AB133-ASA1-AA2,125,20 19412. Page 533, line 17: after "(1)" insert "or sex offender registration
20specialist
".
AB133-ASA1-AA2,125,21 21413. Page 533, line 23: after that line insert:
AB133-ASA1-AA2,125,22 22" Section 936c. 40.02 (48) (c) of the statutes is amended to read:
AB133-ASA1-AA2,126,1023 40.02 (48) (c) In s. 40.65, "protective occupation participant" means a
24participating employe who is a police officer, fire fighter, an individual determined

1by a participating employer under par. (a) or (bm) to be a protective occupation
2participant, county undersheriff, deputy sheriff, state probation and parole officer,
3county traffic police officer, conservation warden, state forest ranger, field
4conservation employe of the department of natural resources who is subject to call
5for forest fire control or warden duty, member of the state traffic patrol, state motor
6vehicle inspector, university of Wisconsin system full-time police officer, guard or
7any other employe whose principal duties are supervision and discipline of inmates
8at a state penal institution, excise tax investigator employed by the department of
9revenue, person employed under s. 61.66 (1), or special criminal investigation agent
10employed by the department of justice or sex offender registration specialist.
AB133-ASA1-AA2, s. 936r 11Section 936r. 40.02 (53m) of the statutes is created to read:
AB133-ASA1-AA2,126,1412 40.02 (53m) "Sex offender registration specialist" means an employe of the
13department of corrections whose primary duties require direct and ongoing contact
14with persons registered under s. 301.45 and with the public under s. 301.46.".
AB133-ASA1-AA2,126,15 15414. Page 533, line 23: after that line insert:
AB133-ASA1-AA2,126,16 16" Section 936s. 40.02 (54) (a) of the statutes is repealed.".
AB133-ASA1-AA2,126,18 17415. Page 533, line 24: delete the material beginning with that line and
18ending with page 534, line 25.
AB133-ASA1-AA2,126,19 19416. Page 535, line 6: after that line insert:
AB133-ASA1-AA2,126,20 20" Section 941m. 40.22 (2) (c) of the statutes is amended to read:
AB133-ASA1-AA2,126,2221 40.22 (2) (c) The employe is excluded from participation by s. 40.02 (54) (a) or
2240.21 (3) or (4).".
AB133-ASA1-AA2,126,24 23417. Page 535, line 7: delete the material beginning with that line and ending
24with page 536, line 3.
AB133-ASA1-AA2,127,1
1418. Page 536, line 3: after that line insert:
AB133-ASA1-AA2,127,2 2" Section 941d. 40.51 (8) of the statutes is amended to read:
AB133-ASA1-AA2,127,63 40.51 (8) Every health care coverage plan offered by the state under sub. (6)
4shall comply with ss. 631.89, 631.90, 631.93 (2), 632.72 (2), 632.746 (1) to (8) and (10),
5632.747, 632.748, 632.85, 632.853, 632.855, 632.87 (3) to (5), 632.872, 632.895 (5m)
6and (8) to (13) and 632.896.
AB133-ASA1-AA2, s. 941g 7Section 941g. 40.51 (8m) of the statutes is amended to read:
AB133-ASA1-AA2,127,108 40.51 (8m) Every health care coverage plan offered by the group insurance
9board under sub. (7) shall comply with ss. 632.746 (1) to (8) and (10), 632.747,
10632.748, 632.85, 632.853, 632.855, 632.872 and 632.895 (11) to (13).".
AB133-ASA1-AA2,127,11 11419. Page 536, line 3: after that line insert:
AB133-ASA1-AA2,127,12 12" Section 939tc. 40.41 (6) (b) of the statutes is amended to read:
AB133-ASA1-AA2,127,1713 40.41 (6) (b) Services performed by a student or a member of a board or
14commission, except members of governing bodies, in a position or office which does
15not normally require actual performance of duty for at least 600 hours in each
16calendar year. For purposes of this paragraph, a "board" or "commission" is a body
17referred to in the statutes as a board or commission.
AB133-ASA1-AA2, s. 939tr 18Section 939tr. 40.41 (6) (c) of the statutes is created to read:
AB133-ASA1-AA2,127,2119 40.41 (6) (c) Service performed in the employ of a school, college or university,
20if the service is performed by a student who is enrolled and regularly attending
21classes at the school, college or university.".
