AB904,4,213 49.46 (1) (em) For purposes of determining the eligibility and any cost-sharing
14requirements of an individual under par. (a) 6m., 14., or 14m., (d) 2., or (e), to the
15extent approved by the federal government, the department shall exclude any assets
16accumulated in an independence account, as defined in s. 49.472 (1) (c), and any
17income or assets from retirement benefits earned or accumulated from employment

1income or employer contributions while the individual was employed and eligible for
2and receiving medical assistance under s. 49.472.
AB904,3 3Section 3. 49.468 (1) (d) of the statutes is amended to read:
AB904,4,114 49.468 (1) (d) Benefits under par. (b) or (c) are available for an individual who
5has resources that are equal to or less than 200% of the allowable resources as
6determined under 42 USC 1381 to 1385, excluding, to the extent approved by the
7federal government, any assets accumulated in an independence account, as defined
8in s. 49.472 (1) (c), and any income or assets from retirement benefits earned or
9accumulated from income or employer contributions while the individual was
10employed and eligible for and receiving medical assistance under s. 49.472,
and who
11has
income that is equal to or less than 100% of the poverty line.
AB904,4 12Section 4. 49.468 (1m) (b) of the statutes is amended to read:
AB904,4,2113 49.468 (1m) (b) Benefits under par. (a) are available for an individual who has
14resources that are equal to or less than 200% of the allowable resources determined
15under 42 USC 1381 to 1385, excluding, to the extent approved by the federal
16government, any assets accumulated in an independence account, as defined in s.
1749.472 (1) (c), and any income or assets from retirement benefits earned or
18accumulated from income or employer contributions while the individual was
19employed and eligible for and receiving medical assistance under s. 49.472,
and who
20has
income that is greater than 100% of the poverty line but less than 120% of the
21poverty line.
AB904,5 22Section 5. 49.468 (2) (b) of the statutes is amended to read:
AB904,5,523 49.468 (2) (b) Benefits under par. (a) are available for an individual who has
24resources that are equal to or less than 200% of the allowable resources under 42
25USC 1381
to 1385, excluding, to the extent approved by the federal government, any

