AB1140: Bill Text

AB1140,19,21 260.40 Health care advisory committee; health care policies. (1) Establishment of committee. (a) The corporation shall establish a health care advisory committee to advise it on all matters related to promoting healthier lifestyles; promoting health care quality; increasing the transparency of health care cost and quality information; preventive care; disease management; the appropriate use of primary care, medical specialists, prescription drugs, and hospital emergency rooms; confidentiality of medical information; the appropriate use of technology; benefit design; the availability of physicians, hospitals, and other providers; and reducing health care costs.

AB1140,19,22 (b) The committee shall consist of the following:

AB1140,19,23 1. Three members designated by the Wisconsin Medical Society.

AB1140,19,24 2. Three members designated by the Wisconsin Hospital Association.

AB1140,20,2 3. One member designated by the dean of the University of Wisconsin School of Medicine and Public Health.

AB1140,20,4 4. One member designated by the president of the Medical College of Wisconsin.

AB1140,20,5 5. One member designated by the Wisconsin Nurses Association.

AB1140,20,7 6. One member designated by the Wisconsin Federation of Nurses and Health Professionals.

AB1140,20,8 7. One member designated by the Wisconsin Chiropractic Association.

AB1140,20,9 8. One member designated by the Wisconsin Dental Association.

AB1140,20,16 (c) The committee members shall elect a chairperson from among the members. The chairperson, or his or her designee, shall attend every meeting of the board to communicate to the corporation the advice and recommendations of the committee. The chairperson, or his or her designee, shall communicate to the committee any questions on which the corporation is seeking the committee's advice or recommendations. The corporation shall vote on each recommendation submitted to it by the committee as to whether the recommendation should be implemented.

AB1140,20,21 (d) Annually, on or before September 1, the committee shall submit to the corporation a summary of all of its recommendations during the previous 12 months for improving the health insurance purchasing arrangement under this chapter. The corporation shall include those recommendations and the votes taken by the corporation on them in its annual report under s. 260.05 (2) (f).

AB1140,20,23 (2) Adoption of health care policies. The corporation shall do all of the following:

AB1140,21,3 (a) In consultation with the health care advisory committee and experts on creating effective incentives for individuals and employers relating to healthier lifestyles, adopt evidence-based policies that create incentives for eligible residents to adopt healthier lifestyles and for employers to institute work-based programs that have been shown to improve the health status of employees and their families.

AB1140,21,12 (b) In consultation with the health care advisory committee and experts on increasing the transparency of health care cost and quality information, and in collaboration with the health care advisory committee and health care plans and health care providers, adopt policies that provide eligible residents with current, comprehensive, easily accessible, and easily understandable information about the cost and quality of the care provided by Wisconsin health care providers and by any physicians, clinics, or hospitals outside of Wisconsin that are included in a network of a health care plan offered under the health insurance purchasing arrangement under this chapter.

AB1140,21,16 (c) In consultation with the health care advisory committee, the Wisconsin Health Information Organization, the Wisconsin Collaborative for Health Care Quality, and other medical and nonmedical experts on health care quality, promote evidence-based improvements in the quality of health care delivery in Wisconsin.

AB1140,21,24 260.60 Including certain residents who are eligible for Medical Assistance. (1) Plan. The corporation and the department of health and family services shall jointly develop a plan for providing health care coverage under the health insurance purchasing arrangement established under this chapter to individuals who satisfy the criteria under s. 260.01 (3) (a) 1. to 4. and who are eligible for Medical Assistance under subch. IV of ch. 49 in the low-income families category, as determined under 2005 Wisconsin Act .... (this act), section 14 (1 ) (b), or for health care coverage under the Badger Care health care program under s. 49.665.

AB1140,22,5 (2) Waiver request. The department of health and family services shall, no later than July 1, 2010, submit to the legislature under s. 13.172 (2) the plan developed under sub. (1), together with its recommendations concerning the desirability of requesting waivers from the secretary of the federal department of health and human services for all of the following purposes:

AB1140,22,6 (a) To implement the plan developed under sub. (1).

AB1140,22,9 (b) To allow the use of federal financial participation to fund, to the maximum extent possible, health care coverage under the arrangement established under this chapter for individuals specified in sub. (1).

