AB150: Bill Text

AB150,1083,8 49.46 (2) (a) 4. d. Home health services, subject to the limitations under s. 49.45 (8) and (8e), or nursing services, if a home health agency is unavailable, nursing services, subject to the limitation under s. 49.45 (8e).

AB150, s. 3013 Section 3013. 49.46 (2) (a) 4. g. of the statutes is renumbered 49.46 (2) (a) 4m. and amended to read:

AB150,1083,11 49.46 (2) (a) 4m. Nurse midwifery Nurse-midwifery services.

AB150, s. 3014 Section 3014. 49.46 (2) (b) 1. a. of the statutes is repealed.

AB150, s. 3015 Section 3015. 49.46 (2) (b) 1. b. of the statutes is repealed.

AB150, s. 3016 Section 3016. 49.46 (2) (b) 1. c. of the statutes is repealed.

AB150, s. 3017 Section 3017. 49.46 (2) (b) 1. d. of the statutes is repealed.

AB150, s. 3018 Section 3018. 49.46 (2) (b) 1. e. of the statutes is repealed.

AB150, s. 3019 Section 3019. 49.46 (2) (b) 1. f. of the statutes is repealed.

AB150, s. 3020 Section 3020. 49.46 (2) (b) 6. j. of the statutes is repealed.

AB150, s. 3021 Section 3021. 49.46 (2) (b) 6. k. of the statutes is amended to read:

AB150,1083,22 49.46 (2) (b) 6. k. Alcohol and other drug abuse day treatment services. This subd. 6. k. does not apply after June 30, 1995, or the day after publication of the 1995-97 biennial budget act, whichever is later.

AB150, s. 3022 Section 3022. 49.46 (2) (b) 14. of the statutes is created to read:

AB150,1083,24 49.46 (2) (b) 14. School medical services under s. 49.45 (39).

AB150, s. 3023 Section 3023. 49.46 (2) (b) 15. of the statutes is created to read:

AB150,1084,1 49.46 (2) (b) 15. Mental health crisis intervention services under s. 49.45 (41).

AB150, s. 3024 Section 3024. 49.46 (2) (bm) of the statutes is created to read:

AB150,1084,5 49.46 (2) (bm) Benefits for an individual who is eligible for medical assistance only under sub. (1) (a) 15. are limited to those services related to tuberculosis that are described in 42 USC 1396a (z) (2).

AB150, s. 3025 Section 3025. 49.46 (2) (d) of the statutes is amended to read:

AB150,1084,12 49.46 (2) (d) Benefits authorized under this subsection may not include payment for that part of any service payable through 3rd party liability or any federal, state, county, municipal or private benefit system to which the beneficiary is entitled. "Benefit system" does not include any public assistance program such as, but not limited to, Hill-Burton benefits under 42 USC 291c (e), in effect on April 30, 1980, or general emergency medical relief.

AB150, s. 3026 Section 3026. 49.47 (4) (av) of the statutes is created to read:

AB150,1084,20 49.47 (4) (av) 1. In this paragraph, "migrant worker" means any person who temporarily leaves a principal place of residence outside of this state and comes to this state for not more than 10 months in a year to accept seasonal employment in the planting, cultivating, raising, harvesting, handling, drying, packing, packaging, processing, freezing, grading or storing of any agricultural or horticultural commodity in its unmanufactured state. "Migrant worker" does not include any of the following:

AB150,1084,24 a. A person who is employed only by a state resident if the resident or the resident's spouse is related to the person as the child, parent, grandchild, grandparent, brother, sister, aunt, uncle, niece, nephew, or the spouse of any such relative.

AB150,1085,3 b. A student who is enrolled or, during the past 6 months has been enrolled, in any school, college or university unless the student is a member of a family or household which contains a migrant worker.

AB150,1085,5 c. Any other person qualifying for an exemption under rules promulgated by the department.

