AB518AB518
Assembly
Record of Committee Proceedings
Committee on Insurance
Relating to: requiring all insurers to establish internal grievance procedures, independent review of certain coverage determinations made by health benefit plans, granting rule-making authority and providing an exemption from emergency rule procedures.
By Representatives Underheim, F. Lasee, Musser, Kelso, Urban, Ladwig, Albers, Kaufert and Kedzie; cosponsored by Senators Breske, Rosenzweig, Roessler, Darling, Schultz and Drzewiecki.
October 5, 1999 Referred to committee on Insurance.
October 14, 1999 PUBLIC HEARING HELD
Present: (12) Representatives F. Lasee, Klusman, Underheim, Kreibich, Pettis, Wieckert, Skindrud, Cullen, Morris-Tatum, Plale, Wasserman and Ziegelbauer.
Absent: (0) None.
·
Representative Gregg Underheim
· Louise Trubek, Center for Public Representation Inc.
· Connie O'Connell, Office of the Commissioner of Insurance
· Frank Slusarski
· David B. Slautterback, AARP
· Amy McGee Polasky, Council for Affordable Health Insurance
· Kathy Anderson, State Medical Society
· John R. Petersen, State Medical Society, Medical Society of Milwaukee Co.
· Peter Farrow, Group Health Cooperative of Eau Claire
· Nancy J. Wenzel, Association of Wisconsin HMOs
· Jim Tenuta, Wisconsin Association of Life and Health Insurers
· L. Susan Roy, Wisconsin Physicians Service Insurance Corp.
· Robert T. Wood, Wisconsin Physicians Service Insurance Corp.
· Andrea Dilweg, Humana Inc.
· Sam Gieryn, Wisconsin Citizen Action
· Don Burmester, UAW Local 469, Wisconsin Citizen Action
· Ann J. Haney, Dean Health System
·
None.
·
None.
·
Melanie Bloechl, Open MRI of Oshkosh
· Victor Jesudason, AARP
· Angela Miloszewicz, Senator Roger Breske
· Senator Peggy Rosenzweig
· Representative Frank Urban
· Representative Sheryl Albers
· Dan Schwartzer, Wisconsin Association of Health Underwriters
· Amy Lodes, Blue Cross/Blue Shield United of Wisconsin
· Dr. Cal Bruce, Wisconsin Academy of Family Physicians
· Ed Blume, Wisconsin Association of Health Underwriters
· Anthony Driessen, Wisconsin Society of Podiatric Medicine
·
Robert Peterson, ABC for Health
· Raymond B. Laravuso, ABC for Health
October 27, 1999
EXECUTIVE SESSION
Present: (11) Representatives F. Lasee, Klusman, Underheim, Kreibich, Pettis, Wieckert, Skindrud, Morris-Tatum, Plale, Wasserman and Ziegelbauer.
Absent: (1) Representative Cullen.
Moved by Representative Wasserman, seconded by Representative Plale, that
Assembly Amendment 1 to Assembly Amendment 2 to Assembly Substitute Amendment 1 to Assembly Bill 518
be recommended for introduction and adoption.
Ayes: (8) Representatives F. Lasee, Klusman, Pettis, Wieckert, Morris-Tatum, Plale, Wasserman and Ziegelbauer.
Noes: (3) Representatives Underheim, Kreibich and Skindrud.
Absent: (1) Representative Cullen.
INTRODUCTION AND ADOPTION RECOMMENDED, Ayes 8, Noes 3, Absent 1
Representative Cullen said he would have voted no had he been present.
Moved by Representative Underheim, seconded by Representative Klusman, that
Assembly Amendment 2 to Assembly Substitute Amendment 1 to Assembly Bill 518
be recommended for adoption.
Ayes: (9) Representatives F. Lasee, Klusman, Underheim, Kreibich, Pettis, Wieckert, Skindrud, Plale and Ziegelbauer.
Noes: (2) Representatives Morris-Tatum and Wasserman.
Absent: (1) Representative Cullen.
ADOPTION RECOMMENDED, Ayes 9, Noes 2, Absent 1
Representative Cullen said he would have voted no had he been present.
Moved by Representative Underheim, seconded by Representative Klusman, that
Assembly Amendment 3 to Assembly Substitute Amendment 1 to Assembly Bill 518
be recommended for adoption.
Ayes: (11) Representatives F. Lasee, Klusman, Underheim, Kreibich, Pettis, Wieckert, Skindrud, Morris-Tatum, Plale, Wasserman and Ziegelbauer.
Noes: (0) None.
Absent: (1) Representative Cullen.
ADOPTION RECOMMENDED, Ayes 11, Noes 0, Absent 1
Representative Cullen said he would have voted yes had he been present.
Moved by Representative Wasserman, seconded by Representative Plale, that
Assembly Amendment 4 to Assembly Substitute Amendment 1 to Assembly Bill 518
be recommended for adoption.
Ayes: (3) Representatives Morris-Tatum, Plale and Wasserman.
