SB400,86,39 49.345 (2) Except as provided in sub. (14) (b) and (c), any person, including but
10not limited to a person placed under s. 48.345 (3) or 48.357 (1) or (2m), receiving care,
11maintenance, services, and supplies provided by any institution in this state, in
12which the state is chargeable with all or part of the person's care, maintenance,
13services, and supplies, and the person's property and estate, including the
14homestead, and the spouse of the person, and the spouse's property and estate,
15including the homestead, and, in the case of a minor child, the parents of the person,
16and their property and estates, including their homestead, and, in the case of a
17foreign child described in s. 48.839 (1) who became dependent on public funds for his
18or her primary support before an order granting his or her adoption, the resident of
19this state appointed guardian of the child by a foreign court who brought the child
20into this state for the purpose of adoption, and his or her property and estate,
21including his or her homestead, shall be liable for the cost of the care, maintenance,
22services, and supplies in accordance with the fee schedule established by the
23department under s. 49.32 49.06 (1). If a spouse, widow, or minor, or an incapacitated
24person may be lawfully dependent upon the property for his or her support, the court
25shall release all or such part of the property and estate from the charges that may

1be necessary to provide for the person. The department shall make every reasonable
2effort to notify the liable persons as soon as possible after the beginning of the
3maintenance, but the notice or the receipt thereof is not a condition of liability.
SB400, s. 191 4Section 191. 49.345 (14) (a), (b) and (g) of the statutes are amended to read:
SB400,86,155 49.345 (14) (a) Except as provided in pars. (b) and (c), liability of a person
6specified in sub. (2) or s. 49.32 49.06 (1) for care and maintenance of persons under
718 years of age in residential, nonmedical facilities such as group homes, foster
8homes, subsidized guardianship homes, and residential care centers for children and
9youth is determined in accordance with the cost-based fee established under s. 49.32
1049.06 (1). The department shall bill the liable person up to any amount of liability
11not paid by an insurer under s. 632.89 (2) or (4m) or by other 3rd-party benefits,
12subject to rules that include formulas governing ability to pay established by the
13department under s. 49.32 49.06 (1). Any liability of the person not payable by any
14other person terminates when the person reaches age 18, unless the liable person has
15prevented payment by any act or omission.
SB400,86,2316 (b) Except as provided in par. (c), and subject to par. (cm), liability of a parent
17specified in sub. (2) or s. 49.32 49.06 (1) for the care and maintenance of the parent's
18minor child who has been placed by a court order under s. 48.355 or 48.357 in a
19residential, nonmedical facility such as a group home, foster home, subsidized
20guardianship home, or residential care center for children and youth shall be
21determined by the court by using the percentage standard established by the
22department under s. 49.22 49.811 (9) and by applying the percentage standard in the
23manner established by the department under par. (g).
SB400,87,524 (g) For purposes of determining child support under par. (b), the department
25shall promulgate rules related to the application of the standard established by the

1department under s. 49.22 49.811 (9) to a child support obligation for the care and
2maintenance of a child who is placed by a court order under s. 48.355 or 48.357 in a
3residential, nonmedical facility. The rules shall take into account the needs of any
4person, including dependent children other than the child, whom either parent is
5legally obligated to support.
SB400, s. 192 6Section 192. 49.35 (title), (1) (a), (b), and (c) and (2) of the statutes are
7renumbered 49.062 (title), (1) (a), (b), and (c) and (2), and 49.062 (1) (a) and (b), as
8renumbered, are amended to read:
SB400,87,149 49.062 (1) (a) The department shall supervise the administration of programs
10under this subchapter ss. 49.811 to 49.823, subchs. II and III, and ch. 48. The
11department shall submit to the federal authorities state plans for the administration
12of programs under this subchapter ss. 49.811 to 49.823, subchs. II and III, and ch.
1348 in such form and containing such information as the federal authorities require,
14and shall comply with all requirements prescribed to ensure their correctness.
