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Helping to make affordable housing a reality for millions of low and moderate-income. ![]() It’s in the budget bill that legislators typically make the choices that affect whether low- income families and individuals have access to affordable health care, resources to keep food on the table, and opportunities to climb the economic ladder. The state’s budget choices are critical in determining whether the widening gap between wealthy and poor Wisconsinites continues to grow, or whether the state finally begins to narrow that gap. Home Energy + World Wide Web Site. The Wisconsin Home Energy Assistance Program (WHEAP) administers the federally funded Low Income Home Energy Assistance Program. Health Insurance Options for Low Income Adults Without Children in Wisconsin. This was not the case in the state of Wisconsin. WHEDA Low-Income Housing Tax Credit Program. Low-Income Housing Tax Credits. The 50% county median income in Wisconsin ranges from $20,950 to $28,950 for a family of one. Lifeline Discount Program. Low-Income Home Energy Assistance Program. Download the Lifeline application for the state of Wisconsin. Research shows that reducing inequality and helping more people succeed is a better formula for sustained economic growth. By making investments today in our state’s disadvantaged families, Wisconsin lawmakers can create a foundation for broad- based prosperity and future economic gains. This document summarizes the portions of the final budget (2. Act 5. 5) that affect low- income and disadvantaged individuals in our state. Financial and Food Security. Several key sources of assistance for low- income families and unemployed workers have been squeezed by state policy choices over the last four years, and a couple of those will be further constricted or frozen by the final version of the budget bill: Earned income tax credit (EITC) – The bill maintains the state EITC cuts enacted in 2. Dept. As amended by the Joint Finance Committee (JFC), that transfer grows by a total of $1. Because the bill substantially draws down the current balance of TANF block grant funds (in order to replace state general fund support of the EITC), lawmakers are creating a large gap between anticipated TANF spending and revenue in the 2. That makes it likely that the state will have to reduce spending during that biennium for programs like Wisconsin Works (W- 2) or the child care subsidy. Homestead tax credit – Spending for this important source of property tax relief for low- income households has been gradually declining because the formula used to calculate the credit isn’t adjusted for inflation. Unemployment insurance – The state has made a number of changes in the last few years to reduce spending for unemployment insurance (UI) benefits, and the Governor’s budget includes new measures that will make it harder for jobless workers to receive UI benefits. The changes include: requiring some applicants to pass a drug test to receive benefits, substantially increasing the penalties for fraud, and requiring the state to set rules about what types of jobs unemployed workers could turn down and still receive benefits. Food Share – The bill directs the Dept. However, the budget doesn’t set aside any funding to pay for the administration of drug screening and testing or to pay for drug treatment. Living wage – A measure added by the budget committee’s final motion repeals a 1. This change strips from the Department of Workforce Development (DWD) the authority and responsibility to investigate complaints that an employee is not being paid a living wage, and it replaces “living wage” with “minimum wage” throughout Wisconsin’s laws. It ends the rule- making authority that was used by the Doyle Administration to increase the minimum wage. Prevailing wage – The Senate and Assembly added provisions to the budget that will severely weaken the current “prevailing wage” law, which sets the minimum salaries for construction workers when they build publicly- funded projects, such as schools and roads. These changes will exempt local governments from the law and will modify how the prevailing wage is determined for state- funded projects. Health Care. The good news is that the budget bill substantially increases funding allocated for Medicaid – an increase of about $6. The bad news is that virtually all of the additional spending is simply to maintain the status quo. Most of that increase is for the rapidly rising cost of covering childless adults in Badger. Care. At the end of April, childless adult enrollment was a little over 1. DHS was anticipating at the end of the fiscal year in June. The sharp increase in spending for childless adult enrollment is particularly significant because federal funding would cover almost all of that cost if the state would set the Badger. Care income eligibility limit a little higher, at 1. The Fiscal Bureau recently estimated that the decision not to expand Badger. Care coverage to that level will cost the state $3. His bill directs DHS to seek federal approval to make the following changes for the childless adult population: Imposing monthly premiums for all childless adults, and increasing premium amounts for “behaviors that increase an individual’s health risk.”Limiting their eligibility to 4 years. Requiring health risk assessments and drug screening as a condition of eligibility. The bill doesn’t attach any savings to the proposed changes. That may reflect the long odds that the state would be able to get a federal waiver for those restrictions, which conflict with federal Medicaid statutes. No other state requires drug testing or screening as a condition of Medicaid eligibility or sets a time limit on eligibility – after which the state would kick off enrollees, including those who have chronic conditions like diabetes, cancer or mental illness. Health Care for Individuals with Disabilities and the Elderly Family Care Reform – The Governor proposed sweeping changes to Wisconsin’s Family Care program. This Medicaid benefit provides long- term care services for eligible individuals with disabilities and the elderly. The changes proposed by the Governor, which require federal waiver approval, include expanding Family Care statewide and requiring the existing regional Family Care managed care organizations (MCOs) to operate statewide and provide coverage for acute and primary care services. Another part of the proposed long term care “reforms” was the elimination of IRIS (Include, Respect, I Self- direct), which is a program under Medicaid Home and Community Based Services that provides beneficiaries the opportunity and independence to budget and choose how/where they receive their long- term care services. In lieu of continuing IRIS, the Governor proposed that Family Care MCOs offer beneficiaries the option to self- direct their care. Disability and long term care advocates engaged in a vigorous and partially successful campaign against the proposed changes. Those advocates are still very concerned that the Legislature approved the essence of the plan to shift the delivery of long term care to large, for- profit insurers (with no constraints on their profit margins). They are also concerned that the IRIS program is being folded into the new managed care approach, rather than maintained as a separate option. Personal Care Services –The Governor recommended altering the personal care services benefit by requiring an “independent assessment” for all fee- for- service prescriptions for personal care. Medicaid personal care services include an important range of services (usually provided in the home) for beneficiaries in need of assistance with activities related to daily living (ADLs) such as eating and drinking, bathing, transferring and help with household chores. The overall fiscal effect of this change to personal care services would result in a net cut of about $2. The JFC voted to approve the Governor’s recommendation, but delayed the starting date for the contract for the new third party independent assessor for personal care services. This change increases the projected net savings by $2 million, bringing the total reduction to the $2. Advocates for the disabled and elderly say that the current system already includes a strong process to ensure that beneficiaries receive the correct type and amount of care and they are concerned that the independent assessment will create an unnecessary hurdle. Senior. Care – Governor Walker proposed changing Senior. Care by requiring everyone enrolled in the program, which now serves about 8. Wisconsinites, to enroll in the federal Medicare Part D prescription drug benefit. Advocates said the change would cost the typical Senior. Care user almost $7. The Joint Finance Committee eliminated the proposed change, which would have reduced benefits by about $9. GPR (because Senior. Care is primarily financed with drug rebates and federal dollars). Aging & Disability Resource Centers (ADRCs) – The Governor proposed significant changes to ADRCs, which help seniors and people with disabilities navigate complex benefit systems. His bill would have authorized DHS to eliminate county- run ADRCs by contracting out many of their functions to private, for- profit entities. Advocates were concerned that the changes might reduce access to information and that the information provided might be less trustworthy because private entities could have conflicts of interest. The Finance Committee decided to delete the Governor’s recommendations, but included provisions requiring DHS to conduct a number of studies, including evaluating the reliability of the ADRC processes, an assessment of duplicative functions between ADRC boards and DHS procedures, and a study of possibly integrating income maintenance consortia and ADRCs. Mental Health and AODA Services – The Governor’s budget proposed expanding Medicaid coverage to include residential- based substance abuse treatment. The Finance Committee modified the proposal by delaying its implementation to no sooner than July 1, 2. GPR in 2. 01. 5- 1. Changes in Provider Reimbursement. Enhanced Dental Reimbursement Pilot Program – An initiative proposed by the Governor is a pilot program that would significantly increase the dental reimbursement rate for providers of pediatric dental care and adult emergency dental services in three counties: Brown, Polk and Racine. The budget committee expanded the pilot program to a fourth county (Marathon) and boosted the new funding to $5. GPR. The implementation of increased reimbursement rates in selected counties will need federal approval. Disproportionate Share Hospital Payments – The bill adds $3. |
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