AB133-ASA1-AA2,127,22 22420. Page 536, line 3: after that line insert:
AB133-ASA1-AA2,127,23 23" Section 944j. 40.56 of the statutes is created to read:
AB133-ASA1-AA2,128,4
140.56 Prohibited insurance coverage. The state may not provide any
2insurance coverage under this subchapter to an adult who resides with an employe
3and who is not related to the employe or the employe's spouse by blood, marriage or
4adoption.".
AB133-ASA1-AA2,128,5 5421. Page 536, line 12: after that line insert:
AB133-ASA1-AA2,128,6 6" Section 944r. 40.65 (4w) of the statutes is created to read:
AB133-ASA1-AA2,128,117 40.65 (4w) A sex offender registration specialist who becomes a protective
8occupation participant on or after the effective date of this subsection .... [revisor
9inserts date], is not entitled to a duty disability benefit under this section for an
10injury or disease occurring before the effective date of this subsection .... [revisor
11inserts date].".
AB133-ASA1-AA2,128,12 12422. Page 536, line 13: before that line insert:
AB133-ASA1-AA2,128,14 13" Section 944ym. Subchapter X of chapter 40 [precedes 40.98] of the statutes
14is created to read:
AB133-ASA1-AA2,128,1515 Chapter 40
AB133-ASA1-AA2,128,1816 Subchapter X
17 Private employer health
18 Care coverage
AB133-ASA1-AA2,128,19 1940.98 Health care coverage. (1) In this subchapter:
AB133-ASA1-AA2,128,2420 (ag) "Abortion" means the use of an instrument, medicine, drug or other
21substance or device with intent to terminate the pregnancy of a woman known to be
22pregnant or for whom there is reason to believe that she may be pregnant and with
23intent other than to increase the probability of a live birth, to preserve the life or
24health of the infant after live birth or to remove a dead fetus.
AB133-ASA1-AA2,129,1
1(ar) "Board" means the private employer health care coverage board.
AB133-ASA1-AA2,129,52 (b) "Dependent" means a spouse, an unmarried child under the age of 19 years,
3an unmarried child who is a full-time student under the age of 21 years and who is
4financially dependent upon the parent, or an unmarried child of any age who is
5medically certified as disabled and who is dependent upon the parent.
AB133-ASA1-AA2,129,136 (c) "Employe" means any person who receives earnings as payment for personal
7services rendered for the benefit of any employer including officers of the employer.
8An employe is considered to have separated from the service of an employer at the
9end of the day on which the employe last performed services for the employer, or, if
10later, the day on which the employe-employer relationship is terminated because of
11the expiration or termination of leave without pay, sick leave, vacation or other leave
12of absence. A person shall not be considered an employe if any of the following
13applies:
AB133-ASA1-AA2,129,1514 1. The person is employed under a contract involving the furnishing of more
15than personal services.
AB133-ASA1-AA2,129,1916 2. The person is customarily engaged in an independently established trade,
17business or profession providing the same type of services to more than one employer
18and the person's services to an employer are not compensated for on a payroll of that
19employer.
AB133-ASA1-AA2,129,2120 3. The person is a patient or inmate of a hospital, home or institution and
21performs services in the hospital, home or institution.
AB133-ASA1-AA2,129,2422 (d) "Employer" means any person doing business or operating an organization
23in this state and employing at least 2 employes. "Employer" does not include an
24employer as defined in s. 40.02 (28).
AB133-ASA1-AA2,130,2
1(e) "Health care coverage program" means the health care coverage program
2established under sub. (2) (a).
AB133-ASA1-AA2,130,33 (f) "Insurer" has the meaning given in s. 600.03 (27).
AB133-ASA1-AA2,130,54 (g) "Nontherapeutic abortion" means an abortion that is not directly and
5medically necessary to prevent the death of the woman.
AB133-ASA1-AA2,130,13 6(2) (a) 1. The department shall design an actuarially sound health care
7coverage program for employers that includes more than one group health care
8coverage plan and that provides coverage beginning not later than June 30, 2002.
9The health care coverage program shall be known as the "Private Employer Health
10Care Purchasing Alliance". In designing the health care coverage program, the
11department shall consult with the office of the commissioner of insurance. The
12health care coverage program may not be implemented until it is approved by the
13board.
