2017 - 2018 LEGISLATURE
ASSEMBLY AMENDMENT 1,
TO SENATE BILL 770
February 20, 2018 - Offered by Representatives Hintz, Hesselbein, Spreitzer,
Doyle, Riemer, Vruwink, Neubauer, Brostoff, Wachs, Subeck, Sinicki,
Kessler, Meyers, Hebl, Ohnstad, Kolste, Considine, Berceau, Shankland,
Barca and Billings.
At the locations indicated, amend the bill
, as shown by senate substitute 2
amendment 1, as follows:
49.45 (23) (a) of the statutes is amended to read:
(a) The department shall request a waiver from the secretary of the 6
federal department of health and human services to permit the department to 7
conduct a demonstration project to provide health care coverage to adults who are 8
under the age of 65, who have family incomes not to exceed 100 133
percent of the 9
poverty line before application of the 5 percent income disregard under 42 CFR
, except as provided in s. 49.471 (4g),
and who are not otherwise eligible 11
for medical assistance under this subchapter, the Badger Care health care program 12
under s. 49.665, or Medicare under 42 USC 1395
49.471 (1) (cr) of the statutes is created to read:
(cr) “Enhanced federal medical assistance percentage" means a 2
federal medical assistance percentage described under 42 USC 1396d
(y) or (z).
49.471 (4) (a) 4. b. of the statutes is amended to read:
(a) 4. b. The Except as provided in sub. (4g), the
individual's family 5
income does not exceed 100 133
percent of the poverty line before application of the
65 percent income disregard under 42 CFR 435.603 (d)
49.471 (4g) of the statutes is created to read:
49.471 (4g) Medicaid expansion; federal medical assistance percentage.
For services provided to individuals described under sub. (4) (a) 4. and s. 49.45 (23), 10
the department shall comply with all federal requirements to qualify for the highest 11
available enhanced federal medical assistance percentage. The department shall 12
submit any amendment to the state medical assistance plan, request for a waiver of 13
federal Medicaid law, or other approval request required by the federal government 14
to provide services to the individuals described under sub. (4) (a) 4. and s. 49.45 (23) 15
and qualify for the highest available enhanced federal medical assistance 16
(b) If the department does not qualify for an enhanced federal medical 18
assistance percentage, or if the enhanced federal medical assistance percentage 19
obtained by the department is lower than printed in federal law as of July 1, 2013, 20
for individuals eligible under sub. (4) (a) 4. or s. 49.45 (23), the department shall 21
submit to the joint committee on finance a fiscal analysis comparing the cost to 22
maintain coverage for adults who are not pregnant and not elderly with family 23
incomes up to 133 percent of the poverty line to the cost of limiting eligibility to those 24
adults with family incomes up to 100 percent of the poverty line. The department 25
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 2
percent of the poverty line only if this reduction in income eligibility levels is 3
approved by the joint committee on finance.”.
Increasing Medical Assistance reimbursement rates.
The department 7
of health services shall amend the state Medicaid plan to increase reimbursement 8
rates for providers of medical and long-term care services under the Medical 9
Assistance program for dates of service on and after July 1, 2018.
11(1m) Medicaid expansion.
In the schedule under section 20.005 (3) of the 12
statutes for the appropriation to the department of health services under section 13
20.435 (4) (b) of the statutes, the dollar amount for fiscal year 2018-19 is decreased 14
by $203,000,000 to provide Medical Assistance to certain adults with family incomes 15
up to 133 percent of the federal poverty line.
16(2m) Medical Assistance reimbursement rates.
In the schedule under section 17
20.005 (3) of the statutes for the appropriation to the department of health services 18
under section 20.435 (4) (b) of the statutes, the dollar amount for fiscal year 2018-19 19
is increased by $50,000,000 to increase reimbursement rates to providers under the 20
Medical Assistance program in accordance with Section
11 (2m) of this act.
This act takes effect on the day after 22
publication, except as follows:
The treatment of sections 49.45 (23) (a) and 49.471 2
(1) (cr), (4) (a) 4. b., and (4g) of the statutes and Section
12m (1m) and (2m) of this 3
act take effect on July 1, 2018, or on the day after publication, whichever is later.”.