AB1140,22,14 (3) Proposed legislation. If the legislature authorizes or requires the department of health and family services to request the waivers specified in sub. (2) and if the waivers are granted, the department of health and family services shall submit to the appropriate standing committees under s. 13.172 (3) proposed legislation that will implement the provisions approved under the waivers.

AB1140, s. 12 Section 12. 632.755 (1g) (a) of the statutes is amended to read:

AB1140,22,19 632.755 (1g) (a) A Except as provided under ch. 260, a disability insurance policy may not exclude a person or a person's dependent from coverage because the person or the dependent is eligible for assistance under ch. 49 or because the dependent is eligible for early intervention services under s. 51.44.

AB1140, s. 13 Section 13. 632.755 (1g) (b) of the statutes is amended to read:

AB1140,22,24 632.755 (1g) (b) A Except as provided under ch. 260, a disability insurance policy may not terminate its coverage of a person or a person's dependent because the person or the dependent is eligible for assistance under ch. 49 or because the dependent is eligible for early intervention services under s. 51.44.

AB1140, s. 14 Section 14 . Nonstatutory provisions.

AB1140,23,2 (1) Proposed legislation on eligibility of and appropriations for Medical Assistance and Badger Care recipients.

AB1140,23,4 (a) Definition. In this subsection, "department" means the department of health and family services.

AB1140,23,5 (b) Eligibility categories for Medical Assistance.

AB1140,23,8 1. The department shall review the statutes and determine which statutory provisions specify eligibility criteria for Medical Assistance by each of the following categories of persons:

AB1140,23,9 a. Low-income families.

AB1140,23,10 b. Elderly or disabled persons.

AB1140,23,19 2. No later than April 1, 2008, the department shall submit the findings of its review under subdivision 1. to the appropriate standing committees of the legislature in the manner provided under section 13.172 (3) of the statutes. If the department determines that one or more statutory provisions provide eligibility criteria that apply to both categories of persons under subdivision 1., along with its findings the department shall submit proposed legislation specifying eligibility criteria for Medical Assistance that clearly separates the 2 categories of persons under subdivision 1. so that any single statutory unit applies to only one of the 2 categories.

AB1140,23,20 (c) Appropriations for Medical Assistance and Badger Care.

AB1140,24,2 1. The department and the legislative fiscal bureau shall review the following Medical Assistance and Badger Care health care program appropriations to determine what amount of each of the total amounts appropriated under each of the appropriations is attributable to benefits provided to, or the administrative costs of providing benefits to, Medical Assistance recipients in the category under paragraph (b) 1 . a. or Badger Care health care program recipients:

AB1140,24,3 a. Section 20.435 (2) (gk) of the statutes.

AB1140,24,5 b. Section 20.435 (4) (a), (b), (bc), (bm), (bn), (gp), (iL), (im), (in), (kt), (L), (vt), (w), (wm), (wp), and (x) of the statutes.

AB1140,24,6 c. Section 20.435 (6) (ga) and (k) of the statutes.

AB1140,24,7 d. Section 20.435 (7) (b) of the statutes.

AB1140,24,11 2. No later than April 1, 2008, the department and the legislative fiscal bureau shall submit the findings of the review under subdivision 1. to the appropriate standing committees of the legislature in the manner provided under section 13.172 (3) of the statutes, along with proposed legislation that does all of the following:

AB1140,24,16 a. Creates, effective January 1, 2009, separate Medical Assistance appropriations for the state's share of benefits and administrative costs for the category of persons under paragraph (b ) 1. a ., along with the appropriate amounts in the schedule, and funds those appropriations from the health insurance purchasing trust fund.

AB1140,24,20 b. Creates, effective January 1, 2009, separate appropriations for the state's share of benefits and administrative costs for the Badger Care health care program, along with the appropriate amounts in the schedule, and funds those appropriations from the health insurance purchasing trust fund.

AB1140,25,2 c. Modifies, effective January 1, 2009, the Medical Assistance and Badger Care health care program appropriations in current law that are affected by the creation of the appropriations under subdivision 2 . a. and b., along with the amounts in the schedule, to account for the creation of the appropriations under subdivision 2. a. and b., and funds the modified appropriations in the same manner as those appropriations are funded under current law.

AB1140, s. 15 Section 15. Initial applicability.

AB1140,25,6 (1) Health savings accounts. The treatment of sections 71.83 (1) (ce) and subchapter XVI of chapter 71 of the statutes first applies to taxable years beginning on January 1, 2008.

AB1140,25,7 (End)