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AB955,5,223 (b) The department shall establish and administer a program to subsidize, as
24provided in s. 632.895 (14f), the costs of providing coverage for frontline health care
25workers at no additional cost to the covered individuals. The governor or his or her

1designee within the department may determine the period of applicability of this
2subsection.
AB955,2 3Section 2 . 20.435 (4) (bu) of the statutes is created to read:
AB955,5,114 20.435 (4) (bu) COVID-19 and other communicable disease aids for frontline
5health care workers.
A sum sufficient not to exceed, in fiscal year 2021-22, the
6difference between $170,000,000 and the amount after payments have been made
7under s. 16.34, for testing and treatment of frontline health care workers under s.
849.681 and not to exceed, in fiscal year 2022-23 and each fiscal year thereafter, the
9difference between $300,000,000 and the amount after payments have been made
10under s. 16.34, for testing and treatment of frontline health care workers under s.
1149.681.
AB955,3 12Section 3 . 20.435 (4) (jw) of the statutes is amended to read:
AB955,5,2013 20.435 (4) (jw) BadgerCare Plus and hospital assessment. All moneys received
14from payment of enrollment fees under the program under s. 49.45 (23), all
moneys
15transferred under s. 50.38 (9), all moneys transferred from the appropriation account
16under par. (jz), and 10 percent of all moneys received from penalty assessments
17under s. 49.471 (9) (c), for administration of the program under s. 49.45 (23), to
18provide a portion of the state share of administrative costs for the BadgerCare Plus
19Medical Assistance program under s. 49.471, and for administration of the hospital
20assessment under s. 50.38.
AB955,4 21Section 4 . 20.505 (1) (ft) of the statutes is created to read:
AB955,5,2522 20.505 (1) (ft) Health care coverage and employee benefits relating to COVID-19
23and other communicable diseases.
A sum sufficient not to exceed $170,000,000 in
24fiscal year 2021-22 and not to exceed $300,000,000 in each fiscal year thereafter for
25payments under s. 16.34 (2), (3), and (4).
AB955,5
1Section 5. 49.45 (2p) of the statutes is repealed.
AB955,6 2Section 6 . 49.45 (23) of the statutes is repealed.
AB955,7 3Section 7 . 49.45 (23b) (title) of the statutes is amended to read:
AB955,6,54 49.45 (23b) (title) Childless adults demonstration project reform waiver
5implementation required.
AB955,8 6Section 8 . 49.45 (23b) (b) of the statutes is amended to read:
AB955,6,107 49.45 (23b) (b) Beginning as soon as practicable after October 31, 2018, and
8ending no sooner than December 31, 2023, the department shall do all of the
9following with regard to the childless adults demonstration project under sub. (23)
10s. 49.471 (4) (a) 8.:
AB955,6,1611 1. Require in each month persons, except exempt individuals, who are eligible
12to receive Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. and who are at least
1319 years of age but have not attained the age of 50 to participate in, document, and
14report 80 hours per calendar month of community engagement activities. The
15department, after finding good cause, may grant a temporary exemption from the
16requirement under this subdivision upon request of a Medical Assistance recipient.
AB955,6,1917 2. Require persons with incomes of at least 50 percent of the poverty line to pay
18premiums in accordance with par. (c) as a condition of eligibility for Medical
19Assistance under sub. (23) s. 49.471 (4) (a) 8.
AB955,6,2120 3. Require as a condition of eligibility for Medical Assistance under sub. (23)
21s. 49.471 (4) (a) 8. completion of a health risk assessment.
AB955,6,2422 4. Charge recipients of Medical Assistance under sub. (23) s. 49.471 (4) (a) 8.
23an $8 copayment for nonemergency use of the emergency department in accordance
24with 42 USC 1396o-1 (e) (1) and 42 CFR 447.54.
AB955,7,5
15. Disenroll from Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. for 6
2months any individual who does not pay a required premium under subd. 2. and any
3individual who is required under subd. 1. to participate in a community engagement
4activity but who does not participate for 48 aggregate months in the community
5engagement activity.
AB955,9 6Section 9 . 49.45 (23b) (c) of the statutes is amended to read:
AB955,7,127 49.45 (23b) (c) 1. Persons who are eligible for the demonstration project under
8sub. (23) s. 49.471 (4) (a) 8. and who have monthly household income that exceeds
950 percent of the poverty line shall pay a monthly premium amount of $8 per
10household. A person who is eligible to receive an item or service furnished by an
11Indian health care provider is exempt from the premium requirement under this
12subdivision.
AB955,7,1813 2. The department may disenroll under par. (b) 5. a person for nonpayment of
14a required monthly premium only at annual eligibility redetermination after
15providing notice and reasonable opportunity for the person to pay. If a person who
16is disenrolled for nonpayment of premiums pays all owed premiums or becomes
17exempt from payment of premiums, he or she may reenroll in Medical Assistance
18under sub. (23) s. 49.471 (4) (a) 8.
AB955,7,2219 3. The department shall reduce the amount of the required household premium
20by up to half for a recipient of Medical Assistance under sub. (23) s. 49.471 (4) (a) 8.
21who does not engage in certain behaviors that increase health risks or who attests
22to actively managing certain unhealthy behaviors.
AB955,10 23Section 10 . 49.45 (23b) (e) of the statutes is amended to read:
AB955,8,324 49.45 (23b) (e) Before December 31, 2023, the demonstration project
25requirements under this subsection may not be withdrawn and the department may

