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LRB-3621/1
TJD:kjf
2019 - 2020 LEGISLATURE
July 23, 2019 - Introduced by Senators Erpenbach, Carpenter, Wirch, L. Taylor,
Larson, Shilling, Risser, Ringhand and Johnson, cosponsored by
Representatives Kolste, Riemer, C. Taylor, Vining, Hebl, Zamarripa, L.
Myers
, Anderson, Loudenbeck, Billings, Cabrera, Brostoff, Considine,
Sargent, Spreitzer, Sinicki, Ohnstad, Neubauer, Stubbs, Vruwink, Subeck,
Shankland, Bowen and Hesselbein. Referred to Committee on Insurance,
Financial Services, Government Oversight and Courts.
SB324,1,4 1An Act to amend 49.46 (1) (a) 1m., 49.46 (1) (j), 49.47 (4) (ag) 2., 49.471 (6) (b)
2and 49.471 (7) (b) 1.; and to create 49.471 (6) (L) of the statutes; relating to:
3extension of eligibility under the Medical Assistance program for post-partum
4women.
Analysis by the Legislative Reference Bureau
This bill requires the Department of Health Services to seek approval from the
federal Department of Health and Human Services to extend to women who are
eligible for Medical Assistance when pregnant Medical Assistance benefits until the
last day of the month in which the 365th day after the last day of the pregnancy falls.
Currently, post-partum women are eligible for Medical Assistance benefits until the
last day of the month in which the 60th day after the last day of the pregnancy falls.
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:
SB324,1 5Section 1. 49.46 (1) (a) 1m. of the statutes is amended to read:
SB324,2,26 49.46 (1) (a) 1m. Any pregnant woman whose income does not exceed the
7standard of need under s. 49.19 (11) and whose pregnancy is medically verified.

1Eligibility continues to the last day of the month in which the 60th day or, if approved
2by the federal government, the 365th day
after the last day of the pregnancy falls.
SB324,2 3Section 2. 49.46 (1) (j) of the statutes is amended to read:
SB324,2,84 49.46 (1) (j) An individual determined to be eligible for benefits under par. (a)
59. remains eligible for benefits under par. (a) 9. for the balance of the pregnancy and
6to the last day of the month in which the 60th day or, if approved by the federal
7government, the 365th day
after the last day of the pregnancy falls without regard
8to any change in the individual's family income.
SB324,3 9Section 3. 49.47 (4) (ag) 2. of the statutes is amended to read:
SB324,2,1210 49.47 (4) (ag) 2. Pregnant and the woman's pregnancy is medically verified
11Eligibility continues to the last day of the month in which the 60th day or, if approved
12by the federal government, the 365th day
after the last day of the pregnancy falls.
SB324,4 13Section 4. 49.471 (6) (b) of the statutes is amended to read:
SB324,2,1814 49.471 (6) (b) A pregnant woman who is determined to be eligible for benefits
15under sub. (4) remains eligible for benefits under sub. (4) for the balance of the
16pregnancy and to the last day of the month in which the 60th day or, if approved by
17the federal government, the 365th day
after the last day of the pregnancy falls
18without regard to any change in the woman's family income.
SB324,5 19Section 5. 49.471 (6) (L) of the statutes is created to read:
SB324,2,2520 49.471 (6) (L) The department shall request from the federal department of
21health and human services approval of a state plan amendment, a waiver of federal
22Medicaid law, or approval of a demonstration project to maintain eligibility for
23post-partum women to the last day of the month in which the 365th day after the
24last day of the pregnancy falls under ss. 49.46 (1) (a) 1m. and 9. and (j), 49.47 (4) (ag)
252., and 49.471 (4) (a) 1g. and 1m., (6) (b), and (7) (b) 1.
SB324,6
1Section 6. 49.471 (7) (b) 1. of the statutes is amended to read:
SB324,3,122 49.471 (7) (b) 1. A pregnant woman whose family income exceeds 300 percent
3of the poverty line may become eligible for coverage under this section if the
4difference between the pregnant woman's family income and the applicable income
5limit under sub. (4) (a) is obligated or expended for any member of the pregnant
6woman's family for medical care or any other type of remedial care recognized under
7state law or for personal health insurance premiums or for both. Eligibility obtained
8under this subdivision continues without regard to any change in family income for
9the balance of the pregnancy and to the last day of the month in which the 60th day
10or, if approved by the federal government, the 365th day after the last day of the
11woman's pregnancy falls. Eligibility obtained by a pregnant woman under this
12subdivision extends to all pregnant women in the pregnant woman's family.
SB324,3,1313 (End)
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