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Under current law, certain parents and caretaker relatives with incomes of not
more than 100 percent of the federal poverty line, before a 5 percent income disregard
is applied, are eligible for BadgerCare Plus benefits. Under current law, childless
adults who 1) are under age 65; 2) have family incomes that do not exceed 100 percent

of the federal poverty line, before the 5 percent income disregard is applied; and 3)
are not otherwise eligible for Medical Assistance, including BadgerCare Plus, are
eligible for benefits under BadgerCare Plus Core. The bill eliminates the childless
adults demonstration project, known as BadgerCare Plus Core, as a separate
program.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB235-ASA1,1 1Section 1 . 20.005 (3) (schedule) of the statutes: at the appropriate place, insert
2the following amounts for the purposes indicated: - See PDF for table PDF - See PDF for table PDF
AB235-ASA1,2 3Section 2 . 20.192 (1) (bm) of the statutes is created to read:
AB235-ASA1,3,64 20.192 (1) (bm) Rural economic development. The amounts in the schedule for
5rural economic development programs and grants to authorities and state agencies
6under s. 238.18.
AB235-ASA1,3 7Section 3 . 20.435 (4) (jw) of the statutes is amended to read:
AB235-ASA1,4,58 20.435 (4) (jw) BadgerCare Plus and hospital assessment. All moneys received
9from payment of enrollment fees under the program under s. 49.45 (23), all
moneys
10transferred under s. 50.38 (9), all moneys transferred from the appropriation account

1under par. (jz), and 10 percent of all moneys received from penalty assessments
2under s. 49.471 (9) (c), for administration of the program under s. 49.45 (23), to
3provide a portion of the state share of administrative costs for the BadgerCare Plus
4Medical Assistance program under s. 49.471, and for administration of the hospital
5assessment under s. 50.38.
AB235-ASA1,4 6Section 4. 20.835 (2) (ca) of the statutes is created to read:
AB235-ASA1,4,87 20.835 (2) (ca) Farm support grants. The amounts in the schedule to make the
8farm support grants under section 9137 (1 ) of 2021 Wisconsin Act .... (this act).
AB235-ASA1,5 9Section 5 . 49.45 (2p) of the statutes is repealed.
AB235-ASA1,6 10Section 6 . 49.45 (23) of the statutes is repealed.
AB235-ASA1,7 11Section 7 . 49.45 (23b) (title) of the statutes is amended to read:
AB235-ASA1,4,1312 49.45 (23b) (title) Childless adults demonstration project reform waiver
13implementation required.
AB235-ASA1,8 14Section 8 . 49.45 (23b) (b) of the statutes is amended to read:
AB235-ASA1,4,1815 49.45 (23b) (b) Beginning as soon as practicable after October 31, 2018, and
16ending no sooner than December 31, 2023, the department shall do all of the
17following with regard to the childless adults demonstration project under sub. (23)
18s. 49.471 (4) (a) 8.:
AB235-ASA1,4,2419 1. Require in each month persons, except exempt individuals, who are eligible
20to receive Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. and who are at least
2119 years of age but have not attained the age of 50 to participate in, document, and
22report 80 hours per calendar month of community engagement activities. The
23department, after finding good cause, may grant a temporary exemption from the
24requirement under this subdivision upon request of a Medical Assistance recipient.
AB235-ASA1,5,3
12. Require persons with incomes of at least 50 percent of the poverty line to pay
2premiums in accordance with par. (c) as a condition of eligibility for Medical
3Assistance under sub. (23) s. 49.471 (4) (a) 8.
AB235-ASA1,5,54 3. Require as a condition of eligibility for Medical Assistance under sub. (23)
5s. 49.471 (4) (a) 8. completion of a health risk assessment.
AB235-ASA1,5,86 4. Charge recipients of Medical Assistance under sub. (23) s. 49.471 (4) (a) 8.
7an $8 copayment for nonemergency use of the emergency department in accordance
8with 42 USC 1396o-1 (e) (1) and 42 CFR 447.54.
AB235-ASA1,5,139 5. Disenroll from Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. for 6
10months any individual who does not pay a required premium under subd. 2. and any
11individual who is required under subd. 1. to participate in a community engagement
12activity but who does not participate for 48 aggregate months in the community
13engagement activity.
AB235-ASA1,9 14Section 9 . 49.45 (23b) (c) of the statutes is amended to read:
AB235-ASA1,5,2015 49.45 (23b) (c) 1. Persons who are eligible for the demonstration project under
16sub. (23) s. 49.471 (4) (a) 8. and who have monthly household income that exceeds
1750 percent of the poverty line shall pay a monthly premium amount of $8 per
18household. A person who is eligible to receive an item or service furnished by an
19Indian health care provider is exempt from the premium requirement under this
20subdivision.
AB235-ASA1,6,221 2. The department may disenroll under par. (b) 5. a person for nonpayment of
22a required monthly premium only at annual eligibility redetermination after
23providing notice and reasonable opportunity for the person to pay. If a person who
24is disenrolled for nonpayment of premiums pays all owed premiums or becomes

