LRB-4602/1
PJK:bjk:rs
2009 - 2010 LEGISLATURE
April 20, 2010 - Introduced by Representative Sheridan. Referred to Committee on
Health and Healthcare Reform.
AB966,1,4
1An Act to repeal 49.471 (4) (d) 3. and 49.471 (4) (d) 4.;
to renumber 49.471 (4)
2(d) 1. and 49.471 (4) (d) 2.;
to amend 49.471 (4) (d) (intro.); and
to create 49.471
3(4) (d) 2m. of the statutes;
relating to: coverage under BadgerCare Plus for
4former employees of Allied Systems, Ltd.
Analysis by the Legislative Reference Bureau
BadgerCare Plus (BC+) is a Medical Assistance (MA) program, administered
by the Department of Health Services, that provides health care benefits under two
different plans, depending on the basis for a recipient's eligibility, to recipients who
satisfy financial and nonfinancial eligibility criteria. The first plan provides the
same benefits that are provided under regular MA. The second plan, called the
Benchmark Plan, provides specified benefits, including, but not limited to, coverage
for prescription drugs; physicians' services; inpatient and outpatient hospital
services; home health services; physical, occupational, and speech therapy;
treatment for nervous and mental disorders and alcoholism and other drug abuse
problems; durable medical equipment; and transportation to obtain emergency
medical care. Individuals eligible for BC+ benefits under the Benchmark Plan
include, among others, a pregnant woman whose family income exceeds 200 percent,
but does not exceed 300 percent, of poverty; any child whose family income exceeds
200 percent, but does not exceed 300 percent, of poverty; and an individual whose
family income does not exceed 200 percent of poverty and who is the parent or
caretaker relative of a child who is, generally, living in the home of the parent or
caretaker relative. In addition, some individuals may purchase coverage under the
Benchmark Plan at the full per member per month cost of the coverage. These
individuals include: 1) any child whose family income exceeds 300 percent of poverty
and 2) any individual (who may purchase coverage for his or her spouse and
dependent children, also) who is under age 65, who lost his or her
employer-sponsored health care coverage as a result of his or her former employer's
bankruptcy, and who, after losing his or her employer-sponsored health care
coverage, received health care coverage through a voluntary employment benefit
association established before August 2006. This bill makes another group of
individuals eligible to purchase coverage for himself or herself and his or her spouse
and dependent children under the Benchmark Plan at the full per member per
month cost of the coverage. The individual must be under age 65; must be an
employee or a former employee of Allied Systems, Ltd., (Allied) in Janesville; must
have been receiving health care coverage through Allied immediately before July 1,
2010; will lose that coverage on July 1, 2010, due to the closing of Allied; and is not
eligible for any other employer-sponsored health care coverage.
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:
AB966,2,83
49.471
(4) (d) (intro.) An individual
who is not otherwise eligible for coverage
4under this section and who is under 65 years of age is eligible to purchase coverage
5of the benefits described in sub. (11) for himself or herself and for his or her spouse
6and dependent children, at the full per member per month cost of coverage, if
all of
7the following apply the individual satisfies all of the requirements under subd. 1. or
82m.:
AB966, s. 4
13Section
4. 49.471 (4) (d) 2m. of the statutes is created to read:
AB966,3,2
149.471
(4) (d) 2m. a. The individual is an employee or former employee of Allied
2Systems, Ltd., in Janesville.
AB966,3,53
b. Immediately before the effective date of this subd. 2m. b. .... [LRB inserts
4date], the individual was receiving employer-sponsored health care coverage
5through Allied Systems, Ltd.
AB966,3,76
c. As a result of the closing of Allied Systems, Ltd., the individual will lose his
7or her employer-sponsored health care coverage on July 1, 2010.
AB966,3,118
d. The individual is not eligible for any other health care coverage that is
9provided by an employer on a self-insured basis or through health insurance,
10including as a spouse or dependent of an individual who is eligible for
11employer-sponsored health care coverage.
AB966,3,1717
(1)
This act takes effect on July 1, 2010.
