Wisconsin 2025-2026 Regular Session

Wisconsin Assembly Bill AB97 Compare Versions

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

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1	1	2025 - 2026 LEGISLATURE
2	2	LRB-1066/1
3	3	JPC:cdc
4	4	2025 ASSEMBLY BILL 97
5	5	February 28, 2025 - Introduced by Representatives SNYDER, RODRIGUEZ, ALLEN,
6	6	ANDERSON, ANDRACA, ARNEY, BARE, BEHNKE, BILLINGS, BROWN, CLANCY,
7	7	CRUZ, DESMIDT, DITTRICH, DONOVAN, DOYLE, DUCHOW, EMERSON,
8	8	FITZGERALD, FRANKLIN, GOODWIN, GUNDRUM, GUSTAFSON, HONG, HYSELL, J.
9	9	JACOBSON, JOERS, JOHNSON, KAUFERT, KIRSCH, KITCHENS, KREIBICH, KRUG,
10	10	KURTZ, MADISON, MAXEY, MAYADEV, MCCARVILLE, MELOTIK, MIRESSE,
11	11	MOORE OMOKUNDE, MURSAU, NEUBAUER, NEYLON, NOVAK, PALMERI,
12	12	PETERSEN, PHELPS, PRADO, RIVERA-WAGNER, ROE, SHEEHAN, SINICKI,
13	13	SNODGRASS, SPAUDE, STEFFEN, STROUD, STUBBS, SUBECK, TAYLOR, TENORIO,
14	14	TUSLER, UDELL, VINING, WICHGERS, WITTKE and SUMMERFIELD, cosponsored
15	15	by Senators JAMES, FELZKOWSKI, BRADLEY, DASSLER-ALFHEIM, DRAKE, FEYEN,
16	16	HABUSH SINYKIN, HESSELBEIN, KEYESKI, LARSON, MARKLEIN, PFAFF, QUINN,
17	17	RATCLIFF, ROYS, SPREITZER, TOMCZYK, WALL, WANGGAARD, WIMBERGER,
18	18	WIRCH and CARPENTER. Referred to Committee on Regulatory Licensing
19	19	Reform.
20	20
21	21	*AUTHORS SUBJECT TO CHANGE*
22	22	AN ACT to amend 49.46 (1) (a) 1m., 49.46 (1) (j), 49.47 (4) (ag) 2., 49.471 (6) (b)
23	23	and 49.471 (7) (b) 1. of the statutes; relating to: extension of eligibility under
24	24	the Medical Assistance program for postpartum women.
25	25	Analysis by the Legislative Reference Bureau
26	26	This bill requires the Department of Health Services to seek approval from
27	27	the federal Department of Health and Human Services to extend until the last day
28	28	of the month in which the 365th day after the last day of the pregnancy falls
29	29	Medical Assistance benefits to women who are eligible for those benefits when
30	30	pregnant. Currently, postpartum women are eligible for Medical Assistance
31	31	benefits until the last day of the month in which the 60th day after the last day of
32	32	the pregnancy falls. 2021 Wisconsin Act 58 required DHS to seek approval from the
33	33	federal Department of Health and Human Services to extend these postpartum
34	34	Medical Assistance benefits until the last day of the month in which the 90th day
35	35	after the last day of the pregnancy falls. On June 3, 2022, DHS filed a Section 1115
36	36	Demonstration Waiver application with the federal Centers for Medicare &
37	37	Medicaid Services to extend postpartum coverage for eligible Medical Assistance
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40	40	3 2025 - 2026 Legislature
41	41	ASSEMBLY BILL 97
42	42	- 2 - LRB-1066/1
43	43	JPC:cdc
44	44	SECTION 1
45	45	recipients, as required by 2021 Wisconsin Act 58. The Medical Assistance program
46	46	is a joint federal and state program that provides health services to individuals who
47	47	have limited financial resources.
48	48	For further information see the state fiscal estimate, which will be printed as
49	49	an appendix to this bill.
50	50	The people of the state of Wisconsin, represented in senate and assembly, do
51	51	enact as follows:
52	52	SECTION 1. 49.46 (1) (a) 1m. of the statutes is amended to read:
53	53	49.46 (1) (a) 1m. Any pregnant woman whose income does not exceed the
54	54	standard of need under s. 49.19 (11) and whose pregnancy is medically verified.
55	55	Eligibility continues to the last day of the month in which the 60th day or, if
56	56	approved by the federal government, the 90th 365th day after the last day of the
57	57	pregnancy falls.
58	58	SECTION 2. 49.46 (1) (j) of the statutes is amended to read:
59	59	49.46 (1) (j) An individual determined to be eligible for benefits under par. (a)
60	60	9. remains eligible for benefits under par. (a) 9. for the balance of the pregnancy and
61	61	to the last day of the month in which the 60th day or, if approved by the federal
62	62	government, the 90th 365th day after the last day of the pregnancy falls without
63	63	regard to any change in the individual[s family income.
64	64	SECTION 3. 49.47 (4) (ag) 2. of the statutes is amended to read:
65	65	49.47 (4) (ag) 2. Pregnant and the woman[s pregnancy is medically verified.
66	66	Eligibility continues to the last day of the month in which the 60th day or, if
67	67	approved by the federal government, the 90th 365th day after the last day of the
68	68	pregnancy falls.
69	69	SECTION 4. 49.471 (6) (b) of the statutes is amended to read:
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87	87	18 2025 - 2026 Legislature
88	88	ASSEMBLY BILL 97
89	89	- 3 - LRB-1066/1
90	90	JPC:cdc
91	91	SECTION 4
92	92	49.471 (6) (b) A pregnant woman who is determined to be eligible for benefits
93	93	under sub. (4) remains eligible for benefits under sub. (4) for the balance of the
94	94	pregnancy and to the last day of the month in which the 60th day or, if approved by
95	95	the federal government, the 90th 365th day after the last day of the pregnancy falls
96	96	without regard to any change in the woman[s family income.
97	97	SECTION 5. 49.471 (7) (b) 1. of the statutes is amended to read:
98	98	49.471 (7) (b) 1. A pregnant woman whose family income exceeds 300 percent
99	99	of the poverty line may become eligible for coverage under this section if the
100	100	difference between the pregnant woman[s family income and the applicable income
101	101	limit under sub. (4) (a) is obligated or expended for any member of the pregnant
102	102	woman[s family for medical care or any other type of remedial care recognized
103	103	under state law or for personal health insurance premiums or for both. Eligibility
104	104	obtained under this subdivision continues without regard to any change in family
105	105	income for the balance of the pregnancy and to the last day of the month in which
106	106	the 60th day or, if approved by the federal government, the 90th 365th day after the
107	107	last day of the woman[s pregnancy falls. Eligibility obtained by a pregnant woman
108	108	under this subdivision extends to all pregnant women in the pregnant woman[s
109	109	family.
110	110	(END)
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