For further information see the state and local fiscal estimate, which will be
printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB1217, s. 1
1Section
1. 40.51 (8) of the statutes is amended to read:
AB1217,2,52
40.51
(8) Every health care coverage plan offered by the state under sub. (6)
3shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.746 (1) to (8)
4and (10), 632.747, 632.748, 632.83, 632.835, 632.85, 632.853, 632.855, 632.87 (3) to
5(5), 632.895 (5m) and (8) to
(14) (15), and 632.896.
AB1217, s. 2
6Section
2. 40.51 (8m) of the statutes is amended to read:
AB1217,2,97
40.51
(8m) Every health care coverage plan offered by the group insurance
8board under sub. (7) shall comply with ss. 631.95, 632.746 (1) to (8) and (10), 632.747,
9632.748, 632.83, 632.835, 632.85, 632.853, 632.855
, and 632.895 (11) to
(14) (15).
AB1217, s. 3
10Section
3. 66.0137 (4) of the statutes is amended to read:
AB1217,2,1611
66.0137
(4) Self-insured health plans. If a city, including a 1st class city, or
12a village provides health care benefits under its home rule power, or if a town
13provides health care benefits, to its officers and employees on a self-insured basis,
14the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
15632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.85, 632.853, 632.855, 632.87 (4) and (5),
16632.895 (9) to
(14) (15), 632.896
, and 767.25 (4m) (d).
AB1217, s. 4
17Section
4. 111.91 (2) (n) of the statutes is amended to read:
AB1217,2,1918
111.91
(2) (n) The provision to employees of the health insurance coverage
19required under s. 632.895 (11) to
(14) (15).
AB1217, s. 5
20Section
5. 120.13 (2) (g) of the statutes is amended to read:
AB1217,3,4
1120.13
(2) (g) Every self-insured plan under par. (b) shall comply with ss.
249.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.746 (10) (a) 2. and (b) 2., 632.747 (3),
3632.85, 632.853, 632.855, 632.87 (4) and (5), 632.895 (9) to
(14) (15), 632.896
, and
4767.25 (4m) (d).
AB1217, s. 6
5Section
6. 185.981 (4t) of the statutes is amended to read:
AB1217,3,96
185.981
(4t) A sickness care plan operated by a cooperative association is
7subject to ss. 252.14, 631.17, 631.89, 631.95, 632.72 (2), 632.745 to 632.749, 632.85,
8632.853, 632.855, 632.87 (2m), (3), (4)
, and (5), 632.895 (10) to
(14) (15), and 632.897
9(10) and chs. 149 and 155.
AB1217, s. 7
10Section
7. 185.983 (1) (intro.) of the statutes is amended to read:
AB1217,3,1711
185.983
(1) (intro.) Every such voluntary nonprofit sickness care plan shall be
12exempt from chs. 600 to 646, with the exception of ss. 601.04, 601.13, 601.31, 601.41,
13601.42, 601.43, 601.44, 601.45, 611.67, 619.04, 628.34 (10), 631.17, 631.89, 631.93,
14631.95, 632.72 (2), 632.745 to 632.749, 632.775, 632.79, 632.795, 632.85, 632.853,
15632.855, 632.87 (2m), (3), (4)
, and (5), 632.895 (5) and (9) to
(14) (15), 632.896
, and
16632.897 (10) and chs. 609, 630, 635, 645
, and 646, but the sponsoring association
17shall:
AB1217, s. 8
18Section
8. 609.86 of the statutes is created to read:
AB1217,3,20
19609.86 Coverage of hearing aids and cochlear implants for infants. 20Defined network plans are subject to s. 632.895 (15).
AB1217, s. 9
21Section
9. 632.895 (15) of the statutes is created to read:
AB1217,3,2322
632.895
(15) Hearing aids and cochlear implants for infants. (a) In this
23subsection:
AB1217,3,2424
1. "Hearing aid" has the meaning given in s. 459.01 (2).
AB1217,3,2525
2. "Physician" has the meaning given in s. 448.01 (5).
AB1217,4,6
1(b) Except as provided in par. (d), every disability insurance policy, and every
2self-insured health plan of the state or a county, city, town, village, or school district,
3shall provide coverage of the cost of hearing aids or cochlear implants for a child
4covered under the policy or plan who is under one year of age and who is certified as
5deaf or severely hearing impaired by a physician or by an audiologist licensed under
6subch. II of ch. 459.
AB1217,4,97
(c) The coverage required under par. (b) may be subject to any limitations,
8exclusions, or cost-sharing provisions that apply generally under the disability
9insurance policy or self-insured health plan.
AB1217,4,1010
(d) This subsection does not apply to any of the following:
AB1217,4,1111
1. A disability insurance policy that covers only certain specified diseases.
AB1217,4,1412
2. A health care plan offered by a limited service health organization, as defined
13in s. 609.01 (3), or by a preferred provider plan, as defined in s. 609.01 (4), that is not
14a defined network plan, as defined in s. 609.01 (1b).
AB1217,4,1515
3. A long-term care insurance policy.
AB1217,4,1616
4. A medicare replacement policy or a medicare supplement policy.
AB1217,4,1818
(1) This act first applies to all of the following:
AB1217,4,2119
(a) Except as provided in paragraphs (b) and (c
), disability insurance policies
20that are issued or renewed, and self-insured health plans that are established,
21extended, modified, or renewed, on the effective date of this paragraph.
AB1217,4,2422
(b) Disability insurance policies covering employees who are affected by a
23collective bargaining agreement containing provisions inconsistent with this act
24that are issued or renewed on the earlier of the following:
AB1217,4,25
251. The day on which the collective bargaining agreement expires.
AB1217,5,2
12. The day on which the collective bargaining agreement is extended, modified,
2or renewed.
AB1217,5,53
(c) Self-insured health plans covering employees who are affected by a
4collective bargaining agreement containing provisions inconsistent with this act
5that are established, extended, modified, or renewed on the earlier of the following:
AB1217,5,6
61. The day on which the collective bargaining agreement expires.
AB1217,5,8
72. The day on which the collective bargaining agreement is extended, modified,
8or renewed.
AB1217,5,1110
(1)
This act takes effect on the first day of the 7th month beginning after
11publication.