Noes: (8) Representatives F. Lasee, Klusman, Underheim, Kreibich, Pettis, Wieckert, Skindrud and Ziegelbauer.
Absent: (1) Representative Cullen.
ADOPTION RECOMMENDED, Ayes 3, Noes 8, Absent 1
Representative Cullen said he would have voted no had he been present.
Moved by Representative Wasserman, seconded by Representative Plale, that
Assembly Amendment 8 to Assembly Substitute Amendment 1 to Assembly Bill 518
be recommended for adoption.
Ayes: (3) Representatives Morris-Tatum, Plale and Wasserman.
Noes: (8) Representatives F. Lasee, Klusman, Underheim, Kreibich, Pettis, Wieckert, Skindrud and Ziegelbauer.
Absent: (1) Representative Cullen.
ADOPTION RECOMMENDED, Ayes 3, Noes 8, Absent 1
Representative Cullen said he would have voted no had he been present.
Moved by Representative Wasserman, seconded by Representative Plale, that
Assembly Amendment 9 to Assembly Substitute Amendment 1 to Assembly Bill 518
be recommended for adoption.
Ayes: (3) Representatives Morris-Tatum, Plale and Wasserman.
Noes: (8) Representatives F. Lasee, Klusman, Underheim, Kreibich, Pettis, Wieckert, Skindrud and Ziegelbauer.
Absent: (1) Representative Cullen.
ADOPTION RECOMMENDED, Ayes 3, Noes 8, Absent 1
Representative Cullen said he would have voted no had he been present.
Moved by Representative Wasserman, seconded by Representative Plale, that
Assembly Amendment 12 to Assembly Substitute Amendment 1 to Assembly Bill 518
be recommended for adoption.
Ayes: (3) Representatives Morris-Tatum, Plale and Wasserman.
Noes: (8) Representatives F. Lasee, Klusman, Underheim, Kreibich, Pettis, Wieckert, Skindrud and Ziegelbauer.
Absent: (1) Representative Cullen.
ADOPTION RECOMMENDED, Ayes 3, Noes 8, Absent 1
Representative Cullen said he would have voted no had he been present.
Moved by Representative Wasserman, seconded by Representative Plale, that
Assembly Amendment 13 to Assembly Substitute Amendment 1 to Assembly Bill 518
be recommended for adoption.
Ayes: (4) Representatives F. Lasee, Morris-Tatum, Plale and Wasserman.
Noes: (7) Representatives Klusman, Underheim, Kreibich, Pettis, Wieckert, Skindrud and Ziegelbauer.
Absent: (1) Representative Cullen.
ADOPTION RECOMMENDED, Ayes 4, Noes 7, Absent 1
Representative Cullen said he would have voted no had he been present.
Moved by Representative Wasserman, seconded by Representative Plale, that
Assembly Amendment 14 to Assembly Substitute Amendment 1 to Assembly Bill 518
be recommended for adoption.
Ayes: (3) Representatives Morris-Tatum, Plale and Wasserman.
Noes: (8) Representatives F. Lasee, Klusman, Underheim, Kreibich, Pettis, Wieckert, Skindrud and Ziegelbauer.
Absent: (1) Representative Cullen.
ADOPTION RECOMMENDED, Ayes 3, Noes 8, Absent 1
Representative Cullen said he would have voted no had he been present.
Moved by Representative Wasserman, seconded by Representative Plale, that
Assembly Amendment LRBa0839/1 to Assembly Substitute Amendment 1 to Assembly Bill 518
be recommended for introduction.
Ayes: (4) Representatives F. Lasee, Morris-Tatum, Plale and Wasserman.
Noes: (7) Representatives Klusman, Underheim, Kreibich, Pettis, Wieckert, Skindrud and Ziegelbauer.
Absent: (1) Representative Cullen.
INTRODUCTION RECOMMENDED, Ayes 4, Noes 7, Absent 1
Representative Cullen said he would have voted no had he been present.
Moved by Representative Underheim, seconded by Representative Klusman, that
Assembly Substitute Amendment 1 to Assembly Bill 518
be recommended for adoption.
Ayes: (9) Representatives F. Lasee, Klusman, Underheim, Kreibich, Pettis, Wieckert, Skindrud, Plale and Ziegelbauer.
Noes: (2) Representatives Morris-Tatum and Wasserman.
Absent: (1) Representative Cullen.
ADOPTION RECOMMENDED, Ayes 9, Noes 2, Absent 1
Representative Cullen said he would have voted no had he been present.
Moved by Representative Underheim, seconded by Representative Ziegelbauer, that
Assembly Bill 518
be recommended for passage as amended.
Ayes: (9) Representatives F. Lasee, Klusman, Underheim, Kreibich, Pettis, Wieckert, Skindrud, Plale and Ziegelbauer.
Noes: (2) Representatives Morris-Tatum and Wasserman.
Absent: (1) Representative Cullen.
PASSAGE AS AMENDED RECOMMENDED, Ayes 9, Noes 2, Absent 1
Representative Cullen said he would have voted no had he been present.
Mark Wadium
Committee Clerk
