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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demonstration project 25requirements under this subsection may not be withdrawn and the department may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.
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4Section 11
. 49.471 (1) (cr) of the statutes is created to read:
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49.471
(1) (cr) “Enhanced federal medical assistance percentage" means a
6federal medical assistance percentage described under
42 USC 1396d (y) or (z).
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7Section 12
. 49.471 (4) (a) 4. b. of the statutes is amended to read:
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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).
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11Section 13
. 49.471 (4) (a) 8. of the statutes is created to read:
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49.471
(4) (a) 8. An individual who meets all of the following criteria:
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a. The individual is an adult under the age of 65.
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b. The adult has a family income that does not exceed 133 percent of the poverty
15line, except as provided in sub. (4g).
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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.
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18Section 14
. 49.471 (4g) of the statutes is created to read:
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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.
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4Section 15
. 49.681 of the statutes is created to read:
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549.681 COVID-19 and other communicable disease aids for frontline
6health care workers. (1) In this section
:
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(a) “COVID-19” means an infection caused by the SARS-CoV-2 coronavirus.
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(b) “Frontline health care worker” has the meaning given in s. 16.34 (1).
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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.
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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.
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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.
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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.
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11Section 16
. 49.686 (3) (d) of the statutes is amended to read:
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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).
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18Section 17
. 103.025 (title) of the statutes is amended to read:
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19103.025 (title)
Hours of labor; compensatory time; hazard pay.
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20Section 18
. 103.025 (1) (bm) of the statutes is created to read:
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103.025
(1) (bm) “Frontline health care worker” has the meaning given in s.
2216.34 (1).
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23Section 19
. 103.025 (3) of the statutes is created to read:
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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.
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5Section 20
. 103.10 (1) (c) of the statutes is amended to read: