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AB240-ASA1,4,2420 5. Disenroll from Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. for 6
21months any individual who does not pay a required premium under subd. 2. and any
22individual who is required under subd. 1. to participate in a community engagement
23activity but who does not participate for 48 aggregate months in the community
24engagement activity.
AB240-ASA1,1k 25Section 1k. 49.45 (23b) (c) of the statutes is amended to read:
AB240-ASA1,5,6
149.45 (23b) (c) 1. Persons who are eligible for the demonstration project under
2sub. (23) s. 49.471 (4) (a) 8. and who have monthly household income that exceeds
350 percent of the poverty line shall pay a monthly premium amount of $8 per
4household. A person who is eligible to receive an item or service furnished by an
5Indian health care provider is exempt from the premium requirement under this
6subdivision.
AB240-ASA1,5,127 2. The department may disenroll under par. (b) 5. a person for nonpayment of
8a required monthly premium only at annual eligibility redetermination after
9providing notice and reasonable opportunity for the person to pay. If a person who
10is disenrolled for nonpayment of premiums pays all owed premiums or becomes
11exempt from payment of premiums, he or she may reenroll in Medical Assistance
12under sub. (23) s. 49.471 (4) (a) 8.
AB240-ASA1,5,1613 3. The department shall reduce the amount of the required household premium
14by up to half for a recipient of Medical Assistance under sub. (23) s. 49.471 (4) (a) 8.
15who does not engage in certain behaviors that increase health risks or who attests
16to actively managing certain unhealthy behaviors.
AB240-ASA1,1m 17Section 1m. 49.45 (23b) (e) of the statutes is amended to read:
AB240-ASA1,5,2218 49.45 (23b) (e) Before December 31, 2023, the demonstration project
19requirements under this subsection may not be withdrawn and the department may
20not request from the federal government withdrawal, suspension, or termination of
21the demonstration project requirements under this subsection unless legislation has
22been enacted specifically allowing for the withdrawal, suspension, or termination.
AB240-ASA1,1p 23Section 1p. 49.471 (1) (cr) of the statutes is created to read:
AB240-ASA1,5,2524 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a
25federal medical assistance percentage described under 42 USC 1396d (y) or (z).
AB240-ASA1,1q
1Section 1q. 49.471 (4) (a) 4. b. of the statutes is amended to read:
AB240-ASA1,6,42 49.471 (4) (a) 4. b. The individual's family income does not exceed 100 133
3percent of the poverty line before application of the 5 percent income disregard under
442 CFR 435.603 (d)
.
AB240-ASA1,1r 5Section 1r. 49.471 (4) (a) 8. of the statutes is created to read:
AB240-ASA1,6,66 49.471 (4) (a) 8. An individual who meets all of the following criteria:
AB240-ASA1,6,77 a. The individual is an adult under the age of 65.
AB240-ASA1,6,98 b. The individual has a family income that does not exceed 133 percent of the
9poverty line, except as provided in sub. (4g).
AB240-ASA1,6,1110 c. The individual is not otherwise eligible for the Medical Assistance program
11under this subchapter or the Medicare program under 42 USC 1395 et seq.
AB240-ASA1,1s 12Section 1s. 49.471 (4g) of the statutes is created to read:
AB240-ASA1,6,2213 49.471 (4g) Medicaid expansion; federal medical assistance percentage. For
14services provided to individuals described under sub. (4) (a) 8., the department shall
15comply with all federal requirements to qualify for the highest available enhanced
16federal medical assistance percentage. The department shall submit any
17amendment to the state medical assistance plan, request for a waiver of federal
18Medicaid law, or other approval request required by the federal government to
19provide services to the individuals described under sub. (4) (a) 8. and qualify for the
20highest available enhanced federal medical assistance percentage. Sections 20.940
21and 49.45 (2t) do not apply to a submission to the federal government under this
22subsection.
AB240-ASA1,1t 23Section 1t. 49.686 (3) (d) of the statutes is amended to read:
AB240-ASA1,7,424 49.686 (3) (d) Has applied for coverage under and has been denied eligibility
25for medical assistance within 12 months prior to application for reimbursement

1under sub. (2). This paragraph does not apply to an individual who is eligible for
2benefits under the demonstration project for childless adults under s. 49.45 (23) or
3to an individual who is eligible for benefits under BadgerCare Plus under s. 49.471
4(4) (a) 8. or (11).
AB240-ASA1,1v 5Section 1 v. 323.29 (3) (a) of the statutes is renumbered 323.29 (3) (a) (intro.)
6and amended to read:
AB240-ASA1,7,77 323.29 (3) (a) (intro.) The department shall provide do all of the following:
AB240-ASA1,7,8 81. Provide staff support for the council and oversight of.
AB240-ASA1,7,10 93. Oversee the development and operation of a any current or future statewide
10public safety interoperable communication system.
AB240-ASA1,2 11Section 2 . 323.29 (3) (a) 2. of the statutes is created to read:
AB240-ASA1,7,1312 323.29 (3) (a) 2. Administer any current or future statewide public safety
13interoperable communication system.
AB240-ASA1,3 14Section 3 . 323.29 (3) (b) 3. of the statutes is created to read:
AB240-ASA1,7,1715 323.29 (3) (b) 3. Enter into agreements for maintenance and support of,
16upgrades to, and enhancements for the statewide public safety interoperable
17communication system under this section.
AB240-ASA1,9104 18Section 9104. Nonstatutory provisions; Building Commission.
AB240-ASA1,7,1919 (1) Grant for mental health treatment capacity.
AB240-ASA1,8,220 (a) The legislature finds and determines that expanding psychiatric bed
21capacity and crisis stabilization capacity as described in par. (b) would greatly
22benefit state residents by expanding access to timely inpatient mental health
23treatment and services and allowing public financial resources to be better
24distributed to more effectively improve delivery of mental health services. It is
25therefore in the public interest, and it is the public policy of this state, to assist the

