LRB-0381/P3
SWB:kjf:rs
2015 - 2016 LEGISLATURE
DOA:......Dombrowski, BB0121 - Adding licensed midwife services to the list of services covered by Medical Assistance
For 2015-2017 Budget -- Not Ready For Introduction
An Act ...; relating to: the budget.
Analysis by the Legislative Reference Bureau
Health and human services
Medical Assistance
Currently, DHS administers the Medical Assistance (MA) program, which is a joint federal and state program that provides health services to individuals who have limited resources. Under current law, DHS is required to pay allowable charges to certified providers for medical assistance on behalf of eligible recipients for certain federally mandated benefits and other additional services.
Under the bill, licensed midwife services are added as a benefit covered under the MA program subject to federal approval. As used in this bill, a "licensed midwife" refers to a certified professional midwife as distinguished from a nurse-midwife, whose services are already included as a federally mandated benefit.
For further information see the state fiscal estimate, which will be printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
Section 1. 49.45 (30x) of the statutes is created to read:
49.45 (30x) Licensed midwife services. (a) Provider reimbursement. Beginning January 1, 2016, services under s. 49.46 (2) (b) 12t. provided to an individual are reimbursable under the Medical Assistance program if an amendment to the state medical assistance plan approved by the federal department of health and human services permits reimbursement under s. 49.46 (2) (b) 12t.
(b) Plan amendment. The department shall submit to the federal department of health and human services an amendment to the state medical assistance plan to permit the application of par. (a). The department may not pay reimbursement under par. (a) unless the amendment to the state plan allowing reimbursement under s. 49.46 (2) (b) 12t. is approved and in effect.
Section 2. 49.46 (2) (b) 12t. of the statutes is created to read:
49.46 (2) (b) 12t. Subject to the limitations under s. 49.45 (30x), licensed midwife services provided by a certified professional midwife licensed under s. 440.982.
(End)