LRB-1554/P3
SWB:kms
2023 - 2024 LEGISLATURE
DOA:......Bollhorst, BB0395 - Medicaid Hospital Reimbursement
For 2023-2025 Budget -- Not Ready For Introduction
An Act ...; relating to: the budget.
Analysis by the Legislative Reference Bureau
health and human services
Medical Assistance
Medical Assistance hospital reimbursement
This bill requires DHS to increase the reimbursement rates paid to hospitals under the Medical Assistance program in fiscal years 2023-24 and 2024-25 if the state implements the Medicaid expansion under the federal Patient Protection and Affordable Care Act. DHS must limit the payments made with these increases to the upper payment limit set forth under federal law. The increase is $7,605,400 in fiscal year 2023-24 and $15,506,100 in fiscal year 2024-25 as the state share of the increase, and in addition, DHS must provide the matching federal share of payments. The Medical Assistance program provides health services to individuals who have limited financial resources.
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 9119. Nonstatutory provisions; Health Services.
(1) Medical Assistance hospital reimbursement. The department of health services shall increase the Medical Assistance rates paid to hospitals by a budgeted sum of $7,605,400 as the state share of payments, and provide the matching share of payments, in fiscal year 2023-24, and by a budgeted sum of $15,506,100 as the state share of payments, and provide the matching share of payments, in fiscal year 2024-25. The increases under this subsection may apply only if the department has expanded eligibility under section 2001 (a) (1) (C) of the Patient Protection and Affordable Care Act, P.L. 111-148, for the Medical Assistance program under subch. IV of ch. 49. The department shall limit payments to hospitals under this subsection at the upper payment limit as required under 42 CFR 447.272.
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