AB150,1085,11 2. The department shall request a waiver from the secretary of the federal department of health and human services to allow the application of subd. 3. The waiver shall also seek a waiver from those federal quality control standards under the medical assistance program that the department determines to be necessary in order to make the application of subd. 3. feasible. Subdivision 3. applies only while the waiver under this subdivision is in effect.

AB150,1085,13 3. In determining the eligibility for a migrant worker and his or her dependents for medical assistance under this section, the department shall do all of the following:

AB150,1085,21 a. Grant the migrant worker and his or her dependents eligibility for medical assistance in this state, if the migrant worker and his or her dependents have a valid medical assistance identification card issued in another state and the migrant worker completes a Wisconsin medical assistance application provided by the department. Eligibility under this subd. 3. a. continues for the period specified on the identification card issued in the other state. The department shall notify the other state that the migrant worker and his or her dependents are eligible for medical assistance in Wisconsin.

AB150,1085,25 b. Determine medical assistance eligibility using an income-averaging method described in the waiver under subd. 2., if the migrant worker and his or her dependents do not meet the income limitations under par. (c) using prospective budgeting.

AB150, s. 3027 Section 3027 . 49.47 (4) (c) 1. of the statutes is amended to read:

AB150,1086,12 49.47 (4) (c) 1. Except as provided in par. (am) and as limited by subd. subds. 3. and 4., eligibility exists if income does not exceed 133 1/3% of the maximum aid to families with dependent children payment under s. 49.19 (11) for the applicant's family size or the combined benefit amount available under supplemental security income under 42 USC 1381 to 1383c and state supplemental aid under s. 49.177 whichever is higher. In this subdivision "income" includes earned or unearned income that would be included in determining eligibility for the individual or family under s. 49.177 or 49.19, or for the aged, blind or disabled under 42 USC 1381 to 1385. "Income" does not include earned or unearned income which would be excluded in determining eligibility for the individual or family under s. 49.177 or 49.19, or for the aged, blind or disabled individual under 42 USC 1381 to 1385.

AB150, s. 3028 Section 3028 . 49.47 (4) (c) 1. of the statutes, as affected by 1995 Wisconsin Act .... (this act), is amended to read:

AB150,1086,25 49.47 (4) (c) 1. Except as provided in par. (am) and subds. 3. and 4., eligibility exists if income does not exceed 133 1/3% of the maximum aid to families with dependent children payment under s. 49.19 (11) for the applicant's family size or the combined benefit amount available under supplemental security income under 42 USC 1381 to 1383c and state supplemental aid under s. 49.177 49.77 whichever is higher. In this subdivision "income" includes earned or unearned income that would be included in determining eligibility for the individual or family under s. 49.177 or 49.19 or 49.77, or for the aged, blind or disabled under 42 USC 1381 to 1385. "Income" does not include earned or unearned income which would be excluded in determining eligibility for the individual or family under s. 49.177 or 49.19 or 49.77, or for the aged, blind or disabled individual under 42 USC 1381 to 1385.

****Note: This is reconciled s. 49.47 (4) (c) 1. This Section has been affected by drafts with the following LRB numbers: -2153/1 and -2406/2.

AB150, s. 3029 Section 3029. 49.47 (4) (c) 3. of the statutes is repealed and recreated to read:

AB150,1087,4 49.47 (4) (c) 3. Notwithstanding the income limitations under sub. (4) (c) 1., an individual is eligible for medical assistance under this section if all of the following requirements are met:

AB150,1087,5 a. The individual is an individual described under par. (a) 3. or 4.

AB150,1087,8 b. The individual is eligible for medical assistance equal in amount, duration and scope to the medical assistance made available to individuals described in 42 USC 1396a (a) (10) (A).

AB150,1087,11 c. The income of the individual, as determined under 42 USC 1382a without regard to 42 USC 1382a (b), does not exceed 225% of the supplemental security income benefit rate established under 42 USC 1382 (b) (1).