AB133-ASA1-AA2,131,214 2. The department shall solicit and accept bids and make every reasonable
15effort to enter into a contract for the administration of the health care coverage plans
16under the program, based on criteria established by the board. If the department has
17not entered into a contract for the administration of the health care coverage plans
18under the program for coverage to begin before June 30, 2002, the department shall
19submit a report to the cochairpersons of the joint committee on finance specifying the
20department's reasons for not entering into a contract. After submitting the report
21to the cochairpersons of the joint committee on finance and after receiving the
22approval of the board, the department shall provide all administrative services
23necessary for the provision of the health care coverage plans under the program.
24During the period that the department is providing the administrative services, the

1department shall continue to make every reasonable effort to contract for the
2administration of the health care coverage plans under the program.
AB133-ASA1-AA2,131,63 3. The administrator selected under subd. 2., or the department if no
4administrator has been selected under subd. 2., shall enter into contracts with
5insurers who are to provide health care coverage under the health care coverage
6program.
AB133-ASA1-AA2,131,87 4. The department shall solicit and accept bids and shall enter into a contract
8for marketing the health care coverage program.
AB133-ASA1-AA2,131,109 5. The department shall maintain a toll-free telephone number to provide
10information on the health care coverage program.
AB133-ASA1-AA2,131,1411 (b) 1. Except as provided in subd. 2., every health care coverage plan under the
12health care coverage program is subject to the provisions of chs. 600 to 646 that apply
13to group health benefit plans, as defined in s. 632.745 (9), to the same extent as any
14other group health benefit plan, as defined in s. 632.745 (9).
AB133-ASA1-AA2,131,1815 2. Notwithstanding ss. 632.85, 632.87 (2), (3), (4) and (5), 632.89 and 632.895
16(2), (3), (4), (5), (5m), (6), (7), (8), (9), (10), (11), (12) and (13), and subject to subd. 3.,
17the department may include in the health care coverage program one or more health
18care coverage plans that do not include one or more of the following coverages:
AB133-ASA1-AA2,131,2019 a. Coverage related to treatment of an emergency medical condition, as
20required under s. 632.85.
AB133-ASA1-AA2,131,2221 b. Coverage of vision care provided by an optometrist, as required under s.
22632.87 (2).
AB133-ASA1-AA2,131,2323 c. Coverage of chiropractic services, as required under s. 632.87 (3).
AB133-ASA1-AA2,131,2524 d. Coverage of the diagnosis and treatment of a condition by a dentist, as
25required under s. 632.87 (4).
AB133-ASA1-AA2,132,2
1e. Coverage of Papanicolaou tests performed by a nurse practitioner, as
2required under s. 632.87 (5).
AB133-ASA1-AA2,132,43 f. Coverage of the treatment of alcoholism and nervous and mental disorders,
4as required under s. 632.89.
AB133-ASA1-AA2,132,55 g. Coverage of home care, as required under s. 632.895 (2).
AB133-ASA1-AA2,132,66 h. Coverage of skilled nursing care, as required under s. 632.895 (3).
AB133-ASA1-AA2,132,77 i. Coverage of kidney disease treatment, as required under s. 632.895 (4).
AB133-ASA1-AA2,132,88 j. Coverage for a newly born child, as required under s. 632.895 (5).
AB133-ASA1-AA2,132,99 k. Coverage for a child of a covered child, as required under s. 632.895 (5m).
AB133-ASA1-AA2,132,1010 L. Coverage of diabetes treatment, as required under s. 632.895 (6).
AB133-ASA1-AA2,132,1111 m. Maternity coverage, as required under s. 632.895 (7).
AB133-ASA1-AA2,132,1212 n. Coverage of mammograms, as required under s. 632.895 (8).
AB133-ASA1-AA2,132,1413 o. Coverage of prescription medication for the treatment of human
14immunodeficiency virus infection, as required under s. 632.895 (9).
AB133-ASA1-AA2,132,1515 p. Coverage of blood lead tests for children, as required under s. 632.895 (10).
AB133-ASA1-AA2,132,1716 q. Coverage of treatment for the correction of temporomandibular disorders,
17as required under s. 632.895 (11).
AB133-ASA1-AA2,132,1918 r. Coverage related to hospital or ambulatory surgery center charges and
19anesthetics associated with dental care, as required under s. 632.895 (12).
AB133-ASA1-AA2,132,2120 s. Coverage of breast reconstruction incident to a mastectomy, as required
21under s. 632.895 (13).
AB133-ASA1-AA2,132,2322 3. The department shall ensure that at least one health care coverage plan
23includes all of the coverages specified in subd. 2.
