Amendment CA1-ASA1-AB133

AB133-ASA1-CA1, s. 3036f Section 3036f. 609.10 (1) (b) of the statutes is amended to read:

AB133-ASA1-CA1,685,19 609.10 (1) (b) At least once annually, the employer shall provide the employes the opportunity to enroll in the health care plans under par. (a) (am).

AB133-ASA1-CA1, s. 3036g Section 3036g. 609.10 (1) (c) of the statutes is amended to read:

AB133-ASA1-CA1,685,25 609.10 (1) (c) The employer shall provide the employes adequate notice of the opportunity to enroll in the health care plans under par. (a) (am) and shall provide the employes complete and understandable information concerning the differences between among the health maintenance organization or preferred provider plan and, the standard plan and the point-of-service option plan.

AB133-ASA1-CA1, s. 3036h Section 3036h. 609.10 (2) of the statutes is amended to read:

AB133-ASA1-CA1,686,5 609.10 (2) If, after providing an opportunity to enroll under sub. (1) (b) and the notice and information under sub. (1) (c), fewer than 25 employes indicate that they wish to enroll in either the standard plan or the point-of-service option plan under sub. (1) (a) (am), the employer need not offer the standard that plan on that occasion.

AB133-ASA1-CA1, s. 3036i Section 3036i. 609.10 (3) of the statutes is renumbered 609.10 (3) (intro.) and amended to read:

AB133-ASA1-CA1,686,9 609.10 (3) (intro.) Subsection (1) does not apply to an employer that employs does any of the following:

AB133-ASA1-CA1,686,10 (a) Employs fewer than 25 full-time employes.

AB133-ASA1-CA1, s. 3036j Section 3036j. 609.10 (3) (b) of the statutes is created to read:

AB133-ASA1-CA1,686,15 609.10 (3) (b) Offers its employes a health maintenance organization or a preferred provider plan only through an insurer that is a cooperative association organized under ss. 185.981 to 185.985 or only through an insurer that is restricted under s. 609.03 (3).

AB133-ASA1-CA1, s. 3036k Section 3036k. 609.10 (6) of the statutes is created to read:

AB133-ASA1-CA1,686,19 609.10 (6) The commissioner shall promulgate rules necessary for the administration of the requirement to offer point-of-service option plans under sub. (1) (am).

AB133-ASA1-CA1, s. 3036n Section 3036n. 609.20 (3) of the statutes is amended to read:

AB133-ASA1-CA1,686,22 609.20 (3) To define substantially equivalent coverage of health care expenses for purposes of s. 609.10 (1) (a) (am).

AB133-ASA1-CA1, s. 3036p Section 3036p. 609.20 (4) of the statutes is amended to read:

AB133-ASA1-CA1,687,7 609.20 (4) To ensure that employes offered a health maintenance organization or a preferred provider plan that provides comprehensive services under s. 609.10 (1) (a) (am) are given adequate notice of the opportunity to enroll, as well as complete and understandable information under s. 609.10 (1) (c) concerning the differences between among the health maintenance organization or preferred provider plan and, the standard plan and the point-of-service option plan, as defined in s. 609.10 (1) (ac), including differences between among providers available and differences resulting from special limitations or requirements imposed by an institutional provider because of its affiliation with a religious organization.".

AB133-ASA1-CA1,687,8 1485. Page 1404, line 15: after that line insert:

AB133-ASA1-CA1,687,9 " Section 3035c. 609.05 (2) of the statutes is amended to read:

AB133-ASA1-CA1,687,13 609.05 (2) Subject to s. 609.22 (4) and (4m), a limited service health organization, preferred provider plan or managed care plan may require an enrollee to designate a primary provider and to obtain health care services from the primary provider when reasonably possible.

AB133-ASA1-CA1, s. 3035f Section 3035f. 609.05 (3) of the statutes is amended to read:

AB133-ASA1-CA1,687,19 609.05 (3) Except as provided in ss. 609.22 (4m), 609.65 and 609.655, a limited service health organization, preferred provider plan or managed care plan may require an enrollee to obtain a referral from the primary provider designated under sub. (2) to another participating provider prior to obtaining health care services from that participating provider.

