LRBa1383/1
MIM:amn&cdc
2021 - 2022 LEGISLATURE
ASSEMBLY AMENDMENT 1,
TO SENATE AMENDMENT 1,
TO ASSEMBLY BILL 675
February 23, 2022 - Offered by Representatives Vining, Spreitzer, Riemer,
Anderson, Andraca, Baldeh, Brostoff, Conley, Considine, Drake, Emerson,
Goyke, Haywood, Hebl, Hong, Moore Omokunde, Neubauer, S. Rodriguez,
Shankland, Shelton, Snodgrass, Sinicki, Stubbs, Subeck and Vruwink.
AB675-SA1-AA1,1,7
3“1m. Page 1, line 1: delete the material beginning with “natural" and ending
4with “test." on line 2 and substitute “hazard pay, paid medical leave, and health
5coverage for frontline health care workers, eligibility expansion under the Medical
6Assistance program, granting rule-making authority, and making an
7appropriation.”.
AB675-SA1-AA1,1,98
2m. Page 1, line 3: delete the material beginning with that line and ending with
9page 3, line 15, and substitute:
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1116.34 Hazard pay during a public health emergency; paid medical
12leave for frontline health care workers. (1)
Definition. In this section,
1“frontline health care worker” means an individual who is any of the following, who
2is not exempt under
29 USC 213, and whose annual pay does not exceed $99,999:
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(a) A provider of direct care to patients in a hospital, nursing home, or residence
4or for an ambulance service provider, as defined in s. 256.01 (3).
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(b) An employee who works in a patient care area of a facility that provides
6direct patient care.
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(c) An individual who handles patient specimens within this state within the
8scope of the individual's employment.
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(d) An employee who works in an area where patient specimens are handled
10at a facility that handles patient specimens within this state.
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11(2) Hazard pay grant program for work during a public health emergency.
12(a) From the appropriation under s. 20.505 (1) (ft), the department shall award
13grants to employers for the payment of hazard pay to frontline health care workers
14who work during a public health emergency declared by the governor under s. 323.10
15or the secretary of health services under s. 252.02, as set forth in s. 103.025 (3).
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(b) The department shall establish and administer a program to subsidize, as
17provided in s. 103.025 (3), the hazard pay costs for frontline health care workers. The
18department shall require, at a minimum, that the employer provide a sworn affidavit
19of compliance, and payroll records if requested by the department. The governor or
20his or her designee within the department may determine the period of applicability
21of this subsection.
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22(3) Paid medical leave grant program for frontline health care workers.
23(a) From the appropriation under s. 20.505 (1) (ft), the department shall award
24grants to employers for the provision of paid medical leave to frontline health care
25workers who contract a communicable disease, as set forth in s. 103.10 (4m).
AB675-SA1-AA1,3,6
1(b) The department shall establish and administer a program to subsidize, as
2provided in s. 103.10 (4m), the paid medical leave costs for frontline health care
3workers. The department shall require, at a minimum, that the employer provide
4a sworn affidavit of compliance, and payroll records if requested by the department.
5The governor or his or her designee within the department may determine the period
6of applicability of this subsection.
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7(4) Coverage of COVID-19 for health care workers. (a) From the
8appropriation under s. 20.505 (1) (ft), the department shall award grants to insurers
9for the provision of health insurance coverage to frontline health care workers as set
10forth in s. 632.895 (14f).
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(b) The department shall establish and administer a program to subsidize, as
12provided in s. 632.895 (14f), the costs of providing coverage for frontline health care
13workers at no additional cost to the covered individuals. The governor or his or her
14designee within the department may determine the period of applicability of this
15subsection.
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16Section 2. 20.435 (4) (bu) of the statutes is created to read:
AB675-SA1-AA1,3,2417
20.435
(4) (bu)
COVID-19 and other communicable disease aids for frontline
18health care workers. A sum sufficient not to exceed, in fiscal year 2021-22, the
19difference between $170,000,000 and the amount after payments have been made
20under s. 16.34, for testing and treatment of frontline health care workers under s.
2149.681 and not to exceed, in fiscal year 2022-23 and each fiscal year thereafter, the
22difference between $300,000,000 and the amount after payments have been made
23under s. 16.34, for testing and treatment of frontline health care workers under s.
2449.681.
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25Section 3. 20.435 (4) (jw) of the statutes is amended to read:
AB675-SA1-AA1,4,8
120.435
(4) (jw)
BadgerCare Plus and hospital assessment. All
moneys received
2from payment of enrollment fees under the program under s. 49.45 (23), all moneys
3transferred under s. 50.38 (9), all moneys transferred from the appropriation account
4under par. (jz), and 10 percent of all moneys received from penalty assessments
5under s. 49.471 (9) (c),
for administration of the program under s. 49.45 (23), to
6provide a portion of the state share of administrative costs for the BadgerCare Plus
7Medical Assistance program under s. 49.471
, and for administration of the hospital
8assessment under s. 50.38.
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9Section 4. 20.505 (1) (ft) of the statutes is created to read:
AB675-SA1-AA1,4,1310
20.505
(1) (ft)
Health care coverage and employee benefits relating to COVID-19
11and other communicable diseases. A sum sufficient not to exceed $170,000,000 in
12fiscal year 2021-22 and not to exceed $300,000,000 in each fiscal year thereafter for
13payments under s. 16.34 (2), (3), and (4).