1exempt from payment of premiums, he or she may reenroll in Medical Assistance
2under sub. (23) s. 49.471 (4) (a) 8.
AB235-ASA1,6,63 3. The department shall reduce the amount of the required household premium
4by up to half for a recipient of Medical Assistance under sub. (23) s. 49.471 (4) (a) 8.
5who does not engage in certain behaviors that increase health risks or who attests
6to actively managing certain unhealthy behaviors.
AB235-ASA1,10 7Section 10 . 49.45 (23b) (e) of the statutes is amended to read:
AB235-ASA1,6,128 49.45 (23b) (e) Before December 31, 2023, the demonstration project
9requirements under this subsection may not be withdrawn and the department may
10not request from the federal government withdrawal, suspension, or termination of
11the demonstration project requirements under this subsection unless legislation has
12been enacted specifically allowing for the withdrawal, suspension, or termination.
AB235-ASA1,11 13Section 11 . 49.471 (1) (cr) of the statutes is created to read:
AB235-ASA1,6,1514 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a
15federal medical assistance percentage described under 42 USC 1396d (y) or (z).
AB235-ASA1,12 16Section 12 . 49.471 (4) (a) 4. b. of the statutes is amended to read:
AB235-ASA1,6,1917 49.471 (4) (a) 4. b. The individual's family income does not exceed 100 133
18percent of the poverty line before application of the 5 percent income disregard under
1942 CFR 435.603 (d)
.
AB235-ASA1,13 20Section 13 . 49.471 (4) (a) 8. of the statutes is created to read:
AB235-ASA1,6,2121 49.471 (4) (a) 8. An individual who meets all of the following criteria:
AB235-ASA1,6,2222 a. The individual is an adult under the age of 65.
AB235-ASA1,6,2423 b. The individual has a family income that does not exceed 133 percent of the
24poverty line, except as provided in sub. (4g).
AB235-ASA1,7,2
1c. The individual is not otherwise eligible for the Medical Assistance program
2under this subchapter or the Medicare program under 42 USC 1395 et seq.
AB235-ASA1,14 3Section 14 . 49.471 (4g) of the statutes is created to read:
AB235-ASA1,7,134 49.471 (4g) Medicaid expansion; federal medical assistance percentage. For
5services provided to individuals described under sub. (4) (a) 8., the department shall
6comply with all federal requirements to qualify for the highest available enhanced
7federal medical assistance percentage. The department shall submit any
8amendment to the state medical assistance plan, request for a waiver of federal
9Medicaid law, or other approval request required by the federal government to
10provide services to the individuals described under sub. (4) (a) 8. and qualify for the
11highest available enhanced federal medical assistance percentage. Sections 20.940
12and 49.45 (2t) do not apply to a submission to the federal government under this
13subsection.
AB235-ASA1,15 14Section 15 . 49.686 (3) (d) of the statutes is amended to read:
AB235-ASA1,7,2015 49.686 (3) (d) Has applied for coverage under and has been denied eligibility
16for medical assistance within 12 months prior to application for reimbursement
17under sub. (2). This paragraph does not apply to an individual who is eligible for
18benefits under the demonstration project for childless adults under s. 49.45 (23) or
19to an individual
who is eligible for benefits under BadgerCare Plus under s. 49.471
20(4) (a) 8. or (11).
AB235-ASA1,16 21Section 16 . 238.18 of the statutes is created to read:
AB235-ASA1,7,22 22238.18 Rural economic development. (1) Definition. In this section:
AB235-ASA1,8,223 (a) “State agency" means an office, department, agency, institution of higher
24education, association, society, or other body in state government created or
25authorized to be created by the constitution or any law that is entitled to expend