1not request from the federal government withdrawal, suspension, or termination of
2the demonstration project requirements under this subsection unless legislation has
3been enacted specifically allowing for the withdrawal, suspension, or termination.
AB955,11 4Section 11 . 49.471 (1) (cr) of the statutes is created to read:
AB955,8,65 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a
6federal medical assistance percentage described under 42 USC 1396d (y) or (z).
AB955,12 7Section 12 . 49.471 (4) (a) 4. b. of the statutes is amended to read:
AB955,8,108 49.471 (4) (a) 4. b. The individual's family income does not exceed 100 133
9percent of the poverty line before application of the 5 percent income disregard under
1042 CFR 435.603 (d)
.
AB955,13 11Section 13 . 49.471 (4) (a) 8. of the statutes is created to read:
AB955,8,1212 49.471 (4) (a) 8. An individual who meets all of the following criteria:
AB955,8,1313 a. The individual is an adult under the age of 65.
AB955,8,1514 b. The adult has a family income that does not exceed 133 percent of the poverty
15line, except as provided in sub. (4g).
AB955,8,1716 c. The adult is not otherwise eligible for the Medical Assistance program under
17this subchapter or the Medicare program under 42 USC 1395 et seq.
AB955,14 18Section 14 . 49.471 (4g) of the statutes is created to read:
AB955,9,319 49.471 (4g) Medicaid expansion; federal medical assistance percentage. For
20services provided to individuals described under sub. (4) (a) 8., the department shall
21comply with all federal requirements to qualify for the highest available enhanced
22federal medical assistance percentage. The department shall submit any
23amendment to the state medical assistance plan, request for a waiver of federal
24Medicaid law, or other approval request required by the federal government to
25provide services to the individuals described under sub. (4) (a) 8. beginning on

1January 1, 2022, and qualify for the highest available enhanced federal medical
2assistance percentage. Sections 20.940 and 49.45 (2t) do not apply to a submission
3to the federal government under this subsection.
AB955,15 4Section 15 . 49.681 of the statutes is created to read:
AB955,9,6 549.681 COVID-19 and other communicable disease aids for frontline
6health care workers.
(1) In this section:
AB955,9,77 (a) “COVID-19” means an infection caused by the SARS-CoV-2 coronavirus.
AB955,9,88 (b) “Frontline health care worker” has the meaning given in s. 16.34 (1).
AB955,9,15 9(2) From the appropriation under s. 20.435 (4) (bu), subject to sub. (3), the
10department shall pay, at a rate determined by the department under sub. (4), for
11testing for and any treatment that is medically necessary and reasonably related to
12COVID-19 or any other communicable disease or complications from COVID-19 or
13other communicable disease for frontline health care workers who have been
14diagnosed with or are a patient under investigation of having COVID-19 or any
15other communicable disease.
AB955,9,23 16(3) No payment may be made under this section unless the recipient has no
17other form of coverage available from the federal Medicare program, from private
18health, accident, sickness, medical, and hospital insurance coverage, from any other
19available state, federal, or other health care coverage program, or under any grant,
20contract, or other contractual arrangement. If at any time federal or private
21insurance aid, other health care coverage, or a grant, contract, or other contractual
22arrangement becomes available during the treatment period, state aid under this
23section shall be terminated.
AB955,9,25 24(4) Payment for services provided under this section shall be at a rate
25determined by the department that does not exceed the allowable charges under the

