LRB-2252/1
MES&TJD:med&wlj:ph
2011 - 2012 LEGISLATURE
September 29, 2011 - Introduced by Representatives Thiesfeldt, Severson,
Jacque, Spanbauer, Brooks, Endsley and A. Ott, cosponsored by Senator
Wanggaard. Referred to Committee on Health. Referred to Joint Survey
Committee on Tax Exemptions.
AB282,1,4
1An Act to amend 49.475 (1) (f) (intro.); and
to create 49.45 (17m), 71.05 (6) (a)
225., 71.05 (6) (a) 26., 71.05 (6) (b) 48., 71.07 (5) (a) 9., 71.10 (4) (k), 71.10 (10) and
371.83 (1) (ch) of the statutes;
relating to: tax-exempt accounts for health care
4expenditures for an individual's parents.
Analysis by the Legislative Reference Bureau
Under this bill, a sponsor (the adult child of a parent) may establish an account
for his or her parent (beneficiary) to pay for health care expenses of the parent.
"Health care expenses" is defined to mean medical and dental care expenses,
prescription drugs, and care that is provided to the parent in his or her home or in
institutional or community-based settings and that is convalescent or custodial care
or care for a chronic condition or terminal illness. The account may be established
at a financial institution, such as a bank, savings and loan, or credit union, and
consists of deposits and any interest or other gain on the deposits.
In determining Wisconsin taxable income each year, the bill authorizes a
sponsor to deduct from his or her federal adjusted gross income an amount of up to
$2,000 per beneficiary, and up to a total of $4,000 annually, for deposits to the
account. All gains that accrue to such an account are also tax-exempt if the gains
are redeposited into the account.
If a beneficiary incurs costs for health care expenses, the bill, or the receipt if
the bill has been paid, may be submitted to the financial institution, and the financial
institution must pay the bill or reimburse the payee if sufficient funds are in the
account.
If any amount is withdrawn from the account by, or at the direction of, a sponsor
or beneficiary and is used for any purpose other than the allowed purposes, the
sponsor or beneficiary must pay a penalty equal to 10 percent of any accumulated
interest, dividends, or other gain that has accrued to the account from the time that
the account was opened. In addition, the sponsor or beneficiary must pay taxes on
any interest, dividends, or other gain that accrues to the account in the year in which
an improper withdrawal occurs. Upon the death of all beneficiaries, the account
terminates and any amount left in the account becomes taxable and passes to the
sponsor, if he or she is alive, or to the estate of the beneficiary if the sponsor is not
alive.
The bill also requires that the Department of Health Services request and
implement any waiver of federal Medicaid laws or state plan amendment necessary
to exempt the account from liability as a third party for payments under the Medical
Assistance program.
Because this bill relates to an exemption from state or local taxes, it may be
referred to the Joint Survey Committee on Tax Exemptions for a report to be printed
as an appendix to the bill.
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:
AB282, s. 1
1Section
1. 49.45 (17m) of the statutes is created to read:
AB282,2,52
49.45
(17m) Exemption from third-party liability. The department shall
3request and implement any waiver of federal Medicaid laws or state Medical
4Assistance plan amendment necessary to exempt from third-party liability for
5payments under Medical Assistance the accounts under s. 71.10 (10).
AB282, s. 2
6Section
2. 49.475 (1) (f) (intro.) of the statutes is amended to read:
AB282,2,97
49.475
(1) (f) (intro.) "Third party" means an entity that by statute, rule, or
8contract is responsible for payment of a claim for a health care item or service
, except
9an account under s. 71.10 (10). "Third party" includes all of the following:
AB282, s. 3
10Section
3. 71.05 (6) (a) 25. of the statutes is created to read:
AB282,3,411
71.05
(6) (a) 25. Except as provided in subd. 26., any accumulated interest,
12dividends, or other gain that accrues from an account described under s. 71.10 (10)
1during the taxable year in which a withdrawal occurs from such an account if any
2amount of the money or other assets in the account is withdrawn by, or at the
3direction of, a sponsor or beneficiary for any reason other than the payment of health
4care expenses, as defined in s. 71.10 (10) (a) 3., for the account beneficiary.
AB282, s. 4
5Section
4. 71.05 (6) (a) 26. of the statutes is created to read:
AB282,3,86
71.05
(6) (a) 26. Upon the termination of an account under s. 71.10 (10) (d), any
7amount in the account that is returned to a sponsor, as defined in s. 71.10 (10) (a) 4.,
8or that passes to the estate of a beneficiary, as defined in s. 71.10 (10) (a) 1.
AB282, s. 5
9Section
5. 71.05 (6) (b) 48. of the statutes is created to read:
AB282,3,1310
71.05
(6) (b) 48. An amount of up to $2,000 each year for each beneficiary, up
11to a total deposit of $4,000 each year, that is deposited by a sponsor into an account
12described under s. 71.10 (10), and any interest, dividends, or other gain that accrues
13in the account if the interest, dividends, or other gain is redeposited into the account.
AB282, s. 6
14Section
6. 71.07 (5) (a) 9. of the statutes is created to read:
AB282,3,1815
71.07
(5) (a) 9. The amount claimed as a deduction for unreimbursed medical
16expenses under section
213 (a) of the Internal Revenue Code to the extent that the
17funds used to pay for the unreimbursed expenses for which the deduction was
18claimed were withdrawn from an account described under s. 71.10 (10).
AB282, s. 7
19Section
7. 71.10 (4) (k) of the statutes is created to read:
AB282,3,2120
71.10
(4) (k) Any amount of money or other assets computed under s. 71.83 (1)
21(ch).
AB282, s. 8
22Section
8. 71.10 (10) of the statutes is created to read:
AB282,3,2423
71.10
(10) Parental assistance health care expenses. (a)
Definitions. In this
24subsection:
AB282,4,2
11. "Beneficiary" means a parent of a sponsor for whom an account is established
2under this section.
AB282,4,53
2. "Financial institution" means any bank, savings bank, savings and loan
4association, or credit union that is authorized to do business under state or federal
5laws relating to financial institutions.
AB282,4,76
3. "Health care expenses" means expenses incurred by a beneficiary for any of
7the following:
AB282,4,88
a. Medical or dental care expenses.
AB282,4,99
b. Prescription drugs.
AB282,4,1210
c. Care that is provided to a beneficiary in the beneficiary's home or in
11institutional or community-based settings and that is convalescent or custodial care
12or care for a chronic condition or terminal illness.
AB282,4,1413
4. "Sponsor" means an adult child who establishes an account under this
14subsection.
AB282,4,1915
(b)
Establishment of account. A sponsor may establish an account for health
16care expenses, for his or her parent, in a financial institution. Except as provided in
17par. (d), amounts deposited into such an account and any interest, dividends, or other
18gain that accrues on amounts deposited into the account may be used only to pay
19health care expenses of a beneficiary.
AB282,5,220
(c)
Payment of claims. If a beneficiary incurs costs for health care expenses,
21the beneficiary, the sponsor, or the entity providing the goods or services to the
22beneficiary may submit a form, created by the department of revenue, that
23summarizes the costs incurred and payment and beneficiary information, along with
24a copy of the bill, or a copy of the receipt if the beneficiary or sponsor has paid for the
25health care expenses, to the financial institution at which the account created under
1this subsection is established. The financial institution shall pay the bill, or
2reimburse the beneficiary or sponsor, if sufficient funds to do so are in the account.
AB282,5,53
(d)
Termination of account. 1. Upon the death of all beneficiaries of an account,
4the account shall terminate and any amount remaining in the account shall be
5returned to the sponsor if he or she is still alive.
AB282,5,86
2. Upon the death of all beneficiaries of an account, the account shall terminate
7and any amount remaining in the account shall pass to the beneficiary's estate if no
8sponsor of the account is alive.
AB282, s. 9
9Section
9. 71.83 (1) (ch) of the statutes is created to read:
AB282,5,1910
71.83
(1) (ch)
Parental assistance health care expenses account withdrawals. 11If a sponsor, as defined under s. 71.10 (10) (a) 4., or beneficiary, as defined under s.
1271.10 (10) (a) 1., is required to add any amount to federal adjusted gross income
13under s. 71.05 (6) (a) 25., the sponser or beneficiary shall also pay an amount equal
14to 10 percent of any accumulated interest, dividends, or other gain that has accrued
15beginning on the date on which the account was opened and ending on the date on
16which the withdrawal from the account occurs that results in the sponsor or
17beneficiary adding an amount under s. 71.05 (6) (a) 25. The department of revenue
18shall assess, levy, and collect the penalty under this paragraph as it assesses, levies,
19and collects taxes under this chapter.
AB282,5,2421
(1) This act first applies to taxable years beginning on January 1 of the year
22in which this subsection takes effect, except that if this subsection takes effect after
23July 31 this act first applies to taxable years beginning on January 1 of the year
24following the year in which this subsection takes effect.
