Amendment SSA2-AB1

AB1-SSA2,14,7 (b) The department shall establish and administer a program to subsidize, as provided in s. 632.895 (14f), the costs of providing coverage for frontline health care workers at no additional cost to the covered individuals. The governor or his or her designee within the department may determine the period of applicability of this subsection.

AB1-SSA2,2 Section 2 . 20.005 (3) (schedule) of the statutes: at the appropriate place, insert the following amounts for the purposes indicated: - See PDF for table - See PDF for table - See PDF for table

AB1-SSA2,3 Section 3 . 20.115 (3) (b) of the statutes is created to read:

AB1-SSA2,15,3 20.115 (3) (b) Food security initiative grants. The amounts in the schedule to provide grants under s. 93.485.

AB1-SSA2,4 Section 4 . 20.435 (1) (dw) of the statutes is created to read:

AB1-SSA2,15,7 20.435 (1) (dw) Coronavirus pandemic. The amounts in the schedule for community testing, contact tracing, vaccinations, and public awareness related to the infection caused by the SARS-CoV-2 coronavirus, known as COVID-19.

AB1-SSA2,5 Section 5 . 20.435 (4) (bu) of the statutes is created to read:

AB1-SSA2,15,13 20.435 (4) (bu) COVID-19 and other communicable disease aids for frontline health care workers. A sum sufficient not to exceed in each fiscal year the difference between $165,011,600 per fiscal year and the amount after payments have been made under s. 16.34, for testing and treatment of frontline health care workers under s. 49.681.

AB1-SSA2,6 Section 6 . 20.435 (4) (jw) of the statutes is amended to read:

AB1-SSA2,16,2 20.435 (4) (jw) BadgerCare Plus and hospital assessment. All moneys received from payment of enrollment fees under the program under s. 49.45 (23), all moneys transferred under s. 50.38 (9), all moneys transferred from the appropriation account under par. (jz), and 10 percent of all moneys received from penalty assessments under s. 49.471 (9) (c), for administration of the program under s. 49.45 (23), to provide a portion of the state share of administrative costs for the BadgerCare Plus Medical Assistance program under s. 49.471, and for administration of the hospital assessment under s. 50.38.

AB1-SSA2,7 Section 7 . 20.505 (1) (bk) of the statutes is created to read:

AB1-SSA2,16,6 20.505 (1) (bk) COVID-19 testing and surge capacity. The amounts in the schedule for the purposes specified in 2021 Wisconsin Act .... (this act), section 9101 (1).

AB1-SSA2,8 Section 8 . 20.505 (1) (ft) of the statutes is created to read:

AB1-SSA2,16,10 20.505 (1) (ft) Health care coverage and employee benefits relating to COVID-19 and other communicable diseases. A sum sufficient not to exceed in each fiscal year $165,011,600 for payments under s. 16.34 (2), (3), and (4).

AB1-SSA2,9 Section 9 . 20.835 (2) (an) of the statutes is created to read:

AB1-SSA2,16,13 20.835 (2) (an) Grants to small businesses. The amounts in the schedule to provide grants to small businesses under s. 73.03 (75).

AB1-SSA2,10 Section 10 . 40.22 (1) of the statutes is amended to read:

AB1-SSA2,16,19 40.22 (1) Except as otherwise provided in sub. (2) and s. 40.26 (6) and (7), each employee currently in the service of, and receiving earnings from, a state agency or other participating employer shall be included within the provisions of the Wisconsin retirement system as a participating employee of that state agency or participating employer.

AB1-SSA2,11 Section 11 . 40.22 (2m) (intro.) of the statutes is amended to read:

AB1-SSA2,17,2 40.22 (2m) (intro.) Except as otherwise provided in s. 40.26 (6) and (7), an employee who was a participating employee before July 1, 2011, who is not expected to work at least one-third of what is considered full-time employment by the department, as determined by rule, and who is not otherwise excluded under sub. (2) from becoming a participating employee shall become a participating employee if he or she is subsequently employed by the state agency or other participating employer for either of the following periods:

AB1-SSA2,12 Section 12 . 40.22 (2r) (intro.) of the statutes is amended to read:

AB1-SSA2,17,10 40.22 (2r) (intro.) Except as otherwise provided in s. 40.26 (6) and (7), an employee who was not a participating employee before July 1, 2011, who is not expected to work at least two-thirds of what is considered full-time employment by the department, as determined by rule, and who is not otherwise excluded under sub. (2) from becoming a participating employee shall become a participating employee if he or she is subsequently employed by the state agency or other participating employer for either of the following periods:

