AB68-ASA2-AA1,9,129 49.45 (23b) (b) Beginning as soon as practicable after October 31, 2018, and
10ending no sooner than December 31, 2023, the department shall do all of the
11following with regard to the childless adults demonstration project under sub. (23)
12s. 49.471 (4) (a) 8.:

AB68-ASA2-AA1,9,1813 1. Require in each month persons, except exempt individuals, who are eligible
14to receive Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. and who are at least
1519 years of age but have not attained the age of 50 to participate in, document, and
16report 80 hours per calendar month of community engagement activities. The
17department, after finding good cause, may grant a temporary exemption from the
18requirement under this subdivision upon request of a Medical Assistance recipient.

AB68-ASA2-AA1,9,2119 2. Require persons with incomes of at least 50 percent of the poverty line to pay
20premiums in accordance with par. (c) as a condition of eligibility for Medical
21Assistance under sub. (23) s. 49.471 (4) (a) 8.

AB68-ASA2-AA1,9,2322 3. Require as a condition of eligibility for Medical Assistance under sub. (23)
23s. 49.471 (4) (a) 8. completion of a health risk assessment.

AB68-ASA2-AA1,10,3

14. Charge recipients of Medical Assistance under sub. (23) s. 49.471 (4) (a) 8.
2an $8 copayment for nonemergency use of the emergency department in accordance
3with 42 USC 1396o-1 (e) (1) and 42 CFR 447.54.

AB68-ASA2-AA1,10,84 5. Disenroll from Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. for 6
5months any individual who does not pay a required premium under subd. 2. and any
6individual who is required under subd. 1. to participate in a community engagement
7activity but who does not participate for 48 aggregate months in the community
8engagement activity.

AB68-ASA2-AA1,10,1510 49.45 (23b) (c) 1. Persons who are eligible for the demonstration project under
11sub. (23) s. 49.471 (4) (a) 8. and who have monthly household income that exceeds
1250 percent of the poverty line shall pay a monthly premium amount of $8 per
13household. A person who is eligible to receive an item or service furnished by an
14Indian health care provider is exempt from the premium requirement under this
15subdivision.

AB68-ASA2-AA1,10,2116 2. The department may disenroll under par. (b) 5. a person for nonpayment of
17a required monthly premium only at annual eligibility redetermination after
18providing notice and reasonable opportunity for the person to pay. If a person who
19is disenrolled for nonpayment of premiums pays all owed premiums or becomes
20exempt from payment of premiums, he or she may reenroll in Medical Assistance
21under sub. (23) s. 49.471 (4) (a) 8.

AB68-ASA2-AA1,10,2522 3. The department shall reduce the amount of the required household premium
23by up to half for a recipient of Medical Assistance under sub. (23) s. 49.471 (4) (a) 8.
24who does not engage in certain behaviors that increase health risks or who attests
25to actively managing certain unhealthy behaviors.

AB68-ASA2-AA1,11,62 49.45 (23b) (e) Before December 31, 2023, the demonstration project
3requirements under this subsection may not be withdrawn and the department may
4not request from the federal government withdrawal, suspension, or termination of
5the demonstration project requirements under this subsection unless legislation has
6been enacted specifically allowing for the withdrawal, suspension, or termination.”.

AB68-ASA2-AA1,11,109 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a
10federal medical assistance percentage described under 42 USC 1396d (y) or (z).

AB68-ASA2-AA1,11,1412 49.471 (4) (a) 4. b. The individual's family income does not exceed 100 133
13percent of the poverty line before application of the 5 percent income disregard under
1442 CFR 435.603 (d).

AB68-ASA2-AA1,11,1616 49.471 (4) (a) 8. An individual who meets all of the following criteria:

AB68-ASA2-AA1,11,1717 a. The individual is an adult under the age of 65.

AB68-ASA2-AA1,11,1918 b. The individual has a family income that does not exceed 133 percent of the
19poverty line, except as provided in sub. (4g).

AB68-ASA2-AA1,11,2120 c. The individual is not otherwise eligible for the Medical Assistance program
21under this subchapter or the Medicare program under 42 USC 1395 et seq.

AB68-ASA2-AA1,12,823 49.471 (4g) Medicaid expansion; federal medical assistance percentage. For
24services provided to individuals described under sub. (4) (a) 8., the department shall

1comply with all federal requirements to qualify for the highest available enhanced
2federal medical assistance percentage. The department shall submit any
3amendment to the state medical assistance plan, request for a waiver of federal
4Medicaid law, or other approval request required by the federal government to
5provide services to the individuals described under sub. (4) (a) 8. and qualify for the
6highest available enhanced federal medical assistance percentage. Sections 20.940
7and 49.45 (2t) do not apply to a submission to the federal government under this
8subsection.”.

AB68-ASA2-AA1,12,1611 49.686 (3) (d) Has applied for coverage under and has been denied eligibility
12for medical assistance within 12 months prior to application for reimbursement
13under sub. (2). This paragraph does not apply to an individual who is eligible for
14benefits under the demonstration project for childless adults under s. 49.45 (23) or
15to an individual who is eligible for benefits under BadgerCare Plus under s. 49.471
16(4) (a) 8. or (11).”.