LRBa1383/1
MIM:amn&cdc
2021 - 2022 LEGISLATURE
ASSEMBLY AMENDMENT 1,
TO SENATE AMENDMENT 1,
TO ASSEMBLY BILL 675
February 23, 2022 - Offered by Representatives Vining, Spreitzer, Riemer,
Anderson, Andraca, Baldeh, Brostoff, Conley, Considine, Drake, Emerson,
Goyke, Haywood, Hebl, Hong, Moore Omokunde, Neubauer, S. Rodriguez,
Shankland, Shelton, Snodgrass, Sinicki, Stubbs, Subeck and Vruwink.
AB675-SA1-AA1,1,11 At the locations indicated, amend the amendment as follows:
AB675-SA1-AA1,1,2 21. Page 1, line 3: delete lines 3 to 5 and substitute:
AB675-SA1-AA1,1,7 3“1m. Page 1, line 1: delete the material beginning with “natural" and ending
4with “test." on line 2 and substitute “hazard pay, paid medical leave, and health
5coverage for frontline health care workers, eligibility expansion under the Medical
6Assistance program, granting rule-making authority, and making an
7appropriation.”.
AB675-SA1-AA1,1,98 2m. Page 1, line 3: delete the material beginning with that line and ending with
9page 3, line 15, and substitute:
AB675-SA1-AA1,1,10 10 Section 1. 16.34 of the statutes is created to read:
AB675-SA1-AA1,2,2 1116.34 Hazard pay during a public health emergency; paid medical
12leave for frontline health care workers.
(1) Definition. In this section,

1“frontline health care worker” means an individual who is any of the following, who
2is not exempt under 29 USC 213, and whose annual pay does not exceed $99,999:
AB675-SA1-AA1,2,43 (a) A provider of direct care to patients in a hospital, nursing home, or residence
4or for an ambulance service provider, as defined in s. 256.01 (3).
AB675-SA1-AA1,2,65 (b) An employee who works in a patient care area of a facility that provides
6direct patient care.
AB675-SA1-AA1,2,87 (c) An individual who handles patient specimens within this state within the
8scope of the individual's employment.
AB675-SA1-AA1,2,109 (d) An employee who works in an area where patient specimens are handled
10at a facility that handles patient specimens within this state.
AB675-SA1-AA1,2,15 11(2) Hazard pay grant program for work during a public health emergency.
12(a) From the appropriation under s. 20.505 (1) (ft), the department shall award
13grants to employers for the payment of hazard pay to frontline health care workers
14who work during a public health emergency declared by the governor under s. 323.10
15or the secretary of health services under s. 252.02, as set forth in s. 103.025 (3).
AB675-SA1-AA1,2,2116 (b) The department shall establish and administer a program to subsidize, as
17provided in s. 103.025 (3), the hazard pay costs for frontline health care workers. The
18department shall require, at a minimum, that the employer provide a sworn affidavit
19of compliance, and payroll records if requested by the department. The governor or
20his or her designee within the department may determine the period of applicability
21of this subsection.
AB675-SA1-AA1,2,25 22(3) Paid medical leave grant program for frontline health care workers.
23(a) From the appropriation under s. 20.505 (1) (ft), the department shall award
24grants to employers for the provision of paid medical leave to frontline health care
25workers who contract a communicable disease, as set forth in s. 103.10 (4m).
AB675-SA1-AA1,3,6
1(b) The department shall establish and administer a program to subsidize, as
2provided in s. 103.10 (4m), the paid medical leave costs for frontline health care
3workers. The department shall require, at a minimum, that the employer provide
4a sworn affidavit of compliance, and payroll records if requested by the department.
5The governor or his or her designee within the department may determine the period
6of applicability of this subsection.
AB675-SA1-AA1,3,10 7(4) Coverage of COVID-19 for health care workers. (a) From the
8appropriation under s. 20.505 (1) (ft), the department shall award grants to insurers
9for the provision of health insurance coverage to frontline health care workers as set
10forth in s. 632.895 (14f).
