Wisconsin Legislature: Medical assistance

Health care cost revisions to prescription drugs under MA, insulin, pharmacy benefit managers fiduciary and disclosure requirements, certain 340B program entities drug repository program; diabetes medication pilot project; pharmacist continuing education credits; prescription drug importation program; pharmacy benefits tool grants; prescription drug purchasing entity study; pharmacy services administrative organization licensing; pharmaceutical representatives licensure; insulin safety net programs; JRCCP may report - AB748

Health care cost revisions to prescription drugs under MA, insulin, pharmacy benefit managers fiduciary and disclosure requirements, certain 340B program entities drug repository program; diabetes medication pilot project; pharmacist continuing education credits; prescription drug importation program; pharmacy benefits tool grants; prescription drug purchasing entity study; pharmacy services administrative organization licensing; 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; technical college grants for EMS courses; tuition and materials reimbursement re EMS certification or licensure; EMS Board annual report; 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; technical college grants for EMS courses; tuition and materials reimbursement re EMS certification or licensure; EMS Board annual report; 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

Psychiatry and behavioral health residency program appropriation for the Medical College of Wisconsin [Sec. 302] - AB43

Psychiatry and behavioral health residency program appropriation for the Medical College of Wisconsin [Sec. 302; S.Sub.Amdt.2: further revisions, report requirements revised, Sec. 1, 64] - SB70

Race-based programs or requirements modified to apply to disadvantaged students rather than minority students re HEAB, UW System institutions, Medical College of Wisconsin, Marquette University School of Dentistry, and technical colleges - AB554

Race-based programs or requirements modified to apply to disadvantaged students rather than minority students re HEAB, UW System institutions, Medical College of Wisconsin, Marquette University School of Dentistry, and technical colleges - SB596