Amendment SA4-AB64

LRBb0765/1

TJD:ahe

2017 - 2018 LEGISLATURE

SENATE AMENDMENT 4, TO ASSEMBLY BILL 64

September 15, 2017 - Offered by Senators Erpenbach, Shilling, Ringhand, Johnson, Miller, Carpenter, L. Taylor, Risser, Vinehout, Bewley, Wirch, Hansen and Larson.

AB64-SA4,1,2 At the locations indicated, amend the bill, as shown by assembly substitute amendment 1, as follows:

AB64-SA4,1,6 1. Page 179, line 2: decrease the dollar amount for fiscal year 2017-18 by $98,900,000 and decrease the dollar amount for fiscal year 2018-19 by $187,400,000 for the purpose of providing Medical Assistance to certain adults with family incomes up to 133 percent of the federal poverty line.

AB64-SA4,1,7 2. Page 521, line 19: after that line insert:

AB64-SA4,1,8 “ Section 926w. 49.45 (23) (a) of the statutes is amended to read:

AB64-SA4,2,3 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.”.

AB64-SA4,2,4 3. Page 531, line 15: after that line insert:

AB64-SA4,2,5 “ Section 933p. 49.471 (1) (cr) of the statutes is created to read:

AB64-SA4,2,7 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a federal medical assistance percentage described under 42 USC 1396d (y) or (z).

AB64-SA4,933r Section 933r. 49.471 (4) (a) 4. b. of the statutes is amended to read:

AB64-SA4,2,11 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).

AB64-SA4,933t Section 933t. 49.471 (4g) of the statutes is created to read:

AB64-SA4,2,21 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 request 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.

AB64-SA4,3,9 (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 with family incomes 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 family incomes of up to 133 percent of the poverty line to family incomes of up to 100 percent of the poverty line only if this reduction in income eligibility levels is approved by the joint committee on finance.”.

AB64-SA4,3,10 4. Page 1080, line 17: after that line insert:

AB64-SA4,3,13 “(7g) Medicaid expansion. The treatment of sections 49.45 (23) (a) and 49.471 (1) (cr), (4) (a) 4. b., and (4g) of the statutes takes effect on January 1, 2018, or on the day after publication, whichever is later.”.

AB64-SA4,3,14 (End)