AB1-SSA2,13 Section 13 . 40.22 (3) (intro.) of the statutes is amended to read:

AB1-SSA2,17,14 40.22 (3) (intro.) Except as otherwise provided in s. 40.26 (6) and (7), a person who qualifies as a participating employee shall be included within, and shall be subject to, the Wisconsin retirement system effective on one of the following dates:

AB1-SSA2,14 Section 14 . 40.26 (1m) (a) of the statutes is amended to read:

AB1-SSA2,17,22 40.26 (1m) (a) Except as otherwise provided in sub. subs. (6) and (7), if a participant receiving a retirement annuity, or a disability annuitant who has attained his or her normal retirement date, is employed in a position in covered employment in which he or she is expected to work at least two-thirds of what is considered full-time employment by the department, as determined under s. 40.22 (2r), the participant's annuity shall be suspended and no annuity payment shall be payable until after the participant terminates covered employment.

AB1-SSA2,15 Section 15 . 40.26 (1m) (b) of the statutes is amended to read:

AB1-SSA2,18,6 40.26 (1m) (b) Except as otherwise provided in sub. subs. (6) and (7), if a participant receiving a retirement annuity, or a disability annuitant who has attained his or her normal retirement date, enters into a contract to provide employee services with a participating employer and he or she is expected to work at least two-thirds of what is considered full-time employment by the department, as determined under s. 40.22 (2r), the participant's annuity shall be suspended and no annuity payment shall be payable until after the participant no longer provides employee services under the contract.

AB1-SSA2,16 Section 16 . 40.26 (5m) of the statutes is amended to read:

AB1-SSA2,18,14 40.26 (5m) During the public health emergency declared on March 12, 2020, by executive order 72, or during the period beginning on the effective date of this subsection .... [LRB inserts date], and ending on December 31, 2021, sub. (5) does not apply if at least 15 days have elapsed between the termination of employment with a participating employer and becoming a participating employee if the position for which the participant is hired is a critical position, as determined by the secretary of health services under s. 323.19 (3).

AB1-SSA2,17 Section 17 . 40.26 (7) of the statutes is created to read:

AB1-SSA2,18,20 40.26 (7) (intro.) During the period beginning on the effective date of this subsection .... [LRB inserts date], and ending on December 31, 2021, a participant who is hired during the period may elect to not suspend his or her retirement annuity or disability annuity under sub. (1m) for the duration of the period if all of the following conditions are met:

AB1-SSA2,18,24 (a) At the time the participant terminates his or her employment with a participating employer, the participant does not have an agreement with any participating employer to return to employment or enter into a contract to provide employee services for the employer.

AB1-SSA2,19,2 (b) The participant is hired to a critical position, as determined under s. 323.19 (3m).

AB1-SSA2,18 Section 18 . 40.51 (8) of the statutes is amended to read:

AB1-SSA2,19,8 40.51 (8) Every health care coverage plan offered by the state under sub. (6) shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.729, 632.746 (1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.867, 632.87 (3) to (6), 632.871, 632.885, 632.89, 632.895 (5m) and (8) to (17), and 632.896.

AB1-SSA2,19 Section 19 . 40.51 (8m) of the statutes is amended to read:

AB1-SSA2,19,13 40.51 (8m) Every health care coverage plan offered by the group insurance board under sub. (7) shall comply with ss. 631.95, 632.729, 632.746 (1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.867, 632.871, 632.885, 632.89, and 632.895 (11) to (17).

AB1-SSA2,20 Section 20 . 49.45 (2p) of the statutes is repealed.

AB1-SSA2,21 Section 21 . 49.45 (23) of the statutes is repealed.

AB1-SSA2,22 Section 22 . 49.45 (23b) (title) of the statutes is amended to read:

AB1-SSA2,19,18 49.45 (23b) (title) Childless adults demonstration project reform waiver implementation required.

AB1-SSA2,23 Section 23 . 49.45 (23b) (b) of the statutes is amended to read:

AB1-SSA2,19,23 49.45 (23b) (b) Beginning as soon as practicable after October 31, 2018, and ending no sooner than December 31, 2023, the department shall do all of the following with regard to the childless adults demonstration project under sub. (23) s. 49.471 (4) (a) 8.:

AB1-SSA2,20,4 1. Require in each month persons, except exempt individuals, who are eligible to receive Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. and who are at least 19 years of age but have not attained the age of 50 to participate in, document, and report 80 hours per calendar month of community engagement activities. The department, after finding good cause, may grant a temporary exemption from the requirement under this subdivision upon request of a Medical Assistance recipient.