1federal Medicare program. In no case shall state rates for individual service
2elements exceed the federally defined allowable costs. The rate of charges for
3services not covered by public and private insurance shall not exceed the reasonable
4charges as established by Medicare fee determination procedures. A person that
5provides to a patient a service for which payment is provided under this section shall
6accept the amount paid under this section for the service as payment in full and may
7not bill the patient for any amount by which the charge for the service exceeds the
8amount paid for the service under this section.
AB955,10,10 9(5) The department may promulgate rules to establish a process for individuals
10to establish eligibility and apply for and receive benefits under this section.
AB955,16 11Section 16 . 49.686 (3) (d) of the statutes is amended to read:
AB955,10,1712 49.686 (3) (d) Has applied for coverage under and has been denied eligibility
13for medical assistance within 12 months prior to application for reimbursement
14under sub. (2). This paragraph does not apply to an individual who is eligible for
15benefits under the demonstration project for childless adults under s. 49.45 (23)
16BadgerCare Plus under s. 49.471 (4) (a) 8. or to an individual who is eligible for
17benefits under BadgerCare Plus under s. 49.471 (11).
AB955,17 18Section 17 . 103.025 (title) of the statutes is amended to read:
AB955,10,19 19103.025 (title) Hours of labor; compensatory time; hazard pay.
AB955,18 20Section 18 . 103.025 (1) (bm) of the statutes is created to read:
AB955,10,2221 103.025 (1) (bm) “Frontline health care worker” has the meaning given in s.
2216.34 (1).
AB955,19 23Section 19 . 103.025 (3) of the statutes is created to read:
AB955,11,424 103.025 (3) During a public health emergency declared by the governor under
25s. 323.10 or pursuant to an emergency order issued by the secretary of health services

1under s. 252.02, an employer shall pay frontline health care workers a hazard pay
2premium of 1.5 times the employee's hourly rate, or an additional $15 per hour,
3whichever is more. An employer may apply for a grant under s. 16.34 (2) (a) to pay
4the hazard pay premium.
AB955,20 5Section 20 . 103.10 (1) (c) of the statutes is amended to read:
AB955,11,116 103.10 (1) (c) Except as provided in sub. subs. (1m) (b) 3. and (4m) (a),
7“employer" means a person engaging in any activity, enterprise or business in this
8state employing at least 50 individuals on a permanent basis. “Employer" includes
9the state and any office, department, independent agency, authority, institution,
10association, society or other body in state government created or authorized to be
11created by the constitution or any law, including the legislature and the courts.
AB955,21 12Section 21 . 103.10 (1) (dm) of the statutes is created to read:
AB955,11,1413 103.10 (1) (dm) “Frontline health care worker” has the meaning given in s.
1416.34 (1).
AB955,22 15Section 22 . 103.10 (2) (c) of the statutes is amended to read:
AB955,11,1916 103.10 (2) (c) This Except as provided in sub. (4m), this section only applies to
17an employee who has been employed by the same employer for more than 52
18consecutive weeks and who worked for the employer for at least 1,000 hours during
19the preceding 52-week period.
AB955,23 20Section 23 . 103.10 (4m) of the statutes is created to read:
AB955,12,221 103.10 (4m) Paid medical leave for frontline health care workers. (a) An
22employer that employs at least one employee shall provide at least 15 days of paid
23medical leave in addition to any leave provided under sub. (4) (a) to a frontline health
24care worker who is employed by the employer and who contracts a communicable

1disease. The employee does not need to meet the length of employment or
2hours-worked standard set forth in sub. (2) (c).
AB955,12,33 (b) An employer may apply for a grant under s. 16.34 (3) (a).
AB955,24 4Section 24 . 103.10 (5) (a) of the statutes is amended to read:
AB955,12,65 103.10 (5) (a) This Except as provided in sub. (4m), this section does not entitle
6an employee to receive wages or salary while taking family leave or medical leave.
AB955,25 7Section 25 . 103.10 (8) of the statutes is amended to read:
AB955,12,118 103.10 (8) Position upon return from leave. (a) Subject to par. (c), when an
9employee returns from family leave or, medical leave, or paid medical leave as a
10frontline health care worker,
his or her employer shall immediately place the
11employee in an employment position as follows:
AB955,12,1412 1. If the employment position which the employee held immediately before the
13family leave or, medical leave , or paid medical leave as a frontline health care worker
14began is vacant when the employee returns, in that position.
AB955,12,1915 2. If the employment position which the employee held immediately before the
16family leave or, medical leave , or paid medical leave as a frontline health care worker
17began is not vacant when the employee returns, in an equivalent employment
18position having equivalent compensation, benefits, working shift, hours of
19employment and other terms and conditions of employment.
AB955,12,2320 (b) No employer may, because an employee received family leave or, medical
21leave, or paid medical leave as a frontline health care worker, reduce or deny an
22employment benefit which accrued to the employee before his or her leave began or,
23consistent with sub. (9), accrued after his or her leave began.
AB955,13,324 (c) Notwithstanding par. (a), if an employee on a medical or leave, family leave,
25or paid medical leave as a frontline health care worker
wishes to return to work