AB675-SA1-AA1,3,1511 (b) The department shall establish and administer a program to subsidize, as
12provided in s. 632.895 (14f), the costs of providing coverage for frontline health care
13workers at no additional cost to the covered individuals. The governor or his or her
14designee within the department may determine the period of applicability of this
15subsection.
AB675-SA1-AA1,2 16Section 2. 20.435 (4) (bu) of the statutes is created to read:
AB675-SA1-AA1,3,2417 20.435 (4) (bu) COVID-19 and other communicable disease aids for frontline
18health care workers.
A sum sufficient not to exceed, in fiscal year 2021-22, the
19difference between $170,000,000 and the amount after payments have been made
20under s. 16.34, for testing and treatment of frontline health care workers under s.
2149.681 and not to exceed, in fiscal year 2022-23 and each fiscal year thereafter, the
22difference between $300,000,000 and the amount after payments have been made
23under s. 16.34, for testing and treatment of frontline health care workers under s.
2449.681.
AB675-SA1-AA1,3 25Section 3. 20.435 (4) (jw) of the statutes is amended to read:
AB675-SA1-AA1,4,8
120.435 (4) (jw) BadgerCare Plus and hospital assessment. All moneys received
2from payment of enrollment fees under the program under s. 49.45 (23), all
moneys
3transferred under s. 50.38 (9), all moneys transferred from the appropriation account
4under par. (jz), and 10 percent of all moneys received from penalty assessments
5under s. 49.471 (9) (c), for administration of the program under s. 49.45 (23), to
6provide a portion of the state share of administrative costs for the BadgerCare Plus
7Medical Assistance program under s. 49.471, and for administration of the hospital
8assessment under s. 50.38.
AB675-SA1-AA1,4 9Section 4. 20.505 (1) (ft) of the statutes is created to read:
AB675-SA1-AA1,4,1310 20.505 (1) (ft) Health care coverage and employee benefits relating to COVID-19
11and other communicable diseases.
A sum sufficient not to exceed $170,000,000 in
12fiscal year 2021-22 and not to exceed $300,000,000 in each fiscal year thereafter for
13payments under s. 16.34 (2), (3), and (4).
AB675-SA1-AA1,5 14Section 5. 49.45 (2p) of the statutes is repealed.
AB675-SA1-AA1,6 15Section 6. 49.45 (23) of the statutes is repealed.
AB675-SA1-AA1,7 16Section 7. 49.45 (23b) (title) of the statutes is amended to read:
AB675-SA1-AA1,4,1817 49.45 (23b) (title) Childless adults demonstration project reform waiver
18implementation required.
AB675-SA1-AA1,8 19Section 8. 49.45 (23b) (b) of the statutes is amended to read:
AB675-SA1-AA1,4,2320 49.45 (23b) (b) Beginning as soon as practicable after October 31, 2018, and
21ending no sooner than December 31, 2023, the department shall do all of the
22following with regard to the childless adults demonstration project under sub. (23)
23s. 49.471 (4) (a) 8.:
AB675-SA1-AA1,5,424 1. Require in each month persons, except exempt individuals, who are eligible
25to receive Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. and who are at least

119 years of age but have not attained the age of 50 to participate in, document, and
2report 80 hours per calendar month of community engagement activities. The
3department, after finding good cause, may grant a temporary exemption from the
4requirement under this subdivision upon request of a Medical Assistance recipient.
AB675-SA1-AA1,5,75 2. Require persons with incomes of at least 50 percent of the poverty line to pay
6premiums in accordance with par. (c) as a condition of eligibility for Medical
7Assistance under sub. (23) s. 49.471 (4) (a) 8.
AB675-SA1-AA1,5,98 3. Require as a condition of eligibility for Medical Assistance under sub. (23)
9s. 49.471 (4) (a) 8. completion of a health risk assessment.
AB675-SA1-AA1,5,1210 4. Charge recipients of Medical Assistance under sub. (23) s. 49.471 (4) (a) 8.
11an $8 copayment for nonemergency use of the emergency department in accordance
12with 42 USC 1396o-1 (e) (1) and 42 CFR 447.54.
AB675-SA1-AA1,5,1713 5. Disenroll from Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. for 6
14months any individual who does not pay a required premium under subd. 2. and any
15individual who is required under subd. 1. to participate in a community engagement
16activity but who does not participate for 48 aggregate months in the community
17engagement activity.
AB675-SA1-AA1,9 18Section 9. 49.45 (23b) (c) of the statutes is amended to read:
AB675-SA1-AA1,5,2419 49.45 (23b) (c) 1. Persons who are eligible for the demonstration project under
20sub. (23) s. 49.471 (4) (a) 8. and who have monthly household income that exceeds
2150 percent of the poverty line shall pay a monthly premium amount of $8 per
22household. A person who is eligible to receive an item or service furnished by an
23Indian health care provider is exempt from the premium requirement under this
24subdivision.
AB675-SA1-AA1,6,6
12. The department may disenroll under par. (b) 5. a person for nonpayment of
2a required monthly premium only at annual eligibility redetermination after
3providing notice and reasonable opportunity for the person to pay. If a person who
4is disenrolled for nonpayment of premiums pays all owed premiums or becomes
5exempt from payment of premiums, he or she may reenroll in Medical Assistance
6under sub. (23) s. 49.471 (4) (a) 8.
AB675-SA1-AA1,6,107 3. The department shall reduce the amount of the required household premium
8by up to half for a recipient of Medical Assistance under sub. (23) s. 49.471 (4) (a) 8.
9who does not engage in certain behaviors that increase health risks or who attests
10to actively managing certain unhealthy behaviors.
AB675-SA1-AA1,10 11Section 10. 49.45 (23b) (e) of the statutes is amended to read:
AB675-SA1-AA1,6,1612 49.45 (23b) (e) Before December 31, 2023, the demonstration project
13requirements under this subsection may not be withdrawn and the department may
14not request from the federal government withdrawal, suspension, or termination of
15the demonstration project requirements under this subsection unless legislation has
16been enacted specifically allowing for the withdrawal, suspension, or termination.
AB675-SA1-AA1,11 17Section 11. 49.471 (1) (cr) of the statutes is created to read:
AB675-SA1-AA1,6,1918 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a
19federal medical assistance percentage described under 42 USC 1396d (y) or (z).
AB675-SA1-AA1,12 20Section 12. 49.471 (4) (a) 4. b. of the statutes is amended to read:
AB675-SA1-AA1,6,2321 49.471 (4) (a) 4. b. The individual's family income does not exceed 100 133
22percent of the poverty line before application of the 5 percent income disregard under
2342 CFR 435.603 (d)
.
AB675-SA1-AA1,13 24Section 13. 49.471 (4) (a) 8. of the statutes is created to read:
AB675-SA1-AA1,6,2525 49.471 (4) (a) 8. An individual who meets all of the following criteria:
AB675-SA1-AA1,7,1
1a. The individual is an adult under the age of 65.
AB675-SA1-AA1,7,32 b. The adult has a family income that does not exceed 133 percent of the poverty
3line, except as provided in sub. (4g).
AB675-SA1-AA1,7,54 c. The adult is not otherwise eligible for the Medical Assistance program under
5this subchapter or the Medicare program under 42 USC 1395 et seq.
AB675-SA1-AA1,14 6Section 14. 49.471 (4g) of the statutes is created to read:
AB675-SA1-AA1,7,167 49.471 (4g) Medicaid expansion; federal medical assistance percentage. For
8services provided to individuals described under sub. (4) (a) 8., the department shall
9comply with all federal requirements to qualify for the highest available enhanced
10federal medical assistance percentage. The department shall submit any
11amendment to the state medical assistance plan, request for a waiver of federal
12Medicaid law, or other approval request required by the federal government to
13provide services to the individuals described under sub. (4) (a) 8. beginning on
14January 1, 2022, and qualify for the highest available enhanced federal medical
15assistance percentage. Sections 20.940 and 49.45 (2t) do not apply to a submission
16to the federal government under this subsection.
AB675-SA1-AA1,15 17Section 15. 49.681 of the statutes is created to read:
AB675-SA1-AA1,7,19 1849.681 COVID-19 and other communicable disease aids for frontline
19health care workers.
(1) In this section:
AB675-SA1-AA1,7,2020 (a) “COVID-19” means an infection caused by the SARS-CoV-2 coronavirus.
AB675-SA1-AA1,7,2121 (b) “Frontline health care worker” has the meaning given in s. 16.34 (1).
AB675-SA1-AA1,8,3 22(2) From the appropriation under s. 20.435 (4) (bu), subject to sub. (3), the
23department shall pay, at a rate determined by the department under sub. (4), for
24testing for and any treatment that is medically necessary and reasonably related to
25COVID-19 or any other communicable disease or complications from COVID-19 or

1other communicable disease for frontline health care workers who have been
2diagnosed with or are a patient under investigation of having COVID-19 or any
3other communicable disease.
AB675-SA1-AA1,8,11 4(3) No payment may be made under this section unless the recipient has no
5other form of coverage available from the federal Medicare program, from private
6health, accident, sickness, medical, and hospital insurance coverage, from any other
7available state, federal, or other health care coverage program, or under any grant,
8contract, or other contractual arrangement. If at any time federal or private
9insurance aid, other health care coverage, or a grant, contract, or other contractual
10arrangement becomes available during the treatment period, state aid under this
11section shall be terminated.
AB675-SA1-AA1,8,21 12(4) Payment for services provided under this section shall be at a rate
13determined by the department that does not exceed the allowable charges under the
14federal Medicare program. In no case shall state rates for individual service
15elements exceed the federally defined allowable costs. The rate of charges for
16services not covered by public and private insurance shall not exceed the reasonable
17charges as established by Medicare fee determination procedures. A person that
18provides to a patient a service for which payment is provided under this section shall
19accept the amount paid under this section for the service as payment in full and may
20not bill the patient for any amount by which the charge for the service exceeds the
21amount paid for the service under this section.
AB675-SA1-AA1,8,23 22(5) The department may promulgate rules to establish a process for individuals
23to establish eligibility and apply for and receive benefits under this section.
AB675-SA1-AA1,16 24Section 16. 49.686 (3) (d) of the statutes is amended to read:
AB675-SA1-AA1,9,6
149.686 (3) (d) Has applied for coverage under and has been denied eligibility
2for medical assistance within 12 months prior to application for reimbursement
3under sub. (2). This paragraph does not apply to an individual who is eligible for
4benefits under the demonstration project for childless adults under s. 49.45 (23)
5BadgerCare Plus under s. 49.471 (4) (a) 8. or to an individual who is eligible for
6benefits under BadgerCare Plus under s. 49.471 (11).
AB675-SA1-AA1,17 7Section 17. 103.025 (title) of the statutes is amended to read:
AB675-SA1-AA1,9,8 8103.025 (title) Hours of labor; compensatory time; hazard pay.
AB675-SA1-AA1,18 9Section 18. 103.025 (1) (bm) of the statutes is created to read:
AB675-SA1-AA1,9,1110 103.025 (1) (bm) “Frontline health care worker” has the meaning given in s.
1116.34 (1).
AB675-SA1-AA1,19 12Section 19. 103.025 (3) of the statutes is created to read:
AB675-SA1-AA1,9,1813 103.025 (3) During a public health emergency declared by the governor under
14s. 323.10 or pursuant to an emergency order issued by the secretary of health services
15under s. 252.02, an employer shall pay frontline health care workers a hazard pay
16premium of 1.5 times the employee's hourly rate, or an additional $15 per hour,
17whichever is more. An employer may apply for a grant under s. 16.34 (2) (a) to pay
18the hazard pay premium.
AB675-SA1-AA1,20 19Section 20. 103.10 (1) (c) of the statutes is amended to read:
AB675-SA1-AA1,9,2520 103.10 (1) (c) Except as provided in sub. subs. (1m) (b) 3. and (4m) (a),
21“employer" means a person engaging in any activity, enterprise or business in this
22state employing at least 50 individuals on a permanent basis. “Employer" includes
23the state and any office, department, independent agency, authority, institution,
24association, society or other body in state government created or authorized to be
25created by the constitution or any law, including the legislature and the courts.
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