LRB-1009/P1
TJD:cjs:cs
2015 - 2016 LEGISLATURE
DOA:......Dombrowski, BB0326 - Eliminate 3 month waiting period for BadgerCare Plus
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. Some services are provided through programs that operate under a waiver of federal Medicaid laws, including services provided through the BadgerCare Plus (BC+) program.
Under current law, certain individuals are ineligible for BC+ while they have access to certain health insurance coverage during specified time periods. Under current law, the following individuals who had health insurance coverage but no longer have the coverage are ineligible for BC+ for three months following the month in which the insurance coverage ended without a good cause reason: individuals with a family income that exceeds 150 percent of the federal poverty line (FPL); unborn children or mothers of unborn children; certain pregnant women; and adults who are not disabled and not pregnant and whose family income exceeds 133 percent of the FPL. The following individuals are also subject to three months of ineligibility under current law if the federal Department of Health and Human Services approves: individuals who are not disabled and who are children of an individual whose family income is at a level determined by DHS but no lower than 133 percent of the FPL; adult parents or adult caretaker relatives who are not disabled and not pregnant and whose family income is at a level determined by DHS but no lower than 100 percent of the FPL; and adults who are not disabled, who are under 26 years of age and eligible for coverage under a parent's coverage from an employer, and whose family income is at a level determined by DHS but no lower than 100 percent of the FPL. This bill eliminates the three months of ineligibility for all of those individuals whose access to other health insurance has ended.
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. 49.471 (8) (d) 1. a. of the statutes is amended to read:
49.471 (8) (d) 1. a. A pregnant woman, except as provided in pars. par. (cr) 1. c. and (fm) 4.
Section
2. 49.471 (8) (f) of the statutes is repealed.
Section
3. 49.471 (8) (fm) of the statutes is repealed.
Section
4. 49.471 (8) (g) of the statutes is repealed.
(End)