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16Section 7. 49.45 (23b) (title) of the statutes is amended to read:
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49.45
(23b) (title)
Childless adults
demonstration project reform waiver
18implementation required.
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19Section 8. 49.45 (23b) (b) of the statutes is amended to read:
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49.45
(23b) (b) Beginning as soon as practicable after October 31, 2018, and
21ending no sooner than December 31, 2023, the department shall do all of the
22following with regard to
the childless adults
demonstration project under
sub. (23)
23s. 49.471 (4) (a) 8.:
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1. Require in each month persons, except exempt individuals, who are eligible
25to receive Medical Assistance under
sub. (23)
s. 49.471 (4) (a) 8. and who are at least
119 years of age but have not attained the age of 50 to participate in, document, and
2report 80 hours per calendar month of community engagement activities. The
3department, after finding good cause, may grant a temporary exemption from the
4requirement under this subdivision upon request of a Medical Assistance recipient.
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2. Require persons with incomes of at least 50 percent of the poverty line to pay
6premiums in accordance with par. (c) as a condition of eligibility for Medical
7Assistance under
sub. (23) s. 49.471 (4) (a) 8.
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3. Require as a condition of eligibility for Medical Assistance under
sub. (23) 9s. 49.471 (4) (a) 8. completion of a health risk assessment.
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4. Charge recipients of Medical Assistance under
sub. (23) s. 49.471 (4) (a) 8.
11an $8 copayment for nonemergency use of the emergency department in accordance
12with
42 USC 1396o-1 (e) (1) and
42 CFR 447.54.
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5. Disenroll from Medical Assistance under
sub. (23) s. 49.471 (4) (a) 8. for 6
14months any individual who does not pay a required premium under subd. 2. and any
15individual who is required under subd. 1. to participate in a community engagement
16activity but who does not participate for 48 aggregate months in the community
17engagement activity.
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18Section 9. 49.45 (23b) (c) of the statutes is amended to read:
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49.45
(23b) (c) 1. Persons who are eligible
for the demonstration project under
20sub. (23) s. 49.471 (4) (a) 8. and who have monthly household income that exceeds
2150 percent of the poverty line shall pay a monthly premium amount of $8 per
22household. A person who is eligible to receive an item or service furnished by an
23Indian health care provider is exempt from the premium requirement under this
24subdivision.
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12. The department may disenroll under par. (b) 5. a person for nonpayment of
2a required monthly premium only at annual eligibility redetermination after
3providing notice and reasonable opportunity for the person to pay. If a person who
4is disenrolled for nonpayment of premiums pays all owed premiums or becomes
5exempt from payment of premiums, he or she may reenroll in Medical Assistance
6under
sub. (23) s. 49.471 (4) (a) 8.
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3. The department shall reduce the amount of the required household premium
8by up to half for a recipient of Medical Assistance under
sub. (23) s. 49.471 (4) (a) 8. 9who does not engage in certain behaviors that increase health risks or who attests
10to actively managing certain unhealthy behaviors.
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11Section 10. 49.45 (23b) (e) of the statutes is amended to read:
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49.45
(23b) (e) Before December 31, 2023, the
demonstration project 13requirements under this subsection may not be withdrawn and the department may
14not request from the federal government withdrawal, suspension, or termination of
15the
demonstration project requirements under this subsection unless legislation has
16been enacted specifically allowing for the withdrawal, suspension, or termination.
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17Section 11. 49.471 (1) (cr) of the statutes is created to read:
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49.471
(1) (cr) “Enhanced federal medical assistance percentage" means a
19federal medical assistance percentage described under
42 USC 1396d (y) or (z).
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20Section 12. 49.471 (4) (a) 4. b. of the statutes is amended to read:
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49.471
(4) (a) 4. b. The individual's family income does not exceed
100 133 22percent of the poverty line
before application of the 5 percent income disregard under
2342 CFR 435.603 (d).
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24Section 13. 49.471 (4) (a) 8. of the statutes is created to read:
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49.471
(4) (a) 8. An individual who meets all of the following criteria:
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1a. The individual is an adult under the age of 65.
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b. The adult has a family income that does not exceed 133 percent of the poverty
3line, except as provided in sub. (4g).
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c. The adult is not otherwise eligible for the Medical Assistance program under
5this subchapter or the Medicare program under
42 USC 1395 et seq.
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49.471
(4g) Medicaid expansion; federal medical assistance percentage. For
8services provided to individuals described under sub. (4) (a) 8., the department shall
9comply with all federal requirements to qualify for the highest available enhanced
10federal medical assistance percentage. The department shall submit any
11amendment to the state medical assistance plan, request for a waiver of federal
12Medicaid law, or other approval request required by the federal government to
13provide services to the individuals described under sub. (4) (a) 8. beginning on
14January 1, 2022, and qualify for the highest available enhanced federal medical
15assistance percentage. Sections 20.940 and 49.45 (2t) do not apply to a submission
16to the federal government under this subsection.
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1849.681 COVID-19 and other communicable disease aids for frontline
19health care workers. (1) In this section
: