Amendment AA8-ASA1-AB64

LRBb0824/1

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2017 - 2018 LEGISLATURE

ASSEMBLY AMENDMENT 8, TO ASSEMBLY SUBSTITUTE AMENDMENT 1, TO ASSEMBLY BILL 64

September 13, 2017 - Offered by Representatives Subeck, C. Taylor, Anderson, Hebl, Barca, Berceau, Billings, Bowen, Brostoff, Considine, Crowley, Doyle, Fields, Genrich, Goyke, Hesselbein, Hintz, Kessler, Kolste, Mason, Meyers, Milroy, Ohnstad, Pope, Riemer, Sargent, Shankland, Sinicki, Spreitzer, Stuck, Vruwink, Wachs, Young, Zamarripa and Zepnick.

AB64-ASA1-AA8,1,1 At the locations indicated, amend the substitute amendment as follows:

AB64-ASA1-AA8,1,2 1. Page 11, line 1: before that line insert:

AB64-ASA1-AA8,1,3 “ Section 8r. 13.94 (1) (nm) of the statutes is created to read:

AB64-ASA1-AA8,1,9 13.94 (1) (nm) No later than February 1, 2021, prepare a financial and performance evaluation audit of the nonemergency medical transportation program for Medical Assistance recipients including a comparison of services provided under an alternative arrangement made under 2017 Wisconsin Act .... (this act), section 9120 (5p), to services provided under a contract other than the alternative arrangement.”.

AB64-ASA1-AA8,2,2 2. Page 173, line 16: increase the dollar amount for fiscal year 2017-18 by $239,800 and increase the dollar amount for fiscal year 2018-19 by $239,800 for the purpose of increasing the funding for emergency medical services training and certification aids.

AB64-ASA1-AA8,2,6 3. Page 179, line 2: decrease the dollar amount for fiscal year 2017-18 by $98,900,000 and decrease the dollar amount for fiscal year 2018-19 by $187,400,000 for the purpose of providing Medical Assistance to certain adults with family incomes up to 133 percent of the federal poverty line.

AB64-ASA1-AA8,2,10 4. Page 179, line 2: increase the dollar amount for fiscal year 2017-18 by $72,836,000 and increase the dollar amount for fiscal year 2018-19 by $156,124,700 for the purpose of increasing reimbursement rates for certain providers of Medical Assistance services as described under Section 9120 (7g) of this act.

AB64-ASA1-AA8,2,14 5. Page 179, line 2: increase the dollar amount for fiscal year 2017-18 by $7,459,500 and increase the dollar amount for fiscal year 2018-19 by $15,961,700 for the purpose of increasing reimbursement rates for certain providers of Medical Assistance nursing homes as described under Section 9120 (5v) of this act.

AB64-ASA1-AA8,2,18 6. Page 179, line 2: increase the dollar amount for fiscal year 2017-18 by $13,262,515 and increase the dollar amount for fiscal year 2018-19 by $28,318,166 for the purpose of increasing reimbursement rates for certain providers of Medical Assistance personal care services as described under Section 9120 (5t) of this act.

AB64-ASA1-AA8,2,19 7. Page 424, line 21: after that line insert:

AB64-ASA1-AA8,2,20 “ Section 709n. 40.51 (8) of the statutes is amended to read:

AB64-ASA1-AA8,3,2 40.51 (8) Every health care coverage plan offered by the state under sub. (6) shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.728, 632.746 (1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.867, 632.87 (3) to (6), 632.885, 632.89, 632.895 (5m) and (8) to (17), and 632.896.

AB64-ASA1-AA8,709p Section 709p. 40.51 (8m) of the statutes is amended to read:

AB64-ASA1-AA8,3,7 40.51 (8m) Every health care coverage plan offered by the group insurance board under sub. (7) shall comply with ss. 631.95, 632.728, 632.746 (1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.867, 632.885, 632.89, and 632.895 (11) to (17).”.

AB64-ASA1-AA8,3,8 8. Page 424, line 21: after that line insert:

AB64-ASA1-AA8,3,9 “ Section 709p. 40.51 (8m) of the statutes is amended to read:

AB64-ASA1-AA8,3,13 40.51 (8m) Every health care coverage plan offered by the group insurance board under sub. (7) shall comply with ss. 631.95, 632.746 (1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.867, 632.885, 632.89, and 632.895 (11) (8) and (10) to (17).”.

AB64-ASA1-AA8,3,14 9. Page 424, line 21: after that line insert:

AB64-ASA1-AA8,3,15 “ Section 709n. 40.51 (8) of the statutes is amended to read:

AB64-ASA1-AA8,3,20 40.51 (8) Every health care coverage plan offered by the state under sub. (6) shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.746 (1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.867, 632.87 (3) to (6), 632.883, 632.885, 632.89, 632.895 (5m) and (8) to (17), and 632.896.

AB64-ASA1-AA8,709p Section 709p. 40.51 (8m) of the statutes is amended to read:

AB64-ASA1-AA8,4,2 40.51 (8m) Every health care coverage plan offered by the group insurance board under sub. (7) shall comply with ss. 631.95, 632.746 (1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.867, 632.883, 632.885, 632.89, and 632.895 (11) to (17).”.

AB64-ASA1-AA8,4,3 10. Page 518, line 19: after that line insert:

AB64-ASA1-AA8,4,4 “ Section 925t. 49.45 (9d) of the statutes is created to read:

AB64-ASA1-AA8,4,5 49.45 (9d) Family planning services; private providers. (a) In this subsection:

AB64-ASA1-AA8,4,6 1. “Family planning” has the meaning given s. 253.07 (1) (a).

AB64-ASA1-AA8,4,10 2. “Federal funding prohibition” means an enacted federal law, a regulation, or an executive order or action that prohibits federal moneys from being paid by the state to a provider under the Medicaid program because of the scope of services offered by the provider or the scope of services for which the provider offers referrals.

AB64-ASA1-AA8,4,13 3. “Nonpublic family planning provider” means an entity other than a public entity or governmental unit that is a provider of services for family planning under the Medical Assistance program under this subchapter on December 31, 2016.

AB64-ASA1-AA8,4,15 (b) If a nonpublic family planning provider becomes subject to a federal funding prohibition, the department shall do all of the following:

AB64-ASA1-AA8,4,18 1. Ensure that enrollees in the Medical Assistance program under this subchapter are allowed access to the nonpublic family planning provider to the same extent as before the federal funding prohibition.

AB64-ASA1-AA8,4,21 2. Reimburse the nonpublic family planning provider for services provided to Medical Assistance enrollees under this subchapter for services for family planning that are covered under the Medical Assistance program.

AB64-ASA1-AA8,4,24 3. Maintain requirements for the nonpublic family planning provider to receive state payments under this subchapter that are the same requirements as before the federal funding prohibition.

AB64-ASA1-AA8,5,3 (c) The department may not limit the scope of services for which a nonpublic family planning provider may offer a referral in order to receive reimbursement under par. (b) 2.”.

AB64-ASA1-AA8,5,4 11. Page 521, line 19: after that line insert:

AB64-ASA1-AA8,5,5 “ Section 926w. 49.45 (23) (a) of the statutes is amended to read:

AB64-ASA1-AA8,5,13 49.45 (23) (a) The department shall request a waiver from the secretary of the federal department of health and human services to permit the department to conduct a demonstration project to provide health care coverage to adults who are under the age of 65, who have family incomes not to exceed 100 133 percent of the poverty line before application of the 5 percent income disregard under 42 CFR 435.603 (d), except as provided in s. 49.471 (4g), and who are not otherwise eligible for medical assistance under this subchapter, the Badger Care health care program under s. 49.665, or Medicare under 42 USC 1395 et seq.”.

AB64-ASA1-AA8,5,14 12. Page 531, line 15: after that line insert:

AB64-ASA1-AA8,5,15 “ Section 933p. 49.471 (1) (cr) of the statutes is created to read:

AB64-ASA1-AA8,5,17 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a federal medical assistance percentage described under 42 USC 1396d (y) or (z).

AB64-ASA1-AA8,933r Section 933r. 49.471 (4) (a) 4. b. of the statutes is amended to read:

AB64-ASA1-AA8,5,21 49.471 (4) (a) 4. b. The Except as provided in sub. (4g), the individual's family income does not exceed 100 133 percent of the poverty line before application of the 5 percent income disregard under 42 CFR 435.603 (d).

AB64-ASA1-AA8,933t Section 933t. 49.471 (4g) of the statutes is created to read:

AB64-ASA1-AA8,6,7 49.471 (4g) Medicaid expansion; federal medical assistance percentage. (a) For services provided to individuals described under sub. (4) (a) 4. and s. 49.45 (23), the department shall comply with all federal requirements to qualify for the highest available enhanced federal medical assistance percentage. The department shall submit any amendment to the state medical assistance plan, request for a waiver of federal Medicaid law, or other approval request required by the federal government to provide services to the individuals described under sub. (4) (a) 4. and s. 49.45 (23) and qualify for the highest available enhanced federal medical assistance percentage.

AB64-ASA1-AA8,6,19 (b) If the department does not qualify for an enhanced federal medical assistance percentage, or if the enhanced federal medical assistance percentage obtained by the department is lower than printed in federal law as of July 1, 2013, for individuals eligible under sub. (4) (a) 4. or s. 49.45 (23), the department shall submit to the joint committee on finance a fiscal analysis comparing the cost to maintain coverage for adults who are not pregnant and not elderly with family incomes up to 133 percent of the poverty line to the cost of limiting eligibility to those adults with family incomes up to 100 percent of the poverty line. The department may reduce income eligibility for adults who are not pregnant and not elderly from family incomes of up to 133 percent of the poverty line to family incomes of up to 100 percent of the poverty line only if this reduction in income eligibility levels is approved by the joint committee on finance.”.

AB64-ASA1-AA8,6,20 13. Page 531, line 15: after that line insert:

AB64-ASA1-AA8,6,21 “ Section 933t. 49.471 (4m) of the statutes is created to read: