Amendment ASA1-AB414

AB414-ASA1,10 Section 10. 49.472 (3) (a) 2. of the statutes is created to read:

AB414-ASA1,6,18 49.472 (3) (a) 2. The individual's family's total net income equals or exceeds 250 percent of the poverty line for a family the size of the individual's family, but the department determines that the individual's family's earnings are insufficient to replace all of the publicly funded benefits that the individual would be eligible to receive in the absence of those earnings.

AB414-ASA1,11 Section 11. 49.472 (3) (b) of the statutes is amended to read:

AB414-ASA1,7,2 49.472 (3) (b) The individual's assets do not exceed $15,000. In determining assets, the department may not include assets that are excluded from the resource calculation under 42 USC 1382b (a) or; assets accumulated in an independence account; or, to the extent approved by the federal government, income or assets from retirement benefits earned or accumulated from income or employer contributions while the individual was employed and eligible for and receiving medical assistance under this section or s. 46.27. The department may exclude, in whole or in part, the value of a vehicle used by the individual for transportation to paid employment.

AB414-ASA1,12 Section 12. 49.472 (3) (f) of the statutes is amended to read:

AB414-ASA1,7,6 49.472 (3) (f) The individual maintains premium payments calculated by the department in accordance with sub. (4), unless the individual is exempted from premium payments under sub. (4) (b) (c) or (5).

AB414-ASA1,13 Section 13. 49.472 (4) (a) (intro.) of the statutes is renumbered 49.472 (4) (intro.) and amended to read:

AB414-ASA1,7,13 49.472 (4) Premiums. (intro.) Except as provided in par. (b) (c) and sub. (5), an individual who is eligible for medical assistance under sub. (3) and receives medical assistance shall pay a monthly premium to the department. The department shall establish the monthly premiums by rule in accordance with the following guidelines, calculated as follows:

AB414-ASA1,14 Section 14. 49.472 (4) (a) 1. of the statutes is repealed and recreated to read:

AB414-ASA1,7,19 49.472 (4) (a) 1. Except as provided in subds. 3. and 4., an individual whose total income is equal to or greater than 150 percent of the poverty line for a family the size of the individual's family shall pay a premium that is not more than 3 percent of the individual's total earned and unearned income, after the deductions specified in subd. 2.

AB414-ASA1,15 Section 15. 49.472 (4) (a) 2. (intro.) of the statutes is amended to read:

AB414-ASA1,7,23 49.472 (4) (a) 2. (intro.) In determining an individual's total earned and unearned income for purposes of determining the premium under subd. 1., the department shall disregard all of the following:

AB414-ASA1,16 Section 16. 49.472 (4) (a) 2m. of the statutes is repealed.

AB414-ASA1,17 Section 17. 49.472 (4) (a) 3. of the statutes is amended to read:

AB414-ASA1,8,3 49.472 (4) (a) 3. The Subject to subd. 4., the department may reduce the premium by 25% determined under subd. 1. by 25 percent for an individual who is covered by private health insurance.

AB414-ASA1,18 Section 18. 49.472 (4) (a) 4. of the statutes is created to read:

AB414-ASA1,8,6 49.472 (4) (a) 4. An individual's premium under this paragraph may not be less than $35.

AB414-ASA1,19 Section 19 . 49.472 (4) (b) of the statutes is repealed and recreated to read:

AB414-ASA1,8,9 49.472 (4) (b) An individual whose total income is less than 150 percent of the poverty line for a family the size of the individual's family shall pay a premium of $35.

AB414-ASA1,20 Section 20. 49.472 (4) (c) of the statutes is created to read:

AB414-ASA1,8,13 49.472 (4) (c) The department may waive monthly premiums for an individual if the department determines that payment of a premium would work an undue hardship on the individual.

AB414-ASA1,21 Section 21. 49.472 (5) of the statutes, as affected by 2015 Wisconsin Act 55, is amended to read:

AB414-ASA1,8,19 49.472 (5) Community options participants. From the appropriation under s. 20.435 (4) (bd), the department may pay all or a portion of the monthly premium calculated under sub. (4) (a) for an individual who is a participant in the community options program under s. 46.27 (11).

AB414-ASA1,22 Section 22 . Initial applicability.

AB414-ASA1,9,2 (1) Eligibility for the Medical Assistance purchase plan. The treatment of section 49.472 (3) (b) and (f) of the statutes, the renumbering and amendment of section 49.472 (3) (a) of the statutes, and the creation of section 49.472 (3) (a) 2. of the statutes first apply to individuals who apply for the Medical Assistance purchase plan, or whose continued eligibility for the Medical Assistance purchase plan is reviewed, on the effective date of this subsection.

AB414-ASA1,9,3 (2) Eligibility for certain Medical Assistance programs.

AB414-ASA1,9,8 (a) Long-term care. The treatment of section 46.269 of the statutes first applies to individuals who apply for any of the programs listed in section 46.269 of the statutes, as created by this act, or whose continued eligibility for any of the programs listed in section 46.269 of the statutes, as created by this act, is reviewed, on the effective date of this paragraph.

AB414-ASA1,9,11 (b) Medical Assistance. The treatment of section 49.46 (1) (em) of the statutes first applies to individuals who apply for Medical Assistance, or whose continued eligibility for Medical Assistance is reviewed, on the effective date of this paragraph.

AB414-ASA1,9,15 (c) Medicare buy-in. The treatment of section 49.468 (1) (d), (1m) (b), and (2) (b) of the statutes first applies to individuals who apply for the expanded medicare buy-in program, or whose continued eligibility for the expanded medicare buy-in program is reviewed, on the effective date of this paragraph.

AB414-ASA1,9,20 (3) Premiums for the Medical Assistance purchase plan. The treatment of section 49.472 (4) (a) (intro.), 1., 2. (intro.), 2m., 3., and 4., (b), and (c) and (5) of the statutes, the renumbering of section 49.472 (2) of the statutes, and the creation of section 49.472 (2) (b) of the statutes first apply to premiums for the Medical Assistance purchase plan that are payable on the effective date of this subsection.

AB414-ASA1,9,21 (End)