AB75-SSA1,622,2120 49.46 (2) (b) 6. Lr. Psychotherapy and alcohol and other drug abuse services,
21as specified under s. 49.45 (30f).
AB75-SSA1, s. 1324 22Section 1324. 49.46 (2) (b) 8. of the statutes is amended to read:
AB75-SSA1,623,223 49.46 (2) (b) 8. Home or community-based services, if provided under s. 46.27
24(11), 46.275, 46.277, 46.278, or 46.2785, 46.99, or under the family care benefit if a

1waiver is in effect under s. 46.281 (1d), or under the disabled children's long-term
2support program, as defined in s. 46.011 (1g).
AB75-SSA1, s. 1325 3Section 1325. 49.46 (2) (b) 17. of the statutes is created to read:
AB75-SSA1,623,54 49.46 (2) (b) 17. Services under s. 49.45 (54) (b) for children participating in the
5early intervention program under s. 51.44, that are provided by a special educator.
AB75-SSA1, s. 1326 6Section 1326. 49.46 (2) (d) of the statutes is amended to read:
AB75-SSA1,623,127 49.46 (2) (d) Benefits authorized under this subsection may not include
8payment for that part of any service payable through 3rd-party liability or any
9federal, state, county, municipal, or private benefit system to which the beneficiary
10is entitled. "Benefit system" does not include any public assistance program such as,
11but not limited to, Hill-Burton benefits under 42 USC 291c (e), in effect on April 30,
121980, or relief funded by a relief block grant.
AB75-SSA1, s. 1327 13Section 1327. 49.47 (4) (b) (intro.) of the statutes is amended to read:
AB75-SSA1,623,2114 49.47 (4) (b) (intro.) Eligibility exists if the applicant's property, subject to the
15exclusion of any amounts under the Long-Term Care Partnership Program
16established under s. 49.45 (31), any amounts in an independence account, as defined
17in s. 49.472 (1) (c), or any retirement assets that accrued from employment while the
18applicant was eligible for the community options program under s. 46.27 (11), or any
19other Medical Assistance program, including deferred compensation or the value of
20retirement accounts in the Wisconsin Retirement System or under the federal Social
21Security Act
, does not exceed the following:
AB75-SSA1, s. 1328 22Section 1328. 49.471 (2) of the statutes is amended to read:
AB75-SSA1,624,1523 49.471 (2) Waiver and state plan amendments. The department shall request
24a waiver from, and submit amendments to the state Medical Assistance plan to, the
25secretary of the federal department of health and human services to implement

1BadgerCare Plus. If the state plan amendments are approved and a waiver that is
2substantially consistent with the provisions of this section, excluding sub. (2m), is
3granted and in effect, the department shall implement BadgerCare Plus beginning
4on January 1, 2008, the effective date of the state plan amendments, or the effective
5date of the waiver, whichever is latest. If the state plan amendments are approved
6but the terms of approval do not allow for federal funding of the cost of benefits for
7all or any part of one or more of the eligibility categories under sub. (4) (b), the
8department may at its discretion pay for the cost of benefits for all or any part of any
9group for which federal funding was denied exclusively with moneys from the
10appropriation under s. 20.435 (4) (b).
If the state plan amendments are not approved
11or if a waiver that is substantially consistent with the provisions of this section,
12excluding sub. (2m), is not granted, BadgerCare Plus may not be implemented. If
13the state plan amendments are approved but approval is not continued or if a waiver
14that is substantially consistent with the provisions of this section, excluding sub.
15(2m), is granted but not continued in effect, BadgerCare Plus shall be discontinued.
AB75-SSA1, s. 1329 16Section 1329. 49.471 (3) (a) 1. of the statutes is amended to read:
AB75-SSA1,624,2417 49.471 (3) (a) 1. Notwithstanding ss. 49.46 (1), 49.465, 49.47 (4), and 49.665 (4),
18if the amendments to the state plan under sub. (2) are approved and a waiver under
19sub. (2) that is substantially consistent with all of the provisions of this section,
20excluding sub. (2m), is granted and in effect, an individual described in sub. (4) (a)
21or (b) or (5) is not eligible under s. 49.46, 49.465, 49.47, or 49.665 for Medical
22Assistance or BadgerCare health program benefits. The eligibility of an individual
23described in sub. (4) (a) or (b) or (5) for Medical Assistance benefits shall be
24determined under this section.
AB75-SSA1, s. 1330 25Section 1330. 49.471 (3) (b) 1. (intro.) of the statutes is amended to read:
AB75-SSA1,625,7
149.471 (3) (b) 1. (intro.) If an individual over 18 years of age who is eligible for
2and receiving Medical Assistance benefits under s. 49.46, 49.47, or 49.665 in the
3month before BadgerCare Plus is implemented loses that eligibility solely due to the
4implementation of BadgerCare Plus and, because of his or her income, is not eligible
5for BadgerCare Plus, the individual shall continue receiving for 18 12 consecutive
6months the medical assistance he or she was receiving before the implementation of
7BadgerCare Plus if all of the following are satisfied:
AB75-SSA1, s. 1331 8Section 1331. 49.471 (3) (b) 1. c. of the statutes is amended to read:
AB75-SSA1,625,119 49.471 (3) (b) 1. c. The individual continues to meet meets all nonfinancial
10eligibility requirements for the coverage that he or she had in the month before the
11implementation of BadgerCare Plus
under this section.
AB75-SSA1, s. 1332 12Section 1332. 49.471 (3) (b) 2. of the statutes is amended to read:
AB75-SSA1,625,1613 49.471 (3) (b) 2. Notwithstanding subd. 1., if at any time during an individual's
1418-month 12-month eligibility extension under subd. 1. any criterion under subd.
151. a. to d. is not satisfied, the individual's eligibility for the extended coverage is
16terminated and any time remaining in the eligibility period is lost.
AB75-SSA1, s. 1333 17Section 1333. 49.471 (4) (a) 4. a. of the statutes is amended to read:
AB75-SSA1,625,2318 49.471 (4) (a) 4. a. The individual is a parent or caretaker relative of a child who
19is living in the home with the parent or caretaker relative or who is temporarily
20absent from the home for not more than 6 months or, if the child has been removed
21from the home for more than 6 months, the parent or caretaker relative is working
22toward unifying the family by complying with a permanency plan under s. 48.38 or
23938.38
.
AB75-SSA1, s. 1334 24Section 1334. 49.471 (4) (a) 5. of the statutes is amended to read:
AB75-SSA1,626,6
149.471 (4) (a) 5. An individual who, regardless of family income, was born on
2or after January 1, 1990, and who, on his or her 18th birthday, was in a foster care
3or treatment foster care placement under the responsibility of a state, as determined
4by the department. The coverage for an individual under this subdivision ends on
5the last day of the month in which the individual becomes 21 years of age, unless he
6or she otherwise loses eligibility sooner.
AB75-SSA1, s. 1335 7Section 1335. 49.471 (4) (a) 7. of the statutes is created to read:
AB75-SSA1,626,108 49.471 (4) (a) 7. Individuals who qualify for a medical assistance eligibility
9extension under s. 49.46 (1) (c), (cg), or (co) when their income increases above the
10poverty line.
AB75-SSA1, s. 1336 11Section 1336. 49.471 (4) (b) 1m. of the statutes is amended to read:
AB75-SSA1,626,1312 49.471 (4) (b) 1m. A pregnant woman or unborn child who obtains eligibility
13under sub. (7) (b) 1.
AB75-SSA1, s. 1337 14Section 1337. 49.471 (4) (b) 4. a. of the statutes is amended to read:
AB75-SSA1,626,2015 49.471 (4) (b) 4. a. The individual is a parent or caretaker relative of a child who
16is living in the home with the parent or caretaker relative or who is temporarily
17absent from the home for not more than 6 months or, if the child has been removed
18from the home for more than 6 months, the parent or caretaker relative is working
19toward unifying the family by complying with a permanency plan under s. 48.38 or
20938.38
.
AB75-SSA1, s. 1338 21Section 1338. 49.471 (5) (b) 1. of the statutes is amended to read:
AB75-SSA1,627,222 49.471 (5) (b) 1. Except as provided in sub. (6) (a) 1., a pregnant woman is
23eligible for the benefits specified in par. (c) during the period beginning on the day
24on which a qualified provider determines, on the basis of preliminary information,

1that the woman's family income does not exceed 300 percent of the poverty line and
2ending on the applicable day specified in subd. 3.
AB75-SSA1, s. 1339 3Section 1339. 49.471 (5) (b) 2. of the statutes is amended to read:
AB75-SSA1,627,84 49.471 (5) (b) 2. Except as provided in sub. (6) (a) 2., a child who is not an unborn
5child is eligible for the benefits described in s. 49.46 (2) (a) and (b) during the period
6beginning on the day on which a qualified entity determines, on the basis of
7preliminary information, that the child's family income does not exceed 150 percent
8of the poverty line and ending on the applicable day specified in subd. 3.
AB75-SSA1, s. 1340 9Section 1340. 49.471 (5) (c) of the statutes is renumbered 49.471 (5) (c) 2. and
10amended to read:
AB75-SSA1,627,1411 49.471 (5) (c) 2. On behalf of a woman under par. (b) 1. whose family income
12exceeds 200 percent of the poverty line
, the department shall audit and pay allowable
13charges to a provider certified under s. 49.45 (2) (a) 11. only for ambulatory prenatal
14care services under the benefits under sub. (11).
AB75-SSA1, s. 1341 15Section 1341. 49.471 (5) (c) 1. of the statutes is created to read:
AB75-SSA1,627,1916 49.471 (5) (c) 1. On behalf of a woman under par. (b) 1. whose family income
17does not exceed 200 percent of the poverty line, the department shall audit and pay
18allowable charges to a provider certified under s. 49.45 (2) (a) 11. only for ambulatory
19prenatal care services under the benefits described in s. 49.46 (2) (a) and (b).
AB75-SSA1, s. 1342 20Section 1342. 49.471 (6) (a) of the statutes is renumbered 49.471 (6) (a) 2. and
21amended to read:
AB75-SSA1,628,322 49.471 (6) (a) 2. Any pregnant woman, including a pregnant woman under sub
23(5) (b) 1.,
child who is not an unborn child, including a child under sub. (5) (b) 2.,
24parent, or caretaker relative whose family income is less than 150 percent of the
25poverty line is eligible for medical assistance under this section for any of the 3

1months prior to the month of application if the individual met the eligibility criteria
2under this section and had a family income of less than 150 percent of the poverty
3line in that month.
AB75-SSA1, s. 1343 4Section 1343. 49.471 (6) (a) 1. of the statutes is created to read:
AB75-SSA1,628,85 49.471 (6) (a) 1. Any pregnant woman, including a pregnant woman under sub.
6(5) (b) 1., is eligible for medical assistance under this section for any of the 3 months
7prior to the month of application if she met the eligibility criteria under this section
8in that month.
AB75-SSA1, s. 1344 9Section 1344. 49.471 (6) (e) of the statutes is repealed.
AB75-SSA1, s. 1345 10Section 1345. 49.471 (7) (b) 1. of the statutes is amended to read:
AB75-SSA1,628,2211 49.471 (7) (b) 1. A pregnant woman, or an unborn child, whose family income
12exceeds 300 percent of the poverty line may become eligible for coverage under this
13section if the difference between the pregnant woman's or unborn child's family
14income and the applicable income limit under sub. (4) (b) is obligated or expended
15for any member of the pregnant woman's or unborn child's family for medical care
16or any other type of remedial care recognized under state law or for personal health
17insurance premiums or for both. Eligibility obtained under this subdivision
18continues without regard to any change in family income for the balance of the
19pregnancy and, for a pregnant woman but not for an unborn child, to the last day of
20the month in which the 60th day after the last day of the woman's pregnancy falls.
21Eligibility obtained by a pregnant woman under this subdivision extends to all
22pregnant women in the pregnant woman's family.
AB75-SSA1, s. 1346 23Section 1346. 49.471 (7) (b) 2. of the statutes is amended to read:
AB75-SSA1,629,724 49.471 (7) (b) 2. A child who is not an unborn child and, whose family income
25exceeds 150 percent of the poverty line, and who is ineligible under this section solely

1because of sub. (8) (b)
may obtain eligibility under this section if the difference
2between the child's family income and 150 percent of the poverty line is obligated or
3expended on behalf of the child or any member of the child's family for medical care
4or any other type of remedial care recognized under state law or for personal health
5insurance premiums or for both. Eligibility obtained under this subdivision during
6any 6-month period, as determined by the department, continues for the remainder
7of the 6-month period and extends to all children in the family.
AB75-SSA1, s. 1347 8Section 1347. 49.471 (7) (b) 3. of the statutes is amended to read:
AB75-SSA1,629,179 49.471 (7) (b) 3. For a pregnant woman or an unborn child to obtain eligibility
10under subd. 1., the amount that must be obligated or expended in any 6-month
11period is equal to the sum of the differences in each of those 6 months between the
12pregnant woman's or unborn child's monthly family income and the monthly family
13income that is 300 percent of the poverty line. For a child to obtain eligibility under
14subd. 2., the amount that must be obligated or expended in any 6-month period is
15equal to the sum of the differences in each of those 6 months between the child's
16monthly family income and the monthly family income that is 150 percent of the
17poverty line.
AB75-SSA1, s. 1348 18Section 1348. 49.471 (7) (c) 1. of the statutes is amended to read:
AB75-SSA1,629,2119 49.471 (7) (c) 1. Deduct from family the individual's income, up to the amount
20of the individual's income,
any payments made by amount the individual is obligated
21to pay
for court-ordered child or family support or maintenance.
AB75-SSA1, s. 1349 22Section 1349. 49.471 (8) (d) 1. f. of the statutes is created to read:
AB75-SSA1,629,2323 49.471 (8) (d) 1. f. An individual described in sub. (4) (a) 7.
AB75-SSA1, s. 1350 24Section 1350. 49.471 (8) (d) 2. c. of the statutes is amended to read:
AB75-SSA1,630,8
149.471 (8) (d) 2. c. One or more members of the individual's family were eligible
2for other health insurance coverage or Medical Assistance under s. 49.46 or 49.47 at
3the time the employee failed to enroll in the health insurance coverage under par. (b)
41. and no member of the family was eligible for coverage under this section at that
5time or, if one or more members of the individual's family were eligible for coverage
6under this section at that time, family income did not exceed 150 percent of the
7poverty line or the individual qualified for a medical assistance eligibility extension
8as provided in sub. (4) (a) 7
.
AB75-SSA1, s. 1351 9Section 1351. 49.471 (10) (a) of the statutes is amended to read:
AB75-SSA1,630,1310 49.471 (10) (a) Copayments. Except as provided in s. 49.45 (18) (am) 2. and (b)
112.
, all cost-sharing provisions under s. 49.45 (18) apply to a recipient with coverage
12of the benefits described in s. 49.46 (2) (a) and (b) to the same extent as they apply
13to a person eligible for medical assistance under s. 49.46, 49.468, or 49.47.
AB75-SSA1, s. 1352 14Section 1352. 49.471 (10) (b) 4. g. of the statutes is created to read:
AB75-SSA1,630,1515 49.471 (10) (b) 4. g. An individual described in sub. (4) (a) 7.
AB75-SSA1, s. 1353 16Section 1353. 49.471 (10) (b) 5. of the statutes is amended to read:
AB75-SSA1,630,2317 49.471 (10) (b) 5. If a recipient who is required to pay a premium under this
18paragraph or under sub. (2m) or (4) (c) either does not pay a premium when due or
19requests that his or her coverage under this section be terminated
, the recipient's
20coverage terminates and the recipient is not eligible for BadgerCare Plus for 6
21consecutive calendar months following the date on which the recipient's coverage
22terminated, except for any month during that 6-month period when the recipient's
23family income does not exceed 150 percent of the poverty line
.
AB75-SSA1, s. 1354 24Section 1354. 49.471 (12) (b) of the statutes is amended to read:
AB75-SSA1,631,5
149.471 (12) (b) If the amendments to the state plan submitted under sub. (2)
2are approved and a waiver that is substantially consistent with all of the provisions
3of this section is granted and in effect, the department shall publish a notice in the
4Wisconsin Administrative Register that states the date on which BadgerCare Plus
5is implemented.
AB75-SSA1, s. 1355 6Section 1355. 49.493 (1) (b) of the statutes is amended to read:
AB75-SSA1,631,87 49.493 (1) (b) "Medical benefits or assistance" means medical benefits under
8s. 49.02 or 253.05 or medical assistance.
AB75-SSA1, s. 1356 9Section 1356. 49.665 (6) of the statutes is repealed.
AB75-SSA1, s. 1357 10Section 1357. 49.686 (2) of the statutes is amended to read:
AB75-SSA1,631,1511 49.686 (2) Reimbursement. From the appropriations appropriation accounts
12under s. 20.435 (5) (1) (am), (i), and (ma), the department may reimburse or
13supplement the reimbursement of the cost of AZT, the drug pentamidine, and any
14drug approved for reimbursement under sub. (4) (c) for an individual who is eligible
15under sub. (3).
