Wisconsin Legislature: Medical assistance

Doula services: MA reimbursement [Sec. 1096, 1110] - AB43

Doula services: MA reimbursement [Sec. 1096, 1110] [original bill only] - SB70

Free-standing pediatric teaching hospitals grants, conditions specified [Sec. 2603] - AB43

Free-standing pediatric teaching hospitals grants, conditions specified [Sec. 2603] [original bill only] - SB70

Health care: cost-sharing for prescription drugs under MA eliminated and cap on insulin; pharmacy benefit managers fiduciary and disclosure requirements; reimbursements for certain 340B program entities; drug repository program changes; value-based diabetes medication pilot project; pharmacist continuing education credits re volunteering at free clinics; prescription drug importation program; pharmacy benefits tool grants; prescription drug purchasing entity study; pharmacy services administrative organization licensing required; pharmaceutical representatives licensure; insulin safety net programs; JRCCP may report - AB748

Health care: cost-sharing for prescription drugs under MA eliminated and cap on insulin; pharmacy benefit managers fiduciary and disclosure requirements; reimbursements for certain 340B program entities; drug repository program changes; value-based diabetes medication pilot project; pharmacist continuing education credits re volunteering at free clinics; prescription drug importation program; pharmacy benefits tool grants; prescription drug purchasing entity study; pharmacy services administrative organization licensing required; pharmaceutical representatives licensure; insulin safety net programs; JRCCP may report - SB719

Health information exchange pay-for-performance system for non-hospital providers in MA [Sec. 1080] - AB43

Health information exchange pay-for-performance system for non-hospital providers in MA [Sec. 1080] [original bill only] - SB70

Hospital assessment percentage [Sec. 1076, 1077] - AB43

Hospital assessment percentage [Sec. 1076, 1077] [original bill only] - SB70

Housing assistance for MA recipients from certified providers: DHS to request federal waiver to reimburse services - AB711

Housing assistance for MA recipients from certified providers: DHS to request federal waiver to reimburse services - SB724

Individual Medicare supplement policy: policyholder may cancel at any time - AB404

Individual Medicare supplement policy: policyholder may cancel at any time - SB412

Institutions for mental disease: DHS to cover costs for MA services provided to beneficiaries housed in; federal waiver provision - AB616

Institutions for mental disease: DHS to cover costs for MA services provided to beneficiaries housed in; federal waiver provision - SB635

Low-value care analysis grant [Sec. 9119 (7)] - AB43

Low-value care analysis grant [Sec. 9119 (7)] [original bill only] - SB70

MA and FoodShare ineligibility period created re certain employment terminations; federal approval required - AB101

MA and FoodShare ineligibility period created re certain employment terminations; federal approval required - SB214

MA eligibility determination: DOR required to include questions on individual income tax returns [Sec. 1366, 1530, 9319 (1)] - AB43

MA eligibility determination: DOR required to include questions on individual income tax returns [Sec. 1366, 1530, 9319 (1)] [original bill only] - SB70

MA health services provided via telehealth by out-of-state health provider: physical address in this state not required - AB500

MA health services provided via telehealth by out-of-state health provider: physical address in this state not required - SB476

MA hospital reimbursement rates increased [Sec. 9119 (8)] - AB43

MA hospital reimbursement rates increased [Sec. 9119 (8)] [original bill only] - SB70

MA payment for puberty-blocking drugs or gender reassignment surgery prohibited [S.Sub.Amdt.2: Sec. 308-311] - SB70

MA program supplemental payments to hospitals with avoidable patient days and enhanced nursing home reimbursement rates re residents with bariatric and extensive would care; complex patient pilot program funding - AB1086

MA program supplemental payments to hospitals with avoidable patient days and enhanced nursing home reimbursement rates re residents with bariatric and extensive would care: DHS duties and federal waiver provision - AB1087

MA program supplemental payments to hospitals with avoidable patient days and enhanced nursing home reimbursement rates re residents with bariatric and extensive would care: DHS duties and federal waiver provision - SB1028

MA program supplemental payments to hospitals with avoidable patient days and enhanced nursing home reimbursement rates re residents with bariatric and extensive would care; complex patient pilot program funding - SB1029

MA reimbursement for nontransport ambulance services; grants to technical colleges for EMS courses and HEAB program to reimburse tuition and materials re EMS certification or licensure; EMS Board report re changes scope of practice; levy limit exception; fire dues program eligible expenses; live 911 pilot program; Expenditure Restraint Program exclusion; reports required - AB1168

MA reimbursement for nontransport ambulance services; grants to technical colleges for EMS courses and HEAB program to reimburse tuition and materials re EMS certification or licensure; EMS Board report re changes scope of practice; levy limit exception; fire dues program eligible expenses; live 911 pilot program; Expenditure Restraint Program exclusion; reports required - SB1074

Medicaid expansion; elimination of BadgerCare Plus Core; BadgerCare Reform waiver statutory implementation requirement eliminated [Sec. 407, 1074, 1081, 1082, 1120-1123, 1127, 3394, 9119 (1), 9419 (1)] - AB43

Medicaid expansion; elimination of BadgerCare Plus Core; BadgerCare Reform waiver statutory implementation requirement eliminated - AB745

Medicaid expansion; elimination of BadgerCare Plus Core; BadgerCare Reform waiver statutory implementation requirement eliminated [Sec. 407, 1074, 1081, 1082, 1120-1123, 1127, 3394, 9119 (1), 9419 (1)] [original bill only] - SB70

Medicaid expansion; elimination of BadgerCare Plus Core; BadgerCare Reform waiver statutory implementation requirement eliminated - SB716

Nonmedical services included in the determinants of health as a MA benefit [Sec. 1114, 1117] - AB43

