Wisconsin Legislature: Insurance

Medical care insurance for self-employed individuals: income tax subtraction modified; JSCTE appendix report - SB842

Medical care insurance premiums claimed by self-employed individuals for income tax purposes revised for nonresidents and part-year residents [Sec. 857-868, 882; deleted by A.Amdt.1 to A.Sub.Amdt.1] - AB56

Medical care insurance premiums claimed by self-employed individuals for income tax purposes revised for nonresidents and part-year residents [Sec. 857-868, 882] - SB59

Personal care services reimbursement under MA increased; eligibility for BadgerCare Plus and BadgerCare Plus Core expanded; DHS required to apply for Medicaid expansion - AB255

Pharmacy benefit manager regulation and registration with OCI established; audits of pharmacists or pharmacies requirements; insurance policy cannot restrict or penalize pharmacy for informing insured of price differences of prescribed drug or device; drug substitution, cost sharing limitation, and choice of provider provisions - AB114

Pharmacy benefit manager regulation and registration with OCI established; audits of pharmacists or pharmacies requirements; insurance policy cannot restrict or penalize pharmacy for informing insured of price differences of prescribed drug or device; drug substitution, cost sharing limitation, and choice of provider provisions - SB100

Postpartum women receiving substance abuse-related health services under BadgerCare Plus while pregnant: extend benefits for one year after last day of pregnancy - AB693

Postpartum women receiving substance abuse-related health services under BadgerCare Plus while pregnant: extend benefits for one year after last day of pregnancy - SB630

Preexisting conditions: coverage for individuals should certain requirements and prohibitions of the federal Patient Protection and Affordable Care Act become unenforceable - AB1

Preexisting conditions: coverage for individuals should certain requirements and prohibitions of the federal Patient Protection and Affordable Care Act become unenforceable - SB2

Prescription drug cost disclosure requirements for drug manufacturers and health insurers; reports and OCI duties - AB62

Prescription drug cost reporting by drug manufacturers, insurers, and hospitals; pharmacy benefit managers drug cost report and registration requirements; insurance policy cannot restrict or penalize pharmacy for informing insured of price differences of a drug or biological product [Sec. 2093-2095, 9123 (1); original bill only] - AB56

Prescription drug cost reporting by drug manufacturers, insurers, and hospitals; pharmacy benefit managers drug cost report and registration requirements; insurance policy cannot restrict or penalize pharmacy for informing insured of price differences of a drug or biological product [Sec. 2093-2095, 9123 (1)] - SB59

Prescription drug limits: health insurance policy or pharmacy benefit manager prohibited from imposing during the 2020 public health emergency, exception for controlled substances [Sec. 90, 97] - AB1038

Prescription drug limits: health insurance policy or pharmacy benefit manager prohibited from imposing during the 2020 public health emergency, exception for controlled substances [Sec. 90, 97] - SB932

Prescription drug payments: disability insurance policy required to apply to out-of-pocket maximum or other cost-sharing requirement - SB907

Savings account program in the MA program: eliminate DHS requirement to establish [Sec. 684; original bill only] - AB56

Savings account program in the MA program: eliminate DHS requirement to establish [Sec. 684] - SB59

SeniorCare to cover vaccinations recommended by the Centers for Disease Control and Prevention and approved for adults by DHS, conditions specified [Sec. 15-17] - AB1038

SeniorCare to cover vaccinations recommended by the Centers for Disease Control and Prevention and approved for adults by DHS, conditions specified [Sec. 15-17] - SB932

Services by out-of-network provider during declared public health emergency in response to COVID-19 pandemic: requiring enrollee to pay more than in-network provider prohibited; conditions and OCI duties [Sec. 89] [A.Amdt.4: further revisions] - AB1038

Services by out-of-network provider during declared public health emergency in response to COVID-19 pandemic: requiring enrollee to pay more than in-network provider prohibited; conditions and OCI duties [Sec. 89] - SB932

Short-term, limited-duration health insurance defined using the federal government’s definition - AB953

Short-term, limited-duration health insurance defined using the federal government’s definition - SB793

Step therapy protocols for prescription drug coverage established - AB24

Step therapy protocols for prescription drug coverage established [S.Sub.Amdt.1: further revisions] - SB26

Telehealth services, including audio-only telephone: insurers prohibited from denying coverage for services before set date; MA coverage from 2019 WisAct 56 provision - SB913

Vaccines for children: DHS program for purchasing and distribution; insurance provision - AB865

Wrongful imprisonment: claim provisions modified, Claims Board and DHS duties; health insurance coverage from GIB and temporary financial assistance; JSCTE appendix report - SB881

Certificate of self-insurance issued to a religious sect can be used in lieu of motor vehicle liability insurance re proof of financial responsibility and liability insurance requirements - AB140

Certificate of self-insurance issued to a religious sect can be used in lieu of motor vehicle liability insurance re proof of financial responsibility and liability insurance requirements - SB131

COVID-19 diagnosis or suspected diagnosis: prohibited actions by insurers, pharmacy benefit managers, and self-insured health plans [Sec. 13, 14, 20, 75, 78, 91, 93-95] - AB1038

COVID-19 diagnosis or suspected diagnosis: prohibited actions by insurers, pharmacy benefit managers, and self-insured health plans [Sec. 13, 14, 20, 75, 78, 91, 93-95] - SB932

COVID-19 testing: health insurance policies required to cover without copayment or coinsurance [Sec. 92, 96] - AB1038

COVID-19 testing: health insurance policies required to cover without copayment or coinsurance [Sec. 92, 96] - SB932

Crop insurance proceeds included in production gross receipts re manufacturing and agricultural tax credit - AB430

Crop insurance proceeds included in production gross receipts re manufacturing and agricultural tax credit - SB387

DATCP grants and programs: grazing coordinator position created; water stewardship certification grant program created; cooperate with USDA on crop insurance rebates for planting cover crops; producer-led watershed protection grant revisions; soil and water resource conservation grant allocation plan factors to consider; producer-led group eligible for DNR lake protection grants - AB795

DATCP grants and programs: grazing coordinator position created; water stewardship certification grant program created; cooperate with USDA on crop insurance rebates for planting cover crops; producer-led watershed protection grant revisions; soil and water resource conservation grant allocation plan factors to consider; producer-led group eligible for DNR lake protection grants - SB715

Family and medical leave law expanded and family and medical leave insurance program created; trust fund, income tax deduction, ordinance, and employer provisions; JSCTE appendix report - AB666

Family and medical leave law expanded and family and medical leave insurance program created; trust fund, income tax deduction, ordinance, and employer provisions; JSCTE appendix report - SB596

Flood insurance premiums: individual income tax deduction created, conditions specified; JSCTE appendix report - AB1020

Flood insurance premiums: individual income tax deduction created, conditions specified; JSCTE appendix report - SB902

Group long-term disability insurance and income continuation insurance plan: oversight transferred from GIB to Employee Trust Funds Board [Sec. 395-399, 401-404, 412, 417-419, 9113 (1); original bill only] - AB56

Group long-term disability insurance and income continuation insurance plan: oversight transferred from GIB to Employee Trust Funds Board [Sec. 395-399, 401-404, 412, 417-419, 9113 (1)] - SB59

Health plan requirements re coverage of preventive services, essential health benefits, and individuals with preexisting conditions; benefit limits, rates, and OCI duties [Sec. 414, 415, 775, 1686, 1801, 2070-2076, 2079-2092, 2097-2108, 9323 (1), 9423 (2); original bill only] - AB56

Health plan requirements re coverage of preventive services, essential health benefits, and individuals with preexisting conditions; benefit limits, rates, and OCI duties - SB37

Health plan requirements re coverage of preventive services, essential health benefits, and individuals with preexisting conditions; benefit limits, rates, and OCI duties [Sec. 414, 415, 775, 1686, 1801, 2070-2076, 2079-2092, 2097-2108, 9323 (1), 9423 (2)] - SB59

Insurance law changes re fraternals, Injured Patients and Families Compensation Fund, corporate governance annual disclosure initial filing deadline, confidentiality of information, placement of surplus lines insurance, financial statements of property service contract providers - AB550

Insurance law changes re fraternals, Injured Patients and Families Compensation Fund, corporate governance annual disclosure initial filing deadline, confidentiality of information, placement of surplus lines insurance, financial statements of property service contract providers - SB482

Private event venue permit created, exceptions and liability insurance provisions; alcohol beverage permits for racetrack grounds and state fair park vendors; caterer may make retail sales of alcohol beverages on racetrack grounds; closing hour exception for July 13-17, 2020 if authorized by municipality; closing hour for wineries changed; brewer hours of sale modified; DOR duties and JRCCP may report - AB869

Trampoline park license requirement created; liability coverage, exemptions, and DSPS duties - AB836

Trampoline park license requirement created; liability coverage, exemptions, and DSPS duties - SB777

Certificate of self-insurance issued to a religious sect can be used in lieu of motor vehicle liability insurance re proof of financial responsibility and liability insurance requirements - AB140

Certificate of self-insurance issued to a religious sect can be used in lieu of motor vehicle liability insurance re proof of financial responsibility and liability insurance requirements - SB131

Motor vehicle accident: proof of financial responsibility or deposits of security for past accidents and property damage reporting thresholds increased - SB880

Motor vehicles: liability insurance requirement violation penalties and possession of proof of financial responsibility revised; valid operator’s license required for registration; impoundment and suspension of operating privilege provisions modified; DOT duties - AB696

Motor vehicles: liability insurance requirement violation penalties and possession of proof of financial responsibility revised; valid operator’s license required for registration; impoundment and suspension of operating privilege provisions modified; DOT duties - SB626

Salvage vehicle certificate of title: evidence of ownership provisions modified re insurer taking delivery of salvage vehicle - AB340

