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LRBb0824/1
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2017 - 2018 LEGISLATURE
ASSEMBLY AMENDMENT 8,
TO ASSEMBLY SUBSTITUTE AMENDMENT 1,
TO ASSEMBLY BILL 64
September 13, 2017 - Offered by Representatives Subeck, C. Taylor, Anderson,
Hebl, Barca, Berceau, Billings, Bowen, Brostoff, Considine, Crowley,
Doyle, Fields, Genrich, Goyke, Hesselbein, Hintz, Kessler, Kolste, Mason,
Meyers, Milroy, Ohnstad, Pope, Riemer, Sargent, Shankland, Sinicki,
Spreitzer, Stuck, Vruwink, Wachs, Young, Zamarripa and Zepnick.
AB64-ASA1-AA8,1,11 At the locations indicated, amend the substitute amendment as follows:
AB64-ASA1-AA8,1,2 21. Page 11, line 1: before that line insert:
AB64-ASA1-AA8,1,3 3 Section 8r. 13.94 (1) (nm) of the statutes is created to read:
AB64-ASA1-AA8,1,94 13.94 (1) (nm) No later than February 1, 2021, prepare a financial and
5performance evaluation audit of the nonemergency medical transportation program
6for Medical Assistance recipients including a comparison of services provided under
7an alternative arrangement made under 2017 Wisconsin Act .... (this act), section
89120 (5p), to services provided under a contract other than the alternative
9arrangement.”.
AB64-ASA1-AA8,2,2 102. Page 173, line 16: increase the dollar amount for fiscal year 2017-18 by
11$239,800 and increase the dollar amount for fiscal year 2018-19 by $239,800 for the

1purpose of increasing the funding for emergency medical services training and
2certification aids.
AB64-ASA1-AA8,2,6 33. Page 179, line 2: decrease the dollar amount for fiscal year 2017-18 by
4$98,900,000 and decrease the dollar amount for fiscal year 2018-19 by $187,400,000
5for the purpose of providing Medical Assistance to certain adults with family incomes
6up to 133 percent of the federal poverty line.
AB64-ASA1-AA8,2,10 74. Page 179, line 2: increase the dollar amount for fiscal year 2017-18 by
8$72,836,000 and increase the dollar amount for fiscal year 2018-19 by $156,124,700
9for the purpose of increasing reimbursement rates for certain providers of Medical
10Assistance services as described under Section 9120 (7g) of this act.
AB64-ASA1-AA8,2,14 115. Page 179, line 2: increase the dollar amount for fiscal year 2017-18 by
12$7,459,500 and increase the dollar amount for fiscal year 2018-19 by $15,961,700 for
13the purpose of increasing reimbursement rates for certain providers of Medical
14Assistance nursing homes as described under Section 9120 (5v) of this act.
AB64-ASA1-AA8,2,18 156. Page 179, line 2: increase the dollar amount for fiscal year 2017-18 by
16$13,262,515 and increase the dollar amount for fiscal year 2018-19 by $28,318,166
17for the purpose of increasing reimbursement rates for certain providers of Medical
18Assistance personal care services as described under Section 9120 (5t) of this act.
AB64-ASA1-AA8,2,19 197. Page 424, line 21: after that line insert:
AB64-ASA1-AA8,2,20 20 Section 709n. 40.51 (8) of the statutes is amended to read:
AB64-ASA1-AA8,3,221 40.51 (8) Every health care coverage plan offered by the state under sub. (6)
22shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.728, 632.746
23(1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853,

1632.855, 632.867, 632.87 (3) to (6), 632.885, 632.89, 632.895 (5m) and (8) to (17), and
2632.896.
AB64-ASA1-AA8,709p 3Section 709p. 40.51 (8m) of the statutes is amended to read:
AB64-ASA1-AA8,3,74 40.51 (8m) Every health care coverage plan offered by the group insurance
5board under sub. (7) shall comply with ss. 631.95, 632.728, 632.746 (1) to (8) and (10),
6632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.867,
7632.885, 632.89, and 632.895 (11) to (17).”.
AB64-ASA1-AA8,3,8 88. Page 424, line 21: after that line insert:
AB64-ASA1-AA8,3,9 9 Section 709p. 40.51 (8m) of the statutes is amended to read:
AB64-ASA1-AA8,3,1310 40.51 (8m) Every health care coverage plan offered by the group insurance
11board under sub. (7) shall comply with ss. 631.95, 632.746 (1) to (8) and (10), 632.747,
12632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.867, 632.885,
13632.89, and 632.895 (11) (8) and (10) to (17).”.
AB64-ASA1-AA8,3,14 149. Page 424, line 21: after that line insert:
AB64-ASA1-AA8,3,15 15 Section 709n. 40.51 (8) of the statutes is amended to read:
AB64-ASA1-AA8,3,2016 40.51 (8) Every health care coverage plan offered by the state under sub. (6)
17shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.746 (1) to (8)
18and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855,
19632.867, 632.87 (3) to (6), 632.883, 632.885, 632.89, 632.895 (5m) and (8) to (17), and
20632.896.
AB64-ASA1-AA8,709p 21Section 709p. 40.51 (8m) of the statutes is amended to read:
AB64-ASA1-AA8,4,222 40.51 (8m) Every health care coverage plan offered by the group insurance
23board under sub. (7) shall comply with ss. 631.95, 632.746 (1) to (8) and (10), 632.747,

