drug assistance for elderly continuation. The department
9of health services shall request from the federal secretary of health and human
10services any waiver of federal medicaid laws necessary to permit the department of
11health services to continue administering the program under section 49.688 of the
12statutes. The department shall implement any waiver received under this
13subsection.
SB142,3,1414 (End)
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