AB133-ASA1-CA1, s. 3036r Section 3036r. 609.22 (4m) of the statutes is created to read:

AB133-ASA1-CA1,688,5 609.22 (4m) Obstetric and gynecologic services. (a) A managed care plan that provides coverage of obstetric or gynecologic services may not require a female enrollee of the managed care plan to obtain a referral for covered obstetric or gynecologic benefits provided by a participating provider who is a physician licensed under ch. 448 and who specializes in obstetrics and gynecology, regardless of whether the participating provider is the enrollee's primary provider. Notwithstanding sub. (4), the managed care plan may not require the enrollee to obtain a standing referral under the procedure established under sub. (4) (a) for covered obstetric or gynecologic benefits.

AB133-ASA1-CA1,688,6 (b) A managed care plan under par. (a) may not do any of the following:

AB133-ASA1-CA1,688,8 1. Penalize or restrict the coverage of a female enrollee on account of her having obtained obstetric or gynecologic services in the manner provided under par. (a).

AB133-ASA1-CA1,688,11 2. Penalize or restrict the contract of a participating provider on account of his or her having provided obstetric or gynecologic services in the manner provided under par. (a).

AB133-ASA1-CA1,688,14 (c) A managed care plan under par. (a) shall provide written notice of the requirement under par. (a) in every policy or group certificate issued by the managed care plan and during each open enrollment period.".

AB133-ASA1-CA1,688,15 1486. Page 1405, line 22: after that line insert:

AB133-ASA1-CA1,688,16 " Section 3043c. 632.68 (2) (b) (intro.) of the statutes is amended to read:

AB133-ASA1-CA1,689,2 632.68 (2) (b) (intro.) A person may apply to the commissioner for a viatical settlement provider license on a form prescribed by the commissioner for that purpose. The application form shall require the applicant to provide the applicant's social security number, if the applicant is a natural person unless the applicant does not have a social security number, or the applicant's federal employer identification number, if the applicant is not a natural person. The fee specified in s. 601.31 (1) (mm) shall accompany the application. After any investigation of the applicant that the commissioner determines is sufficient, the commissioner shall issue a viatical settlement provider license to an applicant that satisfies all of the following:

AB133-ASA1-CA1, s. 3043d Section 3043d. 632.68 (2) (b) 2. of the statutes is amended to read:

AB133-ASA1-CA1,689,6 632.68 (2) (b) 2. Provides complete information on the application, including the applicant's social security number, unless the applicant does not have a social security number, or federal employer identification number.

AB133-ASA1-CA1, s. 3043e Section 3043e. 632.68 (2) (b) 3m. of the statutes is created to read:

AB133-ASA1-CA1,689,11 632.68 (2) (b) 3m. If a natural person who does not have a social security number, provides on a form prescribed by the department of workforce development a statement made or subscribed under oath or affirmation that the applicant does not have a social security number.

AB133-ASA1-CA1, s. 3043f Section 3043f. 632.68 (2) (e) of the statutes is amended to read:

AB133-ASA1-CA1,689,23 632.68 (2) (e) Except as provided in sub. (3), a license issued under this subsection shall be renewed annually on the anniversary date upon payment of the fee specified in s. 601.31 (1) (mp) and upon providing the licensee's social security number, unless the licensee does not have a social security number, or federal employer identification number, as applicable, if not previously provided on the application for the license or at a previous renewal of the license. If the licensee is a natural person who does not have a social security number, the license shall be renewed annually on the anniversary date upon payment of the fee specified in s. 601.31 (1) (mp) and upon providing to the commissioner a statement made or subscribed under oath or affirmation, on a form prescribed by the department of workforce development, that the licensee does not have a social security number.

AB133-ASA1-CA1, s. 3043g Section 3043g. 632.68 (3) (b) 3. of the statutes is created to read:

AB133-ASA1-CA1,690,3 632.68 (3) (b) 3. The commissioner shall revoke a viatical settlement provider license if the commissioner determines, after a hearing, that the licensee provided false information in a statement provided under sub. (2) (b) 3m. or (e).

