Amendment AA1-ASA1-AB47

AB47-ASA1-AA1,3,16 609.87 Coverage of treatment for autism spectrum disorders. Defined network plans are subject to s. 632.895 (16).

AB47-ASA1-AA1, s. 2m Section 2m. 632.895 (16) of the statutes is created to read:

AB47-ASA1-AA1,3,19 632.895 (16) Treatment for autism spectrum disorders. (a) In this subsection, "autism spectrum disorder" means any of the following:

AB47-ASA1-AA1,3,20 1. Autism disorder.

AB47-ASA1-AA1,3,21 2. Asperger's syndrome.

AB47-ASA1-AA1,3,22 3. Pervasive developmental disorder not otherwise specified.

AB47-ASA1-AA1,4,2 (b) Except as provided in par. (d), every disability insurance policy, and every self-insured health plan of the state or a county, city, town, village, or school district, shall provide coverage for an insured of treatment for an autism spectrum disorder if the treatment is provided by any of the following:

AB47-ASA1-AA1,4,3 1. A psychiatrist, as defined in s. 146.34 (1) (h).

AB47-ASA1-AA1,4,4 2. A person who practices psychology, as described in s. 455.01 (5).

AB47-ASA1-AA1,4,6 3. A social worker, as defined in s. 252.15 (1) (er), who is certified or licensed to practice psychotherapy, as defined in s. 457.01 (8m).

AB47-ASA1-AA1,4,8 4. A paraprofessional working under the supervision of a provider listed under subds. 1. to 3.

AB47-ASA1-AA1,4,10 5. A professional working under the supervision of an outpatient mental health clinic certified under s. 51.038.

AB47-ASA1-AA1,4,11 6. A speech-language pathologist, as defined in s. 459.20 (4).

AB47-ASA1-AA1,4,14 (c) The coverage required under par. (b) may be subject to any limitations, exclusions, and cost-sharing provisions that apply generally under the disability insurance policy or self-insured health plan.

AB47-ASA1-AA1,4,15 (d) This subsection does not apply to any of the following:

AB47-ASA1-AA1,4,16 1. A disability insurance policy that covers only certain specified diseases.

AB47-ASA1-AA1,4,19 2. A health care plan offered by a limited service health organization, as defined in s. 609.01 (3), or by a preferred provider plan, as defined in s. 609.01 (4), that is not a defined network plan, as defined in s. 609.01 (1b).

AB47-ASA1-AA1,4,20 3. A long-term care insurance policy.

AB47-ASA1-AA1,4,21 4. A medicare replacement policy or a medicare supplement policy.".

AB47-ASA1-AA1,4,24 5. Page 3, line 6: delete "(1) This act" and substitute "(1) Health savings account tax credit. The treatment of sections 71.07 (6f) and 71.10 (4) (ce) of the statutes".

AB47-ASA1-AA1,5,2 6. Page 3, line 8: delete "this act" and substitute "the treatment of sections 71.07 (6f) and 71.10 (4) (ce) of the statutes".

AB47-ASA1-AA1,5,3 7. Page 3, line 9: after that line insert:

AB47-ASA1-AA1,5,6 "(2) Coverage of autism spectrum disorders. The treatment of sections 40.51 (8) and (8m), 66.0137 (4), 111.91 (2) (n), 120.13 (2) (g), 185.981 (4t), 185.983 (1) (intro.), 609.87, and 632.895 (16) of the statutes first applies to all of the following:

AB47-ASA1-AA1,5,10 (a) Except as provided in paragraphs (b) and (c), disability insurance policies that are issued or renewed, and self-insured governmental or school district health plans that are established, extended, modified, or renewed, on the effective date of this paragraph.

AB47-ASA1-AA1,5,13 (b) Disability insurance policies covering employees who are affected by a collective bargaining agreement containing provisions inconsistent with this act that are issued or renewed on the earlier of the following:

AB47-ASA1-AA1,5,14 1. The day on which the collective bargaining agreement expires.

AB47-ASA1-AA1,5,16 2. The day on which the collective bargaining agreement is extended, modified, or renewed.

AB47-ASA1-AA1,5,20 (c) Self-insured governmental or school district health plans covering employees who are affected by a collective bargaining agreement containing provisions inconsistent with this act that are established, extended, modified, or renewed on the earlier of the following:

AB47-ASA1-AA1,5,21 1. The day on which the collective bargaining agreement expires.

AB47-ASA1-AA1,5,23 2. The day on which the collective bargaining agreement is extended, modified, or renewed.

AB47-ASA1-AA1, s. 3m Section 3m. Effective dates. This act takes effect on the day after publication, except as follows:

AB47-ASA1-AA1,6,6 (1) Coverage of autism spectrum disorders. The treatment of sections 40.51 (8) and (8m), 66.0137 (4), 111.91 (2) (n), 120.13 (2) (g), 185.981 (4t), 185.983 (1) (intro.), 609.87, and 632.895 (16) of the statutes and Section 3 (2) of this act take effect on the first day of the 7th month beginning after publication.".

AB47-ASA1-AA1,6,7 (End)