Amendment SA2-SB288

LRBa1125/3

CMH&PJK:lmk:jf

2005 - 2006 LEGISLATURE

SENATE AMENDMENT 2, TO 2005 SENATE BILL 288

October 20, 2005 - Offered by Senator Stepp.

SB288-SA2,1,1 At the locations indicated, amend the bill as follows:

SB288-SA2,1,2 1. Page 3, line 22: delete that line and substitute:

SB288-SA2,1,10 "632.87 (6) (a) 1. Except as provided in subd. 2., in this subsection, "routine costs" means all health care services, items, and drugs that are typically provided in health care; all health care services, items, and drugs that are required solely for the provision of the health care service, item, or drug; the appropriate monitoring of the effects of the health care services, items, and drugs; the prevention of complications arising from the health care services, items, and drugs; and health care services, items, and drugs that are needed for reasonable and necessary care arising from the provision of the health care service, item, or drug.

SB288-SA2,2,4 2. "Routine costs" does not include the health care service, item, or investigational drug that is the subject of the trial; any services provided solely to satisfy data collection and analysis needs that are not used in the direct clinical management of the patient; any services, items, or drugs provided by the trial sponsors free of charge for any patient; or any services, items, or drugs that are eligible for reimbursement by a person other than the insurer, including the sponsor of the trial.

SB288-SA2,2,5 (b) No policy, plan, or contract may exclude coverage for any routine costs".

SB288-SA2,2,6 2. Page 3, line 23: delete "service, item, or drug".

SB288-SA2,2,7 3. Page 3, line 23: delete "that is" and substitute "that are".

SB288-SA2,2,10 4. Page 3, line 24: delete the material beginning with "health care service," and ending with "had it" on page 4, line 1 and substitute "routine costs had the routine costs".

SB288-SA2,2,11 5. Page 4, line 3: delete "(a)" and substitute "1.".

SB288-SA2,2,12 6. Page 4, line 4: delete "1." and substitute "a.".

SB288-SA2,2,13 7. Page 4, line 6: delete "2." and substitute "b.".

SB288-SA2,2,14 8. Page 4, line 8: delete "3." and substitute "c.".

SB288-SA2,2,15 9. Page 4, line 11: delete "4." and substitute "d.".

SB288-SA2,2,16 10. Page 4, line 13: delete "(b)" and substitute "2.".

SB288-SA2,2,17 11. Page 4, line 14: delete "1." and substitute "a.".

SB288-SA2,2,18 12. Page 4, line 16: delete "2." and substitute "b.".

SB288-SA2,2,19 13. Page 4, line 17: delete "3." and substitute "c.".

SB288-SA2,2,20 14. Page 4, line 18: delete "4." and substitute "d.".

SB288-SA2,2,21 15. Page 4, line 19: delete "5." and substitute "e.".

SB288-SA2,2,22 16. Page 4, line 21: after that line insert:

SB288-SA2,3,2 "3. The clinical trial is not designed exclusively to test toxicity or disease pathophysiology but has therapeutic intent.

SB288-SA2,3,5 4. The clinical trial enrolls individuals with diagnosed disease rather than healthy individuals, except that if the clinical trial tests a diagnostic intervention it may enroll healthy individuals in order to have a proper control group.".

SB288-SA2,3,6 (End)