AB56-SA2,691g 3Section 691g. 49.46 (2) (bv) of the statutes is created to read:
AB56-SA2,34,104 49.46 (2) (bv) The department shall determine those services under par. (b) 21.
5that contribute to the determinants of health. The department shall seek any
6necessary state plan amendment or request any waiver of federal Medicaid law to
7implement this paragraph. The department is not required to provided the services
8under this paragraph as a benefit under the Medical Assistance program if the
9federal department of health and human services does not provide federal financial
10participation for the services under this paragraph.
AB56-SA2,694h 11Section 694h. 49.463 of the statutes is repealed.
AB56-SA2,695b 12Section 695b. 49.47 (4) (ag) 2. of the statutes is amended to read:
AB56-SA2,34,1513 49.47 (4) (ag) 2. Pregnant and the woman's pregnancy is medically verified
14Eligibility continues to the last day of the month in which the 60th day or, if approved
15by the federal government, the 365th day
after the last day of the pregnancy falls.”.
AB56-SA2,34,16 1684. Page 356, line 23: after that line insert:
AB56-SA2,34,17 17 Section 699c. 49.471 (1) (cr) of the statutes is created to read:
AB56-SA2,34,1918 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a
19federal medical assistance percentage described under 42 USC 1396d (y) or (z).
AB56-SA2,700c 20Section 700c. 49.471 (4) (a) 4. b. of the statutes is amended to read:
AB56-SA2,34,2321 49.471 (4) (a) 4. b. The individual's family income does not exceed 100 133
22percent of the poverty line before application of the 5 percent income disregard under
2342 CFR 435.603 (d)
.
AB56-SA2,701c 24Section 701c. 49.471 (4) (a) 8. of the statutes is created to read:
AB56-SA2,35,1
149.471 (4) (a) 8. An individual who meets all of the following criteria:
AB56-SA2,35,22 a. The individual is an adult under the age of 65.
AB56-SA2,35,43 b. The adult has a family income that does not exceed 133 percent of the poverty
4line, except as provided in sub. (4g).
AB56-SA2,35,65 c. The adult is not otherwise eligible for the Medical Assistance program under
6this subchapter or the Medicare program under 42 USC 1395 et seq.
AB56-SA2,702c 7Section 702c. 49.471 (4g) of the statutes is created to read:
AB56-SA2,35,158 49.471 (4g) Medicaid expansion; federal medical assistance percentage. For
9services provided to individuals described under sub. (4) (a) 8., the department shall
10comply with all federal requirements to qualify for the highest available enhanced
11federal medical assistance percentage. The department shall submit any
12amendment to the state medical assistance plan, request for a waiver of federal
13Medicaid law, or other approval request required by the federal government to
14provide services to the individuals described under sub. (4) (a) 8. and qualify for the
15highest available enhanced federal medical assistance percentage.
AB56-SA2,703b 16Section 703b. 49.471 (6) (b) of the statutes is amended to read:
AB56-SA2,35,2117 49.471 (6) (b) A pregnant woman who is determined to be eligible for benefits
18under sub. (4) remains eligible for benefits under sub. (4) for the balance of the
19pregnancy and to the last day of the month in which the 60th day or, if approved by
20the federal government, the 365th day
after the last day of the pregnancy falls
21without regard to any change in the woman's family income.
AB56-SA2,704b 22Section 704b. 49.471 (6) (L) of the statutes is created to read:
AB56-SA2,36,323 49.471 (6) (L) The department shall request from the federal department of
24health and human services approval of a state plan amendment, a waiver of federal
25Medicaid law, or approval of a demonstration project to maintain eligibility for

1post-partum women to the last day of the month in which the 365th day after the
2last day of the pregnancy falls under ss. 49.46 (1) (a) 1m. and 9. and (j), 49.47 (4) (ag)
32., and 49.471 (4) (a) 1g. and 1m., (6) (b), and (7) (b) 1.
AB56-SA2,705b 4Section 705b. 49.471 (7) (b) 1. of the statutes is amended to read:
AB56-SA2,36,155 49.471 (7) (b) 1. A pregnant woman whose family income exceeds 300 percent
6of the poverty line may become eligible for coverage under this section if the
7difference between the pregnant woman's family income and the applicable income
8limit under sub. (4) (a) is obligated or expended for any member of the pregnant
9woman's family for medical care or any other type of remedial care recognized under
10state law or for personal health insurance premiums or for both. Eligibility obtained
11under this subdivision continues without regard to any change in family income for
12the balance of the pregnancy and to the last day of the month in which the 60th day
13or, if approved by the federal government, the 365th day after the last day of the
14woman's pregnancy falls. Eligibility obtained by a pregnant woman under this
15subdivision extends to all pregnant women in the pregnant woman's family.”.
AB56-SA2,36,16 1685. Page 357, line 18: after that line insert:
AB56-SA2,36,17 17 Section 711c. 49.686 (3) (d) of the statutes is amended to read:
AB56-SA2,36,2318 49.686 (3) (d) Has applied for coverage under and has been denied eligibility
19for medical assistance within 12 months prior to application for reimbursement
20under sub. (2). This paragraph does not apply to an individual who is eligible for
21benefits under the demonstration project for childless adults under s. 49.45 (23)
22BadgerCare Plus under s. 49.471 (4) (a) 8. or to an individual who is eligible for
23benefits under BadgerCare Plus under s. 49.471 (11).”.
AB56-SA2,36,24 2486. Page 358, line 10: after that line insert:
AB56-SA2,37,1
1 Section 726m. 49.855 (3) of the statutes is amended to read:
AB56-SA2,37,252 49.855 (3) Receipt of a certification by the department of revenue shall
3constitute a lien, equal to the amount certified, on any state tax refunds or credits
4owed to the obligor. The lien shall be foreclosed by the department of revenue as a
5setoff under s. 71.93 (3), (6), and (7). When the department of revenue determines
6that the obligor is otherwise entitled to a state tax refund or credit, it shall notify the
7obligor that the state intends to reduce any state tax refund or credit due the obligor
8by the amount the obligor is delinquent under the support, maintenance, or receiving
9and disbursing fee order or obligation, by the outstanding amount for past support,
10or medical expenses, or birth expenses under the court order, or by the amount due
11under s. 46.10 (4), 49.345 (4), or 301.12 (4). The notice shall provide that within 20
12days the obligor may request a hearing before the circuit court rendering the order
13under which the obligation arose. Within 10 days after receiving a request for
14hearing under this subsection, the court shall set the matter for hearing. Pending
15further order by the court or a circuit court commissioner, the department of children
16and families or its designee, whichever is appropriate, is prohibited from disbursing
17the obligor's state tax refund or credit. A circuit court commissioner may conduct the
18hearing. The sole issues at that hearing shall be whether the obligor owes the
19amount certified and, if not and it is a support or maintenance order, whether the
20money withheld from a tax refund or credit shall be paid to the obligor or held for
21future support or maintenance, except that the obligor's ability to pay shall also be
22an issue at the hearing if the obligation relates to an order under s. 767.805 (4) (d)
231. or 767.89 (3) (e) 1.
regarding birth expenses and the order specifies that the court
24found that the obligor's income was at or below the poverty line established under
2542 USC 9902 (2).