Nonmedical services included in the determinants of health as a MA benefit [Sec. 1114, 1117] [original bill only] - SB70

Nursing home payment rates under MA to exclude provider incentives [S.Sub.Amdt.2: Sec. 9119 (4)] - SB70

Nursing home support services: priced rate provisions [S.Sub.Amdt.2: Sec. 9119 (3)] - SB70

Pediatric inpatient supplement to certain hospitals [Sec. 1079] - AB43

Pediatric inpatient supplement to certain hospitals [Sec. 1079] [original bill only] - SB70

Postpartum MA coverage extended [Sec. 1106, 1107, 1118, 1124, 1125] - AB43

Postpartum MA coverage extended - AB114

Postpartum MA coverage extended [Sec. 1106, 1107, 1118, 1124, 1125] [original bill only] - SB70

Postpartum MA coverage extended - SB110

Primary care: MA reimbursement increased; federal Patient Protection and Affordable Care Act provision [Sec. 9119 (9)] - AB43

Primary care: MA reimbursement increased; federal Patient Protection and Affordable Care Act provision [Sec. 9119 (9)] [original bill only] - SB70

Psychiatric residential treatment facilities: certification process, MA reimbursement, and grants [Sec. 804, 1111, 1115, 1146, 9119 (6)] - AB43

Psychiatric residential treatment facilities: certification process, MA reimbursement, and grants [Sec. 804, 1111, 1115, 1146, 9119 (6)] [original bill only] - SB70

Psychiatric residential treatment facilities: DHS certification process established; MA reimbursement provision - AB1003

Psychiatric residential treatment facilities: DHS certification process established; MA reimbursement provision - SB913

Public Assistance Reporting Information System: DHS to participate in and enter into necessary agreements; veteran benefits provision - AB126

Public Assistance Reporting Information System: DHS to participate in and enter into necessary agreements; veteran benefits provision - SB129

Public assistance revisions: housing, homelessness, and indigence; workforce development, job, and income supports; community action agencies; lead exposure and abatement; sober living residences; nonemergency medical transportation; annual report on poverty; and transportation - AB600

Public assistance revisions: housing, homelessness, and indigence; workforce development, job, and income supports; community action agencies; lead exposure and abatement; sober living residences; nonemergency medical transportation; annual report on poverty; and transportation - SB557

Qualified treatment trainees providing mental or behavioral health treatment or services: health insurance plan prohibited from excluding coverage for; MA rate provision - AB1129

Qualified treatment trainees providing mental or behavioral health treatment or services: health insurance plan prohibited from excluding coverage for; MA rate provision - SB1039

Repair of complex rehabilitation technology prescribed and reimbursed under MA: DHS cannot require a prescription and prior authorization before reimbursing a provider - AB416

Repair of complex rehabilitation technology prescribed and reimbursed under MA: DHS cannot require a prescription and prior authorization before reimbursing a provider - SB434

Residential substance use disorder treatment: MA coverage of room and board [Sec. 1108] - AB43

Residential substance use disorder treatment: MA coverage of room and board [Sec. 1108] [original bill only] - SB70

Rural critical care access hospital supplemental MA payment [S.Sub.Amdt.2: Sec. 303] - SB70

School medical services: MA reimbursement percentage increased [Sec. 1097, 1098] - AB43

School medical services: MA reimbursement percentage increased [Sec. 1097, 1098] [original bill only] - SB70

School-based behavioral health services: DHS to submit plan amendment to allow schools to seek MA reimbursement - AB236

School-based behavioral health services: DHS to submit plan amendment to allow schools to seek MA reimbursement - SB242

SeniorCare participants allowed to purchase 100-day prescription drug supplies; rule revision and DHS to apply for federal Medicaid waiver [Admin.Code DHS 109.31] - AB259

SeniorCare participants allowed to purchase 100-day prescription drug supplies; rule revision and DHS to apply for federal Medicaid waiver [Admin.Code DHS 109.31] - SB263

Serious mental illness treatment: DHS prohibited from imposing utilization management controls for certain prescription drugs under the MA program - AB654

Serious mental illness treatment: DHS prohibited from imposing utilization management controls for certain prescription drugs under the MA program - SB618

Social Security and Medicare: affirming Wisconsin Legislature’s support for; Wisconsin’s congressional delegation urged to oppose harmful cuts or changes - SJR23

Specialized transportation assistance pilot program created; MA, ADRC, DOT, and report provisions - AB923

Specialized transportation assistance pilot program created; MA, ADRC, DOT, and report provisions - SB856

Value-based purchasing arrangements under MA: DHS may enter into with a drug manufacturer - AB687

Value-based purchasing arrangements under MA: DHS may enter into with a drug manufacturer - SB672

Ventilator-dependent nursing home residents: MA reimbursement rate [S.Sub.Amdt.2: Sec. 9119 (5)] - SB70

Graduate medical education grants appropriation increased [original bill only] - Se3 SB1

Graduate medical training grants: distribution, maximum, eligibility, and renewal revisions; new grant for a graduate medical training consortia created - AB618

Graduate medical training grants: distribution, maximum, eligibility, and renewal revisions; new grant for a graduate medical training consortia created - SB643

Graduate medical training programs: term of grants to establish in rural hospitals extended [Sec. 2302, 2303] - AB43

Graduate medical training programs: term of grants to establish in rural hospitals extended [Sec. 2302, 2303; S.Sub.Amdt.2: further revisions, Sec. 417] - SB70

Pelvic exam on anesthetized or unconscious patient: hospitals required to have informed consent policy, discipline provision - AB125

Pelvic exam on anesthetized or unconscious patient: hospitals required to have informed consent policy, discipline provision - SB127