Amendment ASA1-AB240

AB240-ASA1,3,14 49.45 (23b) (title) Childless adults demonstration project reform waiver implementation required.

AB240-ASA1,1j Section 1j. 49.45 (23b) (b) of the statutes is amended to read:

AB240-ASA1,4,5 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.:

AB240-ASA1,4,11 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.

AB240-ASA1,4,14 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.

AB240-ASA1,4,16 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.

AB240-ASA1,4,19 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.

AB240-ASA1,4,24 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.

AB240-ASA1,1k Section 1k. 49.45 (23b) (c) of the statutes is amended to read:

AB240-ASA1,5,6 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.

AB240-ASA1,5,12 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.

AB240-ASA1,5,16 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.

AB240-ASA1,1m Section 1m. 49.45 (23b) (e) of the statutes is amended to read:

AB240-ASA1,5,22 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.

AB240-ASA1,1p Section 1p. 49.471 (1) (cr) of the statutes is created to read:

AB240-ASA1,5,25 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a federal medical assistance percentage described under 42 USC 1396d (y) or (z).

AB240-ASA1,1q Section 1q. 49.471 (4) (a) 4. b. of the statutes is amended to read:

AB240-ASA1,6,4 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).

AB240-ASA1,1r Section 1r. 49.471 (4) (a) 8. of the statutes is created to read:

AB240-ASA1,6,6 49.471 (4) (a) 8. An individual who meets all of the following criteria:

AB240-ASA1,6,7 a. The individual is an adult under the age of 65.

AB240-ASA1,6,9 b. The individual has a family income that does not exceed 133 percent of the poverty line, except as provided in sub. (4g).

AB240-ASA1,6,11 c. The individual is not otherwise eligible for the Medical Assistance program under this subchapter or the Medicare program under 42 USC 1395 et seq.

AB240-ASA1,1s Section 1s. 49.471 (4g) of the statutes is created to read:

AB240-ASA1,6,22 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.

AB240-ASA1,1t Section 1t. 49.686 (3) (d) of the statutes is amended to read:

AB240-ASA1,7,4 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) or to an individual who is eligible for benefits under BadgerCare Plus under s. 49.471 (4) (a) 8. or (11).

AB240-ASA1,1v Section 1 v. 323.29 (3) (a) of the statutes is renumbered 323.29 (3) (a) (intro.) and amended to read:

AB240-ASA1,7,7 323.29 (3) (a) (intro.) The department shall provide do all of the following:

AB240-ASA1,7,8 1. Provide staff support for the council and oversight of.

AB240-ASA1,7,10 3. Oversee the development and operation of a any current or future statewide public safety interoperable communication system.

AB240-ASA1,2 Section 2 . 323.29 (3) (a) 2. of the statutes is created to read:

AB240-ASA1,7,13 323.29 (3) (a) 2. Administer any current or future statewide public safety interoperable communication system.

AB240-ASA1,3 Section 3 . 323.29 (3) (b) 3. of the statutes is created to read:

AB240-ASA1,7,17 323.29 (3) (b) 3. Enter into agreements for maintenance and support of, upgrades to, and enhancements for the statewide public safety interoperable communication system under this section.

AB240-ASA1,9104 Section 9104. Nonstatutory provisions; Building Commission.

AB240-ASA1,7,19 (1) Grant for mental health treatment capacity.

AB240-ASA1,8,2 (a) The legislature finds and determines that expanding psychiatric bed capacity and crisis stabilization capacity as described in par. (b) would greatly benefit state residents by expanding access to timely inpatient mental health treatment and services and allowing public financial resources to be better distributed to more effectively improve delivery of mental health services. It is therefore in the public interest, and it is the public policy of this state, to assist the entities described under par. (b ) in expanding psychiatric bed capacity and stabilization services.

AB240-ASA1,8,7 (b) In fiscal year 2021-22, the building commission may award under s. 13.48 (20s) grants in the amount of $30,000,000 cumulatively for the purpose of expanding capacity for psychiatric beds and for crisis stabilization to entities that apply to the building commission, that agree to provide psychiatric or stabilization services regionally, and meet all of the following criteria:

AB240-ASA1,8,13 1. The entity agrees to serve individuals who meet the criteria for emergency detention under s. 51.15 or are in need of crisis stabilization and who are from Ashland, Barron, Bayfield, Buffalo, Burnett, Chippewa, Clark, Douglas, Dunn, Eau Claire, Iron, Jackson, La Crosse, Lincoln, Marathon, Monroe, Oneida, Pepin, Pierce, Polk, Price, Rusk, Sawyer, St. Croix, Taylor, Trempealeau, Vilas, Washburn, or Wood Counties.

