Amendment ASA1-AB485

CORRECTED COPY

LRBs0239/1

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2021 - 2022 LEGISLATURE

ASSEMBLY SUBSTITUTE AMENDMENT 1, TO ASSEMBLY BILL 485

October 11, 2021 - Offered by Representative Summerfield.

AB485-ASA1,1,2 An Act relating to: modifying an administrative rule to eliminate prior authorization for enteral products administered through a tube.

Analysis by the Legislative Reference Bureau

This bill removes the requirement under the administrative code that a provider receive prior authorization from the Department of Health Services to provide and receive reimbursement for enteral nutrition products administered through a tube under the Medical Assistance program. The Medical Assistance program is a joint federal and state program that provides health services to individuals with limited financial resources.

The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:

AB485-ASA1,1 Section 1 . DHS 107.10 (2) (c) of the administrative code is amended to read:

AB485-ASA1,2,3 DHS 107.10 (2) (c) Medically necessary, specially formulated nutritional supplements and replacement products, including enteral and parenteral products used for the treatment of severe health conditions such as pathologies of the gastrointestinal tract or metabolic disorders, as described in the MA provider handbooks and bulletins, but not including enteral nutrition products administered through a tube.

AB485-ASA1,2 Section 2. Effective date.

AB485-ASA1,2,6 (1) Notwithstanding s. 227.265, this act takes effect on the day after publication.

AB485-ASA1,2,7 (End)