AB1-SSA2,20,7 2. Require persons with incomes of at least 50 percent of the poverty line to pay premiums in accordance with par. (c) as a condition of eligibility for Medical Assistance under sub. (23) s. 49.471 (4) (a) 8.

AB1-SSA2,20,9 3. Require as a condition of eligibility for Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. completion of a health risk assessment.

AB1-SSA2,20,12 4. Charge recipients of Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. an $8 copayment for nonemergency use of the emergency department in accordance with 42 USC 1396o-1 (e) (1) and 42 CFR 447.54.

AB1-SSA2,20,17 5. Disenroll from Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. for 6 months any individual who does not pay a required premium under subd. 2. and any individual who is required under subd. 1. to participate in a community engagement activity but who does not participate for 48 aggregate months in the community engagement activity.

AB1-SSA2,24 Section 24 . 49.45 (23b) (c) of the statutes is amended to read:

AB1-SSA2,20,24 49.45 (23b) (c) 1. Persons who are eligible for the demonstration project under sub. (23) s. 49.471 (4) (a) 8. and who have monthly household income that exceeds 50 percent of the poverty line shall pay a monthly premium amount of $8 per household. A person who is eligible to receive an item or service furnished by an Indian health care provider is exempt from the premium requirement under this subdivision.

AB1-SSA2,21,6 2. The department may disenroll under par. (b) 5. a person for nonpayment of a required monthly premium only at annual eligibility redetermination after providing notice and reasonable opportunity for the person to pay. If a person who is disenrolled for nonpayment of premiums pays all owed premiums or becomes exempt from payment of premiums, he or she may reenroll in Medical Assistance under sub. (23) s. 49.471 (4) (a) 8.

AB1-SSA2,21,10 3. The department shall reduce the amount of the required household premium by up to half for a recipient of Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. who does not engage in certain behaviors that increase health risks or who attests to actively managing certain unhealthy behaviors.

AB1-SSA2,25 Section 25 . 49.45 (23b) (e) of the statutes is amended to read:

AB1-SSA2,21,16 49.45 (23b) (e) Before December 31, 2023, the demonstration project requirements under this subsection may not be withdrawn and the department may not request from the federal government withdrawal, suspension, or termination of the demonstration project requirements under this subsection unless legislation has been enacted specifically allowing for the withdrawal, suspension, or termination.

AB1-SSA2,26 Section 26 . 49.471 (1) (cr) of the statutes is created to read:

AB1-SSA2,21,19 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a federal medical assistance percentage described under 42 USC 1396d (y) or (z).

AB1-SSA2,27 Section 27 . 49.471 (4) (a) 4. b. of the statutes is amended to read:

AB1-SSA2,21,23 49.471 (4) (a) 4. b. The individual's family income does not exceed 100 133 percent of the poverty line before application of the 5 percent income disregard under 42 CFR 435.603 (d).

AB1-SSA2,28 Section 28 . 49.471 (4) (a) 8. of the statutes is created to read:

AB1-SSA2,21,25 49.471 (4) (a) 8. An individual who meets all of the following criteria:

AB1-SSA2,22,1 a. The individual is an adult under the age of 65.

AB1-SSA2,22,3 b. The adult has a family income that does not exceed 133 percent of the poverty line, except as provided in sub. (4g).

AB1-SSA2,22,5 c. The adult is not otherwise eligible for the Medical Assistance program under this subchapter or the Medicare program under 42 USC 1395 et seq.

AB1-SSA2,29 Section 29 . 49.471 (4g) of the statutes is created to read:

AB1-SSA2,22,16 49.471 (4g) Medicaid expansion; federal medical assistance percentage. For services provided to individuals described under sub. (4) (a) 8., the department shall comply with all federal requirements to qualify for the highest available enhanced federal medical assistance percentage. The department shall submit any amendment to the state medical assistance plan, request for a waiver of federal Medicaid law, or other approval request required by the federal government to provide services to the individuals described under sub. (4) (a) 8. and qualify for the highest available enhanced federal medical assistance percentage. Sections 20.940 and 49.45 (2t) do not apply to a submission to the federal government under this subsection.

AB1-SSA2,30 Section 30 . 49.681 of the statutes is created to read:

AB1-SSA2,22,19 49.681 COVID-19 and other communicable disease aids for frontline health care workers. (1) In this section:

AB1-SSA2,22,20 (a) “COVID-19” means an infection caused by the SARS-CoV-2 coronavirus.

