Amendment AA29-SB21

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2015 - 2016 LEGISLATURE

ASSEMBLY AMENDMENT 29, TO SENATE BILL 21

July 8, 2015 - Offered by Representatives Hesselbein, Milroy, Sinicki and Barca.

SB21-AA29,1,2 At the locations indicated, amend the bill, as shown by senate substitute amendment 1, as follows:

SB21-AA29,1,3 1. At the appropriate places, insert all of the following:

SB21-AA29,1,4 " Section 1. 49.45 (23) (a) of the statutes is amended to read:

SB21-AA29,1,12 49.45 (23) (a) The department shall request a waiver from the secretary of the federal department of health and human services to permit the department to conduct a demonstration project to provide health care coverage to adults who are under the age of 65, who have family incomes not to exceed 100 133 percent of the poverty line before application of the 5 percent income disregard under 42 CFR 435.603 (d), except as provided in s. 49.471 (4g), and who are not otherwise eligible for medical assistance under this subchapter, the Badger Care health care program under s. 49.665, or Medicare under 42 USC 1395 et seq.

SB21-AA29,2 Section 2. 49.471 (1) (cr) of the statutes is created to read:

SB21-AA29,2,2 49.471 (1) (cr) "Enhanced federal medical assistance percentage" means a federal medical assistance percentage described under 42 USC 1396d (y) or (z).

SB21-AA29,3 Section 3. 49.471 (4) (a) 4. b. of the statutes is amended to read:

SB21-AA29,2,6 49.471 (4) (a) 4. b. The Except as provided in sub. (4g), the individual's family income does not exceed 100 133 percent of the poverty line before application of the 5 percent income disregard under 42 CFR 435.603 (d).

SB21-AA29,4 Section 4. 49.471 (4g) of the statutes is created to read:

SB21-AA29,2,15 49.471 (4g) Medicaid expansion; federal medical assistance percentage. (a) For services provided to individuals described under sub. (4) (a) 4. and s. 49.45 (23), the department shall comply with all federal requirements to qualify for the highest available enhanced federal medical assistance percentage. The department shall submit any amendment to the state medical assistance plan, request for a waiver of federal Medicaid law, or other approval required by the federal government to provide services to the individuals described under sub. (4) (a) 4. and s. 49.45 (23) and qualify for the highest available enhanced federal medical assistance percentage.

SB21-AA29,3,2 (b) If the department does not qualify for an enhanced federal medical assistance percentage, or if the enhanced federal medical assistance percentage obtained by the department is lower than printed in federal law as of July 1, 2013, for individuals eligible under sub. (4) (a) 4. or s. 49.45 (23), the department shall submit to the joint committee on finance a fiscal analysis comparing the cost to maintain coverage for adults who are not pregnant and not elderly at up to 133 percent of the poverty line to the cost of limiting eligibility to those adults with family incomes up to 100 percent of the poverty line. The department may reduce income eligibility for adults who are not pregnant and not elderly from up to 133 percent of the poverty line to up to 100 percent of the poverty line only if this reduction in income eligibility levels is approved by the joint committee on finance.".

SB21-AA29,3,6 2. Page 195, line 7: decrease the dollar amount for fiscal year 2015-16 by $113,100,000 and decrease the dollar amount for fiscal year 2016-17 by $247,400,000 for the purpose of providing Medical Assistance to certain adults with incomes up to 133 percent of the federal poverty line.

SB21-AA29,3,7 3. Page 447, line 21: after that line insert:

SB21-AA29,3,8 " Section 1452a. 45.40 (2) (a) of the statutes is amended to read:

SB21-AA29,3,12 45.40 (2) (a) The department may provide health care aid to a veteran for dental care, including dentures; vision care, including eyeglass frames and lenses; and hearing care, including hearing aids; and care related to mental illness or treatment for substance abuse.

SB21-AA29,1452b Section 1452b. 45.40 (2) (d) of the statutes is created to read:

SB21-AA29,3,21 45.40 (2) (d) The department shall provide a voucher for care related to mental illness or treatment for substance abuse within 48 hours after a request to the department or through a county veterans service office for such care, including private and emergency counseling, family and marriage counseling, and suicide prevention. A veteran or eligible family member is not required to be denied care at a U.S. department of veterans affairs hospital or clinic or be denied coverage by the U.S. department of veterans affairs, state medical assistance, or other insurance before seeking and receiving a voucher under this paragraph.".

SB21-AA29,3,22 4. Page 1545, line 4: after that line insert:

SB21-AA29,4,3 "(1m) Transfer to the veterans trust fund. There is transferred from the general fund to the veterans trust fund $8,000,000 in fiscal year 2015-16 and $13,500,000 in fiscal year 2016-17.".

SB21-AA29,4,4 5. Page 1563, line 20: after that line insert:

SB21-AA29,4,7 "(5f) Medicaid expansion. The treatment of sections 49.45 (23) (a) and 49.471 (1) (cr), (4) (a) 4. b., and (4g) takes effect on January 1, 2016, or on the day after publication, whichever is later.".

SB21-AA29,4,8 (End)