AB150, s. 3030 Section 3030. 49.47 (4) (c) 4. of the statutes is created to read:

AB150,1087,22 49.47 (4) (c) 4. The department shall request a waiver from the secretary of the federal department of health and human services to allow the department to receive federal financial participation to provide, after January 1, 1996, medical assistance benefits under this section, notwithstanding subd. 1. or 3., to persons who received skilled nursing care services or intermediate care services as a resident of a facility, as defined under s. 49.45 (6m) (a) 3., on January 1, 1996, as a medical assistance benefit and who would qualify for medical assistance benefits under this section if the percentage in subd. 3. c. were 300% instead of 225%. If the waiver under this subdivision is granted and in effect, persons covered by the waiver are eligible for medical assistance under this section.

AB150, s. 3031 Section 3031. 49.47 (6) (a) 1. of the statutes is amended to read:

AB150,1088,3 49.47 (6) (a) 1. Except as provided in subds. 6. to 7., all beneficiaries, for all services under s. 49.46 (2) (a) and (b) other than services under s. 49.46 (2) (a) 4. c. and (b) 6. a.

AB150, s. 3032 Section 3032. 49.47 (6) (am) of the statutes is created to read:

AB150,1088,10 49.47 (6) (am) 1. The department shall request a waiver from the secretary of the federal department of health and human services to allow the department to receive federal financial participation to continue to provide, notwithstanding par. (a) 1., skilled nursing care services or intermediate care facility services as a medical assistance benefit under this section to an individual who meets all of the following conditions:

AB150,1088,11 a. The individual is eligible for medical assistance benefits under this section.

AB150,1088,14 b. The individual was receiving skilled nursing care services or intermediate care facility services as a resident of a facility, as defined under s. 49.45 (6m) (a) 3., on January 1, 1996.

AB150,1088,16 c. The skilled nursing care services or intermediate care facility services under subd. 1. b. were provided as a medical assistance benefit.

AB150,1088,21 d. The individual has continued to receive skilled nursing care services or intermediate care facility services as a resident of a facility, as defined under s. 49.45 (6m) (a) 3., or has received the services, provided as a medical assistance benefit, that are described in s. 46.27 (11m), 46.275 (5g), 46.277 (5g) (c) or 46.278 (6m) since January 1, 1996.

AB150,1088,25 2. If the waiver under subd. 1. is granted and remains in effect, the department shall provide skilled nursing care services or intermediate care facility services as a medical assistance benefit to individuals covered by the waiver notwithstanding par. (a) 1.

AB150, s. 3033 Section 3033. 49.47 (9m) (b) 5. a. of the statutes is repealed.

AB150, s. 3034 Section 3034. 49.47 (9m) (b) 5. c. of the statutes is repealed.

AB150, s. 3035 Section 3035. 49.48 (title) of the statutes is renumbered 49.68 (title).

AB150, s. 3036 Section 3036. 49.48 (1) of the statutes is renumbered 49.68 (1).

AB150, s. 3037 Section 3037. 49.48 (1m) of the statutes is renumbered 49.68 (1m).

AB150, s. 3038 Section 3038. 49.48 (2) of the statutes is renumbered 49.68 (2).

AB150, s. 3039 Section 3039. 49.48 (3) (title) of the statutes is renumbered 49.68 (3) (title).

AB150, s. 3040 Section 3040. 49.48 (3) (a) of the statutes is renumbered 49.68 (3) (a) and amended to read:

AB150,1089,13 49.68 (3) (a) Any permanent resident of this state who suffers from chronic renal disease may be accepted into the dialysis treatment phase of the renal disease control program if the resident meets standards set by rule under sub. (2) and s. 49.487 49.687.

AB150, s. 3041 Section 3041. 49.48 (3) (b) of the statutes is renumbered 49.68 (3) (b).

AB150, s. 3042 Section 3042. 49.48 (3) (c) of the statutes is renumbered 49.68 (3) (c).

AB150, s. 3043 Section 3043. 49.48 (3) (d) of the statutes is renumbered 49.68 (3) (d).

AB150, s. 3044 Section 3044. 49.48 (3) (e) of the statutes is renumbered 49.68 (3) (e).