AB240-ASA1,8,16 2. The entity identifies measures that it believes will serve the needs of residents of the region with mental health needs, especially, as a critical component of the measures, in reducing the burden on the Winnebago Mental Health Institute.

AB240-ASA1,8,20 3. The entity agrees to annually report to the legislature, in the manner described under s. 13.172 (2), the services provided with the resources funded by the grant awarded under this subsection, including the number of individuals diverted from the Winnebago Mental Health Institute.

AB240-ASA1,8,25 4. The entity recognizes that it is liable to repay the grant funds to the state if the entity fails to continue to maintain the expanded services as proposed in the grant application. The amount the entity is liable for repayment is reduced proportionately each year for 10 years of continuing expanded services as described under par. (c).

AB240-ASA1,9,2 (c) A determination of continued services shall be based on findings that the entity does all of the following:

AB240-ASA1,9,5 1. If the entity is expanding psychiatric bed capacity, the entity maintains an agreed upon number of beds for acceptance of admissions for emergency detention under s. 51.15.

AB240-ASA1,9,8 2. Enters into a contract with, at minimum, two-thirds of the counties specified in par. (b) 1. in which the entity agrees to accept for services individuals regardless of payment source.

AB240-ASA1,9,11 (d) Notwithstanding s. 150.93, any entity that is a hospital that expands psychiatric bed capacity under this subsection may increase its approved bed capacity.

AB240-ASA1,9,16 (e) If, for any reason, the entity's facility space, for which the grant is awarded under par. (b), is not used for the purpose of expanding psychiatric bed or crisis stabilization capacity as agreed when awarded the grant, the state shall retain an ownership interest in the entity's expansion space equal to the amount of the state's grant.

AB240-ASA1,9119 Section 9119. Nonstatutory provisions; Health Services.

AB240-ASA1,9,24 (1) Childless adults demonstration project. The department of health services shall submit any necessary request to the federal department of health and human services for a state plan amendment or waiver of federal Medicaid law or to modify or withdraw from any waiver of federal Medicaid law relating to the childless adults demonstration project under s. 49.45 (23), 2019 stats., to reflect the incorporation of recipients of Medical Assistance under the demonstration project into the BadgerCare Plus program under s. 49.471 and the termination of the demonstration project. Sections 20.940 and 49.45 (2t) do not apply to a submission to the federal government under this subsection.

AB240-ASA1,9219 Section 9219. Fiscal changes; Health Services.

AB240-ASA1,10,10 (1) Medicaid expansion. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (4) (b), the dollar amount for fiscal year 2021-22 is decreased by $849,788,000 as a result of expanding eligibility for the Medical Assistance program. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (4) (b), the dollar amount for fiscal year 2022-23 is decreased by $841,925,400 as a result of expanding eligibility for the Medical Assistance program.

AB240-ASA1,9231 Section 9231. Fiscal changes; Military Affairs.

AB240-ASA1,10,16 (1) Public safety interoperable radio network. In the schedule under s. 20.005 (3) for the appropriation to the department of military affairs under s. 20.465 (3) (a), the dollar amount for fiscal year 2021-22 is increased by $66,000,000 to develop an updated statewide public safety interoperable communication system as provided under s. 323.29 (3) (a) 3.

AB240-ASA1,10,20 (2) Emergency services IP network contracts. In the schedule under s. 20.005 (3) for the appropriation to the department of military affairs under s. 20.465 (3) (a), the dollar amount for fiscal year 2021-22 is increased by $37,000,000 to develop the emergency services IP network under s. 256.35 (3s) (b).

AB240-ASA1,10,24 (3) Geographic information systems database. In the schedule under s. 20.005 (3) for the appropriation to the department of military affairs under s. 20.465 (3) (a), the dollar amount for fiscal year 2021-22 is increased by $3,400,000 to develop a statewide geographic information systems database.

AB240-ASA1,9419 Section 9419. Effective dates; Health Services. This act takes effect on the day after publication, except as follows:

AB240-ASA1,11,5 (1) Medicaid expansion. The treatment of ss. 20.435 (4) (jw), 49.45 (2p), (23), and (23b) (title), (b), (c), and (e), 49.471 (1) (cr), (4) (a) 4. b. and 8. and (4g), and 49.686 (3) (d) and Sections 9119 (1 ) and 9219 (1) of this act take effect on July 1, 2021.

AB240-ASA1,9431 Section 9431. Effective dates; Military Affairs. This act takes effect on the day after publication, except as follows:

AB240-ASA1,11,10 (1) Public safety interoperable radio network, emergency services IP network contracts, and geographic information systems database. Section 9231 (1) to (3) of this act take effect on July 1, 2021.

AB240-ASA1,11,11 (End)