2021 - 2022 LEGISLATURE
November 12, 2021 - Introduced by Representatives Stubbs, Baldeh, Cabrera,
Hong, Anderson, Andraca, Brostoff, Conley, Emerson, Haywood, Hebl,
Hesselbein, B. Meyers, Neubauer, Ohnstad, Pope, Shankland, Shelton,
Sinicki, Snodgrass, Spreitzer, Subeck, Vining and Vruwink, cosponsored by
Senators Johnson, Agard, Roys, Erpenbach, Larson, Ringhand, Smith and
Carpenter. Referred to Committee on Public Benefit Reform.
AB701,1,4
1An Act to amend 49.45 (19) (a), 49.45 (19) (c), 767.804 (3) (d) 1., 767.805 (4) (d)
21. and 767.89 (3) (e) 1.; and
to create 49.22 (9m) of the statutes;
relating to:
3eliminating recovery by the state for birth expenses paid through the Medical
4Assistance program.
Analysis by the Legislative Reference Bureau
This bill prohibits the state from seeking recovery of birth expenses paid by the
state through the Medical Assistance program on behalf of an unmarried person who
gave birth and was a Medical Assistance recipient at the time of the birth. The bill
also prohibits a court from including in a judgment or order relating to paternity an
order for a father to pay for the recovery of such expenses paid by the state under the
Medical Assistance program. Under current law, a court is required to include in a
paternity order an order for the father to repay a portion of pregnancy and birth
expenses, taking into account the father's income and ability to pay. Also under
current law, a person applying for Medical Assistance, as a condition of eligibility for
Medical Assistance, is deemed to have assigned to the state any rights to medical
support or other payment of medical expenses from any other person, which includes
the right to recovery of birth expenses. Further, under current law, if the mother of
a child was enrolled in a health maintenance organization or other prepaid health
care plan under the Medical Assistance program at the time of the child's birth, the
state could seek to recover from the father the birth expenses incurred by the health
maintenance organization or other prepaid health care plan. This bill prohibits the
state from seeking recovery of these expenses and prohibits a court from ordering
recovery of these expenses on behalf of the state.
For further information see the state and local fiscal estimate, which will be
printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB701,1
1Section
1. 49.22 (9m) of the statutes is created to read:
AB701,2,52
49.22
(9m) Neither the department nor its designee may seek recovery from
3an alleged father of pregnancy or birth expenses paid by the state under the Medical
4Assistance program on behalf of an unmarried person who gave birth and who was
5a recipient of Medical Assistance at the time of the birth.
AB701,2
6Section 2
. 49.45 (19) (a) of the statutes is amended to read:
AB701,2,137
49.45
(19) (a)
As Except as provided in par. (c), as a condition of eligibility for
8medical assistance, a person shall, notwithstanding other provisions of the statutes,
9be deemed to have assigned to the state, by applying for or receiving medical
10assistance, any rights to medical support or other payment of medical expenses from
11any other person, including rights to unpaid amounts accrued at the time of
12application for medical assistance as well as any rights to support accruing during
13the time for which medical assistance is paid.
AB701,3
14Section 3
. 49.45 (19) (c) of the statutes is amended to read:
AB701,2,1915
49.45
(19) (c)
If the mother of a child was enrolled in a health maintenance
16organization or other prepaid health care plan under medical assistance at the time
17of the child's birth, The state may not seek recovery of birth expenses
that may be
18recovered by the state under this subsection are the birth expenses incurred by the
19health maintenance organization or other prepaid health care plan.
AB701,4
20Section
4. 767.804 (3) (d) 1. of the statutes is amended to read:
AB701,3,11
1767.804
(3) (d) 1. An order establishing the amount of the father's obligation
2to pay or contribute to the reasonable expenses of the mother's pregnancy and the
3child's birth
, except that the court may not order a father to pay expenses under this
4section for the recovery of expenses paid by the state under the Medical Assistance
5program on behalf of an unmarried person who gave birth and who was a recipient
6of Medical Assistance at the time of the birth. The amount established may not
7exceed one-half of the total actual and reasonable pregnancy and birth expenses.
8The order also shall specify the court's findings as to whether the father's income is
9at or below the poverty line established under
42 USC 9902 (2), and shall specify
10whether periodic payments are due on the obligation, based on the father's ability
11to pay or contribute to those expenses.
AB701,5
12Section
5. 767.805 (4) (d) 1. of the statutes is amended to read:
AB701,3,2313
767.805
(4) (d) 1. An order establishing the amount of the father's obligation
14to pay or contribute to the reasonable expenses of the mother's pregnancy and the
15child's birth
, except that the court may not order a father to pay expenses under this
16section for the recovery of expenses paid by the state under the Medical Assistance
17program on behalf of an unmarried person who gave birth and who was a recipient
18of Medical Assistance at the time of the birth. The amount established may not
19exceed one-half of the total actual and reasonable pregnancy and birth expenses.
20The order also shall specify the court's findings as to whether the father's income is
21at or below the poverty line established under
42 USC 9902 (2), and shall specify
22whether periodic payments are due on the obligation, based on the father's ability
23to pay or contribute to those expenses.
AB701,6
24Section
6. 767.89 (3) (e) 1. of the statutes is amended to read:
AB701,4,11
1767.89
(3) (e) 1. An order establishing the amount of the father's obligation to
2pay or contribute to the reasonable expenses of the mother's pregnancy and the
3child's birth
, except that the court may not order a father to pay expenses under this
4section for the recovery of expenses paid by the state under the Medical Assistance
5program on behalf of an unmarried person who gave birth and who was a recipient
6of Medical Assistance at the time of the birth. The amount established may not
7exceed one-half of the total actual and reasonable pregnancy and birth expenses.
8The order also shall specify the court's findings as to whether the father's income is
9at or below the poverty line established under
42 USC 9902 (2), and shall specify
10whether periodic payments are due on the obligation, based on the father's ability
11to pay or contribute to those expenses.
AB701,7
12Section
7.
Initial applicability.
AB701,4,1513
(1)
Elimination of birth cost recovery by the state. The treatment of ss.
14767.804 (3) (d) 1., 767.805 (4) (d) 1., and 767.89 (3) (e) 1. first applies to an order or
15judgment relating to paternity issued on the effective date of this subsection.