AB1-SSA2,22,21 (b) “Frontline health care worker” has the meaning given in s. 16.34 (1).

AB1-SSA2,23,3 (2) From the appropriation under s. 20.435 (4) (bu), subject to sub. (3), the department shall pay, at a rate determined by the department under sub. (4), for testing for and any treatment that is medically necessary and reasonably related to COVID-19 or any other communicable disease or complications from COVID-19 or other communicable disease for frontline health care workers who have been diagnosed with or are a patient under investigation of having COVID-19 or any other communicable disease.

AB1-SSA2,23,11 (3) No payment may be made under this section unless the recipient has no other form of coverage available from the federal Medicare program, from private health, accident, sickness, medical, and hospital insurance coverage, from any other available state, federal, or other health care coverage program, or under any grant, contract, or other contractual arrangement. If at any time federal or private insurance aid, other health care coverage, or a grant, contract, or other contractual arrangement becomes available during the treatment period, state aid under this section shall be terminated.

AB1-SSA2,23,21 (4) Payment for services provided under this section shall be at a rate determined by the department that does not exceed the allowable charges under the federal Medicare program. In no case shall state rates for individual service elements exceed the federally defined allowable costs. The rate of charges for services not covered by public and private insurance shall not exceed the reasonable charges as established by Medicare fee determination procedures. A person that provides to a patient a service for which payment is provided under this section shall accept the amount paid under this section for the service as payment in full and may not bill the patient for any amount by which the charge for the service exceeds the amount paid for the service under this section.

AB1-SSA2,23,23 (5) The department may promulgate rules to establish a process for individuals to establish eligibility and apply for and receive benefits under this section.

AB1-SSA2,31 Section 31 . 49.686 (3) (d) of the statutes is amended to read:

AB1-SSA2,24,6 49.686 (3) (d) Has applied for coverage under and has been denied eligibility for medical assistance within 12 months prior to application for reimbursement under sub. (2). This paragraph does not apply to an individual who is eligible for benefits under the demonstration project for childless adults under s. 49.45 (23) BadgerCare Plus under s. 49.471 (4) (a) 8. or to an individual who is eligible for benefits under BadgerCare Plus under s. 49.471 (11).

AB1-SSA2,32 Section 32 . 66.0137 (4) of the statutes is amended to read:

AB1-SSA2,24,14 66.0137 (4) Self-insured health plans. If a city, including a 1st class city, or a village provides health care benefits under its home rule power, or if a town provides health care benefits, to its officers and employees on a self-insured basis, the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.729, 632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.798, 632.85, 632.853, 632.855, 632.867, 632.87 (4) to (6), 632.871, 632.885, 632.89, 632.895 (9) to (17), 632.896, and 767.513 (4).

AB1-SSA2,33 Section 33 . 73.03 (75) of the statutes is created to read:

AB1-SSA2,24,17 73.03 (75) To provide grants from the appropriation account under s. 20.835 (2) (an) to small businesses in this state in the manner prescribed by the department.

AB1-SSA2,34 Section 34 . 93.485 of the statutes is created to read:

AB1-SSA2,24,24 93.485 Food security initiative. (1) The department shall award grants from the appropriation under s. 20.115 (3) (b) to nonprofit food banks, nonprofit food pantries, and other nonprofit organizations fighting food insecurity. The goals of this grant program are to assist in finding innovative and creative solutions to food supply and delivery challenges and to provide Wisconsin food products to hungry state residents that are food insecure.

AB1-SSA2,25,2 (2) The department shall make grants under this section for any of the following purposes:

AB1-SSA2,25,3 (a) Adapting to challenges posed by the COVID-19 public health crisis.

AB1-SSA2,25,4 (b) Purchasing Wisconsin food products to provide to state residents.

AB1-SSA2,35 Section 35 . 102.03 (7) of the statutes is created to read:

AB1-SSA2,25,7 102.03 (7) (a) In this subsection, “critical worker” means an employee whose position is determined to be critical under s. 323.19 (3p).

AB1-SSA2,25,11 (b) For the purposes of benefits under this chapter, where an injury to a critical worker is found to be caused by COVID-19, during the period beginning on the effective date of this paragraph .... [LRB inserts date], and ending on December 31, 2021, the injury is presumed to be caused by the individual's employment.

AB1-SSA2,25,13 (c) An injury claimed under par. (b) must be accompanied by a specific diagnosis of COVID-19 by a physician, or by a positive diagnostic test result for the disease.