1assets accumulated in an independence account, as defined in s. 49.472 (1) (c), and
2any income or assets from retirement benefits earned or accumulated from income
3or employer contributions while the individual was employed and eligible for and
4receiving medical assistance under s. 49.472,
and who has income that is equal to or
5less than 200% of the poverty line.
AB904,6 6Section 6. 49.472 (1) (c) of the statutes is amended to read:
AB904,5,107 49.472 (1) (c) "Independence account" means an account approved by the
8department that consists solely of savings, and dividends or other gains derived from
9those savings, from income earned from paid employment after the initial date on
10which
while an individual began is receiving medical assistance under this section.
AB904,7 11Section 7. 49.472 (3) (a) of the statutes is renumbered 49.472 (3) (a) 1. and
12amended to read:
AB904,5,1813 49.472 (3) (a) 1. The Except as provided in subd. 2., the individual's family's
14total net income is less than 250% 250 percent of the poverty line for a family the size
15of the individual's family
an individual. In calculating the net income, the
16department shall apply all of the exclusions specified under 42 USC 1382a (b), and
17shall exclude the individual's out-of-pocket medical and remedial expenses and
18long-term care costs, if any
.
AB904,8 19Section 8. 49.472 (3) (a) 2. of the statutes is created to read:
AB904,5,2320 49.472 (3) (a) 2. The individual's total net income equals or exceeds 250 percent
21of the poverty line for an individual, but the department determines that the
22individual's earnings are insufficient to replace all of the publicly funded benefits
23that the individual would actually receive in the absence of those earnings.
AB904,9 24Section 9. 49.472 (3) (b) of the statutes is amended to read:
AB904,6,8
149.472 (3) (b) The individual's assets do not exceed $15,000. In determining
2assets, the department may not include assets that are excluded from the resource
3calculation under 42 USC 1382b (a) or; assets accumulated in an independence
4account; or, to the extent approved by the federal government, income or assets from
5retirement benefits earned or accumulated from income or employer contributions
6while the individual was employed and eligible for and receiving medical assistance
7under this section
. The department may exclude, in whole or in part, the value of a
8vehicle used by the individual for transportation to paid employment.
AB904,10 9Section 10. 49.472 (3) (f) of the statutes is amended to read:
AB904,6,1210 49.472 (3) (f) The individual maintains premium payments calculated by the
11department
in accordance with sub. (4), unless the individual is exempted from
12premium payments under sub. (4) (b) or (5).
AB904,11 13Section 11. 49.472 (4) (a) (intro.) of the statutes is renumbered 49.472 (4)
14(intro.) and amended to read:
AB904,6,1915 49.472 (4) (intro.) Except as provided in par. (b) and sub. (5), an individual who
16is eligible for medical assistance under sub. (3) and receives medical assistance shall
17pay a monthly premium to the department. The department shall establish the
18monthly premiums by rule in accordance with the following guidelines
, calculated
19as follows
:
AB904,12 20Section 12. 49.472 (4) (a) 1. of the statutes is repealed and recreated to read:
AB904,6,2521 49.472 (4) (a) 1. Except as provided in subds. 3. and 4., an individual whose
22total net income, as calculated under sub. (3) (a), is equal to or greater than 150
23percent of the poverty line for an individual shall pay a premium that is equal to 3
24percent of the individual's total earned and unearned income, after the deductions
25specified in subd. 2.
AB904,13
1Section 13. 49.472 (4) (a) 2. (intro.) of the statutes is amended to read:
AB904,7,42 49.472 (4) (a) 2. (intro.) In determining an individual's total earned and
3unearned income for purposes of determining the premium under subd. 1., the
4department shall disregard all of the following:
AB904,14 5Section 14. 49.472 (4) (a) 2m. of the statutes is repealed.
AB904,15 6Section 15. 49.472 (4) (a) 3. of the statutes is amended to read:
AB904,7,97 49.472 (4) (a) 3. The Subject to subd. 4., the department may reduce the
8premium by 25% determined under subd. 1. by 25 percent for an individual who is
9covered by private health insurance.
AB904,16 10Section 16. 49.472 (4) (a) 4. of the statutes is created to read:
AB904,7,1211 49.472 (4) (a) 4. An individual's premium under this paragraph may not be less
12than $25.
AB904,17 13Section 17 . 49.472 (4) (b) of the statutes, as affected by 2011 Wisconsin Act 32,
14section 1462h, is repealed and recreated to read:
AB904,7,1715 49.472 (4) (b) An individual whose total net income, as calculated under sub.
16(3) (a), is less than 150 percent of the poverty line for an individual shall pay a
17premium of $25.
AB904,18 18Section 18. 49.472 (5) of the statutes is amended to read:
AB904,7,2219 49.472 (5) Community options participants. From the appropriation under s.
2020.435 (7) (bd), the department may pay all or a portion of the monthly premium
21calculated under sub. (4) (a) for an individual who is a participant in the community
22options program under s. 46.27 (11).
AB904,19 23Section 19 . Initial applicability.
AB904,8,424 (1) Eligibility for the Medical Assistance purchase plan. The treatment of
25section 49.472 (3) (b) and (f) of the statutes, the renumbering and amendment of

1section 49.472 (3) (a) of the statutes, and the creation of section 49.472 (3) (a) 2. of
2the statutes first apply to individuals who apply for the Medical Assistance purchase
3plan, or whose continued eligibility for the Medical Assistance purchase plan is
4reviewed, on the effective date of this subsection.
AB904,8,55 (2) Eligibility for certain Medical Assistance programs.
AB904,8,106 (a) Long-term care. The treatment of section 46.2896 of the statutes first
7applies to individuals who apply for any of the programs listed in section 46.2896 of
8the statutes, as created by this act, or whose continued eligibility for any of the
9programs listed in section 46.2896 of the statutes, as created by this act, is reviewed,
10on the effective date of this paragraph.
AB904,8,1311 (b) Medical Assistance. The treatment of section 49.46 (1) (em) of the statutes
12first applies to individuals who apply for Medical Assistance, or whose continued
13eligibility for Medical Assistance is reviewed, on the effective date of this paragraph.
AB904,8,1714 (c) Medicare buy-in. The treatment of section 49.468 (1) (d), (1m) (b), and (2)
15(b) of the statutes first applies to individuals who apply for the expanded medicare
16buy-in program, or whose continued eligibility for the expanded medicare buy-in
17program is reviewed, on the effective date of this paragraph.
AB904,8,2118 (3) Premiums for the Medical Assistance purchase plan. The treatment of
19section 49.472 (4) (a) (intro.), 1., 2. (intro.), 2m., 3., and 4. and (b), and (5) of the
20statutes first applies to premiums for the Medical Assistance purchase plan that are
21payable on the effective date of this subsection.
AB904,8,2222 (End)
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