The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
20.192 (1) (bm) of the statutes is created to read:
(bm) Rural economic development.
The amounts in the schedule for 5
rural economic development programs and grants to authorities and state agencies 6
under s. 238.18.
20.435 (4) (jw) of the statutes is amended to read:
(jw) BadgerCare Plus and hospital assessment.
All moneys received
9from payment of enrollment fees under the program under s. 49.45 (23), all
transferred under s. 50.38 (9), all moneys transferred from the appropriation account
under par. (jz), and 10 percent of all moneys received from penalty assessments 2
under s. 49.471 (9) (c), for administration of the program under s. 49.45 (23),
provide a portion of the state share of administrative costs for the BadgerCare Plus 4
Medical Assistance program under s. 49.471,
and for administration of the hospital 5
assessment under s. 50.38.
20.835 (2) (ca) of the statutes is created to read:
(ca) Farm support grants
. The amounts in the schedule to make the 8
farm support grants under section 9137 (1
) of 2021 Wisconsin Act .... (this act).
49.45 (2p) of the statutes is repealed.
49.45 (23) of the statutes is repealed.
49.45 (23b) (title) of the statutes is amended to read:
(title) Childless adults
demonstration project reform waiver
49.45 (23b) (b) of the statutes is amended to read:
(b) Beginning as soon as practicable after October 31, 2018, and 16
ending no sooner than December 31, 2023, the department shall do all of the 17
following with regard to the
under sub. (23)
18s. 49.471 (4) (a) 8.
1. Require in each month persons, except exempt individuals, who are eligible 20
to receive Medical Assistance under sub. (23)
s. 49.471 (4) (a) 8.
and who are at least 21
19 years of age but have not attained the age of 50 to participate in, document, and 22
report 80 hours per calendar month of community engagement activities. The 23
department, after finding good cause, may grant a temporary exemption from the 24
requirement under this subdivision upon request of a Medical Assistance recipient.
2. Require persons with incomes of at least 50 percent of the poverty line to pay 2
premiums in accordance with par. (c) as a condition of eligibility for Medical 3
Assistance under sub. (23) s. 49.471 (4) (a) 8
3. Require as a condition of eligibility for Medical Assistance under
sub. (23) 5s. 49.471 (4) (a) 8.
completion of a health risk assessment.
4. Charge recipients of Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. 7
an $8 copayment for nonemergency use of the emergency department in accordance 8
with 42 USC 1396o-1
(e) (1) and 42 CFR 447.54
5. Disenroll from Medical Assistance under sub. (23) s. 49.471 (4) (a) 8.
for 6 10
months any individual who does not pay a required premium under subd. 2. and any 11
individual who is required under subd. 1. to participate in a community engagement 12
activity but who does not participate for 48 aggregate months in the community 13
49.45 (23b) (c) of the statutes is amended to read:
(c) 1. Persons who are eligible for the demonstration project
under 16sub. (23) s. 49.471 (4) (a) 8.
and who have monthly household income that exceeds 17
50 percent of the poverty line shall pay a monthly premium amount of $8 per 18
household. A person who is eligible to receive an item or service furnished by an 19
Indian health care provider is exempt from the premium requirement under this 20
2. The department may disenroll under par. (b) 5. a person for nonpayment of 22
a required monthly premium only at annual eligibility redetermination after 23
providing notice and reasonable opportunity for the person to pay. If a person who 24
is disenrolled for nonpayment of premiums pays all owed premiums or becomes
exempt from payment of premiums, he or she may reenroll in Medical Assistance 2
under sub. (23) s. 49.471 (4) (a) 8
3. The department shall reduce the amount of the required household premium 4
by up to half for a recipient of Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. 5
who does not engage in certain behaviors that increase health risks or who attests 6
to actively managing certain unhealthy behaviors.
49.45 (23b) (e) of the statutes is amended to read:
(e) Before December 31, 2023, the
demonstration project 9
requirements under this subsection may not be withdrawn and the department may 10
not request from the federal government withdrawal, suspension, or termination of 11
the demonstration project
requirements under this subsection unless legislation has 12
been enacted specifically allowing for the withdrawal, suspension, or termination.
49.471 (1) (cr) of the statutes is created to read:
(cr) “Enhanced federal medical assistance percentage" means a 15
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 individual's family income does not exceed 100 133 18
percent of the poverty line before application of the 5 percent income disregard under
1942 CFR 435.603 (d)
49.471 (4) (a) 8. of the statutes is created to read:
(a) 8. An individual who meets all of the following criteria:
a. The individual is an adult under the age of 65.
b. The individual has a family income that does not exceed 133 percent of the 24
poverty line, except as provided in sub. (4g).
c. The individual is not otherwise eligible for the Medical Assistance program 2
under this subchapter or the Medicare program under 42 USC 1395
49.471 (4g) of the statutes is created to read:
49.471 (4g) Medicaid expansion; federal medical assistance percentage.
services provided to individuals described under sub. (4) (a) 8., the department shall 6
comply with all federal requirements to qualify for the highest available enhanced 7
federal medical assistance percentage. The department shall submit any 8
amendment to the state medical assistance plan, request for a waiver of federal 9
Medicaid law, or other approval request required by the federal government to 10
provide services to the individuals described under sub. (4) (a) 8. and qualify for the 11
highest available enhanced federal medical assistance percentage. Sections 20.940 12
and 49.45 (2t) do not apply to a submission to the federal government under this 13
49.686 (3) (d) of the statutes is amended to read:
(d) Has applied for coverage under and has been denied eligibility 16
for medical assistance within 12 months prior to application for reimbursement 17
under sub. (2). This paragraph does not apply to an individual
who is eligible for
18benefits under the demonstration project for childless adults under s. 49.45 (23) or
19to an individual
who is eligible for benefits under BadgerCare Plus under s. 49.471 20(4) (a) 8. or
238.18 of the statutes is created to read:
22238.18 Rural economic development. (1) Definition.
In this section:
(a) “State agency" means an office, department, agency, institution of higher 24
education, association, society, or other body in state government created or 25
authorized to be created by the constitution or any law that is entitled to expend
moneys appropriated by law, including any authority created in subch. II of ch. 114 2
or in ch. 231, 233, 234, or 279.
(b) “Rural county” means a county with a population density of less than 155 4
residents per square mile.
5(2) Economic development programs benefiting rural counties.
From the 6
appropriation under under s. 20.192 (1) (bm), the corporation may do the following:
(a) Expend moneys for any economic development program the corporation is 8
administering on the effective date of this paragraph .... [LRB inserts date], if that 9
expenditure assists economic development in a rural county.
(b) Expend moneys for any economic development program the corporation 11
begins administering after the effective date of this paragraph .... [LRB inserts date], 12
if that expenditure assists economic development in a rural county, subject to all of 13
1. Before the corporation first expends moneys on each program under this 15
paragraph, the corporation shall notify the joint committee on finance in writing of 16
the corporation's intention to expend the moneys on the program. The notice shall 17
describe the program and purposes for which the corporation proposes to expend the 18
moneys under this paragraph.
2. If, within 14 working days after the date of the corporation's notice under 20
subd. 1., the cochairpersons of the joint committee on finance do not notify the 21
corporation that the committee has scheduled a meeting to review the corporation's 22
proposal, the corporation may make the expenditures as proposed in the 23
corporation's notice. If, within 14 working days after the date of the corporation's 24
notice under subd. 1., the cochairpersons of the committee notify the corporation that 25
the committee has scheduled a meeting to review the corporation's proposal, the
corporation may make the proposed expenditures only upon approval of the 2
3. The corporation shall adopt policies and procedures establishing, to the 4
extent feasible, matching requirements for the corporation's expenditures under this 5
(c) Award a grant to a state agency if the corporation determines the state 7
agency's expenditure of the grant moneys will assist economic development in a rural 8
county, subject to all of the following:
1. Before the corporation makes a grant under this paragraph, the corporation 10
shall notify the joint committee on finance in writing of the corporation's intention 11
to make the grant. The notice shall describe the program and purposes for which the 12
corporation proposes to make the grant.
2. If, within 14 working days after the date of the corporation's notice under 14
subd. 1., the cochairpersons of the joint committee on finance do not notify the 15
corporation that the committee has scheduled a meeting to review the corporation's 16
proposal, the corporation may make the grant as proposed in the corporation's notice. 17
If, within 14 working days after the date of the corporation's notice under subd. 1., 18
the cochairpersons of the committee notify the corporation that the committee has 19
scheduled a meeting to review the corporation's proposal, the corporation may make 20
the proposed grant only upon approval of the committee.
(d) Before the corporation expends moneys on an economic development 22
program under par. (a) or (b) or makes a grant under par. (c), the corporation shall 23
consider the economic impact of the program or activity for which the moneys will 24
1(3g) Grants for revolving loan funds.
(a) In this subsection and in sub. (3r), 2
“eligible organization” means each county economic development organization 3
serving a rural county and each regional economic development organization serving 4
a rural county that the corporation determines under par. (d) is eligible for a grant 5
under par. (c).
(b) From the appropriation under under s. 20.192 (1) (bm), the corporation shall 7
set aside $5,000,000 for grants under this subsection.
(c) The corporation shall award a onetime grant of $250,000 to each eligible 9
organization, or shall grant a smaller amount if the eligible organization so elects. 10
The corporation may award a onetime grant of more than $250,000 to a consortium 11
of rural counties, or to a consortium of eligible organizations in lieu of a grant to 12
eligible organizations that are members of the consortium. An eligible organization 13
or a consortium receiving a grant under this paragraph shall expend the grant 14
moneys only for the purpose of creating or expanding a revolving loan fund that 15
promotes economic development and entrepreneurial start-ups in a rural county 16
served by the eligible organization or in rural counties served by the consortium.
(d) In determining whether a county economic development organization 18
serving a rural county or regional economic development organization serving a 19
rural county is eligible for a grant under par. (c), the corporation shall consider all 20
of the following:
1. Whether the organization has appropriate fiscal and administrative policies 22
and procedures in place.
2. Whether the organization's staff is sufficient and qualified by education or 24
experience to administer a revolving loan fund.
3. Whether the organization can provide at least 2 examples of projects 2
financed with public funding that the organization has taken from grant application 3
to project completion.
4. Whether the organization has experience or a history of serving the 5
community with economic development projects.
6(3r) Grants for program operations and marketing.
(a) From the 7
appropriation under under s. 20.192 (1) (bm), the corporation shall award a onetime 8
grant of $50,000 to each eligible organization, or shall grant a smaller amount if the 9
eligible organization so elects, subject to all of the following:
1. The eligible organization shall expend all grant moneys received under this 11
paragraph only for the purpose of program operations and marketing within a rural 12
county served by the eligible organization.
2. The eligible organization shall submit a report to the corporation no later 14
than 180 days after the last day of the state fiscal year in which the grant is awarded 15
concerning the organization's use of the grant under this paragraph. The report shall 16
include a description of all marketing efforts undertaken as a result of the grant.
(b) A rural county served by an eligible organization receiving a grant under 18
par. (a) may not use or depend on grant moneys to supplant existing funding for 19
economic development purposes.
20(4) Reporting requirements.
No later than June 30 of each state fiscal year 21
in which the corporation expends moneys from the appropriation under under s. 22
20.192 (1) (bm), the corporation shall submit a report to the joint committee on 23
finance describing in detail the corporation's use of those moneys in that fiscal year.
24(5) Cooperation of state agencies.
All state agencies shall, to the extent 25
needed, as determined by the corporation, cooperate with the corporation concerning
the corporation's planning and implementation of its expenditures of moneys under 2
3(5m) Focus on underserved communities.
In administering this section, the 4
corporation shall make every effort to ensure that underserved communities in rural 5
counties are prioritized.
(1) Childless adults demonstration project.
The department of health 8
services shall submit any necessary request to the federal department of health and 9
human services for a state plan amendment or waiver of federal Medicaid law or to 10
modify or withdraw from any waiver of federal Medicaid law relating to the childless 11
adults demonstration project under s. 49.45 (23), 2019 stats., to reflect the 12
incorporation of recipients of Medical Assistance under the demonstration project 13
into the BadgerCare Plus program under s. 49.471 and the termination of the 14
demonstration project. Sections 20.940 and 49.45 (2t) do not apply to a submission 15
to the federal government under this subsection.
Farm support grants.
From the appropriation under s. 20.835 (2) (ca), the 18
department of revenue shall provide grants to farmers who have experienced 19
financial hardship due to the COVID-19 pandemic. A farmer desiring a grant under 20
this subsection may file an application with the department of revenue in the 21
manner determined by the department. The department of revenue shall consult 22
with the department of agriculture, trade and consumer protection in providing 23
grants under this subsection. In this subsection, “farmer” means a farmer, as defined 24
in s. 102.04 (3), who owns or leases land that is agricultural property, whose gross
sales of farm products in 2019 exceeds $35,000 but not does exceed $5,000,000, and 2
who has experienced financial hardship as a result of the COVID-19 pandemic.
(1) Medicaid expansion.
In the schedule under s. 20.005 (3) for the 5
appropriation to the department of health services under s. 20.435 (4) (b), the dollar 6
amount for fiscal year 2021-22 is decreased by $849,788,000 as a result of expanding 7
eligibility for the Medical Assistance program. In the schedule under s. 20.005 (3) 8
for the appropriation to the department of health services under s. 20.435 (4) (b), the 9
dollar amount for fiscal year 2022-23 is decreased by $841,925,400 as a result of 10
expanding eligibility for the Medical Assistance program.
Effective dates; Health Services. This act takes effect on the
12day after publication, except as follows:
13(1) Medicaid expansion.
The treatment of ss. 20.435 (4) (jw), 49.45 (2p), (23), 14
and (23b) (title), (b), (c), and (e), 49.471 (1) (cr), (4) (a) 4. b. and 8., and (4g), and 49.686 15
(3) (d) and Sections
) and 9219 (1) of this act take effect on July 1, 2021.