SB400,87,2215 (b) All records of the department and all county records relating to programs
16under this subchapter ss. 49.811 to 49.823, subchs. II and III, and ch. 48 and aid
17under s. 49.18, 1971 stats., s. 49.20, 1971 stats., and s. 49.61, 1971 stats., as affected
18by chapter 90, laws of 1973, shall be open to inspection at all reasonable hours by
19authorized representatives of the federal government. Notwithstanding ss. 48.396
20(2) and 938.396 (2), all county records relating to the administration of the services
21and public assistance specified in this paragraph shall be open to inspection at all
22reasonable hours by authorized representatives of the department.
SB400, s. 193 23Section 193. 49.35 (1) (bm) of the statutes is repealed.
Note: Repeals obsolete paragraph relating to the former aid to families with
dependent children program.
SB400, s. 194
1Section 194. 49.36 (title) of the statutes is renumbered 49.163 (title).
SB400, s. 195 2Section 195. 49.36 (1) (intro.) and (a) of the statutes are consolidated,
3renumbered 49.163 (1) and amended to read:
SB400,88,54 49.163 (1) In this section: (a) "Custodial, "custodial parent" means a parent
5who lives with his or her child for substantial periods of time.
SB400, s. 196 6Section 196. 49.36 (1) (b) of the statutes is repealed.
Note: Repeals a definition for the term "tribal governing body", which is created
in Section 70 of the bill.
SB400, s. 197 7Section 197. 49.36 (2) to (7) of the statutes are renumbered 49.163 (2) to (7),
8and 49.163 (2), as renumbered, is amended to read:
SB400,88,179 49.163 (2) The department may contract with any county, tribal governing
10body, or Wisconsin Works agency to administer a work experience and job training
11program for parents who are not custodial parents and who fail to pay child support
12or to meet their children's needs for support as a result of unemployment or
13underemployment. The program may provide the kinds of work experience and job
14training services available from the program under s. 49.193, 1997 stats., or s. 49.147
15(3), (3m), or (4). The program may also include job search and job orientation
16activities. The department shall fund the program from the appropriations under
17s. 20.437 (2) (dz) and (k).
SB400, s. 198 18Section 198. 49.385 of the statutes is amended to read:
SB400,89,9 1949.385 No action against members of the Menominee Indian tribe in
20certain cases.
No action shall be commenced under s. 46.10 or 49.08 49.808 or any
21other provision of law for the recovery from assets distributed to members of the
22Menominee Indian tribe and others by the United States pursuant to P.L. 83-399,
23as amended, for the value of relief or old-age assistance under s. 49.20, 1971 stats.,

1as affected by chapter 90, laws of 1973, and the value of maintenance in state
2institutions under ch. 46, furnished prior to termination date as defined in s. 70.057
3(1), 1967 stats., to any legally enrolled member of the Menominee Indian tribe, his
4or her dependents, or lawful distributees of such member under section 3, said P.L.
583-399, as amended. For purposes of this section, "legally enrolled members of the
6Menominee Indian tribe" shall include only those persons whose names appear on
7"Final Roll-Menominee Indian Tribe of Wisconsin" as proclaimed by the secretary
8of the interior November 26, 1957, and published at pages 9951 et seq. of the federal
9register, Thursday, December 12, 1957.
SB400, s. 199 10Section 199. Subchapter IV (title) of chapter 49 [precedes 49.43] of the
11statutes is amended to read:
SB400,89,1212 CHAPTER 49
SB400,89,1313 SUBCHAPTER IV
SB400,89,14 14Health; MEDICAL ASSISTANCE
SB400, s. 200 15Section 200. 49.43 (intro.) of the statutes is amended to read:
SB400,89,17 1649.43 Definitions. (intro.) As used in ss. 49.43 to 49.497 In this subchapter
17unless the context indicates otherwise:
SB400, s. 201 18Section 201. 49.43 (2r) and (8m) of the statutes, as created by 2011 Wisconsin
19Act 32
, are amended to read:
SB400,89,2220 49.43 (2r) "County," "county department," and "county department under s.
2146.215, 46.22, or 46.23" includes a multicounty consortium in accordance with a
22contract under s. 49.78 49.003 (2).
SB400,89,24 23(8m) "Multicounty consortium" has the meaning given in s. 49.78 49.003 (1)
24(br).
