Wisconsin 2023-2024 Regular Session

Wisconsin Senate Bill SB635 Compare Versions

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

Old	New	Differences
1	1	LRB-4990/1
2	2	KMS:amn
3	3	2023 - 2024 LEGISLATURE
4	4	2023 SENATE BILL 635
5	5	November 7, 2023 - Introduced by Senators MARKLEIN, JAMES, BALLWEG, COWLES,
6	6	FELZKOWSKI, FEYEN, JAGLER, TESTIN, CABRAL-GUEVARA and NASS, cosponsored
7	7	by Representatives HURD, BORN, SUMMERFIELD, ARMSTRONG, DALLMAN,
8	8	DITTRICH, DRAKE, DUCHOW, EDMING, GUNDRUM, KITCHENS, KURTZ, MURPHY,
9	9	NOVAK, RODRIGUEZ, ROZAR, SCHUTT, STEFFEN, SUBECK, WICHGERS, GOEBEN and
10	10	JACOBSON. Referred to Committee on Mental Health, Substance Abuse
11	11	Prevention, Children and Families.
12	12	*AUTHORS SUBJECT TO CHANGE*
13	13	AN ACT to amend 49.45 (53m) of the statutes; relating to: Medical Assistance
14	14	coverage of services provided in an institution for mental disease.
15	15	Analysis by the Legislative Reference Bureau
16	16	Currently, the Department of Health Services administers the Medical
17	17	Assistance (MA) program, which is a joint federal and state program that provides
18	18	health services to individuals who have limited financial resources. Generally, under
19	19	the MA program, the state provides its share of the funding for benefits and the
20	20	federal government then contributes its designated share of funding, also known as
21	21	federal financial participation.
22	22	Under current law, DHS may, but is not required to, cover under the MA
23	23	program the costs of services provided to MA beneficiaries in an institution for
24	24	mental disease if federal financial participation is available and certain other
25	25	requirements are met; under this bill, DHS must cover the costs of those services
26	26	under the MA program if federal funding participation is available and certain other
27	27	requirements are met. The bill also requires DHS, by January 1, 2025, to submit a
28	28	request to the federal Department of Health and Human Services for any waiver or
29	29	approval necessary to provide MA coverage, with federal funding participation, of
30	30	short-term stays for acute care in an institution for mental disease.
31	31	For further information see the state and local fiscal estimate, which will be
32	32	printed as an appendix to this bill.
33	33	The people of the state of Wisconsin, represented in senate and assembly, do
34	34	enact as follows:
35	35	1
36	36	2 - 2 -2023 - 2024 Legislature LRB-4990/1
37	37	KMS:amn
38	38	SECTION 1 SENATE BILL 635
39	39	SECTION 1. 49.45 (53m) of the statutes is amended to read:
40	40	49.45 (53m) COVERAGE PROGRAM FOR INSTITUTIONS FOR MENTAL DISEASE. Subject
41	41	to any necessary waiver or other approval of from the federal department of health
42	42	and human services, or as otherwise permitted under federal law, the department
43	43	may shall, if federal funding participation is available, provide Medical Assistance
44	44	coverage of services provided in an institution for mental disease to persons ages 21
45	45	to 64.
46	46	SECTION 2.0Nonstatutory provisions.
47	47	(1) No later than January 1, 2025, the department of health services shall
48	48	submit a request to the federal department of health and human services for any
49	49	waiver or approval necessary to provide Medical Assistance coverage with federal
50	50	funding participation for Medical Assistance beneficiaries who receive services
51	51	during short-term stays for acute care in psychiatric hospitals or residential
52	52	treatment settings that qualify as an institution for mental disease.
53	53	(END)
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