2015 - 2016 LEGISLATURE
SENATE AMENDMENT 12,
TO SENATE SUBSTITUTE AMENDMENT 1,
TO SENATE BILL 21
July 7, 2015 - Offered by Senators
Erpenbach, L. Taylor, Carpenter, Lassa, Wirch,
Hansen, Ringhand, Bewley, Vinehout, Miller, Risser, Shilling, C. Larson
and Harris Dodd.
(a) The department shall request a waiver from the secretary of the 5
federal department of health and human services to permit the department to 6
conduct a demonstration project to provide health care coverage to adults who are 7
under the age of 65, who have family incomes not to exceed 100 133
percent of the 8
poverty line before application of the 5 percent income disregard under 42 CFR
9435.603 (d), except as provided in s. 49.471 (4g)
, and who are not otherwise eligible 10
for medical assistance under this subchapter, the Badger Care health care program 11
under s. 49.665, or Medicare under 42 USC 1395
49.471 (1) (cr) of the statutes is created to read:
(cr) "Enhanced federal medical assistance percentage" means a 2
federal medical assistance percentage described under 42 USC 1396d
(y) or (z).
49.471 (4) (a) 4. b. of the statutes is amended to read:
(a) 4. b. The Except as provided in sub. (4g), the
individual's family 5
income does not exceed 100 133
percent of the poverty line before application of the
65 percent income disregard under 42 CFR 435.603 (d)
49.471 (4g) Medicaid expansion; federal medical assistance percentage.
For services provided to individuals described under sub. (4) (a) 4. and s. 49.45 (23), 10
the department shall comply with all federal requirements to qualify for the highest 11
available enhanced federal medical assistance percentage. The department shall 12
submit any amendment to the state medical assistance plan, request for a waiver of 13
federal Medicaid law, or other approval required by the federal government to 14
provide services to the individuals described under sub. (4) (a) 4. and s. 49.45 (23) and 15
qualify for the highest available enhanced federal medical assistance percentage.
(b) If the department does not qualify for an enhanced federal medical 17
assistance percentage, or if the enhanced federal medical assistance percentage 18
obtained by the department is lower than printed in federal law as of July 1, 2013, 19
for individuals eligible under sub. (4) (a) 4. or s. 49.45 (23), the department shall 20
submit to the joint committee on finance a fiscal analysis comparing the cost to 21
maintain coverage for adults who are not pregnant and not elderly at up to 133 22
percent of the poverty line to the cost of limiting eligibility to those adults with family 23
incomes up to 100 percent of the poverty line. The department may reduce income 24
eligibility for adults who are not pregnant and not elderly from up to 133 percent of
the poverty line to up to 100 percent of the poverty line only if this reduction in income 2
eligibility levels is approved by the joint committee on finance.".
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 6
incomes up to 133 percent of the federal poverty line.
84. Page 557, line 23
: delete the material beginning with "to do" and ending 9
with "Require" on page 558, line 8, and substitute ", with respect to the childless 10
adults demonstration project under this subsection, to require".
The treatment of sections 49.45 (23) (a) and 49.471 16
(1) (cr), (4) (a) 4. b., and (4g) takes effect on January 1, 2016, or on the day after 17
publication, whichever is later.".