1entities described under par. (b ) in expanding psychiatric bed capacity and
2stabilization services.
AB240-ASA1,8,73 (b) In fiscal year 2021-22, the building commission may award under s. 13.48
4(20s) grants in the amount of $30,000,000 cumulatively for the purpose of expanding
5capacity for psychiatric beds and for crisis stabilization to entities that apply to the
6building commission, that agree to provide psychiatric or stabilization services
7regionally, and meet all of the following criteria:
AB240-ASA1,8,13 81. The entity agrees to serve individuals who meet the criteria for emergency
9detention under s. 51.15 or are in need of crisis stabilization and who are from
10Ashland, Barron, Bayfield, Buffalo, Burnett, Chippewa, Clark, Douglas, Dunn, Eau
11Claire, Iron, Jackson, La Crosse, Lincoln, Marathon, Monroe, Oneida, Pepin, Pierce,
12Polk, Price, Rusk, Sawyer, St. Croix, Taylor, Trempealeau, Vilas, Washburn, or Wood
13Counties.
AB240-ASA1,8,16 142. The entity identifies measures that it believes will serve the needs of
15residents of the region with mental health needs, especially, as a critical component
16of the measures, in reducing the burden on the Winnebago Mental Health Institute.
AB240-ASA1,8,20 173. The entity agrees to annually report to the legislature, in the manner
18described under s. 13.172 (2), the services provided with the resources funded by the
19grant awarded under this subsection, including the number of individuals diverted
20from the Winnebago Mental Health Institute.
AB240-ASA1,8,25 214. The entity recognizes that it is liable to repay the grant funds to the state
22if the entity fails to continue to maintain the expanded services as proposed in the
23grant application. The amount the entity is liable for repayment is reduced
24proportionately each year for 10 years of continuing expanded services as described
25under par. (c).
AB240-ASA1,9,2
1(c) A determination of continued services shall be based on findings that the
2entity does all of the following:
AB240-ASA1,9,5 31. If the entity is expanding psychiatric bed capacity, the entity maintains an
4agreed upon number of beds for acceptance of admissions for emergency detention
5under s. 51.15.
AB240-ASA1,9,8 62. Enters into a contract with, at minimum, two-thirds of the counties specified
7in par. (b) 1. in which the entity agrees to accept for services individuals regardless
8of payment source.
AB240-ASA1,9,119 (d) Notwithstanding s. 150.93, any entity that is a hospital that expands
10psychiatric bed capacity under this subsection may increase its approved bed
11capacity.
AB240-ASA1,9,1612 (e) If, for any reason, the entity's facility space, for which the grant is awarded
13under par. (b), is not used for the purpose of expanding psychiatric bed or crisis
14stabilization capacity as agreed when awarded the grant, the state shall retain an
15ownership interest in the entity's expansion space equal to the amount of the state's
16grant.
AB240-ASA1,9119 17Section 9119. Nonstatutory provisions; Health Services.
AB240-ASA1,9,2418 (1) Childless adults demonstration project. The department of health
19services shall submit any necessary request to the federal department of health and
20human services for a state plan amendment or waiver of federal Medicaid law or to
21modify or withdraw from any waiver of federal Medicaid law relating to the childless
22adults demonstration project under s. 49.45 (23), 2019 stats., to reflect the
23incorporation of recipients of Medical Assistance under the demonstration project
24into the BadgerCare Plus program under s. 49.471 and the termination of the

1demonstration project. Sections 20.940 and 49.45 (2t) do not apply to a submission
2to the federal government under this subsection.
AB240-ASA1,9219 3Section 9219. Fiscal changes; Health Services.
AB240-ASA1,10,104 (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.
AB240-ASA1,9231 11Section 9231. Fiscal changes; Military Affairs.
AB240-ASA1,10,1612 (1) Public safety interoperable radio network. In the schedule under s.
1320.005 (3) for the appropriation to the department of military affairs under s. 20.465
14(3) (a), the dollar amount for fiscal year 2021-22 is increased by $66,000,000 to
15develop an updated statewide public safety interoperable communication system as
16provided under s. 323.29 (3) (a) 3.
AB240-ASA1,10,2017 (2) Emergency services IP network contracts. In the schedule under s. 20.005
18(3) for the appropriation to the department of military affairs under s. 20.465 (3) (a),
19the dollar amount for fiscal year 2021-22 is increased by $37,000,000 to develop the
20emergency services IP network under s. 256.35 (3s) (b).
AB240-ASA1,10,2421 (3) Geographic information systems database. In the schedule under s. 20.005
22(3) for the appropriation to the department of military affairs under s. 20.465 (3) (a),
23the dollar amount for fiscal year 2021-22 is increased by $3,400,000 to develop a
24statewide geographic information systems database.
AB240-ASA1,9419
1Section 9419. Effective dates; Health Services. This act takes effect on the
2day after publication, except as follows:
AB240-ASA1,11,5 3(1) Medicaid expansion. The treatment of ss. 20.435 (4) (jw), 49.45 (2p), (23),
4and (23b) (title), (b), (c), and (e), 49.471 (1) (cr), (4) (a) 4. b. and 8. and (4g), and 49.686
5(3) (d) and Sections 9119 (1 ) and 9219 (1) of this act take effect on July 1, 2021.
AB240-ASA1,9431 6Section 9431. Effective dates; Military Affairs. This act takes effect on the
7day after publication, except as follows:
AB240-ASA1,11,108 (1) Public safety interoperable radio network, emergency services IP
9network contracts, and geographic information systems database. Section
9231
10(1) to (3) of this act take effect on July 1, 2021.
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