Wisconsin 2023-2024 Regular Session

Wisconsin Senate Bill SB110 Compare Versions

Only one version of the bill is available at this time.

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3	3	2023 - 2024 LEGISLATURE
4	4	2023 SENATE BILL 110
5	5	March 1, 2023 - Introduced by Senators BALLWEG, FELZKOWSKI, CARPENTER,
6	6	COWLES, FEYEN, HESSELBEIN, JAMES, L. JOHNSON, LARSON, PFAFF, QUINN, ROYS,
7	7	SPREITZER, TAYLOR and WIMBERGER, cosponsored by Representatives ROZAR,
8	8	KURTZ, ALLEN, ANDRACA, ARMSTRONG, BALDEH, BEHNKE, BILLINGS, BODDEN,
9	9	BRANDTJEN, CONLEY, DITTRICH, DONOVAN, DOYLE, DRAKE, DUCHOW, EMERSON,
10	10	GOYKE, GREEN, JOERS, KITCHENS, KRUG, MADISON, MICHALSKI, MOORE
11	11	OMOKUNDE, MURSAU, NOVAK, O'CONNOR, OHNSTAD, OLDENBURG, ORTIZ-VELEZ,
12	12	RATCLIFF, RIEMER, RODRIGUEZ, SCHMIDT, SCHRAA, SHANKLAND, SINICKI,
13	13	SNODGRASS, SNYDER, STUBBS, SUBECK, SUMMERFIELD, TUSLER, VANDERMEER,
14	14	VINING and WICHGERS. Referred to Committee on Insurance and Small
15	15	Business.
16	16	AN ACT to amend 49.46 (1) (a) 1m., 49.46 (1) (j), 49.47 (4) (ag) 2., 49.471 (6) (b)
17	17	and 49.471 (7) (b) 1. of the statutes; relating to: extension of eligibility under
18	18	the Medical Assistance program for postpartum women.
19	19	Analysis by the Legislative Reference Bureau
20	20	This bill requires the Department of Health Services to seek approval from the
21	21	federal Department of Health and Human Services to extend until the last day of the
22	22	month in which the 365th day after the last day of the pregnancy falls Medical
23	23	Assistance benefits to women who are eligible for those benefits when pregnant.
24	24	Currently, postpartum women are eligible for Medical Assistance benefits until the
25	25	last day of the month in which the 60th day after the last day of the pregnancy falls.
26	26	2021 Wisconsin Act 58 required DHS to seek approval from the federal Department
27	27	of Health and Human Services to extend these postpartum Medical Assistance
28	28	benefits until the last day of the month in which the 90th day after the last day of
29	29	the pregnancy falls. On June 3, 2022, DHS filed a Section 1115 Demonstration
30	30	Waiver application with the federal Centers for Medicare & Medicaid Services to
31	31	extend postpartum coverage for eligible Medical Assistance recipients, as required
32	32	by 2021 Wisconsin Act 58. The Medical Assistance program is a joint federal and
33	33	state program that provides health services to individuals who have limited financial
34	34	resources.
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37	37	3 - 2 -2023 - 2024 Legislature LRB-1377/1
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39	39	SENATE BILL 110
40	40	For further information see the state fiscal estimate, which will be printed as
41	41	an appendix to this bill.
42	42	The people of the state of Wisconsin, represented in senate and assembly, do
43	43	enact as follows:
44	44	SECTION 1. 49.46 (1) (a) 1m. of the statutes is amended to read:
45	45	49.46 (1) (a) 1m. Any pregnant woman whose income does not exceed the
46	46	standard of need under s. 49.19 (11) and whose pregnancy is medically verified.
47	47	Eligibility continues to the last day of the month in which the 60th day or, if approved
48	48	by the federal government, the 90th 365th day after the last day of the pregnancy
49	49	falls.
50	50	SECTION 2. 49.46 (1) (j) of the statutes is amended to read:
51	51	49.46 (1) (j) An individual determined to be eligible for benefits under par. (a)
52	52	9. remains eligible for benefits under par. (a) 9. for the balance of the pregnancy and
53	53	to the last day of the month in which the 60th day or, if approved by the federal
54	54	government, the 90th 365th day after the last day of the pregnancy falls without
55	55	regard to any change in the individual's family income.
56	56	SECTION 3. 49.47 (4) (ag) 2. of the statutes is amended to read:
57	57	49.47 (4) (ag) 2. Pregnant and the woman's pregnancy is medically verified.
58	58	Eligibility continues to the last day of the month in which the 60th day or, if approved
59	59	by the federal government, the 90th 365th day after the last day of the pregnancy
60	60	falls.
61	61	SECTION 4. 49.471 (6) (b) of the statutes is amended to read:
62	62	49.471 (6) (b) A pregnant woman who is determined to be eligible for benefits
63	63	under sub. (4) remains eligible for benefits under sub. (4) for the balance of the
64	64	pregnancy and to the last day of the month in which the 60th day or, if approved by
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88	88	SECTION 4
89	89	SENATE BILL 110
90	90	the federal government, the 90th 365th day after the last day of the pregnancy falls
91	91	without regard to any change in the woman's family income.
92	92	SECTION 5. 49.471 (7) (b) 1. of the statutes is amended to read:
93	93	49.471 (7) (b) 1. A pregnant woman whose family income exceeds 300 percent
94	94	of the poverty line may become eligible for coverage under this section if the
95	95	difference between the pregnant woman's family income and the applicable income
96	96	limit under sub. (4) (a) is obligated or expended for any member of the pregnant
97	97	woman's family for medical care or any other type of remedial care recognized under
98	98	state law or for personal health insurance premiums or for both. Eligibility obtained
99	99	under this subdivision continues without regard to any change in family income for
100	100	the balance of the pregnancy and to the last day of the month in which the 60th day
101	101	or, if approved by the federal government, the 90th 365th day after the last day of the
102	102	woman's pregnancy falls. Eligibility obtained by a pregnant woman under this
103	103	subdivision extends to all pregnant women in the pregnant woman's family.
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