On Tuesday, June 15, the Wisconsin Legislature’s Joint Finance Committee (JFC) held an executive session to consider various motions related to the 2021-23 state budget. Below is a list of motions that JFC considered on June 15, including whether each motion was adopted and how the committee voted. The committee includes 12 Republican members and 4 Democrats; all 11-4 and 4-11 vote tallies were along party lines. One Republican member of JFC was absent on June 15.
Adopted
- Motion 110: Department of Children and Families (11-4)
- Motion 111: Department of Health Services, Office of the Commissioner of Insurance, Board on Aging and Long-Term Care (11-4)
- Motion 112: Public Service Commission (11-4)
Not adopted
- Motion 103: Full Medicaid Expansion (motion ruled out of order)
- Motion 106: Public Service Commission (motion ruled out of order)
- Motion 107: Public Service Commission (4-11)
- Motion 108: Department of Children and Families (4-11)
- Motion 109: Department of Health Services, Office of the Commissioner of Insurance (4-11)
Below are highlights from the motions approved by JFC:
- Fully fund a cost-to-continue Medicaid budget with $120.3 million in 2021-22 and $397.2 million in 2022-23. Provide additional funds ($9.6 million in 2021-22, $20.5 million in 2022-23) to increase rates for Family Care, PACE, and Partnership managed care organizations.
- Provide $20 million annually for Disproportionate Share Hospital (DSH) payments and increase the amount the Department of Health Services has to allocate for payments to $47.5 million. Set the maximum payment per hospital to 6.7% of all funds distributed.
- Extend postpartum eligibility for 30 days (for a total of 90 days) funded by $1 million GPR in 2022-23 if federal approval for the extension is granted.
- For 2021-22, consistent with final reinsurance claims filed by insurers for the 2020 plan year, reduce funding by $16.5 million in 2021-22, reflecting the amount of state funding needed to make the reinsurance payments in 2021-22. Beginning in 2022, increase the maximum amount of reinsurance payments from $200 million to $230 million.
Increase reimbursement rates for various medical services by the following percentages and amounts:
- A 40% increase in Medicaid reimbursement for dental services.
- A 20% increase for child and adolescent day treatment services
- A 15% increase for outpatient mental health and substance abuse services
- A 15% increase for emergency physician services.
- A 15% increase for autism services.
- A 5% increase for opioid treatment providers.
- $252 million for Medicaid reimbursement for skilled nursing facilities and intermediate care facilities for people with intellectual disabilities.
- $104 million for direct care workers.
- $78 million for personal care agencies.
- $2.9 million for speech and language pathology services.
- $1.4 million for hearing aid and audiology services.
- $6.7 million for ground ambulance transport.
- $1.4 million for chiropractic services.
- $2.2 million for physical therapy.