SB322-AA1, s. 109 8Section 109. 632.89 (2) (b) 1. of the statutes is amended to read:
SB322-AA1,35,149 632.89 (2) (b) 1. Except as provided in subd. 2., if a group or blanket disability
10insurance policy issued by an insurer provides coverage of inpatient hospital
11treatment or outpatient treatment or both, the policy shall provide coverage in every
12policy year as provided in pars. (c) to (dm), as appropriate, except that the total
13coverage under the policy for a policy year need not exceed $7,000 $16,800 or the
14equivalent benefits measured in services rendered.
SB322-AA1, s. 110 15Section 110. 632.89 (2) (c) 2. b. of the statutes is amended to read:
SB322-AA1,35,2016 632.89 (2) (c) 2. b. Seven thousand Sixteen thousand eight hundred dollars
17minus any applicable cost sharing at the level charged under the policy for inpatient
18hospital services or the equivalent benefits measured in services rendered or, if the
19policy does not use cost sharing, $6,300 $15,100 in equivalent benefits measured in
20services rendered.
SB322-AA1, s. 111 21Section 111. 632.89 (2) (d) 2. of the statutes is amended to read:
SB322-AA1,36,222 632.89 (2) (d) 2. Except as provided in par. (b), a policy under subd. 1. shall
23provide coverage in every policy year for not less than $2,000 $3,100 minus any
24applicable cost sharing at the level charged under the policy for outpatient services

1or the equivalent benefits measured in services rendered or, if the policy does not use
2cost sharing, $1,800 $2,800 in equivalent benefits measured in services rendered.
SB322-AA1, s. 112 3Section 112. 632.89 (2) (dm) 2. of the statutes is amended to read:
SB322-AA1,36,94 632.89 (2) (dm) 2. Except as provided in par. (b), a policy under subd. 1. shall
5provide coverage in every policy year for not less than $3,000 $4,600 minus any
6applicable cost sharing at the level charged under the policy for transitional
7treatment arrangements or the equivalent benefits measured in services rendered
8or, if the policy does not use cost sharing, $2,700 $4,100 in equivalent benefits
9measured in services rendered.
SB322-AA1, s. 113 10Section 113. 632.89 (2) (f) of the statutes is created to read:
SB322-AA1,36,1411 632.89 (2) (f) Report on coverage limits. The department of health and family
12services shall report annually to the governor and the legislature on revising the
13coverage limits specified in this subsection based on the change in the consumer price
14index for medical costs.
SB322-AA1, s. 114 15Section 114. 632.89 (6) and (7) of the statutes are created to read:
SB322-AA1,36,1816 632.89 (6) Prescription drugs and diagnostic testing. (a) The coverage
17amounts specified in sub. (2) shall not include costs incurred for prescription drugs
18or diagnostic testing.
SB322-AA1,36,2019 (b) The department of health and family services may specify, by rule, the
20diagnostic testing procedures to which par. (a) applies.
SB322-AA1,36,23 21(7) Treatment of costs. The coverage amounts specified in sub. (2) apply to
22actual payments or reimbursements made by an insurer if the payment or
23reimbursement amounts are less than the amounts charged by a provider.".
SB322-AA1,36,24 245. Page 2, line 9: delete " Section 2" and substitute "Section 114c".
SB322-AA1,37,1
16. Page 2, line 17: delete " Section 3" and substitute "Section 114m".
SB322-AA1,37,2 27. Page 3, line 2: after that line insert:
SB322-AA1,37,4 3" Section 115. 895.48 (1m) of the statutes, as affected by 2003 Wisconsin Act
433
, is renumbered 895.48 (1m) (a).
SB322-AA1, s. 116 5Section 116. 895.48 (1m) (b) of the statutes is created to read:
SB322-AA1,37,76 895.48 (1m) (b) This subsection does not apply to health care services provided
7by a volunteer health care provider under s. 146.89.
SB322-AA1, s. 117 8Section 117 . Nonstatutory provisions.