SB400, s. 202
1Section 202. 49.45 (2) (a) 3. and (b) 7. (intro.) and a., (3) (a) and (11) of the
2statutes are amended to read:
SB400,90,73 49.45 (2) (a) 3. Determine the eligibility of persons for medical assistance,
4rehabilitative, and social services under ss. 49.46, 49.468, 49.47, and 49.471 and
5rules and policies adopted by the department and may, under a contract under s.
649.78 49.003 (2), delegate all, or any portion, of this function to the county
7department under s. 46.215, 46.22, or 46.23 or a tribal governing body.
SB400,90,208 (b) 7. (intro.) Require, as a condition of certification under par. (a) 11., all
9providers of a specific service that is among those enumerated under s. 49.46 (2),
1049.47 (6) (a), or 49.471 (11), as specified in this subdivision, to file with the
11department a surety bond issued by a surety company licensed to do business in this
12state. Providers subject to this subdivision provide those services specified under s.
1349.46 (2), 49.47 (6) (a), or 49.471 (11) for which providers have demonstrated
14significant potential to violate s. 49.49 (1) (a), (2) (a) or (b), (3), (3m) (a), (3p), (4) (a),
15or (4m) (a) or 946.91 (2), (3) (a) or (b), (4), (5), or (6), to require recovery under par.
16(a) 10., or to need additional sanctions under par. (a) 13. The surety bond shall be
17payable to the department in an amount that the department determines is
18reasonable in view of amounts of former recoveries against providers of the specific
19service and the department's costs to pursue those recoveries. The department shall
20promulgate rules to implement this subdivision that specify all of the following:
SB400,90,2421 a. Services under medical assistance Medical Assistance for which providers
22have demonstrated significant potential to violate s. 49.49 (1) (a), (2) (a) or (b), (3),
23(3m) (a),
(3p), (4) (a), or (4m) (a) or 946.91 (2), (3) (a) or (b), (4), (5), or (6), to require
24recovery under par. (a) 10., or to need additional sanctions under par. (a) 13.
SB400,91,5
1(3) (a) Reimbursement shall be made to each county department under ss.
246.215, 46.22, and 46.23 for any administrative services performed in the Medical
3Assistance program on the basis of s. 49.78 49.003 (8). For purposes of
4reimbursement under this paragraph, assessments completed under s. 46.27 (6) (a)
5are administrative services performed in the Medical Assistance program.
SB400,91,8 6(11) Penalty. Any person who receives or assists another in receiving
7assistance under this section, to which the recipient is not entitled, shall be subject
8to the penalties under s. 49.95 ss. 946.91 and 946.93.
SB400, s. 203 9Section 203. 49.45 (6y) (a) of the statutes, as affected by 2011 Wisconsin Act
1032
, is amended to read:
SB400,91,2011 49.45 (6y) (a) Notwithstanding sub. (3) (e), from the appropriation accounts
12under s. 20.435 (4) (b), (gm), (o), and (w), the department may distribute funding in
13each fiscal year to provide supplemental payment to hospitals that enter into a
14contract under s. 49.02 49.803 (2) to provide health care services funded by a relief
15block grant, as determined by the department, for hospital services that are not in
16excess of the hospitals' customary charges for the services, as limited under 42 USC
171396b
(i) (3). If no relief block grant is awarded under this chapter or if the allocation
18of funds to such hospitals would exceed any limitation under 42 USC 1396b (i) (3),
19the department may distribute funds to hospitals that have not entered into a
20contract under s. 49.02 49.803 (2).
SB400, s. 204 21Section 204. 49.45 (11) of the statutes is amended to read:
SB400,91,2422 49.45 (11) Penalty. Any person who receives or assists another in receiving
23assistance under this section, to which the recipient is not entitled, shall be subject
24to the penalties under s. 49.95 946.93.
SB400, s. 205 25Section 205. 49.45 (38) of the statutes is amended to read:
SB400,92,4
149.45 (38) Home or community-based services for disabled workers. The
2department shall request a waiver from the secretary of the federal department of
3health and human services to authorize federal financial participation for medical
4assistance coverage of persons described in ss. 49.46 (1) (1g) (a) 14. and 49.47 (4) (as).
SB400, s. 206 5Section 206. 49.45 (40) of the statutes is amended to read:
SB400,92,96 49.45 (40) Periodic record matches. If the department contracts with the
7department of children and families under s. 49.197 (5), the department shall
8cooperate with the department of children and families in matching records of
9medical assistance recipients under s. 49.32 49.06 (7).
SB400, s. 207 10Section 207. 49.46 (1) of the statutes, as affected by 2011 Wisconsin Act 32,
11is renumbered 49.46 (1g).
SB400, s. 208 12Section 208 . 49.46 (1g) (n) of the statutes, as affected by 2011 Wisconsin Act
1332
, section 1453f, and 2011 Wisconsin Act .... (this act), is repealed.
SB400, s. 209 14Section 209. 49.46 (2) (a) 6., (be) and (bm) of the statutes are amended to read:
SB400,92,2115 49.46 (2) (a) 6. Premiums, deductibles and coinsurance and other cost-sharing
16obligations for items and services otherwise paid under this subsection that are
17required for enrollment in a group health plan, as specified in sub. (1) (1g) (m), except
18that, if enrollment in the group health plan requires enrollment of family members
19who are not eligible under this subsection, the department shall pay, if it is
20cost-effective, for an ineligible family member only the premium that is required for
21enrollment in the group health plan.
SB400,92,2522 (be) Benefits for an individual eligible under sub. (1) (1g) (a) 9. are limited to
23those services under par. (a) or (b) that are related to pregnancy, including
24postpartum services and family planning services, as defined in s. 253.07 (1) (b), or
25related to other conditions which may complicate pregnancy.
SB400,93,3
1(bm) Benefits for an individual who is eligible for medical assistance only under
2sub. (1) (1g) (a) 15. are limited to those services related to tuberculosis that are
3described in 42 USC 1396a (z) (2).
SB400, s. 210 4Section 210. 49.46 (2) (c) 2., 3., 4., 5. and 5m. of the statutes, as affected by 2011
5Wisconsin Act 32
, are amended to read:
SB400,93,186 49.46 (2) (c) 2. For an individual who is entitled to coverage under Part A of
7Medicare, entitled to coverage under Part B of Medicare, meets the eligibility criteria
8under sub. (1) (1g) and meets the limitation on income under subd. 6., Medical
9Assistance shall include payment of the deductible and coinsurance portions of
10Medicare services under 42 USC 1395 to 1395zz that are not paid under 42 USC 1395
11to 1395zz, including those Medicare services that are not included in the approved
12state plan for services under 42 USC 1396; the monthly premiums payable under 42
13USC 1395v
; the monthly premiums, if applicable, under 42 USC 1395i-2 (d); and the
14late enrollment penalty, if applicable, for premiums under Part A of Medicare.
15Payment of coinsurance for a service under Part B of Medicare under 42 USC 1395j
16to 1395w and payment of deductibles and coinsurance for inpatient hospital services
17under Part A of Medicare may not exceed the allowable charge for the service under
18Medical Assistance minus the Medicare payment.
SB400,94,419 3. For an individual who is only entitled to coverage under Part A of Medicare,
20meets the eligibility criteria under sub. (1) (1g), and meets the limitation on income
21under subd. 6., Medical Assistance shall include payment of the deductible and
22coinsurance portions of Medicare services under 42 USC 1395 to 1395i that are not
23paid under 42 USC 1395 to 1395i, including those Medicare services that are not
24included in the approved state plan for services under 42 USC 1396; the monthly
25premiums, if applicable, under 42 USC 1395i-2 (d); and the late enrollment penalty,

1if applicable, for premiums under Part A of Medicare. Payment of deductibles and
2coinsurance for inpatient hospital services under Part A of Medicare may not exceed
3the allowable charge for the service under Medical Assistance minus the Medicare
4payment.
SB400,94,155 4. For an individual who is entitled to coverage under Part A of Medicare,
6entitled to coverage under Part B of Medicare, and meets the eligibility criteria for
7Medical Assistance under sub. (1) (1g), but does not meet the limitation on income
8under subd. 6., Medical Assistance shall include payment of the deductible and
9coinsurance portions of Medicare services under 42 USC 1395 to 1395zz that are not
10paid under 42 USC 1395 to 1395zz, including those Medicare services that are not
11included in the approved state plan for services under 42 USC 1396. Payment of
12coinsurance for a service under Part B of Medicare under 42 USC 1395j to 1395w and
13payment of deductibles and coinsurance for inpatient hospital services under Part
14A of Medicare may not exceed the allowable charge for the service under Medical
15Assistance minus the Medicare payment.
SB400,94,2416 5. For an individual who is only entitled to coverage under Part A of Medicare
17and meets the eligibility criteria for Medical Assistance under sub. (1) (1g), but does
18not meet the limitation on income under subd. 6., Medical Assistance shall include
19payment of the deductible and coinsurance portions of Medicare services under 42
20USC 1395
to 1395i that are not paid under 42 USC 1395 to 1395i, including those
21Medicare services that are not included in the approved state plan for services under
2242 USC 1396. Payment of deductibles and coinsurance for inpatient hospital
23services under Part A of Medicare may not exceed the allowable charge for the service
24under Medical Assistance minus the Medicare payment.
SB400,95,8
15m. For an individual who is only entitled to coverage under Part B of Medicare
2and meets the eligibility criteria under sub. (1) (1g), but does not meet the limitation
3on income under subd. 6., Medical Assistance shall include payment of the deductible
4and coinsurance portions of Medicare services under 42 USC 1395j to 1395w,
5including those Medicare services that are not included in the approved state plan
6for services under 42 USC 1396. Payment of coinsurance for a service under Part B
7of Medicare may not exceed the allowable charge for the service under Medical
8Assistance minus the Medicare payment.
SB400, s. 211 9Section 211. 49.46 (2) (cm) 1. of the statutes is amended to read:
SB400,95,1410 49.46 (2) (cm) 1. Beginning on January 1, 1993, for an individual who is entitled
11to coverage under part Part A of medicare Medicare, is entitled to coverage under
12part Part B of medicare Medicare, meets the eligibility criteria under sub. (1) (1g) and
13meets the limitation on income under subd. 2., medical assistance Medical
14Assistance
shall pay the monthly premiums under 42 USC 1395r.
SB400, s. 212 15Section 212. 49.465 (2) (intro.) of the statutes, as affected by 2011 Wisconsin
16Act 32
, section 1453r, is amended to read:
SB400,95,2217 49.465 (2) (intro.) Unless otherwise provided by the department by a policy
18created under s. 49.45 (2m) (c), a pregnant woman is eligible for medical assistance
19benefits, as provided under sub. (3), during the period beginning on the day on which
20a qualified provider determines, on the basis of preliminary information, that the
21woman's family income does not exceed the highest level for eligibility for benefits
22under s. 49.46 (1) (1g) or 49.47 (4) (am) or (c) 1. and ending as follows:
SB400, s. 213 23Section 213. 49.468 (1) (b) and (c) of the statutes, as affected by 2011 Wisconsin
24Act 32
, are amended to read:
SB400,96,14
149.468 (1) (b) For an elderly or disabled individual who is entitled to coverage
2under Part A of Medicare, entitled to coverage under Part B of Medicare, and who
3does not meet the eligibility criteria for Medical Assistance under s. 49.46 (1) (1g),
449.465, 49.47 (4), or 49.471 but meets the limitations on income and resources under
5par. (d), Medical Assistance shall pay the deductible and coinsurance portions of
6Medicare services under 42 USC 1395 to 1395zz that are not paid under 42 USC 1395
7to 1395zz, including those Medicare services that are not included in the approved
8state plan for services under 42 USC 1396; the monthly premiums payable under 42
9USC 1395v
; the monthly premiums, if applicable, under 42 USC 1395i-2 (d); and the
10late enrollment penalty, if applicable, for premiums under Part A of Medicare.
11Payment of coinsurance for a service under Part B of Medicare under 42 USC 1395j
12to 1395w and payment of deductibles and coinsurance for inpatient hospital services
13under Part A of Medicare may not exceed the allowable charge for the service under
14Medical Assistance minus the Medicare payment.
SB400,97,215 (c) For an elderly or disabled individual who is only entitled to coverage under
16Part A of Medicare and who does not meet the eligibility criteria for Medical
17Assistance under s. 49.46 (1) (1g), 49.465, 49.47 (4), or 49.471 but meets the
18limitations on income and resources under par. (d), Medical Assistance shall pay the
19deductible and coinsurance portions of Medicare services under 42 USC 1395 to
201395i that are not paid under 42 USC 1395 to 1395i, including those Medicare
21services that are not included in the approved state plan for services under 42 USC
221396
; the monthly premiums, if applicable, under 42 USC 1395i-2 (d); and the late
23enrollment penalty for premiums under Part A of Medicare, if applicable. Payment
24of deductibles and coninsurance for inpatient hospital services under Part A of

1Medicare may not exceed the allowable charge for the service under Medical
2Assistance minus the Medicare payment.
SB400, s. 214 3Section 214. 49.468 (1m) (a) and (2) (a) of the statutes are amended to read:
SB400,97,104 49.468 (1m) (a) Beginning on January 1, 1993, for an elderly or disabled
5individual who is entitled to coverage under part Part A of medicare Medicare and
6is entitled to coverage under part Part B of medicare Medicare, does not meet the
7eligibility criteria for medical assistance Medical Assistance under s. 49.46 (1) (1g),
849.465, 49.47 (4), or 49.471 but meets the limitations on income and resources under
9par. (b), medical assistance Medical Assistance shall pay the monthly premiums
10under 42 USC 1395r.
SB400,97,17 11(2) (a) Beginning on January 1, 1991, for a disabled working individual who
12is entitled under P.L. 101-239, section 6012 (a), to coverage under part Part A of
13medicare Medicare and who does not meet the eligibility criteria for medical
14assistance
Medical Assistance under s. 49.46 (1) (1g), 49.465, 49.47 (4), or 49.471 but
15meets the limitations on income and resources under par. (b), medical assistance
16Medical Assistance shall pay the monthly premiums for the coverage under part Part
17A of medicare Medicare, including late enrollment fees, if applicable.
SB400, s. 215 18Section 215. 49.47 (4) (am) 1. and 2. of the statutes are amended to read:
SB400,97,2319 49.47 (4) (am) 1. A pregnant woman whose family income does not exceed 155%
20of the poverty line for a family the size of the woman's family, except that if a waiver
21under par. (j) or a change in the approved state plan under s. 49.46 (1) (1g) (am) 2.
22is in effect, the income limit is 185% of the poverty line for a family the size of the
23woman's family in each state fiscal year after the 1994-95 state fiscal year.
SB400,98,324 2. A child who is under 6 years of age and whose family income does not exceed
25155% of the poverty line for a family the size of the child's family, except that if a

1waiver under par. (j) or a change in the approved state plan under s. 49.46 (1) (1g)
2(am) 2. is in effect, the income limit is 185% of the poverty line for a family the size
3of the child's family in each state fiscal year after the 1994-95 state fiscal year.
SB400, s. 216 4Section 216. 49.47 (4) (j) of the statutes is amended to read:
SB400,98,105 49.47 (4) (j) If the change in the approved state plan under s. 49.46 (1) (1g) (am)
62. is denied, the department shall request a waiver from the secretary of the federal
7department of health and human services to allow the use of federal matching funds
8to provide medical assistance coverage under par. (am) 1. and 2. to individuals whose
9family incomes do not exceed 185% of the poverty line in each state fiscal year after
10the 1994-95 state fiscal year.
SB400, s. 217 11Section 217. 49.471 (3) (a) 1., 2. and 3. of the statutes are amended to read:
SB400,98,1912 49.471 (3) (a) 1. Notwithstanding ss. 49.46 (1) (1g), 49.465, 49.47 (4), and
1349.665 (4), if the amendments to the state plan under sub. (2) are approved and a
14waiver under sub. (2) that is substantially consistent with the provisions of this
15section, excluding sub. (2m), is granted and in effect, an individual described in sub.
16(4) (a) or (b) or (5) is not eligible under s. 49.46, 49.465, 49.47, or 49.665 for Medical
17Assistance or BadgerCare health program benefits. The eligibility of an individual
18described in sub. (4) (a) or (b) or (5) for Medical Assistance benefits shall be
19determined under this section.
SB400,98,2220 2. Notwithstanding subd. 1., an individual who is eligible for medical
21assistance
Medical Assistance under s. 49.46 (1) (1g) (a) 3. or 4. may not receive
22benefits under this section.
SB400,99,223 3. Notwithstanding subd. 1., an individual described in sub. (4) (a) or (b) or (5)
24who is eligible for medical assistance Medical Assistance under s. 49.46 (1) (1g) (a)

15., 6m., 14., 14m., or 15. or (d) or 49.47 (4) (a) or (as) may receive medical assistance
2Medical Assistance benefits under this section or under s. 49.46 or 49.47.
SB400, s. 218 3Section 218. 49.471 (4) (a) 7. of the statutes is amended to read:
SB400,99,64 49.471 (4) (a) 7. Individuals who qualify for a medical assistance Medical
5Assistance
eligibility extension under s. 49.46 (1) (1g) (c), (cg), or (co) when their
6income increases above the poverty line.
SB400, s. 219 7Section 219. 49.4715 of the statutes is created to read:
SB400,99,16 849.4715 Reimbursement; retroactive eligibility. If an applicant is
9determined to be eligible retroactively under s. 49.46 (1g) (b), 49.47 (4) (d), or 49.471
10and a provider bills the applicant directly for services and benefits rendered during
11the retroactive period, the provider shall, upon notification of the applicant's
12retroactive eligibility, submit claims for payment under s. 49.45 for covered services
13or benefits rendered to the recipient during the retroactive period. Upon receipt of
14payment under s. 49.45, the provider shall reimburse the recipient or other person
15who has made prior payment to the provider for services provided to the recipient
16during the retroactive eligibility period, by the amount of the prior payment made.
SB400, s. 220 17Section 220. 49.473 (2) (a) of the statutes is amended to read:
SB400,99,2018 49.473 (2) (a) The woman is not eligible for medical assistance Medical
19Assistance
under ss. 49.46 (1) (1g) and (1m), 49.465, 49.468, 49.47, 49.471, and
2049.472, and is not eligible for health care coverage under s. 49.665.
SB400, s. 221 21Section 221. 49.475 (6) of the statutes is amended to read:
SB400,99,2522 49.475 (6) Sharing information. The department of health services shall
23provide to the department of children and families, for purposes of the medical
24support liability program under s. 49.22 49.811, any information that the
25department of health services receives under this section. The department of

1children and families may allow a county child support agency under s. 59.53 (5) or
2a tribal child support agency access to the information, subject to the use and
3disclosure restrictions under s. 49.83 49.013, and shall consult with the department
4of health services regarding procedures and methods to adequately safeguard the
5confidentiality of the information provided under this subsection.
SB400, s. 222 6Section 222. 49.49 (1) (title) and (a) (intro.) of the statutes are repealed.
SB400, s. 223 7Section 223. 49.49 (1) (a) 1. to 4. of the statutes are renumbered 946.91 (2) (a)
8to (d) and amended to read:
SB400,100,119 946.91 (2) (a) Knowingly and willfully make Intentionally makes or cause
10causes to be made any false statement or representation of a material fact in any
11application for any Medical Assistance benefit or payment.
SB400,100,1412 (b) Knowingly and willfully make Intentionally makes or cause causes to be
13made any false statement or representation of a material fact for use in determining
14rights to such eligibility for any Medical Assistance benefit or payment.
SB400,100,2115 (c) Having knowledge of the occurrence of any event affecting the initial or
16continued right to eligibility for any such Medical Assistance benefit or payment or
17the initial or continued right to eligibility for any such benefit or payment of any
18other individual in whose behalf he or she has applied for or is receiving such benefit
19or payment, conceal conceals or fail fails to disclose such event with an intent to
20fraudulently to secure such benefit or payment either in a greater amount or
21quantity than is due or when no such benefit or payment is authorized.
SB400,101,222 (d) Having made application applied to receive any such Medical Assistance
23benefit or payment for the use and benefit of another and having received it,
24knowingly and willfully convert such converts the benefit or payment or any part

1thereof to a use other than for the use and that is not for the benefit of such other
2person.
SB400, s. 224 3Section 224. 49.49 (1) (b) of the statutes is repealed.
SB400, s. 225 4Section 225. 49.49 (1) (c) of the statutes is renumbered 49.49 (1d) and
5amended to read:
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