AB133-ASA1-AA2,133,1124 (bm) No health care coverage plan under the health care coverage program may
25provide coverage of a nontherapeutic abortion except by an optional rider or

1supplemental coverage provision that is offered and provided on an individual basis
2and for which an additional, separate premium or charge is paid by the individual
3to be covered under the rider or supplemental coverage provision. Only funds
4attributable to premiums or charges paid for coverage under the rider or
5supplemental coverage provision may be used for the payment of any claim, and
6related administrative expenses, that relates to a nontherapeutic abortion. Such
7funds may not be used for the payment of any claim or administrative expenses that
8relate to any other type of coverage provided by the insurer under the health care
9coverage plan. Nothing in this paragraph requires an insurer or an employer to offer
10or provide coverage of an abortion under a health care coverage plan under the health
11care coverage program.
AB133-ASA1-AA2,133,1412 (c) The health care coverage program established under par. (a), or any health
13care coverage plan included in the program, may not be combined with any health
14care coverage plan under subch. IV.
AB133-ASA1-AA2,133,1815 (d) All insurance rates for health care coverage under the program shall be
16published annually in a single publication that is made available to employers and
17employes. The rates may be listed by county or by any other regional factor that the
18board considers appropriate.
AB133-ASA1-AA2,133,2019 (e) All plans under the health care coverage program shall have an enrollment
20period that is established by the board.
AB133-ASA1-AA2,134,321 (f) 1. If the department has selected an administrator under par. (a) 2., the
22administrator shall charge employers who participate in the health care coverage
23program a fee to cover the cost of administrative services for the health care coverage
24program. The administrator shall reimburse the department for the expenses
25incurred by the department in designing, marketing and contracting for

1administrative services for the program. All moneys received by the department
2under this subdivision shall be credited to the appropriation account under s. 20.515
3(2) (g).
AB133-ASA1-AA2,134,94 2. If the department has not selected an administrator under par. (a) 2., the
5department shall charge employers who participate in the health care coverage
6program a fee to cover the costs incurred by the department in designing, marketing
7and providing administrative services for the health care coverage program. All
8moneys received by the department under this subdivision shall be credited to the
9appropriation account under s. 20.515 (2) (g).
AB133-ASA1-AA2,134,1310 (g) The department may not sell any health care coverage under the health care
11coverage program to an employer or enroll any employe in the health care coverage
12program, but the department shall make information about the program available
13to employers on a statewide basis.
AB133-ASA1-AA2,134,15 14(3) Any employer who participates in the health care coverage program shall
15do all of the following:
AB133-ASA1-AA2,134,1816 (a) Offer health care coverage under one or more plans to all of its permanent
17employes who have a normal work week of 30 or more hours and may offer health
18care coverage under one or more plans to any of its other employes.
AB133-ASA1-AA2,134,2319 (b) Provide health care coverage under one or more plans to at least 50% of its
20permanent employes who have a normal work week of 30 or more hours and who do
21not otherwise receive health care coverage as a dependent under any other plan that
22is not offered by the employer or a percentage of such employes specified by the board,
23whichever percentage is greater.
AB133-ASA1-AA2,135,3
1(c) Pay for each employe at least 50% but not more than 100% of the lowest
2premium rate that would be available to the employer for that employe's coverage
3under the health care coverage program.
AB133-ASA1-AA2,135,54 (d) Make premium payments for the health care coverage of its employes in the
5manner specified by the board.
AB133-ASA1-AA2,135,9 6(4) Any employer that provides health care coverage for its employes under the
7program and that voluntarily terminates coverage under the program is not eligible
8to participate in the program for at least 3 years from the date that coverage is
9terminated.
AB133-ASA1-AA2,135,15 10(5) Any insurer that offers a health care coverage plan under the health care
11coverage program shall provide coverage under the plan to any employer that applies
12for coverage, and to all of the employer's employes who elect coverage under the
13health care coverage plan, without regard to the health condition or claims
14experience of any individual who would be covered under the health care coverage
15plan if all of the following apply:
AB133-ASA1-AA2,135,1716 (a) The employer agrees to pay the premium required for coverage under the
17health care coverage plan.
AB133-ASA1-AA2,135,2018 (b) The employer agrees to comply with all provisions of the health care
19coverage plan that apply generally to a policyholder or an insured without regard to
20health condition or claims experience.
AB133-ASA1-AA2,135,22 21(6) (a) Health care coverage under the health care coverage program may only
22be sold by insurance agents licensed under ch. 628.
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