eliminating recovery by the state for birth expenses paid through the Medical Assistance program

Wisconsin Legislature: AB1083: Bill Text

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AB1083: Bill Text

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2025 - 2026 LEGISLATURE
LRB-0539/1
SWB:wlj
2025 ASSEMBLY BILL 1083
February 26, 2026 - Introduced by Representatives
Stubbs
,
Moore Omokunde
,
Arney
,
Goodwin
,
Hong
,
Sinicki
and
Palmeri
, cosponsored by Senators
L. Johnson
,
Roys
,
Ratcliff
,
Hesselbein
and
Larson
. Referred to Committee on Health, Aging and Long-Term Care.
AB1083,1,4
1
An Act

to amend
49.45 (19) (a), 49.45 (19) (c), 767.804 (3) (d) 1., 767.805 (4) (d)
2
1. and 767.89 (3) (e) 1.;
to create
49.22 (9m) of the statutes;
relating to:

3
eliminating recovery by the state for birth expenses paid through the Medical
4
Assistance program.
Analysis by the Legislative Reference Bureau
This bill prohibits the state from seeking recovery of birth expenses paid by the state through the Medical Assistance program on behalf of an unmarried person who gave birth and was a Medical Assistance recipient at the time of the birth. The bill also prohibits a court from including in a judgment or order relating to paternity an order for a father to pay for the recovery of such expenses paid by the state under the Medical Assistance program. Under current law, a court must include in a paternity order an order establishing the amount of the father’s obligation to pay or contribute to up to half of the actual and reasonable pregnancy and birth expenses, taking into account the father’s income and ability to pay. Also under current law, a person applying for Medical Assistance, as a condition of eligibility for Medical Assistance, is deemed to have assigned to the state any rights to medical support or other payment of medical expenses from any other person, which includes the right to recovery of birth expenses. Further, under current law, if the mother of a child was enrolled in a health maintenance organization or other prepaid health care plan under the Medical Assistance program at the time of the child’s birth, the state could seek to recover from the father the birth expenses incurred by the health maintenance organization or other prepaid health care plan. This bill prohibits the state from seeking recovery of these expenses and prohibits a court from ordering recovery of these expenses on behalf of the state.
For further information see the state and local 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:
AB1083,1
1
Section
1
.
49.22 (9m) of the statutes is created to read:
AB1083,2,5
2
49.22
(9m)
Neither the department nor its designee may seek recovery from
3
an alleged father of pregnancy or birth expenses paid by the state under the
4
Medical Assistance program on behalf of an unmarried person who gave birth and
5
who was a recipient of Medical Assistance at the time of the birth.
AB1083,2
6
Section
2
.
49.45 (19) (a) of the statutes is amended to read:
AB1083,2,13
7
49.45
(19)
(a)
As

Except as provided in par. (c), as
a condition of eligibility for
8
medical assistance, a person shall, notwithstanding other provisions of the
9
statutes, be deemed to have assigned to the state, by applying for or receiving
10
medical assistance, any rights to medical support or other payment of medical
11
expenses from any other person, including rights to unpaid amounts accrued at the
12
time of application for medical assistance as well as any rights to support accruing
13
during the time for which medical assistance is paid.
AB1083,3
14
Section
3
.
49.45 (19) (c) of the statutes is amended to read:
AB1083,3,2
15
49.45
(19)
(c)
If the mother of a child was enrolled in a health maintenance
16
organization or other prepaid health care plan under medical assistance at the time
17
of the child’s birth,

The state may not seek recovery of
birth expenses
that may be
1
recovered by the state
under this subsection
are the birth expenses incurred by the
2
health maintenance organization or other prepaid health care plan
.
AB1083,4
3
Section
4
.
767.804 (3) (d) 1. of the statutes is amended to read:
AB1083,3,14
4
767.804
(3)
(d) 1. An order establishing the amount of the father’s obligation
5
to pay or contribute to the reasonable expenses of the mother’s pregnancy and the
6
child’s birth
, except that the court may not order a father to pay expenses under this
7
subsection for the recovery of expenses paid by the state under the Medical
8
Assistance program on behalf of an unmarried person who gave birth and who was
9
a recipient of Medical Assistance at the time of the birth
. The amount established
10
may not exceed one-half of the total actual and reasonable pregnancy and birth
11
expenses. The order also shall specify the court’s findings as to whether the father’s
12
income is at or below the poverty line established under
42 USC 9902
(2), and shall
13
specify whether periodic payments are due on the obligation, based on the father’s
14
ability to pay or contribute to those expenses.
AB1083,5
15
Section
5
.
767.805 (4) (d) 1. of the statutes is amended to read:
AB1083,4,3
16
767.805
(4)
(d) 1. An order establishing the amount of the father’s obligation
17
to pay or contribute to the reasonable expenses of the mother’s pregnancy and the
18
child’s birth
, except that the court may not order a father to pay expenses under this
19
subsection for the recovery of expenses paid by the state under the Medical
20
Assistance program on behalf of an unmarried person who gave birth and who was
21
a recipient of Medical Assistance at the time of the birth
. The amount established
22
may not exceed one-half of the total actual and reasonable pregnancy and birth
23
expenses. The order also shall specify the court’s findings as to whether the father’s
1
income is at or below the poverty line established under
42 USC 990
2 (2), and shall
2
specify whether periodic payments are due on the obligation, based on the father’s
3
ability to pay or contribute to those expenses.
AB1083,6
4
Section
6
.
767.89 (3) (e) 1. of the statutes is amended to read:
AB1083,4,15
5
767.89
(3)
(e) 1. An order establishing the amount of the father’s obligation to
6
pay or contribute to the reasonable expenses of the mother’s pregnancy and the
7
child’s birth
, except that the court may not order a father to pay expenses under this
8
subsection for the recovery of expenses paid by the state under the Medical
9
Assistance program on behalf of an unmarried person who gave birth and who was
10
a recipient of Medical Assistance at the time of the birth
. The amount established
11
may not exceed one-half of the total actual and reasonable pregnancy and birth
12
expenses. The order also shall specify the court’s findings as to whether the father’s
13
income is at or below the poverty line established under
42 USC 9902
(2), and shall
14
specify whether periodic payments are due on the obligation, based on the father’s
15
ability to pay or contribute to those expenses.
AB1083,7
16
Section
7
. Initial applicability.
AB1083,4,19
17
(
1
)
Elimination of birth cost recovery by the state.
The treatment of ss.
18
767.804 (3) (d) 1., 767.805 (4) (d) 1., and 767.89 (3) (e) 1. first applies to an order or
19
judgment relating to paternity issued on the effective date of this subsection.
AB1083,4,20
20
(end)

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