AB768-ASA1,457,223
632.68
(4) (c) Except as provided in sub. (5), a license issued under this
24subsection shall be renewed annually on the anniversary date upon payment of the
25fee specified in s. 601.31 (1) (ms) and upon providing the licensee's social security
1number or federal employer identification number, as applicable, if not previously
2provided on the application for the license or at a previous renewal of the license.
AB768-ASA1, s. 591m
3Section 591m. 632.68 (5) (b) of the statutes, as created by 1997 Wisconsin Act
4.... (Senate Bill 494), is renumbered 632.68 (5) (b) 1.
AB768-ASA1,457,86
632.68
(5) (b) 2. The commissioner shall revoke or refuse to renew a viatical
7settlement broker license if the department of revenue certifies under s. 73.0301 that
8the licensee is liable for delinquent taxes.
AB768-ASA1,457,1511
632.7495
(1) (a) Except as provided in subs. (2)
and (3) to (4) and
12notwithstanding s. 631.36 (2) to (4m), an insurer that provides individual health
13benefit plan coverage shall renew such coverage or continue such coverage in force
14at the option of the insured individual and, if applicable, the association through
15which the individual has coverage.
AB768-ASA1,457,1917
632.7495
(4) Notwithstanding subs. (1) and (2) and s. 631.36 (4), an insurer is
18not required to renew individual health benefit plan coverage that is marketed and
19designed to provide short-term coverage as a bridge between coverages.
AB768-ASA1,458,2
21632.853 Coverage of drugs and devices. A health care plan, as defined in
22s. 628.36 (2) (a) 1., or a self-insured health plan, as defined in s. 632.85 (1) (c), that
23provides coverage of only certain specified prescription drugs or devices shall develop
24a process through which a physician may present medical evidence to obtain an
25individual patient exception for coverage of a prescription drug or device not
1routinely covered by the plan. The process shall include timelines for both urgent
2and nonurgent review.
AB768-ASA1,458,5
4632.855 Requirements if experimental treatment limited. (1) 5Definitions. In this section:
AB768-ASA1,458,66
(a) "Health care plan" has the meaning given in s. 628.36 (2) (a) 1.
AB768-ASA1,458,77
(b) "Self-insured health plan" has the meaning given in s. 632.85 (1) (c).
AB768-ASA1,458,11
8(2) Disclosure of limitations. A health care plan or a self-insured health plan
9that limits coverage of experimental treatment shall define the limitation and
10disclose the limits in any agreement, policy or certificate of coverage. This disclosure
11shall include the following information:
AB768-ASA1,458,1212
(a) Who is authorized to make a determination on the limitation.
AB768-ASA1,458,1413
(b) The criteria the plan uses to determine whether a treatment, procedure,
14drug or device is experimental.
AB768-ASA1,458,22
15(3) Denial of treatment. A health care plan or a self-insured health plan that
16receives a request for prior authorization of an experimental procedure that includes
17all of the required information upon which to make a decision shall, within 5 working
18days after receiving the request, issue a coverage decision. If the health care plan
19or self-insured health plan denies coverage of an experimental treatment,
20procedure, drug or device for an insured who has a terminal condition or illness, the
21health care plan or self-insured health plan shall, as part of its coverage decision,
22provide the insured with a denial letter that includes all of the following:
AB768-ASA1,458,2423
(a) A statement setting forth the specific medical and scientific reasons for
24denying coverage.
AB768-ASA1,459,2
1(b) Notice of the insured's right to appeal and a description of the appeal
2procedure.
AB768-ASA1,459,105
632.895
(11) (a) (intro.)
Every Except as provided in par. (e), every disability
6insurance policy, and every self-insured health plan of the state or a county, city,
7village, town or school district, that provides coverage of any diagnostic or surgical
8procedure involving a bone, joint, muscle or tissue shall provide coverage for
9diagnostic procedures and medically necessary surgical or nonsurgical treatment for
10the correction of temporomandibular disorders if all of the following apply:
AB768-ASA1,459,1614
632.895
(11) (c) 2. Notwithstanding subd. 1., the coverage required under this
15subsection for diagnostic procedures and medically necessary nonsurgical treatment
16for the correction of temporomandibular disorders may not exceed $1,250 annually.
AB768-ASA1,459,2218
632.895
(11) (d) Notwithstanding par. (c) 1., an insurer or a self-insured health
19plan of the state or a county, city, village, town or school district may require that an
20insured obtain prior authorization for any diagnostic procedures or medically
21necessary surgical or nonsurgical treatment for the correction of
22temporomandibular disorders.
AB768-ASA1,459,2424
632.895
(11) (e) This subsection does not apply to any of the following:
AB768-ASA1,459,2525
1. A disability insurance policy that covers only dental care.
AB768-ASA1,460,1
12. A medicare supplement policy, as defined in s. 600.03 (28r).
AB768-ASA1,460,94
632.895
(12) (b) (intro.)
Every Except as provided in par. (d), every disability
5insurance policy, and every self-insured health plan of the state or a county, city,
6village, town or school district, shall cover hospital or ambulatory surgery center
7charges incurred, and anesthetics provided, in conjunction with dental care that is
8provided to a covered individual in a hospital or ambulatory surgery center, if any
9of the following applies:
AB768-ASA1,460,1211
632.895
(12) (d) This subsection does not apply to a disability insurance policy
12that covers only dental care.
AB768-ASA1, s. 595
13Section
595. 632.897 (4) (d) (intro.) of the statutes is amended to read:
AB768-ASA1,460,2114
632.897
(4) (d) (intro.) This subsection does not require individual coverage to
15be offered by an insurer offering group policies only. This subsection does not require
16an insurer to issue
, or continue in force, an individual conversion policy covering a
17terminated insured or his or her spouse or dependent if benefits provided or available
18to the covered person under subds. 1. to 3., together with the converted policy's
19benefits, would result in overinsurance according to the insurer's standards for
20overinsurance, and these standards have been filed with and approved by the
21commissioner prior to use:
AB768-ASA1,460,2323
633.14
(2) (d) Provides its federal employer identification number.
AB768-ASA1, s. 597m
24Section 597m. 633.14 (2c) of the statutes, as created by 1997 Wisconsin Act
25.... (Senate Bill 494), is renumbered 633.14 (2c) (a).
AB768-ASA1,461,42
633.14
(2c) (b) The commissioner may disclose any information received under
3sub. (1) (d) or (2) (d) or s. 633.15 (1m) to the department of revenue for the purpose
4of requesting certifications under s. 73.0301.
AB768-ASA1, s. 598m
5Section 598m. 633.14 (2m) of the statutes, as created by 1997 Wisconsin Act
6.... (Senate Bill 494), is renumbered 633.14 (2m) (a).
AB768-ASA1,461,108
633.14
(2m) (b)
Notwithstanding subs. (1) and (2), the commissioner may not
9issue a license under this section if the department of revenue certifies under s.
1073.0301 that the applicant is liable for delinquent taxes.
AB768-ASA1, s. 600
11Section
600. 633.15 (1m) of the statutes, as created by 1997 Wisconsin Act ....
12(Senate Bill 494), is repealed and recreated to read:
AB768-ASA1,461,1813
633.15
(1m) Social security or federal employer identification number. At
14an annual renewal, an administrator shall provide his or her social security number,
15if the administrator is an individual, or its federal employer identification number,
16if the administrator is a corporation, limited liability company or partnership, if the
17social security number or federal employer identification number was not previously
18provided on the application for the license or at a previous renewal of the license.
AB768-ASA1, s. 600c
19Section 600c. 633.15 (2) (a) (title) of the statutes, as affected by 1997
20Wisconsin Act .... (Senate Bill 494), is amended to read:
AB768-ASA1,461,2221
633.15
(2) (a) (title)
Nonpayment of annual renewal fee or failure to provide
22social security number or federal employer identification number.
AB768-ASA1, s. 600d
23Section 600d. 633.15 (2) (a) 1. of the statutes, as affected by 1997 Wisconsin
24Act .... (Senate Bill 494), is amended to read:
AB768-ASA1,462,6
1633.15
(2) (a) 1. If an administrator fails to pay the annual renewal fee as
2provided under sub. (1) or fails to provide a social security number
or federal
3employer identification number as required under sub. (1m), the commissioner shall
4suspend the administrator's license effective the day following the last day when the
5annual renewal fee may be paid, if the commissioner has given the administrator
6reasonable notice of when the fee must be paid to avoid suspension.
AB768-ASA1, s. 600e
7Section 600e. 633.15 (2) (a) 2. of the statutes, as affected by 1997 Wisconsin
8Act .... (Senate Bill 494), is amended to read:
AB768-ASA1,462,139
633.15
(2) (a) 2. If, within 60 days from the effective date of suspension under
10subd. 1., an administrator pays the annual renewal fee or provides the social security
11number
or federal employer identification number, or both if the suspension was
12based upon a failure to do both, the commissioner shall reinstate the administrator's
13license effective as of the date of suspension.
AB768-ASA1, s. 600f
14Section 600f. 633.15 (2) (a) 3. of the statutes, as affected by 1997 Wisconsin
15Act .... (Senate Bill 494), is amended to read:
AB768-ASA1,462,1916
633.15
(2) (a) 3. If payment is not made or the social security number
or federal
17employer identification number is not provided within 60 days from the effective date
18of suspension under subd. 1., the commissioner shall revoke the administrator's
19license.
AB768-ASA1, s. 601
20Section
601. 633.15 (2) (b) 1. (intro.) of the statutes, as affected by 1997
21Wisconsin Act .... (Senate Bill 494), is amended to read:
AB768-ASA1,462,2422
633.15
(2) (b) 1. (intro.) Except as provided in
par. pars. (c)
and (d), the
23commissioner may revoke, suspend or limit the license of an administrator after a
24hearing if the commissioner makes any of the following findings:
AB768-ASA1,463,3
1633.15
(2) (d)
For liability for delinquent taxes. The commissioner shall revoke
2or refuse to renew a license issued under s. 633.14 if the department of revenue
3certifies under s. 73.0301 that the licensee is liable for delinquent taxes.
AB768-ASA1,463,95
645.69
(1) A claim against a health maintenance organization insurer or an
6insurer described in s. 609.91 (1m) for health care costs, as defined in s. 609.01 (1j),
7for which an
enrolled participant enrollee, as defined in s. 609.01 (1d), policyholder
8or insured of the health maintenance organization insurer or other insurer is not
9liable under ss. 609.91 to 609.935.
AB768-ASA1,463,1311
645.69
(2) A claim for health care costs, as defined in s. 609.01 (1j), for which
12an
enrolled participant enrollee, as defined in s. 609.01 (1d), or policyholder of a
13health maintenance organization is not liable for any reason.
AB768-ASA1,463,1715
646.31
(1) (d) 8. Made for health care costs, as defined in s. 609.01 (1j), for which
16an
enrolled participant enrollee, as defined in s. 609.01 (1d), or policyholder of a
17health maintenance organization insurer is not liable under ss. 609.91 to 609.935.
AB768-ASA1,463,2119
646.31
(1) (d) 9. Made for health care costs, as defined in s. 609.01 (1j), for which
20an
enrolled participant enrollee, as defined in s. 609.01 (1d), or policyholder of a
21health maintenance organization is not liable for any reason.
AB768-ASA1,464,323
701.06
(5) Claims for public support. (intro.) Notwithstanding any provision
24in the creating instrument or subs. (1) and (2), if the settlor is legally obligated to pay
25for the public support of a beneficiary under s. 46.10
or 301.12 or the beneficiary is
1legally obligated to pay for the beneficiary's public support or that furnished the
2beneficiary's spouse or minor child under s. 46.10
or 301.12, upon application by the
3appropriate state department or county official, the court may:
AB768-ASA1,464,7
5751.15 Rules regarding the practice of law. (1) The supreme court is
6requested to enter into a memorandum of understanding with the department of
7revenue under s. 73.0301.
AB768-ASA1,464,12
8(2) The supreme court is requested to promulgate rules that require each
9person, as a condition of membership in the state bar, to provide the board of bar
10examiners with his or her social security number and that prohibit the disclosure of
11that number to any person except the department of revenue for the sole purpose of
12making certifications under s. 73.0301.
AB768-ASA1,464,17
13(3) The supreme court is requested to promulgate rules that deny an
14application for a license to practice law or revoke a license to practice law already
15issued if the applicant or licensee fails to provide the information required under
16rules promulgated under sub. (2) or if the department of revenue certifies that the
17applicant or licensee is liable for delinquent taxes under s. 73.0301.
AB768-ASA1,465,1119
753.075
(3) (a) Temporary reserve judges shall receive a per diem of
$205 20$255.66. Commencing August 1,
1993, temporary reserve judges shall receive a per
21diem of $225. Commencing August 2, 1994, and every August 2 thereafter 1998, the
22per diem for temporary reserve judges shall be increased by the same percentage
23increase
as the total percentage increase in authorized for circuit court judges'
24salaries
authorized during the preceding 12-month period ending on August 1.
25While serving outside the county in which they reside temporary reserve judges shall
1also receive actual and necessary expenses incurred in the discharge of judicial
2duties. This per diem compensation is not subject to s. 40.26 but the combined
3amount of this compensation and any other judicial compensation together with
4retirement annuities under the Wisconsin retirement system, the Milwaukee county
5retirement fund and other state, county, municipal, or other Wisconsin
6governmental retirement funds received by him or her during any one calendar year
7shall not exceed the yearly compensation of a circuit judge. The per diem
8compensation and actual and necessary expenses shall be paid from the
9appropriation under s. 20.625 (1) (a) when the judge is assigned to a circuit court and
10from the appropriation under s. 20.660 (1) (a) when the judge is assigned to the court
11of appeals.
AB768-ASA1,465,2214
758.19
(6) (b) From the appropriation under s. 20.625 (1) (e), the director of
15state courts, beginning on July 1, 1995, shall annually on July 1 pay
to each county 16the county's share, as determined under par. (c), of the total appropriation under s.
1720.625 (1) (e)
. The payment is designed to defray a county's guardian ad litem costs
18but, except as provided in par. (d), the director of state courts may not require a
19county to account for the county's guardian ad litem costs or the manner in which or
20the purposes for which the county expends the payment. The payment shall be made 21only to those counties that submit the information required under par. (d) by the
22preceding May 15.
AB768-ASA1, s. 605g
23Section 605g. 758.19 (6) (d) (intro.) of the statutes is amended to read:
AB768-ASA1,466,3
1758.19
(6) (d) (intro.) Annually, no later than
July 1 May 15, each county shall
2submit to the director of state courts, in a format that the director of state courts
3establishes, all of the following:
AB768-ASA1,466,85
758.19
(6) (e) 1. No county may receive a payment under subd. 2. or par. (b) that
6results in the county receiving more than the total cost of guardian ad litem
7compensation that the county incurred and reported to the director of state courts
8under par. (d) 1.
AB768-ASA1,466,199
2. After calculating the payment amount for each county under par. (c) 2., the
10director of state courts shall distribute any money remaining, after deducting the
11amount to be paid under par. (b), to those counties that reported as required under
12par. (d) and whose payment amount under par. (b) is less than the total cost of
13guardian ad litem compensation that the county incurred and reported to the
14director of state courts under par. (d) 1. The additional amount distributed to a
15county under this subdivision shall be determined by using the procedures under
16par. (c) 2., except that the sum to be used in the multiplication shall be the money
17remaining after deducting the amount to be paid under par. (b). The money to be
18distributed under this subdivision shall be added to the amount to be paid under par.
19(b) and made as a single payment to each county on July 1.
AB768-ASA1, s. 606
20Section
606. 767.32 (1) (b) 4. of the statutes, as affected by 1997 Wisconsin Act
21.... (Senate Bill 494), is amended to read:
AB768-ASA1,467,322
767.32
(1) (b) 4. A difference between the amount of child support ordered by
23the court to be paid by the payer and the amount that the payer would have been
24required to pay based on the percentage standard established by the department
25under s. 49.22 (9) if the court did not use the percentage standard in determining the
1child support payments and did not provide the information required under s. 46.10
2(14) (d),
301.12 (14) (d), 767.25 (1n) , 767.51 (5d) or 767.62 (4) (f), whichever is
3appropriate.
AB768-ASA1,467,85
767.32
(2r) If the court revises a judgment or order providing for child support
6that was entered under s. 48.355 (2) (b) 4., 48.357 (5m), 48.363 (2), 938.183
(2),
7938.355 (2) (b) 4., 938.357 (5m) or 938.363 (2), the court shall determine child support
8in the manner provided in s. 46.10 (14)
or 301.12 (14), whichever is applicable.
AB768-ASA1, s. 608
9Section
608. 767.32 (2s) of the statutes, as affected by 1997 Wisconsin Act ....
10(Senate Bill 494), is amended to read:
AB768-ASA1,467,1511
767.32
(2s) In an action under sub. (1), the court may not approve a stipulation
12for the revision of a judgment or order with respect to an amount of child support or
13family support unless the stipulation provides for payment of an amount of child
14support or family support that is determined in the manner required under s. 46.10
15(14),
301.12 (14), 767.25 , 767.51 or 767.62 (4), whichever is appropriate.