2017 - 2018 LEGISLATURE
February 20, 2018 - Offered by Senators Erpenbach, Miller, Ringhand, Risser,
Carpenter, Vinehout, Schachtner, L. Taylor, Larson, Johnson, Hansen,
Bewley and Shilling.
SB770-SSA1-SA1,1,11 At the locations indicated, amend the substitute amendment as follows:
SB770-SSA1-SA1,1,2 21. Page 5, line 16: after that line insert:
SB770-SSA1-SA1,1,3 3 Section 3c. 49.45 (23) (a) of the statutes is amended to read:
SB770-SSA1-SA1,1,114 49.45 (23) (a) The department shall request a waiver from the secretary of the
5federal department of health and human services to permit the department to
6conduct a demonstration project to provide health care coverage to adults who are
7under the age of 65, who have family incomes not to exceed 100 133 percent of the
8poverty line before application of the 5 percent income disregard under 42 CFR
9435.603 (d)
, except as provided in s. 49.471 (4g), and who are not otherwise eligible
10for medical assistance under this subchapter, the Badger Care health care program
11under s. 49.665, or Medicare under 42 USC 1395 et seq.
SB770-SSA1-SA1,3d 12Section 3d. 49.471 (1) (cr) of the statutes is created to read:
149.471 (1) (cr) “Enhanced federal medical assistance percentage" means a
2federal medical assistance percentage described under 42 USC 1396d (y) or (z).
SB770-SSA1-SA1,3e 3Section 3e. 49.471 (4) (a) 4. b. of the statutes is amended to read:
SB770-SSA1-SA1,2,64 49.471 (4) (a) 4. b. The Except as provided in sub. (4g), the individual's family
5income does not exceed 100 133 percent of the poverty line before application of the
65 percent income disregard under 42 CFR 435.603 (d)
SB770-SSA1-SA1,3f 7Section 3f. 49.471 (4g) of the statutes is created to read:
SB770-SSA1-SA1,2,168 49.471 (4g) Medicaid expansion; federal medical assistance percentage. (a)
9For services provided to individuals described under sub. (4) (a) 4. and s. 49.45 (23),
10the department shall comply with all federal requirements to qualify for the highest
11available enhanced federal medical assistance percentage. The department shall
12submit any amendment to the state medical assistance plan, request for a waiver of
13federal Medicaid law, or other approval request required by the federal government
14to provide services to the individuals described under sub. (4) (a) 4. and s. 49.45 (23)
15and qualify for the highest available enhanced federal medical assistance
SB770-SSA1-SA1,3,317 (b) If the department does not qualify for an enhanced federal medical
18assistance percentage, or if the enhanced federal medical assistance percentage
19obtained by the department is lower than printed in federal law as of July 1, 2013,
20for individuals eligible under sub. (4) (a) 4. or s. 49.45 (23), the department shall
21submit to the joint committee on finance a fiscal analysis comparing the cost to
22maintain coverage for adults who are not pregnant and not elderly with family
23incomes up to 133 percent of the poverty line to the cost of limiting eligibility to those
24adults with family incomes up to 100 percent of the poverty line. The department
25may reduce income eligibility for adults who are not pregnant and not elderly from

1family incomes of up to 133 percent of the poverty line to family incomes of up to 100
2percent of the poverty line only if this reduction in income eligibility levels is
3approved by the joint committee on finance.”.
SB770-SSA1-SA1,3,4 42. Page 15, line 8: after that line insert:
SB770-SSA1-SA1,3,5 5 Section 12m. Fiscal changes.
SB770-SSA1-SA1,3,10 6(1) Medicaid expansion. In the schedule under section 20.005 (3) of the statutes
7for the appropriation to the department of health services under section 20.435 (4)
8(b) of the statutes, the dollar amount for fiscal year 2018-19 is decreased by
9$203,000,000 to provide Medical Assistance to certain adults with family incomes up
10to 133 percent of the federal poverty line.
SB770-SSA1-SA1,13m 11Section 13m. Effective dates. This act takes effect on the day after
12publication, except as follows:
SB770-SSA1-SA1,3,15 13(1) Medicaid expansion. The treatment of sections 49.45 (23) (a) and 49.471 (1)
14(cr), (4) (a) 4. b., and (4g) of the statutes and Section 12m (1) of this act take effect
15on July 1, 2018, or on the day after publication, whichever is later.”.