AB75-SSA1, s. 1358 16Section 1358. 49.686 (3) (d) of the statutes is amended to read:
AB75-SSA1,631,2217 49.686 (3) (d) Has applied for coverage under and has been denied eligibility
18for medical assistance within 12 months prior to application for reimbursement
19under sub. (2). This paragraph does not apply to an individual who is eligible for
20benefits under the demonstration project for childless adults under s. 49.45 (23) or
21to an individual who is eligible for benefits under BadgerCare Plus under s. 49.471
22(11).
AB75-SSA1, s. 1359 23Section 1359. 49.686 (3) (f) of the statutes is amended to read:
AB75-SSA1,632,224 49.686 (3) (f) Is an individual whose annual gross household income is at or
25below 200% of the poverty line and, if funding is available under s. 20.435 (1) (i) or

1(m) or (5) (i), is an individual whose annual gross household income is above 200%
2and at or below 300% of the poverty line.
AB75-SSA1, s. 1360 3Section 1360. 49.686 (6) (title) of the statutes is amended to read:
AB75-SSA1,632,54 49.686 (6) (title) Health Insurance Risk-Sharing Plan pilot program
5coverage.
AB75-SSA1, s. 1361 6Section 1361. 49.686 (6) (a) (intro.) of the statutes is amended to read:
AB75-SSA1,632,127 49.686 (6) (a) (intro.) Subject to par. (b), the department shall conduct a 3-year
8pilot
program, to begin on January 1, 2008, under which the department may pay
9premiums for coverage under the Health Insurance Risk-Sharing Plan under subch.
10II of ch. 149, and pay copayments under that plan for prescription drugs for which
11reimbursement may be provided under sub. (2), for individuals who satisfy all of the
12following:
AB75-SSA1, s. 1362 13Section 1362. 49.686 (6) (b) of the statutes is amended to read:
AB75-SSA1,632,1614 49.686 (6) (b) The pilot program shall be open to a minimum of 100 participants
15at any given time, with more participants if the department determines that it is
16cost-effective.
AB75-SSA1, s. 1363 17Section 1363. 49.686 (6) (c) of the statutes is amended to read:
AB75-SSA1,632,2018 49.686 (6) (c) The department may promulgate rules for the administration of
19the pilot program. Notwithstanding s. 227.24 (3), rules under this paragraph may
20be promulgated as emergency rules under s. 227.24 without a finding of emergency.
AB75-SSA1, s. 1364 21Section 1364. 49.688 (1) (e) of the statutes is amended to read:
AB75-SSA1,632,2522 49.688 (1) (e) "Program payment rate" means the rate of payment made for the
23identical drug specified under s. 49.46 (2) (b) 6. h., plus 5%, plus a dispensing fee that
24is equal to the dispensing fee permitted to be charged for prescription drugs for which
25coverage is provided under s. 49.46 (2) (b) 6. h.
AB75-SSA1, s. 1365
1Section 1365. 49.688 (3) (d) of the statutes is amended to read:
AB75-SSA1,633,52 49.688 (3) (d) Notwithstanding s. 49.002, if If a person who is eligible under this
3section has other available coverage for payment of a prescription drug, this section
4applies only to costs for prescription drugs for the person that are not covered under
5the person's other available coverage.
AB75-SSA1, s. 1366 6Section 1366. 49.688 (8) of the statutes is repealed.
AB75-SSA1, s. 1367 7Section 1367. 49.688 (12) of the statutes is amended to read:
AB75-SSA1,633,118 49.688 (12) Except as provided in subs. (8) (8m) to (11) and except for the
9department's rule-making requirements and authority, the department may enter
10into a contract with an entity to perform the duties and exercise the powers of the
11department under this section.
AB75-SSA1, s. 1369 12Section 1369 . 49.775 (2) (bm) of the statutes is amended to read:
AB75-SSA1,633,2213 49.775 (2) (bm) The custodial parent assigns to the state any right of the
14custodial parent or of the dependent child to support from any other person accruing
15during the time that any payment under this subsection is made to the custodial
16parent
. No amount of support that begins to accrue after the individual ceases to
17receive payments under this section may be considered assigned to the state. Any
18money that is received by the department of children and families under an
19assignment to the state under this paragraph and that is not the federal share of
20support shall be paid to the custodial parent. The department of children and
21families shall pay the federal share of support assigned under this paragraph as
22required under federal law or waiver.
AB75-SSA1, s. 1369c 23Section 1369c. 49.775 (2) (bm) of the statutes, as affected by 2009 Wisconsin
24Act .... (this act), is amended to read:
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