AB235-ASA1,4,1815 49.45 (23b) (b) Beginning as soon as practicable after October 31, 2018, and
16ending no sooner than December 31, 2023, the department shall do all of the
17following with regard to the childless adults demonstration project under sub. (23)
18s. 49.471 (4) (a) 8.:

AB235-ASA1,4,2419 1. Require in each month persons, except exempt individuals, who are eligible
20to receive Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. and who are at least
2119 years of age but have not attained the age of 50 to participate in, document, and
22report 80 hours per calendar month of community engagement activities. The
23department, after finding good cause, may grant a temporary exemption from the
24requirement under this subdivision upon request of a Medical Assistance recipient.

12. Require persons with incomes of at least 50 percent of the poverty line to pay
2premiums in accordance with par. (c) as a condition of eligibility for Medical
3Assistance under sub. (23) s. 49.471 (4) (a) 8.

AB235-ASA1,5,54 3. Require as a condition of eligibility for Medical Assistance under sub. (23)
5s. 49.471 (4) (a) 8. completion of a health risk assessment.

AB235-ASA1,5,86 4. Charge recipients of Medical Assistance under sub. (23) s. 49.471 (4) (a) 8.
7an $8 copayment for nonemergency use of the emergency department in accordance
8with 42 USC 1396o-1 (e) (1) and 42 CFR 447.54.

AB235-ASA1,5,139 5. Disenroll from Medical Assistance under sub. (23) s. 49.471 (4) (a) 8. for 6
10months any individual who does not pay a required premium under subd. 2. and any
11individual who is required under subd. 1. to participate in a community engagement
12activity but who does not participate for 48 aggregate months in the community
13engagement activity.

AB235-ASA1,5,2015 49.45 (23b) (c) 1. Persons who are eligible for the demonstration project under
16sub. (23) s. 49.471 (4) (a) 8. and who have monthly household income that exceeds
1750 percent of the poverty line shall pay a monthly premium amount of $8 per
18household. A person who is eligible to receive an item or service furnished by an
19Indian health care provider is exempt from the premium requirement under this
20subdivision.

AB235-ASA1,6,221 2. The department may disenroll under par. (b) 5. a person for nonpayment of
22a required monthly premium only at annual eligibility redetermination after
23providing notice and reasonable opportunity for the person to pay. If a person who
24is disenrolled for nonpayment of premiums pays all owed premiums or becomes

1exempt from payment of premiums, he or she may reenroll in Medical Assistance
2under sub. (23) s. 49.471 (4) (a) 8.

AB235-ASA1,6,63 3. The department shall reduce the amount of the required household premium
4by up to half for a recipient of Medical Assistance under sub. (23) s. 49.471 (4) (a) 8.
5who does not engage in certain behaviors that increase health risks or who attests
6to actively managing certain unhealthy behaviors.

AB235-ASA1,6,128 49.45 (23b) (e) Before December 31, 2023, the demonstration project
9requirements under this subsection may not be withdrawn and the department may
10not request from the federal government withdrawal, suspension, or termination of
11the demonstration project requirements under this subsection unless legislation has
12been enacted specifically allowing for the withdrawal, suspension, or termination.

AB235-ASA1,6,1514 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a
15federal medical assistance percentage described under 42 USC 1396d (y) or (z).

AB235-ASA1,6,1917 49.471 (4) (a) 4. b. The individual's family income does not exceed 100 133
18percent of the poverty line before application of the 5 percent income disregard under
1942 CFR 435.603 (d).

AB235-ASA1,6,2121 49.471 (4) (a) 8. An individual who meets all of the following criteria:

AB235-ASA1,6,2222 a. The individual is an adult under the age of 65.

AB235-ASA1,6,2423 b. The individual has a family income that does not exceed 133 percent of the
24poverty line, except as provided in sub. (4g).

AB235-ASA1,7,2

1c. The individual is not otherwise eligible for the Medical Assistance program
2under this subchapter or the Medicare program under 42 USC 1395 et seq.

AB235-ASA1,7,134 49.471 (4g) Medicaid expansion; federal medical assistance percentage. For
5services provided to individuals described under sub. (4) (a) 8., the department shall
6comply with all federal requirements to qualify for the highest available enhanced
7federal medical assistance percentage. The department shall submit any
8amendment to the state medical assistance plan, request for a waiver of federal
9Medicaid law, or other approval request required by the federal government to
10provide services to the individuals described under sub. (4) (a) 8. and qualify for the
11highest available enhanced federal medical assistance percentage. Sections 20.940
12and 49.45 (2t) do not apply to a submission to the federal government under this
13subsection.

AB235-ASA1,7,2015 49.686 (3) (d) Has applied for coverage under and has been denied eligibility
16for medical assistance within 12 months prior to application for reimbursement
17under sub. (2). This paragraph does not apply to an individual who is eligible for
18benefits under the demonstration project for childless adults under s. 49.45 (23) or
19to an individual who is eligible for benefits under BadgerCare Plus under s. 49.471
20(4) (a) 8. or (11).