Salvage vehicle certificate of title: evidence of ownership provisions modified re insurer taking delivery of salvage vehicle [S.Amdt.1: adds notice and evidence by electronic means provisions] - SB320

Insurance policy renewal: notice of change in terms or premium amount modified - AB305

Insurance policy renewal: notice of change in terms or premium amount modified - SB289

Disabled children's long-term support waiver program: DHS to ensure eligible children who apply receive services [Sec. 487; original bill only] - AB56

Disabled children's long-term support waiver program: DHS to ensure eligible children who apply receive services [Sec. 487] - SB59

Financial exploitation of a vulnerable person: civil cause of action created; definition provision - SB41

Financial exploitation of vulnerable adults is suspected: actions financial service providers are authorized to take - AB481

Financial exploitation of vulnerable adults is suspected: actions financial service providers are authorized to take - SB429

Financial exploitation of vulnerable adults with securities accounts: notice and reporting of by securities industry professionals, penalty enhancers, and violations of the Wisconsin Uniform Securities Law; JRCCP may report - AB482

Financial exploitation of vulnerable adults with securities accounts: notice and reporting of by securities industry professionals, penalty enhancers, and violations of the Wisconsin Uniform Securities Law; JRCCP may report - SB428

``Intellectual disability” substituted for ``mental retardation”, and similar phrases, in Administrative Rules; definition provisions [Admin.Code DCF 52.59; DHS 10.13, 15 (title), 15.01, 15.02, 15.04, 61.022, 61.43, 61.70, 63.02, 73.07, 101.03, 105.09, 105.12, 107.09, 107.13, 122.02, 129.03, 129.07, 129.09, 132.13, 132.51, 132.695, 134.13, 134.31, 134.42, 134.47, 134.53, 134.60; DWD 272.09; PSC 113.012, 134.02, 134.062, 134.0624, 185.12, 185.37; SPS 326.10] - AB20

``Intellectual disability” substituted for ``mental retardation”, and similar phrases, in Administrative Rules; definition provisions [Admin.Code DCF 52.59; DHS 10.13, 15 (title), 15.01, 15.02, 15.04, 61.022, 61.43, 61.70, 63.02, 73.07, 101.03, 105.09, 105.12, 107.09, 107.13, 122.02, 129.03, 129.07, 129.09, 132.13, 132.51, 132.695, 134.13, 134.31, 134.42, 134.47, 134.53, 134.60; DWD 272.09; PSC 113.012, 134.02, 134.062, 134.0624, 185.12, 185.37; SPS 326.10] - SB19

Legislative oversight of DHS federal waiver requests related to the 2020 public health emergency [Sec. 105 (10)] - AB1038

Legislative oversight of DHS federal waiver requests related to the 2020 public health emergency [Sec. 105 (10)] - SB932

Long-term care and managed care programs receiving MA: aging and disability resource center duties, COP statutory language eliminated, regional long-term care advisory committees eliminated, appeal of eligibility determination by care management or managed care organizations [Sec. 48, 60, 193, 194, 197-200, 202, 208, 316, 441-483, 485, 651, 654, 660-666, 682, 686, 687, 689, 696-698, 706-709, 722-725, 731, 733-745, 747-749, 753, 754, 973, 980, 1110, 1354, 1387, 2078, 2109, 2110, 2112, 2133-2142] - AB56

Long-term care and managed care programs receiving MA: aging and disability resource center duties, COP statutory language eliminated, regional long-term care advisory committees eliminated, appeal of eligibility determination by care management or managed care organizations [Sec. 48, 60, 193, 194, 197-200, 202, 208, 316, 441-483, 485, 651, 654, 660-666, 682, 686, 687, 689, 696-698, 706-709, 722-725, 731, 733-745, 747-749, 753, 754, 973, 980, 1110, 1354, 1387, 2078, 2109, 2110, 2112, 2133-2142] - SB59

MA reimbursement rate increase for direct care in nursing homes and intermediate care facilities [Sec. 9119 (11); A.Sub.Amdt.1: further revisions] - AB56

MA reimbursement rate increase for direct care in nursing homes and intermediate care facilities [Sec. 9119 (11)] - SB59

``Mental health crisis intervention services" changed to ``crisis intervention services" and adds intellectual disability, substance abuse, and dementia; county contribution provision [Sec. 680, 681, 691; A.Sub.Amdt.1: further revisions] - AB56

``Mental health crisis intervention services" changed to ``crisis intervention services" and adds intellectual disability, substance abuse, and dementia; county contribution provision [Sec. 680, 681, 691] - SB59

Patient at a center for the developmentally disabled in an intensive treatment program: right to request staff of a requested sex present for certain interactions; DHS duties - AB462

Patient at a center for the developmentally disabled in an intensive treatment program: right to request staff of a requested sex present for certain interactions; DHS duties - SB418

Project SEARCH program: DWD to contract to provide employment skills to individuals with developmental disabilities [Sec. 61, 222, 488] - AB56

Project SEARCH program: DWD to contract to provide employment skills to individuals with developmental disabilities [Sec. 61, 222, 488] - SB59