AB100-ASA1-AA8,163,2120
49.45
(6v) (a) In this subsection, "facility" has the meaning given in sub. (6m)
21(a) 3.
AB100-ASA1-AA8,164,222
(b) The department shall, by December 1 of each year, submit to the joint
23committee on finance a report that provides information on the utilization of beds by
1recipients of medical assistance in facilities for the immediate prior 2 consecutive
2fiscal years.
AB100-ASA1-AA8,164,73
(c) If the report specified in par. (b) indicates that utilization of beds by
4recipients of medical assistance in facilities decreased during the most recently
5completed fiscal year from the utilization of beds by recipients of medical assistance
6in facilities in the next most recently completed fiscal year, the department shall do
7all of the following:
AB100-ASA1-AA8,164,128
1. Multiply the difference between the number of days of care provided in the
9facilities in each of the immediate prior 2 consecutive fiscal years by the average
10daily costs of care in such facilities. The average daily costs of care shall be calculated
11by dividing the total medical assistance expenditures for care in facilities by the total
12number of days of care provided in facilities in that fiscal year.
AB100-ASA1-AA8,164,1513
2. For new placements under ss. 46.275, 46.277 and 46.278 in the most recently
14completed fiscal year, multiply the number of days of service under ss. 46.275, 46.277
15and 46.278 by the rate paid by the department for those placements.
AB100-ASA1-AA8,164,1716
3. Subtract the product calculated under subd. 2. from the product calculated
17under subd. 1.
AB100-ASA1-AA8,164,1918
4. Multiply the difference in subd. 3. by the amount paid by the department for
19the state's share of the costs of care.
AB100-ASA1-AA8,165,220
(d) If par. (c) applies, the department's report under par. (b) shall include a
21proposal to transfer the amount calculated under par. (c) 4. from the appropriation
22under s. 20.435 (5) (b) to the appropriation under s. 20.435 (7) (bd) for the purpose
23of increasing funding for the community options program under s. 46.27. The
24secretary shall transfer the amount identified under the proposal if within 14
1working days after the submission of the proposal the joint committee on finance
2does not schedule a meeting for the purpose of reviewing the proposed action.
AB100-ASA1-AA8,165,43
(e) The joint committee on finance may approve or modify any proposal
4submitted by the department under this subsection.".
AB100-ASA1-AA8,165,77
49.45
(18) (b) 5. Family planning services
, as defined in s. 253.07 (1) (b).".
AB100-ASA1-AA8,165,14
10"49.46
(1) (a) 1. Any person included in the grant of aid to families with
11dependent children and any person who does not receive such aid solely because of
12the application of s. 49.19 (11) (a) 7.
This subdivision does not apply beginning on
13the first day of the 6th month beginning after the date stated in the notice under s.
1449.141 (2) (d).
AB100-ASA1-AA8,165,2016
49.46
(1) (a) 1m. Any pregnant woman who meets the resource and income
17limits under s. 49.19 (4) (bm) and (es) and whose pregnancy is medically verified.
18Eligibility continues to the last day of the month in which the 60th day after the last
19day of the pregnancy falls.
This subdivision does not apply beginning on the first day
20of the 6th month beginning after the date stated in the notice under s. 49.141 (2) (d).".
AB100-ASA1-AA8,166,3
23"49.46
(1) (a) 6. Any person not described in pars. (c) to (e) who is considered,
24under federal law, to be receiving aid to families with dependent children for the
1purpose of determining eligibility for medical assistance.
This subdivision does not
2apply beginning on the first day of the 6th month beginning after the date stated in
3the notice under s. 49.141 (2) (d).
AB100-ASA1-AA8,166,85
49.46
(1) (a) 9. Any pregnant woman not described under subd. 1. or 1m. whose
6family income does not exceed 133% of the poverty line for a family the size of the
7woman's family.
This subdivision does not apply beginning on the first day of the 6th
8month beginning after the date stated in the notice under s. 49.141 (2) (d).
AB100-ASA1-AA8,166,1410
49.46
(1) (a) 10. Any child not described under subd. 1. who is under 6 years
11of age and whose family income does not exceed 133% of the poverty line for a family
12the size of the child's family.
This subdivision does not apply beginning on the first
13day of the 6th month beginning after the date stated in the notice under s. 49.141 (2)
14(d).
AB100-ASA1-AA8,166,2516
49.46
(1) (a) 11.
Any If a waiver under s. 49.665 is granted and in effect, any 17child not described under subd. 1.
who was born after September 30, 1983, who has
18attained the age of 6 but has not attained the age of 19 and whose family income does
19not exceed 100% of the poverty line for a family the size of the child's family.