1before the end of the leave as scheduled, the employer shall place the employee in an
2employment position of the type described in par. (a) 1. or 2. within a reasonable time
3not exceeding the duration of the leave as scheduled.
AB955,26 4Section 26 . 103.10 (9) (a) and (b) of the statutes are amended to read:
AB955,13,105 103.10 (9) (a) Except as provided in par. (b), nothing in this section entitles a
6returning employee to a right, employment benefit or employment position to which
7the employee would not have been entitled had he or she not taken family leave or,
8medical leave, or paid medical leave as a frontline health care worker or to the
9accrual of any seniority or employment benefit during a period of family leave or,
10medical leave, or paid medical leave as a frontline health care worker.
AB955,13,1811 (b) Subject to par. (c), during a period an employee takes family leave or,
12medical leave, or paid medical leave as a frontline health care worker, his or her
13employer shall maintain group health insurance coverage under the conditions that
14applied immediately before the family leave or medical leave began. If the employee
15continues making any contribution required for participation in the group health
16insurance plan, the employer shall continue making group health insurance
17premium contributions as if the employee had not taken the family leave or medical
18leave.
AB955,27 19Section 27 . 103.10 (9) (c) 4. of the statutes is amended to read:
AB955,13,2520 103.10 (9) (c) 4. If an employee ends his or her employment with an employer
21during or within 30 days after a period of family leave or, medical leave, or paid
22medical leave as a frontline health care worker,
the employer may deduct from the
23amount returned to the employee under subd. 3. any premium or similar expense
24paid by the employer for the employee's group health insurance coverage while the
25employee was on family leave or medical the leave.
AB955,28
1Section 28. 103.10 (9) (d) of the statutes is amended to read:
AB955,14,62 103.10 (9) (d) If an employee ends his or her employment with an employer
3during or at the end of a period of family leave or , medical leave, or paid medical leave
4as a frontline health care worker,
the time period for conversion to individual
5coverage under s. 632.897 (6) shall be calculated as beginning on the day that the
6employee began the period of family leave or medical leave.
AB955,29 7Section 29 . 103.10 (12) (d) of the statutes is amended to read:
AB955,14,148 103.10 (12) (d) The department shall issue its decision and order within 30 days
9after the hearing. If the department finds that an employer violated sub. (11) (a) or
10(b), it may order the employer to take action to remedy the violation, including
11providing requested family leave or, medical leave, or paid medical leave as a
12frontline health care worker,
reinstating an employee, providing back pay accrued
13not more than 2 years before the complaint was filed and paying reasonable actual
14attorney fees to the complainant.
AB955,30 15Section 30 . 609.887 of the statutes is created to read:
AB955,14,18 16609.887 Coverage of COVID-19 for health care workers. Defined
17network plans, preferred provider plans, and limited service health organizations
18are subject to s. 632.895 (14f).
AB955,31 19Section 31 . 632.895 (14f) of the statutes is created to read:
AB955,14,2120 632.895 (14f) Coverage of COVID-19 for health care workers. (a) In this
21subsection:
AB955,14,2222 1. “COVID-19” means an infection caused by the SARS-CoV-2 coronavirus.
AB955,14,2323 2. “Frontline health care worker” has the meaning given in s. 16.34 (1).
AB955,15,924 (b) Every disability insurance policy, and every self-insured health plan of the
25state or of a county, city, town, village, or school district, that generally covers testing

1and treatment for infectious diseases shall provide coverage of testing and any
2treatment that is medically necessary and reasonably related to COVID-19 or any
3other communicable disease or complications of COVID-19 or other communicable
4disease for frontline health care workers who have been diagnosed with or are a
5patient under investigation for having COVID-19 or any other communicable
6disease, without imposing any copayment or coinsurance on the individual covered
7under the policy or plan. An insurer may apply for a grant from the department of
8administration for a subsidy for the costs of this coverage, as set forth in s. 16.34 (4)
9(b).
AB955,32 10Section 32 . Nonstatutory provisions.
AB955,15,1911 (1) Childless adults demonstration project. The department of health
12services shall submit any necessary request to the federal department of health and
13human services for a state plan amendment or waiver of federal Medicaid law or to
14modify or withdraw from any waiver of federal Medicaid law relating to the childless
15adults demonstration project under s. 49.45 (23), 2017 stats., to reflect the
16incorporation of recipients of Medical Assistance under the demonstration project
17into the BadgerCare Plus program under s. 49.471 and the termination of the
18demonstration project. Sections 20.940 and 49.45 (2t) do not apply to a submission
19to the federal government under this subsection.
AB955,33 20Section 33 . Fiscal changes.
AB955,16,221 (1) Medicaid expansion. In the schedule under s. 20.005 (3) for the
22appropriation to the department of health services under s. 20.435 (4) (b), the dollar
23amount for fiscal year 2021-22 is decreased by $430,000,000 as a result of expanding
24eligibility under the Medical Assistance program. In the schedule under s. 20.005
25(3) for the appropriation to the department of health services under s. 20.435 (4) (b),

1the dollar amount for fiscal year 2022-23 is decreased by $820,000,000 as a result
2of expanding eligibility under the Medical Assistance program.
AB955,34 3Section 34 . Effective dates. This act takes effect on the day after publication,
4except as follows:
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