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LRBa0295/1
TJD&TKK:amn
January 2017 Special Session
2017 - 2018 LEGISLATURE
ASSEMBLY AMENDMENT 5,
TO ASSEMBLY BILL 6
April 4, 2017 - Offered by Representatives C. Taylor and Barca.
AB6-AA5,1,11 At the locations indicated, amend the bill as follows:
AB6-AA5,1,3 21. Page 1, line 9: after “school," insert “Medicaid expansion and eligibility for
3BadgerCare Plus and BadgerCare Plus Core,".
AB6-AA5,1,4 42. Page 3, line 8: after that line insert:
AB6-AA5,1,5 5 Section 3d. 49.45 (23) (a) of the statutes is amended to read:
AB6-AA5,1,136 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
12or medical assistance under this subchapter, the Badger Care health care program
13under s. 49.665, or Medicare under 42 USC 1395 et seq.
AB6-AA5,3f
1Section 3f. 49.471 (1) (cr) of the statutes is created to read:
AB6-AA5,2,32 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a
3federal medical assistance percentage described under 42 USC 1396d (y) or (z).
AB6-AA5,3g 4Section 3g. 49.471 (4) (a) 4. b. of the statutes is amended to read:
AB6-AA5,2,75 49.471 (4) (a) 4. b. The Except as provided in sub. (4g), the individual's family
6income does not exceed 100 133 percent of the poverty line before application of the
75 percent income disregard under 42 CFR 435.603 (d)
.
AB6-AA5,3j 8Section 3j. 49.471 (4g) of the statutes is created to read:
AB6-AA5,2,179 49.471 (4g) Medicaid expansion; federal medical assistance percentage. (a)
10For services provided to individuals described under sub. (4) (a) 4. and s. 49.45 (23),
11the department shall comply with all federal requirements to qualify for the highest
12available enhanced federal medical assistance percentage. The department shall
13submit any amendment to the state medical assistance plan, request for a waiver of
14federal Medicaid law, or other approval request required by the federal government
15to provide services to the individuals described under sub. (4) (a) 4. and s. 49.45 (23)
16and qualify for the highest available enhanced federal medical assistance
17percentage.
AB6-AA5,3,418 (b) If the department does not qualify for an enhanced federal medical
19assistance percentage, or if the enhanced federal medical assistance percentage
20obtained by the department is lower than printed in federal law as of July 1, 2013,
21for individuals eligible under sub. (4) (a) 4. or s. 49.45 (23), the department shall
22submit to the joint committee on finance a fiscal analysis comparing the cost to
23maintain coverage for adults who are not pregnant and not elderly with family
24incomes up to 133 percent of the poverty line to the cost of limiting eligibility to those
25adults with family incomes up to 100 percent of the poverty line. The department

1may reduce income eligibility for adults who are not pregnant and not elderly from
2family incomes of up to 133 percent of the poverty line to family incomes of up to 100
3percent of the poverty line only if this reduction in income eligibility levels is
4approved by the joint committee on finance.”.
AB6-AA5,3,5 53. Page 9, line 7: delete “up to $50,000" and substitute “any amount".
AB6-AA5,3,6 64. Page 9, line 12: after that line insert:
AB6-AA5,3,7 7 Section 21m. Fiscal changes.
AB6-AA5,3,16 8(1m) Medicaid expansion. In the schedule under section 20.005 (3) of the
9statutes for the appropriation to the department of health services under section
1020.435 (4) (b) of the statutes, the dollar amount for fiscal year 2017-18 is decreased
11by $108,200,000 to provide Medical Assistance to certain adults with family incomes
12up to 133 percent of the federal poverty line. In the schedule under section 20.005
13(3) of the statutes for the appropriation to the department of health services under
14section 20.435 (4) (b) of the statutes, the dollar amount for fiscal year 2018-19 is
15decreased by $236,900,000 to provide Medical Assistance to certain adults with
16family incomes up to 133 percent of the federal poverty line.”.
AB6-AA5,3,17 175. Page 9, line 19: after that line insert:
AB6-AA5,3,20 18(3m) The treatment of sections 49.45 (23) (a) and 49.471 (1) (cr), (4) (a) 4. b.,
19and (4g) of the statutes and Section 21m (1m) of this act take effect on January 1,
202018, or on the day after publication, whichever is later.”.
AB6-AA5,3,2121 (End)
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