AB596: Bill Text

AB596,14,5 1. Admission to a medical or long-term care facility, including at a hospital, skilled nursing facility, rehabilitation facility, nursing home, hospice care facility, or mental health care facility, that is expected to last at least 90 days.

AB596,14,7 2. Admission to an assisted living facility that is expected to last at least 90 days.

AB596,14,8 3. Need for home health care for at least 90 days.

AB596,14,10 4. Need for inpatient or outpatient mental health services that is expected to last at least 90 days.

AB596,14,12 5. Need for durable medical equipment the use of which is expected to last at least 90 days.

AB596,14,14 6. Need for care in the home to assist with personal care, meal preparation, housekeeping, medications, and money management for at least 90 days.

AB596,14,15 7. Need for staff or assistance to allow for caregiver respite.

AB596,14,17 8. Need for transportation assistance to medical appointments that is expected to last at least 90 days.

AB596,14,19 9. Need for funeral planning upon the death of an individual account owner or designee of a trust as indicated by a death certificate.

AB596,14,21 10. Need for other long-term care services determined acceptable by a team of benefit specialists.

AB596,14,23 (b) Except as provided in pars. (c) and (d), the manager shall consider as qualified uses of long-term care investment account funds only all of the following:

AB596,14,24 1. In-home, long-term care services.

AB596,14,25 2. Payment of room and board in facilities specified in par. (a) 1. or 2.

AB596,15,1 3. Caregiver respite services.

AB596,15,2 4. Transportation to medical appointments.

AB596,15,5 5. Other long-term care services as considered appropriate by a licensed or certified health care professional, such as a physician, nurse, or social worker, of an individual account owner or designee of a trust.

AB596,15,6 6. Equipment necessary for quality of life.

AB596,15,8 7. Funeral expenses or estate expenses of a deceased individual account owner or designee of a trust.

AB596,15,9 8. Medical expenses not covered by another payer.

AB596,15,13 (c) The manager shall consider as a qualified use of long-term care investment account funds payment of a premium for long-term care insurance that meets criteria set by the department, in consultation with the office of the commissioner of insurance, without documentation of an event or condition described under par. (a).

AB596,15,20 (d) An expense that is paid by health insurance or a public benefit program is not a qualified use of long-term care investment account funds. An account owner shall seek any coverage by his or her health insurance policy or plan or a public benefit program before using long-term care investment account funds. An account owner may use long-term care investment account funds for copayments, coinsurance, or deductibles for which the account owner would be responsible to pay out-of-pocket.

AB596,15,22 (e) The manager shall establish a procedure for making payments directly to a 3rd party for a qualified use.

AB596,15,25 (7) Contracts with professionals. A manager may enter into a contract for the services of accountants, attorneys, consultants, and other professionals to assist in the administration and evaluation of the long-term care investment program.

AB596,16,6 (8) Report. Annually, each manager shall submit to the department a report on the performance of the long-term care investment program, including any recommended changes to the program. The department shall compile the reports, if necessary, and make the report available on the department's Internet site and shall submit the report to the appropriate standing committees of the legislature under s. 13.172 (3).

AB596,16,9 (9) Construction. Nothing in this section guarantees a rate of interest or return on a long-term care investment account or the payment of principal, interest, or return on a long-term care investment account.

AB596,16,12 (10) Exemption from garnishment, attachment, and execution; security for loan. (a) An account owner's right to qualified withdrawals under this section is not subject to garnishment, attachment, execution, or other process of law.

AB596,16,14 (b) No interest in a long-term care investment account may be pledged as security for a loan.

AB596,16,21 (11) Eligibility for public assistance programs. (a) An individual account owner or designee of a trust is not eligible for Medical Assistance under subch. IV of ch. 49, a long-term care program under s. 46.27, 46.275, or 46.277, the Family Care benefit under s. 46.286, the Family Care Partnership program, or the long-term care program defined in s. 46.2899 (1) until the individual first spends down the income and assets from the long-term care investment account as necessary to meet the eligibility requirements of the applicable program.

AB596,17,2 (b) Any person who is determining eligibility for a program that is not described in par. (a) and does not provide long-term care services shall exclude from the determination any income from or assets accumulated in a long-term care investment account for the account owner or designee of a trust created under this section. This paragraph does not apply to determination of eligibility for a federal program unless approved by the federal government.

AB596,17 Section 17 . 815.18 (3) (q) of the statutes is created to read:

AB596,17,5 815.18 (3) (q) Long-term care investment accounts. An interest in a long-term care investment account under s. 146.92.

AB596,18 Section 18 . Initial applicability.

AB596,17,8 (1) The treatment of sections 71.05 (6) (b) 53., 54., and 55. and 71.07 (5) (a) 10. of the statutes first applies to taxable years beginning on January 1, 2017.

AB596,17,9 (End)