AB133-ASA1-CA1, s. 3043h Section 3043h. 632.68 (4) (b) of the statutes is amended to read:

AB133-ASA1-CA1,690,18 632.68 (4) (b) A person may apply to the commissioner for a viatical settlement broker license on a form prescribed by the commissioner for that purpose. The application form shall require the applicant to provide the applicant's social security number, if the applicant is a natural person unless the applicant does not have a social security number, or the applicant's federal employer identification number, if the applicant is not a natural person. The fee specified in s. 601.31 (1) (mr) shall accompany the application. The commissioner may not issue a license under this subsection unless the applicant provides his or her social security number, unless the applicant does not have a social security number, or its federal employer identification number, whichever is applicable. If the applicant is a natural person who does not have a social security number, the commissioner may not issue a license under this subsection unless the applicant provides, on a form prescribed by the department of workforce development, a statement made or subscribed under oath or affirmation that the applicant does not have a social security number.

AB133-ASA1-CA1, s. 3043i Section 3043i. 632.68 (4) (c) of the statutes is amended to read:

AB133-ASA1-CA1,691,6 632.68 (4) (c) Except as provided in sub. (5), a license issued under this subsection shall be renewed annually on the anniversary date upon payment of the fee specified in s. 601.31 (1) (ms) and upon providing the licensee's social security number, unless the licensee does not have a social security number, or federal employer identification number, as applicable, if not previously provided on the application for the license or at a previous renewal of the license. If the licensee is a natural person who does not have a social security number, the license shall be renewed annually, except as provided in sub. (5), on the anniversary date upon payment of the fee specified in s. 601.31 (1) (ms) and upon providing to the commissioner a statement made or subscribed under oath or affirmation, on a form prescribed by the department of workforce development, that the licensee does not have a social security number.

AB133-ASA1-CA1, s. 3043j Section 3043j. 632.68 (5) (b) 3. of the statutes is created to read:

AB133-ASA1-CA1,691,10 632.68 (5) (b) 3. The commissioner shall revoke a viatical settlement broker license if the commissioner determines, after a hearing, that the licensee provided false information in a statement submitted under sub. (4) (b) or (c).".

AB133-ASA1-CA1,691,11 1487. Page 1405, line 24: after that line insert:

AB133-ASA1-CA1,691,12 " Section 3044b. 632.89 (2) (a) 2. of the statutes is amended to read:

AB133-ASA1-CA1,691,16 632.89 (2) (a) 2. Except as provided in pars. (b) to (e), coverage of conditions under subd. 1. by a policy may be subject to exclusions or limitations, including deductibles and copayments, that are generally applicable to other conditions covered under the policy.

AB133-ASA1-CA1, s. 3044c Section 3044c. 632.89 (2) (b) 1. of the statutes is amended to read:

AB133-ASA1-CA1,691,24 632.89 (2) (b) 1. Except as provided in subd. 2., if a group or blanket disability insurance policy issued by an insurer provides coverage of inpatient hospital treatment or outpatient treatment or both, the policy shall provide coverage in every policy year as provided in pars. (c) to (dm), as appropriate, except that the total coverage under the policy for a policy year need not exceed $7,000 or, if the coverage is provided by a health maintenance organization, as defined in s. 609.01 (2), the equivalent benefits measured in services rendered.

AB133-ASA1-CA1, s. 3044e Section 3044e. 632.89 (2) (c) 2. b. of the statutes is amended to read:

AB133-ASA1-CA1,692,7 632.89 (2) (c) 2. b. Seven thousand dollars minus a copayment of up to 10% any applicable cost sharing at the level charged under the policy for inpatient hospital services or, if the coverage is provided by a health maintenance organization, as defined in s. 609.01 (2), $6,300 or the equivalent benefits measured in services rendered or, if the policy does not use cost sharing, $6,300 in equivalent benefits measured in services rendered.

AB133-ASA1-CA1, s. 3044ht Section 3044ht. 632.89 (2) (d) 2. of the statutes is amended to read:

AB133-ASA1-CA1,692,15 632.89 (2) (d) 2. Except as provided in par. (b), a policy under subd. 1. shall provide coverage in every policy year for not less than $2,000 minus a copayment of up to 10% any applicable cost sharing at the level charged under the policy for outpatient services or, if the coverage is provided by a health maintenance organization, as defined in s. 609.01 (2), $1,800 or the equivalent benefits measured in services rendered or, if the policy does not use cost sharing, $1,800 in equivalent benefits measured in services rendered.

AB133-ASA1-CA1, s. 3044i Section 3044i. 632.89 (2) (dm) 2. of the statutes is amended to read:

AB133-ASA1-CA1,692,23 632.89 (2) (dm) 2. Except as provided in par. (b), a policy under subd. 1. shall provide coverage in every policy year for not less than $3,000 minus a copayment of up to 10% any applicable cost sharing at the level charged under the policy for transitional treatment arrangements or, if the coverage is provided by a health maintenance organization, as defined in s. 609.01 (2), $2,700 or the equivalent benefits measured in services rendered or, if the policy does not use cost sharing, $2,700 in equivalent benefits measured in services rendered.".

AB133-ASA1-CA1,692,24 1488. Page 1406, line 3: after that line insert:

AB133-ASA1-CA1,693,1 " Section 3044j. 633.14 (1) (d) of the statutes is amended to read:

AB133-ASA1-CA1,693,3 633.14 (1) (d) Provides his or her social security number, unless the individual does not have a social security number.

AB133-ASA1-CA1, s. 3044k Section 3044k. 633.14 (1) (e) of the statutes is created to read:

AB133-ASA1-CA1,693,8 633.14 (1) (e) If an individual who does not have a social security number, provides on a form prescribed by the department of workforce development a statement made or subscribed under oath or affirmation that he or she does not have a social security number.

AB133-ASA1-CA1, s. 3044L Section 3044L. 633.15 (1m) of the statutes is amended to read:

AB133-ASA1-CA1,693,21 633.15 (1m) Social security or number, federal employer identification number or statement. At an annual renewal, an administrator shall provide his or her social security number, if the administrator is an individual unless he or she does not have a social security number, or its federal employer identification number, if the administrator is a corporation, limited liability company or partnership, if the social security number or federal employer identification number was not previously provided on the application for the license or at a previous renewal of the license. If an administrator who is an individual does not have a social security number, the individual shall provide to the commissioner, at each annual renewal and on a form prescribed by the department of workforce development, a statement made or subscribed under oath or affirmation that the administrator does not have a social security number.

AB133-ASA1-CA1, s. 3044m Section 3044m. 633.15 (2) (a) 1. of the statutes is amended to read:

AB133-ASA1-CA1,694,4 633.15 (2) (a) 1. If an administrator fails to pay the annual renewal fee as provided under sub. (1) or fails to provide a social security number or, federal employer identification number or statement made or subscribed under oath or affirmation as required under sub. (1m), the commissioner shall suspend the administrator's license effective the day following the last day when the annual renewal fee may be paid, if the commissioner has given the administrator reasonable notice of when the fee must be paid to avoid suspension.

AB133-ASA1-CA1, s. 3044n Section 3044n. 633.15 (2) (a) 2. of the statutes is amended to read:

AB133-ASA1-CA1,694,11 633.15 (2) (a) 2. If, within 60 days from the effective date of suspension under subd. 1., an administrator pays the annual renewal fee or provides the social security number or, federal employer identification number or statement made or subscribed under oath or affirmation, or both if the suspension was based upon a failure to do both, the commissioner shall reinstate the administrator's license effective as of the date of suspension.

AB133-ASA1-CA1, s. 3044no Section 3044no. 633.15 (2) (a) 3. of the statutes is amended to read:

AB133-ASA1-CA1,694,16 633.15 (2) (a) 3. If payment is not made or the social security number or, federal employer identification number or statement made or subscribed under oath or affirmation is not provided within 60 days from the effective date of suspension under subd. 1., the commissioner shall revoke the administrator's license.

