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LRBb0845/1
TJD:klm&jld
2015 - 2016 LEGISLATURE
ASSEMBLY AMENDMENT 19,
TO SENATE BILL 21
July 8, 2015 - Offered by Representatives Bowen, Sargent, Hintz, Shankland and
Billings.
SB21-AA19,1,21 At the locations indicated, amend the bill, as shown by senate substitute
2amendment 1, as follows:
SB21-AA19,1,3 31. At the appropriate places, insert all of the following:
SB21-AA19,1,4 4" Section 1. 49.45 (23) (a) of the statutes is amended to read:
SB21-AA19,1,125 49.45 (23) (a) The department shall request a waiver from the secretary of the
6federal department of health and human services to permit the department to
7conduct a demonstration project to provide health care coverage to adults who are
8under the age of 65, who have family incomes not to exceed 100 133 percent of the
9poverty line before application of the 5 percent income disregard under 42 CFR
10435.603 (d)
, except as provided in s. 49.471 (4g), and who are not otherwise eligible
11for medical assistance under this subchapter, the Badger Care health care program
12under s. 49.665, or Medicare under 42 USC 1395 et seq.
SB21-AA19,2 13Section 2. 49.471 (1) (cr) of the statutes is created to read:
SB21-AA19,2,2
149.471 (1) (cr) "Enhanced federal medical assistance percentage" means a
2federal medical assistance percentage described under 42 USC 1396d (y) or (z).
SB21-AA19,3 3Section 3. 49.471 (4) (a) 4. b. of the statutes is amended to read:
SB21-AA19,2,64 49.471 (4) (a) 4. b. The Except as provided in sub. (4g), the individual's family
5income does not exceed 100 133 percent of the poverty line before application of the
65 percent income disregard under 42 CFR 435.603 (d)
.
SB21-AA19,4 7Section 4. 49.471 (4g) of the statutes is created to read:
SB21-AA19,2,158 49.471 (4g) Medicaid expansion; federal medical assistance percentage. (a)
9For services provided to individuals described under sub. (4) (a) 4. and s. 49.45 (23),
10the department shall comply with all federal requirements to qualify for the highest
11available enhanced federal medical assistance percentage. The department shall
12submit any amendment to the state medical assistance plan, request for a waiver of
13federal Medicaid law, or other approval required by the federal government to
14provide services to the individuals described under sub. (4) (a) 4. and s. 49.45 (23) and
15qualify for the highest available enhanced federal medical assistance percentage.
SB21-AA19,3,216 (b) If the department does not qualify for an enhanced federal medical
17assistance percentage, or if the enhanced federal medical assistance percentage
18obtained by the department is lower than printed in federal law as of July 1, 2013,
19for individuals eligible under sub. (4) (a) 4. or s. 49.45 (23), the department shall
20submit to the joint committee on finance a fiscal analysis comparing the cost to
21maintain coverage for adults who are not pregnant and not elderly at up to 133
22percent of the poverty line to the cost of limiting eligibility to those adults with family
23incomes up to 100 percent of the poverty line. The department may reduce income
24eligibility for adults who are not pregnant and not elderly from up to 133 percent of

1the poverty line to up to 100 percent of the poverty line only if this reduction in income
2eligibility levels is approved by the joint committee on finance.".
SB21-AA19,3,6 32. Page 195, line 7: decrease the dollar amount for fiscal year 2015-16 by
4$113,100,000 and decrease the dollar amount for fiscal year 2016-17 by
5$247,400,000 for the purpose of providing Medical Assistance to certain adults with
6incomes up to 133 percent of the federal poverty line.
SB21-AA19,3,9 73. Page 195, line 7: increase the dollar amount for fiscal year 2016-17 by
8$6,000,000 for the purpose of restoring $14,336,900, including federal moneys, for
9Medical Assistance benefit costs.
SB21-AA19,3,11 104. Page 488, line 24: delete the material beginning with that line and ending
11with page 489, line 2.
SB21-AA19,3,12 125. Page 489, line 16: delete lines 16 to 18.
SB21-AA19,3,14 136. Page 1497, line 13: delete the material beginning with that line and ending
14with page 1502, line 21.
SB21-AA19,3,15 157. Page 1563, line 20: after that line insert:
SB21-AA19,3,18 16"(5f) Medicaid expansion. The treatment of sections 49.45 (23) (a) and 49.471
17(1) (cr), (4) (a) 4. b., and (4g) of the statutes takes effect on January 1, 2016, or on the
18day after publication, whichever is later.".
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