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