AB133-ASA1-CA1, s. 3044p Section 3044p. 633.15 (2) (b) 1. (intro.) of the statutes is amended to read:

AB133-ASA1-CA1,694,20 633.15 (2) (b) 1. (intro.) Except as provided in pars. (c) and (d) to (e), the commissioner may revoke, suspend or limit the license of an administrator after a hearing if the commissioner makes any of the following findings:

AB133-ASA1-CA1, s. 3044q Section 3044q. 633.15 (2) (e) of the statutes is created to read:

AB133-ASA1-CA1,694,25 633.15 (2) (e) For providing false information in statement. The commissioner shall revoke a license issued under s. 633.14 (1) if the commissioner determines, after a hearing, that the licensee provided false information in a statement provided under sub. (1m) or s. 633.14 (1) (e).".

AB133-ASA1-CA1,695,1 1489. Page 1406, line 3: after that line insert:

AB133-ASA1-CA1,695,2 " Section 3044L. 632.897 (10) (a) 3. of the statutes is amended to read:

AB133-ASA1-CA1,695,8 632.897 (10) (a) 3. The fact that the group member or insured does not claim the child as an exemption for federal income tax purposes under 26 USC 151 (c) (1) (B), or as an exemption for state income tax purposes under s. 71.07 (8) (b) or under the laws of another state, if a court order under s. 767.25 (4m), 767.51 (3m) or 767.62 (4) (b) or the laws of another state assigns responsibility for the child's health care expenses to the group member or insured.".

AB133-ASA1-CA1,695,9 1490. Page 1407, line 18: after that line insert:

AB133-ASA1-CA1,695,10 " Section 3049m. 753.06 (8) (g) of the statutes is amended to read:

AB133-ASA1-CA1,695,12 753.06 (8) (g) Waupaca County. The circuit has 2 branches. Commencing August 1, 2000, the circuit has 3 branches.".

AB133-ASA1-CA1,695,13 1491. Page 1407, line 18: after that line insert:

AB133-ASA1-CA1,695,14 " Section 3049m. 707.46 (3) of the statutes is created to read:

AB133-ASA1-CA1,695,17 707.46 (3) Recording. A contract for the purchase of a time-share and any other instrument that is evidence of a purchase of a time-share is valid only if it is recorded.".

AB133-ASA1-CA1,695,18 1492. Page 1407, line 18: after that line insert:

AB133-ASA1-CA1,695,19 " Section 3049p. 751.15 (2) of the statutes is amended to read:

AB133-ASA1-CA1,696,5 751.15 (2) The supreme court is requested to promulgate rules that require each person who has a social security number, as a condition of membership in the state bar, to provide the board of bar examiners with his or her social security number, that require each person who does not have a social security number, as a condition of membership in the state bar, to provide the board of bar examiners with a statement made or subscribed under oath or affirmation on a form prescribed by the department of workforce development that the person does not have a social security number, and that prohibit the disclosure of that number to any person except the department of workforce development for the purpose of administering s. 49.22.

AB133-ASA1-CA1, s. 3049r Section 3049r. 751.15 (3) of the statutes is amended to read:

AB133-ASA1-CA1,696,18 751.15 (3) The supreme court is requested to promulgate rules that deny, suspend, restrict or refuse to renew a license to practice law if the applicant or licensee fails to provide the information required under rules promulgated under sub. (2) or fails to comply, after appropriate notice, with a subpoena or warrant issued by the department of workforce development or a county child support agency under s. 59.53 (5) and related to paternity or child support proceedings or if the department of workforce development certifies that the applicant or licensee has failed to pay court-ordered payments of child or family support, maintenance, birth expenses, medical expenses or other expenses related to the support of a child or former spouse. The supreme court is also requested to promulgate rules that invalidate a license to practice law if issued in reliance upon a statement made or subscribed under oath or affirmation under rules promulgated under sub. (2) that is false.".

AB133-ASA1-CA1,696,19 1493. Page 1409, line 4: after that line insert:

AB133-ASA1-CA1,696,20 " Section 3051m. 758.19 (5) (b) (intro.) of the statutes is amended to read: