AB365: Bill Text

AB365,7,19 49.471 (5) (b) 3. a. If the woman or child applies for benefits under sub. (4) within the time required under par. (d), the benefits specified in subd. 1. or 2., whichever is applicable, end on the day on which the department or the county department under s. 46.215, 46.22, or 46.23 determines whether the woman or child is eligible for benefits under sub. (4), except that a child who is not an unborn child is not eligible for benefits described in s. 49.46 (2) (a) and (b) during that time if the federal department of health and human services approves the department's request not to provide those benefits during that time.

AB365,15 Section 15. 49.471 (6) (a) 1. of the statutes, as affected by 2013 Wisconsin Act 20, is amended to read:

AB365,7,25 49.471 (6) (a) 1. Except as provided in subd. 4., any Any pregnant woman, including a pregnant woman under sub. (5) (b) 1., is eligible for medical assistance under this section for any of the 3 months prior to the month of application if she met the eligibility criteria under this section in that month.

AB365,16 Section 16. 49.471 (6) (a) 2. of the statutes, as affected by 2013 Wisconsin Act 20, is amended to read:

AB365,8,8 49.471 (6) (a) 2. Except as provided in subd. 3. or 4., any child who is not an unborn child, including a child under sub. (5) (b) 2., parent, or caretaker relative whose family income is less than 150 percent of the poverty line is eligible for medical assistance under this section for any of the 3 months prior to the month of application if the individual met the eligibility criteria under this section and had a family income of less than 150 percent of the poverty line in that month.

AB365,17 Section 17. 49.471 (6) (a) 4. of the statutes, as created by 2013 Wisconsin Act 20, is repealed.

AB365,18 Section 18. 49.471 (7) (c) (intro.) of the statutes, as affected by 2013 Wisconsin Act 20, section 1122, is amended to read:

AB365,8,14 49.471 (7) (c) (intro.) When calculating an individual's family income, the department shall do all of the following, subject to par. (d):

AB365,19 Section 19. 49.471 (7) (d) of the statutes, as created by 2013 Wisconsin Act 20, is repealed.

AB365,20 Section 20. 49.471 (8) (b) (intro.) of the statutes, as affected by 2013 Wisconsin Act 20, is amended to read:

AB365,8,21 49.471 (8) (b) (intro.) Except as provided in pars. (c), (cg), (cr), (ct), and (d), an individual whose family income exceeds 150 percent of the poverty line is not eligible for BadgerCare Plus if any of the following applies:

AB365,21 Section 21. 49.471 (8) (cr) of the statutes, as created by 2013 Wisconsin Act 20, is repealed.

AB365,22 Section 22. 49.471 (8) (ct) of the statutes, as created by 2013 Wisconsin Act 20, is repealed.

AB365,23 Section 23. 49.471 (8) (d) 1. a. of the statutes, as affected by 2013 Wisconsin Act 20, is amended to read:

AB365,9,4 49.471 (8) (d) 1. a. A pregnant woman, except as provided in pars. (cr) 1. c. and (fm) 4.

AB365,24 Section 24. 49.471 (8) (fm) of the statutes, as created by 2013 Wisconsin Act 20, is repealed.

AB365,25 Section 25. 49.471 (8) (g) (intro.) of the statutes, as affected by 2013 Wisconsin Act 20, is amended to read:

AB365,9,10 49.471 (8) (g) (intro.) Any of the following is a good cause reason for purposes of pars. par. (f) and (fm):

AB365,26 Section 26. 49.471 (10) (b) 2. of the statutes, as affected by 2013 Wisconsin Act 20, is amended to read:

AB365,9,17 49.471 (10) (b) 2. Except as provided in subds. 3m. and subd. 4., a recipient who is a child whose family income is greater than 200 percent of the poverty line shall pay a premium for coverage of the benefits described in sub. (11) that does not exceed the full per member per month cost of coverage for a child with a family income of 300 percent of the poverty line.

AB365,27 Section 27. 49.471 (10) (b) 3m. of the statutes, as created by 2013 Wisconsin Act 20, is repealed.

AB365,28 Section 28. 49.471 (10) (b) 4. (intro.) of the statutes, as affected by 2013 Wisconsin Act 20, is amended to read:

AB365,9,23 49.471 (10) (b) 4. (intro.) None of the following shall pay a premium, except as provided in subd. 3m.:

AB365,29 Section 29. 49.471 (10) (b) 5. of the statutes, as affected by 2013 Wisconsin Act 20, section 1151, is amended to read:

AB365,10,14 49.471 (10) (b) 5. If a recipient who is required to pay a premium under this paragraph or under sub. (2m) or (4) (c) either does not pay a premium when due or requests that his or her coverage under this section be terminated, the recipient's coverage terminates. If the recipient is an adult, the recipient is not eligible for BadgerCare Plus for 12 consecutive calendar months following the date on which the recipient's coverage terminated, except for any month during that 12-month period when the recipient's family income does not exceed 133 percent of the poverty line. If the recipient is a child, the recipient is not eligible for BadgerCare Plus for 3 consecutive calendar months, or up to 12 consecutive calendar months if the federal department of health and human services approves, following the date on which the recipient's coverage terminated, except for any month during that period when the recipient's family income does not exceed 150 percent of the poverty line. This period of ineligibility for a child does not apply to any child who has paid the outstanding premiums.

AB365,30 Section 30. 49.471 (10) (b) 5. of the statutes, as affected by 2013 Wisconsin Act 1152, and 2013 Wisconsin Act .... (this act), is repealed and recreated to read:

AB365,11,3 49.471 (10) (b) 5. If a recipient who is required to pay a premium under this paragraph or under sub. (2m) either does not pay a premium when due or requests that his or her coverage under this section be terminated, the recipient's coverage terminates. If the recipient is an adult, the recipient is not eligible for BadgerCare Plus for 12 consecutive calendar months following the date on which the recipient's coverage terminated, except for any month during that 12-month period when the recipient's family income does not exceed 133 percent of the poverty line. If the recipient is a child, the recipient is not eligible for BadgerCare Plus for 3 consecutive calendar months following the date on which the recipient's coverage terminated, except for any month during that period when the recipient's family income does not exceed 150 percent of the poverty line. This period of ineligibility for a child does not apply to any child who has paid the outstanding premiums.

AB365,31 Section 31. 49.471 (11) (intro.) of the statutes, as affected by 2013 Wisconsin Act 20, is amended to read:

AB365,11,9 49.471 (11) Benchmark plan benefits and copayments. (intro.) Except as provided in sub. (11r) and s. 49.45 (24j), recipients who are not eligible for the benefits described in s. 49.46 (2) (a) and (b) shall have coverage of the following benefits and pay the following copayments:

AB365,32 Section 32. 49.471 (11r) of the statutes, as created by 2013 Wisconsin Act 20, is repealed.

AB365,33 Section 33. Effective dates. This act takes effect on the day after publication, except as follows:

AB365,11,16 (1) The repeal and recreation of sections 49.46 (1) (c) (intro.) and 49.471 (4) (a) 7. and (10) (b) 5. of the statutes takes effect on January 1, 2014, or the day after publication, whichever is later.

AB365,11,17 (End)