LRBa2152/1
TJD:jld&eev:jf
2013 - 2014 LEGISLATURE
SENATE AMENDMENT 1,
TO ASSEMBLY BILL 270
March 18, 2014 - Offered by Senator Erpenbach.
AB270-SA1,1,21 At the locations indicated, amend the bill, as shown by assembly substitute
2amendment 1, as follows:
AB270-SA1,1,3 31. Page 1, line 4: delete "program and" and substitute "program;".
AB270-SA1,1,6 42. Page 1, line 6: delete "providers" and substitute "providers; and
5copayments, deductibles, or coinsurance for oral chemotherapy and injected or
6intravenous chemotherapy;".
AB270-SA1,1,7 73. Page 1, line 7: before that line insert:
AB270-SA1,1,8 8" Section 1d. 40.51 (8) of the statutes is amended to read:
AB270-SA1,1,129 40.51 (8) Every health care coverage plan offered by the state under sub. (6)
10shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.746 (1) to (8)
11and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855,
12632.867, 632.87 (3) to (6), 632.885, 632.89, 632.895 (5m) and (8) to (17), and 632.896.
AB270-SA1,1e 13Section 1e. 40.51 (8m) of the statutes is amended to read:
AB270-SA1,2,4
140.51 (8m) Every health care coverage plan offered by the group insurance
2board under sub. (7) shall comply with ss. 631.95, 632.746 (1) to (8) and (10), 632.747,
3632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.867, 632.885,
4632.89, and 632.895 (11) to (17).
AB270-SA1,1f 5Section 1f. 66.0137 (4) of the statutes is amended to read:
AB270-SA1,2,116 66.0137 (4) Self-insured health plans. If a city, including a 1st class city, or
7a village provides health care benefits under its home rule power, or if a town
8provides health care benefits, to its officers and employees on a self-insured basis,
9the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
10632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.798, 632.85, 632.853, 632.855, 632.867,
11632.87 (4), (5), and (6), 632.885, 632.89, 632.895 (9) to (17), 632.896, and 767.513 (4).
AB270-SA1,1g 12Section 1g. 120.13 (2) (g) of the statutes is amended to read:
AB270-SA1,2,1613 120.13 (2) (g) Every self-insured plan under par. (b) shall comply with ss.
1449.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.746 (10) (a) 2. and (b) 2., 632.747 (3),
15632.798, 632.85, 632.853, 632.855, 632.867, 632.87 (4), (5), and (6), 632.885, 632.89,
16632.895 (9) to (17), 632.896, and 767.513 (4).".
AB270-SA1,2,17 174. Page 1, line 7: delete " Section 1" and substitute "Section 1r".
AB270-SA1,2,18 185. Page 5, line 3: after that line insert:
AB270-SA1,2,19 19" Section 2g. 185.983 (1) (intro.) of the statutes is amended to read:
AB270-SA1,3,320 185.983 (1) (intro.) Every voluntary nonprofit health care plan operated by a
21cooperative association organized under s. 185.981 shall be exempt from chs. 600 to
22646, with the exception of ss. 601.04, 601.13, 601.31, 601.41, 601.42, 601.43, 601.44,
23601.45, 611.26, 611.67, 619.04, 623.11, 623.12, 628.34 (10), 631.17, 631.89, 631.93,
24631.95, 632.72 (2), 632.745 to 632.749, 632.775, 632.79, 632.795, 632.798, 632.85,

1632.853, 632.855, 632.867, 632.87 (2), (2m), (3), (4), (5), and (6), 632.885, 632.89,
2632.895 (5) and (8) to (17), 632.896, and 632.897 (10) and chs. 609, 620, 630, 635, 645,
3and 646, but the sponsoring association shall:
AB270-SA1,2p 4Section 2p. 609.837 of the statutes is created to read:
AB270-SA1,3,7 5609.837 Copayment equality for oral and injected chemotherapy.
6Limited service health organizations, preferred provider plans, and defined network
7plans are subject to s. 632.867.
AB270-SA1,2r 8Section 2r. 632.867 of the statutes is created to read:
AB270-SA1,3,9 9632.867 Oral and injected chemotherapy. (1) Definitions. In this section:
AB270-SA1,3,1210 (a) "Chemotherapy" means drugs and biologics that kill cancer cells directly,
11including antineoplastics, biologic response modifiers, hormone therapy, and
12monoclonal antibodies, and that are used to do any of the following:
AB270-SA1,3,1313 1. Cure a specific cancer.
AB270-SA1,3,1414 2. Control tumor growth when cure is not possible.
AB270-SA1,3,1515 3. Shrink tumors before surgery or radiation therapy.
AB270-SA1,3,1716 4. Destroy microscopic cancer cells that may be present after a tumor is
17removed by surgery to prevent a cancer recurrence.
AB270-SA1,3,1818 (b) "Disability insurance policy" has the meaning given in s. 632.895 (1) (a).
AB270-SA1,3,1919 (c) "Self-insured health plan" has the meaning given in s. 632.85 (1) (c).
AB270-SA1,4,2 20(2) Copayment, deductible, or coinsurance requirements; limitations. (a) A
21disability insurance policy that covers injected or intravenous chemotherapy and
22oral chemotherapy, or a self-insured health plan that covers injected or intravenous
23chemotherapy and oral chemotherapy, may not require a higher copayment,
24deductible, or coinsurance amount for oral chemotherapy than it requires for

1injected or intravenous chemotherapy, regardless of the formulation or benefit
2category determination by the policy or plan.
AB270-SA1,4,63 (b) A disability insurance policy or a self-insured health plan may not comply
4with par. (a) by increasing the copayment, deductible, or coinsurance amount
5required for injected or intravenous chemotherapy that is covered under the policy
6or plan.
AB270-SA1,3m 7Section 3m. Initial applicability.
AB270-SA1,4,88 (1) This act first applies to all of the following:
AB270-SA1,4,129 (a) Except as provided in paragraphs (b) and (c), disability insurance policies
10that are issued or renewed, and governmental or school district self-insured health
11plans that are established, extended, modified, or renewed, on the effective date of
12this paragraph.
AB270-SA1,4,1513 (b) Disability insurance policies covering employees who are affected by a
14collective bargaining agreement containing provisions inconsistent with this act
15that are issued or renewed on the earlier of the following:
AB270-SA1,4,1616 1. The day on which the collective bargaining agreement expires.
AB270-SA1,4,1817 2. The day on which the collective bargaining agreement is extended, modified,
18or renewed.
AB270-SA1,4,2219 (c) Governmental or school district self-insured health plans covering
20employees who are affected by a collective bargaining agreement containing
21provisions inconsistent with this act that are established, extended, modified, or
22renewed on the earlier of the following:
AB270-SA1,4,2323 1. The day on which the collective bargaining agreement expires.
AB270-SA1,4,2524 2. The day on which the collective bargaining agreement is extended, modified,
25or renewed.
AB270-SA1,4m
1Section 4m. Effective dates. This act takes effect on the day after
2publication, except as follows:
AB270-SA1,5,43 (1) The treatment of section 632.867 (2) (a) of the statutes takes effect on the
4first day of the 7th month beginning after publication.".
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