This
20subdivision does not apply beginning on the first day of the 6th month beginning
21after the date stated in the notice under s. 49.141 (2) (d) If a waiver under s. 49.665
22is not granted or in effect, any child not described in subd. 1. who was born after
23September 30,1983, who has attained the age of 6 but has not attained the age of 19
24and whose family income does not exceed 100% of the poverty line for a family the
25size of the child's family.
AB100-ASA1-AA8,167,52
49.46
(1) (a) 12. Any child not described under subd. 1. who is under 19 years
3of age and who meets the resource and income limits under s. 49.19 (4).
This
4subdivision does not apply beginning on the first day of the 6th month beginning
5after the date stated in the notice under s. 49.141 (2) (d).
AB100-ASA1-AA8,167,107
49.46
(1) (a) 13. Any child who is under one year of age, whose mother was
8determined to be eligible under subd. 9. and who lives with his or her mother.
This
9subdivision does not apply beginning on the first day of the 6th month beginning
10after the date stated in the notice under s. 49.141 (2) (d).".
AB100-ASA1-AA8,168,318
49.46
(1) (cg)
Except as provided in par. (cs), medical Medical assistance shall
19be provided to a dependent child, a relative with whom the child is living or the
20spouse of the relative, if the spouse meets the requirements of s. 49.19 (1) (c) 2. a. or
21b., for 4 calendar months beginning with the month in which the child, relative or
22spouse is ineligible for aid to families with dependent children because of the
23collection or increased collection of maintenance or support, if the child, relative or
24spouse received aid to families with dependent children in 3 or more of the 6 months
1immediately preceding the month in which that ineligibility begins.
This paragraph
2does not apply beginning on the first day of the 6th month beginning after the date
3stated in the notice under s. 49.141 (2) (d).".
AB100-ASA1-AA8,168,148
49.46
(1) (d) 1. Children who are placed in licensed foster homes or licensed
9treatment foster homes by the department and who would be eligible for payment
10of aid to families with dependent children in foster homes or treatment foster homes
11except that their placement is not made by a county department under s. 46.215,
1246.22 or 46.23 will be considered as recipients of aid to families with dependent
13children.
This subdivision does not apply beginning on the first day of the 6th month
14beginning after the date stated in the notice under s. 49.141 (2) (d).
AB100-ASA1-AA8,168,2019
49.46
(2) (a) 4. f.
Family planning services Services and supplies
for family
20planning, as defined in s. 253.07 (1) (a).".
AB100-ASA1-AA8,169,223
49.46
(2) (be) Benefits for an individual eligible under sub. (1) (a) 9. are limited
24to those services under par. (a) or (b) that are related to pregnancy, including
1postpartum
services and family planning services,
as defined in s. 253.07 (1) (b), or
2related to other conditions which may complicate pregnancy.".
AB100-ASA1-AA8,169,129
49.47
(4) (a) (intro.)
Except as provided in par. (ag), any Any individual who
10meets the limitations on income and resources under pars. (b) and (c) and who
11complies with par. (cm) shall be eligible for medical assistance under this section if
12such individual is:
AB100-ASA1-AA8,169,2116
49.47
(4) (c) 2. Whenever an applicant has excess income under subd. 1. or par.
17(am), no certification may be issued until the excess income above the applicable
18limits has been obligated or expended for medical care or for any other type of
19remedial care recognized under state law or for personal health insurance premiums
20or both.
No individual is eligible for medical assistance under this subdivision in a
21month in which the individual is eligible for health care coverage under s. 49.153.".
AB100-ASA1-AA8,170,4
149.47
(6) (a) 7. Beneficiaries eligible under sub. (4) (a) 2. or (am) 1., for services
2under s. 49.46 (2) (a) and (b) that are related to pregnancy, including postpartum
3services and family planning services,
as defined in s. 253.07 (1) (b), or related to
4other conditions which may complicate pregnancy.".
AB100-ASA1-AA8,170,7
749.665 Badger care. (1)
Definitions. In this section:
AB100-ASA1-AA8,170,88
(a) "Custodial parent" has the meaning given in s. 49.141 (1) (b).
AB100-ASA1-AA8,170,99
(b) "Dependent child" has the meaning given in s. 49.141 (c).
AB100-ASA1-AA8,170,1310
(c) "Employer-subsidized health care coverage" means family coverage under
11a group health insurance plan offered by an employer for which the employer pays
12at least 75% of the cost, excluding any deductibles or copayments that may be
13required under the plan.
AB100-ASA1-AA8,170,1414
(d) "Family" means a custodial parent and his or her dependent children.
AB100-ASA1-AA8,171,2
15(2) Waiver. The department of health and family services shall request a
16waiver from the secretary of the federal department of health and human services
17to permit the department of health and family services to implement, beginning not
18later than July 1, 1998, or the effective date of the waiver, whichever is later, a health
19care program under this section. If a waiver that is consistent with all of the
20provisions of this section is granted and in effect, the department of health and family
21services shall implement the program under this section. The department of health
22and family services may not implement the program under this section unless a
23waiver that is consistent with all of the provisions of this section is granted and in
1effect. The department of health and family services shall promulgate all rules
2required under this section no later than 60 days after the receipt of the waiver.
AB100-ASA1-AA8,171,12
3(3) Administration. The department shall administer a program to provide the
4health services and benefits described in s. 49.46 (2) to families that meet the
5eligibility requirements specified in sub. (4). The department shall promulgate rules
6setting forth the application procedures and appeal and grievance procedures. The
7department may promulgate rules limiting access to the program under this section
8to defined enrollment periods. The department may also promulgate rules
9establishing a method by which the department may purchase family coverage
10offered by the employer of a member of an eligible family under circumstances in
11which the department determines that purchasing that coverage would not be more
12costly than providing the coverage under this section.
AB100-ASA1-AA8,171,14
13(4) Eligibility. (a) A family is eligible for health care coverage under this
14section if the family meets all of the following requirements:
AB100-ASA1-AA8,171,1815
1. The family's income does not exceed 185% of the poverty line, except that a
16family that is already receiving health care coverage under this section may have an
17income that does not exceed 200% of the poverty line. The department shall establish
18by rule the criteria to be used to determine income.
AB100-ASA1-AA8,171,2019
2. The family does not have access to employer-subsidized health care
20coverage.
AB100-ASA1-AA8,171,2421
3. The family has not had access to employer-subsidized health care coverage
22within the time period established by the department by rule, but not to exceed 18
23months, immediately preceding application for health care coverage under this
24section. The department may establish exceptions to this subdivision by rule.
AB100-ASA1-AA8,172,3
14. The family meets all other requirements established by the department by
2rule. In establishing other eligibility criteria, the department may not include any
3health condition requirements.
AB100-ASA1-AA8,172,54
(b) Notwithstanding fulfillment of the eligibility requirements under this
5subsection, a family is not entitled to health care coverage under this section.
AB100-ASA1-AA8,172,76
(c) No family may be denied health care coverage under this section solely
7because of a health condition of any family member.
AB100-ASA1-AA8,172,22
8(5) Liability for cost. (a) Except as provided in par. (b), a family that receives
9health care coverage under this section shall pay a percentage of the cost of that
10coverage in accordance with a schedule established by the department by rule. If the
11schedule established by the department requires a family to contribute more than
123.5% of the family's income towards the cost of the health care coverage provided
13under this section, the department shall submit the schedule to the joint committee
14on finance for review and approval of the schedule. If the cochairpersons of the joint
15committee on finance do not notify the department within 14 working days after the
16date of the department's submittal of the schedule that the committee has scheduled
17a meeting to review the schedule, the department may implement the schedule. If,
18within 14 days after the date of the department's submittal of the schedule, the
19cochairpersons of the committee notify the department that the committee has
20scheduled a meeting to review the schedule, the department may not require a family
21to contribute more than 3.5% of the family's income unless the joint committee on
22finance approves the schedule.
AB100-ASA1-AA8,172,2523
(b) The department may not require a family with an income below 133% of the
24poverty line to contribute to the cost of health care coverage provided under this
25section.
AB100-ASA1-AA8,173,3
1(c) The department may establish by rule requirements for wage withholding
2as a means of collecting the family's share of the cost of the health care coverage
3under this section.
AB100-ASA1-AA8,173,8
4(6) Annual report. Not later than October 1 of each year, the department shall
5submit a report to the legislature under s. 13.172 (2) that summarizes enrollment in
6and cost of the health care program under this section and any other information that
7the department determines is pertinent information regarding the program under
8this section.".
AB100-ASA1-AA8,173,15
10"(bm) The custodial parent assigns to the state any right of the custodial parent
11or of the dependent child to support from any other person. No amount of support
12that begins to accrue after the individual ceases to receive payments under this
13section may be considered assigned to the state. Any money received by the
14department of workforce development under an assignment to the state under this
15paragraph shall be paid to the custodial parent.".
AB100-ASA1-AA8,173,2219
50.01
(1g) (g) A residential facility in the village of Union Grove that was
20authorized to operate without a license under a final judgment entered by a court
21before January 1, 1982, and that continues to comply with the judgment
22notwithstanding the expiration of the judgment.".
