LRB-1039/1
JPC:cdc&amn
2023 - 2024 LEGISLATURE
March 6, 2024 - Introduced by Representatives VanderMeer, Considine, Andraca,
Behnke, Conley, Emerson, Jacobson, Joers, Moore Omokunde, Sinicki and
Subeck, cosponsored by Senator Roys. Referred to Committee on Insurance.
AB1129,1,4 1An Act to amend 40.51 (8), 40.51 (8m), 66.0137 (4), 120.13 (2) (g) and 185.983
2(1) (intro.); and to create 609.713 and 632.87 (7) of the statutes; relating to:
3compensation of qualified treatment trainees under health insurance policies
4and plans.
Analysis by the Legislative Reference Bureau
This bill prohibits any health insurance plan from excluding coverage for
mental health or behavioral health treatment or services provided by a qualified
treatment trainee within the scope of the qualified treatment trainee's education and
training if the health insurance policy covers the mental health or behavioral health
treatment or services when provided by another health care provider. Further, the
bill prohibits health insurance plans from covering mental health or behavioral
health treatment or services provided by a qualified treatment trainee at a rate that
is lower than the rate paid to another qualified treatment trainee for the same
treatment or service under the Medical Assistance program. The Medical Assistance
program is a joint federal and state program that provides health services to
individuals who have limited financial resources. Qualified treatment trainee is
defined under the bill to mean a person with a graduate degree from an accredited
institution and course work in professional counseling, marriage and family therapy,
or social work or course work that leads to, or is substantially equivalent to course
work that leads to, licensure in his or her field of practice and who has not yet
completed the applicable supervised practice requirements for licensure in his or her

field of practice but has completed at least 1,000 hours of clinical training associated
with his or her field of practice.
This proposal may contain a health insurance mandate requiring a social and
financial impact report under s. 601.423, stats.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB1129,1 1Section 1. 40.51 (8) of the statutes is amended to read:
AB1129,2,62 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), 631.95, 632.72 (2), 632.729, 632.746
4(1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853,
5632.855, 632.861, 632.867, 632.87 (3) to (6) (7), 632.885, 632.89, 632.895 (5m) and (8)
6to (17), and 632.896.
AB1129,2 7Section 2. 40.51 (8m) of the statutes is amended to read:
AB1129,2,118 40.51 (8m) Every health care coverage plan offered by the group insurance
9board under sub. (7) shall comply with ss. 631.95, 632.729, 632.746 (1) to (8) and (10),
10632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.861,
11632.867, 632.87 (7), 632.885, 632.89, and 632.895 (11) to (17).
AB1129,3 12Section 3. 66.0137 (4) of the statutes is amended to read:
AB1129,2,1913 66.0137 (4) Self-insured health plans. If a city, including a 1st class city, or
14a village provides health care benefits under its home rule power, or if a town
15provides health care benefits, to its officers and employees on a self-insured basis,
16the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
17632.729, 632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.798, 632.85, 632.853, 632.855,
18632.861, 632.867, 632.87 (4) to (6) (7), 632.885, 632.89, 632.895 (9) to (17), 632.896,
19and 767.513 (4).
AB1129,4 20Section 4. 120.13 (2) (g) of the statutes is amended to read:
AB1129,3,4
1120.13 (2) (g) Every self-insured plan under par. (b) shall comply with ss.
249.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.729, 632.746 (10) (a) 2. and (b) 2.,
3632.747 (3), 632.798, 632.85, 632.853, 632.855, 632.861, 632.867, 632.87 (4) to (6) (7),
4632.885, 632.89, 632.895 (9) to (17), 632.896, and 767.513 (4).
AB1129,5 5Section 5. 185.983 (1) (intro.) of the statutes is amended to read:
AB1129,3,136 185.983 (1) (intro.) Every voluntary nonprofit health care plan operated by a
7cooperative association organized under s. 185.981 shall be exempt from chs. 600 to
8646, with the exception of ss. 601.04, 601.13, 601.31, 601.41, 601.42, 601.43, 601.44,
9601.45, 611.26, 611.67, 619.04, 623.11, 623.12, 628.34 (10), 631.17, 631.89, 631.93,
10631.95, 632.72 (2), 632.729, 632.745 to 632.749, 632.775, 632.79, 632.795, 632.798,
11632.85, 632.853, 632.855, 632.861, 632.867, 632.87 (2) to (6) (7), 632.885, 632.89,
12632.895 (5) and (8) to (17), 632.896, and 632.897 (10) and chs. 609, 620, 630, 635, 645,
13and 646, but the sponsoring association shall:
AB1129,6 14Section 6. 609.713 of the statutes is created to read:
AB1129,3,17 15609.713 Qualified treatment trainee coverage. Limited service health
16organizations, preferred provider plans, and defined network plans are subject to s.
17632.87 (7).
AB1129,7 18Section 7. 632.87 (7) of the statutes is created to read:
AB1129,3,1919 632.87 (7) (a) (intro.) In this subsection:
AB1129,3,2020 1. “Health care provider” has the meaning given in s. 146.81 (1) (a) to (hp).
AB1129,3,2121 2. “Marriage and family therapy” has the meaning given in s. 457.01 (5).
AB1129,3,2222 3. “Professional counseling” has the meaning given in s. 457.01 (6).
AB1129,4,423 4. “Qualified treatment trainee” means an individual with a graduate degree
24from an accredited institution and course work in professional counseling, marriage
25and family therapy, or social work or course work that leads to, or is substantially

1equivalent to course work that leads to, licensure in his or her field of practice and
2who has not yet completed the applicable supervised practice requirements for
3licensure in his or her field of practice but who has completed at least 1,000 hours
4of clinical training associated with his or her field of practice.
AB1129,4,55 5. “Social work” has the meaning given in s. 457.01 (9).
AB1129,4,106 (b) No policy, plan, or contract may exclude coverage for mental health or
7behavioral health treatment or services provided by a qualified treatment trainee
8within the scope of the qualified treatment trainee's education and training if the
9policy, plan, or contract covers the mental health or behavioral health treatment or
10services when provided by another health care provider.
AB1129,4,1411 (c) No policy, plan, or contract may cover mental health or behavioral health
12treatment or services provided by a qualified treatment trainee at a rate that is less
13than the rate paid to a qualified treatment trainee for the same treatment or service
14under the Medical Assistance program under subch. IV of ch. 49.
AB1129,8 15Section 8. Initial applicability.
AB1129,4,1816 (1) For policies and plans containing provisions inconsistent with this act, the
17act first applies to policy or plan years beginning on the effective date of this
18subsection, except as provided in sub. (2 ).
AB1129,4,2319 (2) For policies and plans that are affected by a collective bargaining agreement
20containing provisions inconsistent with this act, the act first applies to policy or plan
21years beginning on the effective date of this subsection or on the day on which the
22collective bargaining agreement is newly established, extended, modified, or
23renewed, whichever is later.
AB1129,9 24Section 9. Effective date.
AB1129,5,2
1(1) This act takes effect on this first day of the 4th month beginning after
2publication.
AB1129,5,33 (End)
Loading...
Loading...