Floor Report: Assembly Passes Pre-existing Conditions Legislation

In their first floor session of the year on Jan. 22, the Assembly passed a bill placing a state-level prohibition on pre-existing conditions exclusions, if the Affordable Care Act (ACA) is repealed or is otherwise unenforceable. The bill, amended by Assembly Substitute Amendment 1, would exempt short-term, grandfathered, and transitional plans from these prohibitions. At the […]

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Evers Issues Medicaid Expansion, Pre-existing Conditions EOs

In some of the first executive actions of his term, Gov. Evers this week signed two executive orders directing state agencies to implement plans for expanding Medicaid and prohibiting pre-existing conditions exclusions in health insurance. Executive Order 3 directs the Department of Health Services (DHS) to develop a plan for expanding Medicaid eligibility. EO 3 […]

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DHS Medicaid Projections Improve

On Dec. 28, the Department of Health Services (DHS) sent the Joint Finance Committee an update on the state’s Medicaid budget that projects Medicaid benefits costs will be below budgeted levels by $212.7 million GPR by the end of 2017-19. In September, DHS had projected a $149 million difference between budgeted and projected expenditure levels […]

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Federal District Court Strikes Down ACA Mandate

A federal district court in Texas has ruled that the Affordable Care Act’s (ACA) individual mandate is unconstitutional. The court further found that, because the individual mandate is “essential” to the ACA, the remaining provisions of the law are also invalid. Congress zeroed out the tax penalty appropriation, yet left in place the ACA’s individual […]

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Legislature Passes Extraordinary Session Bills Affecting Health Care Industry

 Earlier this week, the legislature held an extraordinary session. In addition to confirming over 50 appointees from Gov. Scott Walker, the legislature approved three bills, with the Senate failing to pass a piece of legislation related to preexisting conditions coverage. The Senate convened first, and the Assembly then convened early in the morning on Wednesday […]

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CMS Approves BadgerCare Reform Demonstration Waiver

The federal Centers for Medicare & Medicaid Services (CMS) has approved Wisconsin’s Section 1115 BadgerCare Reform demonstration waiver. The waiver primarily makes changes to the BadgerCare childless adult (CLA) population in the state’s Medicaid program. The changes include: Work requirements. CLAs are required to participate in 80 hours per month of community engagement, including employment, job training, community […]

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Unpacking DHS’s Budget Request

On Sept. 17, state agencies submitted their 2019-21 biennial budget requests that, in total, included roughly $2.5 billion dollars in additional funding (according to Wispolitics). Accounting for the bulk of the increase in state general purpose revenue (GPR) are the usual cost drivers – education, health care and corrections. Coming in a distant second to the Department […]

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Alliance of Health Insurers logo

The Alliance of Health Insurers strengthens its brand

The Alliance of Health Insurers (AHI) recently unveiled a new logo and website to help heighten awareness of its mission and services. “We see the new logo and website as a great opportunity to increase awareness of our work, as well as engage more effectively with our current and prospective membership,” said Rebecca Larson, AHI […]

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Elder Care

DHS Long-term Care Initiatives

The Wisconsin Department of Health and Family Services, Division of Disability and Elder Services, has embarked on an initiative to expand managed long-term care options for elders and people with disabilities in Wisconsin. Long-term care consists of services and supports that people need to meet their daily needs. (more…)

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