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:
AB131, s. 1
1Section
1. 40.51 (8) of the statutes is amended to read:
AB131,2,42
40.51
(8) Every health care coverage plan offered by the state under sub. (6)
3shall comply with ss. 631.89, 631.90, 631.93 (2), 632.72 (2), 632.87 (3) to (5), 632.895
4(5m) and (8) to
(10) (11) and 632.896.
AB131, s. 2
5Section
2. 66.184 of the statutes is amended to read:
AB131,2,11
666.184 Self-insured health plans. If a city, including a 1st class city, or a
7village provides health care benefits under its home rule power, or if a town provides
8health care benefits, to its officers and employes on a self-insured basis, the
9self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
10632.87 (4) and (5), 632.895 (9)
and (10) to (11), 632.896, 767.25 (4m) (d) and 767.51
11(3m) (d).
AB131, s. 3
12Section
3. 120.13 (2) (g) of the statutes is amended to read:
AB131,2,1513
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), 632.87 (4) and (5), 632.895 (9)
and (10) to
15(11), 632.896, 767.25 (4m) (d) and 767.51 (3m) (d).
AB131, s. 4
16Section
4. 185.981 (8m) of the statutes is created to read:
AB131,2,1817
185.981
(8m) A sickness care plan operated by a cooperative association is
18subject to s. 632.895 (11).
AB131, s. 5
19Section
5. 185.983 (1) (intro.) of the statutes is amended to read:
AB131,3,420
185.983
(1) (intro.) Every such voluntary nonprofit sickness care plan shall be
21exempt from chs. 600 to 646, with the exception of ss. 601.04, 601.13, 601.31, 601.41,
1601.42, 601.43, 601.44, 601.45, 611.67, 619.04, 628.34 (10), 631.89, 631.93, 632.72
2(2), 632.775, 632.79, 632.795, 632.87 (2m), (3), (4) and (5), 632.895 (5), (9)
and (10) 3to (11), 632.896 and 632.897 (10), subch. II of ch. 619 and chs. 609, 630, 635, 645 and
4646, but the sponsoring association shall:
AB131, s. 6
5Section
6. 609.82 of the statutes is created to read:
AB131,3,8
6609.82 Coverage of contraceptive articles and services. Health
7maintenance organizations and preferred provider plans are subject to s. 632.895
8(11).
AB131, s. 7
9Section
7. 632.895 (11) of the statutes is created to read:
AB131,3,1910
632.895
(11) Contraceptive articles and services. (a) In this subsection,
11"contraceptive article" means any drug, medicine, mixture, preparation, instrument,
12article or device of any nature that is approved by the federal food and drug
13administration for use to prevent a pregnancy and that is prescribed by a licensed
14health care provider for use to prevent a pregnancy, or any hormonal compound that
15is taken orally and that is approved by the federal food and drug administration for
16use to prevent a pregnancy. "Contraceptive article" does not include any drug,
17medicine, mixture, preparation, instrument, article or device of any nature
18prescribed for use in terminating the pregnancy of a woman who is known by the
19prescribing licensed health care provider to be pregnant.
AB131,3,2220
(b) Every disability insurance policy, and every self-insured health plan of a
21county, city, village or school district, that provides coverage of outpatient health care
22services shall provide coverage for all of the following:
AB131,3,2323
1. Contraceptive articles.
AB131,3,2524
2. Medical services, including counseling and physical examinations, for the
25prescription or use of a contraceptive article or of a procedure to prevent a pregnancy.
AB131,4,1
13. Medical procedures performed to prevent a pregnancy.
AB131,4,42
(c) Coverage under this subsection may be subject to exclusions or limitations,
3including copayments and deductibles, that apply generally to the benefits that are
4provided under the policy or plan.
AB131,4,55
(d) This subsection does not apply to any of the following:
AB131,4,66
1. A disability insurance policy that covers only certain specified diseases.
AB131,4,87
2. A health care plan offered by a limited service health organization, as defined
8in s. 609.01 (3).
AB131,4,109
3. A medicare replacement policy, a medicare supplement policy or a long-term
10care insurance policy.
AB131,4,14
12(1) This act first applies to policies, plans and contracts that are issued or
13renewed, and to self-insured health plans under collective bargaining agreements
14that are extended, modified or renewed, on the effective date of this subsection.
AB131,4,17
16(1) This act takes effect on the first day of the 5th month beginning after
17publication.