SB322-AA1,37,129 (1) The department of health and family services shall submit in proposed form
10the rules required under section 46.03 (44) of the statutes, as created by this act, to
11the legislative council staff under section 227.15 (1) of the statutes no later than the
12first day of the 7th month beginning after the effective date of this subsection.
SB322-AA1, s. 118 13Section 118 . Initial applicability.
SB322-AA1,37,1614 (1) The treatment of section 49.688 (4r) of the statutes first applies to eligibility
15determinations made and deductible amounts paid on the effective date of this
16subsection.
SB322-AA1,37,2117 (2) If an insurance policy that is in effect on the effective date of this subsection
18contains a provision that is inconsistent with the treatment of section 632.89 (6) or
19(7) of the statutes, the treatment of section 632.89 (6) or (7) of the statutes, whichever
20is inconsistent, first applies to that insurance policy on the date on which it is
21renewed.
SB322-AA1,37,2422 (3) The treatment of sections 632.89 (1) (am) and (2) (b) 1., (c) 2. b., (d) 2., (dm)
232., and (f) of the statutes first applies to a policy issued, renewed, or modified on the
24first day of the 13th month beginning after publication.
SB322-AA1,38,6
1(4) The treatment of sections 146.89 (2) (a), (c), and (d), (3) (b) (intro.), (c), and
2(d) (intro.), and (3m) and 895.48 (1m) of the statutes, the renumbering and
3amendment of section 146.89 (1) of the statutes, and the creation of section 146.89
4(1) (d), (g), and (h) and 895.48 (1m) (b) of the statutes first applies to applications
5submitted under section 146.89 (2) (a) of the statutes, as affected by this act, on the
6effective date of this subsection.
SB322-AA1,38,97 (5) The renumbering and amendment of section 456.08 of the statutes and the
8creation of section 456.08 (1), (2), (3), and (4) of the statutes first apply to applications
9received on the effective date of this subsection.
SB322-AA1,38,1410 (6) The treatment of sections 49.46 (1) (a) 1., 1g., 1m., 6., 9., 10., 11., and 12.,
11(ar), (e), and (L), 49.47 (4) (am) 1. and 2., (c) 1. and 3., (cg) 3., and (h), and 49.665 (4)
12(a) 1. and (d) of the statutes first applies to eligibility determinations for the Medical
13Assistance and Badger Care health care programs that are made on the effective
14date of this subsection.
SB322-AA1, s. 119 15Section 119. Effective dates. This act takes effect on the day after
16publication, except as follows:
SB322-AA1,38,1817 (1) The treatment of section 49.688 (4r) of the statutes and Section 118 (1 ) of
18this act take effect on the first day of the 2nd month beginning after publication.
SB322-AA1,38,2119 (2) The treatment of sections 20.435 (4) (b) and (7) (bd), 49.45 (6ur) and 49.45
20(6v) of the statutes takes effect on takes effect on January 1, 2005, or on the day after
21publication, whichever is later.
SB322-AA1,38,2422 (3) The treatment of sections 100.31 (title), (1) (a), (ae), (as), (b), and (c), (2), (2r),
23and (4) of the statutes takes effect on the first day of the 3rd month beginning after
24publication.
SB322-AA1,39,3
1(4) The treatment of sections 46.03 (44), 441.07 (1) (d), 441.16 (3m), 448.015 (4),
2448.035, 448.04 (1) (a), 450.10 (1) (a) (intro.), and 450.11 (1) and (1g) of the statutes
3takes effect on the first day of the 13th month beginning after publication.
SB322-AA1,39,84 (5) The treatment of sections 456.02 (intro.), (1), (2), (3), (4), (5), and (6), 456.04
5(intro.), (1), (1m) (d) and (e), (2), (2m), (3), and (4), 456.08 (1), (2), (3), and (4), 456.09
6(1) (c), and 456.12 of the statutes and the renumbering and amendment of section
7456.08 of the statutes take effect on the first day of the 7th month beginning after
8publication.".
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