1632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.867, 632.883,
2632.885, 632.89, and 632.895 (11) to (17).”.
AB64-ASA1-AA8,4,3 310. Page 518, line 19: after that line insert:
AB64-ASA1-AA8,4,4 4 Section 925t. 49.45 (9d) of the statutes is created to read:
AB64-ASA1-AA8,4,55 49.45 (9d) Family planning services; private providers. (a) In this subsection:
AB64-ASA1-AA8,4,66 1. “Family planning” has the meaning given s. 253.07 (1) (a).
AB64-ASA1-AA8,4,107 2. “Federal funding prohibition” means an enacted federal law, a regulation,
8or an executive order or action that prohibits federal moneys from being paid by the
9state to a provider under the Medicaid program because of the scope of services
10offered by the provider or the scope of services for which the provider offers referrals.
AB64-ASA1-AA8,4,1311 3. “Nonpublic family planning provider” means an entity other than a public
12entity or governmental unit that is a provider of services for family planning under
13the Medical Assistance program under this subchapter on December 31, 2016.
AB64-ASA1-AA8,4,1514 (b) If a nonpublic family planning provider becomes subject to a federal funding
15prohibition, the department shall do all of the following:
AB64-ASA1-AA8,4,1816 1. Ensure that enrollees in the Medical Assistance program under this
17subchapter are allowed access to the nonpublic family planning provider to the same
18extent as before the federal funding prohibition.
AB64-ASA1-AA8,4,2119 2. Reimburse the nonpublic family planning provider for services provided to
20Medical Assistance enrollees under this subchapter for services for family planning
21that are covered under the Medical Assistance program.
AB64-ASA1-AA8,4,2422 3. Maintain requirements for the nonpublic family planning provider to receive
23state payments under this subchapter that are the same requirements as before the
24federal funding prohibition.
AB64-ASA1-AA8,5,3
1(c) The department may not limit the scope of services for which a nonpublic
2family planning provider may offer a referral in order to receive reimbursement
3under par. (b) 2.”.
AB64-ASA1-AA8,5,4 411. Page 521, line 19: after that line insert:
AB64-ASA1-AA8,5,5 5 Section 926w. 49.45 (23) (a) of the statutes is amended to read:
AB64-ASA1-AA8,5,136 49.45 (23) (a) The department shall request a waiver from the secretary of the
7federal department of health and human services to permit the department to
8conduct a demonstration project to provide health care coverage to adults who are
9under the age of 65, who have family incomes not to exceed 100 133 percent of the
10poverty line before application of the 5 percent income disregard under 42 CFR
11435.603 (d)
, except as provided in s. 49.471 (4g), and who are not otherwise eligible
12for medical assistance under this subchapter, the Badger Care health care program
13under s. 49.665, or Medicare under 42 USC 1395 et seq.”.
AB64-ASA1-AA8,5,14 1412. Page 531, line 15: after that line insert:
AB64-ASA1-AA8,5,15 15 Section 933p. 49.471 (1) (cr) of the statutes is created to read:
AB64-ASA1-AA8,5,1716 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a
17federal medical assistance percentage described under 42 USC 1396d (y) or (z).
AB64-ASA1-AA8,933r 18Section 933r. 49.471 (4) (a) 4. b. of the statutes is amended to read:
AB64-ASA1-AA8,5,2119 49.471 (4) (a) 4. b. The Except as provided in sub. (4g), the individual's family
20income does not exceed 100 133 percent of the poverty line before application of the
215 percent income disregard under 42 CFR 435.603 (d)
.
AB64-ASA1-AA8,933t 22Section 933t. 49.471 (4g) of the statutes is created to read:
AB64-ASA1-AA8,6,723 49.471 (4g) Medicaid expansion; federal medical assistance percentage. (a)
24For services provided to individuals described under sub. (4) (a) 4. and s. 49.45 (23),

1the department shall comply with all federal requirements to qualify for the highest
2available enhanced federal medical assistance percentage. The department shall
3submit any amendment to the state medical assistance plan, request for a waiver of
4federal Medicaid law, or other approval request required by the federal government
5to provide services to the individuals described under sub. (4) (a) 4. and s. 49.45 (23)
6and qualify for the highest available enhanced federal medical assistance
7percentage.
AB64-ASA1-AA8,6,198 (b) If the department does not qualify for an enhanced federal medical
9assistance percentage, or if the enhanced federal medical assistance percentage
10obtained by the department is lower than printed in federal law as of July 1, 2013,
11for individuals eligible under sub. (4) (a) 4. or s. 49.45 (23), the department shall
12submit to the joint committee on finance a fiscal analysis comparing the cost to
13maintain coverage for adults who are not pregnant and not elderly with family
14incomes up to 133 percent of the poverty line to the cost of limiting eligibility to those
15adults with family incomes up to 100 percent of the poverty line. The department
16may reduce income eligibility for adults who are not pregnant and not elderly from
17family incomes of up to 133 percent of the poverty line to family incomes of up to 100
18percent of the poverty line only if this reduction in income eligibility levels is
19approved by the joint committee on finance.”.
AB64-ASA1-AA8,6,20 2013. Page 531, line 15: after that line insert:
AB64-ASA1-AA8,6,21 21 Section 933t. 49.471 (4m) of the statutes is created to read:
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