AB150, s. 3045 Section 3045. 49.483 (title) of the statutes is renumbered 49.683 (title).

AB150, s. 3046 Section 3046. 49.483 (1) of the statutes is renumbered 49.683 (1) and amended to read:

AB150,1089,24 49.683 (1) The department may provide financial assistance for costs of medical care of persons over the age of 18 years with the diagnosis of cystic fibrosis who meet financial requirements established by the department by rule under s. 49.487 (1) 49.687 (1).

AB150, s. 3047 Section 3047. 49.483 (2) of the statutes is renumbered 49.683 (2).

AB150, s. 3048 Section 3048. 49.485 (title) of the statutes is renumbered 49.685 (title).

AB150, s. 3049 Section 3049. 49.485 (1) of the statutes is renumbered 49.685 (1).

AB150, s. 3050 Section 3050. 49.485 (2) of the statutes is renumbered 49.685 (2).

AB150, s. 3051 Section 3051. 49.485 (4) of the statutes is renumbered 49.685 (4) and amended to read:

AB150,1090,14 49.685 (4) Eligibility. Any permanent resident of this state who suffers from hemophilia or other related congenital bleeding disorder may participate in the program if that person meets the requirements of this section and s. 49.487 49.687 and the standards set by rule under this section and s. 49.487 49.687. The person shall enter into an agreement with the comprehensive hemophilia treatment center for a maintenance program to be followed by that person as a condition for continued eligibility. The physician director or a designee shall, at least once in each 6-month period, review the maintenance program and verify that the person is complying with the program.

AB150, s. 3052 Section 3052. 49.485 (5) of the statutes is renumbered 49.685 (5).

AB150, s. 3053 Section 3053. 49.485 (6) of the statutes is renumbered 49.685 (6).

AB150, s. 3054 Section 3054. 49.485 (7) (title) of the statutes is renumbered 49.685 (7) (title).

AB150, s. 3055 Section 3055. 49.485 (7) (a) 1. of the statutes is renumbered 49.685 (7) (a) 1. and amended to read:

AB150,1090,24 49.685 (7) (a) 1. The percentage of the patient's liability for the reasonable costs for blood products and supplies which are determined to be eligible for reimbursement under sub. (6) shall be based upon the income and the size of the person's family unit, according to standards to be established by the department under s. 49.487 49.687.

AB150, s. 3056 Section 3056. 49.485 (7) (a) 2. of the statutes is renumbered 49.685 (7) (a) 2.

AB150, s. 3057 Section 3057. 49.485 (7) (a) 4. of the statutes is renumbered 49.685 (7) (a) 4.

AB150, s. 3058 Section 3058. 49.485 (7) (a) 5. of the statutes is renumbered 49.685 (7) (a) 5.

AB150, s. 3059 Section 3059. 49.485 (7) (b) of the statutes is renumbered 49.685 (7) (b).

AB150, s. 3060 Section 3060. 49.485 (8) of the statutes is renumbered 49.685 (8).

AB150, s. 3061 Section 3061. 49.486 of the statutes, as affected by 1995 Wisconsin Act .... (this act), is renumbered 49.686.

****Note: This is reconciled s. 49.486. This Section has been affected by drafts with the following LRB numbers: -0733/1 and -2153/1.

AB150, s. 3062 Section 3062. 49.486 (2) of the statutes is amended to read:

AB150,1091,13 49.486 (2) Reimbursement. From the appropriation under s. 20.435 (1) (am), the department shall distribute not more than $375,600 in fiscal year 1993-94 and not more than $491,500 in fiscal year 1994-95 to may reimburse or supplement the reimbursement of the cost of AZT, the drug pentamidine and any drug approved for reimbursement under sub. (4) (c) for an applying individual who has HIV infection is eligible under sub. (3).

AB150, s. 3063 Section 3063. 49.487 (title) of the statutes is renumbered 49.687 (title).

AB150, s. 3064 Section 3064. 49.487 (1) of the statutes is renumbered 49.687 (1) and amended to read: