The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
20.005 (3) (schedule) of the statutes: at the appropriate place, insert 2
the following amounts for the purposes indicated:
- See PDF for table
20.370 (6) (ca) of the statutes is created to read:
(ca) Environmental aids
— county grants for testing wells.
As a 5
continuing appropriation, the amounts in the schedule to provide grants to counties 6
for testing privately owned wells and providing education under s. 281.73.
20.435 (4) (jw) of the statutes is amended to read:
(jw) BadgerCare Plus and hospital assessment.
All moneys received
2from 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 4
under par. (jz), and 10 percent of all moneys received from penalty assessments 5
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 7
Medical Assistance program under s. 49.471,
and for administration of the hospital 8
assessment under s. 50.38.
49.45 (2p) of the statutes is repealed.
49.45 (23) of the statutes is repealed.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.
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 18
benefits 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
281.73 of the statutes is created to read:
22281.73 County grants for well testing and public education. (1)
department shall administer a program to provide grants to counties for either of the 24
(a) To conduct countywide testing and mapping of privately owned wells to 2
assess groundwater quality and to determine the extent and type of any 3
contamination and to study and map geologic characteristics and well construction 4
practices in the county, including depth to bedrock and well age, to determine any 5
correlation between water quality, geology, and well construction.
(b) For counties that have completed the type of study described under par. (a), 7
to notify the public of the results of the completed study and to notify private well 8
owners whose wells may be contaminated based on the results of the completed 9
A county may receive a grant under either sub. (1) (a) or (b) but not both.
More than one county may apply for a joint grant under this section if the 12
counties are applying for the same grant category under sub. (1) (a) or (b).
The department may not provide more than $10,000 per county under sub. 14
(1) (a) nor more than $2,500 per county under sub. (1) (b).
As a condition of receiving a grant under this section,
a county shall do all 16
of the following:
(a) Provide matching funds equal to the amount of the proposed grant.
(b) Submit the results of its testing to the University of Wisconsin–Stevens 19
Point Center for Watershed Science and Education. Information submitted under 20
this paragraph may not include any personally identifiable information.
In making grants under this section, the department shall seek to make a 22
grant to every county that applies.
The department may promulgate rules necessary to implement this section 24
but may not impose substantive requirements on applicants other than those 25
provided in this section.
2(1) Childless adults demonstration project.
The department of health 3
services shall submit any necessary request to the federal department of health and 4
human services for a state plan amendment or waiver of federal Medicaid law or to 5
modify or withdraw from any waiver of federal Medicaid law relating to the childless 6
adults demonstration project under s. 49.45 (23), 2019 stats., to reflect the 7
incorporation of recipients of Medical Assistance under the demonstration project 8
into the BadgerCare Plus program under s. 49.471 and the termination of the 9
demonstration project. Sections 20.940 and 49.45 (2t) do not apply to a submission 10
to the federal government under this subsection.
Environmental improvement fund transfer.
There is transferred from the 13
general fund to the environmental improvement fund $80,000,000 in fiscal year 14
(2) Private lead service line replacement.
In the schedule under s. 20.005 (3) 16
for the appropriation to the department of administration under s. 20.505 (1) (v), the 17
dollar amount for fiscal year 2021-22 is increased by $80,000,000 to provide, under 18
s. 281.61, principal forgiveness to municipalities to cover up to 50 percent of the costs 19
of lead service line replacement on private property or principal forgiveness to 20
municipalities to provide grants to private users of public water systems to cover up 21
to 50 percent of the costs of lead service line replacement on private property.
23(1) Medicaid expansion.
In the schedule under s. 20.005 (3) for the 24
appropriation to the department of health services under s. 20.435 (4) (b), the dollar 25
amount for fiscal year 2021-22 is decreased by $849,788,000 as a result of expanding
eligibility for the Medical Assistance program. In the schedule under s. 20.005 (3) 2
for the appropriation to the department of health services under s. 20.435 (4) (b), the 3
dollar amount for fiscal year 2022-23 is decreased by $841,925,400 as a result of 4
expanding eligibility for the Medical Assistance program.
(1) Environmental fund transfer.
There is transferred from the general fund 7
to the environmental fund $41,000,000 in fiscal year 2021-22.
(2) Urban nonpoint source water pollution abatement and storm water
In the schedule under s. 20.005 (3) for the appropriation to 10
the department of natural resources under s. 20.370 (6) (dq), the dollar amount for 11
fiscal year 2021-22 is increased by $24,000,000 for the urban nonpoint source water 12
pollution abatement and storm water management program under s. 281.66.
(3) Nonpoint source water pollution abatement projects.
In the schedule 14
under s. 20.005 (3) for the appropriation to the department of natural resources 15
under s. 20.370 (6) (aq), the dollar amount for fiscal year 2021-22 is increased by 16
$13,000,000 for nonpoint source water pollution abatement projects under s. 281.65 17
(4c) and (4e).
(4) Well compensation grant program.
In the schedule under s. 20.005 (3) for 19
the appropriation to the department of natural resources under s. 20.370 (6) (cr), the 20
dollar amount for fiscal year 2021-22 is increased by $4,000,000 for the well 21
compensation grant program under s. 281.75.
Effective dates; general. Except as otherwise provided in
23Section 9419 of this act, this act takes effect on the day after publication, or on the
242nd day after publication of the 2021-23 biennial budget act, whichever is later.
The treatment of ss. 20.435 (4) (jw), 49.45 (2p), (23), 2
and (23b) (title), (b), (c), and (e), 49.471 (1) (cr), (4) (a) 4. b. and 8. and (4g), and 49.686 3
(3) (d) and Sections
9119 (1) and 9219 (1) of this act take effect on July 1, 2021.