1moneys appropriated by law, including any authority created in subch. II of ch. 114
2or in ch. 231, 233, 234, or 279.
AB235-ASA1,8,43 (b) “Rural county” means a county with a population density of less than 155
4residents per square mile.
AB235-ASA1,8,6 5(2) Economic development programs benefiting rural counties. From the
6appropriation under under s. 20.192 (1) (bm), the corporation may do the following:
AB235-ASA1,8,97 (a) Expend moneys for any economic development program the corporation is
8administering on the effective date of this paragraph .... [LRB inserts date], if that
9expenditure assists economic development in a rural county.
AB235-ASA1,8,1310 (b) Expend moneys for any economic development program the corporation
11begins administering after the effective date of this paragraph .... [LRB inserts date],
12if that expenditure assists economic development in a rural county, subject to all of
13the following:
AB235-ASA1,8,1814 1. Before the corporation first expends moneys on each program under this
15paragraph, the corporation shall notify the joint committee on finance in writing of
16the corporation's intention to expend the moneys on the program. The notice shall
17describe the program and purposes for which the corporation proposes to expend the
18moneys under this paragraph.
AB235-ASA1,9,219 2. If, within 14 working days after the date of the corporation's notice under
20subd. 1., the cochairpersons of the joint committee on finance do not notify the
21corporation that the committee has scheduled a meeting to review the corporation's
22proposal, the corporation may make the expenditures as proposed in the
23corporation's notice. If, within 14 working days after the date of the corporation's
24notice under subd. 1., the cochairpersons of the committee notify the corporation that
25the committee has scheduled a meeting to review the corporation's proposal, the

1corporation may make the proposed expenditures only upon approval of the
2committee.
AB235-ASA1,9,53 3. The corporation shall adopt policies and procedures establishing, to the
4extent feasible, matching requirements for the corporation's expenditures under this
5paragraph.
AB235-ASA1,9,86 (c) Award a grant to a state agency if the corporation determines the state
7agency's expenditure of the grant moneys will assist economic development in a rural
8county, subject to all of the following:
AB235-ASA1,9,129 1. Before the corporation makes a grant under this paragraph, the corporation
10shall notify the joint committee on finance in writing of the corporation's intention
11to make the grant. The notice shall describe the program and purposes for which the
12corporation proposes to make the grant.
AB235-ASA1,9,2013 2. If, within 14 working days after the date of the corporation's notice under
14subd. 1., the cochairpersons of the joint committee on finance do not notify the
15corporation that the committee has scheduled a meeting to review the corporation's
16proposal, the corporation may make the grant as proposed in the corporation's notice.
17If, within 14 working days after the date of the corporation's notice under subd. 1.,
18the cochairpersons of the committee notify the corporation that the committee has
19scheduled a meeting to review the corporation's proposal, the corporation may make
20the proposed grant only upon approval of the committee.
AB235-ASA1,9,2421 (d) Before the corporation expends moneys on an economic development
22program under par. (a) or (b) or makes a grant under par. (c), the corporation shall
23consider the economic impact of the program or activity for which the moneys will
24be used.
AB235-ASA1,10,5
1(3g) Grants for revolving loan funds. (a) In this subsection and in sub. (3r),
2“eligible organization” means each county economic development organization
3serving a rural county and each regional economic development organization serving
4a rural county that the corporation determines under par. (d) is eligible for a grant
5under par. (c).
AB235-ASA1,10,76 (b) From the appropriation under under s. 20.192 (1) (bm), the corporation shall
7set aside $5,000,000 for grants under this subsection.
AB235-ASA1,10,168 (c) The corporation shall award a onetime grant of $250,000 to each eligible
9organization, or shall grant a smaller amount if the eligible organization so elects.
10The corporation may award a onetime grant of more than $250,000 to a consortium
11of rural counties, or to a consortium of eligible organizations in lieu of a grant to
12eligible organizations that are members of the consortium. An eligible organization
13or a consortium receiving a grant under this paragraph shall expend the grant
14moneys only for the purpose of creating or expanding a revolving loan fund that
15promotes economic development and entrepreneurial start-ups in a rural county
16served by the eligible organization or in rural counties served by the consortium.
AB235-ASA1,10,2017 (d) In determining whether a county economic development organization
18serving a rural county or regional economic development organization serving a
19rural county is eligible for a grant under par. (c), the corporation shall consider all
20of the following:
AB235-ASA1,10,2221 1. Whether the organization has appropriate fiscal and administrative policies
22and procedures in place.
AB235-ASA1,10,2423 2. Whether the organization's staff is sufficient and qualified by education or
24experience to administer a revolving loan fund.
AB235-ASA1,11,3
13. Whether the organization can provide at least 2 examples of projects
2financed with public funding that the organization has taken from grant application
3to project completion.
AB235-ASA1,11,54 4. Whether the organization has experience or a history of serving the
5community with economic development projects.
AB235-ASA1,11,9 6(3r) Grants for program operations and marketing. (a) From the
7appropriation under under s. 20.192 (1) (bm), the corporation shall award a onetime
8grant of $50,000 to each eligible organization, or shall grant a smaller amount if the
9eligible organization so elects, subject to all of the following:
AB235-ASA1,11,1210 1. The eligible organization shall expend all grant moneys received under this
11paragraph only for the purpose of program operations and marketing within a rural
12county served by the eligible organization.
AB235-ASA1,11,1613 2. The eligible organization shall submit a report to the corporation no later
14than 180 days after the last day of the state fiscal year in which the grant is awarded
15concerning the organization's use of the grant under this paragraph. The report shall
16include a description of all marketing efforts undertaken as a result of the grant.
AB235-ASA1,11,1917 (b) A rural county served by an eligible organization receiving a grant under
18par. (a) may not use or depend on grant moneys to supplant existing funding for
19economic development purposes.
AB235-ASA1,11,23 20(4) Reporting requirements. No later than June 30 of each state fiscal year
21in which the corporation expends moneys from the appropriation under under s.
2220.192 (1) (bm), the corporation shall submit a report to the joint committee on
23finance describing in detail the corporation's use of those moneys in that fiscal year.
AB235-ASA1,12,2 24(5) Cooperation of state agencies. All state agencies shall, to the extent
25needed, as determined by the corporation, cooperate with the corporation concerning

1the corporation's planning and implementation of its expenditures of moneys under
2this section.
AB235-ASA1,12,5 3(5m) Focus on underserved communities. In administering this section, the
4corporation shall make every effort to ensure that underserved communities in rural
5counties are prioritized.
AB235-ASA1,9119 6Section 9119. Nonstatutory provisions; Health Services.
AB235-ASA1,12,157 (1) Childless adults demonstration project. The department of health
8services shall submit any necessary request to the federal department of health and
9human services for a state plan amendment or waiver of federal Medicaid law or to
10modify or withdraw from any waiver of federal Medicaid law relating to the childless
11adults demonstration project under s. 49.45 (23), 2019 stats., to reflect the
12incorporation of recipients of Medical Assistance under the demonstration project
13into the BadgerCare Plus program under s. 49.471 and the termination of the
14demonstration project. Sections 20.940 and 49.45 (2t) do not apply to a submission
15to the federal government under this subsection.
AB235-ASA1,9137 16Section 9137. Nonstatutory provisions; Revenue.
AB235-ASA1,13,217 (1) Farm support grants. From the appropriation under s. 20.835 (2) (ca), the
18department of revenue shall provide grants to farmers who have experienced
19financial hardship due to the COVID-19 pandemic. A farmer desiring a grant under
20this subsection may file an application with the department of revenue in the
21manner determined by the department. The department of revenue shall consult
22with the department of agriculture, trade and consumer protection in providing
23grants under this subsection. In this subsection, “farmer” means a farmer, as defined
24in s. 102.04 (3), who owns or leases land that is agricultural property, whose gross

1sales of farm products in 2019 exceeds $35,000 but not does exceed $5,000,000, and
2who has experienced financial hardship as a result of the COVID-19 pandemic.
AB235-ASA1,9219 3Section 9219. Fiscal changes; Health Services.
AB235-ASA1,13,104 (1) Medicaid expansion. In the schedule under s. 20.005 (3) for the
5appropriation to the department of health services under s. 20.435 (4) (b), the dollar
6amount for fiscal year 2021-22 is decreased by $849,788,000 as a result of expanding
7eligibility for the Medical Assistance program. In the schedule under s. 20.005 (3)
8for the appropriation to the department of health services under s. 20.435 (4) (b), the
9dollar amount for fiscal year 2022-23 is decreased by $841,925,400 as a result of
10expanding eligibility for the Medical Assistance program.
AB235-ASA1,9419 11Section 9419. Effective dates; Health Services. This act takes effect on the
12day after publication, except as follows:
AB235-ASA1,13,15 13(1) Medicaid expansion. The treatment of ss. 20.435 (4) (jw), 49.45 (2p), (23),
14and (23b) (title), (b), (c), and (e), 49.471 (1) (cr), (4) (a) 4. b. and 8., and (4g), and 49.686
15(3) (d) and Sections 9119 (1 ) and 9219 (1) of this act take effect on July 1, 2021.
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